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Sample records for 14-year-old adolescent case

  1. A Rare Case of Splenic Torsion with Sigmoid Volvulus in a 14-Year-Old Girl.

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    Ahmadi, Hamid; Tehrani, Mahdieh Mohammad Khan

    2016-01-01

    Wandering spleen is an uncommon entity in adults and has been described only rarely with sigmoid volvulus, that rarely affects children and adolescents. It is usually described in adults.Wandering spleen characterized by the abnormal location of the spleen, caused by incomplete fusion of the four primary splenic ligaments, allowing the spleen to be mobile within the abdomen.The wandering spleen can lead to torsion and subsequent splenic infarction or rupture. Clinical suspicion plus urgent investigation and intervention are important. We present a rare clinical case of acute abdomen due to torsion of wandering spleen and volvulus of sigmoid in a 14-year-old girl presented with painful periumbilical mass. Detorsion of sigmoid occurred while undergoing exploratory laparotomy and splenectomy was performed. The possibility of torsion and its complication like gastric, pancreas tail and colon volvulus should be kept in mind in the differential diagnosis of the acute abdomen to avoid serious complications.

  2. A Rare Case of Splenic Torsion with Sigmoid Volvulus in a 14-Year-Old Girl

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    Hamid Ahmadi

    2016-01-01

    Full Text Available Wandering spleen is an uncommon entity in adults and has been described only rarely with sigmoid volvulus, that rarely affects children and adolescents. It is usually described in adults.Wandering spleen characterized by the abnormal location of the spleen, caused by incomplete fusion of the four primary splenic ligaments, allowing the spleen to be mobile within the abdomen.The wandering spleen can lead to torsion and subsequent splenic infarction or rupture. Clinical suspicion plus urgent investigation and intervention are important. We present a rare clinical case of acute abdomen due to torsion of wandering spleen and volvulus of sigmoid in a 14-year-old girl presented with painful periumbilical mass. Detorsion of sigmoid occurred while undergoing exploratory laparotomy and splenectomy was performed. The possibility of torsion and its complication like gastric, pancreas tail and colon volvulus should be kept in mind in the differential diagnosis of the acute abdomen to avoid serious complications.

  3. A case of catatonia in a 14-year-old girl with schizophrenia treated with electroconvulsive therapy.

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    Häßler, Frank; Reis, Olaf; Weirich, Steffen; Höppner, Jacqueline; Pohl, Birgit; Buchmann, Johannes

    2013-01-01

    This article presents a case of a 14-year-old female twin with schizophrenia who developed severe catatonia following treatment with olanzapine. Under a combined treatment with amantadine, electroconvulsive therapy (ECT), and (currently) ziprasidone alone she improved markedly. Severity and course of catatonia including treatment response were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This case report emphasizes the benefit of ECT in the treatment of catatonic symptoms in an adolescent patient with schizophrenic illness.

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

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    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

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

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    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

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    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.

  7. A Case of Tuberculous Meningitis with Paradoxical Response in a 14-Year-Old Boy

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    Murat Özer

    2016-01-01

    Full Text Available A clinical or radiological worsening of already existing lesions or an emergence of new lesions after beginning treatment in patients with tuberculosis (TB is referred to as the paradoxical response. This has aroused suspicion regarding the accuracy of diagnosis, the possibilities of treatment failure, or the presence of another underlying disease, and thus it is an important topic for clinicians to understand. In this article, the development of a paradox reaction in a 14-year-old male patient diagnosed with and treated for tuberculosis meningitis is reported. This pediatric patient with a healthy immune system is treated with steroids successfully and reported to elucidate the importance of managing the paradox of TB progression in spite of the appropriate anti-TB medications.

  8. Long-term survival of full trisomy 13 in a 14 year old male: a case report.

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    Imataka, G; Hagisawa, S; Nitta, A; Hirabayashi, H; Suzumura, H; Arisaka, O

    2016-03-01

    Long term survival for the cases of trisomy 13 into over a first decade is very rare. We reported here the case of a 14-year-old male karyotype with full type of trisomy 13. In this clinical phenomenon, the case had typical facial, finger and limb anomalies for trisomy 13. Arterial septal defect and patent ductus arteriosus were recognized using ultrasonography after birth. Major cerebral malformation such as holoprosencephaly or cerebellar hypoplasia were also not revealed. After 5 months of his age, artificial ventilation therapy for dyspnea associated with laryngomalacia was required. A tracheotomy was performed at 6 months of his age. After 12 years old, intractable partial epilepsy was recognized. For his partial seizures, a treatment with a combination of two anti-epileptic drugs, valproic acid and levetiracetam, were advised. Now he is alive for 14-years-old and he is the 4th longest surviving patient with full karyotype of trisomy 13.

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

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    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…

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

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    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.

  11. Family environmental factors do not explain differences in the behavioral effect of a healthy diet promotion program in lower vocational schools among 12- to 14-year-old adolescents

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    Martens, M.; van Assema, P.; Knibbe, R.; Engels, R.C.M.E.; Brug, J.

    2010-01-01

    Purpose. Assess whether family environmental factors affected changes in fruit and snack consumption among 12- to 14-year-old adolescents participating in a Dutch healthy diet promotion program. Design. Data were derived from pretest and posttest questionnaires completed by adolescents in 10 schools

  12. Family Environmental Factors Do Not Explain Differences in the Behavioral Effect of a Healthy Diet Promotion Program in Lower Vocational Schools Among 12-to 14-Year-Old Adolescents

    NARCIS (Netherlands)

    Martens, M.; Assema, P. van; Knibbe, R.A.; Engels, R.C.M.E.; Brug, J.

    2010-01-01

    Purpose - Assess whether family environmental factors affected changes in fruit and snack consumption among 12- to 14-year-old adolescents Participating in a Dutch healthy diet promotion program Design - Data were derived from pretest and posttest questionnaries completed by adolescents in 10 school

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

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    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.

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

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    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

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

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    Messori, A.; Salvolini, U. [Department of Neuroradiology, Universita degli Studi di Ancona (Italy); Rychlicki, F. [Department of Neurosurgery, Universita degli Studi di Ancona (Italy)

    2002-03-01

    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.)

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

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    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.)

  17. Case Report: Primary dural based diffuse large B-Cell lymphoma in a 14 year-old boy [v1; ref status: indexed, http://f1000r.es/56s

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    Sunil Munakomi

    2015-03-01

    Full Text Available Primary dural lymphoma is a subentity of primary leptomeningeal lymphoma which represents 0.1% of all non-Hodgkin’s lymphomas. Only five cases have been reported so far. We report a very rare case of primary dural-based lymphoma in a 14 year-old boy presenting with mass effect. The patient was managed with excision of the lesion and removal of the involved bone. Post-operatively, the patient showed good recovery. He was then referred to the oncology unit for further chemo- and radiation therapy. A high index of suspicion should therefore be kept in order to diagnose the condition in a timely fashion and then plan for appropriate management since diffuse large cell lymphoma has a relatively benign clinical prognosis.

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

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    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.

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

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    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.)

  20. Galactorrhea in a 14-year-old girl.

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    Panamonta, Ouyporn; Pakawut, Nawarut

    2006-08-01

    The authors report a 14-year-old girl who had galactorrhea with regular menstruation. Furthermore, this galactorrhea case was associated with hyperprolactinemia and prolactinoma. The patient tolerated and responded well to therapy with bromocriptine. The serum prolactin levels decreased from 103.27 ng/mL to 24.25 ng/mL after 8 weeks of treatment and 12.48 ng/mL after 6 months of treatment. No pituitary tumor was demonstrated after 12 months of therapy and the galactorrhea had not recurred 1 year after ending the bromocriptine treatment.

  1. Fracture of the acetabulum in a 14-year-old patient: 20-year review

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    Sprenger, T.R.; Howard, F M

    2001-01-01

    A case report of 14-year old female with an acetabular fracture involving the anterior column and posterior column-posterior wall is presented here and the findings on 20-year follow-up are described.

  2. A solitary mastocytoma presenting with urticaria and angioedema in a 14-year-old boy.

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    Krishnan, Karthik R; Ownby, Dennis R

    2010-01-01

    Urticaria with angioedema is a common clinical presentation that often poses a challenge for allergists. The differential diagnosis for urticaria is broad, making the evaluation and pinpointing the underlying cause difficult and frustrating for both families and physicians. Certain causes of urticaria such as infections or medications are more common and easier to identify whereas less frequently seen conditions are often overlooked because of their rarity. One such condition is mastocytosis. Mastocytosis is a rare disease that very seldom presents with urticaria but may be associated with significant morbidity and mortality if not recognized in a timely manner. We are presenting a case of a 14-year-old boy who presented with urticaria and angioedema possibly caused by a solitary mastocytoma. The learning points from this case are that mastocytosis should be considered in the differential diagnosis of urticaria and solitary mastocytomas may remain active into adolescence, raising concern for systemic progression.

  3. 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

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    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.

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

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    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.

  5. Symptomatic Floor-of-Mouth Swelling with Neck Extension in a 14-Year-Old Girl

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    Dayton, Kristin; Ryan, Matthew F.

    2014-01-01

    A plunging ranula is a soft-tissue mass stemming from a mucous extravasation cyst of the sublingual gland which can herniate through the mylohyoid muscle. We describe a case in which a 14-year-old girl presented with a rapidly expanding mass on the floor of her mouth affecting her ability to swallow and speak and causing tracheal compression. The patient was initially managed conservatively with antibiotics and steroids; however, the mass continued to expand necessitating emergent bedside incision and drainage and subsequent surgical intervention. The pathophysiology and management options for ranulas are also discussed herein. PMID:25548707

  6. Symptomatic Floor-of-Mouth Swelling with Neck Extension in a 14-Year-Old Girl

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    Kristin Dayton

    2014-01-01

    Full Text Available A plunging ranula is a soft-tissue mass stemming from a mucous extravasation cyst of the sublingual gland which can herniate through the mylohyoid muscle. We describe a case in which a 14-year-old girl presented with a rapidly expanding mass on the floor of her mouth affecting her ability to swallow and speak and causing tracheal compression. The patient was initially managed conservatively with antibiotics and steroids; however, the mass continued to expand necessitating emergent bedside incision and drainage and subsequent surgical intervention. The pathophysiology and management options for ranulas are also discussed herein.

  7. Severe Growing-Up Phobia, a Condition Explained in a 14-Year-Old Boy

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    Laurencia Perales-Blum

    2014-01-01

    Full Text Available We present the clinical case of a 14-year-old boy with gerascophobia or an excessive fear of aging, who felt his body development as a threat, to the point where he took extreme measures to stop or otherwise hide growth. He had a history of separation anxiety, sexual abuse, and suffering bullying. He presented with anxious and depressive symptoms and food restriction, criticized his body image, had negative feelings towards the maturation process, suffered at the thought of being rejected, and was preoccupied with certain physical characteristics. We conducted an analysis of biological, psychological, and environmental factors and their possible interactions and established treatment with psychotherapy and fluoxetine. Because of the favorable results, this approach could be considered a good option in such cases.

  8. Severe growing-up phobia, a condition explained in a 14-year-old boy.

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    Perales-Blum, Laurencia; Juárez-Treviño, Myrthala; Escobedo-Belloc, Daniela

    2014-01-01

    We present the clinical case of a 14-year-old boy with gerascophobia or an excessive fear of aging, who felt his body development as a threat, to the point where he took extreme measures to stop or otherwise hide growth. He had a history of separation anxiety, sexual abuse, and suffering bullying. He presented with anxious and depressive symptoms and food restriction, criticized his body image, had negative feelings towards the maturation process, suffered at the thought of being rejected, and was preoccupied with certain physical characteristics. We conducted an analysis of biological, psychological, and environmental factors and their possible interactions and established treatment with psychotherapy and fluoxetine. Because of the favorable results, this approach could be considered a good option in such cases.

  9. 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

    Institute of Scientific and Technical Information of China (English)

    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

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

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    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.

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

    Institute of Scientific and Technical Information of China (English)

    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...

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

    DEFF Research Database (Denmark)

    Hellfritzsch, Maja; Grove, Erik Lerkevang

    2015-01-01

    in patients with thrombophilia. CASE REPORT: A 14-year-old girl presented with acute onset of chest pain and dyspnea followed by syncope. She was hypoxic and hemodynamically compromised at admission. Computed tomography pulmonary angiography revealed a large central "saddle" pulmonary embolism causing nearly...... found heterozygote for the prothrombin G20210A mutation, and 9 months before admission she had initiated use of second-generation COCs. CONCLUSIONS: Hereditary thrombophilia and a family history of early-onset venous thromboembolism (VTE) each pose an increased risk of VTE and should be considered...

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

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    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.

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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…

  16. A 14-Year-Old Boy with Torsion of the Epididymal Cyst

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    Mojtaba Ameli

    2015-01-01

    Full Text Available Epididymal cyst is a benign mass in the scrotum that is relatively common in adults but it is rare in children. In routine experience the treatment of such cysts is conservative. Torsion of these cysts is extremely rare and the diagnosis is made by exploration of the scrotum. Our patient was a 14-year-old boy who has been referred to hospital with scrotal pain followed by a minor trauma 3 days ago. Exploration of the scrotum to rule out testicular rupture was performed and a large black cyst connected to the head of the epididymis with 720-degree rotation was found. The cyst was resected and pathologic examination revealed an acquired epididymal cyst (spermatocele. The patient has normal physical exam after 3 months’ follow-up.

  17. Speed and agility of 12- and 14-year-old elite male basketball players.

    Science.gov (United States)

    Jakovljevic, Sasa T; Karalejic, Milivoje S; Pajic, Zoran B; Macura, Marija M; Erculj, Frane F

    2012-09-01

    The aims of this study were (a) to identify and compare the speed and agility of 12- and 14-year-old elite male basketball players and (b) to investigate relations between speed and agility for both age groups of basketball players, to help coaches to improve their work. Sixty-four players aged 12 (M = 11.98 years, SD = 0.311) and 54 players aged 14 (M = 14.092 years, SD = 0.275) were tested. Three agility tests: agility t-test, zigzag agility drill, and agility run 4 × 15 m and 3 speed tests: 20-m run, 30-m run, and 50-m run were applied. Fourteen-year-old players achieved significantly better results in all speed and agility tests compared with 12-year-old players. The correlation coefficient (r = 0.81, p = 0.001) showed that 12-year-old players have the same ability in the 30- and 50-m runs. The other correlation coefficient (r = 0.59, p = 0.001) indicated that 20- and 30-m runs had inherently different qualities. The correlation coefficients between agility tests were year-old players, the correlation coefficients between the speed test results were 0.71, which means that all the 3 tests represent the same quality. During the speed training of 12-year-old players, it is advisable to focus on shorter running distances, up to 30 m. During the agility training of the same players, it is useful to apply exercises with various complexities. In speed training of the 14-year-old players, the 30- and 50-m runs should be applied, and agility training should include more specific basketball movements and activities.

