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Biomedical subjects

D L Steinberg

Publications and source records attributed to D L Steinberg.

7 recordsLinked to original sources
PubMed2000

Coming to terms with grief and loss. Can skills for dealing with bereavement be learned?

To provide optimum patient care, physicians often need to actively work with persons who experience an acute loss or terminal illness. Physicians who are aware of and open to the issues involved in the grief process are likely to maintain healthier lives and be more available to their patients and their patients' loved ones at times of loss. However, physicians must also have a way to process the losses they themselves face. Thus, self-care is an important aspect of grieving for both physician and patients. Although the experience of loss is often painful and emotionally charged, it can provide an opportunity for growth and healing. Staying open to the process and the complex feelings involved in grieving promotes greater connection with ourselves and with our patients and their families.

Adjustment Disorders↗
PubMed1999

Depressogenic cognitive styles: predictive validity, information processing and personality characteristics, and developmental origins.

Two of the major cognitive theories of depression, the theory of Beck [Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper & Row. and Beck, A. T. (1987) Cognitive models of depression. Journal of Cognitive Psychotherapy: an International Quarterly, 1, 5-37] and the hopelessness theory [Abramson, Metalsky, & Alloy, (1989) Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358-372], include the hypothesis that particular negative cognitive styles increase individuals' likelihood of developing episodes of depression, in particular, a cognitively mediated subtype of depression, when they encounter negative life events. The Temple-Wisconsin Cognitive Vulnerability to Depression (CVD) project is a two-site, prospective longitudinal study designed to test this cognitive vulnerability hypothesis, as well as the other etiological hypotheses of Beck's and the hopelessness theories of depression. In this article, based on CVD project findings to date, we review evidence that the hypothesized depressogenic cognitive styles do indeed confer vulnerability for clinically significant depressive disorders and suicidality. In addition, we present evidence regarding moderators of these depressogenic cognitive styles, the information processing and personality correlates of these styles and the possible developmental antecedents of these styles. We end with a consideration of future research directions and the clinical implications of cognitive vulnerability to depression.

Cognition Disorders↗
PubMed1987

Use of digital subtraction angiography for evaluation of vascular access for hemodialysis.

We used digital subtraction angiography (DSA) with conventional methods of contrast injection to evaluate 13 failing vascular accesses in 12 patients undergoing hemodialysis. DSA results were confirmed in all cases by surgical findings and/or clinical follow-up. The DSA technique is extremely flexible and rapid and requires the injection of only small amounts of dilute contrast with much less patient discomfort. DSA is an excellent alternative to film screen angiography for the evaluation of vascular access complications.

Angiography↗
PubMed1984

The computerized tomography appearance of renal pedicle injury.

The computerized tomography findings in 2 cases of traumatic renal artery occlusion are reviewed. Both patients had a nonfunctioning, normal-sized kidney with minimal or no contrast enhancement. Based on a review of 60 cases of renal trauma at our institution these findings appear to be specific for occlusion of the renal pedicle.

Adult↗
PubMed1984

CT appearances of rheumatoid lung disease.

The plain radiography and CT of four patients with rheumatoid lung disease are reviewed. One patient had histologically confirmed rheumatoid nodules. The subpleural location of the nodules and cavitation were more easily diagnosed using CT. Also on CT the nodules were commonly seen in clusters, a finding not previously reported and not visible on plain films. In three patients honeycombing was visible on both plain radiography and CT. However, the areas of cystic destruction visible on CT were larger than those appreciated on the plain films.

Aged↗
PubMed1979

Bedside maneuvers in the diagnosis of heart disease.

Numerous other pathologic conditions are encountered. The relatively few maneuvers and drugs presented here were chosen as the ones most commonly used in daily practice. Cardiac auscultation is just one aspect of the cardiovascular examination; equal attention should be paid to determination of jugular venous pressure, jugular venous wave form, carotid upstroke characteristics, and to observation and palpation of the precordium. Finally, if the examiner keeps in mind the hemodynamic changes induced by the various maneuvers and pharmacologic agents while auscultating the heart, and if he understands the pathophysiology of the commonly encountered cardiac lesions, he should be able to diagnose heart disease and to evaluate more intelligently various murmurs and heart sounds without necessitating the use of expensive invasive or noninvasive procedures.

Adolescent↗