Showing papers in "Adolescent medicine (Philadelphia) in 1994"

Transition from Pediatric to Adult-Oriented Health Care for the Adolescent with Chronic Illness or Disability.

Abstract: Adolescents and young adults with chronic conditions are given fewer opportunities to be independent health care consumers than their peers, and the transition from pediatric to adult-oriented care can be particularly difficult. For many chronically ill patients, transition medical services may be appropriate. The need for such services and ways to provide them are discussed.

Physiology of Puberty.

Abstract: Sequential changes in endocrine activity bring about the remarkable physical and psychological changes of puberty. The physical changes of puberty in girls and boys are discussed and the onset of both gonadal and adrenal activity at puberty is described and illustrated.

Diagnosis and Treatment of Pubertal Disorders.

Abstract: This chapter begins with a discussion of normal puberty and goes on to address a number of pubertal disorders, including delayed puberty, chromosomally incompetent gonadal failure, chromosomally competent gonadal failure, eugonadism, central and peripheral precocity, and others. The ages by which various milestones should be reached also are described.

Reciprocal Influences between Chronic Illness and Adolescent Development.

Abstract: Chronic illness can affect an adolescent's physical, cognitive, and psychosocial development, and, conversely, adolescent development can influence both the natural course and medical management of a chronic disease. Providers who are aware of this reciprocal relationship and the "feedback loop" to which it can lead can intercede and optimize the management of chronic illness in adolescents.

Homosexuality in Adolescence.

Abstract: Gay and lesbian adolescents are a reality, although they are often invisible within a heterosexual culture. Physicians need to be informed of the special stresses and problems that affect their transition to healthy adulthood.

The Adolescent with Cystic Fibrosis.

Abstract: The authors strive to give readers a sense of what it is like to care for adolescents with cystic fibrosis. Through case studies, they describe topics that are relevant to the care of patients with CF, including fertility and reproduction, compliance and independence, psychosocial functioning, terminal illness, recreational drug use and suicide, social issues, and other factors. Language: en

Abnormal Uterine Bleeding in the Adolescent.

Abstract: Although excessive or unpatterned uterine bleeding is normal in adolescents, and most girls with abnormal bleeding will develop normal menstrual cycles, a significant number will experience persistently abnormal uterine bleeding. Following a discussion of the normal menstrual cycle, the authors detail the causes, evaluation, therapy, and prognosis of abnormal bleeding.

Solid Organ Transplantation in Adolescents: The Blessing and the Curse.

Abstract: This chapter addresses the medical dimensions of solid organ transplantation in adolescents, with particular emphasis on renal, liver, and heart transplantation. It frames the impact of organ transplantation in the context of adolescent development and recommends appropriate team strategies to manage these patients.

The Adolescent with Traumatic Brain Injury: Cognitive, Psychological, and Educational Issues.

Abstract: Traumatic brain injury kills and disables more adolescents than AIDS or cancer. Far from being an isolated event, these injuries shape the evolution of the adolescent's self-knowledge and social-emotional interactions. The authors focus on the cognitive, psychological, and educational issues facing professionals who care for adolescent survivors of brain injuries.

Caring for Adolescent Cancer Survivors: Surveillance and Intervention for Delayed Sequelae of Malignancy and Its Treatment.

Abstract: General practitioners often find themselves caring for adolescents who have survived childhood cancer. This chapter reviews the treatment of childhood cancer and the medical and behavioral sequelae that may become apparent during adolescence. Recommendations for patient care are also described.

Adolescent Spinal Cord Injury: Considerations for Post-Acute Management.

Abstract: The authors equip clinicians with information useful for the post-acute care of adolescents with spinal cord injury. Chapter sections cover the epidemiology of spinal cord injury and its costs to society, the common medical problems that affect adult and adolescent patients, and special problems that uniquely affect the management of these patients.

Access to Health Care for Adolescents and Young Adults with Disabilities.

Abstract: One of every six adolescents lacks health care coverage, and many adolescents avoid medical care regardless of whether it is covered. In this chapter, the author explores health care financing, programs that guarantee services, access to care in a reformed health care system, organization of services, and other factors affecting chronically ill adolescents.

Psychosocial Issues Associated with Short Stature.

Abstract: Adolescents do not innately conclude that being short is undesirable; they learn it through environmental interactions. The authors of this chapter address society's expectations and perceptions regarding short stature as well as the effects of growth hormone treatment on the psychosocial status of both children and adults. They conclude that all short children should have the benefit of the evaluation and management of psychosocial problems.

The National Health Care Reform Debate.