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

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    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

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

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    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.

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

    NARCIS (Netherlands)

    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

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

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    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.

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

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    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.

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

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    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.

  4. Deep Venous Thrombosis of the Leg, Associated with Agenesis of the Infrarenal Inferior Vena Cava and Hypoplastic Left Kidney (KILT Syndrome in a 14-Year-Old Child

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    Sakshi Bami

    2015-01-01

    Full Text Available Agenesis of the inferior vena cava (IVC is a rare anomaly which can be identified as incidental finding or can be associated with iliofemoral vein thrombosis. IVC agenesis has a known association with renal anomalies which are mainly confined to the right kidney. We describe a case of a 14-year-old male who presented with left leg swelling and pain. Ultrasonography confirmed the presence of left leg deep vein thrombosis (DVT. No underlying hematologic risk factors were identified. A CT scan was obtained which demonstrated absent infrarenal IVC and extensive thrombosis in the left deep venous system and development of collateral venous flow into the azygous/hemiazygous system, with extension of thrombus into paraspinal collaterals. An additional finding in the patient was an atrophic left kidney and stenosis of an accessory left renal artery. Agenesis of the IVC should be considered in a young patient presenting with lower extremity DVT, especially in patients with no risk factors for thrombosis. As agenesis of the IVC cannot be corrected, one should be aware that there is a lifelong risk of lower extremity DVT.

  5. Dental caries status in 6–14-year-old schoolchildren of rural Channagiri, Davangere: A cross-sectional survey

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    Syeda Nikhat Mohammadi

    2015-01-01

    Full Text Available Introduction: Dental caries is a major public health issue and schools remain an important setting for an efficient and effective way to reach over billion children worldwide and through them, families, and community members. Aim: To assess the prevalence of dental caries among 6–14-year-old-school going children of rural areas of Channagiri taluk. Materials and Methods: A cross-sectional study was conducted among government schools at Thyavanige, Nallur, Pandomatti, Tavarakere, Daginakatte, and Ajjihalli in Channagiri taluk of Davangere district. The study population comprised school children from 6 to 14 years. A total of 1140 children of both genders were surveyed for dental caries prevalence. The results were tabulated and statistically analyzed using descriptive statistics, unpaired t-test, and one-way ANOVA test. Results: The prevalence of caries in the present study was higher in boys (45.08% than girls (28.42% (P > 0.5. The mean decayed, missing, and filled teeth (DMFT was 0.47 ± 0.95 for boys and 0.44 ± 0.91 for girls and the mean dmft for boys was 0.50 ± 1.04 and 0.66 ± 1.12 for girls. Conclusions: Caries prevalence was higher in boys and also a large amount of untreated carious lesions among the children. These results suggest that emphasis should be given to scientific monitoring, effective implementation and evaluation of school based oral health promotion and preventive programs to increase the dental awareness and oral hygiene practices, in the rural areas of Channagiri taluk of Davangere district.

  6. Investigating the Effect of Educating Philosophy in the Children on the Spiritual Development of Female Students with 12-14 Years Old in the City of Isfahan

    Science.gov (United States)

    Abaspour, Nafiseh; Nowrozi, Reza Ali; Latifi, Zohreh

    2015-01-01

    The goal of this study was to investigate the effect of educating philosophy curriculum in the children on the spiritual development of female students with 12-14 years old in the city of Isfahan. The present study is a semi-experiment research. The research design is pretest-posttest research with experiment and control group. In order to select…

  7. The effect of hydroxyzine on treating bruxism of 2- to 14-year-old children admitted to the clinic of Bandar Abbas Children Hospital in 2013-2014

    Science.gov (United States)

    Rahmati, M; Moayedi, A; Zakery Shahvari, S; Golmirzaei, J; Zahirinea, M; Abbasi, B

    2015-01-01

    Introduction. Bruxism is to press or grind teeth against each other in non-physiologic cases, when an individual does not swallow or chew. If not treated, teeth problems, stress, mental disorders, frequent night waking, and headache is expected. This research aimed to study the effect of hydroxyzine on treating bruxism of 2- to 14-year-old children admitted to the clinic of Bandar Abbas Children Hospital. Methodology. In this clinical trial, 143 children with the ages between 4-12 years were admitted to the Children Hospital and were divided randomly into test and control groups. The test group consisted of 88 hydroxyzine-treated children and the control group consisted of 55 children who used hot towels. Both groups were examined in some stages including the pre-test stages or the stage before starting treatments at two, four, and six weeks and four months after stopping the treatment. The effects of each treatment on reducing bruxism symptoms were assessed by a questionnaire. The data were analyzed by using SPSS in descriptive statistics, t-test, and ANOVA. Results. As far as bruxism severity was concerned, the results showed a significant difference between the test group members who received hydroxyzine and the control group members who received no medication. T-test results showed a statistically significant difference between the test and the control groups in the second post-test (four weeks later) (p. value ≤ 0.05). Mean of the scores of bruxism severity in the test group has changed significantly in the post-test (at two weeks, four weeks, and six weeks later) as compared to the pre-test. Whereas, as far as the response to the treatment, no significant difference was recorded between the control group and the test group 4 weeks after the treatment. Discussion. The results showed that prescribing hydroxyzine for 4 weeks had a considerable effect in diminishing bruxism severity between the test groups.

  8. Reproductive hormone profile and pubertal development in 14-year-old boys prenatally exposed to polychlorinated biphenyls

    DEFF Research Database (Denmark)

    Grandjean, Philippe; Grønlund, Ciea; Kjær, Ina M;

    2012-01-01

    Because polychlorinated biphenyls (PCBs) are thought to cause endocrine disruption, we examined 438 adolescent boys from a birth cohort in the Faroe Islands, where PCB exposures are elevated. We measured PCBs and p,p'-dichlorodiphenyldichloroethylene (DDE) in cord blood and in serum from clinical...

  9. [Urethrovesical foreign body in adolescent boys: report of two cases].

    Science.gov (United States)

    Kuwada, Masaomi; Chihara, Yoshitomo; Torimoto, Kazumasa; Kagebayashi, Yoriaki; Nakai, Yasushi; Samma, Shoji

    2009-09-01

    Two cases with a urethrovesical foreign body in adolescent boys are reported. Case 1 was a 12-year-old boy with a stretched safety pin, 7 cm in length, in the urethra. This was probably introduced by him. Case 2 was a 14-year-old boy with a self-introduced metallic bar, 5 cm in length, in the urinary bladder. The foreign bodies were endoscopically removed. Both of the boys had grown in fatherless families. In Case 1, his father had died in a traffic accident while trying to save the patient at the age of 5 years. In case 2, the parents had been divorced. These episodes could have resulted in mental instability in the boys, which possibly led to the self-introduction of the foreign body. Urethrovesical foreign bodies are not rare. However, a foreign body in adolescents under 15 years of age is very rarely reported. It is incumbent upon urologists to thoroughly investigate the psychological conditions in such cases, and to properly judge whether psychiatric cares and follow-up are necessary.

  10. Body composition and the level of fitness in 10 to 14-year-old girls in western Hungary: the impact of the new PE curriculum

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    Szakály Zsolt

    2016-07-01

    Full Text Available Study aim: Over the last two decades, the body fat mass has been increasing and the level of physical fitness has been decreasing in school-aged children. Due to the health-related concerns that have arisen regarding school-aged children, the Hungarian government introduced everyday physical education in 2012. Since girls are more disposed to higher body fat and low fitness levels, the aim of our study was to characterise the physique, body composition and aerobic capacity of 10 to 14-year-old girls three years after the introduction of the new curriculum with daily PE lessons.

  11. 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

    Institute of Scientific and Technical Information of China (English)

    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

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

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    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.

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

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    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.

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

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    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.

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

    Directory of Open Access Journals (Sweden)

    TK Bhagat

    2015-06-01

    Full Text Available 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 Large number of public school children had poor oral hygiene compared to private school children. Hence, oral health education programs should be conducted on a frequent basis to improve their oral hygiene status. DOI: http://dx.doi.org/10.3126/jcmsn.v10i1.12763 Journal of College of Medical Sciences-Nepal, 2014, Vol.10(1; 17-21

  16. Oral health knowledge and practice of 12 to 14-year-old Almajaris in Nigeria: A problem of definition and a call to action.

    Science.gov (United States)

    Idowu, Enoch Abiodun; Afolabi, Adedapo Olanrewaju; Nwhator, Solomon Olusegun

    2016-05-01

    We studied oral health knowledge and practices of 12 to 14-year-old Almajiri boys in northern Nigeria because we found few studies on their health, and none on their oral health. We present our study after explaining the desperate life circumstances and context of Nigeria's approximately 10 million Almajiri youth. Our results, when compared with those of previously studied populations (those most similar in terms of environment, age range, and oral health characteristics) show that the Almajiris fare poorly. Although the international community has paid some attention to the Nigerian Almajiri children's educational needs, there has been little support for health, and none for oral health. We argue that the World Health Organization could better assist Nigeria and these children by assuring that the Almajiris are not excluded from programs targeting children classified as 'street children', and make specific recommendations.

  17. cardiorespiratory fitness is associated with hard and light intensity physical activity but not time spent sedentary in 10-14 year old schoolchildren: the HAPPY study.

    Directory of Open Access Journals (Sweden)

    Sarah J Denton

    Full Text Available BACKGROUND: Sedentary behaviour is a major risk factor for developing chronic diseases and is associated with low cardiorespiratory fitness in adults. It remains unclear how sedentary behaviour and different physical activity subcomponents are related to cardiorespiratory fitness in children. The purpose of this study was to assess how sedentary behaviour and different physical activity subcomponents are associated with 10-14 year-old schoolchildren's cardiorespiratory fitness. METHODS: 135 schoolchildren (81 girls, 12±1 year completed 7-day minute-by-minute habitual physical activity monitoring using triaxial accelerometers and undertook a maximal cardiorespiratory fitness test. RESULTS: After controlling for sex, age, ethnicity, socioeconomic status and total wear time, light physical activity (1.5-2.9 METs was negatively associated (β = -.24, p.05. Sedentary to active transitions revealed little variability between cardiorespiratory fitness tertiles. CONCLUSIONS: Hard physical activity (≥9 METs holds greater potential for cardiorespiratory fitness compared to physical activity of lower intensities. There was no relationship between sedentary behaviour and cardiorespiratory fitness. These findings suggest that, for children, advice should focus on higher intensity physical activity and not sedentary behaviour as a means to maintain or improve cardiorespiratory fitness. Future research should explore longitudinal relationships between hard physical activity, cardiorespiratory fitness and health parameters.

  18. The Association between Birth Weight and Gestational Age and Asthma in 6-7- and 13-14-Year-Old Children.

    Science.gov (United States)

    Raheleh, Zamani; Ahmad, Alikhani; Abtin, Heydarzadeh; Roghaye, Zare; Sara, Hashemain; Siavash, Rahimi

    2016-01-01

    Background. Previous studies that assessed the role of birth weight and gestational age in the risk of asthma have been conflicting. Objectives. To examine the association between birth weight and gestational age and symptoms of asthma. Patients and Methods. Subjects were 6656 school children of ages 6-7 and 13-14 years from urban districts of Mazandaran, Iran. ISAAC questionnaires were used. Results. There was an increased risk of "wheeze ever" in both age groups with birth weight under 2.5 kg and in all subgroups of low birth weight (LBW). Birth weight more than 3.5 kg was associated with lower risk of "severe asthma" in age group 6-7 years. With respect to gestational age, higher risks of "wheeze ever," "asthma ever," and "night cough in the past 12 months" were found in age group 13-14 years born before 37 weeks and the risk of "severe asthma" was higher in younger group (6-7 years). A lower risk of "asthma ever" was also found in 6-7-year-old children and 13-14-year-old girls who were born after 40 weeks. Conclusions. This study showed that there is a direct relation between "wheeze ever" and LBW and an inverse relation between risk of "severe asthma" and birth weight more than 3.5 kg.

  19. Associations between prolonged sedentary time and breaks in sedentary time with cardiometabolic risk in 10-14-year-old children: The HAPPY study.

    Science.gov (United States)

    Bailey, Daniel P; Charman, Sarah J; Ploetz, Thomas; Savory, Louise A; Kerr, Catherine J

    2016-11-28

    This study examines the association between prolonged sedentary time and breaks in sedentary time with cardiometabolic risk in 10-14-year-old children. This cross-sectional design study analysed accelerometry-determined sedentary behaviour and physical activity collected over 7 days from 111 (66 girls) UK schoolchildren. Objective outcome measures included waist circumference, fasting lipids, fasting glucose, blood pressure, and cardiorespiratory fitness. Logistic regression was used for the main data analysis. After adjustment for confounders, the odds of having hypertriglyceridaemia (P = 0.03) and an increased clustered cardiometabolic risk score (P = 0.05) were significantly higher in children who engaged in more prolonged sedentary bouts per day. The number of breaks in sedentary time per day was not associated with any cardiometabolic risk factor, but longer mean duration of daily breaks in sedentary time were associated with a lower odds of having abdominal adiposity (P = 0.04) and elevated diastolic blood pressure (P = 0.01). These associations may be mediated by engagement in light activity. This study provides evidence that avoiding periods of prolonged uninterrupted sedentary time may be important for reducing cardiometabolic disease risk in children.

  20. Severe transfuse related acute lung injury (TRALI) syndrome in a 14 years old girl with a history of type I von Willebrand disease.

    Science.gov (United States)

    Arghir, Oana C; Ionescu, Florin C; Apostol, Adriana

    2012-01-01

    Von Willebrand disease (vWD) is the most common inherited bleeding disorder based on an autosomal abnormality of von Willebrand factor. Transfusion is a lifesaving medical intervention among patients with bleeding disorders. Patients with vWD are exposed to Transfuse Related Acute Lung Injury (TRALI) when they become recipients of multiple blood products and repeated transfusions. TRALI is a non-hemolytic transfusion reaction induced by infusions of intravenous immunoglobulin, platelets (suspended in plasma), whole blood, cryoprecipitates, and fresh frozen plasma (FFP). We report a 14 years old white girl, with a history of type 1 von Willebrand disease (vWd), recipient of 2 units' fresh-frozen plasma (FFP) and 1 unit whole blood transfusion who developed an acute respiratory distress with severe hypoxemia and bilateral pulmonary infiltrate on chest X-ray within 3 hours of the whole blood transfusion, completely reversible after mechanical ventilation. Concluding, patients with vWd who received recurrent transfusions have an increased risk of TRALI. Physicians must be familiar with it as a cause of white lung X-ray pattern.

