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Sample records for 14-year-old adolescent case

  1. Sarcoma botryoides in a 14 year old girl: a rare case

    Salil Bindu Chakrabarty

    2015-06-01

    Full Text Available Embryonal rhabdomyosarcoma (Sarcoma botryoides of the uterine cervix is an uncommon entity. Because of extreme rarity its discussion has mainly been in the light of individual case reports. We report a case of a 14-year old female who presented with irregular vaginal bleeding and cervical polyp. Her biopsy specimen confirmed sarcoma botryoides and she underwent abdominal hysterectomy with wide excision of vaginal cuff after a multidisciplinary consultation. [Int J Reprod Contracept Obstet Gynecol 2015; 4(3.000: 927-929

  2. Salter-Harris type II fracture of the femoral bone in a 14-year-old boy - case report

    Background: Distal femoral physis fractures with displacement are rare injuries seen in adolescents related with high incidence of complication. They may lead to premature physeal closure consequently, to growth arrest and bone deformity. Case Report: The case of a 14-year-old boy with Salter-Harris type II displaced fracture underwent surgery with open reduction has been described. CT examination with multiplanar reconstruction was used in pre-operative assessment of distal femur growth plate fracture. Conclusions: Knowledge of classification, prognosis and methods of treatment is necessary in accurate pre- and postoperative assessment of physial fractures in adolescents. CT and multiplanar reconstruction improve the understanding of patterns of injury, relative prevalence and accuracy of pre-operative planning. (authors)

  3. Frontal bone tuberculosis presenting with blindness in a 14-year-old girl: a case report

    Shameem Mohammad

    2009-06-01

    Full Text Available Abstract Introduction The occurrence of tuberculosis in the flat bones of the skull is very rare. Only eight cases of tuberculosis of the frontal bone have been reported in the literature. Case presentation A 14-year-old girl of Asian ethnicity presented with gradual loss of vision. A computed tomography scan of her head showed a diffuse, homogeneously ill-defined hyperdense lesion of size 2.9 × 5.3 cm (anteroposterior × thickness involving the right orbit. Biopsy of the lesion confirmed the presence of epithelioid cells and Langerhans giant cells with caseous material. After surgical debridement with antitubercular treatment, the patient had an uneventful recovery. Conclusion Although rare, tuberculosis can affect the flat bones of the skull. Tuberculosis of the frontal bone can be included in the differential diagnosis of blindness.

  4. RUPTURED MALIGNANT GERM CELL OVARIAN TUMOR IN A 14 YEAR OLD GIRL: A CASE REPORT

    Sunita Sudhir

    2014-09-01

    Full Text Available Immature teratoma accounts for 10 – 20% of all ovarian neoplasms in women less than 20 years of age with peak incidence between 15 – 19 years and they account for 30% of deaths arising from ovarian cancer in this age group.(1 Immature teratomas are rarely found to be bilateral,(2 Immature teratomas are malignant in nature and the most common sites of dessemination are peritoneum, retroperitoneal lymph nodes, hematogenous spread to Lung liver and brain is unusual.(3 We report a case of an immature teratoma of the ovary in a 14 year old girl who presented to us with acute pain abdomen. On examination patient was febrile, tachycardia present and abdominal rigidity was seen. Ultrasound examination showed a pelvic mass with fluid in morrisons pouch suggesting internal haemorrhage. Urine pregnancy test was done to rule out ectopic pregnancy. Patient was taken for emergency laparotomy. On laparotomy ruptured ovarian mass was seen with hemoperitoneum. Unilateral salpingo - oophorectomy was done and specimen sent for Histopathological examination which revealed immature ovarian teratoma stage I, Grade 3. Post-operative period was uneventful. Patient was referred to cancer centre for chemotherapy and further management. Patient was put on BEP regime.(Bleomycin Etoposide, Paclitaxal.on further follow up patient was normal.

  5. CASE REPORT KALLMANN SYNDROME IN A 14-YEAR-OLD BOY

    Melisa Anggraeni

    2013-10-01

    Full Text Available Normal 0 false false false IN X-NONE X-NONE Kallmann syndrome is a combination of hypogonadotropic–hypogonadism due to gonadotropine releasing hormone (GnRH deficiency with anosmia or hyposmia. Magnetic resonance imaging (MRI reveals hypoplasia or aplasia of the olfactory bulbs. The incidence is estimated at 1 in 10.000 and 50.000 males and females respectively. The main clinical features consists of the absence of spontaneous puberty, partial or total loss of the sense of smell (anosmia. In this case report, we describe a 14 year old boy with Kallmann syndrome who was refferred with delayed puberty and lack of smell function. Physical examination revealed Tanner stage I and proven anosmia from olfactory test. Laboratory test showed low titer of testosteron. Testicular ultrasonography (USG revealed small testicles. Treatment of this particular patient was with a 25 mg of intramuscular testosterone injection and were then increased by 25 mg every two weeks. Proper management of patients with Kallmann syndrome usually allows them to attain normal reproductive health. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  6. Bilateral Epididymal Cyst in 14 year-old Boy: a case report

    Yiğit Akin; Mehmet Sarac; Isil Basara; Selcuk Yucel; Ahmet Kazez

    2014-01-01

    Bilateral epididymal cysts are rare in childhood. Clinically they may present as acute scrotum and should be differentiated from other pathologies. Here in, we report bilateral epididymal cysts in a 14-year-old boy. He was admitted to emergency department with symptoms of acute left scrotum. There was no history of trauma or infection. Blood analyses, including testis tumor markers were unremarkable. Bilateral epididymal cysts were diagnosed on ultrasonography evaluation. Medical treatment di...

  7. Bilateral Epididymal Cyst in 14 year-old Boy: a case report

    Yiğit Akin

    2014-04-01

    Full Text Available Bilateral epididymal cysts are rare in childhood. Clinically they may present as acute scrotum and should be differentiated from other pathologies. Here in, we report bilateral epididymal cysts in a 14-year-old boy. He was admitted to emergency department with symptoms of acute left scrotum. There was no history of trauma or infection. Blood analyses, including testis tumor markers were unremarkable. Bilateral epididymal cysts were diagnosed on ultrasonography evaluation. Medical treatment did not stop his scrotal pain. During scrotal exploration, there was no evidence of testicular torsion or any other pathology. An excision of cyst was performed. Histopathologically, the cyst wall was lined by columnar epithelia. As a result of these findings, a pathological diagnosis of epididymal cyst was made. The synchronized evaluation of clinical and ultrasonography findings with an appropriate histopathological evaluation can usually diagnose this rare pathology.

  8. A Rare Case of Solitary Epidural Brain Metastasis of Neuroepithelioma Tumor in A 14 Years Old Man

    R. Barikbin

    2008-01-01

    Full Text Available By definition, a peripheral neuroepithelioma is a primary neuroectodermal tumor (PNET arising from peripheral, nonautonomic neural tissue. PNETs are classified into central and peripheral types. Peripheral PNETs are unusual, often highly aggressive, malignant neoplasms, rarely presenting in the head and neck. Soft tissues PNETs arise from nonautonomic nervous system. In this case, we report a 14-years-old male known case of cervical soft tissue neuroepithelioma presenting with a rare form of metastatic disease as extra axial, epidural metastasis to the brain. On histochemichal analysis of this solitary metastasis, as well as original tumor specimens, markers consistent with PNET tumors were identified.

  9. RUPTURED MALIGNANT GERM CELL OVARIAN TUMOR IN A 14 YEAR OLD GIRL: A CASE REPORT

    Sunita Sudhir; Sunita,; Vrunda; Komal

    2014-01-01

    Immature teratoma accounts for 10 – 20% of all ovarian neoplasms in women less than 20 years of age with peak incidence between 15 – 19 years and they account for 30% of deaths arising from ovarian cancer in this age group.(1) Immature teratomas are rarely found to be bilateral,(2) Immature teratomas are malignant in nature and the most common sites of dessemination are peritoneum, retroperitoneal lymph nodes, hematogenous spread to Lung liver and brain is unusual.(3) We report a case of an i...

  10. Development of a Sex Education Programme for 12-Year-Old to 14-Year-Old Turkish Adolescents

    Cok, Figen; Gray, Lizbeth Ann

    2007-01-01

    Previous research has documented a need for the development of a sex education programme in Turkish schools in terms of adolescence readiness and the presence of misconceptions regarding critical aspects of sexual issues. Currently no school-based sex education is available for Turkish adolescents. This paper presents the development of a…

  11. Perinatal characteristics among early (10–14 years old and late (15–19 years old pregnant adolescents

    Alves João

    2012-09-01

    Full Text Available Abstract Background Pregnancy in adolescents is a worldwide health problem and has been mostly common in poor populations. It is not clear if socioeconomic or biological factors are the main determinants of perinatal adverse outcomes in pregnant adolescents. Adolescents under 15 years old may present a high growth rate which may contribute to impair fetal growth. Our aim is to compare perinatal characteristics among early (aged 10 to 14 years and late (aged 15 to 19 years pregnant adolescents. Methods A cross-sectional study was performed using data from Pernambuco State 2009, obtained from DATASUS/SISNAC, a Brazilian Government, open-access public health database. Maternal and neonatal outcomes were compared between early (aged 10–14 years and late (aged 15–19 years pregnant adolescents. Family income was compared between early and late pregnant adolescents using a sample of 412 subjects evaluated at Instituto de Medicina Integral Prof. Fernando Figueira (IMIP during 2011. Statistical comparisons were made using the chi-square test was used with a significant level of 0.05; bivariate and multivariate analysis were performed. This project was approved by the Institutional Ethics Review Board. Results Data from 31,209 pregnant adolescents were analyzed. 29,733 (95.2% were aged 15 to 19 years and 1,476 (4.7% were aged 10 to 14 years. There were significant differences with respect to marital status, education level and number of prenatal visits of mothers aged 10 to 14 years compared to 15 to 19 years. Of importance, early adolescents had a greater rate of neonates born premature and with low birth weight. Prematurity and low birth weight remained statistically significant after multivariate analysis. Conclusions Early aged adolescents may have an increased risk of prematurity and low birth weight. These findings highlight the potential role of biological factors in newborn outcomes in pregnant adolescents.

  12. Bone dysplasia with optic atrophy, vascular malformation and seizures in a 14-year-old girl - a case report

    The heritable skeletal dysplasias or osteochondrodysplasias are a large heterogeneous group of disorders associated with abnormal shape, growth, or integrity of bones. Osteopetrosis is a collective term for a range of sclerosing bone diseases with various degree of defective remodeling. Increased bone density is the predominant radiologic feature. The skull is often involved with basal sclerosis and the sinuses are obliterated. The most serious consequences of the osteopetroses are seen in the nervous system. Because of perturbed remodeling of the skull bones, many aspects of the brain and cranial nerve function are endangered. Cranial nerves, blood vessels and the spinal cord may be compressed by progressive occlusion of cranial foramina. Carious, misplaced teeth, dysplastic fingernails, tendency to pathologic fractures are the other clinical manifestations. The authors present a 14-year-old girl with dysmorphic features, optic atrophy, CNS vessel malformation, pathologic fractures and seizures. The girl had a wide range of clinical and radiographic symptoms of bone dysplasias together with a giant left internal carotid artery aneurysm and epilepsy. On the basis of clinical and radiological features, a disease belonging to the group of skeletal dysplasias was recognized in our patient. The configuration of the presented symptoms does not allow at the moment strict classification to hitherto determined forms of dysplasia. This leads to the necessity of extending diagnostics, especially by molecular tests, and further long-lasting observations, which perhaps would allow classification of the presented syndrome to one of the known groups, or determination of a new clinical entity. (author)

  13. Validation of the general test for the evaluation of development for children and adolescents aged 6 to 14 years old (EVADE

    Ana María Quezada Ugalde

    2015-07-01

    Full Text Available Introduction. In this paper the results of the validation of the General Test Development Evaluation children and adolescents are presented (CIRCUMVENT, consistent with the growth needs, interests and development of the Costa Rican population between the ages of 6 and 14 years. Methodology. The methodology was qualitative, transversal and exploratory. For this purpose, conducted a validation process that included: technical expert judgment type aggregates individual; in the first phase results analysis, triangulation was used, resulting in the modified CIRCUMVENT. Subsequently, a pilot with 300 children and adolescents aged 6 to 14 years old, schools and colleges both public and private Metropolitan Area, San Jose, Costa Rica was made; using an observation guide for the collection of the data provided in this test. In the second phase, the results obtained with the theoretical triangulation, a new version of CIRCUMVENT was structured. Results. There is limited literature regarding developmental screening tests in middle childhood and adolescence; technical expert judgment confirmed the inconsistency of some items of CIRCUMVENT; was necessary to create standardized instructional materials for the application of the test. Conclusion. This research provides two significant inputs: a book with instructions for the interpretation and application of CIRCUMVENT, and standardized materials for implementation

  14. Influence of Mandarin tone exposure on the processing of intonation by 14-year-old American adolescents: An fMRI study

    Lin, Jo-Fu Lotus; Imada, Toshiaki; Kuhl, Patricia; Wang, Yue

    2001-05-01

    This study investigated, for American adolescents, whether the learning of non-native speech contrasts in one prosodic domain (Mandarin Chinese tones) would influence the processing of non-native contrasts in another prosodic domain (Mandarin Chinese intonation). Two groups of 14-year-old American teenagers were tested using the functional magnetic resonance imaging (fMRI) technique, including eight who had received a two-week Mandarin tone training program and eight with no exposure to Mandarin. Subjects were scanned during identification tasks. Despite their similar behavioral performance on identification of Mandarin intonation, preliminary results showed different cortical activation patterns for the two groups. Teenagers exposed to Mandarin showed similar activation patterns for the Mandarin intonation and Mandarin tone task, with more right-hemisphere activation for intonation, which differed from activation for English intonation. Teenagers without exposure activated similar areas for Mandarin and English intonation. Familiarity with Mandarin tonal contrasts affects brain activation, not only for Mandarin tones but also for Mandarin intonation, suggesting that training effects may transcend levels. [Work supported by NIH (HD 37954) and the Talaris Research Institute.

  15. Self-induced carving and scarification of the forearms as a manifestation of sexual abuse in a 14-YEAR-old adolescent girl

    Cavanaugh

    2000-05-01

    Background: Numerous cutaneous abnormalities have been described in adolescent girls who have been sexually abused. These include bruising, bite marks, cuts, scratches, abrasions, edema, hematomas or other evidence of struggle. Victims frequently shower or bathe excessively in an effort to cleanse their skin following such an unwanted encounter. However, there is a paucity of information in the literature regarding the association of sexual abuse and removal of the superficial layers of the skin as a more desperate attempt by teenagers to rid themselves of the perpetrator. The purpose of this paper is to heighten awareness among practitioners that self-induced cutting and carving of the forearms with scarification may occur as a manifestation of sexual abuse in young women.Methods: A 14-year-old girl was seen in an adolescent medicine consultation setting during the spring of 1999 for evaluation of an anxiety disorder. During the interview the girl related that she had been under considerable stress and that she was having difficulty sleeping. She also had worsening of facial tics that had been previously noted in association with obsessive compulsive behaviors. She had been receiving psychotherapy and was being treated with fluoxetine, but the symptoms were becoming more severe. On examination she appeared very anxious and demonstrated numerous involuntary, repetitive facial grimaces. Similar twitching movements of the neck were also noted. In addition, she had several well healed scars over both forearms. The lesions were linear with a range of one half to one inch in width and three to four inches in length. The remainder of the general physical examination was entirely unremarkable.Results: The etiology of the scars was initially unknown. Upon further questioning the patient was asked directly about what had caused these marks. At that point she broke down and cried as she related that had been sexually assaulted several months earlier. She stated that she

  16. Spinal epidural en-plaque meningioma with an unusual pattern of calcification in a 14-year-old girl: case report and review of the literature

    A 14-year-old girl who presented with a severe sensory-motor-sphincter syndrome was found to be harboring an epidural tumor situated posteriorly in the spinal canal from C5 through C7 levels. The mass had computerized tomography and magnetic resonance imaging features suggesting an unusual stratified architecture, with a conspicuous highly calcific component firmly adherent to the dura and a non-calcific mass surrounding it posteriorly and laterally. Although meningiomas have a low incidence in the first two decades of life, and in the spine they rarely have entirely extradural location at any age, a meningioma was suspected. Intraoperative biopsy confirmed the tumor to be benign, and careful total resection including the whole large dural implant was carried out; the wide dural defect was grafted with fascia lata. A meningothelial meningioma with a largely calcified psammomatous component was diagnosed. The girl made a complete recovery, and is tumor-free 9 years postoperatively. Outcome from surgery for spinal meningiomas can be good, despite the severity of the preoperative condition; however, en-plaque and highly calcific tumors still bear a poorer prognosis. Complete resection is mandatory in children, in whom they are extremely rare. Modern imaging techniques help in making a correct initial diagnosis and optimizing surgery in order to provide good results, even in more-challenging cases. (orig.)

  17. Popliteal artery injury following traumatic knee joint dislocation in a 14-year-old boy: A case report and review of the literature

    Cvetković Slobodan

    2014-01-01

    Full Text Available Introduction. Posterior knee joint dislocation associated with injury of the popliteal artery in children is an extremely rare condition. Rapid diagnosis and treatment are essential for limb salvage and function. Case report. We reported a 14-year-old boy who suffered traumatic displacement of the right knee and contusion of the popliteal artery during motorcycle accident. The diagnosis was confirmed using Doppler and duplex ultrasonography and digital substraction transfemoral arteriography. The urgent surgical procedure was performed using posterior approach to the popliteal artery. During the surgical exploration, rupture of the posterior cruciate ligament associated with thrombosed popliteal artery have been found. The damaged popliteal artery was resected and replaced with autologous saphenous vein graft. The last stage of the procedure was a transosseous femoral fixation of posterior circuate ligament. A 3-year-follow-up after the surgery demonstrated intact arterial perfusion and very good function of the knee with a minimal difference as compared with the contralateral knee. Conclusion. Combined orthopedic and vascular injuries are very rare in children. They require combined treatment. [Projekat Ministarstva nauke Republike Srbije, br. 175008

  18. CT scan-guided percutaneous osteosynthesis of a complex, multifocal fracture of the pelvic girdle in a 14-year-old adolescent

    Gagne, Pierre-Thomas; Bertrand, Anne-Sophie; Caudal, Amandine; El Hayek, Tony; Amoretti, Nicolas [Centre Hospitalier Universitaire de Nice, Nice (France)

    2014-08-15

    We report on a 14-year-old girl with minimally displaced pelvic girdle and acetabular roof fracture following motor vehicle trauma, treated percutaneously under CT and C-arm fluoroscopic guidance by an interventional radiologist. After informed consent from the patient's parents, under surgical aseptic conditions and under general anesthesia, three screws were positioned adequately under dual guidance by a radiologist and without immediate or long-term complication. The patient was mobilized 48 h after the procedure and resumed normal activities after 1 month. Even though the technique has been described before on adults, to our knowledge this is the first time it has been described on a pediatric patient. (orig.)

  19. The relationship between body composition and physical fitness in 14 year old adolescents residing within the Tlokwe local municipality, South Africa: The PAHL study

    Monyeki Makama

    2012-05-01

    Full Text Available Abstract Background Little is known about the relationship between body composition and physical fitness in 14 year-old high school adolescents of South Africa. Baseline data from a longitudinal study on physical activity and health (PAHLS may provide valuable information for future studies, hence to inform public health policy makers. The objectives of this study are to determine the prevalence of underweight, normal weight and overweight among adolescents aged 14 years in the Tlokwe Local Municipality of the North West Province of South Africa, and to assess the association between physical fitness and body composition separately for boys and girls, adjusted for race and locality. Methods Body weight, height and triceps, and subscapular skinfolds of 256 adolescents (100 boys and 156 girls aged 14 years were measured, and percentage body fat and body mass index (BMI were calculated. BMI was used to determine underweight, normal weight and overweight based on the standard criterion. Physical fitness was assessed by standing broad jump, bent arm hang and sit-ups according to the EUROFIT fitness standard procedures. Multinomial logistic regression analyses stratified for gender and adjusted for race (black or white, and the locality (urban or township of the schools were used to analyze the data. Results In the total group 35.9% were underweight and 13.7% overweight. Boys were more underweight (44% than girls (30.7%. The prevalence of overweight was 8% in boys and 17.3% in girls. BMI was strongly (p = 0.01 related with percentage body fat. Strong and significant positive associations between physical fitness and BMI for the underweight girls with high physical fitness scores (OR, 10.69 [95%CI: 2.81-40.73], and overweight girls with high physical fitness scores (OR, 0.11 [95%CI: 0.03-0.50] were found. Non-significant weaker positive relationship between physical fitness and BMI for the underweight boys with high physical fitness scores

  20. Disk degeneration in 14 year old children

    This paper reports low back symptoms of 1,500 school children (14 years old) evaluated with a questionnaire and with a standardized clinical examination. Forty children who complained of recurrent and/or persistent low back pain and 40 matching symptomless controls were randomly chosen to undergo MR imaging of the lumbar spine. Premature disk degeneration was seen in 25.5% of asymptomatic children and in 40% of those with low back pain. The difference was statistically not significant. Disk degeneration is a surprisingly frequent MR finding in symptomless children. Premature disk degeneration may be the cause of low back pain in some children but is not always symptomatic in childhood

  1. Absence of inferior vena cava in 14-year old boy associated with deep venous thrombosis and positive Mycoplasma pneumoniae serum antibodies- a case report

    Kalicki, Boleslaw; Sadecka, Monika; Wawrzyniak, Agata; Kozinski, Piotr; Dziekiewicz, Miroslaw; Jung, Anna

    2015-01-01

    Background Absence of the inferior vena cava is a rare vascular anomaly, which usually remains asymptomatic in childhood. It is recognized as the risk factor for deep venous thrombosis, since the collateral circulation does not provide adequate drainage of the lower limbs. Mycoplasma pneumoniae is a common cause of community-acquired pneumonia in school-aged children and adolescents. Mycoplasma pneumoniae infection might be associated with deep venous thrombosis but its pathophysiology remain...

  2. Invasive ductal carcinoma of the breast in a 14-year-old girl

    Breast cancer is rare in children and adolescents. In particular, there are very few cases of invasive ductal carcinoma in childhood. We report a case of invasive ductal carcinoma of the breast in a 14-year-old girl presenting as a palpable mass. While the tumor demonstrated a relatively benign appearance on ultrasound, magnetic resonance imaging revealed typical malignant features. Several polymorphisms of single nucleotide variation were observed on gene analysis. The patient underwent breast conserving surgery and received subsequent concurrent chemo-radiation therapy. An awareness that ductal carcinoma of the breast rarely occurs in children is important to detect early stage breast cancer. (orig.)

  3. Invasive ductal carcinoma of the breast in a 14-year-old girl

    Kim, Joo Yeon; Kim, Yun Ju; Kim, Sung Hun; Kang, Bong Joo [Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Department of Radiology, Seoul (Korea, Republic of); Song, Byung Joo [The Catholic University of Korea, Department of General Surgery, Seoul St. Mary' s Hospital, College of Medicine, Seoul (Korea, Republic of)

    2014-11-15

    Breast cancer is rare in children and adolescents. In particular, there are very few cases of invasive ductal carcinoma in childhood. We report a case of invasive ductal carcinoma of the breast in a 14-year-old girl presenting as a palpable mass. While the tumor demonstrated a relatively benign appearance on ultrasound, magnetic resonance imaging revealed typical malignant features. Several polymorphisms of single nucleotide variation were observed on gene analysis. The patient underwent breast conserving surgery and received subsequent concurrent chemo-radiation therapy. An awareness that ductal carcinoma of the breast rarely occurs in children is important to detect early stage breast cancer. (orig.)

  4. Disruptive Behavior Disorders in 8 to 14 Years Old Offspring's of Opium and Heroin Dependent Parents: a Case-Control Study

    Eslami Shahrbabaki, Mahin; Ziaaddini, Hassan; Saieedi, Hamdollah; Nakhaiee, Nouzar

    2009-01-01

    Background: Drug abuse is usually associated with behavioral disorders in children especially conduct disorder. This study investigated the behavioral disorders of children whose parents were opium or heroin dependent in compare with children whose parents were non-addicts to find the effects of drug abuse on offspring's behavior disorders by adjusting intervening factors. Methods: This case-control study, compared the behavioral disorders of 128 students (aged 8 to 14 years) in two groups of...

  5. A Model for Developing a Coparenting Relationship After Protracted Litigation: The Case of Antonia, a 14-Year-Old Caught in the Crossfire.

    Rotter, Annette

    2016-05-01

    Research has consistently documented long-term negative effects of high-conflict divorce on children's mental health. Court-issued custody and visitation judgments require parental collaboration, yet it is often challenging for parents to shift their interactions from acrimonious to cooperative, leaving children at increased risk for further exposure to conflict. Clinicians have developed strategies that help parents reduce conflict and increase coparenting skills after divorce. In this work, therapists integrate an empathic, active clinical stance and incorporate parenting education and skill building to help shift parents from a relationship marked by conflict to collaboration. A clinical case study provides an illustration of the steps involved in engaging a highly reactive and acrimonious mother and father in a Coparenting Treatment after prolonged litigation. It traces specific changes the parents implemented during 2 years of monthly sessions and the positive effects on the family system, including both the daughter's relationship to each parent and the parents' capacity to cooperate on her behalf. PMID:26990288

  6. Heart Transplantation in a 14-Year-Old Boy in the Presence of Severe Out-of-Proportion Pulmonary Hypertension due to Restrictive Left Heart Disease: A Case Report

    Martin Schwienbacher

    2013-01-01

    Full Text Available A 14-year-old boy after balloon valvuloplasty of severe aortic valve stenosis in the neonatal period was referred for heart-lung transplantation because of high grade pulmonary hypertension and left heart dysfunction due to endocardial fibroelastosis with severe mitral insufficiency. After heart catheterization, hemodynamic parameters were invasively monitored: a course of levosimendan and initiation of diuretics led to a decrease of pulmonary capillary wedge pressure (from maximum 35 to 24 mmHg. Instead of an expected decrease, mean pulmonary artery pressures (mPAP increased up to 80 mmHg with increasing transpulmonary pressure gradient (TPG up to 55 mmHg. Oral bosentan and intravenous epoprostenol then led to a ~50% decrease of mPAP (TPG between 16 and 22 mmHg. The boy was listed solely for heart transplantation which was successfully accomplished 1 month later.

  7. Acne isolated within a Becker nevus of a 14 year-old girl

    Juhl, Mark; Pappo, Eden; Bain, Michelle

    2015-01-01

    Becker nevus (BN) is a common benign condition occurring most often in young men, much more often than in women. Acne isolated within a BN is a rare phenomenon hypothesized to occur, at least in part, due to increased androgen sensitivity within the nevus. We present a rare case of papular acne with in a BN of a 14 year-old girl.

  8. Physical activity during recess among 13–14 year old Mexican girls

    Medina, Catalina; Barquera, Simon; Peter T. Katzmarzyk; Janssen, Ian

    2015-01-01

    Background Physical activity patterns during recess have been poorly described among adolescents. Physical activity levels could be captured the most accurately using a combination of instruments. The purposes of this study were to describe the physical activity patterns during school recess in a sample of 13–14 year old Mexican girls, to examine differences in these patters as assessed using three physical activity measurement instruments and to understand the influence of body weight status...

  9. School achievement in 14-year-old youths prenatally exposed to marijuana

    Goldschmidt, Lidush; Richardson, Gale A.; Willford, Jennifer A.; Severtson, Stevan G.; Day, Nancy L.

    2011-01-01

    The relation between prenatal marijuana exposure (PME) and school achievement was evaluated in a sample of 524 14-year-olds. Women were recruited during pregnancy and assessed, along with their offspring, at multiple phases from infancy to early adulthood. The sample represents a low-income population. Half of the adolescents are male and 55% are African American. School achievement was assessed with the Wechsler Individual Achievement Test (WIAT) Screener (Psychological Corporation, 1992). A...

  10. Coronary artery spasm after ingestion of Imodium (loperamide) in a 14-year-old boy

    Sehar, Tayyaba; Sadiq, Masood

    2016-01-01

    We report a 14-year-old boy who presented with acute chest pain, following the ingestion of loperamide for acute diarrhea. Twelve lead electrocardiogram (ECG) showed evidence of acute ischemia indicating acute coronary artery spasm. The changes reverted with treatment within a few hours with no permanent effect on myocardial function. This report highlights a rare side effect of loperamide, often debated in adults and never reported in adolescents. PMID:27212851

  11. Bilateral myopic photorefractive keratectomy in a 14-year-old boy

    Italo Giuffrè

    2010-01-01

    Full Text Available Context: Refractive surgery has been performed for more than 10 years. Laser-assisted intrastromal keratomileusis (LASIK and photorefractive keratectomy (PRK may be used in accommodative esotropia either in adolescent or in adult patients. Some authors have shown that LASIK is safe, effective, and stable at 10 years follow-up post-surgery. Case report: A 14-year-old boy was admitted to our outpatient department on 08-01-2008. Together with his parents he asked for both eyes to be operated on by myopic PRK. On September 5 th 2008 a myopic PRK was performed on his right eye and on September 12 th 2008 on his left eye. A Bausch & Lomb Z172 excimer laser was used to perform a Planoscan procedure on both eyes. Uncorrected visual acuity was 1.0 after both procedures. The patient did not suffer pain, haze or glare in postoperative follow-up. Conclusion: Apart from the surgical technique, the author raises questions about the ethics of this procedure in a young boy.

  12. Bilateral myopic photorefractive keratectomy in a 14-year-old boy

    Italo Giuffrè

    2010-01-01

    Full Text Available Context: Refractive surgery has been performed for more than 10 years. Laser-assisted intrastromal keratomileusis (LASIK and photorefractive keratectomy (PRK may be used in accommodative esotropia either in adolescent or in adult patients. Some authors have shown that LASIK is safe, effective, and stable at 10 years follow-up post-surgery. Case report: A 14-year-old boy was admitted to our outpatient department on 08-01-2008. Together with his parents he asked for both eyes to be operated on by myopic PRK. On September 5th 2008 a myopic PRK was performed on his right eye and on September 12th 2008 on his left eye. A Bausch & Lomb Z172 excimer laser was used to perform a Planoscan procedure on both eyes. Uncorrected visual acuity was 1.0 after both procedures. The patient did not suffer pain, haze or glare in postoperative follow-up. Conclusion: Apart from the surgical technique, the author raises questions about the ethics of this procedure in a young boy.