Abstract: Because of increasing costs and decreasing access, most policymakers agree with the public perception that the health care system in the United States is in need of change. This chapter summarizes the various proposals under consideration, which ranges from a single-payer model similar to the system in Canada to the less radical concept of managed competition.

Health Care for Deaf Adolescents.

Abstract: In an attempt to make up for a dearth of literature on deaf adolescents, the author offers a definition of "deafness" and "deaf culture" in the U.S., explains the social roles that people take depending on their audiologic and social characteristics, discusses controversies surrounding American Sign Language, and suggests ways for practitioners to approach and offer services to deaf adolescents.

Social Learning Theory as a Basis for Office Counseling: A Tool for the Primary Care Physician of the 1990s.

Abstract: The increasing dependence of patients on primary care physicians for guidance in developing healthy lifestyles and managing psychosocial issues is particularly important to practitioners of adolescent medicine. The authors discuss the relevance of social learning theory to the special challenges posed by adolescent patients.

Ethical Issues in Research on Adolescents.

Abstract: Health threats to adolescents, such as violence, pregnancy, and drug abuse, require scientific research to expand the current base of knowledge. The authors discuss the ethical issues relevant to studies involving adolescent subjects.

The Appropriate Use of Computers and Telecommunications in Medicine.

Abstract: Although health care financial and administrative functions have been aided by computers for some time now, clinical practice has remained relatively unaffected. The author examines why clinicians have not made wide use of information systems, discusses technologic developments expected in the near future, and describes how medical informatics can have a positive effect on clinical practice.

Youth with Chronic Conditions in Transition to Adult Health Care: An Overview.

Abstract: The growing number of young adults with chronic conditions necessitates a careful consideration of the issues involved in their transition from a child-focused to an adult-oriented health care system.

Breast Disorders in Female Adolescents.

Abstract: Although breast malignancies are a rarity in adolescents, all symptoms and complaints concerning the breast must be evaluated as they would be in adult women. Screening techniques, including the use of fine-needle aspiration, and conditions that affect the breast are discussed.

How to Write a Scientific Paper and Get if Published.

Abstract: Despite the high expectation for publication of medical articles, many medical students do not receive as much guidance in writing papers as was once the case. The authors discuss the major priorities in targeting a specific journal and preparing a manuscript that requires minimal revision.

Diabetes in Adolescence.

Abstract: Recognizing adolescence as a transient developmental phase characterized by rapid physical growth, emotional adjustment, and sexual maturation can provide the health care team with strategies for dealing with diabetes in adolescents. Hormonal adaptations in adolescents, microvascular complications, emotional factors, clinical management, and issues such as nutrition and sex and marriage are described.

Epidemiology of Chronic Health Conditions in Adolescents.

Abstract: Knowledge of the epidemiology of chronic conditions in adolescents is necessary to ensure that these patients "do not slip through the cracks in our health care infrastructure." This comprehensive chapter reviews the major sources of epidemiologic data and the limitations of such data, presents sociodemographic characteristics of adolescents with chronic health conditions, and compares and contrasts prevalence rates.

The Challenges of Change: Conducting an Environmental Opportunity Analysis for Medical Practices.

Abstract: The current climate of health care reform reinforces the need for physicians to consider the various factors that ensure sustained success in their practice. The author outlines the steps required for an accurate environmental opportunity analysis and discusses the appropriate organizational responses.

Sports Medicine: An Introduction to Organizational Aspects.

Abstract: The authors define the concepts of the sports medicine team and network and discuss related ethical and legal issues.

Disorders of Pubertal Development: Too Early, Too Much, Too Late, or Too Little.

Abstract: Major disturbances of pubertal development and variations of normal puberty are discussed. The authors highlight four kinds of pubertal disorders: "too early" (precocious puberty), "too much" (gynecomastia, macroorchidism, and hyperandrogenism), "too late" (delayed puberty), and "too little" (hypogonadism).

Educational Issues in Adolescents with Chronic Illness.

Abstract: A once overlooked situation, the education of people with disabilities has over the past 20 years gained the attention of educators, lawmakers, and health care providers. Among the many issues addressed here are legal requirements for public education, the role of health care providers in education, eligibility for special education services, and the transition to post-secondary education, training, and employment.

Advances in the Treatment of Adolescents with Sickle Hemoglobinopathies.

Abstract: This detailed review of sickle hemoglobinopathies covers their incidence and epidemiology, pathophysiology, diagnosis, clinical manifestations, complications, and organ changes. Issues such as pregnancy and birth control in patients with sickle cell disease, surgery and anesthesia, and medical management are also discussed.