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Biomedical subjects

G Joachim

Publications and source records attributed to G Joachim.

16 recordsLinked to original sources
PubMed1992

Familial inflammatory bowel disease in a paediatric population.

Familial aspects of inflammatory bowel disease (IBD) were assessed as part of an age and sex matched case control study of 91 children with IBD and 131 controls. The prevalence of IBD in family members of the children was studied, the affected side (mother's side or father's side) of the family was documented and the type of inflammatory bowel disease was traced among relatives. Data were collected from children in out-patient clinics at a large urban tertiary-care facility. All family data were verified with the affected relatives and/or their physicians. The children with IBD (the cases) had significantly (P = 0.0000385) more IBD in their families than the controls. Among all children with IBD in their family, IBD was found significantly (P = 0.0073) more often on the mother's side of the family than on the father's side. Patterns of disease varied within families. A mixture of ulcerative colitis and Crohn's disease was found within families. The implications of the findings are discussed. Directions for prevention, screening, early intervention and further study are given.

Adolescent↗
PubMed1991

The epidemiology of inflammatory bowel disease in children: a pilot project.

A major study about the epidemiology of inflammatory bowel disease in children was planned. A pilot study of pre-morbid variables among 42 children with the disease was undertaken. Conducting a pilot study was an essential component of the research process, both in refining the data collection instrument and in maximizing the use of technology. Results of the pilot study are described and the way in which they were used to prepare a better major study are discussed.

Child↗
PubMed1988

Faculty practice: dilemmas and solutions.

While nursing educators in university settings teach, carry out research and provide some form of community service, they often do not practise. The reasons for not practising are varied and the consequences vast. Although there are dilemmas which perpetuate the situation of nursing professors not participating in practice, there are solutions. This paper places the issue in an historical perspective, notes its consequences, discusses the dilemmas which are involved and offers solutions to this complex problem.

Burnout, Professional↗
PubMed1987

Inflammatory bowel disease: effects on lifestyle.

While there has been speculation in the literature about what life with inflammatory bowel disease (IBD) is like, patients have not, prior to this study, been asked about their perceptions. This paper reports the results of a study which measured the impact of having IBD on eight lifestyle variables. Eighty IBD patients completed the Inflammatory Bowel Disease Stress Index. Results showed that although the impact of IBD on relationships, school and employment, recreational activities, sexuality, psychosomatic symptomatology, body image and worry was minimal, the patients' satisfaction with life was impaired as a result of having IBD. Rationale for this discrepancy and the significance of the findings for nurses are presented.

Adolescent↗
PubMed1986

A stress management programme for inflammatory bowel disease patients.

This randomized controlled trial was designed to determine whether practising stress management techniques would decrease activity and promote psychosocial functioning in inflammatory bowel disease patients. Eighty ambulatory adults received a pre-intervention interview, at which time baseline data about disease activity and psychosocial functioning were collected. They were then randomly assigned to either the intervention or control group. The intervention group received six classes on stress management which included autogenics, personal planning skills and communication techniques. All 80 subjects were followed up at 4-month intervals for 1 year by interviewers who were blind to group designation. The data collection instruments, which were used at all assessment points, comprised three questionnaires: the Crohn's Disease Activity Index (CDAI) and the Inflammatory Bowel Disease (IBD) Stress Index. These instruments produced scores which decreased with improvement in physical and psychosocial well-being. At all assessment points, both the CDAI and IBD Stress Index scores dropped significantly (P less than 0.05) from baseline in the treatment group. However, there was no significant change in the scores of the control group throughout the study year. There were no significant changes in medications at any assessment point in either group that could account for changes in the scores. The results of this study indicate that stress management techniques may have therapeutic benefits for IBD patients.

Adult↗
PubMedDate not supplied

A dynamic test system: its development and implementation.

A dynamic test system that uses a computer, commercially available software [Data Base IV], and logical human thinking was designed. The system facilitates construction of a multiple-choice test, places an emphasis on the use of item-analysis statistics, and establishes a feedback mechanism for faculty to use when preparing a multiple-choice examination. Prerequisites to the system, development of the system, test construction, and outcomes are described.

British Columbia↗