  13. RESPIRATORY PARAMETERS EFFICIENCY IN SPORTS RESULTS AMONG 14-YEAR OLD MALE AND FEMALE SWIMMERS

    Dybinska Ewa

    2012-02-01

    Full Text Available The aim of this paper was to test fitness levels of chosen parameters in the respiratory system in comparison to sports results in a group of 100m medley 14-year old male and female swimmers. The main measurement method was based on immediate observation of the following variables: a The fitness level of particular parameters in the respiratory system, b The level of swimming fitness. Based on the detailed analysis of the chosen respiratory parameter levels among 14-year old male and female swimmers in relation to their sports result in 100m medley distance, the following general statements have been formulated: the average levels of the chosen respiratory parameters estimated, in most of the cases, above average, especially among female swimmers.

  14. Abnormal talk by a 14-year-old boy with hypersomnolence after a long-haul flight.

    Hurwitz, Brian; Richardson, Joshua

    2010-01-01

    This case alerts readers to the occurrence of grammatical, nonsensical speech in a 14-year-old boy, an alarming symptom. Speech of this sort may be caused by serious medical conditions such as cerebral irritation and acute confusional states, but in this case it was most probably part of a sleepwalking episode associated with jetlag. Abnormal speech during sleepwalking has been described, but it is not well characterised. This report of somniloquy offers some descriptive phenomenology for such speech. PMID:22767364

  15. 乌鲁木齐市0~14岁儿童支气管哮喘流行病学调查分析及危险因素分析%Epidemiological survey analysis of asthma children in Urumqi aged 0-14 years old and case-control study of its risk factors

    马香萍; 乔丽潘; 多力坤; 郎振普

    2015-01-01

    Objective To explore risk factors for asthma children in Urumqi aged 0-14 years old through the epidemiological survey data.Methods By cluster sampling method,totally 11 939 children were investigated.There were 148 cases of asthma,by using case-control study,the risk factors for asthma were analyzed.Results The total asthma morbidity rate of childhood asthma (aged 0-14 years old) in Urumqi(1.24%,148/11 939 cases) was significantly lower than that of national city incidence (3.02%) based on the third-time national survey;the prevalence rate was obviously rising compared with the region in 2000 (0.61%) and 1990 (0.40%).The prevalence of asthma in male and female children was 1.72% (104/6 047 cases) and 0.75% (44/5 892 cases),respectively (x2 =23.081,P <0.001).Preschool children had the highest prevalence of asthma (1.33%,36/2 705 cases),which was slightly higher than that of school-age children (1.29%,86/6 690 cases) and that of the infants (1.02%,26/2 544 cases).The prevalence in Han children (1.36%,121/8 895 cases) was higher than that of the minority children (0.89%,27/3 044 cases)(x2 =4.150,P < 0.05).The uni-variate Logistic regression analysis showed that there were 16 significant factors that related to asthma;bv multivariate Logistic regression analysis,the family history of allergies,allergic rhinitis,food allergy history,use of antibiotics and passive smoking were all risk factors associated with childhood asthma.Conclusions The asthma prevalence is significantly different in genders,ages,Han nationality and minority.Active avoidance of risk factors for asthma in children are of great significance in the prevention and control of children asthma.%目的 通过流行病学调查数据了解乌鲁木齐市0~ 14岁儿童支气管哮喘(简称哮喘)的患病率,并探讨其危险因素.方法 采用整群抽样的方法,实查11 939例儿童,诊断哮喘148例,应用病例对照研究的方法分析乌鲁木齐市儿

  16. Multiple osteolytic lesions in a 14-year-old boy with HIV disease

    S Murugan

    2015-01-01

    Full Text Available A 14 year old boy, said to have had multiple transfusions during infancy, was brought to the hospital for complaints of pain over right thigh for one week duration. MRI reveals multiple osteolytic lesions with enhancing hyperintense bone marrow lesions over iliac bones, right acetabulum and lumbar vertebral bodies and enlarged para-aortic, iliac and inguinal lymph nodes. CT of the whole body revealed osteolytic lesions on skull, mandible, right scapula, head of both humeri, L1 and L4 vertebrae, 5 th and 10 th ribs, both acetabulum and ala of sacrum along with enlargement of cervical, axillary and mesenteric, iliac and inguinal nodes. HIV ELISA was positive. Viral load was 141,700 copies/ml. CD4 count was 226 cells/mm 3 . Multiple biopsy from the lesions and bone marrow revealed no evidence of tuberculosis and malignancy. Now the boy is on ART (ZDV + 3TC + EFV since August 2013. His CD4 count improved and viral load became undetectable and he gained weight within 5 months of ART. Due to the rarity of its presentation, this case report is being reported.

  17. Huge pelvi-abdominal malignant inflammatory myofibroblastic tumor with rapid recurrence in a 14-year-old boy

    Chia-Hsun; Lu; Hsuan-Ying; Huang; Han-Koo; Chen; Jiin-Haur; Chuang; Shu-Hang; Ng; Sheung-Fat; Ko

    2010-01-01

    Inflammatory myofibroblastic tumor(IMT) is an uncommon benign neoplasm with locally aggressive behavior but malignant change is rare.We report an unusual case of pelvic-abdominal inflammatory myofibroblastic tumor with malignant transformation in a 14-year-old boy presenting with abdominal pain and 9 kg body weight loss in one month.Computed tomography revealed a huge pelvi-abdominal mass(30 cm),possibly originating from the pelvic extraperitoneal space,protruding into the abdomen leading to upward displace...

  18. Atypical presentation of acute idiopathic megacolon in a 14-year-old patient

    B. Barakat

    2012-12-01

    Full Text Available In clinical practice the term “megacolon” is used to indicate a marked dilatation of the cecum and the sigmoid colon (>12 and 6.5 cm, respectively (1. From a clinical standpoint, a megacolon can be classified as chronic or acute depending on its clinical presentation. Chronic megacolon typically refers to a congenital disorder in which the enteric nervous system (ENS supplying the colon does not develop properly, thereby leaving the distal segments of the viscus without myenteric and submucosal ganglia (i.e. Hirschsprung’s disease (2. Other cases of non-aganglionic chronic megacolon can be secondary to variety of conditions such as Chagas’ disease and neurodegenerative diseases (e.g. Parkinson’s and Alzheimer’s diseases, leading to or associated with ENS abnormalities (3. The acute form of megacolon, also referred to as Ogilvie’s syndrome, is characterized by a predominant involvement of the cecum and right colon usually affecting elderly patients undergoing surgery (e.g. orthopedic procedures or taking medications altering gut motility (e.g. opioids or antidepressants (4. Some forms of acute megacolon, however, can be idiopathic in origin since no underlying etiology can be identified. Patients with acute idiopathic megacolon usually have a longstanding history of constipation, often accompanied by laxative abuse, and their clinical presentation is characterized by abdominal distension and severe pain with radiological evidence of stool impacted in the colon and rectum (1, 4. The case herein reported represents an unusual form of acute idiopathic megacolon characterized by massive descending and sigmoid colon distension complicated with a volvulus in a 14-year-old boy with no Hirschsprung’s disease. In addition, just to increase the peculiarity of this case report, the patient had an unremarkable clinical record, and never suffered from chronic constipation in the past.

  19. Cervical ankylosis following Grisel's syndrome in a 14-year-old boy with infectious mononucleosis

    Non-traumatic atlanto-axial subluxation (Grisel's syndrome) is an uncommon complication of neck space infection or otolaryngologic procedures. It most frequently affects children, although it may occur in adults. We present a 14-year-old boy with Grisel's syndrome as a complication of infectious mononucleosis proceeding to cervical ankylosis. (orig.)

  20. Oral submucous fibrosis: a premalignant condition in a 14-year-old Indian girl

    Deshpande, Anshula; Kiran, Shital; Dhillon, Steffi; Mallikarjuna, Rachappa

    2013-01-01

    A 14-year-old Indian girl presented with difficulty in mouth opening and burning sensation while eating. On examination, blanching of the oral mucosa with diffuse white pigmented lesion of size 3.5 to 2 cm along with melanotic pigmentation was seen on the left buccal mucosa posteriorly. The patient was diagnosed with oral submucous fibrosis. A comprehensive treatment plan was made based on conservative management that included motivation and intense counselling of the patient and her parents ...

  1. Acute appendicitis in a 14-year-old boy with familial Mediterranean fever

    Yoshihiko Sakurai; Takaaki Murata; Hirohisa Hirata; Takeshi Morita

    2015-01-01

    Familial Mediterranean fever (FMF) is one manifestation of a heritable periodic fever syndrome that is characterized by recurrent attacks of febrile polyserositis, most frequently peritonitis. An FMF abdominal attack is often misdiagnosed as acute appendicitis, a more common cause of an acute abdomen. We report a 14-year-old boy with FMF who developed acute appendicitis during his follow-up. The patient had a several-year history of abdominal pain episodes, and was initially admitted for an a...

  2. CORRECTION OF BLADDER EXSTROPHY IN ADOLESCENT: 2 CASE REPORT

    A. Burgio; G. Di Maggio; Ferrara, F.; G. Giannotti; Pavone, M.; A.L Bulotta; Messina, M.

    2012-01-01

    Introduction: bladder exstrophy is characterized by an incomplete development of anterior portion of bladder, urethra, abdominal wall and a median separation of pubic symphysis. We describe 2 clinical cases in adolescent treated with different surgical approach. Materials and Methods: two patients, one male and one female, respectively, 10 and 14 years old. Both cases had relapse: the bladder plate was performed in female when she was 2 years and in male when he was 6 years old. The male show...

  3. Depression risk and electrocortical reactivity during self-referential emotional processing in 8 to 14 year-old girls.

    Speed, Brittany C; Nelson, Brady D; Auerbach, Randy P; Klein, Daniel N; Hajcak, Greg

    2016-07-01

    Cognitive vulnerabilities, such as a negative self-referential processing bias, have been theorized to play a causal role in the development of depression. Indeed, depression is associated with the endorsement and recall of more negative and fewer positive emotional words (i.e., recall biases) in the self-referential encoding task (SRET). In addition, currently depressed adults and adolescents, compared to healthy controls, show an enhanced late positive potential (LPP), an event-related potential (ERP) component that reflects sustained attentional engagement, during the processing of negative relative to positive words in the SRET. However, it is unclear whether these behavioral and neural measures in the SRET are indicators of risk for depression, or are concomitants of the disorder. The present study included 121 8 to 14 year-old girls with no lifetime history of depression, and examined the association between maternal history of depression (i.e., risk) and both behavioral and ERP measures while viewing positive and negative adjectives during the SRET. Lifetime history of major depressive disorder and/or dysthymia in the biological mother was assessed via a semistructured diagnostic interview. Results indicated that participants with maternal history of depression, compared with those with no maternal history of depression, demonstrated an enhanced LPP to negative words. There were no group differences in the LPP to positive words. Maternal history of depression was also related to faster response time when rejecting negative words. Participant's current depression symptoms were associated with increased negative recall bias and decreased positive recall bias. The present study provides novel evidence that abnormal electrocortical reactivity to negative self-referential words indexes vulnerability for depression in 8 to 14 year-old girls. (PsycINFO Database Record PMID:27175985

  4. The Importance of Emotional Insight in Cognitive Behaviour Therapy for Anorexia Nervosa: An Adolescent Case Study

    Rupa, Megha; Girimaji, Satish; Muthuswamy, Selvi; Jacob, Preeti; Ravi, Malavika

    2013-01-01

    Anorexia nervosa is a rare but sever psychiatric disorder in adolescence, with chronicity and death being the most feared consequence. Emotional Insight into one's problem is considered a key determinant of success in therapy. The following case study of a 14-year-old client, describes the process of therapy as it unfolded across 45 sessions. An…

  5. Genetic risk factors of disc degeneration among 12-14-year-old Danish children

    Eskola, Pasi J.; Kjær, Per; Daavittila, Iita M.;

    2010-01-01

    The objective of the present study was to examine the associations between eleven putative predisposing single nucleotide polymorphisms (COL9A3, COL11A2, IL1A, IL1B, IL6 and VDR) and early disc degeneration (DD). The population consisted of 12 to 14-year-old Danish children (N=352). DD was...... evaluated from magnetic resonance im- ages (MRI). We analysed the association between DD and single nucleotide polymorphisms or haplotypes using logis- tic regression analyses. Of the 352 children studied, 73 boys and 81 girls had no MRI changes, while 30 boys and 36 girls had lumbar DD. Among girls, IL1A...

  6. Erosive Tooth Wear and Related Risk Factors in 8- and 14-Year-Old Greek Children.

    Provatenou, Efthymia; Kaklamanos, Eleftherios G; Kevrekidou, Aikaterini; Kosma, Ismini; Kotsanos, Nikolaos

    2016-01-01

    The aim of the present study was to investigate the erosive tooth wear of primary and permanent teeth and its association with related risk factors. Two groups of Greek children aged 8 (n = 329) and 14 years (n = 263) were examined in the classroom using the Basic Erosive Wear Examination (BEWE) index. Data concerning risk factors were collected using questionnaires. Dental caries (DMFS/dmfs) was also recorded. The data were analyzed using the t test, one-way ANOVA, multiple regression analysis, Fisher's exact test, and the χ2 test. In the 8-year-olds, the primary teeth showed a predominantly medium level of wear and the permanent teeth no wear. A majority of the 14-year-olds exhibited low risk levels of wear. The most frequently affected dental surface in both age groups was the occlusal surface of the mandibular posterior teeth. In the 8-year-olds, BEWE scores and the prevalence of wear in the primary teeth was influenced by gender (p = 0.020). In their permanent teeth, soft drink consumption (p soft drinks in the mouth influenced wear prevalence (p = 0.008), risk (p = 0.004), and BEWE scores (p = 0.022). In the 14-year-olds, wear prevalence was significantly affected by the consumption of lemon-flavored candies (p = 0.016) and soft drinks (p = 0.050). BEWE scores were significantly affected by gender (p = 0.022) and soft drink consumption (p = 0.030). Gender influenced tooth wear risk in both age groups (p = 0.010 and p = 0.021, respectively). The results of this study indicate that erosive tooth wear differed between primary and permanent teeth and was influenced by gender and dietary factors. PMID:27286713

  7. Cleidocranial dysplasia in a 15-month-old boy and a 14-year-old girl: clinical and radiological presentation

    Cleidocranial dysplasia (CCD) is a rare, autosomal dominant skeletal dysplasia with a relatively mild course. The most characteristic symptoms are clavicle hypoplasia or aplasia, abnormalities in the skull ossification, and a variety of dental pathologies. The clinical course and radiological presentation of two cases (a 15-month-old boy and a 14-year-old girl) of CCD are presented. Among the characteristic phenotype features the patients demonstrated were abnormalities in the skull formation, with wide sutures and large, delayed closure of the fontanelles, additional Wormian bones, and significant dental abnormalities, in both cases with delayed eruption of teeth and, in the girl, intensive caries, cross bite, and impacted teeth. The boy presented hypoplasia of the clavicles, while aplastic clavicles were confirmed in the girl. In both cases clavicle defects resulted in descended shoulders with abnormal movement faculty. Metacarpal and phalangeal defects were also found in both children as well as abnormalities in pelvic structure, with wide pubic symphysis and vertical arrangement of the pelvic bones in the girl. CCD is a skeletal dysplasia with characteristic clinical and radiological presentation. Although the course of the disorder is relatively mild, early orthopedic, dental, and orthodontic care, as well as rehabilitation, are essential in limiting complications resulting from the congenital malformation of the skeletal system. (author)

  8. Relationship between Anthropometric Parameters with Menarche Age of School Girls (11-14 Years Old in Shahroud

    Mehri Delvarian-Zadeh

    2008-01-01

    Full Text Available Introduction: Though not impeding it, malnutrition during childhood delays the menarche age. This study aimed at investigating the relationship between anthropometric parameters with menarche age of adolescent (11-14- year old girls. Methods: In this cross-sectional study, 418 middle school girls in Shahroud were randomly selected and studied. To demonstrate the participants, nutritional status, BMI was used for age, weight and stature, and then it was compared with NCHS standard. Results: It was revealed that the mean of BMI (body mass Index of menstruated girls was 19.8±3/1 and that of the non-menstruated participants was 17.6±3. The average menarche age turned to be 12.9±0.8. A significant relationship (P<0.0001 was found between age and incidence of menstruation. 47% of the participants experienced their menses in summer. The weight and height means of the menstruated participants were 48.7±8.5 kg and 156.9±6.7 cm respectively. A significant relationship (P=0.0001 was also found between weight, height, BMI and anthropometric parameters of the students, and their menstrual conditions. Statistical analysis also showed a significant relationship between menarche status and socioeconomic condition. Conclusion: The results of this study indicate a significant relationship between nutritional status and menarche age. Due to the importance of menarche age, its decline and creation of sexual desire, and noting the important effects of BMI and anthropometric parameters on menarche age, special attention should be paid to ideal weight, proper nutrition and sufficient physical activities in this high-risk group

  9. Cervical ankylosis following Grisel's syndrome in a 14-year-old boy with infectious mononucleosis

    Haidar, Salwa; Armstrong, Derek [Hospital for Sick Children, Department of Diagnostic Imaging, Toronto, Ont. (Canada); Drake, James [Hospital for Sick Children, Department of Neurosurgery, Toronto (Canada)

    2005-03-01

    Non-traumatic atlanto-axial subluxation (Grisel's syndrome) is an uncommon complication of neck space infection or otolaryngologic procedures. It most frequently affects children, although it may occur in adults. We present a 14-year-old boy with Grisel's syndrome as a complication of infectious mononucleosis proceeding to cervical ankylosis. (orig.)

  10. Neurotropic T-cell-rich B-cell lymphoma in a 14-year-old Morgan gelding

    Westerman, Trina L.; Poulsen, Keith P.; Schlipf, John W.; Valentine, Beth A.

    2014-01-01

    A 14-year-old Morgan gelding was presented for progressive weakness and muscle atrophy. The horse was initially diagnosed with equine protozoal myelitis based on history, physical examination, and laboratory diagnostics. Despite therapy, the horse declined clinically and was euthanized. Necropsy revealed a rare form of neurotropic lymphoma, described in this report.

  11. Assessing metaphor comprehension as a metasemantic ability in students from 9-to-14 years-old.

    Paolo Iliceto

    2011-01-01

    Full Text Available This article presents a test for assessing metaphor comprehension (MCT in explicit linguistic form for subjects aged 9- to 14 years-old, i.e. in a transitional age where significant qualitative changes appear for this type of ability. Metaphor is viewed as a form of semantic conflict induced by the anomalous combination of the conventional meanings of its main constituents - tenor and vehicle - and metaphor comprehension is framed as a metasemantic ability based on the analysis of these meanings (Gombert 1990, that can have implications both for teaching and for learning strategies.The authors propose a functionalist piagetian frame, based on Piaget’s latest equilibration model (1975, for analysing how this semantic conflict can be faced and solved by children in the developmental span considered. The test is paper-and-pencil, composed of 12 items subdivided into 2 groups of metaphors: Psycho-physical (PP and Conceptual (C, mainly drawn and adapted to Italian language from international literature on metaphor comprehension. The sample is composed of 874 Italian children from 4th to 8th grade, with gender balance, of average social background. By means of Principal Components Analysis, with oblimin rotation, a two-factor solution emerged, that espouses the C/PP metaphors distinction. All corrected item-total correlation coefficients >.30 were representative and acceptable. Correlation coefficients between MCT and Standard progressive Matrices (SPM38 and some validated metalinguistic subtests were all significant at p <0.01 level, showing good convergent validity. Cronbach’s Alpha coefficients for the two subscales were: .62 (C, .51 (PP and .70 for MCT total score. Test-retest correlation oefficients for the two subscales were .79 (C, .69 (PP, and .83 for MCT total score. Cohen’s Kappa coefficients for interrater reliability are: .75 (4th-5th, .74 (6th, .67 (7th, .81 (8th. A twofactor ANOVA (gender and age showed that the test is gender

  12. Ovarian carcinoma in a 14-year-old with classical salt-wasting congenital adrenal hyperplasia and bilateral adrenalectomy.

    Pina, Christian; Khattab, Ahmed; Katzman, Philip; Bruckner, Lauren; Andolina, Jeffrey; New, Maria; Yau, Mabel

    2015-05-01

    A 14-year-old female with classical congenital adrenal hyperplasia because of 21-hydroxylase deficiency underwent bilateral adrenalectomy at 6 years of age as a result of poor hormonal control. Because the patient was adrenalectomized, extra adrenal androgen production was suspected. Imaging studies including pelvic ultrasound and pelvic magnetic resonance imaging (MRI) were obtained to evaluate for adrenal rest tumors of the ovaries. Abdominal MRI was obtained to evaluate for residual adrenal tissue. A cystic lesion arising from her right ovary suspicious for ovarian neoplasm was noted on pelvic MRI. Right salpingo-oophorectomy was performed and histopathological examination revealed ovarian serous adenocarcinoma, low-grade, and well-differentiated. Tumor marker CA-125 was elevated and additional ovarian cancer staging workup confirmed stage IIIC due to one lymph node positive for carcinoma. The patient then developed a large left ovarian cyst, which led to a complete total abdominal hysterectomy and removal of the left ovary and fallopian tube. Pathology confirmed ovarian serous adenocarcinoma with microscopic focus of carcinoma in the left ovary. After numerous complications, the patient responded well to chemotherapy, CA-125 levels fell and no evidence of carcinoma was observed on subsequent imaging. To our knowledge, this is the first reported case of an ovarian serous adenocarcinoma in a patient with CAH. Although rare, we propose that the ovaries were the origin of androgen production and not residual adrenal tissue. The relationship between CAH and ovarian carcinomas has yet to be established, but further evaluation is needed given the poor survival rate of high-grade serous ovarian carcinoma. PMID:25427061

  13. Medication use among children 0-14 years old: population baseline study

    Maria J.B. Cruz

    2014-12-01

    Full Text Available OBJECTIVE: Determine the prevalence of medication use in children and adolescents in 20 municipalities of Vale do Jequitinhonha, Minas Gerais-Brazil, showing the main groups and variables that may have influenced use. METHODS: Descriptive population-based survey sample of 555 interviews, selected by simple random cluster sampling of 137 census tracts. Inclusion criteria were age ≤ 14 years, mandatory interview with the legal guardians, and regardless of having received medications. Regarding the usage pattern, participants were divided into two groups: consumption and non-consumption of drugs. A descriptive analysis of the variables and tests of association were performed. RESULTS: The prevalence of drug consumption was 56.57%, and 42.43% showed no consumption. The use of medicinal plants was 72.9% for drug users and 74.3% for non-users. The health conditions for consumption were cough, common cold, flu, nasal congestion or bronchospasm (49.7%, fever (5.4%, headache (5.4%, diarrhea, indigestion, and abdominal colic (6.7%. In cases of self-medication, 30.57% of the drugs were given by the mother, and 69.42% were prescription drugs. Self-medication was prevalent using paracetamol (30.2%, dipyrone (20.8%, and cold medicine (18.8%. There was increased use of analgesics/antipyretics, followed by respiratory medications, systemic antibiotics, histamine H1 antagonists, and vitamins/antianemics. CONCLUSIONS: The prevalence of drugs use in children was high, indicating the need for formulating educational programs aiming at the awareness of caregivers regarding rational use.

  14. A Study on prevalence of detofacial anomalies in 12 to 14 years old students inTehran

    Rashidi Birgani M; Ravanmehr H

    1998-01-01

    The purpose of this study was to determine the prevalence of dentofacial anomalies in 12 to 14 years old students in Tehran."nThe sample consisted of 500 students. 250 of them were females and 250 were males. The evaluation of saggital skeletal relationships revealed tha 16% of samples had normal occlusion, 48% of them had CI I malocclusion, 15,6% had CI II Div I malocclusion, 12% of them had CI HI malocclnsion, 5.2% of them had CI. II Div 2 malocclusion and 3.2% of them had pseudo CI II...

  15. In utero exposure to coumarins and cognition at 8 to 14 years old

    van Driel, Dieneke; Wesseling, Judit; Sauer, Pieter J J; van der Veer, Eveline; Touwen, Bert C L; Smrkovsky, Mila

    2001-01-01

    Objective. To assess the cognitive abilities in school-aged children who have been exposed to coumarins in utero. Background. Coumarin derivatives are an effective option for anticoagulant therapy in pregnant women. However, case reports describe anomalies of the fetal central nervous system after i

  16. Quality of Life in Under-14-Year-Old Children After Adenotonsillectomy

    Fathollah Behnoud

    2010-10-01

    Full Text Available Introduction: Tonsillectomy with or without adenoidectomy is one of the most frequent surgical procedures especially in children. Several indications and contraindications have been suggested for this procedure. The benefits and the negative results of this operation have been studied by different researchers; nevertheless, to date, it is still a common procedure. The main purpose of this study is to obtain extensive information on the outcomes of adenotonsillectomy, according to the patient's physical, emotional and behavioral changes and also on the overall changes in his/her quality of life (QOL. Materials and Methods: All the children, aged 1-14, referred to the Besat Hospital clinics (Hamadan, Iran between March 2008 and March 2009 were included in this study. Overall, 86 children with documented indications underwent adenotonsillectomy, and were followed up for one year.  Two modified standard questionnaires for QOL were completed before and one year after the tonsillectomy. Upon the completion of this two-year study, statistical analyses were performed, and the demographic data of the study groups were compared with those of a same-age group. Results: Changes were observed in five main complaints as follow: Acute Recurrent tonsillitis was present in 86 patients preoperatively, but in only three cases postoperatively (pharyngitis. Confirmed chronic sinusitis was present in 24 patients preoperatively, but only in three cases during the year after the surgery. Oral breathing was seen in 82 patients preoperatively, but only in one patient during the year after the surgery. Nocturnal snoring was seen in 83 children preoperatively, but in 25 cases during the year after the surgery. Halitosis was present in 71 patients, while and halitosis was seen in 27 during the year after the surgery. Conclusion: Overall, the majority of the parameters studied showed significant differences after surgery.

  17. The differences in attitudes about their society between 14 year old pupils with and without an immigration background; a cross-national comparison

    Prokic, Tijana; Dronkers, Jaap

    2010-01-01

    In this paper we analyze the attitudes of 14 year old children of first and second generation immigrants and their civic attitudes about (aspects of) the society of destination. We use data from the Civic Education Study conducted by International Educational Association (IAE) in 1999. This Civic Education Study tests civic knowledge, civic attitudes and civic participation of 14 year old students. We have five dependent variables in 11 countries: trust in government related institution posit...

  18. Study of weight, height, body mass index, energy and nutrients intake of 11-14 years old girls, Tehran

    Sadeqipoor H

    1999-09-01

    Full Text Available A descriptive, analytical cross-sectional syudy was conducted in 1996 on 350 female students 11-14 years old in the center of Tehran, Iran. The general objective was determining energy and nutrient intakes and weight, height and BMI (Body Mass Index of the girls, using anthropometric measurements, interviews (24-hour dietary recall and food consumption frequency, and the NCHS standards. The results were as follows: 1 Based on weight for age and the Z-score, 20% of the girls suffered from mild past and present malnutrition. 2 Based on height for age and BMI, 16.6%, 12.5%, and 1.3% suffered from mild past malnutrition, severe present malnutrition and overweight, respectively. 3 The height curves were normal, as compared to the respective standards. 4 The BMI curves were quite different from the respective standards. 5 On the whole, 53.7%, 49.7%, 86.0%, 59.0%, 67.7%, 76.5% and 88.0% of the girls had low intakes of energy, vitamin A, riboflavin, vitamin B12, folic acid, calcium, and iron, respectively. 6 A positive linear correlation was observed between energy intake and height, vitamin A intake and weight, zinc intake and height, and carbohydrate intake and height.

  19. A Study on prevalence of detofacial anomalies in 12 to 14 years old students inTehran

    Rashidi Birgani M

    1998-09-01

    Full Text Available The purpose of this study was to determine the prevalence of dentofacial anomalies in 12 to 14 years old students in Tehran."nThe sample consisted of 500 students. 250 of them were females and 250 were males. The evaluation of saggital skeletal relationships revealed tha 16% of samples had normal occlusion, 48% of them had CI I malocclusion, 15,6% had CI II Div I malocclusion, 12% of them had CI HI malocclnsion, 5.2% of them had CI. II Div 2 malocclusion and 3.2% of them had pseudo CI III malocclusion. The prevalence of other dentofacial anomalies obtained in this study are, crowding 40.6%, deepbite 27.2%, spacing 20.6%, mandibular deviation 19.4%, unilateral posterior crossbite 9.2%, anterior openbite 6.6%, posterior openbite 5.6%, asymmetry 1.6% and bilateral posterior crossbite 1.6%. The prevalence of dental anomalies in the sample population was as follws: rotated teeth 13.4%, malposed teeth 12.2%, teeth with large size 3.2%, malshaped teeth 2.4% and teeth with smal size 2%. A part from determining the total values mentioned, the prevalence of saggital relationships oral dentofacial anomalies was assessed separately in each of the female and the male samples.