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Research Experiences for 14 Year Olds: preliminary report on the `Sky Explorer' pilot program at Springfield (MA) High School of Science and Technology

    Science.gov (United States)

    Tucker, G. E.

    1997-05-01

    This NSF supported program, emphasizing hands-on learning and observation with modern instruments, is described in its pilot phase, prior to being launched nationally. A group of 14 year old students are using a small (21 cm) computer controlled telescope and CCD camera to do: (1) a 'sky survey' of brighter celestial objects, finding, identifying, and learning about them, and accumulating a portfolio of images, (2) photometry of variable stars, reducing the data to get a light curve, and (3) learn modern computer-based communication/dissemination skills by posting images and data to a Web site they are designing (http://www.javanet.com/ sky) and contributing data to archives (e.g. AAVSO) via the Internet. To attract more interest to astronomy and science in general and have a wider impact on the school and surrounding community, peer teaching is used as a pedagogical technique and families are encouraged to participate. Students teach e.g. astronomy, software and computers, Internet, instrumentation, and observing to other students, parents and the community by means of daytime presentations of their results (images and data) and evening public viewing at the telescope, operating the equipment themselves. Students can contribute scientifically significant data and experience the `discovery' aspect of science through observing projects where a measurement is made. Their `informal education' activities also help improve the perception of science in general and astronomy in particular in society at large. This program could benefit from collaboration with astronomers wanting to organize geographically distributed observing campaigns coordinated over the Internet and willing to advise on promising observational programs for small telescopes in the context of current science.

  3. The biological age of 14-year-old boys and success in adult soccer: do early maturers predominate in the top-level game?

    Science.gov (United States)

    Ostojic, Sergej M; Castagna, Carlo; Calleja-González, Julio; Jukic, Igor; Idrizovic, Kemal; Stojanovic, Marko

    2014-01-01

    Talent identification and development in soccer is often biased by maturation-related differences of young athletes. However, there is no information available about success rates for youth maturing at different tempos to achieve success in elite adult soccer. The purposes of this study were to determine the prevalence of different maturational groups among boys playing soccer, and to track them for competence in adult performance. A prospective cohort study design was used to follow 55, 14-year-old boys playing in Serbian youth soccer Division I over eight years. At the age of 14, biological age using skeletal age rates was determined, and participants were categorized as early maturers (EaM), normal maturers (NoM), and late maturers (LaM). Game competence for adult soccer at age 22 was described as elite if an individual played for clubs competing in top-five international soccer leagues (La Liga, Premier League, Bundesliga, Serie A, and Ligue 1), and/or has become a member of an adult National team. Among boys in our study group, 43.8% were categorized as EaM, 35.4% as NoM, and 20.8% as LaM (P = 0.11). A significant difference in biological age was found among maturational groups at age 14, with EaM > NoM > LaM (P > 0.0001). When assessed for adult soccer competence, 33.3% of participants (16 out of 48 players) succeed in achieving elite level. Elite soccer competence acquired 60.1% players from the group of LaM, 38.1% from NoM, and 11.8% from EaM (P > 0.0001). Our comparative analysis suggests that soccer excludes early maturing boys and favors late maturing boys as level of performance increases.

  4. 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

    Institute of Scientific and Technical Information of China (English)

    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

  5. Investigation and analysis of 0 ~14 years old children with birth defects in Three Gorges Reservoir Area%三峡库区0~14岁儿童出生缺陷调查与分析

    Institute of Scientific and Technical Information of China (English)

    马明福; 李川海; 杨皓; 付新云; 李家菊; 崔蓉; 张丹妍; 李安奇; 李练兵

    2013-01-01

    Objective:To understand Three Gorges Reservoir Area 7 counties 0 ~ 14 years old children's birth defects present situation,type,incidence,urban and rural children's birth defect occurrence,occurring at different positions of the situation,collect birth defects/genetic disease information data to prevent birth defects and provide the scientific basis.Methods:According to ICD-10 coding diseases listed design questionnaire,stratified cluster random sampling was used to the scene to carry out investigations on the 0 ~ 14 years old children suffering from birth defects.Results:There were 7 977 meals available questionnaire,including 24 types of birth defect with 158 people,and the incidence of birth defects was 19.81‰.The first 4 types of the study were cleft lip (73 cases,incidence 9.152‰) ; limb deformities (17 cases,incidence 2.137 ‰) ; hydrocephalus (14 cases,incidence 1.755‰) ; cardiac malformations (12 cases including 5 cases of boys and 7 cases of girls,incidence 1.504‰).There were 95 boys with the incidence of birth defects 22.37‰,63 girls with the incidence of birth defects 16.89 ‰.The boy's incidence of birth defects was obviously higher than that of girl (chi-square =204.44,P <0.005).There were 42 children with birth defects in 2 198 urban children (27.55%) and 116 children with birth defects in 5 779 rural children (72.45%).The urban children's birth defect rate was 19.11‰ and the countryside was 20.07‰.There was no statistical difference (chi-square =0.076,P =0.782) between them.Location was the first facial defects 86 cases (54.43%),the second for nerve defect 20 cases (12.66%),the third for limbs defect 17 cases (10.76%),the fourth for heart defects 12 cases (7.59%),the fifth for urogenital defect 6 patients (3.80%),other defects 17 cases (10.76%).There was significant difference (chi-square =34.11,P <0.01) between the first birth defects and other parts.Conclusion:Birth defects' monitoring area,monitoring time

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

    DEFF Research Database (Denmark)

    Clemmensen, Lars; Bartels-Velthuis, Agna A; Jespersen, Rókur Av F

    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 To......M-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....

  7. Recreational inhalation of butane and propane in adolescents: Two forensic cases of accidental death.

    Science.gov (United States)

    Sironi, Luca; Amadasi, Alberto; Zoja, Riccardo

    2016-09-01

    The recreational use of inhalants is a fairly widespread habit among adolescents because of the ease of availability and methods of assumption. Their use is however not free of risks, both for direct toxicity on several target organs and for a mechanism of gas replacement with lack of oxygen. The first case concerns a 12-year-old boy who died suddenly after sniffing a mix of butane and propane contained in a can of air freshener. The second case concerns a 14-year-old boy who died by acute poisoning by the same mixture contained in a refill for lighters. High concentrations of the compounds were found in the tissues by analysis with gas chromatography-mass spectrometry. The compounds found in tissues and biological fluids were perfectly compatible with those contained in the containers used for the inhalation. The mechanisms of death were therefore assessed in a combination of the direct toxicity of the compound and oxygen replacement, thus highlighting the crucial help that toxicological analyses can provide in such cases.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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. Dentinogenesis imperfecta: a case report of comprehensive treatment for a teenager.

    Science.gov (United States)

    Biethman, Rick; Capati, Laura Richards; Eldger, Nicole

    2014-01-01

    Improving a smile can change a person's self-image. This case report describes treatment for an adolescent boy with dentinogenesis imperfecta. Soon to begin high school, the 14-year-old patient was severely obese and disliked his stained teeth. A combination of surgical periodontal treatment, endodontic treatment, and veneers improved both his smile and self-perception-which may have played a role in achieving his weight loss goal of 125 lb at 12 months post-treatment.

  11. Giant teratoma of anterior mediastinum in a 14-year-old girl as an example of potential diagnostic problems and errors

    Directory of Open Access Journals (Sweden)

    Przemysław Wolak

    2013-10-01

    Full Text Available Teratomas are tumors originating from the three primary germ layers, most commonly located within gonads or in the sacral region. Chest locations are rare. Mediastinal teratoma showing no tumor-specific symptoms may be treated as exudative pneumonia. The goal of the article was to present a case encountered in our practice as a showcase of possible diagnostic problems and errors. Despite a thorough medical examination with additional exams (ultrasound scans of pleural cavities, chest X-ray and laboratory analyses, the diagnosis of a thoracic tumor was made only after chest computed tomography scan was performed following ineffective attempts at antibiotic therapy and pleural drainage. Following the diagnosis of mediastinal tumor, the patient was subjected to surgery. A giant teratoma (confirmed in histopathological examination was removed upon left-sided thoracotomy. Following the procedure, lung expansion and patient recovery were observed. Computed tomography of the chest should be performed routinely upon encountering difficulties in the treatment of exudative pneumonia in children. In every case of pneumonia with pleural effusion in children, inflammatory mask of mediastinal tumors should be ruled out.

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

    Directory of Open Access Journals (Sweden)

    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

  13. Massive Hematometra due to Congenital Cervicovaginal Agenesis in an Adolescent Girl Treated by Hysterectomy: A Case Report

    Directory of Open Access Journals (Sweden)

    Turki Gasim

    2013-01-01

    Full Text Available A case of massive hematometra with a bicornuate uterus in a 14-year-old mentally handicapped girl complicated by vaginal agenesis and absent cervix is presented. She was managed by abdominal hysterectomy and right salpingo-oophorectomy that included the ovarian cystadenoma. The left ovary was conserved. This treatment was considered appropriate for this patient.

  14. 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

    Institute of Scientific and Technical Information of China (English)

    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

  15. Papillon-Lefevre Syndrome In An Adolescent Female: A Case Study

    OpenAIRE

    M. J. Jijin; Jaishankar, H.P.; Narayaran, Veena Sathya; Rangaswamy, Krupashankar; Puthaswamy, Kavitha Ankanathapura

    2015-01-01

    Papillon-Lefevre Syndrome (PLS) is a rare inherited autosomal-recessive condition with one-third of the patients’ showing consanguinity of the parents. Lesions are characterised by palmar-plantar hyperkeratosis and hyperhidrosis. Early onset of periodonditis, severe periodontal destruction in both primary and permanent dentitions, and calcification of the duramater form the three important features of this disease. Here, we present a case of a 14-year-old female who presented to the Departmen...

  16. 湘潭市0~14岁儿童哮喘流行病学调查%Epidemiological investigation on asthma in 0 - 14 years old children in Xiangtan city

    Institute of Scientific and Technical Information of China (English)

    袁海斌; 成莲英; 陶莹; 李理

    2012-01-01

    Objective: To understand the prevalence, frequently - occurring seasons and current situation of treatment of asthma in 0-14 years old children in Xiangtan city. Methods; A cluster sampling method was used to select 14 136 children age 0-14 years old randomly from Yuetang district, Yuhu district, Xiangxiang city, Xiangtan county, and Shaoshan city from Xiangtan city for epidemiological investigation of asthma. Results; Among 14 136 children aged 0-14 years old in Xiangtan city, a total of 206 children were diagnosed as asthma, the prevalence rate of asthma was 1.46%, the gender ratio of boys to girls was 1. 29:1; the incidences of asthma in spring and winter were 36. 9% and 34. 0% , respectively; asthma mainly occurred in the night (42. 7% ) and morning (17. 5% ); respiratory tract infection was the major cause of attack. 90. 8% of the children were treated with antibiotics when asthma occurred, but the rate of normalized treatment was only 10.1% ; the disease affected the study of 72. 9% of the children. Conclusion; The prevalence rate of childhood asthma in Xiangtan city is slightly lower than national average level, but it is higher than the average level in Central - Southern China; the proportion of children receiving normalized treatment is low, the publicity and education of asthma - related knowledge should be enhanced among the children.%目的:了解湘潭市0~14岁儿童哮喘的患病率、好发季节与治疗现状.方法:采取整群抽样的方法,随机选取湘潭市岳塘区、雨湖区、湘乡市、湘潭县、韶山市5个市县区0~14岁儿童14 136例进行哮喘的流行病学调查.结果:湘潭市14 136例0~14岁儿童中,共诊断儿童哮喘206例,哮喘患病率为1.46%,其中男、女性别之比为1.29:1;春季发病为36.9%,冬季为34.0%;发作时间主要在夜间(42.7%)和清晨(17.5%);呼吸道感染是主要发作诱因.发作时使用抗生素治疗达到90.8%,而规范化治疗仅为10.7%;疾

  17. 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/

    Institute of Scientific and Technical Information of China (English)

    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

  18. Helping Adolescents in Crisis: A Case Study.

    Science.gov (United States)

    Hamilton-Obaid, Beatrice

    1989-01-01

    Addresses problem of adolescent suicide by developing five stages (suicidal signs, establishing rapport, making referral, constructive actions, and self-management) that may be used to help adolescents in distress. Uses five stages in case study to demonstrate the roles played by teacher, friend, and parents in helping adolescent through a crisis.…

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

    Energy Technology Data Exchange (ETDEWEB)

    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.

