Search PubMed⌕ Search

Biomedical subjects

J Jamieson

Publications and source records attributed to J Jamieson.

33 records · Page 2Linked to original sources

Perforated gastric ulcers. A retrospective study of 32 patients.

During the last 6 years the authors have treated 99 patients with perforated peptic ulcers. Sixty-six patients had perforated pyloro-duodenal ulcers, while 32 patients were treated for perforated gastric ulcers, a ratio of 2:1. This article deals with the gastric ulcers treated by a surgical unit in an urban, 600-bed multidisciplinary hospital. The mean age of the patients was 58.7 years. In 71.8 per cent of the patients, the perforation was the first major manifestation of the ulcer disease. Seven patients (21.8%), all in the high-risk group according to the criteria of Boey et al. died. There was no death among the low-risk patient group. Eleven patients, all high-risk, had excision and/or biopsy of the ulcer followed by simple closure; three of these patients died (27.2%). Twenty patients, of whom seven were in the high-risk group, underwent gastrectomy; three deaths occurred (15%). The authors conclude that the underlying general health of the patient is a major determinant of the outcome following gastric ulcer perforation.

Adult↗

Differences in perceptions of seriousness and disrupting effects of athletic injury as viewed by athletes and their trainer.

Discrepancies between athletes' ratings of the seriousness and disruptive impact of an athletic injury and ratings by one experienced Sports Medicine Trainer were examined for 30 male and 13 female athletes undergoing treatment at a Sports Medicine Clinic. Overestimation of the seriousness or disruptive impact of the injury was significantly correlated with reports of more pain, higher state anxiety, and greater feelings of anger, apathy, loneliness, and inadequacy, and was more common among athletes competing at lower levels. These findings indicate need for psychological support for those athletes who overreact to injury.

Adolescent↗

Use of anticholinergics in the nursing home: an empirical study and review.

The Medicare Utilization Review Committee conducted a survey to determine the use of drugs with anticholinergic effects in confused elderly nursing home patients. Twenty-nine patients (34.5 percent) were receiving anticholinergic drugs, predominantly from the antidepressant and antipsychotic class. Thioridazine (Mellaril) was the most frequently used antipsychotic. No patients received higher than the equivalent recommended daily dose of atropine when calculated in terms of relative anticholinergic potency. No statistically significant correlation could be found between the presence of confusion and the amount of anticholinergics administered. Confusion and cognitive deterioration frequently are encountered when caring for aged patients. Clinical experience and recent studies suggest that anticholinergics may increase the risk of or exacerbate existing confusion, and this possible effect of anticholinergic activity should be considered when prescribing for elderly patients.

Aged↗

Parents' reactions to unrestricted parental contact with infants in the intensive care nursery.

In order to determine parental attitudes and reactions to a policy in which the quality and quantity of parental contact with their preterm or critically-ill infants in the intensive care nursery were determined by the parents, 20 parental pairs were studied regarding their pattern of involvement with their infants, the emotional stress which they experienced, and their responses to the nursery environment during the first fortnight after their infants' birth. This study demonstrated that early and extended parent-infant contact was possible for infants admitted to the intensive care nursery. Both parents chose to maintain a high level of involvement with their infants despite the associated anxiety and anticipatory grief experienced during this period. All felt more reassured with repeated visits, and most believed their infants also felt more loved and secure with the increased contact. The majority would have been opposed to restricted visiting hours and restricted contact with their infants. An open visiting policy and an organized parental-care programme is an important component of neonatal intensive care, since every preterm or critically-ill infant has a family whose psychosocial needs must be recognized and supported.

Attitude↗

The prediction of swimming performance from behavioral information: a further note.

A recommendation has been made that performance predictions may have to be restricted to matched groups of athletes competing in similar competitive environments. This study assessed that statement for the sport of swimming. A 13 item discriminant function derived from the 1976 Canadian Team was applied to the 1978 Canadian Teams to predict those who would and would not improve over their entry times in the Commonwealth Games competitions. The predictions were no better than chance. The possibility of predicitng swimming performances from data obtained on a similar team does not appear to be feasible.

Behavior↗

Extent of leg vein thrombosis determined by impedance and 125-I fibrinogen.

Modification of impedance plethysmography to include a thigh cuff improves sensitivity. Twenty-seven of thirty-two subjects (85 per cent) were correctly classified by comparison with phlebograms. Combined surveillance of patients at risk with cuff impedance plethysmography and 125I fibrinogen, carried out fifty subjects after total hip replacement demonstrated that silent venous thrombosis can be detected. Moreover, an estimate of thrombus size can be made, at least to the extent that clinically significant thrombi can be distinguished from minute thrombi.

Evaluation Studies as Topic↗

The factor structure of the Reiss Screen for Maladaptive Behaviors in institutional and community populations.

The Reiss Screen for Maladaptive Behavior was factor analyzed in two institutional samples and one community sample of persons with mental retardation. In Sample I a general factor was found. In Samples 2 and 3 a three-factor structure was found. These three factors were named Intra-personal Maladaptive Behavior, Psychotic Behavior, and Extra-personal Maladaptive Behavior. None of the factor solutions bore any close resemblance to a factor structure implied by the seven scales on the Reiss Screen. The implications for the future development of assessments of dual diagnosis are discussed.

Activities of Daily Living↗