  20. Potential weekly intake of artificial food colours by 3-14-year-old children in Brazil.

    Toledo, M C; Guerchon, M S; Ragazzi, S

    1992-01-01

    The Potential Weekly Intake (PWI) of artificial food colours by 3-14-year-old children living in the District of Barão Geraldo, Campinas, São Paulo, Brazil, was estimated on the basis of average consumption data of artificially coloured food and analytically determined colour concentration in foodstuffs ingested. Coloured food consumption data were obtained through dietary recall interviews and collection of the packages and/or labels of the coloured foods consumed during a two-week period. Colours found in the individual types of foods detected through the consumption survey were identified and determined by methods that included wool dyeing and polyamide column extractions, ascending paper chromatography and spectrophotometry. The results showed that all artificial colours used in the composition of 83 commercial food products, including jellies, juices, soft drinks, syrups and 57 different candies, were permitted for use in food in Brazil the year the survey was conducted (1986), in amounts below those prescribed by law. Statistical analysis performed to compare the PWI for different population groups demonstrated that young male children, especially from lower social classes, were most exposed to artificial colours. Comparison of the estimated potential intakes with the toxicologically Acceptable Daily Intake (ADI) showed that consumption of Amaranth, Sunset Yellow, Indigotine and Tartrazine by all children in the study represented approximately 24%, 3%, 0.05% and 0.4%, of the actual ADI values, respectively. PMID:1493880

  1. To What Extent Do Pupils Perceive Science to Be Inconsistent with Religious Faith? An Exploratory Survey of 13-14 Year-Old English Pupils

    Taber, Keith S.; Billingsley, Berry; Riga, Fran; Newdick, Helen

    2011-01-01

    Scientists hold a wide range of beliefs on matters of religion, although popular media coverage in the UK commonly suggests that atheism is a core commitment for scientists. Considering the relationship between religion and science is a recommended topic in the English National Curriculum for lower secondary pupils (11-14 year-olds), and it is…

  2. THE EFFECT OF STRENGTH TRAINING ON SOME MOTOR ABILITIES IN 12-14 YEARS-OLD MALE TENNIS PLAYERS

    Ferhat AKTAŞ

    2011-04-01

    group was significantly less than skinfold of the control group (p≤0.01. The value of 20-m shuttle run of the experimental group was significantly higher than those of the control group (p≤0.01. There was no significant difference between experimental group and control group in flexibility (p>0.05.As a result, the strength training for eight weeks improved the abilities of endurance, strength, and in some speed abilities in 12-14 year-old male tennis player, however it was observed that the strength training did not induce any changes in flexibility and anaerobic power.

  3. Relationship Between Occurrence of Guillan-Barre Syndrome and Mass Campaign of Measles and Rubella Immunization in Iranian 5-14 Years Old Children

    Mohammad-Nasr Dadras

    Full Text Available Objective: Several case reports and epidemiologic studies have reported a relation between different vaccines including measles, rubella, and mumps and Guillain-Barre syndrome (GBS. In this study we investigated relation between receiving measles and/or rubella vaccines and occurrence of Guillain- Barre syndrome after national immunization campaign in 2003 in Iran.Material & Methods: In this study we used National Surveillance system for acute flaccid paralysis data from the beginning of 2002 to the end of 2004. We studied 5-14 year-old children. Three-year time span of the study was divided into fifteen 10 weeks periods, and number of reported and approved cases of Guillain-Barre syndrome in each time period has been analyzed supposing their distribution was according to Poisson distribution. One of time periods has been chosen in a manner that its first 4 weeks included embedded National Immunization and following 6 weeks were designated for covering incubation period of Guillin- Barre syndrome.Findings: Of total 553 reported flaccid paralysis cases in 5-15 year-old children 370 were approved to be Guillain- Barre (~67%. Estimated average incidence of Guillain-Barre syndrome in <15 year-olds is 1/100,000/year (95% CI: 0.88-13, and in 5-15 year-old children is 0.6/100,000/year (95% CI: 0.58-083. Thus, number of expected cases in 25 cases each 10 weeks time period was 23.8 of GBS that were reported in the time period which coincided with immunization campaign. Probability of occurring ≥25 cases of GBS in that time period according to Poison distribution with expected case numbers of 23.8 is equal to 0.43 (P=0.43.Conclusion: Yearly incidence rate of GBS in this study was similar to other studies. According to our results, there was no increase in GBS incidence in the 4 weeks national Immunization Campaign and 6 weeks after it in comparison to other 10 weeks periods before or after this time period.

  4. Causes of Death among Children Aged 5 to 14 Years Old from 2008 to 2013 in Kersa Health and Demographic Surveillance System (Kersa HDSS), Ethiopia

    Dedefo, Melkamu; Zelalem, Desalew; Eskinder, Biniyam; Assefa, Nega; Ashenafi, Wondimye; Baraki, Negga; Damena Tesfatsion, Melake; Oljira, Lemessa; Haile, Ashenafi

    2016-01-01

    Background The global burden of mortality among children is still very huge though its trend has started declining following the improvements in the living standard. It presents serious challenges to the well-being of children in many African countries. Today, Sub-Saharan Africa alone accounts for about 50% of global child mortality. The overall objective of this study was to determine the magnitude and distribution of causes of death among children aged 5 to 14 year olds in the population of...

  5. Comparison of oral hygiene status among 6-14 year old students of public and private schools of Rajbiraj, Saptari, Nepal

    TK Bhagat; Shrestha, A; TN Yadav

    2015-01-01

    Aim To determine the oral hygiene status of 6-14 years old school children in Rajbiraj, Nepal. Materials and Methods Three hundred school children from public and private schools were examined for oral hygiene status using OHI(S). Descriptive statistics and independent sample t-tests were done. Results There was no significant difference in the oral hygiene status among gender, but the oral hygiene status of the children in private schools was better than that of the public school. Conclusion...

  6. Respiratory arrest and oversedation in an adolescent given intramuscular clonazepam for rapid tranquillization

    Channing, Jonathan; Hill, Simon; Wetherill, Marion; White, Oliver

    2012-01-01

    Many young people in forensic adolescent units require intramuscular medication for rapid tranquillization. The efficacy and safety of the medications used is not well reported in this age group. Here we report a case of a 14-year-old girl experiencing severe oversedation and respiratory compromise on two occasions following intramuscular clonazepam.

  7. Cognitive–Behavioral Therapy and Hypnotic Relaxation to Treat Sleep Problems in an Adolescent With Diabetes

    Perfect, Michelle M.; Elkins, Gary R.

    2010-01-01

    Inadequate sleep among adolescents frequently contributes to obesity and reduced academic performance, along with symptoms of anxiety, depression, fatigue, and attention deficits. The etiological bases of sleep quality has been associated with both stress and sleep habits. These problems tend to be especially important for adolescents with diabetes as the effects of poor sleep complicate health outcomes. This case example concerns a 14-year-old adolescent girl with a history of type I diabete...

  8. Predictors of Dental caries among children 7–14 years old in Northwest Ethiopia: a community based cross-sectional study

    Ayele Fenta A; Taye Belaynew W; Ayele Tadesse A; Gelaye Kassahun A

    2013-01-01

    Abstract Background Dental caries in children remains a significant public health problem. It is a disease with multifactorial causes. The aim of the study was to assess the prevalence and associated factors of dental caries among children between 7 to 14 years old. Methods A community based cross-sectional study was conducted in Gondar town from June 2011 to September 2011. A total of 842 children were involved in the study. Multi-stage sampling technique was used to select the children. Pre...

  9. Epidemiological investigation of dental caries on 12, 14 years old students in Pinghu City of Zhejiang Province%浙江省平湖市12、14岁学生龋病流行病学调查

    吴玲英

    2014-01-01

    目的:了解平湖市城乡12、14岁年龄组学生恒牙龋齿状况及相关发病因素,为龋病预防提供科学依据。方法采取随机抽样调查方法,按照WHO口腔调查基本方法中的龋病诊断标准对平湖市城乡12岁1030名和14岁1012名学生进行口腔龋病及相关因素调查。结果1030名12岁学生患龋率为56.02%,龋均为1.30,显著性龋均指数3.06,充填率9.71%,残冠残根率10.98%,有80.10%儿童偏好甜食和饮料或二者同时兼食。14岁1012名学生患龋率为60.87%,龋均为1.71,显著性龋均指数3.98,充填率19.96%,残冠残根率17.89%,89.43%学生偏好甜食和饮料或二者同时兼食。两组女性患龋率均高于男性,差异有统计学(P0.05)。结论平湖市12、14岁学生患龋率高,残冠残根率较高,治疗率低,偏好甜食和饮料者多。%Objective To investigate the permanent dental caries status and related risk factors on 12, 14 years old stu-dents in Pinghu City, to provide the scientific evidence of caries disease prevention. Methods 1030 cases of 12 years old students and 1012 cases of 14 years old students were selected to investigate the permanent dental caries status and related risk factors according to random sampling method and WHO oral survey basic method in Pinghu City. Re-sults Dental caries rate of 12 years old students among 1030 cases was 56.02%, average caries was 1.30, significant caries index was 3.06, dental caries filling ratio was 9.71%, the residual crown and residual root rate was 10.98%, 80.10% children were enjoyed with sweet food and drinks or both of them. Dental caries rate of 14 years old students among 1012 cases was 60.87%, average caries was 1.71, significant caries index was 3.98, dental caries filling ratio was 19.96%, the residual crown and residual root rate was 17.89%, 89.43% children were enjoyed with sweet food and drinks or both of them. The dental caries rate in female was higher than that in male in both groups, the

  10. Socioeconomic differences in selected dietary habits among Norwegian 13–14 year-olds: a cross-sectional study

    Madelene Skårdal

    2014-07-01

    Full Text Available Background: Social inequalities in health are a major and even growing problem in all European countries. Objective: The aim of the present study was to describe 1 differences in dietary habits among Norwegian adolescents by gender and socioeconomic status; 2 differences in self-reported knowledge of dietary guidelines among their parents according to socioeconomic status. Design: In 2012, a cross-sectional study where students filled in a web-based food frequency questionnaire at school was conducted in nine lower secondary schools in Vest-Agder County, Norway. Socioeconomic status (SES and knowledge of dietary guidelines were obtained from the parents using a web-based questionnaire. In total, 517 ninth-grade students (mean age 13.9 out of 742 invited students participated in the study, giving a participation rate of 69.7%. The total number of dyads with information on both parents and students was 308 (41.5%. Results: The findings indicate that there is a tendency for girls to have a healthier diet than boys, with greater intake of fruits and vegetables (girls intake in median 3.5 units per day and boys 2.9 units per day, and lower intake of soft drinks (girls 0.25 l in median versus boys 0.5 l per week. Students from families with higher SES reported a significant higher intake of vegetables and fish, and lower intake of soft drinks and fast food than those from lower SES. Parents with higher SES reported a significantly better knowledge of dietary guidelines compared to those with lower SES. Conclusions: Differences in dietary habits were found between groups of students by gender and SES. Differences were also found in parents’ self-reported knowledge of dietary guidelines. This social patterning should be recognized in public health interventions.

  11. Mode of delivery and risk of asthma in children 5-14 years old in Tabriz, Iran

    Roya Sahebi

    2015-11-01

    Full Text Available Introduction: It has been suggested that a cesarean section increases risk of developing asthma due to lack of exposure to maternal microflora during birth. To investigate the association between the mode of delivery and the risk of asthma in children aged 5-14 years in Tabriz, Iran. Methods: A case-control study was performed on 233 (case = 81, control = 152 children aged 5-14 years referred to outpatient clinics of Tabriz Children’s Hospital and Sheikhorrais Clinic in 2014. Clinical asthma diagnosis was done according to Global Initiative for Asthma Criteria. A questionnaire was administered to obtain a demographic, environmental, and clinical history. Age-sex frequency matching with cases was carried out during sampling for controlling of possible cofounding effects of age and sex for asthma. Results: Of 233 children, 53.6% of them were male (case group = 54.3% and control group = 53.3%. Over half (54.5%, the participants had been delivered by caesarian section. Cases were not significantly more likely to have been delivered by caesarian section as compared to controls [adjusted odds ratio (AOR = 0.69; 95% confidence interval (CI = 0.34-1.42]. However, more frequent episodes of common cold [b = 0.094; standard error (SE (b = 0.031, P < 0.001], birth order (second born children compared to firstborns (AOR = 2.54; 95% CI = 1.18-5.46, high maternal education levels: 12 years (AOR = 3.76; 95% CI = 1.10-12.9, collegiate (AOR = 6.12; 95% CI = 1.43-26.20, and intra-family marriage (AOR = 2.89; 95% CI = 1.21-6.89 were associated with childhood asthma. Conclusion: Delivery mode was not associated with risk of developing childhood asthma in our study. Intra-family marriage increased the odds of childhood asthma. Further study on the relationship between maternal education and the odds of asthma is proposed.

  12. Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 14-Year-Old Athlete with Vitamin-D Deficiency

    Ziad Harb

    2015-01-01

    Full Text Available Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries. The specific anatomical and developmental features of the proximal tibial epiphysis make it vulnerable to unique patterns of fractures. Vitamin-D plays a vital role in bone homeostasis and its deficiency has an impact on fracture risk and healing. We present the first ever reported case of simultaneous bilateral proximal tibial physeal fractures in an athlete with vitamin-D deficiency. Treatment consisted of plaster immobilisation, and the patient made a full recovery and returned to preinjury level of activities. We report this case for its uniqueness and as an educational review of the importance of the developmental anatomy of the proximal tibia. We review the literature and discuss how the stages of the growing physis determine the type of fracture sustained.

  13. Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 14-Year-Old Athlete with Vitamin-D Deficiency

    Ziad Harb; Arfan Malhi

    2015-01-01

    Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries. The specific anatomical and developmental features of the proximal tibial epiphysis make it vulnerable to unique patterns of fractures. Vitamin-D plays a vital role in bone homeostasis and its deficiency has an impact on fracture risk and healing. We present the first ever reported case of simultaneous bilateral proximal tibial physeal fractures in an athlete with vitamin-D deficiency. Treatme...

  14. Life-Threatening Contraceptive-Related Pulmonary Embolism in a 14-Year-Old Girl with Hereditary Thrombophilia

    Hellfritzsch, Maja; Grove, Erik Lerkevang

    2015-01-01

    BACKGROUND: The prothrombotic effect of combined oral contraceptives (COCs) is well-established, with a 3-6-fold increased risk of VTE compared to non-users. When initiation of COCs is considered, it is therefore of paramount importance to carefully evaluate all other potential risk factors for VTE....... Based on a case of life-threatening COC-associated pulmonary embolism in a girl heterozygous for the prothrombin G20210A mutation and with a family history of thrombotic disease, we discuss the importance of assessing not just the genotype but also the phenotype when considering initiation of COCs in...... total occlusion of the right pulmonary artery, and several minor peripheral embolisms bilaterally. She was successfully treated with thrombolysis (alteplase) followed by aPTT-adjusted heparin infusion until adequate anticoagulation with warfarin was achieved. Two years earlier, the patient had been...

  15. Glanzmann′s thrombasthenia associated with HBsAg-positive child: A case report

    Poornima G; Shivaprasad S; Ashok L

    2007-01-01

    Glanzmann′s thrombasthenia is a rare hemorrhagic disorder characterized by prolonged bleeding time and diminished clot retraction. The disease is marked by frequent mucocutaneous hemorrhage which is mainly due to qualitative defects of platelets. A case of a 14-year-old HBsAg-positive adolescent male with Glanzmann′s thrombasthenia has been presented.

  16. Intra-abdominal desmoplastic small cell tumor in a girl : a case report

    Desmoplastic small cell tumor is a rare primary intra-abdominal disease with a predilection for the adolescent boy. This aggressive tumor involved multiple intraperitoneal organs, peritoneal, mesentery and omental seedings, and sometimes retroperitoneal extension. The author reports a case of this rare tumor, demonstrated by CT, MRI and US, in a 14-year-old girl. (author). 9 refs., 2 figs

  17. Parental education, body mass index and prevalence of obesity among 14-year-old boys between 1987 and 1997 in Wroclaw, Poland

    The main aim of this study was to examine changes in relative weight and prevalence of obesity across a ten-year period among 14-year-old boys according to parental education level. Data from two surveys, carried out in 1987 and 1997, of boys attending the 7th grade of primary schools in Wroclaw were used in the analysis. The heights and weights of 3165 boys aged 14 years selected from cohort of 6969 7th and 8th grade boys from all primary schools of the city Wroclaw were used. The data of the second sample of 14-year-old boys (n = 1014) were obtained from a health examination study carried out in the Silesian Centre for Preventive Medicine, 'DOLMED', in Wroclaw in 1997. All boys attended the 7th grade of 34 randomly selected primary schools from a total of 129 schools in the city of Wroclaw. Social status was assessed on the basis of parental education level scored to four categories: university, secondary school, trade school, and elementary school. The prevalence of overweight and obesity was defined as the percentage of children above the 85th and 95th percentiles of the body mass index (BMI), the means of which were 21.27 and 23.75 kg/m2 respectively. Prevalence of overweight among boys is slightly lower in the 1997 sample, whereas the prevalence of obesity shows the opposite trend and is higher by more than one percent in comparison with the 1987 sample. Similar trends of declining medians and increasing variance are observed in all educational groups. The differences in medians between the two samples within educational groups did not achieve statistical significance for the groups with parents with education at elementary level and fathers with university education. There is a trend toward increasing prevalence of obesity across the decade considered, according to father's education level. With respect to mother's education levels, the most dramatic changes in BMI and obesity occurred in the elementary education group, where the percentage of obese subjects

  18. CORRECTION OF BLADDER EXSTROPHY IN ADOLESCENT: 2 CASE REPORT

    A. Burgio

    2012-01-01

    Full Text Available Introduction: bladder exstrophy is characterized by an incomplete development of anterior portion of bladder, urethra, abdominal wall and a median separation of pubic symphysis. We describe 2 clinical cases in adolescent treated with different surgical approach. Materials and Methods: two patients, one male and one female, respectively, 10 and 14 years old. Both cases had relapse: the bladder plate was performed in female when she was 2 years and in male when he was 6 years old. The male showed bladder exstrophy with epispadias; the female showed bifido clitoris, absence of minora labia with a small vaginal orifice. In both patients ano-rectal manometric and barium enema had normal parameters. The x-Ray basin showed diastasis of pubic bones, respectively, 7.5 cm in male and 10 cm in female. The male had closure of bladder and abdominal wall with transformation of epispadias to peno-scrotal hypospadias. The female had rectal reservoir (about 250cc, with amputation of the rectum with Hartmann’s method and recanalization with Duhamel’s method, anastomosis uretero rectal and vaginoplasty. Results: clinical and laboratory follow-up to date is 6 months. The female holds the urine about 2-3 hours during the day; in the night losses are not reported; the male shows dehiscence of abdominal and vesical wall with suprapubic fistula and loss of urine. The urethral peno-scrotal meatus appears patent. Conclusions: our experience, although limited in the number of cases and in the time of observation, is in agreement with the literature: we can say that the correction of bladder exstrophy in adolescents might be a urinary diversion with creation of rectal reservoir, useful for age of the patients and postoperative management. It is always necessary an adequate follow-up to check any complications.

  19. Predictors of Dental caries among children 7–14 years old in Northwest Ethiopia: a community based cross-sectional study

    Ayele Fenta A

    2013-01-01

    Full Text Available Abstract Background Dental caries in children remains a significant public health problem. It is a disease with multifactorial causes. The aim of the study was to assess the prevalence and associated factors of dental caries among children between 7 to 14 years old. Methods A community based cross-sectional study was conducted in Gondar town from June 2011 to September 2011. A total of 842 children were involved in the study. Multi-stage sampling technique was used to select the children. Pretested and structured questionnaires were used to collect data from mothers. Clinical examination of children was done using dental caries criteria set by world health organization. Data were entered, cleaned and edited using EPI Info version 3.5.1 and exported to SPSS version 16.0 for analysis. Binary multiple logistic regression analyses was applied to test the association. Results Four hundred sixty three (55% children were females. The prevalence of dental caries was 306(36.3%.The educational status of children’s father (AOR=0.3, 95%CI, 0.17, 0.80, monthly household income (AOR=0.59, 95%CI, 0.01, 0.45, regular teeth brushing (AOR=0.08, 95% CI, 0.03, 0.20 and using mouth rinsing (AOR=0.40, 95% CI, 0.2, 0.80 were found statistically significantly associated with dental caries. Conclusions Dental caries were high among children in Gondar town. Low socioeconomic status and poor oral hygiene practices were the influencing factors for dental caries. Oral hygiene, dietary habits and access to dental care services are supreme important for the prevention of the problem.

  20. Renal medullary AA amyloidosis, hepatocyte dissociation and multinucleated hepatocytes in a 14-year-old free-ranging lioness (Panthera leo

    J.H. Williams

    2005-06-01

    Full Text Available A 14-year-old lioness, originating from Etosha in Namibia, and a member of a pride in Pilanesberg National Park since translocation in 1994, was euthanased due to fight-related vertebral fracture and spinal injury, incurred approximately 6-8 weeks previously. Blood specimens collected at the time of death showed mild anaemia and a leukogram reflecting stress and chronic infection. Necropsy conducted within 2 hours of death was on a dehydrated, emaciated animal with hindquarter wasting and chronic traumatic friction injuries from dragging her hindlegs. There was cellulitis in the region of bite-wounds adjacent to the thoraco-lumbar vertebral fracture, at which site there was spinal cord compression, and there was marked intestinal helminthiasis. The outer renal medullae appeared pale and waxy and the liver was macroscopically unremarkable. Histopathology and electron microscopy of the kidneys revealed multifocal to coalescing deposits of proximal medullary interstitial amyloid, which fluoresced strongly with thioflavine T, and was sensitive to potassium permanganate treatment prior to Congo Red staining, thus indicating inflammatory (AA origin. There was diffuse hepatocyte dissociation, as well as numerous binucleated and scattered multinucleated (up to 8 nuclei/cell hepatocytes, with swollen hepatocyte mitochondria, in liver examined light microscopically. Ultrastructurally, the mono-, bi- and multinucleated hepatocytes contained multifocal irregular membrane-bound accumulations of finely-granular, amorphous material both intra-cytoplasmically and intra-nuclearly, as well as evidence of irreversible mitochondrial injury. The incidence and relevance in cats and other species of amyloidosis, particularly with renal medullary distribution, as well as of hepatocyte dissociation and multinucleation, as reported in selected literature, is briefly overviewed and their occurrence in this lioness is discussed.

  1. Subcutaneous Histiocytoid Sweet Syndrome Associated with Crohn Disease in an Adolescent

    Rosa María Fernández-Torres; Susana Castro; Ana Moreno; Roberto Álvarez; Eduardo Fonseca

    2014-01-01

    We report a case of subcutaneous histiocytoid Sweet syndrome in an adolescent with Crohn disease. A 14-year-old boy with a 1-year history of ileocolonic and perianal Crohn disease, treated with infliximab and azathioprine, was admitted to the Pediatrics Department with malaise, abdominal pain, bloody diarrhea, and fever (39°C) from 15 days ago. Two days later, he developed cutaneous lesions consisting of tender, erythematous, and violaceous papules and nodules scattered over his legs, soles, ...

  2. An adolescent presenting with malignant fibrous histiocytoma of the testis: a case report

    Wang Lian-Li

    2013-01-01

    Full Text Available Abstract Introduction Malignant fibrous histiocytoma is a very common subtype of soft-tissue sarcoma in middle and late adulthood. However, malignant fibrous histiocytoma of the testis is very rare in adolescents. Case presentation We report here the case of a 14-year-old Han Chinese boy, who presented with left scrotal mass lasting for 20 days along with distending pain for 5 days. A physical examination revealed a chicken egg-sized, firm, well-defined mass and unclear epididymis. A B-scan ultrasonography of the left scrotum displayed a 9.0×5.2×4.5cm medium- or low-echoic lobulated mass, which suggested a left testicular neoplasm. A fine needle aspiration cytology examination revealed that the cells obtained from the patient’s testicular neoplasm were composed of myxoid spindle, and ovoid cells with nuclear atypia and mitotic activity, and arranged in a whirlpool or storiform pattern. Under histological examination, the tumor cells were arranged in a storiform pattern, which displayed mucoid matrix degeneration, and grew invasively. Consequently, a histopathological diagnosis suggested myxofibrosarcoma (or myxoid malignant fibrous histiocytoma. Conclusions An ultrasonic examination combined with fine needle aspiration cytology should be helpful for the initial differential diagnosis of testicular malignant fibrous histiocytoma. However, the final confirmation relies on histopathological examination. To the best of our knowledge, this is the first reported case of malignant fibrous histiocytoma of the testis in an adolescent.

  3. 宝鸡市城区0~14岁儿童哮喘调查研究%Investigation on asthma in 0~14 years old children in Baoji city

    吕菊红; 李文君; 魏升云; 汤淑斌; 李武军; 高改兰; 王玉; 柳文婧; 韩丽华

    2013-01-01

    【Objective】 To understand asthma prevalence in 0~14 years old children in Baoji city. 【Method】 The cluster sampling method was used to select randomly 0~14 years old Baoji children for investigation. 【Results】 Morbidity of asthma was 4. 82% in 0~14 year-old children in Baoji,the morbidity of boys' and girls' were 5. 68% and 3. 82% respec-tivily,the difference of morbidity between different gender was statistically significant (χ2 = 19. 965,P<0. 001). In terms of patients who had asthma attack in near 2 years,predisposing factors were mainly respiratory infections(98. 96%) and changes in the weather (87. 08% ) ,the seasons of asthma onset were autumn (42. 71%) and winter (21. 55%) primarily. An major hour of asthma onset were midnight (43. 13%) and mane primo (29. 38%). The age of the first asthma onset was under 3 years old accounted for 71. 04% ;rate of using antibiotic was 85. 21%. Multivariate unconditional logistic regression analysis presented that in the case of no cold or flu,children had sneezing,runny nose,nasal congestion,nasal itching or eye itching phenomenon were independent risk factors for asthma(P<0. 05) ,and repeated skin itching or joint flexor side rash,allergic rhinitis,allergic symptoms or similar allergies after eating some foods,caesarean,plus protein food within six months, history of using antibiotics,room wall using paint,doors and windows were made from plastic steel,coolingwith natural ventilation in summer,silkworm sand pillow were independent risk factors for asthma (P<0. 05) ; Heater using in winter heating, ventilation or cooling using fans in summer and down duvets were protective factors of asthma (P<0. 05). 【Conclusion】Compared to 2000,the morbidity of asthma in 0 -14 years of children in Baoji markedly rise,there are many risk factors of childhood asthma,and it is necessary to strengthen the prevention and control of children asthma.%[目的]了解宝鸡市城区0~14岁儿童哮喘流行情况,为有效

  4. A Psychometric Evaluation of the Danish Version of the Theory of Mind Storybook for 8-14 Year-Old Children

    Clemmensen, Lars; Bartels-Velthuis, Agna A.; Jespersen, Rokur Av F.; van Os, Jim; Blijd-Hoogewys, Els M. A.; Ankerstrom, Lise; Vaever, Mette; Daniel, Peter F.; Drukker, Marjan; Jeppesen, Pia; Jepsen, Jens R. M.

    2016-01-01

    Background: Theory-of-Mind (ToM) keeps on developing in late childhood and early adolescence, and the study of ToM development later in childhood had to await the development of sufficiently sensitive tests challenging more mature children. The current study aimed to investigate the psychometric pro

  5. Evaluation of agreement levels between parents and children in reporting oral health-related quality of life in 11-14 year-old children of Isfahan city in 1389

    Parvin Khadem; Seied Ebrahim Jabarifar; Hajiahmadi Maryam; Sadeghain Susan Susan; Mohamad Safaie

    2013-01-01

      Background and Aims: Oral health prepares us for daily activities without discomfort, and dissatisfaction. In this research, agreement level between parents and children aged 11-14 year-old in reporting child oral health-related quality of life was studied in Isfahan city.   Materials and Methods: In this descriptive, analytical and cross-sectional study 128 pairs of parents and children aged 11-14 were selected with random sampling technique from schools in Isfahan and were asked to comple...

  6. A Psychometric Evaluation of the Danish Version of the Theory of Mind Storybook for 8–14 Year-Old Children

    Clemmensen, Lars; Bartels-Velthuis, Agna A.; Jespersen, Rókur av F.; van Os, Jim; Blijd-Hoogewys, Els M. A.; Ankerstrøm, Lise; Væver, Mette; Daniel, Peter F.; Drukker, Marjan; Jeppesen, Pia; Jepsen, Jens R. M.

    2016-01-01

    Background: Theory-of-Mind (ToM) keeps on developing in late childhood and early adolescence, and the study of ToM development later in childhood had to await the development of sufficiently sensitive tests challenging more mature children. The current study aimed to investigate the psychometric properties of the Danish version of the Theory-of-Mind Storybook Frederik (ToM-Frederik). Methods: We assessed whether ToM-Frederik scores differed between a group of 41 typically developing (TD) children and a group of 33 children with High Functioning Autism Spectrum Disorder (HFASD). A lower mean ToM-Frederik score was expected in the HFASD group. To determine the convergent validity of ToM-Frederik, potential associations with Strange Stories and Animated Triangles (AT) were analyzed. Furthermore, potential associations between ToM-Frederik and the Social Responsiveness Scale (SRS) and between ToM-Frederik and the Social Emotional Evaluation (SEE) Total score were analyzed. Results: A significantly higher ToM-Frederik score was observed in the TD group compared to the HFASD group. Furthermore, the convergent validity of ToM-Frederik as a measure of ToM was supported by significant and positive associations with the Strange Stories and the AT scores in the HFASD group, whereas ToM-Frederik was significantly correlated with Strange Stories, but not with AT in the TD group. ToM-Frederik was not significantly associated with SRS in neither the HFASD nor the TD group. Conclusion: The findings are supportive of ToM-Frederik as a valid indicator of deficits at the group level in children with HFASD between 7 and 14 years of age. Furthermore, the convergent validity is supported. PMID:27014139

  7. A psychometric evaluation of the Danish version of the Theory of Mind Storybook for 8-14 year-old children.

    Lars eClemmensen

    2016-03-01

    Full Text Available Abstract Background Theory-of-Mind (ToM keeps on developing in late childhood and early adolescence, and the study of ToM development later in childhood had to await the development of sufficiently sensitive tests challenging more mature children. The current study aimed to investigate the psychometric properties of the Danish version of the Theory-of-Mind Storybook Frederik (ToM-Frederik. Methods We assessed whether ToM-Frederik scores differed between a group of 41 typically developing (TD children and a group of 33 children with High functioning Autism Spectrum Disorder (HFASD. A lower mean ToM-Frederik score was expected in the HFASD group. To determine the convergent validity of ToM-Frederik, potential associations with Strange Stories and Animated Triangles (AT were analyzed. Furthermore, potential associations between ToM-Frederik and the Social Responsiveness Scale (SRS and between ToM-Frederik and the Social Emotional Evaluation (SEE Total score were analyzed. Results A significantly higher ToM-Frederik score was observed in the TD group compared to the HFASD group. Furthermore, the convergent validity of ToM-Frederik as a measure of ToM was supported by significant and positive associations with the Strange Stories and the AT scores in the HFASD group, whereas ToM-Frederik was significantly correlated with Strange Stories, but not with AT in the TD group. ToM-Frederik was not significantly associated with SRS in neither the HFASD nor the TD group.Conclusion The findings are supportive of ToM-Frederik as a valid indicator of deficits at the group level in children with HFASD between 7 and 14 years of age. Furthermore, the convergent validity is supported.

