PubMed Health⌕ Search

Biomedical subjects

W K Imai

Publications and source records attributed to W K Imai.

6 recordsLinked to original sources

Risk-perception: differences between adolescents and adults.

This study investigated age changes in risk perception and unrealistic optimism. Teenagers (n = 376) and parents (n = 160) evaluated the risk of experimental, occasional, and regular involvement in 14 health-related activities (e.g., getting drunk). Respondents also evaluated their comparative changes of encountering the leading causes of morbidity and mortality. Compared with adults, teenagers minimized the perceived risk of experimental and occasional involvement in health-threatening activities. Notably, teenagers were less optimistic about avoiding injury and illness than were their parents, and teenagers at greatest risk for such misfortunes were the least optimistic about avoiding them. These findings do not support traditional explanations of adolescent risk taking. The implications of these findings for understanding and preventing health-damaging behavior among adolescents are discussed.

Adolescent↗

Adolescent health needs and access to care in the Army medical system.

The United States Army Medical Department operates one of the largest comprehensive medical care systems. Health of adolescents is promoted by providing them with access to care without the impediment of direct monetary charge. This study defines the scope of health concerns and the availability of care for the common health problems of adolescents in this geographically widespread medical care system of high accessibility. In addition to common respiratory illness, more age-group-unique musculoskeletal, psychosocial, dermatologic, gynecologic, and sexuality-related problems are noted. Availability of care varies by location, with tertiary centers providing more services appropriate to developmental stage. These data are useful in planning improved health-care services appropriate to developmental stages of adolescents in the Army medical system as well as in other health-care systems.

Adolescent↗

Special problems in adolescent health care.

Health care providers caring for adolescent patients are faced with problems unique to this age group due to their evolving developmental stages of growth. Serious problems with psychosocial as well as biological bases causing major morbidity and mortality are encountered. Purely biomedical approaches and quality standards are likely to be inadequate. Age and developmental stage appropriate approaches to treatment and prevention are required, with attention to environmental stresses and risk-taking behaviors. Adolescent development, current hazards, and preventive strategies are reviewed.

Adolescent↗

Gastroesophageal polyp diagnosed in an adolescent presenting with epigastric pain.

A gastroesophageal polyp is a rare finding. The case of an adolescent male presenting with epigastric pain and such a polyp is described. These polyps are usually described in the clinical setting of gastroesophageal reflux and esophagitis. Polyps can be identified radiographically as a characteristic filling defect at the gastroesophageal junction. Endoscopy should be used to confirm the diagnosis. Polypectomy is recommended when malignancy is suspected or where there is evidence suggesting that the polyp is causing symptoms.

Adolescent↗

Cerebral venous sinus thrombosis: report of a case and review of the literature.

Cerebral venous sinus thrombosis is a condition that is well documented as a complication of the latter stages of pregnancy and with an even greater incidence during the puerperium. More recently this entity had been associated with the use of oral contraceptives. A case is presented of a 15-year-old girl with this condition, in whom the occurrence as well as the resolution of a superior sagittal sinus thrombosis was demonstrated with serial computed tomography (CT) scans and radionuclide studies. The discussion of this case, coupled with a review of the literature, describes the clinical presentation, explores the possible etiology, offers a noninvasive technique for confirming the diagnosis, and presents the medical management of this condition. It is postulated that cerebral venous sinus thrombosis occurs with a greater frequency than is currently recognized. Health professionals involved with monitoring the health care of adolescents during pregnancy and in the puerperium should be aware of this potential complications. In addition, association of this condition with oral contraceptive use should be recognized.

Adolescent↗