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Biomedical subjects

L I Silverberg

Publications and source records attributed to L I Silverberg.

9 recordsLinked to original sources
PubMed2000

Survey of medical ethics in US medical schools: a descriptive study.

In light of the fact that the incidence of revocation of physician licenses is on the rise, a survey was sent to 118 allopathic and 16 osteopathic medical schools in the United States to assist in appraising the current resources of US medical schools training in bioethics. The author contends that, in view of the statistics on increasing actions against postgraduate physicians, the time has come to determine what constitutes an effective experience for our students. It is hoped that the details of this investigative process will give educators and researchers insight into the current state of medical school ethics curriculum and increase awareness of the need to address the problems.

Curriculum↗
PubMed1999

The incidental diagnosis.

Incidental findings transcend medical practice. Two cases are discussed in which significant conditions were discovered during clinical examination for an unrelated disorder. The first case presents a disease reported for the first time in a male. Recent literature has alluded to missed diagnoses found only at autopsies. With cost constraint as a national theme, the appropriate use of technology presents a challenge to the physician. The cases discussed raise questions about the process of diagnosis. Both situations bring to light the limitations of clinical investigation early in the pathologic process.

Carcinoma, Renal Cell↗
PubMed1998

Office-based preceptorship: a creative approach to a learning and growth experience.

Flexible 4-to-8-week medical student office rotations have both advantages and disadvantages, and they involve several different teaching issues. Among such issues are whether the medical student clerkship can be standardized, yet flexible; how students can gain a meaningful experience, and what this experience should include. Other considerations include the recruitment and retention of preceptors and the issues involved when a preceptor accepts a medical student. Benefits and disadvantages exist for the medical school, the preceptee, and the preceptor. The author outlines methods of evaluating the preceptorship and suggests appropriate recourse for situations in which the goals of preceptorship are not met. The questions raised warrant more research in this area.

Clinical Competence↗
PubMedDate not supplied

Western Nile Virus: a new public health concern.

In August 1999, the Western Hemisphere was introduced to the Western Nile Virus for the first time in recorded history. Many states have implemented screening and identification protocols for this previously rare virus. Western Nile Virus (WNV) is a member of the Flaviviridae family and it is transmitted by the Culex pipiens mosquito, although other mosquito species have also been implicated in carrying the virus. Human infection with West Nile Virus can range from asymptomatic to full blown encephalitis with permanent neurological impairment and death. Treatment should be aimed at detecting early signs of infection. The Western Nile Virus must be tracked and detected early, so that future outbreaks can be prevented.

Adult↗
PubMedDate not supplied

Dietary controls produce positive results for a non-insulin-dependent diabetes mellitus patient.

Renal disease is a leading cause of death and disability for diabetic patients. Diabetic nephropathy is responsible for half of the cases of end-stage renal disease in the United States. For non-insulin-dependent diabetes mellitus patients, the prevalence of diabetic nephropathy varies from 15% to 60% and is influenced by genetic background. Early screening and controlling of microalbumin levels are essential to affect the outcome of diabetic nephropathy. Studies show that clinical renal dysfunction in diabetics does not correlate well with the histological abnormalities. Strategies for nephropreservation include close lipid, glycemic, and blood pressure control, and tobacco termination. Use of angiotensin-converting enzyme inhibitors exert nephroprotective effects beyond their beneficial blood pressure-lowering effects. The importance of strict diet is emphasized in a case presentation.

Adult↗