  8. 宁波市2002-2009年O~14岁儿童伤害死亡流行病学分析%Analysis on injury death among 0-14-year-old children in Ningbo,2002-2009

    梅秋红; 许国章

    2012-01-01

    Objective The purpose of this research was to make a understanding of the epidemiological characteristics of injury death among 0-14-year-old children in Ningbo so as to provide injury prevention and control with scientific basis. Methods Death registration data from 2002 to 2009 in Ningbo death monitoring system were analyzed by descriptive epidemiology method. Results From 2002 to 2009, the injury mortality rate of 0-14-year-old children was 21. 10/ 105 , accounted for 31. 59% of children death cases. Injury death of babies accounted for 8. 27% . In rural regions, the injury mortality rate of children (24.05/105) was higher than that in cities (15.89/105) and among males (27.90/105) than females (14.18/105). It manifested a decreasing trend along with the rise of children's age (P<0.05 ). Accidental mechanical asphyxia, accounting for 46. 20% of injury death. Among 1-14-year-old children, drowning was primary cause of injury death , and motorcar accidents was the second, accounted for 59.30% and 19.23% , respectively. The standardized rate of YPLL was 79.91‰. Conclusion Injury has become the first cause of death among the 0-14-year-old children in Ningbo, especially drowning and motorcar accidents that have more severe harm to the children' s life and health, which indicate the urgent need to carry out prevention and control work.%目的 了解宁波市0~14岁儿童伤害死亡的流行病学特征,为开展儿童伤害的预防工作提供科学依据.方法 利用描述性流行病学的方法对宁波市2002-2009年死亡登记资料进行统计分析.结果 2002-2009年宁波市0~14岁儿童伤害死亡率为21.10/10万,占儿童死亡的31.59%,其中伤害占婴儿死亡的8.27%.农村儿童伤害死亡率(24.05/10万)高于城市儿童(15.89/10万),男童伤害死亡率(27.90/10万)高于女童(14.18/10万),儿童伤害死亡率随着年龄的增加呈下降趋势(P<0.05).意外机械性窒息是婴儿死亡的首位

  9. Concept Formation in Environmental Education: 14-Year Olds' Work on the Intensified Greenhouse Effect and the Depletion of the Ozone Layer. Research Report

    Osterlind, Karolina

    2005-01-01

    A case study is presented describing the work of three pupils in the upper level of compulsory school. The pupils were learning about the intensified greenhouse effect and the depletion of the ozone layer. In their work, the need for certain domain-specific knowledge becomes apparent; for example, understanding such concepts as photosynthesis,…

  10. Directly replaces of a minors and “exemplary” of a disability person: The patrimony of a persons with disability or minors 14 years old

    Mª Fernanda Moretón Sanz

    2015-04-01

    Full Text Available This research study the law, the jurisprudence and the law literatury of aspects of replaces of a minors and “exemplary” of a disability persons. It is fact that used by the testator, have different impact about the patrimony of de minors and persons whit disability. In the substitution or replaces, the object will depend on the means the testator deciding on the disposal heritage. Specifically, despite certain resistance from legal thought and case-law, in the substitution of a minor and in exemplary replace, the substitute (parent or legal representative may dispose of all the of the person substituted (child under 14 years of age or legal incapacitated person. Therefore, both types of substitution affect to the persons substituted and the patrimony of them

  11. Coracoid fracture in an adolescent rugby player – Case report and review of the literature

    Coracoid fractures are rare injuries which may be easily missed radiographically. This case report discusses a 14 year old child who sustained a coracoid fracture during a violent tackle whilst playing rugby. The fracture was clearly visible only on the axial view of the shoulder, and was subsequently confirmed by CT scan. This article includes a discussion detailing the anatomy and developmental features of the coracoid process of the scapula, its clinical significance, and radiological assessment of suspected coracoid injury.

  12. Analysis of epidemiological characteristics and incidence reason of 8 months to 14 years old children measles in Ji'nan City%济南市8月龄~14岁儿童麻疹流行特征及发病原因分析

    赵小冬; 徐胜平; 李传彬

    2014-01-01

    目的:了解济南市2013年8月龄~14岁人群麻疹流行特征及发病原因,探讨控制策略。方法:收集2013年8月龄~14岁人群麻疹发病资料,进行流行病学分析。结果:2013年济南市8月龄~14岁人群麻疹病例70例,占全部病例的22.73%。病例主要集中在8~11月龄,占该年龄组病例的70.00%。发病主要原因是医院内感染和未及时接种麻疹疫苗,95.72%的麻疹病例在发病前7~21 d有医院就诊史,88.57%病例未接种麻疹疫苗。未及时接种麻疹疫苗的主要原因是未满8月龄生病,占未接种疫苗原因的83.87%。结论:儿童家长尽量不带儿童到大医院就诊、加强医院内感染的控制、提高麻疹疫苗接种及时率是控制该年龄组麻疹发病的主要措施。%Objective:To understand the epidemiological characteristics and incidence reason of 8 months to 14 years old children measles of Ji'nan City in 2013,to explore the control strategy.Methods:The incidence data of 8 months to 14 years old children measles were selected with descriptive epidemiological analysis.Results:In 2013,70 cases of 8 months to 14 years old children measles in Ji'nan City were accountted for 22.73%of all cases.The cases were mainly concentrated in 8~11 months old,and they were accountted for 70.00% of this age group cases.The main reason for the disease were nosocomial infections and failed to timely vaccination of measles vaccine.95.72% of the measles cases had hospital medical history before the onset of 7~21 days.88.57% cases had no measles vaccination.The main reasons for not timely vaccination of measles vaccine was not full 8 months old sick,and they were accountted for 83.87% of without vaccination reasons.Conclusion:Parents of children try not to bring children to the hospital together,strengthening the nosocomial infection control,improving the timeliness rate of measles vaccine vaccination are the major measures to control the prevalence of

  13. 佛山市顺德区乐从镇0~14岁儿童哮喘的流行病学调查%Epidemiological Study on Bronchia Asthma Among 0 to 14 Years Old Children in Lecong Town/

    黎教武; 黄锦茵; 郭凤美; 李靖

    2012-01-01

      目的:了解佛山市顺德区乐从镇0~14岁儿童哮喘的流行现状及危险因素.方法:采用整群随机抽样的方法,在佛山市顺德区乐从镇共抽取调查对象1354例,先由调查员筛查哮喘患儿及可疑哮喘患儿,然后由调研人员对哮喘及可疑哮喘患儿进一步的病史询问及检查.采用Logistic回归分析哮喘与个人过敏史、家族过敏史、环境及生活方式危险因素的相关性.结果:乐从镇0~14岁儿童中,哮喘确诊19例,总患病率为1.40%,男性患病率为1.25%,女性患病率为1.60%,性别间患病率比较,差异无统计学意义(P>0.05).累计15.80%哮喘患者有过敏史,47.37%哮喘患者的直系亲属有过敏性史.多变量Logistic回归分析显示,哮喘的危险因素为直系亲属哮喘史(OR 23.614,95%CI 7.921~70.396)、狗过敏史(OR值为5.100,95%CI值为1.069~24.335).结论:乐从镇0~14岁儿童哮喘患病率为1.40%,遗传因素、个人特应性体质、直系亲属哮喘史及狗过敏史可以提高乐从镇0~14岁儿童哮喘的发病风险.%  Objective:To survey asthma prevalence and risk factors of asthma of 0-14-year-old children in Lecong Town. Method:1354 children of Lecong town were selected by cluster random sampling and surveyed by using standardized questionnaires. Asthmatic patients and suspect cases were screened out and examined further. Logistic regression anlysis was used to analyse the association of asthma and risk factors among 0 to14-year-old children. Result:There were 19 cases of asthma among the 1354 children in Lecong Town. The prevalence of asthma was 1.40%. There was no statistical significance between the prevalence in men(1.25%)and in women(1.60%,x2=0.261,P=0.609,P>0.05). 15.80%of the patients had allergy history. 47.37%of them had family allergy history. Logistic regression analyses indicated that family history of asthma and dog were significant risk factor of asthma. Conclusion:The asthma prevalence of 15 to 59

  14. A Western Dietary Pattern Is Associated with Poor Academic Performance in Australian Adolescents

    Anett Nyaradi; Jianghong Li; Siobhan Hickling; Foster, Jonathan K.; Angela Jacques; Ambrosini, Gina L.; Oddy, Wendy H

    2015-01-01

    The aim of this study was to investigate cross-sectional associations between dietary patterns and academic performance among 14-year-old adolescents. Study participants were from the Western Australian Pregnancy Cohort (Raine) Study. A food frequency questionnaire was administered when the adolescents were 14 years old, and from the dietary data, a ‘Healthy’ and a ‘Western’ dietary pattern were identified by factor analysis. The Western Australian Literacy and Numeracy Assessment (WALNA) res...

  15. Partial trisomy 16p in an adolescent with autistic disorder and Tourette`s syndrome

    Hebebrand, J.; Martin, M.; Remschmidt, H. [Philipps-Univ., Marburg (Germany)] [and others

    1994-09-15

    A partial trisomy 16p was identified in a 14-year-old male adolescent with autistic disorder. He additionally showed complex motor and vocal phenomena, including some simple tics which had first appeared in childhood. Whereas these simple tics were of subclinical significance, an additional diagnosis of Tourette`s syndrome (TS) appears justified. The case report illustrates the diagnostic difficulties in assessing psychiatric symptomatology associated with both disorders, especially complex motor and vocal phenomena. The cytogenetic finding is discussed critically in the light of other chromosome abnormalities reported in both TS and autistic disorder. Chromosome 16p should be considered as a candidate region especially for autistic disorder. 21 refs.

  16. Evaluation of agreement levels between parents and children in reporting oral health-related quality of life in 11-14 year-old children of Isfahan city in 1389

    Parvin Khadem

    2013-08-01

    Full Text Available   Background and Aims: Oral health prepares us for daily activities without discomfort, and dissatisfaction. In this research, agreement level between parents and children aged 11-14 year-old in reporting child oral health-related quality of life was studied in Isfahan city.   Materials and Methods: In this descriptive, analytical and cross-sectional study 128 pairs of parents and children aged 11-14 were selected with random sampling technique from schools in Isfahan and were asked to complete the relevant questionnaires. The questionnaires evaluated quality of life in four fields of oral signs, functional deficits and emotional and social health. In order to evaluate child-parent agreement, intra-correlation coefficient (ICC, Pearson’s correlation coefficient, Spearman’s correlation coefficient and intra-class correlation coefficient (ICC were used (α=0.05.   Results: The agreements between PPQ11-14 (parent perception questionnaire, CPQ11-14 (child perception questionnaire and the related fields were 0.81, -0.67. The highest agreement level (ICC=0.83 was related to emotional health (excellent, followed by functional deficits (ICC=0.80, social health (ICC=0.69 and oral signs (ICC=0.64. Pearson's test showed significant correlations between CPQ11-14 and PPQ11-14 (r=0.81 (P<0.01.   Conclusion: Although parents, especially mothers, may be used as proxies for their children in relation to quality of life and related fields, the views of both should be obtained in order to fully represent child oral health-related quality of life issues.

  17. Analysis of the growth and development of 4 167 only-child aged 6 ~ 14 years old in Bao'an district, Shenzhen city.%深圳市宝安区4167名6~14岁独生子女生长发育状况分析

    冯承芸; 魏新燕; 牛丽

    2012-01-01

    [Objective] To study the growth and development status of only-child aged 6-14 years old,and to provide scientific advice and direction for the health care of children and adolescents. [Method] 4 167 only-child aged 6 -14 years old in Bao'an district were got medical examination about their height, weight,ENT,internal medicine,surgery,blood-test, B ultrasonic of abdomen,etc. [Results] 1)The tendency of growth and development of only-child corresponded with the average development regularity,the height and weight increased with age,two cross phenomena were observed in the development curve of height;2)The level of the growth and development was above the whole national average of 2005,while the nutritional status was far from ideal, the rate of obesity was 18. 43% ;3)The rate of poor sight,dental caries were high a-mong the common diseases,the detection rate of kidney stone with B-ultrasonography was 4.6%. It's worthy mentioned. [Conclusion] The growth and development status of only-child is better than before,but the imbalance is very serious,and some new health problems appeare.%[目的]了解独生子女生长发育状况,为儿少卫生保健工作提供科学依据及建议.[方法]2011年到本院体检的6~14岁户籍独生子女4 167名,检测身高、体重、五官、内科、外科、微量元素、生化检测、肝胆脾肾B超等指标.[结果]1)生长发育符合一般规律,身高、体重等指标随年龄增长而上升,身高曲线呈现两次交叉;2)生长发育水平高于全国2005年平均水平,但营养状况不理想,肥胖率18.43%,营养不良率5.26%;3)常见病以视力低下、龋齿等检出率较高,值得一提的是肾脏B超结石检出率4.6%.[结论]随着人民生活水平的改善,独生子女生长发育状况有所提高,但发育的不均衡性仍严重,同时出现了新的健康问题.

  18. Unilateral Adolescent Pes Planus After a Bimalleolar Ankle Fracture: A Case Report.

    Phillips, Staton L; Williams, Daniel; Jeyaseelan, Luckshmana; Bryce, Elaine; Alyas, Faisal; Vemulapalli, Krishna

    2016-01-01

    We present the case of a 14-year-old female who presented with unilateral pes planus 30 months after a bimalleolar ankle fracture dislocation. At surgery, the tibialis posterior tendon was encased in fracture callus within the syndesmosis and required reconstruction using flexor digitorum longus transfer. Dislocation of the tibialis posterior tendon and entrapment within the tibiofibular syndesmosis has been previously reported. To our knowledge, this is the first case report tibialis posterior tendon syndesmotic entrapment presenting with unilateral pes planus. PMID:25648274

  19. Individual Differences in Adolescents' Beliefs about the Legitimacy of Parental Authority and Their Own Obligation to Obey: A Longitudinal Investigation

    Darling, Nancy; Cumsille, Patricio; Martinez, M. Loreto

    2008-01-01

    Adolescents' beliefs about the legitimacy of parental authority and obligation to obey were examined in 568 Chilean adolescents (11-14 years old at Wave 1), followed once a year for 4 years. Adolescents' beliefs about parental legitimacy and obligation to obey declined with age. The steepest decline occurred during early adolescence, particularly…

  20. Analysis on antibody level of poliomyelitis in Qinghai among children between 1 and 14-years-old%青海省1~14岁儿童脊髓灰质炎抗体水平调查分析

    柴贵德

    2013-01-01

    Objective To understand the antibody level of poliomyelitis, and evaluate the effect of poliomyelitis vaccination. Method Detect the antibody in polio by microporous plastic board. The ratio exceed 1: 4 was positive. Results Choose a county (district) from the five regions in Qinghai, and select 1 069 children randomly between 1 and 14 years old to detect their antibody level of poliomyelitis. The antibody positive rates of ⅠⅡ and Ⅲ -type were 94. 95% , 95. 14% and 94. 20% , respectively. The geometric mean titers of Ⅰ, Ⅱ, and Ⅲ -type were 1:228. 16, 1: 292. 80 and 1: 216. 78, respectively. The antibody positive rates were different in each district. Xinning City was the highest, which were 98. 62% , 97. 46% and 97. 70; Haixi was the lowest, which were 90. 43% , 92. 67% and 89. 01%. The antibody positive rates were significant different among different age groups. The antibody level of children between 1 and 4 years old was the highest, and it gradually decreased along with ages. The antibody positive rate had statistical significance in different regions and ages, however, there had no statistical significance in different genders. Conclusions The antibody level of poliomyelitis among children was relatively high in Qinghai, however, there was great difference among different regions. We suggested each district, especially the remote and border areas in Qinghai to Strengthen poliomyelitis vaccine strengthened immunity, so as to improve the immune success rate.%目的 了解青海省1~14岁儿童脊髓灰质炎(脊灰)抗体水平,评价脊灰疫苗接种效果.方法 采用微孔塑料板法检测脊灰中和抗体,≥1;4为阳性.结果 对全省5个地市各选择一个县(区)随机抽取1 ~14岁儿童共1 069人进行脊灰抗体水平检测.结果Ⅰ、Ⅱ、Ⅲ型抗体阳性率分别为94.95%、95.14%、94.20%.抗体几何平均滴度Ⅰ、Ⅱ、Ⅱ型分别1∶228.16、1∶292.80、1:216.78.全省不同地区抗体阳

  1. Is Maternal Marriage Beneficial for Low-Income Adolescents?

    Bachman, Heather J.; Coley, Rebekah Levine; Chase-Lansdale, P. Lindsay

    2009-01-01

    The present study investigated the association of mothers' marriage and changes in young adolescents' cognitive and socioemotional development and changes in family processes. Analyses employed longitudinal data from the "Three-City Study" to track maternal partnerships for 860 low-income adolescents (10-14 years-old in Wave 1) across a 16 month…

  2. Biopsychopathologic Risk Profile of Adolescents with Eating Disorder Symptoms.

    Canals, Josepa; And Others

    1996-01-01

    Sought to determine if there is a psychological and somatic pattern for adolescents with eating symptomatology. Used psychological instruments to evaluate self-esteem, personality, school abilities, anxiety, and depression in 515 adolescents between 13 and 14 years old. Generally, low self-esteem and high anxiety were the most important predictors…

  3. Single Mothers of Early Adolescents: Perceptions of Competence

    Beckert, Troy E.; Strom, Paris S.; Strom, Robert D.; Darre, Kathryn; Weed, Ane

    2008-01-01

    The purpose of this study was to examine similarities and differences in single mothers' and adolescents' perceptions of parenting competencies from a developmental assets approach. A multi-source (mothers [n = 29] and 10-14-year-old adolescent children [n = 29]), single-method (both generations completed the Parent Success Indicator)…

  4. Prevalence of burns in children between 0-14 years old in Fuyang Anhui%安徽省阜阳农村地区0~14岁儿童烧伤患病率调查

    于晓锋; 徐庆连

    2014-01-01

    目的:了解安徽省阜阳农村地区0~14岁儿童烧伤患病情况及发病的危险因素,为儿童烧伤防治工作提供参考依据。方法:通过多级分层、随机抽样的流行病学调查方法,采用自编儿童烧伤情况调查表进行问卷调查。具体内容为性别、年龄、行政村、月份、烧伤时刻及程度等。结果:在调查的2463人中,烧伤患儿125人,总患病率为5.1%,男性患病率7.5%,高于女性的2.8%(P<0.01);儿童烧伤患病率无论男女在1~3岁年龄段最高,各年龄组间差异有统计学意义(P<0.01);不同行政村间儿童烧伤患病率差异有统计学意义(P<0.01),最高为8.4%,最低为2.5%;在所有的烧伤儿童中,轻度烧伤患病率最高为2.5%,中度烧伤1.5%。在不同时间段中,17:00~24:00时间段患病率最高为2.8%;不同月份中,4~6月份患病率最高为2.1%。结论:安徽省阜阳农村地区0~14岁儿童烧伤患病率为5.1%,男性患儿是危险因素,17:00~24:00时间段及4~6月份是高发因素,幼儿期及学龄前期是患病高发期。%Objective:To explore the risk factors for burns in children between 0 to 14 years old in Fuyang and to provide scientific basis for the prevention. Methods:The multilevel hierarchy,epidemiological random sampling and a self-designed questionnaire were adopted to investigate the patients’ gender,age,administrative village,months and time point of burn occurrence and the severity of the burn. Results:Among the 2 463 children investigated,pediatric burns were found in 125 of them,with a total prevalence rate of 5. 1%;the male had a higher prevalence rate than the female(7. 5% vs 2. 8 %,P<0. 05);the incidence of pediatric burns was the highest during the age of 1-3,which decreased gradually with the age increasing. The difference was statistically significant among each age group(P<0. 01). The difference of pediatric burns in different villages was significant,from the incidence of 8. 4% to 2. 5%(P

  5. Songs of Despair: A Case Study of Adolescent Suicide.

    Sapp, Allen D.

    This report outlines the extent of the problem of adolescent suicide in the United States, noting that suicide is the third leading cause of death among adolescents in this country and that the rate of suicide by adolescents is expected to continue to increase in the future. It examines one adolescent suicide, using the case study method, to…

  6. Rhabdomyolysis in adolescent athletes: review of cases.

    Hummel, Kevin; Gregory, Andrew; Desai, Neerav; Diamond, Alex

    2016-05-01

    Rhabdomyolysis is a syndrome characterized by muscle pain, weakness and myoglobinuria and ranges in severity from asymptomatic to life threatening with acute kidney failure. While a common condition in adult populations, it is understudied in pediatrics and the majority of adolescent cases are likely exercise-induced, caused by strenuous exercise in athletes. Recently, in our pediatric sports medicine practice, we have seen numerous cases of late adolescent high school athletes who present with severe muscle pain and were found to have elevated creatine kinase levels. The cases review potential contributing factors including characteristics of the workout, use of supplements, caffeine, medication, and metabolic or genetic predisposition. Treatment for exercised-induced rhabdomyolysis rarely requires more than rehydration. Return to play should be progressive, individualized, and include acclimatization and monitoring of hydration status, though guidelines require further review. PMID:27031535

  7. Dietary vitamin B12 deficiency in an adolescent white boy.

    O'Gorman, P; Holmes, D; Ramanan, A V; Bose-Haider, B; Lewis, M J; Will, A

    2002-06-01

    Dietary deficiency of cobalamin resulting in tissue deficiency in white individuals is unusual. However, several patients with dietary deficiency who were neither vegan nor Hindu have been described. This report describes the case of a 14 year old boy who was a white non-Hindu with a very low intake of cobalamin, which was not apparent until a detailed dietary assessment was performed. The patient responded rapidly to a combination of oral and parenteral B12. This case illustrates the fact that severe dietary vitamin B12 deficiency can occur in non-Hindu white individuals. Inadequate dietary content of B12 may not be apparent until a detailed dietary assessment is performed. This patient is likely to have had subclinical vitamin B12 deficiency for several years. Increased vitamin B12 requirements associated with the adolescent growth spurt may have provoked overt tissue deficiency. PMID:12037034

  8. Individual Differences in Adolescents' Sympathetic and Parasympathetic Functioning Moderate Associations between Family Environment and Psychosocial Adjustment

    Diamond, Lisa M.; Fagundes, Christopher P.; Cribbet, Matthew R.

    2012-01-01

    The present study tested whether individual differences in autonomic nervous system functioning interact with environmental risk factors to predict adolescents' psychosocial functioning. The authors assessed skin conductance and respiratory sinus arrhythmia at rest and during laboratory stressors in 110 14-year-olds. Subsequently, adolescents and…

  9. Does Built Environment Matter to Early Adolescents' Physical Activity?

    Lin, Jen-Jia; Ting, Tzu-Cheng

    2014-01-01

    This study examined the relationship of built environments to physical activity among adolescents aged 12 to 14 years old. The study sample included 269 junior high school students studying in Nangang District, Taipei, Taiwan. Sample physical activity data were obtained by surveying adolescents using a self-administered short version of the…

  10. Non-operative treatment of a fracture to the coracoid process with acromioclavicular dislocation in an adolescent

    Vera Pedersen

    2014-08-01

    Full Text Available Coracoid process fractures are rare and often associated with dislocations of the acromioclavicular (AC joint. There is little evidence about the treatment of these injuries in adolescents, but the few case reports published recommend surgery. We report a case of a dislocated epiphyseal fracture to the base of the coracoid process with AC joint dislocation in a 14-year-old ice-hockey player following direct impact to his left shoulder. Since magnetic resonance tomography revealed intact AC and coracoclavicular ligaments, we initiated non-operative treatment with immobilization and unloading of the shoulder by an abduction brace allowing limited rotation for 6 weeks. This treatment resulted in complete recovery after 8 weeks and return to full sports on first league level after 3 month. In conclusion, non-operative treatment of coracoid base fractures with concomitant AC-joint injury in the adolescent can result in excellent functional results and early recovery.

  11. ENDOMETRIOSIS IN ADOLESCENTS-ANALYSIS OF 6 CASES

    杨佳欣; 沈铿; 冷金花; 郎景和

    2003-01-01

    Objective.To study the characteristics, diagnosis and treatment of endometriosis in adolescent patients. Method.Six cases of adolescent endometriosis in our hospital were reviewed retrospectively. Result. Endometriosis is the most common cause of chronic pelvic pain in adolescents. There may be a natural progression of endometriosis from atypical lesions in adolescents to classic lesions in adults. Congenital abnormalities of the reproductive tract are the main reasons for the adolescent endometriosis. Conclusion. Endometriosis should be strongly suspected in adolescent girls with chronic pelvic pain,especially unresponsive to oral contraceptives and nonsteroidal anti-inflammatory drugs. The treatment involves the operations and medicines.

  12. Trends of attempted suicide in Albanian children and adolescents

    Kola, Vuksan

    2013-12-01

    Full Text Available Background. Attempted suicides and suicides are becoming pertinent social phenomena in Albania, with increasing trend in the last years, exceeding the road traffic accident numbers. Our objective was to examine suicide attempts trends among Albanian children and adolescents. Methods. We conducted a retrospective analysis of standardized suicide attempts rates in Statistic Department at University Hospital Center “Mother Theresa”; epidemiology data for the period spanning from 2006 to 2012. We analyzed the data by age, sex and by suicide attempts method over time for two age groups: 10–14 year old (children and 15–19 year old (adolescents. Results. We found an average annual increase of the suicide attempts rate for children and adolescents (p<0.001, but stratification by age and sex showed significant variation. By comparing the two age groups it came out that the suicidal phenomena is more present at adolescence age (p<0.001. According to the statistic data and by analyzing the cases on yearly bases it resulted that female gender is more attempt to commit suicide that male gender, with a significant statistical variation of (p<0.001. From the study it was noted that the suicidal attempt methods, in the most of cases, were drug overdose (97.6% and 2.4% hang themselves (suffocation or cut their vein. Conclusions. The increasing cases of suicidal tendency among children and adolescents necessitate further studies to identify the causes and risk factors, and to develop suitable preventive programs .

  13. Carcinoma penis in a young boy. A case report.

    Hemal A; Kumar R; Wadhwa S

    1996-01-01

    Carcinoma of the penis below the age of fifteen years is a rarity. A 14 year old boy presenting with advanced carcinoma penis with bilateral fungating inguinal lymphadenopathy is the subject of this case report.

  14. Chest pain, troponin rise, and ST-elevation in an adolescent boy following the use of the synthetic cannabis product K2

    Sona Zaleta

    2016-01-01

    Full Text Available "Legal highs" such as K2, which typically contain synthetic cannabinoids, are increasingly popular with adolescents around the world. We have limited knowledge concerning their toxicity or adverse effects and their mechanism of action is poorly understood. While synthetic cannabinoids have been linked to adverse cardiovascular effects, cases of ST-elevation myocardial infarction (STEMI associated with K2 use are exceedingly rare. We report a case of a 14-year-old boy who suffered an STEMI after smoking K2. To our knowledge, this is not only the youngest case of an STEMI associated with K2 use, but also the first case to be reported outside of the United States of America. Pediatricians worldwide must be aware of the clinical significance and potential harm associated with the use of synthetic cannabinoids, to better educate patients and their families regarding the dangers of using such "legal" substances.

  15. Gender, Anxiety, and Depressive Symptoms: A Longitudinal Study of Early Adolescents

    Chaplin, Tara M.; Gillham, Jane E.; Seligman, Martin E. P.

    2009-01-01

    Does anxiety lead to depression more for girls than for boys? This study prospectively examines gender differences in the relationship between anxiety and depressive symptoms in early adolescence. One hundred thirteen 11- to 14-year-old middle school students complete questionnaires assessing depressive symptoms and three dimensions of anxiety…

  16. Externalizing and Internalizing Problems in Low-Income Latino Early Adolescents: Risk, Resource, and Protective Factors

    Loukas, Alexandra; Prelow, Hazel M.

    2004-01-01

    The current investigation examined the role of cumulative risk, family routines, maternal monitoring, mother-child relationship quality, and youth socioemotional competence in adjustment outcomes of 521 10- to 14-year-old low-income Latino early adolescents. Results showed that, as the number of risk factors increased, levels of externalizing and…

  17. Interviewing young adolescent suspects: When to reveal incriminating information?

    Jamie Lingwood; Ray Bull

    2013-01-01

    Recent research has demonstrated that the way in which interviewers reveal information/evidence tointerviewees/suspects can produce noticeable differences between truthful and deceptive verbalstatements. However, very little of this research has involved adolescents. In the present study, 12 to 14year old adolescents were asked to commit (n = 26) or not to commit (n = 26) a mock crime and atinterview to deny involvement in this crime. Prior to interview some information about each adolescent’...

  18. Burden of Household Smoking Habits on the Occurrence of Respiratory Symptoms among Malaysian Adolescents

    Aziemah ZULKIFLI; Najihah Zainol ABIDIN; Emilia Zainal ABIDIN; Hashim, Zailina; Irniza RASDI; Sharifah Norkhadijah Syed ISMAIL; Anita Abd RAHMAN; Man, Che Nin

    2015-01-01

    Background: This study aimed to assess the burden of household smoking habits on the occurrence of respiratory symptoms among young adolescents in Malaysia.Methodology: The impact of Secondhand Smoke (SHS) exposures on the occurrence of respiratory symptoms was investigated on 234 adolescents (13-14 years old) residing in two states in Malaysia. Adolescents completed a self-administered questionnaire adapted from Global Youth Tobacco survey that comprised of items on socio-demographic and SHS...

