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Biomedical subjects

D E Greydanus

Publications and source records attributed to D E Greydanus.

At least 19 recordsLinked to original sources
PubMed1990

Contraception in the adolescent. Preparation for the 1990s.

An overview of current and future contraceptive methods available to the adolescent is presented. Emphasis is given to oral contraceptives, including low-dose monophasics and triphasics. Current research confirms the efficacy and safety or oral contraceptives for teenagers. Other methods are reviewed, such as the mini-pill, barrier contraceptives (including the cervical cap and female condom), injectable contraceptives, hormonal contraceptive implants, the vaginal ring, postcoital contraception, periodic abstinence, gossypol, and others. Though abstinence is the best contraceptive method for adolescents, contraceptive technology of the 1990s presents clinicians and sexually active youth with many additional options.

Adolescent↗
PubMed1989

Breast disorders in children and adolescents.

A review of pediatric breast disorders is provided, with particular attention given to the topics of fibroadenoma, cystosarcoma phylloides, breast infections, breast cancer, and benign breast disease. The pediatric clinician is strongly encouraged to include the breast system as part of a complete examination and educational process.

Adenofibroma↗
PubMed1987

Examination of sexually abused adolescents.

The care of the sexually assaulted adolescent demands an integrated, sensitive approach to psychologic and medical needs, along with careful follow-up. This care is best provided by knowledgeable and supportive individuals. This discussion has reviewed definitions of sexual assault terms, potential psychologic reactions, physical evaluation of these individuals, and therapy considerations.

Adaptation, Psychological↗
PubMed1986

The behavioral medicine unit: a community hospital model for inpatient treatment of adolescent depression.

This article describes one community hospital's response to the overwhelming needs of adolescents in central Iowa. It is based on the premise that many youths who have severe depression do not effectively respond to various outpatient counseling measures, and are in need of some type of inpatient treatment. Most such programs are locked psychiatric units run by child or adolescent psychiatrists. In our case, those wards already in existence are filled to capacity and cannot respond to outside needs. Placing these youth on traditional medical adolescent wards does not work, since medical staff are usually not geared to deal with the many, ever-changing mental health needs of these patients. Thus, we developed an unlocked adolescent inpatient unit with a pediatrician experienced in adolescent medicine as medical director; moreover, the program extensively utilizes psychologists, nurse-counselors, social worker-family therapists, recreation therapists, and other specialists. This program is a way for physicians trained in adolescent medicine and other appropriate persons to contribute to the complex health needs of youth; it is preferable to do this rather than send all depressed teenagers away by referrals, as seems to happen in some cases. It is also an important way for physicians and other specialists to demonstrate their expertise--both the Society for Adolescent Medicine and American Academy of Pediatrics have advocated such a demonstration--and to give physicians important training in the medical and mental health care needs of youth. Finally, the Spectrum Unit program provides a meaningful way for the primary care physician to be involved in the inpatient treatment of depressed adolescent patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1985

Abortion in adolescence.

This article reviews the difficult but complex subject of abortion in adolescents. Methods of abortion are outlined and additional aspects are presented: psychological effects, counseling issues, and legal parameters. It is our conclusion that intense efforts should be aimed at education of youth about sexuality and prevention of pregnancy, utilizing appropriate contraceptive services. When confronted with a youth having an unwanted pregnancy, all legal options need to be carefully explored: delivery, adoption, or abortion. The decision belongs to the youth and important individuals in her environment. Understanding developmental aspects of adolescence will help the clinician deal with the pregnant teenagers. If abortion is selected, a first trimester procedure is best. Finally, physicians are urged to be aware of the specific, ever changing legal dynamics concerning this subject which are present in their states. Abortion is a phenomenon which has become an emotional but undeniably important aspect of adolescent sexuality and adolescent health care, in this country and around the world.

Abortion, Induced↗
PubMed1983

Rib fractures and anorexia nervosa.

A twenty-five year old patient with long standing anorexia nervosa and recent forced vomiting presented with a pulling sensation in her lower anterior thorax. Seven months later, callus formation over the left tenth rib was documented. Chest x-ray revealed healing fractures of the seventh, ninth, and tenth ribs. Since her oral intake of calcium was low, she was started on a regimen of milk and sun bathing. We postulate her rib fractures were the result of forced vomiting in an individual with fragile bones. The osteoporotic state may have been induced by her malnourished low-estrogen state.

Adult↗
PubMed1982

Menstruation and its disorders in adolescence.

This monograph has presented a review of menstrual disorders in adolescents. It has been emphasized that health care professionals who deal with youths should consider a comprehensive approach that places the youth with a menstrual problem within the framework of her adolescent and pubertal development. Thus, a discussion of psychologic growth as well as important aspects of puberty were presented. A thorough medical history and carefully done pelvic examination remain the basis for any evaluation of these young women even in this age of rapidly-advancing medical technology. Many of the menstrual dysfunction problems are related to the sequential, physiologic events of puberty and can be effectively handled by the well-trained general clinician. Specific, complex situations should be referred to the appropriate specialist, preferably someone with an understanding of adolescence. Three basic types of menstrual disorders have been considered: dysmenorrhea, dysfunctional uterine bleeding and amenorrhea. Our conclusion is that there is much the general clinician can do for the adolescent who presents with menstrual dysfunction.

Adolescent↗