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Biomedical subjects

M Gick

Publications and source records attributed to M Gick.

3 recordsLinked to original sources

Absorption, social desirability, and symptoms in a behavioral medicine population.

The relationships among absorption, social desirability, and psychological and somatic symptoms were examined in a clinical population of patients at a behavioral medicine clinic. Absorption, as measured by the Tellegen Absorption Scale, was significantly and positively related to the somatization and global distress indices of the Brief Symptom Inventory. However, absorption was negatively related to social desirability, as measured by the Marlowe-Crowne Scale. Global distress, but not somatization, also was negatively related to social desirability. After controlling for social desirability, global distress was marginally related to absorption. In addition, absorption interacted with a measure of how much patients were bothered by their primary symptom. Patients who had high absorption reported more somatic and global distress if they also reported being very bothered by their primary symptom than if they were less bothered by it. The results are discussed with respect to related research on absorption, social desirability, and symptoms.

Adult↗

Irritable bowel syndrome.

The irritable bowel syndrome (IBS) is very common in the community. Psychosocial factors other than the gut symptoms themselves may contribute to the decision of a few to seek medical care. Examination of these not only suggests that the manifestation of symptoms is multifactorial, but also offers clues for management of individuals. There is evidence for both physical and psychological contributions to IBS symptoms and both together may induce illness behavior. In some, many factors may be present, in others apparently none, but the more factors at work, the more complex the treatment. Management should take advantage of the known features of the disease. Its prevalence, recognizable symptoms, and benign nature underpin the reassurance value of a positive diagnosis. Psychopathology or antecedent stressful life events may indicate psychological treatments. Although drugs are unproved in the global treatment of IBS, certain agents may benefit specific symptoms and use the placebo response to advantage. Patients having more difficulty treating symptoms need continuing care. A graded response to IBS complaints implies reassurance and drug-free management in primary care, with increments of psychosocial support, psychotherapy, and the specific use of drugs in nonresponders. The goal for intractable cases should be improved functioning rather than cure.

Colonic Diseases, Functional↗

[The significance of improved angiocardiography systems in the quantitative assessment of proximal coronary stenosis. Comparison of angiographic and hemodynamic measurements in vivo].

The use of high resolution X-ray techniques for biplane coronary angiography can improve the quantitative assessment of coronary stenoses when perpendicular projections in both views can be achieved. Angiograms thus obtained of coronary stenoses before (n = 17) and after (n = 14) coronary dilatation were evaluated for mean and minimal stenosis diameters of two planes and for percent narrowing of stenoses (caliper measurements). Comparisons with transstenotic pressure gradients showed significant or highly significant correlations for all dimensional parameters. It is concluded that quantitative angiographic analysis of coronary stenoses yields highly reliable results of hemodynamic relevance. In addition, a mean diameter of less than 1.6 mm could be identified as indicating hemodynamically significant stenosis.

Angiocardiography↗