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Biomedical subjects

R M Buchta

Publications and source records attributed to R M Buchta.

At least 19 recordsLinked to original sources
PubMed1995

Gambling among adolescents.

Gambling onset during adolescence has been the subject of recent articles in the lay press. This study reports on the incidence of gambling in adolescents. There were 97 males (48.7%) and 102 females (51.3%) between the ages of 12 and 18 years. The mean age of the gamblers was 15.12 +/- 1.83 (SEM), and of the nongamblers 14.36 +/- 1.78. Eighty-three percent of the males and 61% of the females reported gambling. Forty-four percent of those who gambled, but only 26% of the nongamblers, reported having at least one parent who gambled. Our study confirms the high incidence of gambling by teenagers. Of concern is the potential link between gambling and other risk-taking or addictive behaviors. Perhaps we should include gambling as part of our anticipatory guidance for adolescents.

Adolescent↗
PubMed1994

A case of profound iron deficiency anemia owing to corrosive esophagitis in a 20-year-old developmentally delayed male.

The level of severe compensated iron deficiency anemia incompatible with life is not defined in the pediatric or adolescent literature. A hemoglobin of 1.5 gm/dl in an older adolescent with few physical symptoms is distinctly unusual. A case of profound iron deficiency anemia in a 20-year-old developmentally delayed male is the subject of this brief report. There were only subtle physical findings in spite of this severe anemia. The anemia was the result of corrosive esophagitis associated with a hiatal hernia and reflux. Physicians dealing with developmentally delayed adolescents should be aware of the fact that a severe anemia may develop, and such individuals should be periodically screened for anemia, melena, hematochezia, and hematemesis.

Adult↗
PubMed1991

Chronic fibrosing pancreatitis in a 12-year-old female.

Recurrent abdominal pain in an adolescent population is a frequent complaint. However, diseases of the pancreas, and especially chronic pancreatitis, in this age group are extremely uncommon. One type of pancreatitis, fibrosing pancreatitis, has been reported in only 14 previous pediatric patients, five of whom were over 12 years of age. We report an additional 12-year-old female with this condition. This case serves to remind us that fibrosing pancreatitis needs to be considered in any adolescent patient with chronic abdominal pain, recurrent vomiting, weight loss, steatorrhea, and painless obstructive jaundice.

Abdominal Pain↗
PubMed1989

Attitudes of adolescents and parents of adolescents concerning condom advertisements on television.

The major television networks have considered airing condom advertisements. A Louis-Harris poll entitled "Attitudes About Television, Sex and Contraceptive Advertising" conducted in early 1987 concluded that at least 60% of adult Americans were in favor of such advertisements. To better understand the attitudes of adolescents and parents of adolescents in a private practice setting toward contraceptive advertisement on television, the present study was performed. Between March and June 1987, 108 parents of adolescents, 100 adolescent females, and 90 adolescent males filled out a questionnaire asking their opinions of such advertisements. Eighty-three percent of the parents, 89% of adolescent females, and 92% of adolescent males approved of such advertisements. The data suggest that a majority of adults and adolescents approve of condom advertisements on television. The use of the media to take advantage of the present opportunity to educate and promote birth control and disease prevention to our adolescent population may be beneficial.

Adolescent↗
PubMed1987

Use of chaperones during pelvic examinations of female adolescents. Results of a survey.

The male membership of the Society for Adolescent Medicine was surveyed regarding the use of a chaperone during pelvic examination of female adolescents. Five hundred seven questionnaires were mailed, and 292 physicians (58%) responded. One hundred eight (37%) reported performing pelvic examinations without a chaperone present. This was usually done because of patient preference. There was no difference between academic and private practice physicians. There were many categories listed as necessitating the presence of a chaperone. Here again, patient preference was the most frequent. Other reasons for using a chaperone included a patient with emotional problems, a history of rape or sexual abuse, a seductive patient, an uncomfortable patient or physician, a first pelvic examination, and medicolegal issues. Although it has been traditionally recommended that a chaperone be present during a pelvic examination, our data suggest that this is not sometimes the case for about one third of the male physicians in the Society for Adolescent Medicine.

Adolescent↗
PubMed1987

Seeing adolescent patients in private practice.

Seeing adolescent patients in private practice can be a challenging experience. Practical suggestions concerning the office setting scheduling, staffing, and billing are outlined. Physician attributes seen from an adolescent viewpoint are also enumerated. Finally, indications for pelvic examinations in this age group, interviewing, and confidentiality are discussed.

Adolescent↗
PubMed1986

Hemorrhagic Neisseria gonorrhoeae conjunctivitis in an adolescent female.

Gonococcal conjunctivitis in adults is rare; however, over the past two years there have been reports of cases from the military and an outbreak of ten cases in Miami, where urine was used as therapy for hemorrhagic conjunctivitis. Reported here is the case of a sixteen-year-old female who developed hemorrhagic conjunctivitis that grew Neisseria gonorrhoeae. With the increase in sexual activity at younger ages, gonococcal conjunctivitis may become more prevalent in this age group.

Adolescent↗
PubMed1986

Adolescent females' preferences regarding use of a chaperone during a pelvic examination. Observations from a private-practice setting.

This study used a private-practice model to investigate teenagers' preferences regarding the presence of chaperones during the genitalia examination. One hundred adolescent female patients were asked to fill out a questionnaire listing their chaperone preference during the pelvic examination. During early adolescence (13-14 years), 60% of the adolescents preferred to be alone if they knew the male physician and 80% if they knew the female physician. Of those in midadolescence (15-17 years), 73% preferred to be alone with a known male physician and 79% with a known female physician. After age 19 years, 79% preferred to be alone either with a male or female physician, whom they knew. These data suggest that the sex of the physician makes little difference as to the mid- and late adolescent female's preference for a chaperone. Also, there seems to be a trend toward increased preference for the presence of a female nurse, and decreased preference for the mother's presence, with increasing age.

Adolescent↗
PubMed1983

Reflex sympathetic dystrophy in a 14-year-old female.

Reflex sympathetic dystrophy (RSD) consists of an extremity with (1) burning or causalgic pain, (2) limitation of motion, (3) edema with or without pitting, (4) dystrophic skin changes, (5) vasomotor phenomena and (6) patchy osteoporosis on x ray. This disease is rare in adolescents, but of patients with RSD up to 8% are between 11 and 19 years of age. Most cases in this age group resolve after immobilization, analgesics or steroid therapy, surgical ganglionic blockade or sympathectomy. This case report is of a 14-year-old girl who was treated with all these measures, but continues to have significant residual deformity.

Adolescent↗
PubMed1981

A ruptured spleen due to body surfing.

A 15-year-old male ruptured his enlarged spleen while body surfing. He experienced sharp abdominal pain after being thrown and pinned to the sand by a wave. He developed signs and symptoms of intraperitoneal bleeding and was taken to surgery. The pathology report confirmed the presence of a laceration of the capsule of a spleen with reactive lymphoid hyperplasia. It is suggested that the usual definition of "contact sports" be expanded to include body surfing.

Adolescent↗