  19. 绍兴地区0~14岁儿童纤维结合蛋白参考区间建立%Establishment of the reference range of fibronectin for children aged 0-14 years old in Shaoxing region

    葛国兴; 钟亚萍; 梁美春

    2013-01-01

    目的 探讨本地区健康儿童纤维结合蛋白(Fn)水平,建立儿童医学参考区间.方法 选择652例0~14岁肝、肾、心、肺功能均正常的儿童为研究对象,其中男童360名,女童292名,分别按年龄段0~1岁、2~3岁、4 ~14岁分3组.用免疫透射比浊法原理在Abbott Aeroset型全自动生化分析仪检测Fn,测定结果用美国临床实验室标准化协会(CLSI) C28-A2进行统计处理.结果 按年龄段,健康男童Fn区间分别为:131.9~270.8 μg/mL、132.9 ~ 284.8μg/mL、132.5~270.3 μg/mL(P >0.05),0~ 14岁健康男童参考区间为132.8~ 272.21μg/mL;女童为142.6~306.4μg/mL、135.6 ~ 284.2μg/mL、136.0 ~ 264.0μg/mL(P>0.05),0~ 14岁健康女童参考区间为137.5 ~ 285.4μg/mL.结论 实验室有必要根据CLSI C28-A2文件的规定建立自己的参考值范围,供不同临床科室参考.%Objective To investigate the value of fibronectin ( Fn) among healthy children in Shaoxing region, and establish the medical reference range for children. Methods A total of 652 children (360 boys and 290 girls) aged 0-14 years old,whose liver,kidney,heart and lung functions were normal,were enrolled. The children were classified into 3 groups; 0-1 year old,2-3 years old and 4-14 years old. Fn was detected by immuno-turbidimetry using Abbott Aeroset automatic biochemical analyzer. The detection results were processed according to the Clinical and Laboratory Standards Institute ( CLSI) C28-A2 document. Results The Fn reference ranges in healthy children according to age classification were 131. 9-270. 8 μg/mL, 132. 9-284. 8 μg/mL and 132. 5-270. 3 μg/mL for boys and 142. 6-306.4 μg/mL, 135. 6-284. 2 μg/mL and 136.0-264. 0 μg/mL for girls( P > 0. 05). The Fn reference ranges for boys and girls aged 0-14 years old were 132. 8-272. 2 μg/mL and 137. 5 ~ 285. 4 μg/mL, respectively. Conclusions Laboratory should establish its own reference range for Fn according to CLSI C28-A2 document, in

  20. Adolescent death: a 15-year retrospective review.

    Batalis, Nick I; Collins, Kim A

    2005-11-01

    Adolescents comprise an eclectic mix of people vitally important to society yet long-term comprehensive studies on the circumstances of their deaths are lacking in the pediatric forensic literature. The authors reviewed all forensic cases referred to the Medical University of South Carolina Forensic Pathology section over the fifteen years between January 1989 and December 2003. In accordance with the World Health Organization (WHO) definition of adolescents, only decedents 10-19 years of age were included. The authors examined the cause and manner of death, age, gender, and race of the victims in all cases. The toxicology results, perpetrator, death scenario and location, and victim traits were analyzed when available. For all adolescents, the most common manner of death was accident followed by homicide, suicide, natural, and undetermined. Within the adolescent population two distinct groups, 10-14 years old and 15-19 years old, were identified. Though both groups were similar in that they experienced a high number of accidental deaths, decedents of older age group suffered a higher percentage of violent deaths while decedents of the younger group were more likely to die of natural causes. Many of the accidental deaths in this review were preventable, including deaths due to motor vehicle collisions and drowning. In deaths due to homicide, the perpetrator was often known to the victim, whether as an acquaintance or family member. Toxicology testing was often positive in decedents of the older age group, while only rarely positive in decedents of the younger age group. With a solid understanding of the circumstances, it may be possible to predict, and hopefully prevent, future cases of adolescent death. The authors present their findings in this 15-year retrospective study to better aid forensic pathologists, death investigators, law enforcement, and epidemiologists. PMID:16382843

  1. Investigate the reasonableand healthy eating habit for children by investigating the development and health condition of children under 14 years old%调查儿童生长发育和健康状况探讨儿童合理健康的饮食生活习惯

    谢桂芳; 李佩玲; 姜艳; 钟诗婷; 李艳萍

    2014-01-01

    Objective To investigate development and health condition of children under 14 years old, in order to explore reasonable and healthy eating habits for children .Methods We supplied free medical examination for children under 14 years in Shilong , input examination results into an Excellspreadsheet database and datas were analyzed using descriptive method .Using the grey system theory to predict the develop trend of children cacotrophy.Results The medical examination results indicated that micronutrient deficiencies (82%), malnutrition ( 37%) , urological problems ( 44%) were existed in children under 14 years old in Shilong . Conclusions Extensive health education and lectures on children and appropriate norms and healthy eating habits based on their own problems were the best ways to promote growing development and health condition for children.%目的:了解我镇14岁以下独生子女的生长发育和健康状况,探讨儿童合理健康的饮食生活习惯。方法对石龙镇14岁以下的儿童进行免费的体检,对检查结果建立Excel表格数据库并进行描述性研究,并用灰色系统理论对儿童营养不良的发病趋势进行预测。结果石龙镇14岁以下独生子女的微量元素缺乏(82%)、营养不良(37%)、泌尿外科问题(44%)较严重。结论广泛开展儿童健康教育和知识讲座、针对儿童自身问题制定相应的饮食规范和健康生活习惯是提高儿童生长发育和健康水平的主要方法。

  2. DESEMPEÑO COGNITIVO EN PRUEBAS DE LENGUAJE EN NIÑOS DE 6 A 14 AÑOS ESCOLARIZADOS DE LA CIUDAD DE MEDELLÍN. COGNITIVE PERFORMANCE ON TESTS OF LANGUAGE IN 6-14-YEAR-OLD SCHOOLED CHILDREN IN THE CITY OF MEDELLIN.

    María Cristina Giraldo García.

    2013-12-01

    Full Text Available El presente artículo presenta los resultado de investigación el cual busca describir el desempeño cognitivo de los escolares de 6 a 14 años en pruebas de lenguaje, este estudio se desarrolló con 92 participantes con diferentes estratos socioeconómicos se aplicaron pruebas de Lenguaje: Test de asociación controlada de palabras, Test de vocabulario de Boston, Token test, encontramos que las habilidades y desempeño en pruebas de lenguaje no difieren entre sexo y lateralidad, existen diferencias evidenciables en grupos de edades, con influencia del nivel educacional. Abstract This paper presents results of research which aimed to describe the cognitive performance on tests of language in 6-14-year-old. In this study, the researchers chose a sample population of 92 participants coming from different socioeconomic strata. That is why tests of language, tests of controlled association, Boston Naming Test, and Token Test were applied.

  3. Study on dietary patterns and its effect on infant health among left-behind children aged 1-4 years old with both parents working out in rural Anhui%农村1~4岁双亲外出留守婴幼儿饮食模式及与其健康状况的关系

    苏普玉; 胡传来; 李李; 张昱堃; 庞培; 程实; 郑海峰

    2012-01-01

    目的 分析农村婴幼儿的喂养模式,探讨农村双亲外出留守婴幼儿喂养模式与其健康状况的关系.方法 从安徽省2个县、12个行政村,选取双亲外出留守婴幼儿和双亲均未外出婴幼儿各212名,使用自编婴幼儿喂养模式问卷进行喂养模式调查,对问卷项目进行筛选,对问卷信度、效度进行评价;对研究对象进行体格发育测量与评价,外周血血红蛋白、锌元素测量,尿碘检测,婴幼儿神经精神发育检查.结果 农村婴幼儿喂养模式可分为传统型、动物蛋白型、营养型、饮料型4种类型.双亲外出留守婴幼儿在营养型、动物蛋白型2个维度的高因子得分所占比例少于对照组(P <0.05).农村双亲外出留守婴幼儿营养不良检出率(4.7%)、营养性贫血检出率(19.8%)、锌缺乏率(46.2%)、碘缺乏率(21.7%)均高于对照组(0.9%,8.5%,34.4%和12.7%)(P<0.05).智力低下和边缘智力的检出率(3.8%,20.8%)高于对照组(1.9%,10.4%)(P<0.05).双亲外出留守婴幼儿传统型饮食模式维度低分组营养不良检出率相对较高,而高分组肥胖检出率相对较高(x2=18.725,P=0.002);动物蛋白型和营养型2个维度均表现为得分较低组营养性贫血和锌元素缺乏检出率高于得分较高组,得分较低组智力低下和边缘智力的检出率相对较高,差异均有显著性(P<0.05).结论 农村留守婴幼儿喂养模式与非留守儿童存在一定差异.婴幼儿营养状况与传统型饮食摄入频率有关,营养性疾病、智能发育与动物蛋白型和营养型饮食频率摄入有关.%Objective To investigate dietary patterns of left-behind children aged 1-4 years old with both parents working out in rural Anhui, and to examine the relationship between dietary patterns and infant health. Methods In total, 424 left-behind children aged 1-4 years old were selected from 12 villages in 2 counties of Anhui province, 212 were both parents working out and 212 were both parents not working out. Infant dietary patterns were evaluated by a self-developed questionnaire, the reliability and validity were also assessed. Physical development, peripheral blood hemoglobin, traces elements of zinc, urinary iodine, infant neuropsychological development were evaluated. Results Infant dietary patterns in rural areas could be divided into 4 types, traditional type, animal protein-based type, nutrition-based type and beverage-based type. The prevalence of high score of nutrition type and animal protein-based type of infant dietary patterns in left-behind children were significant lower than those in control group. The prevalence of malnutrition, nutritional anemia, zinc deficiency, iodine deficiency in left-behind children with both parents working out were higher than those of control group (4. 7% , 19. 8% , 46. 2% , 21.1% vs 0. 9% , 8.5% , 34.4% and 12.7%) (P<0. 05). The prevalence of mental retardation and mental edge were significant higher in left-behind children than those of control group (3. 8% , 20. 8 vs 1. 9% , 10.4% ). Among left-behind children aged 1-4 years old with both parents working out in rural area, the prevalence of malnutrition was higher in infant with low score of traditional type dietary, the prevalence of obesity was higher in infant with high score of traditional type dietary (χ2 = 18.725,P =0. 002). The prevalence of nutritional anemia, zinc deficiency, mental retardation and mental edge were higher in infant with low scores of animal protein-based type and nutrition-based type dietary (P <0.05). Conclusion The feeding patterns of left-behind children aged 1-4 years old with both parents working out in rural were different to those with both parents not working out. Infant nutrition status was significantly associated with the intake frequency of traditional food. The prevalence of infant nutritional diseases and mental development were significantly associated with the intake frequency of animal protein-based food and nutrition-based food.

  4. Ten years' of experience in patient education of families with a child/adolescent suffering from cystic fibrosis

    Bregnballe, Vibeke

    2007-01-01

    Aims: The patient education programme for families with children or adolescents with cystic fibrosis (the CF school) was established ten years ago to enable patients to make choices in their lives as CF patients. The CF school provides patients with knowledge about cystic fibrosis (CF), teaches...... them how to cope with the disease and how to take responsibility for the treatment. Methods: The CF school has developed during the last ten years. Now we have a CF school for 5-, 10- and 14-year-olds and annual meetings for each group in between. The CF school for the 10- and 14-year-olds consists of...

  5. Maternal Psychological Control and Peer Victimization in Early Adolescence: An Application of the Family Relational Schema Model

    Batanova, Milena D.; Loukas, Alexandra

    2014-01-01

    Guided by the family relational schema model, the current study examined the direct and indirect contributions of maternal psychological control to subsequent relational and overt peer victimization, via early adolescents' conduct problems, fear of negative evaluation, and depressive symptoms. Participants were 499 10- to 14-year-olds (53%…

  6. Trust in Government and Civic Engagement among Adolescents in Australia, England, Greece, Norway, and the United States.

    Torney-Purta, Judith; Richardson, Wendy Klandl

    The goal of the International Association for the Evaluation of Educational Achievement (IEA) Civic Education Study has been to examine, in a comparative framework, the political socialization of adolescents as they prepare for their roles as citizens of democracies. Approximately 90,000 students from the modal grade for 14-year-olds from…

  7. IDENTITY FORMATION DIFFICULTIES IN IMMIGRANT ADOLESCENTS: THREE CASES FROM GERMANY.

    Streeck-Fischer, Annette

    2015-12-01

    Adolescence is a period of instability caused by biological changes and restructuring of the personality. An immigration background renders the process of identity formation even more difficult or fragile, with an additional burden coming from persecution and harassment. Three case studies of mentally disturbed adolescents with different immigration backgrounds illustrate the problems in diagnosis and psychotherapy. All three cases share a common feature--the particular influence of the native country on the psychic disorder of the adolescent, be it a suitable target of narcissistic self-aggrandizement, a reactivated metaphor of the past or a deposited conflict. I point out and discuss the danger of diagnostic colonization and activation of perpetrator-victim constellations--such as the Nazi past in the present. Offering a transcultural transitional space as a container yields a therapeutic approach to the different worlds of these borderland adolescents. PMID:26611133

  8. Evaluation of Functional Electrical Stimulation to Assist Cycling in Four Adolescents with Spastic Cerebral Palsy

    Ann Tokay Harrington

    2012-01-01

    Full Text Available Introduction. Adolescents with cerebral palsy (CP often have difficulty participating in exercise at intensities necessary to improve cardiovascular fitness. Functional electrical stimulation- (FES- assisted cycling is proposed as a form of exercise for adolescents with CP. The aims of this paper were to adapt methods and assess the feasibility of applying FES cycling technology in adolescents with CP, determine methods of performing cycling tests in adolescents with CP, and evaluate the immediate effects of FES assistance on cycling performance. Materials/Methods. Four participants (12–14 years old; GMFCS levels III-IV participated in a case-based pilot study of FES-assisted cycling in which bilateral quadriceps muscles were activated using surface electrodes. Cycling cadence, power output, and heart rate were collected. Results. FES-assisted cycling was well tolerated (n=4 and cases are presented demonstrating increased cadence (2–43 rpm, power output (19–70%, and heart rates (4-5% and decreased variability (8–13% in cycling performance when FES was applied, compared to volitional cycling without FES assistance. Some participants (n=2 required the use of an auxiliary hub motor for assistance. Conclusions. FES-assisted cycling is feasible for individuals with CP and may lead to immediate improvements in cycling performance. Future work will examine the potential for long-term fitness gains using this intervention.

  9. Analysis of Related Factors of Attention Deficit Hyperactivity Disorder among Children between 7 and 14 Years Old in Shenzhen%深圳市7~14岁儿童注意缺陷多动障碍影响因素分析

    高美好; 文飞球; 周克英; 张佳楠; 杨春何; 张蔚; 陈言钊; 张小园

    2012-01-01

    Objective To investigate the related factors of attention deficit hyperactivity disorder(ADHD) aged 7 to 14 years old in Shenzhen. Provide the basis for early intervention and treatment. Methods Stratified random sample survey method,34 Shenzhen primary schools children were in the study. Conners Teacher Rating Scale (TRS) and Diagnostic and Statistical Manual for Mental Disorders. 4* ed were used,exclude serious physical disease,neurological diseases and other mental illnesses,general information on related factors of ADHD was provided by parent's questionnaire. SPSS 13. 0 software was used to analyze all data. Results The average prevalence was 5.40% (442/ 8 193)in the children aged 7 to 14 years old,the children aged 7 to 9 years old with the highest prevalence. The prevalence of a downward trend with increasing age. Gender,perinatal asphyxia,picky eating,handedness,television exposure,the relationship among classmates were the related factors. Conclusions The prevalence rate of ADHD in Shenzhen is similar to those in other cities at home and abroad. The interaction factors maybe play an important role in (he development of ADHD. Parents,teachers and doctors should work together and pay more attention to the early intervention and treatment.%目的 探讨深圳市7~ 14岁学龄儿童注意缺陷多动障碍(ADHD)的患病情况及影响因素,为早期干预与治疗提供依据.方法 采用Conners教师评定量表(TRS)对深圳市7~14岁在校学龄儿童进行分层随机抽样调查,对经TRS初步筛查为阳性的儿童进行小儿神经专科门诊随访,排除严重躯体疾病、神经系统疾病和其他精神疾病,根据美国精神病学会的精神障碍诊断和统计手册第4版诊断ADHD,统计分析家长填写的ADHD影响因素调查表,完成ADHD影响因素调查.采用SPSS 13.0软件进行统计学分析.结果 深圳市7 ~14岁儿童ADHD总患病率为5.40% (442/8 193),其中男性高于女性,7~9岁年龄组儿童患病率

  10. Positive association of video game playing with left frontal cortical thickness in adolescents

    Simone Kühn; Robert Lorenz; Tobias Banaschewski; Barker, Gareth J.; Christian Büchel; Conrod, Patricia J.; Herta Flor; Hugh Garavan; Bernd Ittermann; Eva Loth; Karl Mann; Frauke Nees; Eric Artiges; Tomas Paus; Marcella Rietschel

    2014-01-01

    PUBLISHED Playing video games is a common recreational activity of adolescents. Recent research associated frequent video game playing with improvements in cognitive functions. Improvements in cognition have been related to grey matter changes in prefrontal cortex. However, a fine-grained analysis of human brain structure in relation to video gaming is lacking. In magnetic resonance imaging scans of 152 14-year old adolescents, FreeSurfer was used to estimate cortical thickness. Cortical t...

  11. Positive association of video game playing with left frontal cortical thickness in adolescents

    Kühn, Simone; Lorenz, R; Banaschewski, T.; Barker, GJ; Buechel, C; Conrod, PJ; Flor, H.; Garavan, H.; Ittermann, B.; Loth, E; Mann, K; Nees, F; Artiges, E; Paus, T.; Rietschel, M

    2014-01-01

    Playing video games is a common recreational activity of adolescents. Recent research associated frequent video game playing with improvements in cognitive functions. Improvements in cognition have been related to grey matter changes in prefrontal cortex. However, a fine-grained analysis of human brain structure in relation to video gaming is lacking. In magnetic resonance imaging scans of 152 14-year old adolescents, FreeSurfer was used to estimate cortical thickness. Cortical thickness acro...

  12. Secondhand Smoke Exposure in Toddlerhood and Cognitive Abil¬ity among Malaysian Adolescents

    Najihah Zainol ABIDIN; Aziemah ZULKIFLI; Abidin, Emilia Zainal; Anita Abd RAHMAN; Hashim, Zailina; Irniza RASDI; Sharifah Norkhadijah Syed ISMAIL

    2015-01-01

    Background: Secondhand Smoke (SHS) exposure has been reported to cause a number of adverse health effects. Although studies have been conducted to identify the link between SHS exposure and cognitive functioning of children, its relationship is still unclear. This study aimed to identify the association of prenatal and postnatal SHS exposure with cognitive ability among adolescents.Methods: A total of 370 adolescents aged 13-14 years old in two states in Malaysia participated in this study. A...

  13. Two cases of long-acting paliperidone in adolescence.

    Fàbrega, Marina; Sugranyes, Gisela; Baeza, Inmaculada

    2015-10-01

    Paliperidone palmitate long-acting injection (PPLAI) is an atypical antipsychotic agent currently approved by the European Medicine Agency for the acute and maintenance treatment of schizophrenia in adults. However, there is no information so far on safety and effectiveness in patients under 18 years of age. We report on two clinical cases of adolescents with a psychotic spectrum disorder treated with PPLAI in an inpatient setting. The cases illustrate that PPLAI may hold potential as an effective and acceptably tolerated antipsychotic drug in adolescents with psychotic spectrum disorders. Given the lack of approved long acting injectable antipsychotics in patients under 18 years of age, reports on the effectiveness and safety of such medications in children and adolescent patients are of importance. PMID:26557986

  14. A Latent Class Analysis of Maternal Responsiveness and Autonomy-Granting in Early Adolescence: Prediction to Later Adolescent Sexual Risk-Taking

    Lanza, H. Isabella; David Y C Huang; Murphy, Debra A.; Hser, Yih-Ing

    2013-01-01

    The present study sought to extend empirical inquiry related to the role of parenting on adolescent sexual risk-taking by using latent class analysis (LCA) to identify patterns of adolescent-reported mother responsiveness and autonomy-granting in early adolescence and examine associations with sexual risk-taking in mid- and late-adolescence. Utilizing a sample of 12- to 14-year-old adolescents (N = 4,743) from the 1997 National Longitudinal Survey of Youth (NLSY97), results identified a four-...

  15. Self-Concept of Pregnant Adolescents: A Case Study.

    Elkes, Barbara Halpren; Crocitto, John A.

    1987-01-01

    Used case study approach to assess self-concepts of pregnant adolescents regarding life history, personality traits, and development. Results revealed common themes of historic background and personality traits: no intact families, lack of trust in family members, history of drug and alcohol abuse, permissive sexual attitudes and early sexual…

  16. An Adolescent with Anorexia Nervosa – A Case Report

    Khairani, O; Majmin, SH; Saharuddin, A; Loh, SF; Azimah, NM; Tohid, H

    2011-01-01

    This case report illustrates an adolescent with clinical presentation of moderate anorexia nervosa with no significant co-morbidities. It highlights the management of anorexia nervosa in the outpatient setting by a multi-disciplinary health care team which includes a family physician, a dietician, a psychologist and a child psychiatrist.

  17. Systemic hypertension and associated factors in school adolescents

    Salma B. Galal; Soheir A. Fahmy; Somia Lashine; Nahed Abdel-Fattah; Mohammed Omar Galal

    2011-01-01

    Background: Systemic hypertension is an endemic disease, which causes serious morbidities and mortality in all age groups. Hypertension of adults in Egypt is 26%. It can start in childhood and needs to be assessed in Egyptian children and adolescents.Aim and objectives: This study aims to investigate the prevalence of systemic hypertension in 12-14 year old school children and associated factors. Methods and study design: A cross sectional study was done in some preparatory public and private...

  18. Reversible Pulmonary Hypertension in Adolescent with Left Atrial Myxoma

    Kim, Byong-Kyu; Cho, Jung-Nam; Park, Hye-Jin; Hong, Seung-Pyo; Son, Ja-Yung; Lee, Jin-Bae; Ryu, Jae-Keun; Choi, Ji-Yong; Chang, Sung-Guk; Kim, Kee-Sik

    2011-01-01

    We report a patient of left atrial huge myxoma presenting with severe pulmonary hypertension in adolescents. A patient was a 14-year-old boy presented with sudden onset dyspnea. Transthoracic echocardiographic study revealed the presence of a nodular, 4.34 × 8.11 cm sized, mobile, hyperechoic mass in the left atrium and severe pulmonary hypertension with tricuspid insufficiency. After surgical therapy, tricuspid regurgitation and pulmonary hypertension was decreased and the patient was stabil...

  19. Oral focal mucinosis in an adolescent: a case report.

    Lee, J G; Allen, G; Moore, L; Gue, S

    2012-03-01

    Oral focal mucinosis (OFM) is an uncommon soft tissue lesion of unknown aetiology. Clinically, it is most commonly found on the gingiva and presents as a painless, sessile or pedunculated mass that is the same colour as surrounding mucosa. Histologically, it is characterized by focal myxoid degeneration of connective tissue. OFM occurs predominantly in adults during the fourth and fifth decade of life, although it has been reported infrequently in children and adolescents. Diagnosis relies on histological analysis and treatment involves complete surgical excision. Recurrence is unreported. This case report describes the clinical and histological presentation and subsequent management of OFM in an adolescent female patient. PMID:22369564

  20. Two cases of long-acting paliperidone in adolescence

    Fàbrega, Marina; Sugranyes, Gisela; Baeza, Inmaculada

    2015-01-01

    Paliperidone palmitate long-acting injection (PPLAI) is an atypical antipsychotic agent currently approved by the European Medicine Agency for the acute and maintenance treatment of schizophrenia in adults. However, there is no information so far on safety and effectiveness in patients under 18 years of age. We report on two clinical cases of adolescents with a psychotic spectrum disorder treated with PPLAI in an inpatient setting. The cases illustrate that PPLAI may hold potential as an effe...

  1. Brief Report: Understanding Intention to Be Physically Active and Physical Activity Behaviour in Adolescents from a Low Socio-Economic Status Background: An Application of the Theory of Planned Behaviour

    Duncan, Michael J.; Rivis, Amanda; Jordan, Caroline

    2012-01-01

    The aim of this brief report is to report on the utility of the Theory of Planned Behaviour (TPB) for predicting the physical activity intentions and behaviour of British adolescents from lower-than-average socio-economic backgrounds. A prospective questionnaire design was employed with 197, 13-14 year olds (76 males, 121 females). At time 1…

  2. Pancardiac tuberculosis - a case report.

    Lad, Shilpa K; Amonkar, Gayathri

    2016-01-01

    Tuberculous involvement of the heart though not common has been reported in literature. Pericardium is commonly involved followed by the myocardium. Endocardial involvement is rare. We would like to report a case of a 14-year-old female with florid and extensive involvement of all the layers of the heart by tuberculosis. PMID:26507144

  3. Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal

    Diogo F Guerreiro; Neves, Ema L; Navarro, Rita; Mendes, Raquel; Prioste, Ana; Ribeiro, Diana; Lila, Tiago; Neves, António; Salgado, Mónica; Santos, Nazaré; Sampaio, Daniel

    2009-01-01

    Deliberate self-harm (DSH) among adolescents is a high-risk condition for suicide. The aim of the present study is to describe the characteristic clinical features of adolescents with DSH according to our local context (Lisbon, Portugal), using easily available information from clinical settings. A case control study was constructed from a sample of 100 adolescents (aged 12 to 21 years). The sample was divided into two groups: adolescents with and without DSH. Case files were examined and dat...

  4. Determinants of Internet Addiction among Adolescents: A Case-Control Study

    Artemis Tsitsika; Elena Critselis; Amalia Louizou; Mari Janikian; Aliki Freskou; Evgenia Marangou; Georgios Kormas; Kafetzis, Dimitrios A

    2011-01-01

    Internet Addiction (IA) is associated with adverse psychosocial development and mental disorders. The study aims were to evaluate the psychosocial profiles and psychiatric comorbidities associated with IA among adolescents. A case-control study was conducted among 129 adolescents in the outpatient setting of the Adolescent Health Unit of the Second University Department of Pediatrics in Athens, Greece. The case group consisted of 86 adolescents with IA as evaluated following psychiatric inter...

  5. Adolescent lumbar disc herniation: a case report

    King, Laurie; Mior, Silvano A.; Devonshire-Zielonka, Kim

    1996-01-01

    Lumbar spine disc herniations in children are a relatively rare condition reported to occur in less than 3% of those presenting with low back pain. Unlike the adult, the etiology and clinical picture often provides few clues to making the diagnosis. Although conservative management is the treatment of choice, surgical intervention may be required in some cases. The role of spinal manipulation in these cases may be of limited value. A case report is presented that illustrates the difficulty in...

  6. Adolescent male with anorexia nervosa: a case report from Iraq

    Younis Maha S

    2012-01-01

    Full Text Available Abstract This is the first reported case of an adolescent male with anorexia nervosa in Iraq. This disorder is believed to be rare in males across cultures and uncommon for both genders in Arab countries. The patient met the DSM-IV diagnostic criteria for anorexia nervosa. He was hospitalized and received medical and psychiatric treatment at local facilities as discussed below and responded well to treatment.

  7. A Case of Acute Psychosis in an Adolescent Male

    Ghufran Babar; Ramin Alemzadeh

    2014-01-01

    Primary hyperparathyroidism (PHPT) is a disorder of calcium homeostasis. We report the case of a 17-year-old adolescent male, who presented with an acute psychosis coinciding with severe hypercalcemia and markedly elevated intact parathyroid hormone (iPTH) level and low vitamin D level. A Sestamibi scan showed a positive signal inferior to the left lobe of the thyroid gland. He had only a partial response to the initial medical and psychiatric management. The enlarged parathyroid gland was re...

  8. Phyllodes tumor in adolescent. Case study.

    Lidia Torres Aja; Julio Sarmiento Sánchez; María Caridad Rubio Hernández

    2008-01-01

    Presentation of the case of a patient (18 years old) who was assisted in the provincial mastology consultation for a non painful tumor, of sudden growth covering almost all the right breast, without other symptom or sing. After some tests, it was decided to operate. The tumor turned to be benign phyllodes. The relevance of this case lies in the infrequent appearance of this type of tumor, being even the first to be operated in our hospital.

  9. Treatment of 56 Cases of Women with Post-adolescent Acne by Auricular Point Sticking Method

    DING Min; JIANG Ya-qiu; CUI Xue-jun

    2008-01-01

    @@ Acne is a common disorder in adolescence. However, more and more patients are over 25 years old. This type of acne is recurrent, so it is called post-adolescence acne. The author treated 56 cases of women with post-adolescence acne by auricular point sticking method, and obtained excellent results. It is reported as follows.

  10. Effectiveness of training on preventative nutritional behaviors for type-2 diabetes among the female adolescents: Examination of theory of planned behavior

    Maleki, Farzaneh; Hosseini Nodeh, Zahra; Rahnavard, Zahra; Arab, Masoume

    2016-01-01

    Background: Since type-2 diabetes is the most common chronic disease among Iranian female adolescents, we applied theory of planned behavior to examine the effect of training to intention to preventative nutritional behaviors for type-2 diabetes among female adolescents. Methods: In this experimental study 200 (11-14 year old) girls from 8 schools of Tehran city (100 in each intervention and control group) were recruited based on cluster sampling method during two stages. For intervention gro...

  11. Systemic hypertension and associated factors in school adolescents

    Salma B. Galal

    2011-02-01

    Full Text Available Background: Systemic hypertension is an endemic disease, which causes serious morbidities and mortality in all age groups. Hypertension of adults in Egypt is 26%. It can start in childhood and needs to be assessed in Egyptian children and adolescents.Aim and objectives: This study aims to investigate the prevalence of systemic hypertension in 12-14 year old school children and associated factors. Methods and study design: A cross sectional study was done in some preparatory public and private schools selected from a district of Cairo. The 234 children (167 females, 67males in this study were 12 - 14 year of age. Their weight ranged from 30 – 100 kg Subjects with high blood pressure (BP were identified according to the percentiles of Rosner, et al. Beside characteristics of the sample and blood pressure (BP, associated factors investigated were: - weight and body mass index (BMI, tea / coffee consumption, "added salt before tasting food", sleeping less than 8 hours per day and physical activity. Each student filled out stress and tension level tests. The school health team obtained informed parental consent to include their children in this study. Statistical analysis was done with EPI using chi-square, t-test, odd ratio (OR with 95% confidence limits (Cl and logistic regression with the 5% level for tests. The ethical committee of the faculty approved the study.Results / Finding: The prevalence of systemic hypertension was 10%. Children with high BP (23 were compared to 211 subjects with normotensive BP. High stress and tension score, less sleeping hours / day, adding salt to food and higher BMI were found significantly associated (p<0.05 with high BP. Study limitation: Researchers could assess preparatory schools children. However, primary and secondary school levels are separated in other schools and administrations. We used US standards for hypertension and BMI for children as local standards are not published.Conclusions: One tenth of 12-14

  12. Attention-deficit hyperactive disorder presenting with school truancy in an adolescent: a case report

    Muhammad, Noor Azimah; Wan Ismail, Wan Salwina; Tan, Chai Eng; Jaffar, Aida; Sharip, Shalisah; Omar, Khairani

    2011-01-01

    Attention-deficit hyperactive disorder (ADHD) is a psychiatric illness commonly diagnosed during the early years of childhood. In many adolescents with undiagnosed ADHD, presentation may not be entirely similar to that in younger children. These adolescents pose significant challenges to parents and teachers coping with their disability. Often adolescents with behavioural problems are brought to medical attention as a last resort. This case describes an adolescent who presented to a primary c...

