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Biomedical subjects

J Heyink

Publications and source records attributed to J Heyink.

7 recordsLinked to original sources

A comparison of two multidimensional measures of health status: the Nottingham Health Profile and the RAND 36-Item Health Survey 1.0.

In this study the applicability of two multidimensional instruments, the NHP and the RAND 36-item Health Survey 1.0, for measuring health status in population surveys was examined. A population sample of 1,063 persons aged over 17 years participated in the study. It was shown that, as compared with the NHP, the RAND 36-Item Health Survey 1.0 is a more reliable measure of health status. Second, within a group of subjects who scored 'zero' on the NHP, considerable dispersion in RAND 36-Item Health Survey 1.0 scores was found. For the whole group, no significant differences were found in the amount of variance explained by the corresponding scales from both instruments in the prevalence of chronic diseases. However, among subjects with a zero score on the NHP, the RAND 36-Item Health Survey 1.0 scores were still predictive of the occurrence of chronic diseases. It was concluded that, compared with the NHP, the RAND 36-Item Health Survey 1.0 seems to be a more sensitive instrument for the use in population samples.

Adult↗

Adaptation and well-being.

An overview is given of the strategies individuals use to overcome misfortune and to restore their subjective well-being. Using adaptation-theory as a frame of reference, three groups of adaptive mechanisms are described, i.e., shifting intrapsychic criteria, cognitive reconstruction, and future-time perception. The differences and similarities with related theoretical perspectives (for instance, 'coping' and 'control') are identified. Many other theoretical notions are briefly discussed and given a place in the presented framework. In the concluding section the possible role of moderating factors (e.g., social support) is discussed. Finally, some adaptational views on psychological dysfunctioning are presented.

Adaptation, Psychological↗

Liver transplantation: the shadow side.

For a relatively large number of patients with liver disease, a liver transplant does not always provide a successful solution. What does confrontation with this modern technology mean for those involved? We interviewed 30 relatives of patients who had died after they had been turned down for a transplant, or during or shortly after a liver transplant operation performed in the Groningen Liver Transplant Programme. Quantitative data were obtained by means of a questionnaire. One-third of the respondents were of the opinion that the patient would have been better off if he/she had not entered the programme. Over half found the loss more difficult to accept because the patient had been involved in the programme. Nevertheless, many had the feeling of satisfaction that everything possible had been done. However fruitful transplantation technology may be for a specific group of patients, it also involves undesirable side-effects which should be included in the careful judgement of this technology.

Adaptation, Psychological↗

Dentist and patient appraisal of complete dentures in a Dutch elderly population.

The majority of the Dutch elderly population wears full dentures. According to clinical standards these dentures are often of a poor quality. The treatment demand, however, is small. The purpose of the present study is to describe the quality of dentures by means of clinical criteria on the one hand and judgments of the patients on the other. 131 denture-wearing individuals, with a mean age of 71, participated. A "denture quality" scale was constructed, consisting of five clinical parameters. The judgments of the respondents were recorded in terms of complaints and satisfaction with the dentures. The results show weak or nonsignificant correlations between the denture quality and the subjective measures. After dichotomizing the denture quality score (treatment need vs no treatment need), however, the poorer dentures appeared to be related to more complaints. It was concluded that for planning purposes it seems valid to use clinical figures. On the individual level the prediction of the subjective appraisal of full dentures on the basis of a clinical appreciation appears not to be adequate.

Aged↗

Denture problems and the quality of life in a Dutch elderly population.

The quality of complete dentures among the Dutch elderly population is often rather poor. Besides, complaints are frequently reported. It is unclear whether these denture problems affect the quality of life. In this study the relationship between the presence of denture problems and the perceived quality of life was considered. Thirty-one edentulous individuals, over 55 yr of age, were interviewed and clinically examined. The results show a significant relationship between the denture variables "quality", "satisfaction" and "complaints". Quality of life is weakly correlated with the quality of the dentures, but not with the other main denture variables. Some implications of these findings are briefly discussed.

Aged↗