  20. 7~14岁儿童代谢综合征与围产因素的相关性研究%The research of relationship between 7~14 years old children with metabolic syndrome and perinatal factors

    Institute of Scientific and Technical Information of China (English)

    严艳萍; 张平平; 楚冬梅; 高心静; 刘翠苹; 姚玲

    2015-01-01

    Objective To Investigate the incidence of metabolic syndrome in children of 7~14 years old in Tianjin Binhai New Area and the correlation between body mass and metabolic syndrome in children. Method All the object′s weight,height,waist circumference, hip circumference,fasting venous blood,test blood glucose,total cholesterol,glycerin three greases,high density lipoprotein cholesterol ,in-sulin,glycosylated hemoglobin etc were measured. Using SPSS 11. 5 statistical software for data processing and analysis. Calculating preva-lence,analyze the relationship between metabolic syndrome and related risk factors. Results The prevalence of MS was 3. 6%. Conclusion The intrauterine growth retardation,low birth weight and fetal macrosomia are related risk factors of metabolic syndrome.%目的:探讨滨海新区7~14岁儿童代谢综合征发病率,出生体质量与儿童代谢综合征的相关性。方法:测量所有对象的体重、身高,腰围、臀围,清晨空腹静脉血,测定血糖、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、糖化血红蛋白、胰岛素等指标;采用SPSS11.5统计学软件处理和分析数据,计算患病率,组别之间分析用t检验或χ2检验。应用logistic回归分析代谢综合征与相关危险因素之间的相互关系。结果:经调查MS患病率为3.6%。结论:宫内发育迟缓、低出生体重、巨大儿为代谢综合征发生的相关危险因素。

  1. Epidemiological investigation on children of 3-14 years old with congenital heart disease in Shaoyang area%邵阳地区3~14岁儿童先心病流行病学调查

    Institute of Scientific and Technical Information of China (English)

    欧阳泽伟; 刘鹏; 贺琳; 罗参香; 石向江; 曾朝晖

    2014-01-01

    Objective To make epidemiological investigation on the children of 3-14 years old with congenital heart disease from Sep. of 2011 to Sep. of 2013 in Shaoyang area. Methods Total 158 291 children of 3-14 years old from kindergardens,primary schools and GradeⅠtoⅡof Junior Middle School in Shaoyang area were selected through primary screening,secondary screening,and color Doppler examination for diagnosis,totally three stages for investigation. The indexes of prevalence rate of congenital heart disease, the distribution of the disease,and gender of the patients in nine counties and three districts in the area were statistically analyzed,and the cause of disease was investigated. Results 208 patients were diagnosed with congenital heart disease. The total prevalence rate was 1. 31‰,in which the male accounted for 1. 12‰ and the female accounted for 1. 57‰(χ2 =5. 970,P<0. 0s5). In the nine districts and three counties,the prevalence rates of congenital heart disease in Xinning County,Suining County,and Chengbu Miao Autonomous Region were 2. 31‰,2. 29‰,and 2. 50‰,respectively,significantly higher than those in other counties,and the incidence rates in different counties had statistically difference. In terms of the constituents of the disease,ventricular septal defect accounted for the first (54. 32%),followed by atrial septal defect(19. 71%)and patent ductus arteriosus(14. 42%). In terms of related disclosure factors of the mothers during pregnancy,multivariate conditional logistic regression model analysis was made and it was found that the major risk factors of congenital heart disease included virus infection within three months of the pregnancy,threatened abortion,and elderly pregnancy. Conclusion The prevalence rates of congenital heart disease in Xinning County,Suining County,and Chengbu Miao Autonomous Region in Shaoyang area were significantly higher than those in other counties,and the incidence rate of females is higher than males

  2. 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

    Institute of Scientific and Technical Information of China (English)

    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

  3. Living after sudden death: A case report of Naxos disease

    Directory of Open Access Journals (Sweden)

    Jose Alberto Garcia Noain

    2012-01-01

    Full Text Available Naxos disease is a recessive inherited condition with arrhythmogenic right ventricular dysplasia (ARVD and a peculiar cutaneous phenotype (woolly hair and a palmoplantar keratoderma. Woolly hair appears from birth, palmoplantar keratoderma develops during childhood and cardiomyopathy is clinically manifested by adolescence. Patients present with syncope, sustained ventricular tachycardia or sudden death. We report a case of a 14 year old boy from Spain, who was admitted into our emergency room after being resuscitated from cardiac arrest, secondary to malignant ventricular tachycardia that developed while he was playing basketball.

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

    Science.gov (United States)

    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…

  5. Adolescents with Cancer in Italy: Improving Access to National Cooperative Pediatric Oncology Group (AIEOP) Centers.

    Science.gov (United States)

    Ferrari, Andrea; Rondelli, Roberto; Pession, Andrea; Mascarin, Maurizio; Buzzoni, Carlotta; Mosso, Maria Luisa; Maule, Milena; Barisone, Elena; Bertolotti, Marina; Clerici, Carlo Alfredo; Jankovic, Momcilo; Fagioli, Franca; Biondi, Andrea

    2016-06-01

    This analysis compared the numbers of patients treated at Italian pediatric oncology group (Associazione Italiana Ematologia Oncologia Pediatrica [AIEOP]) centers with the numbers of cases predicted according to the population-based registry. It considered 32,431 patients registered in the AIEOP database (1989-2012). The ratio of observed (O) to expected (E) cases was 0.79 for children (0-14 years old) and 0.15 for adolescents (15-19 years old). The proportion of adolescents increased significantly over the years, however, from 0.05 in the earliest period to 0.10, 0.18, and then 0.28 in the latest period of observation, suggesting a greater efficacy of local/national programs dedicated to adolescents.

  6. 3-14岁儿童睡眠打鼾病症调查%Study of Investigation on Sleep Snoring and related morbidities in Children aged 3 to 14 years old

    Institute of Scientific and Technical Information of China (English)

    谭颖; 谢庆玲(通讯作者); 唐晓燕; 甄宏

    2013-01-01

    目的调查儿童打鼾和相关症状的发生情况。方法采取随机整群分层抽样方法应用由家长完成的问卷调查表对6999名3-14岁儿童进行调查,确定打鼾和习惯性打鼾及相关症状的发生情况。实际发放调查问卷总数为9000份,应答8150份,回收率为90.6%。有效问卷6999份。结果本组儿童打鼾现患率32.7%,男性儿童打鼾发生率(44.22%)高于女性儿童(28.58%)有显著性差异(P<0.01)。儿童打鼾现患率以3-5岁儿童相对较高为35.86%。打鼾儿童相关症状按发生率分别为注意力不集中65.66%,夜间多汗51.61%,口干咽痛5.07%,食欲减退37.09%,张口呼吸36.21%,夜醒及夜惊34.21%,慢性咳嗽31.81%,体重不增27.44%,呼吸恶臭23.56%,生长迟缓22.95%,白天困倦23.04%,遗尿17.98%。睡眠打鼾儿童相关疾病中以扁桃体肥大31.02%最常见,其次反复呼吸道感染29.89%,过敏性鼻炎16.19%,体重超重13.61%。2292名打鼾儿童有家族打鼾病史者占26.79%。结论儿童睡眠打鼾是较常见现象,持续睡眠打鼾可能影响生长发育。%Objective To investigate the occurrence of sleep snoring and correlated morbidities in preschool and early school children aged 3 to 14 years old.Methods A population-based cross-sectional study of 6999 children, aged form 3 to 14 years was conducted. The research children were randomly selected and information was collected using a parent-completed questionnaire to ascertain snoring or habitual snoring and correlated symptom. The response rate was 90.6%, 8150 of 9000 questionnaire were fully completed and 6999 questionnaires were available. Results A total of Overall, the prevalence of snoring in preschool and school children were reported in 32.7%. The incidence rate of sleep snoring in boy groups was 44.22%, which is higher than that of in girl group 28.58%,(p<0.01). The incidence rate of snoring in children aged form 3 to 5 was relatively high(35

  7. Recurrent peroneal neuropathy in adolescent: clinical case

    Directory of Open Access Journals (Sweden)

    V. A. Bulanova

    2012-01-01

    Full Text Available The clinical case of hereditary neuropathy with liability to pressure palsies (HNPP confirmed the results of DNA diagnostics is described. Clinical and electrophysiological features of the course of HNPP in adolescent is analyzed. Many various illnesses require exclusion in case of the foot extensor paresis.

  8. Recurrent peroneal neuropathy in adolescent: clinical case

    OpenAIRE

    V. A. Bulanova; D. S. Druzhinin

    2012-01-01

    The clinical case of hereditary neuropathy with liability to pressure palsies (HNPP) confirmed the results of DNA diagnostics is described. Clinical and electrophysiological features of the course of HNPP in adolescent is analyzed. Many various illnesses require exclusion in case of the foot extensor paresis.

  9. Single Mothers of Early Adolescents: Perceptions of Competence

    Science.gov (United States)

    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)…

  10. Thyroid ophthalmopathy in an adolescent girl: a case report

    Directory of Open Access Journals (Sweden)

    Bhanu Devi

    2016-08-01

    Full Text Available A 14 year old girl presented with protrusion of both the eyes for duration of 3 months and pain, redness and watering of right eye for 20 days. On examination, she was thin built, poorly nourished and the thyroid gland was found to be enlarged. Both eyes were proptosed and there was incapability of complete closure of the eyelids on both sides. On right eye, conjunctiva was congested and there was a corneal lesion seen inferomedially with an epithelial defect. CT scan of the orbit revealed picture of thyroid ophthalmopathy. Thyroid profile revealed picture suggestive of hyperthyroidism and anti-thyroid peroxidase antibody was found to be very high. She was diagnosed as a case of thyroid ophthalmopathy both eyes with exposure keratitis right eye. She was treated with anti-thyroid medication along with conservative treatment for ocular symptoms and lateral tarsorrhaphy of right eye for exposure keratopathy. Pulse steroid therapy was started and subsequent follow up showed resolution of the signs. [Int J Res Med Sci 2016; 4(8.000: 3640-3643

  11. Epidemiological investigation and risk factor analysis of asthma among children aged 0 to 14 years old in Taixing area%泰兴地区0~14岁儿童哮喘流行病调查和危险性因素分析

    Institute of Scientific and Technical Information of China (English)

    张娟

    2015-01-01

    Objective To know the current situation of asthma in children aged 0-14 years old in Taixing ar-ea through epidemiological investigation, and to explore the risk factors in order to provide epidemiological evidence for the prevention and treatment of childhood asthma. Methods A cluster random sampling survey was conducted on 4976 children aged from 0 to 14 years old with asthma or without in Tainxing. 271 children were diagnosed as asthma and these children were regarded as the case group, while another 271 non-asthmatic children were taken as the con-trol group. Case-control study and Logistic regression analysis were performed to analyze the association of asthma and risk factors. Results The incidence of childhood asthma was 3. 16% . The ratio of male to female was 1. 9:1. 0, and those aged from 0 to 3 years old and 7 to 9 years old had the highest prevalence rate with 3. 9% respectively. 61. 8% patients had their first asthma attack before the age of 3 years, 27. 3% at the age of 7~9. 39. 7% of them suf-fered from asthma during periods of seasonal change, while 47. 6% had attacks with no obvious regularity of time. The asthma was induced by respiratory tract infection most easily. Logistic regression analysis showed that the individ-ual allergic history, familial allergic history, family asthmatic history and premature birth were the independent risk factors for asthma in children, while breast feeding was a protective factor. Conclusion The total prevalence of asth-ma in children aged from 0 to 14 in Taixing is 3. 16%, which is higher than the national level in 2000. The inde-pendent risk factors include allergic history, asthmatic history and premature birth. The asthma could be prevented and treated effectively according to the investigated data.%目的:通过流行病学调查,了解泰兴地区0~14岁儿童哮喘发病与治疗现状,并对哮喘的危险性因素进行统计分析,为合理防治哮喘提供科学依据。方法采用整群抽样的方

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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…

  14. Family Relationships and Adolescent Development in Japan: A Family-Systems Perspective on the Japanese Family.

    Science.gov (United States)

    Gjerde, Per F.; Shimizu, Hiroshi

    1995-01-01

    Tested a triple-interaction hypothesis predicting problems of adolescent adjustment. Data obtained from Japanese 14-year-olds, parents, and teachers provided measures of parent-adolescent cohesion, parent socialization values, and 4 personality clusters. Found that lowest Resilient Impulse Control and Interpersonal Warmth scores were obtained for…

  15. The relative clinical impact of 2009 pandemic influenza A (H1N1) in the community compared to seasonal influenza in the Netherlands was most marked among 5-14 year olds.

    NARCIS (Netherlands)

    Gageldonk-Lafeber, A.B. van; Hooiveld, M.; Meijer, A.; Donker, G.A.; Veldman-Ariesen, M.J.; Hoek, W. van der; Sande, M.A.B. van der

    2011-01-01

    Background: So far, most pandemic influenza reports were based on case studies focusing on severe disease. For public health policy, it is essential to consider the overall impact of the pandemic, including mild diseases. Objectives: The aim of our study is to gain insight into the epidemiology of 2

  16. ENDOMETRIOSIS IN ADOLESCENTS-ANALYSIS OF 6 CASES

    Institute of Scientific and Technical Information of China (English)

    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.

  17. DBT-Enhanced Cognitive Behavioral Therapy for Adolescent Trichotillomania: An Adolescent Case Study

    Science.gov (United States)

    Welch, Stacy Shaw; Kim, Junny

    2012-01-01

    Results and a case study for a DBT-enhanced habit reversal treatment (HRT) for adult trichotillomania (TTM) (Keuthen & Sprich, 2012) is adapted for use with adolescents. Trichotillomania in adolescence is a very important but understudied problem. Onset often occurs in adolescence, and yet very little treatment research exists. DBT-enhanced habit…

  18. Trends of attempted suicide in Albanian children and adolescents

    Directory of Open Access Journals (Sweden)

    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 .

  19. Self-Esteem and Future Orientation Predict Adolescents' Risk Engagement

    Science.gov (United States)

    Jackman, Danielle M.; MacPhee, David

    2017-01-01

    This study's purpose was to examine the relations among future orientation, self-esteem, and later adolescent risk behaviors, and to compare two mediational models involving self-esteem versus future orientation as mediators. An ethnically diverse sample of 12- to 14-year-olds (N = 862, 54% female, 53% ethnic minority) was assessed longitudinally.…

  20. Research on risk factors of asthma in 0-14 years old children in Anqing city of Anhui province%安徽省安庆市0~14岁儿童哮喘高危因素分析

    Institute of Scientific and Technical Information of China (English)

    龚成林; 李晓春; 丁燕霞; 余必信; 张林

    2014-01-01

    Objective To discuss risk factors of asthma in children.Methods All 339 children with asthma aged from 0 to 14 years old were selected in Anqing city; case-control study method was used to analyze the related risk factors.Results Gender,average age,nationality and place of residence in case group and control group was not significantly different (P > 0.05).32.5% of the asthma children (110 cases)in case group had a history of allergy; 61.8% children(209 cases) had atopic physique; 18.9% children (64 cases) had family history of asthma; 16.6% children(56 cases) had a family history of allergies.11.5% children(39 cases) in the control group had asthma;22.8% children(77 cases) had atopic physique; 2.1% children(7 cases) had family history of asthma; 5.3% children(18 cases) had family history of allergies,allergy and atopic physique.Ratio of a family to decorate,winter coal heating,coal fuel for cooking,keeping homes with dogs and cats,flowers and smoke in case group had no statistically significant difference compared with those in control group (P > 0.05) ; ratio of home laying carpet in the case group was higher than that in the control group [15.7% (53 cases) vs 5.0% (17/339)] (P < 0.05).Times of respiratory tract infections < 6 times per year in case group was 55.9% (189/339).Rate of antibiotic use in case group was 98.2% (332/339) and it was 59.2% (200/339) in the control group; the differences in the two groups was statistically significant (P < 0.05).Regarding pregnancy,production situation and exclusive breastfeeding in 6 months,there was no statistically significant difference (P > 0.05).Logistic regression analysis of single factor and multi factor showed that childhood asthma was related to allergic history,idiocrasy,family history of asthma,home carpet and the use of antibiotics and respiratory infection (P values was 0.001,0.000,0.000,0.001,0.000,0.000).Conclusion Allergic history,idiocrasy,family history of asthma

  1. Esophageal achalasia in adolescence - two case reports

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    Inês Vaz Silva

    2016-02-01

    Full Text Available Introduction: Achalasia is a rare disorder, particularly in pediatrics, characterized by esophageal aperistalsis and inadequate relaxation of the lower esophageal sphincter. Its etiology remains unclear. Cases: We describe two adolescents with dysphagia for solids and liquids, vomiting, weight loss and nocturnal cough for a few months. Initially it was considered to be an eating disorder, and the diagnosis of achalasia was reached later by esophageal manometry in one case and by intraoperative biopsy in another. The patients were submitted to Heller myotomy with an antireflux procedure, laparoscopically in one case, and by laparotomy in another, both with a favorable outcome. Discussion/Conclusions: We emphasize the rarity and diagnostic challenge of these cases. The nonspecific symptoms often lead to the diagnosis of an eating disorder, delaying the correct treatment. If symptoms persist achalasia must be considered and the esophageal manometry is the diagnostic test of choice. The gold standard in treatment is surgical, and we highlight the effectiveness of the techniques applied.

