Publications (15)8.09 Total impact
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Article: [Summary of the practice guideline 'Children with fever' (Second Revision) from the Dutch College of General Practitioners].
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ABSTRACT: In the second revision of the practice guideline 'Children with fever' from the Dutch College of General Practitioners, due to its greater reliability rectal measurement of the body temperature above measurement with an ear thermometer is recommended in the case of children younger than 3 months, where the classical signs of infectious diseases are often less apparent. The practice guideline distinguishes between alarm signs which can be recognised by the parents and alarm symptoms which can be diagnosed by the physician during a physical examination. In children younger than 2 years who are feverish with no apparent cause, the urine should be examined at the first consultation. An X-ray of the thorax of a child with fever is only necessary if pneumonia is suspected. As it is not possible at an early stage to identify serious cases among children who are feverish without an apparent cause, these children should be re-examined within 24-48 hours. Children with fever who are younger than 3 months should be referred to a paediatrician. A typical febrile seizure is harmless, nevertheless an underlying meningitis should be excluded.Nederlands tijdschrift voor geneeskunde 01/2009; 152(51-52):2781-6. -
Article: [Summary of the practice guideline 'Hearing impairment' (first revision) from the Dutch College of General Practitioners].
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ABSTRACT: The Dutch College of General Practitioners recently issued a revised version of the practice guideline 'Hearing impairment'. The modification of the screening for hearing impairment, which now takes place in neonates, has resulted in a much lower number of false-positive diagnoses of perceptive hearing loss than under the previous version of the practice guideline. The expanded diagnostic possibilities for adults, whether or not implemented by the patients themselves, demand an active approach from the general practitioner towards patients with impaired hearing. This guideline helps general practitioners to select patients that will truly benefit from a hearing aid and that will also be more likely to use one. The general practitioner can play an important role by stimulating patients to be referred for a hearing aid.Nederlands tijdschrift voor geneeskunde 03/2007; 151(8):466-70. -
Article: [The practice guideline 'Otitis media with effusion' (second revision) from the Dutch College of General Practitioners].
Nederlands tijdschrift voor geneeskunde 02/2007; 151(4):267-8; author reply 268. -
Article: [Summary of the practice guideline 'Problematic alcohol consumption' (second revision) from the Dutch College of General Practitioners].
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ABSTRACT: Compared with the former guideline, more attention is paid to the attitude of the general practitioner towards problem drinkers (about 200 problem drinkers in a standard practice of 2350 patients) and the combined use of alcohol and drugs among young people. The five-shot questionnaire has replaced the earlier 'cutdown, annoyed, guilty, eye-opener' (CAGE) test. Laboratory tests are of little value in the diagnosis. The general practitioner is given tools with which to motivate problem drinkers to change their behaviour. Medication is of minor importance.Nederlands tijdschrift voor geneeskunde 12/2006; 150(46):2536-40. -
Article: [Summary of the practice guideline 'Otits media with effusion' (second revision) from the Dutch College of General Practitioners].
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ABSTRACT: Most children pass through a period of otitis media with effusion, which can be considered as a normal reaction of the body to viral or bacterial infections. The general practitioner provides education and advice regarding the favourable prognosis of the hearing loss and is alert to the detection of high-risk groups and an aberrant course. In most children with otitis media with effusion, the general practitioner can wait for the disease to take its natural course. Children with persistent otitis media with effusion whose development is retarded should be referred to an otorhinolaryngologist. The former screening for perceptive hearing loss in infants resulted in the detection of many children with otitis media with effusion. Children with abnormal results on the new form of neonatal auditory screening should preferably be referred to a centre for audiology.Nederlands tijdschrift voor geneeskunde 10/2006; 150(37):2028-32. -
Article: [Indicators as the basis for quality-control in the midwifery practice].