  13. Subcutaneous Histiocytoid Sweet Syndrome Associated with Crohn Disease in an Adolescent

    Rosa María Fernández-Torres

    2014-01-01

    Full Text Available We report a case of subcutaneous histiocytoid Sweet syndrome in an adolescent with Crohn disease. A 14-year-old boy with a 1-year history of ileocolonic and perianal Crohn disease, treated with infliximab and azathioprine, was admitted to the Pediatrics Department with malaise, abdominal pain, bloody diarrhea, and fever (39°C from 15 days ago. Two days later, he developed cutaneous lesions consisting of tender, erythematous, and violaceous papules and nodules scattered over his legs, soles, and upper extremities. Laboratory studies revealed neutrophilia, microcytic anemia, and elevation of both erythrocyte sedimentation rate and C-reactive protein rate. A skin biopsy specimen showed deep dermal and predominantly septal inflammatory infiltrate in the subcutaneous tissue composed of polymorphonuclears, eosinophils, and mononuclear cells of histiocytic appearance. These histiocytoid cells stained positive for myeloperoxidase. Subcutaneous Sweet syndrome is a rare subtype of acute neutrophilic dermatosis, in which the infiltrate is exclusively or predominantly located in the subcutaneous tissue, causing lobular or septal panniculitis. It is often described in patients with an underlying haematological disorder or caused by drugs, but very rare in patients with inflammatory bowel disease, especially in childhood or adolescence. To our knowledge, this is the first case of subcutaneous histiocytoid type in a paediatric patient.

  14. Subcutaneous histiocytoid sweet syndrome associated with crohn disease in an adolescent.

    Fernández-Torres, Rosa María; Castro, Susana; Moreno, Ana; Alvarez, Roberto; Fonseca, Eduardo

    2014-01-01

    We report a case of subcutaneous histiocytoid Sweet syndrome in an adolescent with Crohn disease. A 14-year-old boy with a 1-year history of ileocolonic and perianal Crohn disease, treated with infliximab and azathioprine, was admitted to the Pediatrics Department with malaise, abdominal pain, bloody diarrhea, and fever (39°C) from 15 days ago. Two days later, he developed cutaneous lesions consisting of tender, erythematous, and violaceous papules and nodules scattered over his legs, soles, and upper extremities. Laboratory studies revealed neutrophilia, microcytic anemia, and elevation of both erythrocyte sedimentation rate and C-reactive protein rate. A skin biopsy specimen showed deep dermal and predominantly septal inflammatory infiltrate in the subcutaneous tissue composed of polymorphonuclears, eosinophils, and mononuclear cells of histiocytic appearance. These histiocytoid cells stained positive for myeloperoxidase. Subcutaneous Sweet syndrome is a rare subtype of acute neutrophilic dermatosis, in which the infiltrate is exclusively or predominantly located in the subcutaneous tissue, causing lobular or septal panniculitis. It is often described in patients with an underlying haematological disorder or caused by drugs, but very rare in patients with inflammatory bowel disease, especially in childhood or adolescence. To our knowledge, this is the first case of subcutaneous histiocytoid type in a paediatric patient. PMID:24839565

  15. Kleine-Levin syndrome: a case report

    Octávio da Silveira Neto

    1991-09-01

    Full Text Available A case of a 14 year-old boy suffering from Kleine-Levin syndrome is described. The diagnosis was made by symptoms which suggested this disorder: megaphagia, hi-persomnia and hipersexuality. A brief review is made emphasizing the pathophysiology, diagnosis and treatment of this syndrome which is frequently misdiagnosed.

  16. Study on the relationship between children's feeding and development deviation among left behind children aged 1-4 years old with both parents working out%农村1~4岁留守儿童喂养状况与发育偏离的关系研究

    庞培; 苏普玉; 胡传来; 张昱堃; 程实; 郑海峰; 郝加虎

    2012-01-01

    目的 调查农村1~4岁双亲均外出的留守儿童监护人的喂养知识、态度、行为评分与儿童发育偏离的关系.方法 在安徽省2个县、12个行政村,各选取212名双亲均外出的留守儿童和双亲均未外出儿童,使用自编喂养知识、态度、行为问卷对儿童监护人进行调查,对研究对象进行体格发育测量与评价,对其外周血血红蛋白、锌元素进行测量,检测尿碘,检查神经精神发育情况.结果 在儿童健康的理解、部分重要食品(如奶及其制品)对儿童健康的重要性、以及烹饪方法 对食物营养成份影响方面的知识,对儿童膳食结构、健康状况和进食行为方面的态度,为儿童提供多种食物、经常查找喂养孩子知识方面的行为,农村留守儿童监护人的正确率均低于对照组(均P<0.05).留守儿童营养不良检出率(4.7%)、营养性贫血检出率(19.8%)、锌缺乏率(46.2%)、碘缺乏率(21.7%)均高于对照组(0.9%、8.5%、34.4%、12.7%),差异均有统计学意义(χ2值分别为5.489、11.182、6.125、5.974,均P<0.05).留守儿童智力低下和边缘智力的检出率(3.8%、20.8%)高于对照组(1.9%、10.4%),差异有统计学意义(χ2=13.476,P<0.05).农村留守儿童监护人喂养知识、态度、行为得分为"低分组"的儿童,其营养不良和营养性贫血检出率较高(χ2值分别为12.211,6.921,均P<0.05).结论 农村儿童监护人喂养知识、态度、行为与儿童营养状况关系密切,我国农村儿童监护人的喂养知识、态度、行为存在较多问题,祖父辈监护人更为缺乏.%To investigate the relationship between scores on rural children guardians' feeding knowledge, attitude and practices and children development deviation among left-behind children aged 1 -4 years old with both parents working out. Methods A total of 424 children aged 1-4 years old were selected from 12 villages in 2 counties of Anhui province, half of them with both parents working out and half of them without. Their guardians feeding knowledge, attitude and practices were evaluated with self-designed questionnaires, and the physical development of the children was measured and evaluated. The peripheral blood hemoglobin, trace element of zinc, urinary iodine, and children neuropsychological development were evaluated. Results The rates of correct understanding of some children feeding knowledge, such as knowledge of children health, importance of some important foods ( milk and milk products ), effects of cooking methods on food nutrition, of left-behind children' s guardians were lower than those of control group ( all P <0.05 ). The rates of correct attitude on food structure, health status and eating habit and of correct practices on providing various foods and looking for knowledge about children feeding of left-behind children' s guardians were also lower ( all P <0. 05 ). The prevalence of malnutrition, nutritional anemia, zinc deficiency and iodine deficiency in left-behind children were higher than those of control group ( 4. 7% vs 0. 9% , 19. 8% vs 8. 5% , 46. 2% vs 34.4% and 21. 7% vs 12.7% , respectively ), and the differences were statistically significant (x2 value was 5.489, 11. 182, 6. 125 and 5. 974, respectively, all P <0. 05 ). The prevalence of mental retardation and edge intelligence in left-behind children were higher than those of control group ( 3. 8% vs 1. 9% , 20. 8% vs 10. 4% , respectively ), and the differences had statistical significance (x2 =13.476, P<0.05 ). The prevalence of malnutrition and nutritional anemia was higher in left-behind children with low scores on guardians' feeding knowledge, attitude and practices (x2 value was 12. 211 and 6. 921, respectively, both P <0. 05 ). Conclusion Rural children s nutritional status is closely associated with their guardians knowledge, attitude and practices. There are more problems in feeding knowledge, attitude and practices of rural children guardians' , especially in grandparents.

  17. Gender, Anxiety, and Depressive Symptoms: A Longitudinal Study of Early Adolescents

    Chaplin, Tara M.; Gillham, Jane E.; Martin E. P. Seligman

    2009-01-01

    Does anxiety lead to depression more for girls than for boys? This study prospectively examines gender differences in the relationship between anxiety and depressive symptoms in early adolescence. One hundred thirteen 11- to 14-year-old middle school students complete questionnaires assessing depressive symptoms and three dimensions of anxiety (worry and oversensitivity, social concerns and concentration, and physiological anxiety) as well as total anxiety symptoms at an initial assessment an...

  18. Influencing Adolescent Leisure Motivation: Intervention Effects of HealthWise South Africa

    Caldwell, Linda L.; Patrick, Megan E.; SMITH, EDWARD A.; Palen, Lori-Ann; WEGNER, LISA

    2010-01-01

    This study investigates changes in self-reported motivation for leisure due to participation in HealthWise, a high school curriculum aimed at decreasing risk behavior and promoting health behavior. Participants were 2,193 mixed race adolescents (M = 14 years old) from 9 schools (4 intervention, 5 control) near Cape Town, South Africa. Students in the HealthWise school with the greatest involvement in teacher training and implementation fidelity reported increased intrinsic and identified moti...

  19. Aversive Learning in Adolescents: Modulation by Amygdala–Prefrontal and Amygdala–Hippocampal Connectivity and Neuroticism

    Garavan, Hugh

    2013-01-01

    PUBLISHED Neuroticism involves a tendency for enhanced emotional and cognitive processing of negative affective stimuli and a propensity to worry and be anxious. It is known that this trait modulates fear learning and the activation of brain regions involved in it such as the amygdala, hippocampus, and prefrontal cortex and their connectivity. Thirty-nine (21 female) 14-year-old healthy adolescents participated in functional magnetic resonance imaging (fMRI) of aversive pavlovian different...

  20. Spirituality within the Family and the Prevention of Health Risk Behavior among Adolescents in Bangkok, Thailand

    Chamratrithirong, Aphichat; Miller, Brenda A.; Byrnes, Hilary F.; Rhucharoenpornpanich, Orratai; CUPP, PAMELA K.; Rosati, Michael J; Fongkaew, Warunee; Atwood, Katharine A.; CHOOKHARE, WARUNEE

    2010-01-01

    This study investigates the influences of a family's spiritual beliefs and practices on substance use and sexual risk behaviors among young adolescents 13 to 14 years old in Bangkok, Thailand. Independent predictor variables are the parents' and teens' spiritual beliefs and practices in Buddhism and parental monitoring behaviors. The study uses data from the 2007 Baseline Survey of the Thai Family Matters Project, which adapted a U.S. based family prevention program for Thai culture. A repres...

  1. Thicker Temporal Cortex Associates with a Developmental Trajectory for Psychopathic Traits in Adolescents

    Yang, Yaling; Wang, Pan; Baker, Laura A.; Narr, Katherine L.; Joshi, Shantanu H.; Hafzalla, George; Raine, Adrian; Thompson, Paul M.

    2015-01-01

    Psychopathy is a clinical condition characterized by a failure in normal social interaction and morality. Recent studies have begun to reveal brain structural abnormalities associated with psychopathic tendencies in children. However, little is known about whether variations in brain morphology are linked to the developmental trajectory of psychopathic traits over time. In this study, structural magnetic resonance imaging (sMRI) data from 108 14-year-old adolescents with no history of substan...

  2. Granulomatous Mycosis Fungoides in an Adolescent-A Rare Encounter and Review of the Literature.

    Wieser, Iris; Wohlmuth, Christoph; Duvic, Madeleine

    2016-09-01

    Granulomatous mycosis fungoides (GMF) is a rare form of mycosis fungoides (MF) characterized by an infiltrate of atypical lymphocytes, histiocytes, and multinucleated giant cells. Clinically, GMF has a slowly progressing course with a worse prognosis than other forms of MF. With its peak incidence being in the fifth to sixth decade, GMF is rare in children and adolescents. Herein we describe a 14-year-old boy with GMF. PMID:27595880

  3. An exploratory study of predisposing factors for eating disorders in adolescent girls

    Mokbel, Carine

    1988-01-01

    Research efforts in the area of eating disorders have been numerous and varied. However, few studies have investigated the existence of specific predisposing factors that could render a young female adolescent more susceptible to developing an eating disorder. The present study was attempted in an effort to fill this knowledge gap. One hundred and fifty nine, 12 to 14 year old female students not known as having an eating disorder, were surveyed at a public school in Roanoke County, Virginia....

  4. Anorexia in the Adolescence - case study

    Almeida de Paiva, Maria O

    2010-07-01

    Full Text Available Eating disorders lead to special biological and psychological states. The result of the total lack of food is treated in a distinct way by anorexia. Nutritionists have thus had difficulty in coming to an agreement on the best therapy to prevent such disorders. First it is essential to understand which treatment aims are and then to attempt to know how the several treatment models used nowadays can reach those aims. Someone who suffers from eating disorders, together with an inner deformation, suffers from too much sensitiveness. In order to solve these problems, one needs a change in the relationship with oneself, with the others and with the world. This study presents a teenager’s case study – Anorexia. Is, in fact, a problem that society faces and can’t ignore. Many youngsters have already died and others are following their steps. But there are also those ones that succeeded in overcoming the problem and now are reporting their stories.

  5. Cumulative Vulnerability: A Case Study on intrafamilial violence, Drug Addiction and Adolescent Pregnancy.

    Miura, Paula Orchiucci; Passarini, Gislaine Martins Ricardo; Ferreira, Loraine Seixas; Paixão, Rui Alexandre Paquete; Tardivo, Leila Salomão de La Plata Cury; Barrientos, Dora Mariela Salcedo

    2014-12-01

    A pregnant adolescent's vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of São Paulo. The data were interpreted and analyzed using Content Analysis. Results intrafamilial violence experienced at the beginning of the adolescent's early relationships seriously affected her emotional maturity, triggering the development of psychopathologies and leaving her more susceptible to the use and abuse of alcohol and other drugs. The adolescent is repeating her history with her daughter, reproducing the cycle of violence. Conclusion Adolescent pregnancy combined with intrafamilial violence and drug addiction and multiplies the adolescent's psychosocial vulnerability increased the adolescent's vulnerability. PMID:25830736

  6. Neural language processing in adolescent first-language learners.

    Ferjan Ramirez, Naja; Leonard, Matthew K; Torres, Christina; Hatrak, Marla; Halgren, Eric; Mayberry, Rachel I

    2014-10-01

    The relation between the timing of language input and development of neural organization for language processing in adulthood has been difficult to tease apart because language is ubiquitous in the environment of nearly all infants. However, within the congenitally deaf population are individuals who do not experience language until after early childhood. Here, we investigated the neural underpinnings of American Sign Language (ASL) in 2 adolescents who had no sustained language input until they were approximately 14 years old. Using anatomically constrained magnetoencephalography, we found that recently learned signed words mainly activated right superior parietal, anterior occipital, and dorsolateral prefrontal areas in these 2 individuals. This spatiotemporal activity pattern was significantly different from the left fronto-temporal pattern observed in young deaf adults who acquired ASL from birth, and from that of hearing young adults learning ASL as a second language for a similar length of time as the cases. These results provide direct evidence that the timing of language experience over human development affects the organization of neural language processing. PMID:23696277

  7. Determinants of Internet Addiction among Adolescents: A Case-Control Study

    Artemis Tsitsika

    2011-01-01

    Full Text Available Internet Addiction (IA is associated with adverse psychosocial development and mental disorders. The study aims were to evaluate the psychosocial profiles and psychiatric comorbidities associated with IA among adolescents. A case-control study was conducted among 129 adolescents in the outpatient setting of the Adolescent Health Unit of the Second University Department of Pediatrics in Athens, Greece. The case group consisted of 86 adolescents with IA as evaluated following psychiatric interview with two independent examiners. The control group consisted of 43 adolescents without IA, frequency matched for age and gender with case group participants. The study findings indicated that adolescents with IA were significantly more likely to have divorced parents (p = 0.012 and/or dysfunctional familial relationships (p < 0.0001. The proportion of adolescents with poor academic performance (p < 0.0001 and unexcused school absences (p = 0.004 was greater among those with IA. Moreover, approximately two-thirds of the adolescents with IA were engaged in high-risk behaviors (p < 0.0001. Finally, adolescents with IA were 3.89 times more likely to present with comorbid psychiatric conditions (CI 95%: 1.19–12.70, including depression (10.5 vs. 0%; p = 0.022. Adolescent IA is associated with deterred familial functions, poor academic performance, engagement in high-risk behaviors, and an augmented likelihood for depression.

  8. Exclusive wearing of shoes of impregnated cloth by an adolescent girl during a cold winter: late effects in osseous tomo-scintigraphy and in magnetic resonance imaging

    We present a rare clinical case of a 14-year-old adolescent girl from central Switzerland with an algoneurodystrophy of the left foot and leg 6 months after grade I frostbite(s) of the feet. After 6 months of constant pain of the digits, not attenuated by non steroid anti-inflammatory drugs, MRI of the feet reveals a predominantly left-sided and distal medullary edema, limited to the phalanges. Bone scintigraphy shows a predominantly left-sided diffuse feet hypoperfusion, coupled with an increased bone uptake of the left leg at late images. Inadequate life-style of adolescents, i.e., exclusively wearing shoes made of cloth and not of leather - even with temperatures below 0 Celsius degree in winter - might be a cause of chronic pain of foot digits. This is a rare demonstration of late effects of cold on foot digits by combined MRI and bone scintigraphy. Algoneurodystrophy in children and adolescents is an under diagnosed clinical entity. (authors)

  9. Korelace mezi sportovní činností a užíváním návykových látek u 14letých žáků a žákyň základních škol ve Slovinsku Correlation between sport activity and drug-taking among 14 year-old primary school male and female pupils in Slovenia

    Jože Štihec

    2006-02-01

    é by jim umožňovaly trávit volný čas přiměřenějším a kvalitnějším způsobem. The aim of this research was to establish whether there is a correlation between sport activity and drug-taking among 14 year old pupils. This research is based on a questionnaire of 38 variables and the probability relations among the variables have been tested by the chi-square. Analysis has shown that 80% of male and 85% of female pupils practice sport in their leisure time. On average, they practice sport 2 to 3 times a week. The majority of male pupils practice sport competitively (39%, while female pupils primarily practice not officially organized recreational sports (48%. As for smoking, 4% of the male and 12% of the female pupils smoke, the majority of the male pupils had their first cigarette at the age of 13, female pupils at the age of 12. Regarding alcohol use, 90% of the male and 94% of the female pupils had tried an alcohol beverage, which means a majority of pupils between ages 10 and 13. As far as drugs are concerned, 18% of the male and 26% of the female pupils tried drugs. The prevailing types of drug-taking are vapor inhaling, pills and marijuana. The majority of pupils said they had tried smoking, drinking alcohol and taking illicit drugs out of curiosity. Parents mainly encourage their children to practice sport. The majority of pupils think that sport and smoking do not go together, they are of the opinion that sport activities are those activities that could discourage drug-taking. We have ascertained that is no statistically significant correlation between sport activities and taking drugs both legal and illicit drugs. However, a statistically characteristic correlation has been ascertained with regard to drinking alcohol in the case of male pupils (beer and wine and inhaling vapors in the case of female pupils. Differences would be probably more evident at a later time – the transition from primary to secondary school. To discourage young people from

  10. Adolescent eating disorder behaviours and cognitions: gender-specific effects of child, maternal and family risk factors

    Micali, N; De Stavola, B.; Ploubidis, G; Simonoff, E; Treasure, J.; Field, AE

    2015-01-01

    Background Eating disorder behaviours begin in adolescence. Few longitudinal studies have investigated childhood risk and protective factors. Aims To investigate the prevalence of eating disorder behaviours and cognitions and associated childhood psychological, physical and parental risk factors among a cohort of 14-year-old children. Method Data were collected from 6140 boys and girls aged 14 years. Gender-stratified models were used to estimate prospective associations between childhood bod...

  11. Limited Immersion in Cued Speech: A Case Study.

    Gordon, Malcolm; And Others

    The case study examines the effects on the receptive and expressive English language of a deaf 14 year old after a period of limited language immersion using Cued Speech, in which every sound in a word is represented both expressively and receptively. In a four week period the S spent approximately 14 hours per week with a modeler who cued speech…

  12. Case analyses of adolescents who were sexually abused while being intoxicated / Siniko Madikizela

    Madikizela, Siniko

    2013-01-01

    South Africa is faced with a high rate of substance use and sexual abuse among both sexes of adolescents from a wide range of social backgrounds. So many cases have been reported in the Department of Social Development and Special Programmes in Port St Johns. This article shows that the patterns of alcohol use among South African adolescents is cause for concern. The use of substance by adolescents is associated with a range of negative consequences, including the risk of be...

  13. Video Game Playing Effects on Obesity in an Adolescent with Autism Spectrum Disorder: A Case Study

    Strahan, Brandy E.; Elder, Jennifer H.

    2015-01-01

    Adolescent obesity has tripled in the past two decades, and adolescents with disabilities, specifically autism spectrum disorders (ASD), may be at greater risk for obesity due to the behavioral, physical, and psychosocial complications related to their disorder. This case study reports the effects of video game playing on an obese adolescent with ASD and illustrates the use of a multiple baseline single subject design. Over 12 weeks, the participant played inactive (6 weeks) and active video ...

  14. Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study

    Danny Salazar-Pousada; Dalton Arroyo; Luis Hidalgo; Pérez-López, Faustino R.; Peter Chedraui

    2010-01-01

    Background. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the 14-item Wagnild and Young Resilience Scale (RS), respectively. A case-control approach was used to compare differences between adolescents and adult...

  15. Characteristics and motives of adolescents talking with strangers on the internet.

    Peter, Jochen; Valkenburg, Patti M; Schouten, Alexander P

    2006-10-01

    Despite widespread concerns about the dangers of adolescents' online communication with strangers, we know little about (a) which types of adolescents talk with strangers and (b) what motivates them to do so. Drawing on a survey among 412 Dutch adolescents, we found that early adolescents (12-14-year-olds) were most prone to talk with strangers on the internet. If adolescents communicated online more frequently, they less often talked with strangers on the internet. However, if adolescents engaged in long chat sessions, they tended to talk with strangers on the internet more often. In contrast to earlier research, introversion was not related to adolescents' tendency to talk with strangers. The motives of entertainment, meeting new people, and social compensation increased adolescents' online communication with strangers. PMID:17034318

  16. A Case of Acute Psychosis in an Adolescent Male

    Ghufran Babar

    2014-01-01

    Full Text Available Primary hyperparathyroidism (PHPT is a disorder of calcium homeostasis. We report the case of a 17-year-old adolescent male, who presented with an acute psychosis coinciding with severe hypercalcemia and markedly elevated intact parathyroid hormone (iPTH level and low vitamin D level. A Sestamibi scan showed a positive signal inferior to the left lobe of the thyroid gland. He had only a partial response to the initial medical and psychiatric management. The enlarged parathyroid gland was resected surgically and postoperatively serum calcium and iPTH levels normalized. The histopathology was compatible with a benign adenoma. Patient’s acute psychotic symptoms resolved gradually after surgery; however he remained under psychiatric care for the behavioral issues for about 6 months after surgery. While psychosis is a rare clinical manifestation of hypercalcemia secondary to PHPT in pediatric population, it should be considered as a clinical clue in an otherwise asymptomatic pediatric patient.

  17. Prevalência da maloclusão e necessidade de tratamento ortodôntico em escolares de 10 a 14 anos de idade em Belo Horizonte, Minas Gerais, Brasil: enfoque psicossocial Malocclusion prevalence and orthodontic treatment need in 10-14-year-old schoolchildren in Belo Horizonte, Minas Gerais State, Brazil: a psychosocial focus

    Leandro Silva Marques

    2005-08-01

    Full Text Available Os objetivos deste estudo transversal foram determinar a prevalência da maloclusão e verificar a associação entre necessidade normativa de tratamento ortodôntico e determinados aspectos psicossociais. A amostra (n = 333 foi representativa de todos os adolescentes de 10 a 14 anos de idade, residentes em Belo Horizonte, Minas Gerais, Brasil. A variável dependente "necessidade normativa de tratamento ortodôntico" foi avaliada por intermédio do Dental Aesthetic Index (DAI, e as variáveis independentes (gênero, idade, escolaridade da mãe, nível econômico, percepção dos pais quanto à estética bucal e necessidade de tratamento dos filhos e desejo de tratamento pelos adolescentes, mediante questionários. Foram realizadas análises descritiva, univariada e de regressão logística múltipla (Stepwise Forward Procedure, adotando-se o nível de significância p The objectives of this cross-sectional study were to assess the prevalence of malocclusion and to verify the association between normative orthodontic treatment need and certain psychosocial aspects. The sample (n = 333 was representative of the population of adolescents (10-14 years in Belo Horizonte, Minas Gerais, Brazil. The dependent variable "normative orthodontic treatment need" was evaluated through the Dental Aesthetic Index (DAI and the independent variables (gender, age, mother's schooling, economic status, parent's perception of the child's oral aesthetics, parent's perception of the child's orthodontic treatment need, and the adolescent's desire for orthodontic treatment were evaluated through questionnaires. Descriptive, bivariate, and logistic regression (stepwise forward procedure, p ¾ 0.05 analyses were performed. Malocclusion prevalence was 62.0% and normative orthodontic treatment need was 52.2%. The variables adolescent's orthodontic treatment desire and parents' perception of the child's oral aesthetics were significantly associated with normative orthodontic

  18. Adolescent idiopathic scoliosis: Retrospective analysis of 235 surgically treated cases

    Unnikrishnan Ranjith

    2010-01-01

    Full Text Available Background : The surgical treatment of adolescent idiopathic scoliosis (AIS has taken great strides in the last two decades. There have been no long term reported studies on AIS from India with documented long term followup. In this study we review a single surgical team′s series of 235 surgically treated cases of AIS with a follow-up from two to six years. Materials and Methods : Pre operative charts, radiographs and MRI scans for 235 patients were collected for this study. The patients were grouped into three groups where anterior correction and fusion (n=47, posterior correction and fusion (n=123 and combined anterior release and posterior instrumentation (n=65 was performed. Each group was divided into two subgroups based on the surgical approach and instrumentation strategy (all screw construct or hybrid construct used. Patients were followed up for coronal and saggital plane corrections, apical vertebral translation (AVT, trunk balance and back pain. The percentage of correction was calculated in each group as well as sub groups. Results : The incidence of MRI detected intraspinal anomaly in this series is 5.9% with 3.4% of them requiring neurosurgical procedure along with scoliosis correction. Average coronal major curve correction was 66% in the all screw group and 58.5% in the hybrid group. The coronal plane correction was better when the all screw constructs were employed. Also, the AVT and trunk balance was better with the all screw constructs. The anterior corrections resulted in better correction of the AVT and trunk balance as compared to the posterior correction. There were eight (3.4% complications in this series. The coronal and saggital plane correction paralleled the published international standards. Conclusion : The coronal plane correction was better when all screw constructs were employed. Use of all pedicle screw systems obviated the need for costoplasty in most cases. The increased incidence of intraspinal anomaly may

  19. Prevalência e associação de asma e rinite em adolescentes de 13 e 14 anos de Fortaleza, Ceará, Brasil Asthma and rhinitis prevalence and co-morbidity in 13-14-year-old schoolchildren in the city of Fortaleza, Ceará State, Brazil

    Maria de Fátima Gomes de Luna

    2011-01-01

    Full Text Available Objetivou-se avaliar a prevalência e associação de asma e rinite. Trata-se de estudo transversal envolvendo 3.015 adolescentes de 13-14 anos de Fortaleza, Ceará, Brasil, de escolas públicas e privadas, utilizando-se o protocolo do International Study of Asthma and Allergies in Childhood (ISAAC, em 2006/2007. A prevalência de asma foi 22,6%; de rinite, 43,2% e de rinoconjuntivite, 18,7%, predominando no sexo feminino (p = 0,002, p This study aimed to measure the prevalence rates for asthma and rhinitis and the association between the two conditions. This was a cross-sectional study of 3,015 adolescents (13-14 years of age in Fortaleza, Ceará State, Brazil, in public and private schools, using the protocol from the International Study of Asthma and Allergies in Childhood (ISAAC, in 2006-2007. Prevalence rates were 22.6% for asthma, 43.2% for rhinitis, and 18.7% for rhinoconjunctivitis, with a predominance of females (p = 0.002, p < 0.001, and p < 0/001, respectively and private school students (p < 0.001. Among adolescents that reported asthma, the rhinitis rate was 64.4% and the rhinoconjunctivitis rate was 35.3%. The rates of association were 14.6% between asthma and rhinitis and 8% between asthma and rhinoconjunctivitis, with a predominance of females (p < 0.001 and p < 0.001, respectively and associated with speech-limiting wheezing (p = 0.037 and p = 0.004, respectively. The study can help call health professionals' attention to the importance of an integrated approach to these illnesses, considering the "single airway" concept and seeking treatment options that act on both asthma and rhinitis when the two conditions present simultaneously.

  20. Epidemiological profile of exogenous poisoning in children and adolescents from a municipality in the state of Mato Grosso

    Felipe Ferreira S. Oliveira

    2014-12-01

    Full Text Available OBJECTIVE: To study the epidemiology of exogenous intoxications in children and adolescents of Barra Garças, Mato Grosso, from January 2008 to September 2013.METHOD: This was a cross-sectional, retrospective, and descriptive epidemiological study. Data were collected from the Disease Notification System (Sistema de Informação de Agravos de Notificação [SINAN] of the municipality, processed using Microsoft Excel, and evaluated through BIOESTAT statistical software. The variables included were: sex; age; toxic agent; time and place of service; route of administration; circumstance; and classification of intoxication. The age range was established according to the Brazilian Institute of Geography and Statistics, comprising children aged from 0 to 9 years old and adolescents aged from 10 to 19 years old.RESULTS: A total of 125 cases of accidental exogenous poisoning was registered, including 77 children and 48 adolescents. Food and beverages (38.4% and drugs (24.0% were the most common groups of toxic agents responsible for the poisoning. The largest age group affected by intoxication was composed of children aged from 0 to 4 years old (43.2% and adolescents aged from 10 to 14 years old (19.7%. Regarding the circumstances, intoxication occurred due to suicide attempts (16.8% and accidental events (23.2% in adolescents and children, respectively. The study revealed a higher frequency of poisoning in girls.CONCLUSION: Exogenous intoxications occurred predominantly in children up to 4 years old, through the accidental consumption of food or drinks. Thus, the adoption of educational prevention programs for children's family members and caregivers is necessary.