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

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    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.

  3. Adolescent Vicissitudes and Medical Judgment: A Case Study.

    Science.gov (United States)

    Gallagher, Eugene B.; Farrall, Michael G.

    1987-01-01

    Notes usual presumption that pregnant adolescents are in good health but suffer from socioeconomic and cultural disadvantages, which the pregnancy will exacerbate. Presents case study to illustrate how problems of pregnant adolescent are more complex when she also has a severe medical handicap and when medical problems interact with the…

  4. 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

    Institute of Scientific and Technical Information of China (English)

    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。

  5. Early Adolescent Social and Overt Aggression: Examining the Roles of Social Anxiety and Maternal Psychological Control

    Science.gov (United States)

    Loukas, Alexandra; Paulos, Stephanie K.; Robinson, Sheri

    2005-01-01

    This study examined the factors contributing to the self-reported use of social and overt aggression among 745 10-14-year-old European American and Latino adolescents. Hierarchical multiple regression analyses showed that dispositional social evaluative anxiety was uniquely positively associated with boys' and girls' social aggression and…

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

    Science.gov (United States)

    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…

  7. An Adolescent and His Imaginary Companions: From Quasi-Delusional Constructs to Creative Imagination

    Science.gov (United States)

    Adamo, Simonetta

    2004-01-01

    In this paper I shall describe the psychotherapeutic treatment of a 14-year-old boy, who suffered from mild Asperger's syndrome. This adolescent had a multiplicity of imaginary friends, which protected him from catastrophic feelings of loneliness and deadness, but at the same time interfered with the possibility of establishing meaningful…

  8. Associations between Adolescents' Situational Motivation and Objectively-Determined Physical Activity Levels in Physical Education

    Science.gov (United States)

    Ning, Weihong; Pope, Zachary; Gao, Zan

    2015-01-01

    Purpose: This study aimed to examine the predictive strength of adolescents' situational motivation to their physical activity levels in physical education. Method: A total of 259 middle school students ranging from 11 to 14 years old participated in the study. Participants completed the Situational Motivation Scale in one class. Their PA levels…

  9. Subclinical Obsessive-Compulsive Symptoms, Cognitive Processes, School Achievement, and Intelligence-Achievement Relationship in Adolescents

    Science.gov (United States)

    Malakar, Partha; Basu, Jayanti

    2017-01-01

    The aim of the study was to determine whether the general intelligence, cognitive processes, school achievement, and intelligence-achievement relationship of adolescents with subclinical levels of obsessive-compulsive symptoms differed from those of their normal counterparts. From an initial large pool of 14-year-old Bengali students in eighth…

  10. Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy.

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    Patel, Ramnik V; Njere, Ike; Campbell, Alison; Daniel, Rejoo; Azaz, Amer; Fleet, Mahmud

    2014-08-20

    A case of acute sigmoid volvulus in a 14-year-old adolescent girl presenting with acute low large bowel obstruction with a background of chronic constipation has been presented. Abdominal radiograph and CT scan helped in diagnosis. She underwent emergency colonoscopic detorsion and decompression uneventfully. Lower gastrointestinal contrast study showed very redundant sigmoid colonic loop without any transition zone and she subsequently underwent elective sigmoid colectomy with good outcome. The sigmoid volvulus should be considered in the differential diagnosis of paediatric acute abdomen presenting with marked abdominal distention, absolute constipation and pain but without vomiting. Plain abdominal radiograph and the CT scan are helpful to confirm the diagnosis. Early colonoscopic detorsion and decompression allows direct visualisation of the vascular compromise, assessment of band width of the volvulus and can reduce complications and mortality. Associated Hirschsprung's disease should be suspected if clinical and radiological features are suggestive in which case a rectal biopsy before definitive surgery should be considered.

  11. An evaluation on occlusal relation and malocclusion in the incidence of temporomandibular disorders among Mashhad adolescents

    OpenAIRE

    Madani AS.; Ajami B

    2004-01-01

    Statement of Problem: In recent years, the prevalence of temporomandibular disorders among children and adolescents has increased, however, no study on the correlation between occlusal relations and temporomandibular disorders, in Mashhad adolescents, has been conducted yet. Purpose: The aim of this study was to survey the relationship between occlusal indices and temporomandibular disorders (TMD) among Mashhad adolescents, with the age range of 11-14 years old. Methods and Material: In this ...

  12. 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

    Institute of Scientific and Technical Information of China (English)

    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.

  13. 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.

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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% female;…

  15. Social Anxiety and Aggression in Early Adolescents: Examining the Moderating Roles of Empathic Concern and Perspective Taking

    Science.gov (United States)

    Batanova, Milena D.; Loukas, Alexandra

    2011-01-01

    Guided by a social information processing perspective, this study examined the unique and interactive contributions of social anxiety and two distinct components of empathy, empathic concern and perspective taking, to subsequent relational and overt aggression in early adolescents. Participants were 485 10- to 14-year old middle school students…

  16. Concussions and Osteopathic Manipulative Treatment: An Adolescent Case Presentation.

    Science.gov (United States)

    Castillo, Iris; Wolf, Kimberly; Rakowsky, Alexander

    2016-03-01

    Concussions commonly occur in adolescents. Although the majority of adolescent patients' symptoms resolve, about 11% continue to experience symptoms at 3 months. Standard treatment options for prolonged symptoms are not available, and the role of osteopathic manipulative treatment in the management of adolescent concussions is unclear. The authors describe a case of a 16-year-old girl with a history of 3 head injuries who presented with concussion symptoms. After 6 weekly osteopathic manipulative treatment sessions, the patient was able to return to her normal activities. Further research on the role of osteopathic manipulative treatment to manage concussions is needed.

  17. 浙南地区11~14岁儿童血红蛋白参考范围的建立%The Foundation of Medical Reference Range of Hemoglobin of the Juvenile between 11 and 14 Years Old in the Southern Area of Zhejiang Province

    Institute of Scientific and Technical Information of China (English)

    陈小剑; 王晓欧; 李向阳; 乔增培; 徐晓杰

    2011-01-01

    Objective To set up the medical refercnce range of the juveniles between 11 and 14 years old in the southem area of zhejiang province. Methods The concentrations of hemoglobin of the heahhy juvenile between 11 and 14 years old. taken from vein vessel, were tested by a sysmex system, the automatic blood analyzer. 487 children were ruled out for probably iron defection, based on mean red blood cell volume( MCV ) < 80fl , or the saturation rate of transfenin < 0. 15 and the Zinc protoporphrin concentration of red blood cell >4.0μg per gram hemoglohin. The concentrations of hemoglobin of 4015 children were analyzed separately by genders. Results The mean concentration of hemoglobin of healthy male juvenile was 134. 81 g/L. with a refercnce range from 122. 56 to 152. 36g/L, and that of healthy female juvenile was 134. 81g/L, with a reference range from 122. 41 to 147. 31g/L. The mean concentration and reference range of the male and female healthy juveniles showed difference when compared by the u test ( P <0.01) . Conclusion This survey is in consent with the require of the second national health and nutrition investigalion of USA . which was determined to set up the local medical reference ranges of hemoglobin according to the different physiological periods. The reference ranges that got from the automatic analyzer are different with that from manual method , especially for female . whose lower limit is boosted . The survey would provide an important laboratory basis for the diagnosis of early stage anemia.%目的 建立浙南地区11~14岁少年儿童血红蛋白参考范围.方法 使用Sysmex全自动血液分析仪检测4502例11~14岁健康体检儿童静脉血血红蛋白,根据平均红细胞体积<80fl或者运铁蛋白饱和度<0.15或者红细胞锌原卟啉>4.0μg/g血红蛋白(Hb)剔除可能为铁缺乏症的儿童487名,分性别组统计4015名儿童的血红蛋白参考范围.结果 健康男性儿童的血红蛋白均数为137.46g

  18. 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

    Institute of Scientific and Technical Information of China (English)

    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

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

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    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.

  20. Weeding Out the Truth: Adolescents and Cannabis: Case and Discussion.

    Science.gov (United States)

    Caspersen, Shannon; Tau, Gregory Z; Ammerman, Seth

    2016-01-01

    This clinical case conference discusses the case of an adolescent presenting with a marijuana use disorder. Information about a real patient is presented to expert clinicians, who respond to the information by sharing their reasoning and recommendations, followed by a summary of the clinical discussion.

  1. Solitary epidural brain metastasis of Neuroepithelioma (a Primitive Neuroectodermal Tumor: case report

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    Farnaz Farshidfar

    2008-08-01

    Full Text Available A 14 years old male was referred to Computerized tomography scan (CT of our hospital for evaluation of headache. The patient was known case of cervical soft tissue Primitive neuroectodermal tumor (PNET which has undergone surgery and radiotherapy 4 years ago. The CT scan showed large solitary extra axial, epidural lesion in right parietal region, with mass effect and bony involvement. Then surgery was done for him and the resultant biopsy was Neuroepithelioma. After diagnosis the patient has undergone chemotherapy and radiotherapy. He has no signs or symptoms of malignancy, and also follow up CT scan of the brain, chest, and abdomen were normal after two years of surgery. This is the first reported case of epidural metastasis of a head and neck PNET in an adolescent.

  2. An unusual case of hemoperitoneum owing to acute splenic torsion in a child with immunoglobulin deficiency

    Directory of Open Access Journals (Sweden)

    Lopez-Tomassetti Fernandez

    2006-01-01

    Full Text Available Wandering spleen is an uncommon clinical entity, which rarely affects children and adolescents. It is usually described in adults, being most common in the multiparous women of childbearing age. A case of a 14-year-old girl with a past history of splenomegaly and immunoglobulin A (IgA deficiency, who presented with a sudden onset of abdominal pain, is presented. Diagnosis of hemoperitoneum secondary to torsion of a wandering spleen was made by computed tomography scan and Doppler ultrasound. Laparoscopy revealed hemoperitoneum owing to a ruptured and infarcted spleen. Laparotomy was undertaken and open splenectomy was successfully performed. The patient was discharged after an uneventful postoperative course that was not punctuated by any major complication. Management of this rare surgical emergency is discussed. Based on the details of this case, the authors hypothesize that IgA deficiency causes splenomegaly, which in turn predisposes to ligamentous laxity and splenic torsion.

  3. Conceito de doença e preservação da saúde de população de professores e escolares de Primeiro Grau The concept of disease and of the preservation of health in a sample population of teachers and pupils of a school course for 7-14 year olds

    Directory of Open Access Journals (Sweden)

    Evely Boruchovitch

    1991-12-01

    Full Text Available Considerando-se que a informação acerca de como professores e alunos conceituam doença e o que fazem para cuidar de sua saúde tem importantes implicações para a educação em saúde, estes conceitos foram estudados numa amostra de docentes e escolares de primeiro grau, representativa da zona norte do Município do Rio de Janeiro, RJ (Brasil. Os resultados encontrados são discutidos à luz de duas perspectivas: (a as contribuições provenientes de teorias cognitivas que abordam formação de conceitos; (b a influência do contexto social na aquisição, no desenvolvimento e caracterização dos conceitos estudados. Teve-se por finalidade contribuir para a educação em saúde no sentido de uma revisão e reflexão crítica da concepção do processo saúde-doença no âmbito escolar atentando-se para os aspectos complexos e multifacetários que este processo envolve.In view of the fact that information about how teachers and students conceptualize illness and their ideas of health preservation have important implications of health education, these two concepts were studied in a sample population of teachers and pupils, of a school course of up to 14-year-olds, representative of the northern area of Rio de Janeiro County. The results obtained are discussed in the light of two approaches: (a the contributions from the cognitive theories of concept formation; (b the influence of the social context in the acquisition, development and characterization of the concepts studied. This study was undertaken with a view to contributing to the field of health education by means of critical review and reflection on the concept of the health illness process in schools, in view of the complex and multidimensional aspects involved in the process.

  4. A clinical study of the relationship between the width of attached gingiva and gingivitis among 8-14 year old children%8~14岁儿童附着龈宽度与牙龈炎相关性的研究

    Institute of Scientific and Technical Information of China (English)

    邰佰霞; 李群; 王永兰

    2011-01-01

    AIM: To study the relationship between the width of attached gingiva and gingivitis of 8-14 yearold children. METHODS: A total of 204 8-14 year old children for oral health examination were enrolled in the survey. Six teeth, one molar in each posterior sextant and the upper right and lower left central incisors, were selected for the periodontal examination. The width of attached gingiva, probing depth, bleeding of probing, plaque index, sulcus bleeding index were evaluated. RESULTS: Negative correlation(r = -2.000, -1.810, -2. 120, respectively, P<0.01)was found between the mean width of attached gingiva and sulcus bleeding index, plaque index, probing depth by Spearman analysis of correlation. There was also a significant difference between the percentage of the bleeding of probing when the width of attached gingiva was less than lmm and more than lmm. CONCLUSION; The width of attached gingiva probably has an effect on the occurrence of gingivitis and may play a role in maintaining periodontal health.%目的:探讨8~14岁儿童附着龈宽度与牙龈炎之间的相关性.方法:对天津市204名8~14岁儿童进行口腔检查,选择11、16、26、31、36、46为指数牙,记录颊侧附着龈宽度,并检查探诊深度(probingdepth,PD)、探诊出血指数(bleeding of pmbing,BOP)、牙菌斑指数(plaque index,PLI)、龈沟出血指数(sulcusbleeding index,SBI)等牙周临床指标.结果:Spearman相关分析显示儿童牙龈的附着龈宽度与SBI、PLI、PD之间呈较弱的负相关关系(r值分别为-2.000,-1.810、-2.120,且P<0.05),t检验可得附着龈宽度<1 mm、≥1 mm时BOP%存在差异(P<0.05).结论:附着龈的宽度有可能影响儿童牙龈炎症的发生,且对于维护牙周组织的健康起到一定的作用.