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ABSTRACT: A study on the quality of primary obstetric care in uncomplicated pregnancies carried out by means of a checklist revealed substandard factors in perinatal care in 71 out of 72 pregnancies. However there are many objections to the quality-control procedure. Some items on the original checklist had to be abandoned due to lack of evidence. In other items definitions and circumstances had not been properly considered and in some cases the patient's own wishes were responsible for a change in policy. The quality of the care delivered cannot be judged only by counting items on a checklist, but requires careful consideration of the situation and of the circumstances that led to the choices in perinatal care.Nederlands tijdschrift voor geneeskunde 07/2005; 149(24):1318-9. -
Article: [Summary of the practice guideline 'Peripheral vascular disease' (first revision) from the Dutch College of General Practitioners].
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ABSTRACT: Peripheral vascular disease is a manifestation of atherosclerosis and may occur with or without signs or symptoms. The local prognosis is worse with signs or symptoms. The concomitant atherosclerosis in heart and brain is responsible for long-term morbidity and mortality. Absence of signs and symptoms almost excludes peripheral vascular disease, but for the diagnosis an ankle-brachial index is mandatory. This implies a protocol in general practice. Treatment of peripheral vascular disease consists of advice on cardiovascular risk factors, stopping smoking, walking exercises, and foot care. For peripheral vascular disease, anti-thrombotic medication is advised.Nederlands tijdschrift voor geneeskunde 08/2004; 148(30):1490-4. -
Article: [The practice guideline 'peripheral arterial vein diseases' (first revision) from the Dutch College of General Practitioners: a response from the perspective of surgery].
Nederlands tijdschrift voor geneeskunde 08/2004; 148(31):1565-6. -
Article: [Summary of the practice guideline 'Dementia' (second revision) from the Dutch College of General Practitioners].
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ABSTRACT: The general practitioner (GP) should be aware of clues pointing to dementia. The GP can establish the diagnosis himself or refer the patient for extended testing. The diagnosis of dementia focuses on memory impairment, other cognitive impairments and decreased functioning in daily life. For patients with dementia and their relatives, information and advice are more important than medication. The GP must take care aspects into consideration as well as the way patients' relatives cope with the dementia patient. The treatment and care of the patient with dementia and the relatives requires good coordination and collaboration with other health workers.Nederlands tijdschrift voor geneeskunde 07/2004; 148(24):1191-7. -
Article: [The practice guideline 'Dementia' (second revision) from the Dutch College of General Practitioners; a response from the perspective of general practice].
Nederlands tijdschrift voor geneeskunde 07/2004; 148(25):1264-5. -
Article: Prevalence of deafness is increased in patients with type 2 diabetes in The Netherlands.
Diabetes Care 02/1999; 22(1):180. · 8.09 Impact Factor -
Article: [The frequency of hearing impairment in patients with diabetes mellitus type 2].
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ABSTRACT: To determine the prevalence of hardness of hearing in patients with diabetes mellitus type 2 and to compare the diabetes characteristics between diabetic patients with and without hardness of hearing. Computerized general practitioners office in Nijverdal, the Netherlands. Descriptive, cross-sectional study. In all patients aged 55 years and over, registered at the general practitioners (n = 1184), diabetes mellitus type 2 and hardness of hearing were determined. Hardness of hearing was defined as use of a hearing aid or an audiometrically determined hearing loss of at least 40db. A hearing aid was three to four times more prevalent in patients with diabetes mellitus type 2 (n = 86) than in subjects without diabetes of the same age (p < 0.001). Of the diabetic patients 48% had impaired hearing. Patients with hardness of hearing had a longer duration of diabetes than diabetic patients with a normal hearing (10.5 years (SD: 6.9) versus 6.9 years (6.8); p = 0.06, adjusted for age). They suffered less hypertension and had a lower level of glycated haemoglobin. Hardness of hearing is frequent in elderly patients with diabetes mellitus type 2. It may be due to diabetic neuropathy.Nederlands tijdschrift voor geneeskunde 09/1998; 142(32):1823-5. -
Article: NHG Standaard Perifeer arterieel vaatlijden (eerste herziening): reactie vanuit de chirurgie
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Article: Samenvatting NHG Standaard Perifeer arterieel vaatlijden (eerste herziening)
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Article: Landelijke eerstelijns samenwerkings afspraak Diabetes mellitus type 2.
Top Journals
Institutions
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1998
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Universiteit Utrecht
Utrecht, Provincie Utrecht, Netherlands
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