  1. Food habits and nutritional status of adolescents in Emilia-Romagna, Italy Hábitos alimenticios y estado nutricional de los adolescentes de Emilia-Romagna, Italia

    S. Toselli; L. Argnani; E. Canducci; Ricci, E; E. Gualdi-Russo

    2010-01-01

    Introduction: The prevalence of childhood and adolescent obesity is increasing, with negative medical and psychosocial consequences. Aims: This study examines the association between weight status and nutrient intake, sport and leisure habits of middle school students in Bologna (Italy). Methods: Anthropometric data (height, weight) of 598 subjects (321 males and 277 females) 11-14 years old were collected. Questionnaires on nutrient intake, sport and leisure behaviour were administered. Resu...

  2. The contribution of peers to monthly variation in adolescent depressed mood: A short-term longitudinal study with time-varying predictors

    Connell, Arin M.; Dishion, Thomas J.

    2006-01-01

    This study examined peer predictors of variation and growth in depressed mood among high-risk adolescents, using child and parent reports of monthly symptoms. One hundred seventy-six parents and their 10- to 14-year-old children separately took part in a series of up to nine monthly interviews. Multilevel growth models examined both time-varying peer predictors of parent and child reports of the child's depressive symptoms, controlling for age, gender, and treatment status. Deviant peer affil...

  3. A Formative Evaluation of a Social Media Campaign to Reduce Adolescent Dating Violence

    Lambert, Danielle N; Bishop, Lauren E; Guetig, Stephanie; Frew, Paula M.

    2014-01-01

    Background The Emory Jane Fonda Center implemented the Start Strong Atlanta social marketing campaign, “Keep It Strong ATL”, in 2007 to promote the development of healthy adolescent relationships and to foster the prevention of adolescent dating abuse among 11-14 year olds. Objective A formative evaluation was conducted to understand whether messages directed at the target audience were relevant to the program’s relationship promotion and violence prevention goals, and whether the “Web 2.0” s...

  4. Mother-adolescent conflict in African American and European American families: the role of corporal punishment, adolescent aggression, and adolescents' hostile attributions of mothers' intent.

    MacKinnon-Lewis, Carol; Lindsey, Eric W; Frabutt, James M; Chambers, Jessica Campbell

    2014-08-01

    The present study examined mothers' use of corporal punishment and adolescents' aggression as predictors of mother-youth conflict during early adolescence. Particular attention was given to the potential mediating role that adolescents' hostile attributions of intent (HAI) regarding mothers' behavior might play in connections between corporal punishment, youth aggression, and mother-adolescent conflict for European American (EA) and African American (AA) youth. Data were collected from 268 12- to 14-year-olds (154 European American; 114 African American; 133 girls; 135 boys) and their mothers over a period of 2 years. Questionnaires completed by both mothers and adolescents were used to assess maternal corporal punishment and adolescent aggression, and interviews concerning hypothetical situations were used to assess adolescent HAI in year one. In both year one and year two mother-adolescent conflict was observed in a laboratory interaction session. Data revealed that adolescent HAI mediated the link between maternal corporal punishment and mother-adolescent conflict for EA, but not AA youth. Adolescents' HAI mediated the link between adolescent aggression and mother-adolescent conflict for both EA and AA families. PMID:25086461

  5. Munchausen by Proxy: A Case, Chart Series, and Literature Review of Older Victims

    Awadallah, Nida; Vaughan, Aaron; Franco, Kathleen; Munir, Farah; Sharaby, Na'ama; Goldfarb, Johanna

    2005-01-01

    The history of an older child victim of Munchausen by proxy (MBP) is described. He was referred for evaluation after repeated sinus surgeries for recurrent sinus infections believed to be related to a falsified history of an immunodeficiency. The perpetrator was the mother of this 14-year-old victim, consistent with the majority of such cases.…

  6. Treatment of an open traumatic dislocation of the thigh in a child (a clinical case)

    Guzenko, Sergey; Gutsul, Ivan; Kutsiy, Mykola; Nikoruk, Vasyl; Getmanchuk, Yuriy

    2012-01-01

    The authors describe a casuistic case of an open traumatic dislocation of the femoral head in a 14-year-old child. The tactics of treatment is described; a good clinical result was achieved with a follow-up period of 11 months.

  7. Hematocolpos as a Cause of Urinary Overflow Incontinence in a Young Girl: A Case Report

    A. A. Ketabchi; Sh Naroei; M Ahmadinejad

    2009-01-01

    Urinary overflow incontinence is an unusual problem in young girls. Hereby we introduce hematocolpos as one of the rare causes of overflow incontinence in a 14-year-old girl. In this case, hematocolpos simultaneously compressed the bladder and the bladder-outlet and finally caused overflow incontinence. 

  8. Case Study: Psychiatric Misdiagnosis of Non-24-Hours Sleep-Wake Schedule Disorder Resolved by Melatonin

    Dagan, Yaron; Ayalon, Liat

    2005-01-01

    This case study describes a 14-year-old male suffering from significant academic and personal difficulties, who has been diagnosed with depression, schizotypal personality disorder, and learning disabilities. Because of excessive sleepiness, assessment for a potential sleep disorder was performed. An overnight polysomnographic study revealed no…

  9. Grammatical Constructions in Cri du Chat Syndrome--Findings from a Case Study

    Kristoffersen, Kristian Emil

    2009-01-01

    The literature on grammatical skills in persons with Cri du chat syndrome (CCS) is very limited, and the need for more knowledge in this area is thus evident, in particular for speech and language therapists working with individuals with this syndrome. This case study report describes the syntactic skills of a 14-year-old Norwegian girl with CCS.…

  10. Alcohol consumption among Brazilian Adolescents according to the National Adolescent School-based Health Survey (PeNSE 2012

    Deborah Carvalho Malta

    2014-01-01

    Full Text Available OBJECTIVE: To describe the prevalence of alcohol consumption among Brazilian students and identify the sociodemographic factors associated alcohol consumption in the last 30 days. METHODS: Cross-sectional study with a cluster sample of 109,104 9th grade students in Brazilian public and private schools in 2012. The prevalence and 95% confidence intervals of the indicators of alcohol consumption were analyzed. RESULTS: Of the students analyzed, 50.3% (95%CI 49.0 - 51.6 experimented one dose of alcoholic beverages or more. The consumption of alcohol in the last 30 days was 26.1% (95%CI 24.5 - 27.7, and there was no difference in prevalence between students from public and private schools. Drunkenness episodes were reported by 21.8% (95%CI 21.1 - 22.5 of the students. The perception of students about the negative reaction of their family if they came home drunk occurred in 89,7% (95%CI 89,6 - 89,9 of cases, and 10% (95%CI 8.9 - 11.1 of them reported having problems with their families or friends because they had been drinking. Among adolescents aged less than 14 years old, the first alcoholic drink intake was predominantly at 12 to 13 years old. The most common way to get a drink was at parties, with friends, buying in them in supermarkets, stores or bars and at home. The consumption of alcohol in the last 30 days was less frequent among boys, increasing with age. CONCLUSION: The study demonstrates the extension of alcohol as a problem, making it important to advance in measures such as the improvement of protective legislation for children and adolescents and stricter enforcement in alcohol sales.

  11. Asperger disorder and the Tomatis method : a case-study / Lindi Nel

    Nel, Lindi

    2005-01-01

    This study aimed to determine what the effect of participation in a Tomatis Programme (TP) would be on the psychological well-being and communication ability of a 14 year old, white adolescent boy with Asperger Disorder (AD). A mixed method design in the form of a single casestudy was used. Qualitative data were obtained via semi-s!mctured interviews, spontaneous sketches and observation. Quantitative data were gathered by means of projective drawings and the Profile of Mood...

  12. Mycophenolate-Associated Alopecia in an Adolescent Girl Mycophenolate and Alopecia

    Belde KASAP

    2014-01-01

    Full Text Available PURPOSE: To report a patient treated with enteric-coated mycophenolate sodium (EC-MPS, in whom infrequent side effects developed. CASE REPORT: A 14-year-old girl presented with hair loss after starting EC-MPS. She had her fi rst nephrotic syndrome attack when she was 7 years old. During the next six years, she had six attacks and two biopsies without fi ndings of segmental sclerosis. She received steroids and 55 months of CsA. She was evaluated as steroid and CsA dependent when she had a relapse a month after cessation of treatment. The last biopsy showed CsA toxicity. EC-MPS was institituted (1080 mg/d. Alopecia developed at the second month. The dose was decreased by two third and hair loss stopped within a month. Her menstrual cycles also ceased after EC-MPS treatment and resumed two months after dose reduction. She remained in remission during the following 8 months and had a new relapse thereafter, which responded to a short term of high dose steroid treatment. She is still on the 20th month of EC-MPS and had no relapse. CONCLUSION: This is the fi rst adolescent with alopecia and menstrual irregularity during EC-MPS treatment, which may be effective even at a two third of the suggested dose.

  13. Long-term consequences of adolescent fertility: The Colombian case

    B. Piedad Urdinola

    2015-06-01

    Full Text Available Background: Estimating the long-term effects of adolescent motherhood is challenging for all developing countries, including Colombia, where this rate has been steadily increasing for 24 years, despite the reduction in the overall fertility rate. We propose a replicable methodology by applying a pseudo panel that evaluates the consequences of adolescent motherhood on outcomes previously neglected in the literature, such as job quality, marriage instability, partner's job class, presence of physical abuse by current partner, and children's health. Objective: To examine how adolescent mothers compare with non-adolescent mothers in outcomes not previously studied, such as job quality, marriage instability, partner's job class, if respondent has been physically abused by current partner, and health outcomes for their children Methods: We built a pseudo panel using four Demographic and Health Surveys (1995-2010 and compared the effects of older adolescent childbearing (ages 18-19 with those of women who postponed motherhood for just a couple of years (ages 20-21, exploiting the natural difference between adolescents and young adults who become mothers. Results: The results revealed younger mothers as well as their partners hold lower-class jobs, suffer higher rates of domestic violence at the hands of their partners, and have a higher share of deceased children. Conclusions: The latter two results lead us to suggest aggressive and comprehensive targeted public policies both for prevention of adolescent motherhood and for following their just-born babies' health.

  14. Exclusive wearing of shoes of impregnated cloth by an adolescent girl during a cold winter: late effects in osseous tomo-scintigraphy and in magnetic resonance imaging; Froid hivernal et port exclusif de chaussures de sport en tissu par une adolescente: effets tardifs en tomoscintigraphie osseuse et en resonance magnetique nucleaire

    Als, C.; Marugg, S. [Medical Imaging Luzern, Lucerne (Switzerland); Als, C. [Zithaklinic, Service de Medecine Nucleaire, Grand-Duche de Luxembourg (Luxembourg)

    2009-10-15

    We present a rare clinical case of a 14-year-old adolescent girl from central Switzerland with an algoneurodystrophy of the left foot and leg 6 months after grade I frostbite(s) of the feet. After 6 months of constant pain of the digits, not attenuated by non steroid anti-inflammatory drugs, MRI of the feet reveals a predominantly left-sided and distal medullary edema, limited to the phalanges. Bone scintigraphy shows a predominantly left-sided diffuse feet hypoperfusion, coupled with an increased bone uptake of the left leg at late images. Inadequate life-style of adolescents, i.e., exclusively wearing shoes made of cloth and not of leather - even with temperatures below 0 Celsius degree in winter - might be a cause of chronic pain of foot digits. This is a rare demonstration of late effects of cold on foot digits by combined MRI and bone scintigraphy. Algoneurodystrophy in children and adolescents is an under diagnosed clinical entity. (authors)

  15. Randomized clinical trial of musical distraction with and without headphones for adolescents' immunization pain.

    Kristjánsdóttir, Ólöf; Kristjánsdóttir, Guðrún

    2011-03-01

    Distraction has shown to be a helpful pain intervention for children; however, few investigations have studied the effectiveness of this method with adolescents. The aim of this study was to evaluate the usefulness of an easy and practical musical distraction in reducing adolescents' immunization pain. Furthermore, to examine whether musical distraction techniques (with or without headphones) used influenced the pain outcome. Hundred and eighteen 14-year-old adolescents, scheduled for polio immunization, participated. Adolescents were randomly assigned to one of three research groups; musical distraction with headphones (n=38), musical distraction without headphones (n=41) and standard care control (n=39). Results showed adolescents receiving musical distraction were less likely to report pain compared to the control group, controlling for covariates. Comparing musical distraction techniques, eliminating headphone emerged as a significant predictor of no pain. Results suggest that an easy and practical musical distraction intervention, implemented without headphones, can give some pain relief to adolescents during routine vaccination. PMID:20409050

  16. A case study on the communication of older adolescents.

    Davis, Lauren; Spencer, Elizabeth; Ferguson, Alison

    2011-11-01

    This study compared the communication of two older male adolescents (aged 17 and 19 years) with each other (peer interaction) and with a teacher (non-peer interaction) in three different types of activity (casual conversation, providing/listening to a recount and collaborative problem-solving). Conversation analysis, selected analyses from the perspective of systemic functional linguistics and social psychology (communication accommodation theory) were applied in data analysis. Peer interaction showed fewer questions, fewer challenging moves and the absence of divergent accommodation strategies. In the non-peer interaction, the teacher's higher number of turns, questions and interruptions appeared to influence the opportunity for adolescent contribution to the interactions. Some aspects of language use by each adolescent - mean turn length, use of one-word utterances and sarcasm - were consistent across communication partner and activity. The methodology is suggested to provide a suitable procedure for use in similar research with older adolescents who have traumatic brain injury. PMID:22106894

  17. Long-term consequences of adolescent fertility: The Colombian case

    B. Piedad Urdinola; Carlos Ospino

    2015-01-01

    Background: Estimating the long-term effects of adolescent motherhood is challenging for all developing countries, including Colombia, where this rate has been steadily increasing for 24 years, despite the reduction in the overall fertility rate. We propose a replicable methodology by applying a pseudo panel that evaluates the consequences of adolescent motherhood on outcomes previously neglected in the literature, such as job quality, marriage instability, partner's job class, presence of ph...

  18. "Suffocation roulette": a case of recurrent syncope in an adolescent boy.

    Shlamovitz, Gil Z; Assia, Ayala; Ben-Sira, Liat; Rachmel, Avinoam

    2003-02-01

    We present the case of a 12-year-old boy admitted with a complaint of recurrent syncopal episodes. A careful history taking revealed the cause of the syncopal episodes to be a dangerous game played by adolescents called "suffocation roulette." We believe that recognition of this game as a possible cause of syncopal events, together with prompt educative intervention, might prevent adolescent morbidity and mortality and also might eliminate the need for unnecessary medical investigations. PMID:12548272

  19. 2010年福建省福州城乡0~14岁儿童哮喘流行病学调查%Prevalence survey of asthma in 0-14 year old children in 2010 in urban and rural areas in Fuzhou of Fujian Province

    刘艳琳; 华云汉; 叶雯婧; 郭依华; 唐素萍; 王世彪; 郑建云; 张敏军; 陈燊; 程潮; 董李; 林东如

    2015-01-01

    was completed with questionnaires, spot interview and physical examination to analyze the prevalence characteristics and diagnosis and treatment of childhood asthma in urban and rural areas.Results Totally 12 235 questionnaires for screening childhood asthma were issued in urban area, and 11 738 questionnaires were taken back with the response rate of 95.9%.There were 485 cases diagnosed with asthma (4.13%).A total of 6 000 questionnaires were issued in rural area, and 5 860 questionnaires were collected with the response rate of 97.7%.There were 119 cases diagnosed with asthma (2.03%).The difference in prevalence of asthma between urban and rural areas was significant (χ2 =52.05,P0.05).Common causes of childhood asthma were remarkably different between urban and rural children.Respiratory tract infection occupied 88.1% and 96.6%in urban and rural area, respectively, and climate change accounted for 43.5% and 76.5%, respectively.The difference in medication use between urban and rural areas was statistically remarkable (χ2 =29.81,P<0.001).The utilization rate of inhaled hormone was 68.7%and 52.1%in urban and rural areas, respectively, and that of antibiotics was 69.5%and 81.5%in urban and rural areas, respectively.Conclusion The prevalence of childhood asthma in urban area is higher than in rural area in Fujian Province.The diagnosis and treatment situation revealed in the study indicates that prevention and treatment education should be strengthened on inhaled hormone and reasonable antibiotics in rural area.

  20. A Case of Primary Vertebral Osteosarcoma Metastasizing to Pancreas

    Serhat Avcu

    2009-07-01

    Full Text Available Context Osteosarcoma is the most common malignant bone tumor in children and adolescents and possesses a high potential for metastasis. The most common sites of osteosarcomatous metastases are the lungs, pleurae, and bone; the pancreas being extremely rare. Case report We report the computed tomography findings of a rare case of pancreatic metastasis in a 14-year-old boy with primary vertebral osteosarcoma being followed-up for 6 years. On abdominal CT, a huge mass containing necrotic and calcified areas and causing bone destruction was seen between thoracic vertebra 7 and sacral vertebra 1 involving both the vertebrae and paravertebral soft-tissue. A large metastatic mass with an irregular contour was also visualized in the pancreatic head and peripancreatic region having tomographic findings similar to the vertebral mass. Tru-cut biopsy of the pancreatic mass confirmed the diagnosis of osteosarcoma metastasis. Conclusions Although extremely rare, osteosarcoma metastasis should be included in the differential diagnosis of pancreatic mass lesions, particularly in patients with a primary tumor.

  1. Colonic diverticulitis in adolescents: an index case and associated syndromes.

    Santin, Brian J; Prasad, Vinay; Caniano, Donna A

    2009-10-01

    Diverticular disease of the colon, a common problem among adults, is diagnosed rarely in children. We report an adolescent patient with sigmoid diverticulitis who required operative treatment. Pediatric patients with the complications of diverticula typically have conditions that result in genetic alterations affecting the components of the colonic wall. Our patient had Williams-Beuren syndrome, although Ehlers-Danlos syndrome, Marfan syndrome, and cystic fibrosis may also be associated with colonic diverticula in adolescence. Pediatric patients with these disorders who experience abdominal pain should be evaluated for the presence of colonic diverticular complications. PMID:19711089

  2. [Food preferences of 10- to 14-year-old boys and girls].

    Diehl, J M

    1999-02-01

    To assess their food preferences a list of 114 foods and 14 beverages was submitted to a sample of 696 boys and 537 girls aged 10 to 14 years. For each item subjects had to rare by means of a five-point facial scale how much they liked or disliked it. Items with highest preference ratings were foods like pizza, ice cream, spaghetti, French fries, hamburgers, pudding, corn flakes, potato chips and popcorn, but also included the most common types of fruit. Disliked to a high degree were liver, canned or steamed fish, raw sauerkraut and red cabbage. In food groups derived by factor analysis, fast food, candy and salty snacks (along with fruit) showed highest mean liking, while vegetables (particularly cooked) ranked at the bottom of the scale. In boys significantly stronger preferences were found for food groups such as fast food, meats, cold cuts and fish, whereas girls had a (slightly) higher preference for fruit, vegetables and cheese. Neither children's age nor relative weight were related to their food preferences to a significant degree. Similarly, groups defined by father's educational level did not show important differences in their food preferences. PMID:10081073

  3. Exploring an Intersectional approach to intercultural competence with 14-year-old students of English

    Svarstad, Lone Krogsgaard

    2015-01-01

    The paper presents an exploration of an intersectional approach to intercultural competence in lower secondary English classes in Denmark. The presentation is based on the second intervention in a participatory action research project in connection with my doctoral thesis in the school year 2013...

  4. Relationship between sleep duration and dietary intake in 4- to 14-year-old Danish children

    Hoppe, Camilla; Rothausen, Berit Worm; Biltoft-Jensen, Anja Pia;

    2013-01-01

    A negative association between sleep duration and BMI has been observed in children. However, knowledge about the association between sleep duration and diet is limited. The objective was to examine the association between sleep duration and intake of foods and nutrients in children. In the prese...

  5. Dietary patterns on weekdays and weekend days in 4–14-year-old Danish children

    Rothausen, Berit Worm; Matthiessen, Jeppe; Andersen, L. F.;

    2013-01-01

    high agreement for the ‘processed’ pattern had a significantly higher dietary energy density, which was reflected in significantly higher intakes of sugar-sweetened beverages and lower intakes of fruit and vegetables, compared with children with high agreement for the ‘health conscious’ pattern (P < 0...

  6. The development of clear speech strategies in 9-14 year olds

    Pettinato, M.; Hazan, V.

    2013-01-01

    This study investigated the development of global clear speech strategies of child talkers. Two groups of 20 talkers aged 9-10 (children) and 13-14 (teens) were recorded in pairs while they carried out spot the difference picture tasks, either hearing each other normally (NB condition) or with one talker hearing the other via a three-channel noise vocoder (VOC condition). Acoustic-phonetic analyses focused on the talker having to overcome the communication barrier. Data were compared to those...

  7. An Assessment of Oral Hygiene in 7-14-Year-Old Children undergoing Orthodontic Treatment

    Krupińska-Nanys, Magdalena; Zarzecka, Joanna

    2015-01-01

    Backround: The study is focused on increased risk of dental plaque accumulation among the children undergoing orthodontic treatment in consideration of individual hygiene and dietary habits. Materials and Methods: The study was conducted among 91 children aged 7-14 including 47 girls and 44 boys. The main objectives of the study were: API index, plaque pH, DMF index, proper hygiene and dietary habits. Statistical analysis was provided in Microsoft Office Exel spreadsheet and STATISTICA statis...

  8. Acute hepatitis and myositis associated with Erythema infectiosum by Parvovirus B19 in an adolescent

    Koliou, Maria; Karaoli, Evaggelia; Soteriades, Elpidoforos S; Pavlides, Sylvie; Bashiardes, Stavros; Christodoulou, Christina

    2014-01-01

    Background: Erythema infectiosum is the most common clinical manifestation of Parvovirus B19 infection although it has also been associated with rheumatologic diseases and various types of systemic vasculitides. Acute hepatitis and benign myositis however are rarely reported in association with Parvovirus B19 infection. Case presentation: Here we report a 14-year old male, who developed acute hepatitis and benign myositis associated with erythema infectiosum following Parvovirus B19 infection...

  9. Acute hepatitis and myositis associated with Erythema infectiosum by Parvovirus B19 in an adolescent

    Koliou, Maria; Karaoli, Evaggelia; Soteriades, Elpidoforos S; Pavlides, Sylvie; Bashiardes, Stavros; Christodoulou, Christina

    2014-01-01

    Background Erythema infectiosum is the most common clinical manifestation of Parvovirus B19 infection although it has also been associated with rheumatologic diseases and various types of systemic vasculitides. Acute hepatitis and benign myositis however are rarely reported in association with Parvovirus B19 infection. Case presentation Here we report a 14-year old male, who developed acute hepatitis and benign myositis associated with erythema infectiosum following Parvovirus B19 infection. ...

  10. Study of the relationship of psychosocial disorders to bruxism in adolescents

    Katayoun E

    2008-12-01

    Full Text Available Background and Aim: Bruxism has been defined as a diurnal or nocturnal parafunctional habit. Etiology of bruxism has remained controversial and some investigators believe that psychological factors may play a major role in promoting and perpetuating this habit. The aim of this case-control study was to assess the existence of an association between bruxism and psychosocial disorders in adolescents., Participants were chosen among 114, 12-14 year old students (girls. They were divided into two groups, bruxers and nonbruxers, on the basis of both validated clinical criteria and interview with each patient. A few participants were excluded on the basis of presence of systemic disorders, TMJ disorders, other oral habits, primary teeth, defective restorations and premature contacts. Following matching of two groups in regard to parent′s age and education, mother′s marital status, child support status, mother′s employment status, and socio-economical status, 25 cases and 25 controls were enlisted. A self report validated questionnaire (YSR, 11-18 yr was then filled out by both groups for the evaluation of 12 psychosocial symptoms. Results: Remarkable differences in certain psychosocial aspects were found between the two groups. Prevalence of psychosocial disorders including Thought Disorders (P < 0.005, Conduct Disorders (P < 0.05, Antisocial Disorders (P < 0.06 as identified by YSR was significantly higher in bruxers. Significant differences between the two groups also emerged in total YSR scores (P < 0.005. The results of Odds Ratio revealed that a bruxer adolescent has 16 times greater probability for psychosocial disorders than a non-bruxer one. Fischer exact test and T-test were used and Odds Ratio and Confidence Interval was estimated. Conclusion: Support to the existence of an association between bruxism and psychosocial disorders has been provided.

  11. Humeral head osteonecrosis in an adolescent amateur swimming athlete: a case report

    Zuo Jianlin

    2012-10-01

    Full Text Available Abstract Osteonecrosis of the humeral head in an adolescent without clear pathogenesis has not been reported in the literature. In this case report, we present such a case of humeral head osteonecrosis in a 15-year-old adolescent. The lesion was located at the subchondral area of the medial part of the humeral head with characteristic appearances on MRI. The shoulder was immobilized in a sling until the pain disappeared, and the patient was told to refrain any kind of sport activities. Bone remodeling was noted five months after the first visit, and it took 2 years for the lesion to be totally healed.

  12. Clinical features of adolescents with deliberate self-harm: A case control study in Lisbon, Portugal

    Diogo F Guerreiro

    2009-11-01

    Full Text Available Diogo F Guerreiro, Ema L Neves, Rita Navarro, Raquel Mendes, Ana Prioste, Diana Ribeiro, Tiago Lila, António Neves, Mónica Salgado, Nazaré Santos, Daniel SampaioYouth Suicide Study Group (NES, The Hospital Santa Maria, Psychiatry Department, Lisbon Faculty of Medicine, PortugalAbstract: Deliberate self-harm (DSH among adolescents is a high-risk condition for suicide. The aim of the present study is to describe the characteristic clinical features of adolescents with DSH according to our local context (Lisbon, Portugal, using easily available information from clinical settings. A case control study was constructed from a sample of 100 adolescents (aged 12 to 21 years. The sample was divided into two groups: adolescents with and without DSH. Case files were examined and data was completed by clinical interviews. Demographic, psychosocial, and psychopathological data were assessed and compared. Ninety-eight subjects completed the protocol. The DSH group was associated with the following: suicidal ideation or suicidal behavior as consultation motive, emergency room referral, previous follow-up attempts, suicidal ideation, psychosocial difficulties, or lack of therapeutic goals. There was a nonsignificant trend towards diagnosis of depression in the DSH group. These results reflect our clinical practice with adolescents and add data about teenagers who self-harm to the literature. Prevention and early recognition of DSH (and frequently associated depression in adolescents are essential and could be life-saving measures. An integrated approach, which takes into account psychosocial difficulties, family dysfunction, and negative expectations, seems to be of great importance.Keywords: deliberate self-harm, suicide, adolescents, suicide risk, case control

  13. Clinical Case Rounds in Child and Adolescent Psychiatry: Enuresis and ADHD in Older Children and an Adolescent Treated with Stimulant Medication: A Case Series

    Williamson, Lloyda B.; Gower, Michael; Ulzen, Thaddeus

    2011-01-01

    Uncommonly, older children and adolescents can present with a history of enuresis. Resolution of enuresis followed the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD) in each child in this case series. Subjects were three children with DSM-IV-TR ADHD, who presented with a history of primary nocturnal enuresis (PNE). Our results reveal that a subgroup of children with ADHD plus enuresis, when treated with stimulant medication, demonstrated resolution of enuresis as w...

  14. Parenting styles and adolescents' achievement strategies.

    Aunola, K; Stattin, H; Nurmi, J E

    2000-04-01

    The aim of the study was to investigate the extent to which adolescents' achievement strategies are associated with the parenting styles they experience in their families. Three hundred and fifty-four 14-year-old adolescents completed a Strategy and Attribution Questionnaire and a family parenting style inventory. Analogous questionnaires were also completed by the adolescents' parents. Based on adolescents' report of the parenting styles, four types of families were identified: those with Authoritative, Authoritarian, Permissive, and Neglectful parenting styles. The results further showed that adolescents from authoritative families applied most adaptive achievement strategies characterized by low levels of failure expectations, task-irrelevant behaviour and passivity, and the use of self-enhancing attributions. Adolescents from neglectful families, in turn, applied maladaptive strategies characterized by high levels of task-irrelevant behaviour, passivity and a lack of self-enhancing attributions. The results provide a basis for understanding some of the processes by which parenting styles may influence adolescents' academic achievement and performance. PMID:10831143

  15. Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study

    Danny Salazar-Pousada

    2010-01-01

    Full Text Available Background. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10 and the 14-item Wagnild and Young Resilience Scale (RS, respectively. A case-control approach was used to compare differences between adolescents and adults. Results. A total of 302 pregnant women were enrolled in the study, 151 assigned to each group. Overall, 56.6% of gravids presented total CESD-10 scores 10 or more indicating depressed mood. Despite this, total CESD-10 scores and depressed mood rate did not differ among studied groups. Adolescents did however display lower resilience reflected by lower total RS scores and a higher rate of scores below the calculated median (P<.05. Logistic regression analysis could not establish any risk factor for depressed mood among studied subjects; however, having an adolescent partner (OR, 2.0 CI 95% 1.06–4.0, P=.03 and a preterm delivery (OR, 3.0 CI 95% 1.43–6.55, P=.004 related to a higher risk for lower resilience. Conclusion. In light of the findings of the present study, programs oriented at giving adolescents support before, during, and after pregnancy should be encouraged.