  5. Adolescent multiple personality disorder: a preliminary study of eleven cases.

    Science.gov (United States)

    Dell, P F; Eisenhower, J W

    1990-05-01

    The diagnostic features and treatment histories of 11 adolescents with multiple personality disorder (MPD) are presented. Clinical evaluation revealed that the majority of these adolescents manifested extremely variable school performance, disruptive behavior, trances, amnesias, mood swings, sharp changes in personality, apparent lying, voices heard in the head, and depression. All had a history of childhood trauma: Sexual abuse (73%), physical abuse (73%), and emotional abuse (82%). Seventy-three percent had a parent with a diagnosable dissociative disorder; 36% of the mothers had MPD. These adolescents had a mean number of 24.1 alter personalities and appear to have become multiple at a mean age of 3 years, 1 month. All patients had angry protector alters, depressed alters, scared alters, and child alters. Fifty-four percent of these cases have integrated during treatment or are progressing toward integration. The remaining cases dropped out of therapy.

  6. Papillon-Lefevre Syndrome In An Adolescent Female: A Case Study.

    Science.gov (United States)

    Jijin, M J; Jaishankar, H P; Narayaran, Veena Sathya; Rangaswamy, Krupashankar; Puthaswamy, Kavitha Ankanathapura

    2015-05-01

    Papillon-Lefevre Syndrome (PLS) is a rare inherited autosomal-recessive condition with one-third of the patients' showing consanguinity of the parents. Lesions are characterised by palmar-plantar hyperkeratosis and hyperhidrosis. Early onset of periodonditis, severe periodontal destruction in both primary and permanent dentitions, and calcification of the duramater form the three important features of this disease. Here, we present a case of a 14-year-old female who presented to the Department of Oral Medicine and Radiology with a complaint of mobility of the teeth since four months. Oral examination of the patient showed generalised mobility of the teeth. General physical examination of the patient showed dry scaly skin on dorsum of bilateral feet, hands, and knee. The patient had familial history positive for consanguinity. The patient was medically diagnosed as positive for PLS. The patients with PLS show combination of dermatological and dental lesions and it requires the dentist to assume a more prominent role in early treatment and rehabilitation. There is a need for symbiotic and synergetic approach between the two specialties for effective management of this rare disease.

  7. 共和县2010年0~14岁儿童免疫抗体水平监测结果分析%Analysis of 0~14 Years Old Children's Immunity Antibody Level Surveillance Results of Gonghe County in 2010

    Institute of Scientific and Technical Information of China (English)

    陈生梅

    2014-01-01

    %. Conclusion By monitoring the antibody level in the immunization of children that the children of 0~14 years old, my county to strengthen immunization planning still needs to be strengthened, improving vaccination quality, avoid inef ective vaccination, in order to ensure the ef ective immune barrier.

  8. The Prevalence of Idiopathic Scoliosis in Eleven Year-Old Korean Adolescents: A 3 Year Epidemiological Study

    OpenAIRE

    Lee, Jin-Young; Moon, Seong-Hwan; Kim, Han Jo; Park, Moon Soo; Suh, Bo-Kyung; Nam, Ji Hoon; Jung, Jae Kyun; Lee, Hwan-Mo

    2014-01-01

    Purpose School screening allows for early detection and early treatment of scoliosis, with the purpose of reducing the number of patients requiring surgical treatment. Children between 10 and 14 years old are considered as good candidates for school screening tests of scoliosis. The purpose of the present study was to assess the epidemiological findings of idiopathic scoliosis in 11-year-old Korean adolescents. Materials and Methods A total of 37856 11-year-old adolescents were screened for s...

  9. Evans Syndrome: A case report

    Directory of Open Access Journals (Sweden)

    F. Porcaro

    2014-08-01

    Full Text Available We describe a case of a 14-years old caucasian female affected by autoimmune hemolytic anemia and thrombocytopenia successfully treated with intravenous immunoglobulin and steroids. Nevertheless, neutropenia occurred during follow-up period. Positivity of direct antiglobulin test and sieric anti-neutrophil antibodies suggested the diagnosis of Evans syndrome trilineage.

  10. A Case Study of an Adolescent Male with XXXXY Klinefelter's Syndrome. Brief Report.

    Science.gov (United States)

    Sheridan, Margaret K.; Radlinski, Sara

    1988-01-01

    The developmental history of a 14-year-old male with Klinefelter's Syndrome (XXXXY) is described. The boy's physical development was consistent with many patterns described in the XXXXY literature, although his retardation was not as severe as expected from the literature. (Author/DB)

  11. Phyllodes tumor in adolescent. Case study.

    Directory of Open Access Journals (Sweden)

    Lidia Torres Aja

    2008-04-01

    Full Text Available 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.

  12. Meglitinide analogues in adolescent patients with HNF1A-MODY (MODY 3).

    Science.gov (United States)

    Becker, Marianne; Galler, Angela; Raile, Klemens

    2014-03-01

    For pediatric patients with hepatocyte nuclear factor-1A (HNF1A)-maturity-onset diabetes of the young (MODY 3), treatment with sulfonylureas is recommended. In adults with HNF1A-MODY, meglitinide analogues achieve lower postprandial glucose levels and pose a lower risk of delayed hypoglycemia compared with sulfonylureas. This therapy has not yet been reviewed in pediatric patients. We report on meglitinide analogue treatment in 3 adolescents with HNF1A-MODY. Case 1 (14-year-old girl) was diagnosed asymptomatically but had an hemoglobin A1c (HbA1c) level of 7.4%; her father had been recently diagnosed with HNF1A-MODY. With repaglinide, her HbA1c level decreased to 5.5%, with no hypoglycemic episodes. Case 2 (14-year-old boy) was diagnosed incidentally with glucosuria (HbA1c level: 7.0%) and was treated with insulin. After the HNF1A-MODY diagnosis, he was switched to glibenclamide. Due to several hypoglycemic episodes, treatment was changed to nateglinide and his HbA1c level decreased to 6.2% with no further hypoglycemic episodes. Case 3 (11-year-old girl) presented with polyuria and polydipsia (HbA1c level: 10.1%) and was initially treated with insulin. After the HNF1A-MODY diagnosis, treatment was changed to repaglinide. She was obese (BMI: 28.8 kg/m(2); z-score: +2.2), and glucose control with repaglinide alone was insufficient. Therefore, neutral protamine Hagedorn insulin (0.27 U/kg per day) was added. With this combination therapy, her HbA1c level decreased to 8.2%. The use of meglitinides in these 3 adolescent patients was well tolerated and effective. Furthermore, hypoglycemic episodes were rare compared with treatment with insulin or sulfonylureas. We therefore suggest considering meglitinides as the primary oral treatment option for adolescents suffering from HNF1A-MODY.

  13. Biomass distribution and net primary productivity of a 14-year-old stand of successive rotations of Chinese fir plantation%连栽14年生杉木林生态系统生物量的结构特征

    Institute of Scientific and Technical Information of China (English)

    杨超; 田大伦; 康文星; 项文化; 闫文德; 方晰; 梁小翠

    2011-01-01

    The biomass partitioning and net primary productivity (NPP) of a 14-year-old stand of successive rotations of Chinese fir plantation were investigated at Huitong National Field Station for Scientific Observation and Experiment, Hunan Province, China, using a chronosequence approach on the same experiment site. The results show that mean individual tree biomass, stand biomass and NPP in the second rotation were 42. 07 kg, 97.18 t · hm-2 and 6. 95 t · hm-2a-1, respectively in the studied stands. The proportion of biomass at tree scale was in an order: wood > root > branch > bark > leaf. Understory vegetation biomass was 1318.14 kg · hm-2, of which shrubs and herbaceous biomass were 475. 53 kg · hm-2 and 842. 61 kg · hm-2, respectively. Dead vegetation biomass on the forest floor was 6 192. 73 kg · hm-2. The overstory Chinese fir tree accounted for 92. 83% of the total stand biomass, the next was herbaceous (0. 80%), dead vegetation (5. 91%) and shrubs (0. 46%). When compared to the same aged stands of the first rotation of Chinese fir plantation on same sites (biomass: 104. 45 t · hm-2; NPP: 7. 47 t · hm-2 · a-1), biomass and NPP were reduced byabout 7% in the second rotatioa The findings demonstrate that successive rotations of Chinese fir plantation had considerable effects on biomass production and NPP at middle growth and development stage of the stands, which provides scientific references for sustainable management of Chinese fir plantations.%用空间一致和时间连续的定位研究法,在湖南会同杉木林生态系统国家野外科学研究站,对实验基地连栽14年生杉木林的生物量结构特征进行了研究,并与第1代同龄杉木林的生物量和生产力进行了比较.结果表明:连栽14年生杉木林的林木单株生物量、林分生物量和生产力分别为42.07 kg、97.18 t·hm-2和6.95t·hm-2a-1,各器官的分配规律为树干>树根>树枝>树皮>树叶;林下植被层生物量为1 318.14kg·hm-2,

  14. 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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Institute of Scientific and Technical Information of China (English)

    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.

  16. Systemic hypertension and associated factors in school adolescents

    Directory of Open Access Journals (Sweden)

    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

  17. Pemphigus vulgaris in adolescence: a case report

    OpenAIRE

    Ferreira, Jean Paulo Rodolfo [UNESP; Araújo, Paula Caetano [UNESP; SAliba, Marcos Tadeu Adas [UNESP; Consolaro,Renata Bianco; Garbin,Cléa Adas Saliba

    2013-01-01

    Pemphigus vulgaris is an autoimmune disease, normally associated with oral lesions that generally affects patients aged 40 - 60 years. The aim of this study was to report a case of pemphigus vulgaris presenting at an uncommon age with advanced periodontal disease, and to describe the treatment performed from the time of diagnosis through oral environment restoration and follow-up monitoring. One gingival vesicular lesion was biopsied. After the histological confirmation of pemphigus vulgaris,...

  18. A Rare Case of Segmental Clavicle Fracture in an Adolescent

    Science.gov (United States)

    Daolagupu, Arup Kumar; Gogoi, Parag Jyoti; Mudiganty, Srikanth

    2013-01-01

    Clavicular fractures commonly occur in adults and children. The usual mechanism of injury is a fall on the outstretched hand or direct trauma. The usual site of these fractures is the mid clavicle with lateral end and medial end clavicular fractures being less common, respectively. Segmental clavicular fractures have been reported in the literature; they usually occur at the medial and lateral ends and tend to occur in adults. Bipolar clavicular injuries involving medial and lateral ends have also been reported rarely but all in adults. We report a very rare case of segmental clavicular fracture involving the mid clavicle and lateral end in an adolescent caused by direct trauma. The management of segmental clavicle fractures has not been clearly outlined although operative intervention is indicated. We report the successful management of segmental fracture clavicle in an adolescent and discuss the relevant literature. PMID:23476850

  19. A Rare Case of Segmental Clavicle Fracture in an Adolescent

    Directory of Open Access Journals (Sweden)

    Arup Kumar Daolagupu

    2013-01-01

    Full Text Available Clavicular fractures commonly occur in adults and children. The usual mechanism of injury is a fall on the outstretched hand or direct trauma. The usual site of these fractures is the mid clavicle with lateral end and medial end clavicular fractures being less common, respectively. Segmental clavicular fractures have been reported in the literature; they usually occur at the medial and lateral ends and tend to occur in adults. Bipolar clavicular injuries involving medial and lateral ends have also been reported rarely but all in adults. We report a very rare case of segmental clavicular fracture involving the mid clavicle and lateral end in an adolescent caused by direct trauma. The management of segmental clavicle fractures has not been clearly outlined although operative intervention is indicated. We report the successful management of segmental fracture clavicle in an adolescent and discuss the relevant literature.

  20. Determinants of Internet addiction among adolescents: a case-control study.

    Science.gov (United States)

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

    2011-04-19

    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 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.

  1. Brief Report: Electroconvulsive Therapy for Malignant Catatonia in an Autistic Adolescent

    Science.gov (United States)

    Wachtel, Lee Elizabeth; Griffin, Margaret Merrie; Dhossche, Dirk Marcel; Reti, Irving Michael

    2010-01-01

    A 14-year-old male with autism and mild mental retardation developed malignant catatonia characterized by classic symptoms of catatonia, bradycardia and hypothermia. Bilateral electroconvulsive therapy and lorazepam were required for resolution. The case expands the occurrence of catatonia in autism into its malignant variant.

  2. Acute myocarditis induced by dosage increment of methylphenidate in an adolescent patient

    Directory of Open Access Journals (Sweden)

    Osman Beton

    2016-06-01

    Full Text Available Attention deficit-hyperactivity disorder (ADHD is one of the most common psychiatric disorders seen in children and adolescents. ADHD is increasingly diagnosed and treated nowadays. Methylphenidate is a potent psychostimulant that exerts its effects by increasing dopamine and norepinephrine levels in synapses. It is a widely used medication for treatment of ADHD in children and adolescents. Although not well-established, a causal relationship between treatment of ADHD and development of cardiomyopathy has been suggested. However, this suggestion was supported by the normalization or improvement in cardiac function and functional class after cessation of anti-ADHD medications in patients suffering from cardiomyopathy related to anti-ADHD medications. In this case report, we describe a case of 14-year-old male patient who developed acute myocarditis due to the dose increment of methylphenidate. The patient completely recovered after discontinuation of methylphenidate. Cardiovascular monitoring of patients on methylphenidate treatment should be an important task for psychiatrists, general practitioners and cardiologists.

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

    Science.gov (United States)

    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.

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

    OpenAIRE

    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...

  5. Anorexia in the Adolescence - case study

    Directory of Open Access Journals (Sweden)

    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.

  6. Folliculotropic Mycosis Fungoides in an Adolescent: A Rare Case.

    Science.gov (United States)

    Mantri, Meeta Dipak; Khadke, Mona P; Ameet, Dandale L; Rachita, Dhurat S

    2016-01-01

    Folliculotropic mycosis fungoides (FMF) is an uncommon and aggressive form of mycoses fungoides with preferential involvement of head and neck region. Lesions of FMF present as erythematous plaques or papules with follicular prominences, acneiform lesions, cysts, nodules, patches of scarring alopecia, and prurigo-like lesions. The mean age of diagnosis is at 60 years and it is extremely rare in childhood and adolescence. We report a case of a 16-year-old male patient who presented with a 2-month history of an asymptomatic erythematous infiltrated plaque over the forehead. Histological examination was consistent with diagnosis of FMF. He was successfully treated with local electron beam therapy.

