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Biomedical subjects

T J Silber

Publications and source records attributed to T J Silber.

81 records · Page 5Linked to original sources
PubMed1980

Physician--adolescent patient relationship. The ethical dimension.

Adolescents are very different from each other, but they all have a developmental process in common: they are going through their second period of individuation and they are developing value systems. Doctors get in touch with their adolescent patients on many different levels and with varying degrees of intensity, but they too have something in common: an obligation to their patient. Although the nature of this obligation is open to debate, the fact is that any interpersonal experience contains a moral element virtually by definition: there is an ethical dimension to the physician-adolescent patient relationship. The nature of the doctor's obligation to the adolescent is defined as aiding the patient to achieve growth. The physician can do this through appropriate use of value clarification and often through personal example.

Adolescent↗
PubMed1980

Adolescent medicine: the development of a new specialty.

The purpose of this article is to review the developments that contributed to the appearance of Adolescent Medicine. A historical account is followed by the application of two related sociological concepts: a) Rosen's hypothesis of changes in the attitudes of the medical profession to specialization and b) the process of segmenting theory as developed by Butcher and Strauss. The article concludes with a discussion of the implication of those theories for the future of the new specialty.

Adolescent↗
PubMedDate not supplied

Psychosocial aspects of chronic illness in adolescence.

Success in the survival of children with significant medical conditions has resulted in a dramatic increase in the prevalence of adolescents with chronic illness. Unfortunately, the traditional biomedical approach does not prepare practitioners for the complexities of managing chronic illness, because numerous psychosocial factors are involved. This article will address the need for integrating psychosocial issues into the assessment and treatment of the chronically ill adolescent. Assessment of the teen should incorporate an understanding of the developmental stages of adolescence, a review of how these developmental tasks are being accomplished, a discernment of individual characteristics, and knowledge of the family and community to which they belong. Management should take into account the phases of illness (acute, chronic or terminal) and encourage empowerment of the adolescent and family in decision making. A team approach that is community-based, comprehensive, and culturally appropriate is ideal.

Acute Disease↗
PubMedDate not supplied

Painful red leg nodules and syphilis: a consideration in patients with erythema nodosum-like illness.

An adolescent girl presented with the classical physical findings of painful red nodules on the legs; the lesions were suggestive of erythema nodosum. The usual underlying causes were explored and found to be absent. Because she was sexually active, the patient was also routinely screened for sexually transmitted diseases. A rapid plasma reagin test was performed and found to be strongly positive. The confirmatory fluorescent treponemal antibody test was also positive. A diagnosis of syphilis was made, and she was treated with benzathine penicillin G (2.4 X 10(6) units). This report is a reminder that when a patient is suspected of having erythema nodosum, the physician should check for syphilis as well as for tuberculosis, sarcoidosis, reaction to a drug, and streptococcal disease. Panniculitis can be an important clinical sign of secondary syphilis that should never be overlooked.

Adolescent↗