  16. Spontaneous Ejaculations in an Adolescent With Olanzapine Use: Case Report.

    Yektaş, Çiğdem; Tufan, Ali Evren

    2016-01-01

    Olanzapine (OLZ) is a second-generation atypical antipsychotic (AAP) frequently used in acute and maintenance treatment of children and adolescents with psychotic disorders. Most commonly reported sexual problems caused by AAPs are decreases in libido or arousal, erectile dysfunctions, reduced/abnormal ejaculations, and problems in achieving or maintaining orgasm. Olanzapine is less commonly implicated for those adverse effects, which may reflect its more selective affinity to dopaminergic receptors or more transient effects on prolactin levels. Sexual dysfunction with AAPs, including OLZ, is reported predominantly in adult patients and adverse sexual effects in prepubertal/peripubertal patients with psychosis received scant attention. Studies and reports of sexual adverse effects of AAPs in this special population may benefit clinicians. Therefore, in this study, we report an adolescent male patient with psychosis who developed spontaneous ejaculations with OLZ and whose complaints remitted with change in treatment. PMID:26882319

  17. Ethnicity and adolescent depression: the case of Chinese Americans.

    Chen, I G; Roberts, R E; Aday, L A

    1998-10-01

    This paper is concerned with whether an instrument developed in the U.S. may identify lower rates of major depression among Chinese, because its content may not cover culture-specific symptoms of depression. Data were obtained from approximately 952 Anglo and Chinese American middle school students, aged 10 to 17 years, in the Teen Life Changes Survey conducted in the spring of 1994. We investigated the hypothesis that rates of missing values would be higher, the mean score for total depression items would be lower, and internal consistency reliability and construct validity of the DSM Scale for Depression (DSD) would be lower for Chinese American adolescents compared with Anglo American adolescents. We also examined whether response functions on the DSD item would differ for these two groups. Only the latter was observed. Five of 26 items in the DSD exhibited differential functioning between Anglo and Chinese students. The results suggest that the lower prevalence of depression was not due to the ethnocentric character of the instrument in the Chinese sample. Stronger immunity to depression or other cultural factors may contribute to the lower rate of depression for the Chinese American adolescents in the Teen Life Changes study. PMID:9788639

  18. Dialectical Behavior Therapy of Anorexia and Bulimia Nervosa among Adolescents: A Case Series

    Salbach-Andrae, Harriet; Bohnekamp, Inga; Pfeiffer, Ernst; Lehmkuhl, Ulrike; Miller, Alec L.

    2008-01-01

    The aim of this study was to describe a case series of adolescents (mean age = 16.5 years, SD = 1.0) with anorexia nervosa (AN) and bulimia nervosa (BN) who received dialectical behavior therapy (DBT). Twelve outpatients with AN and BN took part in 25 weeks of twice weekly therapy consisting of individual therapy and a skills training group.…

  19. A Case Study of the Suicide of a Gifted Female Adolescent: Implications for Prediction and Prevention

    Hyatt, Laurie

    2010-01-01

    In this case study focusing on a gifted adolescent female who took her life at the age of 18 using a firearm, the researcher investigated the personal, environmental, and cultural variables that may have contributed to her suicide. Data were collected from interviews, documents, and other artifacts, including a videotape that was a compilation of…

  20. Adolescents, the Internet, and the Politics of Gender: A Feminist Case Analysis.

    Durham, Meenakshi Gigi

    2001-01-01

    Presents a feminist case analysis based on field observation of hands-on Internet sessions for low-income, minority, urban middle school students. Examination of the social dynamic within which Internet use occurred indicated that adolescents' social locations in terms of gender, race, and class worked to constrain Internet use to support dominant…

  1. Life-saving automated external defibrillation in a teenager: a case report

    Rey Corsino

    2007-09-01

    Full Text Available Abstract Background Adolescent sudden death during sport participation is commonly due to cardiac causes. Survival is more likely when an automated external defibrillator (AED is used soon after collapse. Case presentation We describe a case of sudden death in a 14 year old boy with two remarkable points, successful resuscitation at school using an AED and diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC. Bystander cardiopulmonary resuscitation (CPR was immediately started by a witness and 5 minutes after the event the child was placed on an AED monitor that determined he was in a non shockable rhythm, therefore CPR was continued. Two minutes later, the AED monitor detected a shockable rhythm and recommended a shock, which was then administered. One minute after the shock, a palpable pulse was detected and the child began to breathe by himself. Four days after cardiac arrest, the boy was conversing and self-caring. Cardiac magnetic resonance imaging was suggestive of ARVC. Conclusion Ventricular fibrillation secondary to ARVC may be a devastating event and places young patients and athletes at high risk of sudden death. Immediate CPR and AED have been demonstrated to be lifesaving in such events. Therefore, we suggest that schools should have teachers skilled in CPR and accessible AEDs.

  2. Cumulative Vulnerability: A Case Study on intrafamilial violence, Drug Addiction and Adolescent Pregnancy

    Paula Orchiucci Miura; Gislaine Martins Ricardo Passarini; Loraine Seixas Ferreira; Rui Alexandre Paquete Paixão; Leila Salomão de La Plata Cury Tardivo; Dora Mariela Salcedo Barrientos

    2014-01-01

    A pregnant adolescent’s vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of São Paulo. The dat...

  3. Magnetic seizure therapy in an adolescent with refractory bipolar depression: a case report

    Noda Y

    2014-10-01

    Full Text Available Yoshihiro Noda,1,2 Zafiris J Daskalakis,1–3 Jonathan Downar,4 Paul E Croarkin,5 Paul B Fitzgerald,6 Daniel M Blumberger1–3 1Department of Psychiatry, Faculty of Medicine, University of Toronto, 2Temerty Centre for Therapeutic Brain Intervention, 3Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 4MRI-Guided rTMS Clinic, University Health Network, Toronto, ON, Canada; 5Division of Child and Adolescent Psychiatry, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA; 6Monash Alfred Psychiatry Research Centre, The Alfred and Monash University Central Clinical School, Melbourne, Australia Abstract: Magnetic seizure therapy (MST has shown efficacy in adult patients with treatment-resistant depression with limited impairment in memory. To date, the use of MST in adolescent depression has not been reported. Here we describe the first successful use of MST in the treatment of an adolescent patient with refractory bipolar depression. This patient received MST in an ongoing open-label study for treatment-resistant major depression. Treatments employed a twin-coil MST apparatus, with the center of each coil placed over the frontal cortex (ie, each coil centered over F3 and F4. MST was applied at 100 Hz and 100% machine output at progressively increasing train durations. Depressive symptoms were assessed using the 24-item Hamilton Depression Rating Scale and cognitive function was assessed with a comprehensive neuropsychological battery. This adolescent patient achieved full remission of clinical symptoms after an acute course of 18 MST treatments and had no apparent cognitive decline, other than some autobiographical memory impairment that may or may not be related to the MST treatment. This case report suggests that MST may be a safe and well tolerated intervention for adolescents with treatment-resistant bipolar depression. Pilot studies to further evaluate the effectiveness and safety of

  4. Adolescents with poorly controlled type 1 diabetes can benefit from coaching: a case report and discussion.

    Ammentorp, Jette; Thomsen, Jane; Kofoed, Poul-Erik

    2013-09-01

    Traditional interventions aimed at improving patient self-management and at motivating the patients to change behaviour seem to be insufficient in adolescents with very high HbA1c. In this paper we present a case consisting of nine adolescents with poorly controlled diabetes type 1. They had previously shown continuously high levels of HbA1c for 2 years despite intensive follow-up and were therefore invited to participate in a coaching program. The coaching program was conducted by professional certified coaches and consisted of two group and eight individual coaching sessions. After completing the coaching sessions, HbA1c had decreased significantly in six out of nine of the adolescents. The participants were interviewed twice following the coaching sessions. All participants reported that they found the sessions very rewarding, and several explained that they now saw themselves differently and had gained more self-esteem and more energy. PMID:23900748

  5. The Use of Poetry Therapy in the Treatment of an Adolescent with Borderline Personality Disorder: A Case Study.

    Smith, Michael A.

    2000-01-01

    Discusses a case example on the use of poetry therapy with an adolescent with Borderline Personality Disorder (BPD). Presents a brief overview of treatment of borderline clients, poetry therapy, and use of poetry therapy with troubled adolescents. Discusses implications for the use of poetry therapy with this population. (SC)

  6. Case Report: Ehlers-Danlos syndrome in an adolescent presenting with Chronic Daily Headache

    Suzy Mascaro Walter

    2014-01-01

    Full Text Available Background: Classic Ehlers-Danlos syndrome (EDS is a connective tissue disorder characterized by skin hyperextensibility, skin fragility as well as joint hypermobility. EDS has been associated with psychiatric disorders, fatigue, dizziness, musculoskeletal pain, and stomach pain that are common complaints associated with adolescent chronic daily headache (CDH. This case report discusses an adolescent who presents with CDH and is subsequently diagnosed with EDS based upon the presenting symptoms for headache including syncope and chronic musculoskeletal pain as well as a history of hypermobility. Case Description: A 15-year-old female presented to an outpatient headache clinic with a 10-year history of headache, which had become daily over the past 3 months and awakened her in the middle of the night. Past history also revealed chronic musculoskeletal pain, syncope, fatigue, and hypermobility of joints. Subsequent referral to a geneticist confirmed mild classic EDS. Conclusion: Along with the major manifestation of EDS, other signs and symptoms that characterize this disorder include musculoskeletal pain, fatigue, dizziness/vertigo, depression, and anxiety, which are often associated with CDH in adolescents. Clinicians treating CDH need to be aware of the major clinical manifestations of EDS as well as the other signs and symptoms that characterize both of these chronic pain disorders. An understanding of this syndrome will lead not only to a diagnosis of EDS but also initiation of a treatment plan specific for an adolescent with CDH and EDS.

  7. First-rib stress fracture in two adolescent swimmers: a case report.

    Low, Sara; Kern, Michael; Atanda, Alfred

    2016-07-01

    First-rib stress fractures have been described in adolescent athletes in various sports, with only one prior case report of first-rib stress fractures in an adolescent female swimmer. There is a need for research on the cause, management, and prevention of these injuries as they lead to significant morbidity and critical time away from sport for these aspiring athletes. We aimed to describe first-rib stress fractures as a potential cause for non-specific atraumatic chronic shoulder pain in adolescent swimmers and to discuss the different presentations, unique risk factors, treatment, and potential injury prevention strategies of such fractures. We discussed two such cases which were successfully treated with activity modification with restriction of all overhead activity, gradually progressive physical therapy and a return to swimming protocol. First-rib stress fractures can vary in presentation and should be in the differential diagnosis in adolescent swimmers with chronic shoulder pain. These injuries can be successfully managed with rest from overhead activities and physical therapy. Gradual return to competitive swimming can be achieved even with non-union of a first-rib stress fracture. Emphasis on balanced strength training in different muscle groups and proper swimming technique is essential to prevent these injuries. PMID:26539736

  8. THE TREATMENT OF ANKYLOGLOSSIA WITH FRENECTOMY: CASE REPORT

    Sağlam, Ebru; Saruhan, Nesrin; Emrem Doğan, Gülnihal

    2016-01-01

    ABSTRACT Ankyloglossia, generally known as tongue-tie. It is a congenital anomaly that may cause feeding and speech problems. Surgical intervention involves frenotomy, frenectomy or frenuloplasty options. In this presented case, we have aimed to reported a male with ankyloglossia who had speech problem was treated with frenectomy.A 14 year-old male patient who had orthodontic treatment for class III malocclusion was referred in our department with difficulty in speech. The patient who had Cla...

  9. Ameloblastic fibro-odontoma in the mandible: a case report

    Ameloblastic fibro-odontoma is a rare benign mixed odontogenic tumor with histologic characteristics of ameloblastic fibroma and complex odontoma. As with ameloblastic fibroma, it may be asymptomatic or found because of painless swelling and delayed eruption of associated tooth. This report presents a case of ameloblastic fibro-odontoma in the posterior mandible of a 14-year-old girl and analyses its clinical features and radiographic features in plain X-ray film and CT images.

  10. Ameloblastic fibro-odontoma in the mandible: a case report

    An, Chang Hyeon [Kyungpook National University College of Medicine, Daegu (Korea, Republic of)

    2005-03-15

    Ameloblastic fibro-odontoma is a rare benign mixed odontogenic tumor with histologic characteristics of ameloblastic fibroma and complex odontoma. As with ameloblastic fibroma, it may be asymptomatic or found because of painless swelling and delayed eruption of associated tooth. This report presents a case of ameloblastic fibro-odontoma in the posterior mandible of a 14-year-old girl and analyses its clinical features and radiographic features in plain X-ray film and CT images.

  11. A case of Hashimoto's encephalopathy presenting with seizures and psychosis

    Min-Joo Lee; Hae-Sang Lee; Jin-Soon Hwang; Da-Eun Jung

    2012-01-01

    Hashimoto’s encephalopathy (HE) is a rare, poorly understood, autoimmune disease characterized by symptoms of acute or subacute encephalopathy associated with increased anti-thyroid antibody levels. Here, we report a case of a 14-year-old girl with HE and briefly review the literature. The patient presented with acute mental changes and seizures, but no evidence of infectious encephalitis. In the acute stage, the seizures did not respond to conventional antiepileptic drugs, including valproic...

  12. Radiologic features of preteus syndrome: A case report

    Kim, Ok Hwa [Dept. of Radiology, Haeundae Paik Hospital, Inje University College of Medicine, Busan (Korea, Republic of)

    2014-04-15

    Proteus syndrome is a rare congenital hamartomatous condition that is characterized by a wide range of malformations with overgrowth of various tissues. The author reports the case of a Proteus syndrome in a 14-year-old girl who had the unique features of this syndrome including megaspondylodysplasia with resultant scoliosis, leg discrepancy, macrodactyly, clinodactyly, hyperostosis in external auditory meatus, asymmetric megalencephaly, splenomegaly, cystic lung changes, asymmetric soft tissue fat infiltrations and a long, asymmetric face, with descriptions of the radiological features.

  13. Pregnancy after cardiac transplantation. Report of one case and review

    Solange Bordignon

    2000-12-01

    Full Text Available A 14-year-old female patient became pregnant 6 years after heart transplantation. The pregnancy evolved uneventfully, and the newborn infant was healthy. Five months after delivery, the mother was in good condition with preserved ventricular function, and the baby had normal neuro-psychomotor development. Even though the case reported here was a success, pregnancy following cardiac transplantation is considered a high-risk condition and remains contraindicated.

  14. A case of aneurysm of the vein of Galen.

    Sung, K. B.; Chang, D I; Kim, J. H.; Kim, M H; Hahm, C. K.; Jeon, S. C.

    1987-01-01

    Aneurysm of the vein of Galen is a very rare disease. The authors present a case of secondary aneurysm of the vein of Galen which was confirmed by characteristic clinical symptoms, brain CT and angiographic findings. The patient was a 14-year-old right handed girl with intermittent headache, nausea, vomiting, dysphasia and gait disturbance. Neurologic examination revealed dysarthria, nasal voice, blurring of both margins of optic discs, truncal ataxia and dysdiadochokinesia. Sensory function ...

  15. [Questions by adolescents about dieting].

    Bloch, A

    1989-12-15

    In recent years there has been increasing concern and involvement of Israeli adolescents with dieting. An increase in the incidence of obesity has been emphasized by the mass media. This has been marked by an increase in the number of questions on dieting sent anonymously by 12 to 14 year-olds to a column in a popular youth magazine about adolescent sexuality. These letters include requests for diets to prevent obesity in general and fatness of certain parts of the body in particular, such as the thighs or buttocks; questions as to side-effects of diets already started, particularly amenorrhea; and questions about the onset of bulimia and anorexia nervosa, expressing fear of the consequences. This study gives examples of the questions and the answers, and indicates the professions of those to whom the applicants were referred for further diagnosis and treatment. Newer techniques of health education with regard to adolescent dieting are urgently needed so that the health staff can promote insight and indicate the need for treatment at as early a stage as possible. The use of mass media in a suitable manner is critical, given the increase in diet-advertising. PMID:2620891

  16. Usefulness and role of magnetic resonance imaging in a case of complete androgen insensitivity syndrome

    Daniela Grasso, MD

    2015-01-01

    Full Text Available Complete androgen insensitivity syndrome (CAIS is an X-linked, recessive disorder caused by mutations of the androgen receptor (AR, in which genetic males (46,XY show female external genitalia. Individuals with CAIS have mostly normal external genitalia, lack of Müllerian structures (Fallopian tubes, uterus, proximal portion of the vagina and undescended testes (intra-abdominal, inguinal, or labial. Management and diagnosis of CAIS should be undertaken by a multidisciplinary team of experts in sexual development disorders. Gonadectomy represents a standard therapeutic choice to prevent testicular malignancy in the prepubertal period, with subsequent hormonal replacement therapy, or in late adolescence, after completion of pubertal development. Imaging examinations play a pivotal role in the diagnosis, assessment, and detection of the gonads before surgical treatments. Magnetic resonance imaging (MRI is the gold standard to diagnose and locate the gonads, and to plan laparoscopic gonadectomy and gonadic surveillance, in particular in the increasingly large number of patients who decide to delay or ultimately not to undergo gonadectomy. We present a case of a 14-year-old female with primary amenorrhea.

  17. Aggressive effects of prioritizing popularity in early adolescence.

    Cillessen, Antonius H N; Mayeux, Lara; Ha, Thao; de Bruyn, Eddy H; LaFontana, Kathryn M

    2014-01-01

    This study examined the moderating effects of prioritizing popularity on the association between early adolescents' popularity and their aggressive, leadership, and prosocial behaviors with peers. Participants were 288 14-year-olds from The Netherlands who completed a sociometric instrument and an assessment of how much they prioritized popularity over other personal goals. Results indicated that prioritizing popularity was distinct from actual popularity in the peer group. Further, prioritizing popularity moderated the association of popularity with aggressive and leadership behaviors, with adolescents who were both popular and who prioritized popularity being particularly aggressive and scoring high on leadership behaviors. This trend was especially true for boys. The same moderating effect was not found for prosocial behaviors. Motivational and social-cognitive factors in the dynamics of peer popularity are highlighted. PMID:24338722

  18. Adolescent understanding of DOHaD concepts: a school-based intervention to support knowledge translation and behaviour change.

    Bay, J L; Mora, H A; Sloboda, D M; Morton, S M; Vickers, M H; Gluckman, P D

    2012-12-01

    A life-course approach to reduction of risk of non-communicable diseases (NCD) suggests that early-life interventions may be more effective than lifestyle modifications in middle age. Knowledge translation to develop understanding of the Developmental Origins of Health and Disease (DOHaD) within the community offers the potential to encourage informed diet and lifestyle choices supporting reduction of NCD risk in current and future generations. Many women do not make sustained dietary change before or during pregnancy, therefore appropriate nutritional behaviours need to be established prior to adulthood. This makes adolescence an appropriate stage for interventions to establish suitable dietary and lifestyle behaviours. Therefore, we engaged adolescents in a school-based educational intervention, and assessed the value of this in development of understanding of DOHaD concepts to support behaviour change that could lead to NCD risk reduction in the next generation. Modules of course work were written for 11-14 year olds and trialled in nine schools. Matched pre- and post-intervention questionnaire responses from 238 students and 99 parents, and post-intervention interviews evaluated the intervention. Understanding of a link between maternal diet during pregnancy and the health of the foetus in adulthood increased from 46% to 76% following intervention. Post-intervention evidence suggests the programme facilitated discussion of diet, lifestyle and DOHaD concepts in most families. The intervention was effective in improving understanding of DOHaD concepts and in some cases led to appropriate behaviour change. However, the sustainability of these changes remains to be determined through on-going evaluation of attitudes and behaviour within this cohort. PMID:25084300

  19. Depression Prevention for Early Adolescent Girls: A Pilot Study of All Girls Versus Co-Ed Groups

    Chaplin, Tara M.; Gillham, Jane E.; Reivich, Karen; Elkon, Andrea G. L.; Samuels, Barbra; Freres, Derek R.; Winder, Breanna; Martin E. P. Seligman

    2006-01-01

    Given the dramatic increase in depression that occurs during early adolescence in girls, interventions must address the needs of girls. The authors examined whether a depression prevention program, the Penn Resiliency Program, was more effective for girls in all-girls groups than in co-ed groups. Within co-ed groups, the authors also tested whether there were greater effects for boys than for girls. Participants were 208 11- to 14-year-olds. Girls were randomly assigned to all-girls groups, c...

  20. Primary Central Nervous System Burkitt Lymphoma With Non-Immunoglobulin Heavy Chain Translocation in Right Ventricle: Case Report

    Jiang, Ming; Zhu, Jiang; Guan, Yong-Song; Zou, Li-qun

    2011-01-01

    Primary central nervous system Burkitt lymphoma (PCNSBL) is rare. Few cases of primary central nervous system involvement with sporadic Burkitt lymphoma have been reported and its treatment is now controversial. Here, the authors report a case of a 14-year-old boy suffering from non-immunoglobulin heavy chain (IgH) translocation PCNSBL. To the authors' knowledge, this is the second case report describing primary Burkitt lymphoma involving cerebral ventricles. After receiving combination treat...

  1. A review of oral biopsies in children and adolescents: a clinicopathological study of a case series

    Vale, Edivânia Barbosa do; Ramos Perez, Flávia Maria de Moraes; Rodrigues, Gabryelle Linhares Correa; Carvalho, Elaine Judite de Amorim; Castro, Jurema Freire Lisboa de; Perez, Danyel Elias da Cruz

    2013-01-01

    Objective: The aim of this study was to evaluate the clinicopathological features of oral lesions in children and adolescents diagnosed in an Oral Pathology Laboratory. Study design: Between 2000 and 2010, all oral lesions diagnosed in patients younger than 18 years old, from the Oral Pathology Laboratory, Federal University of Pernambuco, Brazil, were selected for the study. The clinical data were obtained from the patient charts filed in the Laboratory. All cases were microscopically review...

  2. Techniques Used in Forensic Psychological Examinations in Cases of Child and Adolescent Sexual Abuse

    Lara Lages Gava; Debora Dalbosco DellAglio

    2013-01-01

    Currently, there is no standardized protocol for the evaluation of situations of sexual abuse. Thus, this study investigated the techniques used by psychologists in forensic examinations in cases of suspected child and adolescent sexual abuse in the context of the criminal investigation. Semi-structured interviews, which were qualitatively analyzed using the WebQDA software, were applied with twelve psychologists who work as expert witnesses in the Medical-Legal Institute of six Brazilian cap...

  3. Attention-deficit hyperactive disorder presenting with school truancy in an adolescent: a case report.

    Muhammad, Noor Azimah; Wan Ismail, Wan Salwina; Tan, Chai Eng; Jaffar, Aida; Sharip, Shalisah; Omar, Khairani

    2011-12-01

    Attention-deficit hyperactive disorder (ADHD) is a psychiatric illness commonly diagnosed during the early years of childhood. In many adolescents with undiagnosed ADHD, presentation may not be entirely similar to that in younger children. These adolescents pose significant challenges to parents and teachers coping with their disability. Often adolescents with behavioural problems are brought to medical attention as a last resort. This case describes an adolescent who presented to a primary care clinic with school truancy. He was initially treated for depression with oppositional defiant disorder and sibling rivalry. Only following a careful detailed history and further investigations was the diagnosis of ADHD made. He showed a positive improvement with the use of methylphenidate for his ADHD and escitalopram for his depression. The success of his management was further supported by the use of behavioural therapy and parenting interventions. There is a need to increase public awareness of ADHD, especially among parents and teachers so that early intervention can be instituted in these children. PMID:23205066

  4. Video Game Playing Effects on Obesity in an Adolescent with Autism Spectrum Disorder: A Case Study

    Strahan, Brandy E.; Elder, Jennifer H.

    2015-01-01

    Adolescent obesity has tripled in the past two decades, and adolescents with disabilities, specifically autism spectrum disorders (ASD), may be at greater risk for obesity due to the behavioral, physical, and psychosocial complications related to their disorder. This case study reports the effects of video game playing on an obese adolescent with ASD and illustrates the use of a multiple baseline single subject design. Over 12 weeks, the participant played inactive (6 weeks) and active video games (6 weeks) on the Wii console. Physiological data were evaluated weekly at home. Stress and anxiety were measured via the Stress Survey Schedule for Individuals with Autism and Other Pervasive Non-Developmental Disorders (SSS) and the Behavior Assessment System for Children Second Edition (BASC-2) pre- and postintervention. The Therapy Attitude Inventory (TAI) was used to determine parental perception of video game playing as a socially valid intervention to reduce stress and anxiety. Results demonstrated that active video game playing slowed and/or reduced weight and BMI with minimal changes to waist-to-hip ratios, triceps skinfolds, and stress and anxiety. This study demonstrates how alternative methods for physical activity may be used to improve health outcomes of overweight/obese adolescents with ASD and suggests directions for future research. PMID:26783457

  5. Video Game Playing Effects on Obesity in an Adolescent with Autism Spectrum Disorder: A Case Study.

    Strahan, Brandy E; Elder, Jennifer H

    2015-01-01

    Adolescent obesity has tripled in the past two decades, and adolescents with disabilities, specifically autism spectrum disorders (ASD), may be at greater risk for obesity due to the behavioral, physical, and psychosocial complications related to their disorder. This case study reports the effects of video game playing on an obese adolescent with ASD and illustrates the use of a multiple baseline single subject design. Over 12 weeks, the participant played inactive (6 weeks) and active video games (6 weeks) on the Wii console. Physiological data were evaluated weekly at home. Stress and anxiety were measured via the Stress Survey Schedule for Individuals with Autism and Other Pervasive Non-Developmental Disorders (SSS) and the Behavior Assessment System for Children Second Edition (BASC-2) pre- and postintervention. The Therapy Attitude Inventory (TAI) was used to determine parental perception of video game playing as a socially valid intervention to reduce stress and anxiety. Results demonstrated that active video game playing slowed and/or reduced weight and BMI with minimal changes to waist-to-hip ratios, triceps skinfolds, and stress and anxiety. This study demonstrates how alternative methods for physical activity may be used to improve health outcomes of overweight/obese adolescents with ASD and suggests directions for future research. PMID:26783457

  6. Video Game Playing Effects on Obesity in an Adolescent with Autism Spectrum Disorder: A Case Study

    Brandy E. Strahan

    2015-01-01

    Full Text Available Adolescent obesity has tripled in the past two decades, and adolescents with disabilities, specifically autism spectrum disorders (ASD, may be at greater risk for obesity due to the behavioral, physical, and psychosocial complications related to their disorder. This case study reports the effects of video game playing on an obese adolescent with ASD and illustrates the use of a multiple baseline single subject design. Over 12 weeks, the participant played inactive (6 weeks and active video games (6 weeks on the Wii console. Physiological data were evaluated weekly at home. Stress and anxiety were measured via the Stress Survey Schedule for Individuals with Autism and Other Pervasive Non-Developmental Disorders (SSS and the Behavior Assessment System for Children Second Edition (BASC-2 pre- and postintervention. The Therapy Attitude Inventory (TAI was used to determine parental perception of video game playing as a socially valid intervention to reduce stress and anxiety. Results demonstrated that active video game playing slowed and/or reduced weight and BMI with minimal changes to waist-to-hip ratios, triceps skinfolds, and stress and anxiety. This study demonstrates how alternative methods for physical activity may be used to improve health outcomes of overweight/obese adolescents with ASD and suggests directions for future research.

  7. Atrial fibrillation in healthy adolescents after highly caffeinated beverage consumption: two case reports

    Heyden Marybeth

    2011-01-01

    Full Text Available Abstract Introduction Energy drinks and highly caffeinated drinks comprise some of the fastest growing products of the beverage industry, often targeting teenagers and young adults. Cardiac arrhythmias in children related to high caffeine consumption have not been well described in the literature. This case series describes the possible association between the consumption of highly caffeinated drinks and the subsequent development of atrial fibrillation in the adolescent population. Case presentations We report the cases of two Caucasian adolescent boys of 14 and 16 years of age at the time of presentation, each without a significant cardiac history, who presented with palpitations or vague chest discomfort or both after a recent history of excessive caffeine consumption. Both were found to have atrial fibrillation on electrocardiogram; one patient required digoxin to restore a normal sinus rhythm, and the other self-converted after intravenous fluid administration. Conclusion With the increasing popularity of energy drinks in the pediatric and adolescent population, physicians should be aware of the arrhythmogenic potential associated with highly caffeinated beverage consumption. It is important for pediatricians to understand the lack of regulation in the caffeine content and other ingredients of these high-energy beverages and their complications so that parents and children can be educated about the risk of cardiac arrhythmias with excessive energy drink consumption.

  8. Burkitt Lymphoma of Thyroid Gland in an Adolescent

    Cooper, K.; Gangadharan, A.; Arora, R S; Shukla, R; B. Pizer

    2014-01-01

    Burkitt Lymphoma is a highly aggressive form of non-Hodgkin’s lymphoma that in nonendemic areas has abdominal primary sites. We report a very rare case of Burkitt lymphoma of the thyroid gland presenting as a rapidly growing thyroid swelling in a 14-year-old white Caucasian British male with no preexisting thyroid or medical problems. The diagnosis was confirmed by an open wedge biopsy following a fine needle aspiration. The patient was treated according to the Children’s Cancer and Leukaemia...

  9. Burkitt Lymphoma of Thyroid Gland in an Adolescent

    K. Cooper

    2014-01-01

    Full Text Available Burkitt Lymphoma is a highly aggressive form of non-Hodgkin’s lymphoma that in nonendemic areas has abdominal primary sites. We report a very rare case of Burkitt lymphoma of the thyroid gland presenting as a rapidly growing thyroid swelling in a 14-year-old white Caucasian British male with no preexisting thyroid or medical problems. The diagnosis was confirmed by an open wedge biopsy following a fine needle aspiration. The patient was treated according to the Children’s Cancer and Leukaemia Group guidelines for BL—Group B protocol and currently is in remission.

  10. Head banging persisting during adolescence: A case with polysomnographic findings

    Ravi Gupta

    2014-01-01

    Full Text Available Head banging is a sleep-related rhythmic movement disorder of unknown etiology. It is common during infancy; however, available literature suggests that prevalence decreases dramatically after childhood. We report the case of a 16-year-old male who presented with head banging. The symptoms were interfering with his functioning and he had been injured because of the same in the past. We are presenting the video-polysomnographic data of the case. Possible differential diagnoses, etiology, and treatment modalities are discussed. The boy was prescribed clonazepam and followed up for 3 months. Parents did not report any episode afterward.