  7. Folliculotropic mycosis fungoides in an adolescent: A rare case

    Directory of Open Access Journals (Sweden)

    Meeta Dipak Mantri

    2016-01-01

    Full Text Available Folliculotropic mycosis fungoides (FMF is an uncommon and aggressive form of mycoses fungoides with preferential involvement of head and neck region. Lesions of FMF present as erythematous plaques or papules with follicular prominences, acneiform lesions, cysts, nodules, patches of scarring alopecia, and prurigo-like lesions. The mean age of diagnosis is at 60 years and it is extremely rare in childhood and adolescence. We report a case of a 16-year-old male patient who presented with a 2-month history of an asymptomatic erythematous infiltrated plaque over the forehead. Histological examination was consistent with diagnosis of FMF. He was successfully treated with local electron beam therapy.

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

    Science.gov (United States)

    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.

  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

    Directory of Open Access Journals (Sweden)

    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. Resource Training Manual for Family Advocacy Case Management with Adolescents with Emotional Disabilities.

    Science.gov (United States)

    Ronnau, John; And Others

    This training manual for social work practitioners is based on the Family Advocacy Model of Case Management, which states that case management with adolescents contains two important elements: work with the adolescent and work with those responsible for his/her care. This manual deals with the first of two elements and is designed to be used in…

  11. New Insights into the Compulsion to Use Tobacco from an Adolescent Case-Series

    Science.gov (United States)

    DiFranza, Joseph R.; Ursprung, W. W. Sanouri; Carson, Alisha

    2010-01-01

    Nicotine addiction is the most common preventable cause of premature death presenting during adolescence. No prior study has described the onset of this condition based on case histories. We used trained personnel to conduct individual semi-structured interviews to obtain case histories from 50 adolescent and young adult current and former…

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

    Directory of Open Access Journals (Sweden)

    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.

  13. 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

    Directory of Open Access Journals (Sweden)

    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

  14. Registration and classification of adolescent and young adult cancer cases.

    Science.gov (United States)

    Pollock, Brad H; Birch, Jillian M

    2008-05-01

    Cancer registries are an important research resource that facilitate the study of etiology, tumor biology, patterns of delayed diagnosis and health planning needs. When outcome data are included, registries can track secular changes in survival related to improvements in early detection or treatment. The surveillance, epidemiology, and end results (SEER) registry has been used to identify major gaps in survival for older adolescent and young adult (AYA) patients compared with younger children and older adults. In order to determine the reasons for this gap, the complete registration and accurate classification of AYA malignancies is necessary. There are inconsistencies in defining the age limits for AYAs although the Adolescent and Young Adult Oncology Progress Review Group proposed a definition of ages 15 through 39 years. The central registration and classification issues for AYAs are case-finding, defining common data elements (CDE) collected across different registries and the diagnostic classification of these malignancies. Goals to achieve by 2010 include extending and validating current diagnostic classification schemes and expanding the CDE to support AYA oncology research, including the collection of tracking information to assess long-term outcomes. These efforts will advance preventive, etiologic, therapeutic, and health services-related research for this understudied age group.

  15. The Effects of Macroglossia on Speech: A Case Study

    Science.gov (United States)

    Mekonnen, Abebayehu Messele

    2012-01-01

    This article presents a case study of speech production in a 14-year-old Amharic-speaking boy. The boy had developed secondary macroglossia, related to a disturbance of growth hormones, following a history of normal speech development. Perceptual analysis combined with acoustic analysis and static palatography is used to investigate the specific…

  16. Antrolith in the Maxillary Sinus; Report of a Case

    Directory of Open Access Journals (Sweden)

    A. Haraji

    2006-06-01

    Full Text Available A case of maxillary antrolith in a 14-year-old girl is presented. A radiopaque mass,thought to be a supernumerary tooth, was incidentally found on a panoramic radiograph obtained for orthodontic purposes. During surgical exploration the maxillary sinus was penetrated and 6 calcified masses were discovered. Histopathologic analysis revealed a calcium deposition around a necrotic mass.

  17. On-line ostracism affects children differently from adolescents and adults.

    Science.gov (United States)

    Abrams, Dominic; Weick, Mario; Thomas, Dominique; Colbe, Hazel; Franklin, Keith M

    2011-03-01

    This research examines adults', and for the first time, children's and adolescents' reaction to being ostracized and included, using an on-line game, 'Cyberball' with same and opposite sex players. Ostracism strongly threatened four primary needs (esteem, belonging, meaning, and control) and lowered mood among 8- to 9-year-olds, 13- to 14-year-olds, and adults. However, it did so in different ways. Ostracism threatened self-esteem needs more among 8- to 9-year-olds than older participants. Among 13- to 14-year-olds, ostracism threatened belonging more than other needs. Belonging was threatened most when ostracism was participants' first experience in the game. Moreover, when participants had been included beforehand, ostracism threatened meaning needs most strongly. Gender of other players had no effect. Practical and developmental implications for social inclusion and on-line experiences among children and young people are discussed.

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

    Science.gov (United States)

    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.

  19. A Progressive Pedagogy for Online Learning with High-Ability Secondary School Students: A Case Study

    Science.gov (United States)

    Ng, Wan; Nicholas, Howard

    2010-01-01

    This article describes a case study of a group of ten 14-year-old students who engaged with an online extended-learning project as an extracurricular activity for about 6 months. The students were physically located in Australia, Malaysia, and the United Kingdom. The facilitation and online learning made use of a progressive pedagogy that moved…

  20. Pseudothrombocytopenia due to Platelet Clumping: A Case Report and Brief Review of the Literature

    OpenAIRE

    2016-01-01

    Platelet clumping is a common laboratory phenomenon that complicates or precludes reporting of platelet count. It is often, but not always, a phenomenon commonly caused by the anticoagulant EDTA. Herein, we discuss a case of a 14-year-old girl who was found to have platelet clumping and discuss the work-up she underwent to investigate her pseudothrombocytopenia.

  1. Case report 434: Primary mediastinal endodermal sinus tumor with skeletal metastases

    Energy Technology Data Exchange (ETDEWEB)

    Ihmeidan, I.H.; Tehranzadeh, J.; Mnaymneh, W.; Albores-Saavedra, J.

    1987-10-01

    Mediastinal endodermal sinus tumor in females is exceedingly rare. The case of a 14-year-old girl with a mediastinal endodermal sinus tumor that first manifested itself as lytic skeletal metastases is presented. The differential diagnosis was considered and the criteria for diagnosis were described. The literature on the subject was reviewed.

  2. Pseudothrombocytopenia due to Platelet Clumping: A Case Report and Brief Review of the Literature

    Directory of Open Access Journals (Sweden)

    Geok Chin Tan

    2016-01-01

    Full Text Available Platelet clumping is a common laboratory phenomenon that complicates or precludes reporting of platelet count. It is often, but not always, a phenomenon commonly caused by the anticoagulant EDTA. Herein, we discuss a case of a 14-year-old girl who was found to have platelet clumping and discuss the work-up she underwent to investigate her pseudothrombocytopenia.

  3. Paediatric necrotizing fasciitis complicating third molar extraction: report of a case.

    Science.gov (United States)

    Ricalde, P; Engroff, S L; Jansisyanont, P; Ord, R A

    2004-06-01

    Necrotizing fasciitis is an uncommon but well-described entity. In the paediatric population compromising risk factors are frequently absent. We describe the successful treatment of a case of cervicofacial necrotizing fasciitis in a healthy 14-year-old male following routine extraction of an uninfected wisdom tooth for orthodontic purposes.

  4. Orthodontic and orthognathic management of a patient with Apert syndrome: a case report.

    NARCIS (Netherlands)

    Verdonck, A.; Bertrand, J.; Carels, C.E.L.; Swinnen, S.; Schoenaers, J.

    2010-01-01

    This case report describes the combined orthodontic and orthognathic management of a 14-year-old girl affected with Apert syndrome. She presented with a severe Class III skeletal relationship, midfacial hypoplasia and an large anterior open bite. Intraorally, she had severe crowding, a narrow maxill

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

    Science.gov (United States)

    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…

  6. [Atypical celiac disease in an adolescent girl--case report].

    Science.gov (United States)

    Hozyasz, Kamil; Czerwińska, Barbara

    2004-11-01

    Coeliac disease is characterized by life-long gluten intolerance. There are a wide variety of clinical presentations, which range from severe diarrhoea and weight loss to asymptomatic forms. The primary treatment for coeliac disease is the removal of gluten from the diet to prevent both immediate and long-term complications. The case of 16-year-old girl with coeliac disease was presented. At the age of 2 years the patient with impaired growth and abnormal stools was suspected to have coeliac disease. She experienced symptomatic improvement on gluten-free diet, but after 3 years the treatment was discontinued. The patient denied gastrointestinal or skin problems. At the age of 14 years Raynaud's phenomenon was observed for the first time. Two years later episodes of Raynaud's phenomenon involved all fingers and toes. Body mass index (BMI) was 23.8 kg/m2. Levels of free-carnitine, tocopherol, vitamin B12 were below normal limits and homocysteine level was increased. Antiendomysial IgA, antireticulin IgA, antigliadin IgA and IgG antibodies were positive. The duodenal mucosa showed total villous atrophy. Gluten free-diet and multivitamin supplementation provided some benefit in reducing Raynaud's phenomenon. The patient's well being has improved markedly. Atypical coeliac disease is usually seen in adolescents and adults in whom features of overt malabsorption are often absent. In cases of health problems occurring in persons with history of malabsorption syndrome in childhood suspicion of coeliac disease should be heightened and appropriate evaluation undertaken.

  7. CT findings of ganglioglioma. Report of 2 cases

    Energy Technology Data Exchange (ETDEWEB)

    Velasquez, G.R.; Yamazaki, Shingo; Yamaguchi, Takekane (Tokyo Medical and Dental Univ. (Japan). School of Medicine)

    1984-06-01

    The authors report 2 cases of gangliogliomas of the sellar region, one of which was associated with chromophobe adenoma. Case 1. A 14-year-old female was admitted for a visual disturbance. Neurological examination showed bitemporal hemianopsia and secondary optic atrophy. CT scan showed an isodense mass in the suprasellar region, with homogneous enhancement by contrast medium and an accompanying low-density area in the left thalamus adjacent to the enhanced tumor mass. The histological diagnosis of the surgical specimen was ganglioglioma. Case 2. A 52-year-old female was admitted under the diagnosis of pituitary adenoma. Neurological examination showed bitemporal hemianopsia and signs of acromegaly. Plain skull X-ray film showed sellar ballooning and decalcification of the posterior clinoid process. The tumor resected in the first operation was histologically diagnosed as chromophobe adenoma mixed with ganglioglioma. In the follow-up, she showed signs and symptoms of a recurrent tumor, which was revealed to be ganglioglioma without any recurrence of chromophobe adenoma in the subsequent operations. The CT scan before the second operation showed an isodense supraand intrasellar mass with marked enhancement. Ganglioglioma is a rare, benign, nerve-cell tumor, mostly occurring in childhood and adolescence. The CT findings, together with the clinical history, the age of the patient, and the tumor location, may suggest the tentative preoperative diagnosis of ganglioglioma.

  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; Froid hivernal et port exclusif de chaussures de sport en tissu par une adolescente: effets tardifs en tomoscintigraphie osseuse et en resonance magnetique nucleaire

    Energy Technology Data Exchange (ETDEWEB)

    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)

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

    Science.gov (United States)

    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.

  10. Adolescent-parent conflict in the age of social media: Case reports from India.

    Science.gov (United States)

    Shah, Ruchita; Chauhan, Nidhi; Gupta, Anoop Krishna; Sen, Mahadev Singh

    2016-10-01

    Social media activities have gained popularity amongst children and adolescents as a means of communication; giving them the opportunity for independence and social development as well as rendering them vulnerable to negative influences. In traditionally collectivistic societies like India, moving rapidly towards modernisation, not only is there a divide between parents and adolescents over the endorsement of these sites, but also regarding value systems related to autonomy and dating that are facilitated by such activities. We present cases of two adolescent girls to highlight adolescent parent conflict that arises in the age of social media in a cultural context. Further, the cases underscore that value systems and culture play an important role in resolution of such conflict.

  11. A case study of virilizing adrenal tumor in an adolescent female elite tennis player--insight into the use of anabolic steroids in young athletes.

    Science.gov (United States)

    Eliakim, Alon; Cale-Benzoor, Mia; Klinger-Cantor, Beatrice; Freud, Enrique; Nemet, Dan; Feigin, Elad; Weintrob, Neomi

    2011-01-01

    A 14-year-old Caucasian girl was referred to the endocrine clinic for evaluation of voice deepening, facial hirsutism, and acne starting 2 years previously. She had been a competitive tennis player since age 7 years, practicing for 4-6 hours daily. On physical examination she was noticed to have a masculine appearance with mild facial acne and moderate hirsutism. Tanner stage was 1 for breast tissue and 5 for pubic hair. Her androgen levels (testosterone, androstenedione, dehydroepiandrosterone sulfate) were extremely elevated. Adrenal ultrasonography revealed a round left 4.6 × 5.3-cm adrenal mass. Laparoscopic left adrenalectomy was performed. The histologic findings were compatible with a benign adrenocortical tumor. Postoperatively, androgen levels dropped to within the normal range. Breast development proceeded normally, menarche occurred 2 months after tumor resection, and menses has been regular since then. Muscle strength of the dominant and nondominant upper and lower extremities was measured 1 month before surgery and 1 year later, using an isokinetic dynamometer (Biodex Systems II, Biodex, Shirley, NY, USA). There was no significant decrease in overall muscle strength after removal of the virilizing tumor and the marked drop in circulating androgens. In addition, the patient maintained her age category, number 1, national tennis ranking. The results suggest that even extremely high levels of tumor-related circulating androgens had no evident effect on muscle strength and competitive performance in a female adolescent tennis player. The lack of beneficial effect on performance in adolescents, combined with the potentially hazardous side effects of anabolic steroids, suggests that teenage athletes should avoid their use.

  12. Development of Art Appreciation in 11-14 Year-Old Students

    Science.gov (United States)

    Duh, Matjaž; Zupancic, Tomaž; Cagran, Branka

    2014-01-01

    Modern art curricula derive from the assumption that visual arts education can be of a high quality only if productive and receptive artistic activities are implemented. In art education practice, we are able to follow incentives for artistic expression but pay less attention to developing art appreciation that is based on developing as subtle…

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

    DEFF Research Database (Denmark)

    Svarstad, Lone Krogsgaard

    2015-01-01

    Miley Cyrus and Sinead O’Connor. Students work with active construction, making connections, social interaction, reflection, responsibility and they do so in a process of noticing, comparing, reflecting and interacting (producing) (Liddicoat & Scarino, 2013). In a spiral process of teaching the teachers......, analysing data and engaging in a respectful and open dialogue, three teachers and I collaborated on the scaffolding of eight lessons in which the students worked with the theme Audience, Performance and Celebrities. I wish to discuss how this intervention contributes to the preliminary conclusions of my Ph...

