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Biomedical subjects

P German

Publications and source records attributed to P German.

22 records · Page 2Linked to original sources

Anxiety and depression in a primary care clinic. Comparison of Diagnostic Interview Schedule, General Health Questionnaire, and practitioner assessments.

Over one half of all persons seen in a primary care clinic were identified as having anxiety or depressive disorder by the primary care provider, the General Health Questionnaire (GHQ), or the Diagnostic Interview Schedule (DIS). In only about 5% of all patients were findings positive on all three assessments concurrently. Both the GHQ and the practitioners identified over 30% of all patients as having a disorder, while about 8% had one or more of five DIS anxiety or depressive disorders (major depression, dysthymia, panic disorder, generalized anxiety disorder, or obsessive-compulsive disorder). Of the patients with DIS disorders 83% had positive GHQ scores, and 73% were identified by the practitioner as having a mental disorder.

Adolescent↗

Safety practices in construction industry.

Construction workers' safety practices were studied in relation to individual and situational factors. The study included a survey among 384 workers, 88 foremen, and 9 superintendents employed at nine nonresidential construction sites as well as one-time observations of safety practices at each site. Most workers displayed a high compliance with safety rules. Attitude toward safety performance and age were the most powerful predictors of safety performance. No relationship was found between workers' attitude and exposure to safety training or safety meetings. Nor was any relationship seen between workers' knowledge of safety performance and safety interventions. Findings suggested further consideration of the training needs of younger workers and foremen and evaluation of safety interventions.

Accidents, Occupational↗

Psychiatric diagnosis and uncooperative behavior in nursing homes.

The prevalence of psychiatric disorders and behavioral disturbances in nursing homes is high, but the relationship between the two is unknown. We studied 454 new admissions who were diagnosed by research psychiatrists using DSM-III-R criteria and compared patients who nursing staff designated as cooperative or uncooperative by psychiatric diagnosis and use of restraints and neuroleptics. Uncooperative patients (n = 79; 17.4%) had a variety of psychiatric disorders (total, 87.3%) but particularly had dementia syndromes complicated by delusions, depression, or delirium (44.3%). Uncooperative patients were more frequently restrained and prescribed neuroleptics. Determining the origins of behavior disorders in patients with psychiatric disorders in nursing homes may reduce behavior disturbances.

Aged↗