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Biomedical subjects

P K Braverman

Publications and source records attributed to P K Braverman.

13 recordsLinked to original sources
PubMed2000

Sexually transmitted diseases in adolescents.

Sexually transmitted diseases (STDs) are among the top 10 reportable diseases in the United States. Of the more than 12 million cases annually, approximately 3 million occur in adolescents. An estimated two thirds of cases occur in individuals younger than age 25. Almost half of adolescents report ever being sexually active, and approximately one third are currently sexually active. For a number of biologic and psychosocial reasons, sexually active adolescents have the highest rate of STDs of any sexually active age group. They suffer from the acute manifestations of these diseases as well as complications that place them at risk for some significant long-term negative sequelae, such as infertility, chronic pelvic pain, and cancer. This article reviews the reasons for this increased risk and provides updates on the common STDs that affect adolescents.

Adolescent↗
PubMed1994

Sexually transmitted diseases.

Adolescents have the highest rate of sexually transmitted disease (STD) of any sexually active age group. This article reviews the biological, psychological, and social factors that place adolescents at increased risk for STDs. The major STDs are reviewed, including epidemiology, clinical presentation, methods of diagnosis, and treatment modalities. In addition, major sequelae of STDs--including pelvic inflammatory disease, perihepatitis, Reiter's syndrome, and disseminated gonorrhea infection--are discussed.

Adolescent↗
PubMed1994

Adolescent sexuality: Part 4. The practitioner's role.

Practitioners who provide care for adolescents have a unique opportunity to address issues of adolescent sexuality. This article discusses shortcomings in residency training and possible solutions. The role of the practitioner in the office setting, issues of confidentiality and consent, and school-based sexuality education are reviewed.

Adolescent↗
PubMed1993

Adolescent sexual activity.

Adolescents are becoming sexually active at younger ages. One half of the adolescents in the United States are sexually active. This article reviews adolescent sexual activity, including rates of sexual activity, sexual practices, gay and lesbian youth, and factors affecting the initiation of sexual activity. In addition, adolescent pregnancy, with possible outcomes and effects on teen parents and their offspring, is discussed.

Adolescent↗
PubMed1993

Adolescent Sexuality: Part 2. Contraception.

The United States has the highest rate of teen pregnancy in the Western world. Although abstinence may be the ideal solution for the prevention of this problem, one half of adolescents in the United States are sexually active. This article reviews the epidemiology of contraception among adolescents, barriers to effective use of contraception, and ways to improve efficacy. Major methods of contraception, including oral contraceptive pills, Norplant, Depo-Provera, condoms, spermicide, sponge, intrauterine device (IUD), diaphragm, and rhythm/periodic abstinence, are discussed along with method-specific issues related to adolescents.

Adolescent↗
PubMed1990

Screening asymptomatic adolescent males for chlamydia.

Ninety-seven asymptomatic 16-21-year-old sexually active adolescent males were evaluated for gonorrhea and chlamydia by culture, chlamydia enzyme immunoassay, and an analysis of a random urine sample for pyuria using centrifuged urine and urine cytometer. The incidence of gonorrhea was 5.3% and chlamydia by culture 12.3%. Immunoassay was superior in sensitivity and specificity (75% and 99%, respectively) to centrifuged urine (sensitivity 58%, specificity 92%) or urine cytometer (58% and 91%) in identifying asymptomatic chlamydia urethritis. Chlamydia enzyme immunoassay is an acceptable, more rapid, and less expensive alternative to culture. The absence of pyuria in asymptomatic males cannot be assumed to indicate the absence of a sexually transmitted disease.

Adolescent↗
PubMed1989

Why adolescent gynecology? Pediatricians and pelvic examinations.

Gynecologic issues are an important part of the medical care of adolescent females. All diagnostic possibilities must be considered in assessing such patients. It is vital that pediatricians feel comfortable approaching these issues and provide reassurance and expertise to their adolescent patients.

Adolescent↗