Identifying metabolic syndrome without blood tests in young adults: The Terneuzen Birth Cohort

Background: Within the context of the obesity epidemic identifying young adults at risk for type 2 diabetes and cardiovascular disease is important. A practical approach is based on the identification of metabolic syndrome (MetS). Our objective was to develop a simple and efficient stepwise strategy to identify MetS in young adults. Methods:...

Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?

Aim: To determine whether paediatricians that examine, in regular clinical practice, very preterm and very-low-birthweight children at 5 y of age detect neurological impairments and functional motor problems in these children. Methods: We compared a paediatric judgement, a standardized neurological examination (Touwen examination) and a...

Do patients matter? Contribution of patient and care provider characteristics to the adherence of general practitioners and midwives to the Dutch national guidelines on imminent miscarriage

Objective - To assess the relative contribution of patient and care provider characteristics to the adherence of general practitioners (GPs) and midwives to two specific recommendations in the Dutch national guidelines on imminent miscarriage. The study focused on performing physical examinations at the first contact and making a follow up...

Health status and management of chronic non-specific abdominal complaints in general practice

Background. While chronic non-specific abdominal complaints are common in general practice, data on patients' perspective and management of these complaints are lacking. Knowledge of these data is important for the development of guidelines for management and assessment of the burden of chronic non-specific abdominal complaints on society. Aim....

Agreement on medical fitness for a job

Five experienced occupational physicians independently reviewed the uniformly structured, concise records of 180 applicants who had applied for a job in one of three categories. All had undergone a pre-employment medical examination by the Governmental Occupational Health and Safety Service. Agreement was assessed by calculating the percentage...

Preemployment medical examinations in a large occupational health service

Several hundreds of thousands of preemployment medical examinations are performed in The Netherlands each year, with the objective of screening for obvious risks for the applicants or others. Neither the efficacy of these examinations nor determinants for rejection are known. Altogether 101,754 preemployment medical examinations of applicants...

De waarde van aanstellingskeuringen (The value of preplacement medical examinations)

In dit artikel wordt een overzicht gegeven van de doelstellingen en de praktijk t.a.v. aanstellingskeurigen in Nederland. Ingegaan wordt op : de situatie in Nederland in de praktijk (300000 à 350000 aanstellingskeuringen per jaar met een afkeuringspercentage van 2) ; medische geschiktheid als selectie - criterium ; en de kwaliteit van de...