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

    DEFF Research Database (Denmark)

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

    2013-01-01

    intake of liquid ‘discretionary calories’ was significantly lower in long sleepers than in short and medium sleepers (P= 0·03). In conclusion, sleep duration was not associated with energy intake and the proposal that children with short sleep duration have less healthy eating habits than children...

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

    DEFF Research Database (Denmark)

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

    2013-01-01

    with 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 ...·05). Moreover, these variables indicated less healthy dietary intakes on weekend days than on weekdays for both patterns. In conclusion, two distinct dietary patterns, labelled ‘processed’ and ‘health conscious’, were identified on both weekdays and weekend days for each age group. While overall major dietary...

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

    DEFF Research Database (Denmark)

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

    2010-01-01

    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...

  17. A School in Siberia: 14-Year-Olds Take University Math Course.

    Science.gov (United States)

    Bogdanovsky, Georgy

    1978-01-01

    Ordinary students (n=40) are participating in a Soviet experiment wherein they are taught by well-known scientists and specialists in a math-intensive course comparable to that taught at the Kiev University. (JC)

  18. STUDY ON DETERMINING THE LEVEL OF COMBATIVITY OF JUDOKA 11-14 YEARS OLD

    Directory of Open Access Journals (Sweden)

    Sava Mihai Adrian

    2014-03-01

    Full Text Available Given the purpose of the research and the expectations, we formulated the following hypotheses: 1. Combativity is a component of the mental capacity that promotes / limits athletic performance in judo. 2. In the preparatory process the combativity is an independent variable of the mental capacity. To conduct this research we used the questionnaire method. Thus we developed a questionnaire entitled "Questionnaire for discovering the combative spirit level", which contains 25 questions. The questionnaire was applied to a sample of 12 judo athletes aged 11 to 14 years, which is the experimental group of the present research and who are legitimated at Royal Judo Club Bacău. The implementation of a strategy to optimize the combativity of judoka 11-14 years at the experimental level, ended with good results and was reflected in the evolution of the judoka, achieving good and very good results in the competitive period.

  19. Ileal angiodysplasia causing chronic, occult gastrointestinal bleeding in a 14-year-old boy

    Directory of Open Access Journals (Sweden)

    Andrew Jackson Murphy

    2017-01-01

    Diagnostic laparoscopy revealed intra-abdominal adhesions and no clear vascular malformation. Initial careful visual and manual examination of the bowel after conversion to laparotomy failed to identify the lesion. On-table retrograde enteroscopy demonstrated a small, pulsatile lesion without ulceration or adherent clot in the mucosa of the proximal ileum. With endoscopic transillumination, a cluster of serpiginous vessels could be seen within the wall of the small bowel. The lesion was resected and pathology was consistent with angiodysplasia. Angiodysplasia is a rare cause of occult, chronic gastrointestinal bleeding in children. A multidisciplinary approach optimizes the likelihood of therapeutic success.

  20. Report of 4 cases of testicular rupture in adolescent boys secondary to sports-related trauma.

    Science.gov (United States)

    Adams, Richard J; Attia, Magdy; Cronan, Kate

    2008-12-01

    Testicular rupture is a rare entity in children and adolescents. This is due to the smaller size of the testicles in these patients, the well-protected location of the testicles, and the high degree of mobility of these organs. We present 4 cases of testicular rupture occurring in preadolescent and adolescent boys over an 11-month period in a tertiary care pediatric emergency department.

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

    OpenAIRE

    Suzy Mascaro Walter

    2014-01-01

    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 symp...

  2. Three Cases of Adolescent Childbearing Decision-Making: The Importance of Ambivalence

    Science.gov (United States)

    Bender, Soley S.

    2008-01-01

    Limited information is available about the childbearing decision-making experience by the pregnant adolescent. The purpose of this case study was to explore this experience with three pregnant teenagers. The study is based on nine qualitative interviews. Within-case descriptions applying the theoretical model of decision-making regarding unwanted…

  3. The Case for Modifying Adolescents' Cognitive Self-Statements.

    Science.gov (United States)

    Lamke, Leanne K.; And Others

    1988-01-01

    Eighteen ninth-graders participated in cognitive-behavior modification program designed to change adolescents' self-statements and increase their self-esteem. Compared to nine control subjects, program participants had significant increase in positive self-statements immediately after training and three months later. There were no significant…

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

    Directory of Open Access Journals (Sweden)

    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.

  5. Impact of malocclusion on adolescents' oral health-related quality of life.

    Science.gov (United States)

    Abreu, Lucas Guimarães; Melgaço, Camilo Aquino; Bastos Lages, Elizabeth Maria; Paiva, Saul Martins

    2016-01-01

    The aim of this study was to evaluate the impact of malocclusion on the oral health-related quality of life (OHRQoL) of 120 Brazilian adolescents with the Child Perceptions Questionnaire for 11 to 14 year olds (CPQ11-14). Malocclusion was evaluated by 2 calibrated dentists using the Dental Aesthetic Index. Adolescents' sex and age and the families' monthly income were recorded and considered as confounding variables. A total of 117 adolescents completed the CPQ11-14, for a response rate of 97.5%. The multivariate model demonstrated that adolescents diagnosed with malocclusion (n=77) were significantly more likely to report a negative impact on the overall CPQ11-14 score (prevalence ratio [PR] = 1.35; 95% confidence interval [CI] = 1.20-1.51; P adolescents with no malocclusion (n = 40).

  6. Laser gingivectomy for pediatrics. A case report.

    Science.gov (United States)

    Kelman, Michelle M; Poiman, David J; Jacobson, Barry L

    2009-01-01

    Traditional gingivectomy procedures have been a challenge for pediatric dentists who confront issues of patient cooperation and discomfort. Treatment of pediatric patients must involve minimal operative and postoperative discomfort. Laser soft-tissue surgery has been shown to be well accepted by children. For the pediatric patient, the greatest advantage of the laser is the lack of local anesthesia injection and the associated pre- and postoperative discomfort. The following case report describes a gingivectomy procedure performed on a 14-year-old female.

  7. Genetic, familial and environmental correlates of asthma among early adolescents in Sri Lanka: a case control study

    OpenAIRE

    2015-01-01

    Background Despite advances in management, the mortality and morbidity due to asthma are increasing globally. Identification of specific correlates in the local context is useful in disease management. The objective of this study was to estimate the prevalence and to describe selected correlates of asthma among12-14 year old school children in a district in Sri Lanka. Method A school based cross-sectional study was conducted using a self administered questionnaire. Multi-staged stratified clu...

  8. Severe vulvovaginitis as a presenting problem of type 2 diabetes in adolescent girls: a case series.

    Science.gov (United States)

    Curran, Jacqueline; Hayward, Jenette; Sellers, Elizabeth; Dean, Heather

    2011-04-01

    This article describes the presentation of 4 adolescent girls who sought medical attention for severe vulvovaginitis and were subsequently found to have type 2 diabetes. Symptomatic vulvovaginitis is rare in adolescent girls, and its presence should alert health care providers to test for underlying hyperglycemia. These 4 girls represent 8.5% of the females with new-onset type 2 diabetes during a 3-year period (2007-2009). The 4 cases fulfilled the current Canadian Diabetes Association screening criteria for type 2 diabetes in youth, yet none of these girls had been screened. These cases highlight the need for better awareness of screening criteria for type 2 diabetes in adolescents. Consideration should be given in clinical practice guidelines to including the presence of unusual or severe infections as a risk factor for type 2 diabetes in youth.

  9. Escaping loneliness in adolescence: The case for androgyny.

    Science.gov (United States)

    Avery, A W

    1982-12-01

    The purpose of the present study was to assess the relationship between sex-role orientation and loneliness in adolescence. Two hundred and twenty-five junior and senior high school students completed the Bem Sex Role Inventory Short Form (Bem, 1981) and the UCLA Loneliness Scale (Russell et al., 1978). Results indicated that androgynous individuals were significantly less lonely than masculine, feminine, and undifferentiated individuals. An assessment of the independent contributions of masculinity and femininity indicated that both masculinity and femininity significantly predicted loneliness. Additional analysis revealed that the impact of sex-role orientation on loneliness varied by sex and tended to be greater for males than females. The need to further examine the relationship between androgyny, sex-role development, and adjustment in adolescence is discussed.

  10. A Case Study of the Reduction of Aberrant, Repetitive Responses of an Adolescent with Autism.

    Science.gov (United States)

    Gunter, Philip L.; And Others

    1993-01-01

    In this case study, music was applied noncontingently and contingently across four settings with an adolescent male with autism, to reduce aberrant, repetitive vocalizations. The intervention was associated with dramatic reductions in the primary aberrant behavior and reductions in two other aberrant behaviors. Task performance was differentially…

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

    Science.gov (United States)

    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.…

  12. An adolescent with a phyllodes tumor: A case report and review

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    Deepa Makhija

    2016-12-01

    Full Text Available Phyllodes tumors are rare fibroepithelial tumors that account for less than 0.5% of all breast tumors. Presentation in children is even rarer. In this paper, we describe a case of an adolescent with a phyllodes tumor. The rare presentation at this age, its distinguishing features, the preoperative diagnostic difficulties, and the management protocols of this uncommon tumor are highlighted.

  13. Gradual consolidation of synesthesia during adolescence: a case study

    DEFF Research Database (Denmark)

    Sørensen, Thomas Alrik; Nordfang, Maria; Ásgeirsson, Árni Gunnar

    2016-01-01

    ), and recently Simner & Bain (2013) has convincingly shown that consolidation of colour-grapheme synaesthesia develop during childhood and early adolescence. Together these studies seem to suggest that the attentional effects seen in adult observers who have colour-grapheme synaesthesia may in fact reflect...... an expertise related modulation between long-term colour-grapheme associations. To explore this hypothesis a follow-up screening of AR’s colour-grapheme associations revealed that a number of letters are still settling on their final colour association – colour changes that AR herself was unaware of, e...

  14. [The traveler without luggage. A case of lost identity in an adolescent (author's transl)].

    Science.gov (United States)

    Marcelli, D; Duché, D J

    1979-01-01

    Loss of personal identity is a difficult problem which is relatively rarely encountered in psychiatric practice. A case is reported of an adolescent of 15 years of age with total amnesia over a period of two months. His true identity was discovered only after his photograph and story had been published in a widely-read daily newspaper. Following a discussion on the possible etiological mechanisms involved, two problems remained unresolved: the difficulty of establishing a psychopathological basis for a loss of identity, and the prognostic uncertainty inherent in restoring the adolescent's identity.

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

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    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.

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

    Directory of Open Access Journals (Sweden)

    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

  17. Self-Inflicted Gingival Injury Due to Habitual Fingernail Scratching: A Case Report with a 1-Year Follow Up

    Science.gov (United States)

    Dilsiz, Alparslan; Aydin, Tugba

    2009-01-01

    Injuries to oral soft-tissues can occur due to accidental, iatrogenic, and factitious traumas. Traumatic lesions, whether chemical, physical, or thermal in nature, are among the most common in the mouth. A type of physical injury to the gingival tissues is self-inflicted. Sometimes the lesions are termed gingivitis artefacta. Self-inflicted gingival injuries in children and adolescents can occur as a result of accidental trauma, premeditated infliction, or chronic habits such as fingernail biting, digit sucking, or sucking on objects such as pens, pencils or pacifiers. The purpose of this case report was to illustrate the destructive nature of the habit and to describe the successful treatment of this case. A 14-year-old girl with moderate pain, gingival bleeding and recession in the anterior mandibulary region was admitted to periodontology clinic. Upon questioning, the patient readily admitted traumatizing her gingiva with her fingernail. Treatment consisted of oral hygiene instruction, mechanical debridement, psychological support and surgical periodontal treatment. Postoperatively, complete root coverage, gains in clinical attachment levels, and highly significant increases in the width of keratinized gingiva were observed. This case report shows that it is possible to treat gingival injury and maintain the periodontal health of a patient with destructive habit. Patient compliance, regular dental follow-ups, and psychological support may be useful in stabilizing the periodontal condition of these patients. Dentists must be aware that self-inflicted gingival injury, although thought to be uncommon, is quite widespread. PMID:19421397

  18. Anterior avulsion fracture of the tibial tuberosity in adolescents - Two case reports

    Directory of Open Access Journals (Sweden)

    Aleilimar Teixeira da Silva Júnior

    Full Text Available ABSTRACT The objective here was to report two rare cases of anterior avulsion fracture of the tibial tuberosity in adolescents. Case 1 was a 15-year-old male who became injured through landing on his left knee and presented limited extension. Case 2 was a 16-year-old basketball player who presented sudden pain in the right knee and functional incapacity, after a jump. Imaging examinations (radiographs and computed tomography showed anterior avulsion fractures of the tibial tuberosity. Surgical fixation was performed using screws and anchors, while avoiding growth plate injury. The cases evolved without lower-limb deformities.

  19. An evaluation on occlusal relation and malocclusion in the incidence of temporomandibular disorders among Mashhad adolescents

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    Madani AS.

    2004-07-01

    Full Text Available Statement of Problem: In recent years, the prevalence of temporomandibular disorders among children and adolescents has increased, however, no study on the correlation between occlusal relations and temporomandibular disorders, in Mashhad adolescents, has been conducted yet. Purpose: The aim of this study was to survey the relationship between occlusal indices and temporomandibular disorders (TMD among Mashhad adolescents, with the age range of 11-14 years old. Methods and Material: In this descriptive cross-sectional study, 1066 students (533 males and 533 females, age ranging from 11-14 years old (12.620.96 years, from seven Mashhad educational regions, were selected. Temporomandibular joints were thoroughly examined for all subjects. All occlusal indices including dentition system, angles classification, types of malooclusion such as cross-bite, deep-bite as well as types of lateral occlusion, premature contacts in lateral and protrusive movements were investigated. Data were analyzed statistically using, Chi-Square and logestic regression tests. Results: The prevalence of TMD was 23.5%. There was no significant relation between TMD and type of dentition, angles classification and type of occlusion in lateral movements, however, statistically significant relation was found between TMD and deep over bite (P<0.05. Premature contacts in lateral movements at balancing side were proved to be significant etiologic factors of TMD (P=0.003. Conclusion: In the present study, premature contacts at balancing side and secondary deepbite malocclusion were considered to be the most important etiologic factors of TMD.

  20. A Case of Adolescent Brucellosis Presented with Epididymoorchitis

    Directory of Open Access Journals (Sweden)

    Arzu Karlı

    2013-12-01

    Full Text Available Brucellosis is a sistemic infectious disease and it is a major public health problem in our country. It can involve many organs and systems and epididymoorchitis can be a rare presentation of this zoonotic disease in children. Here we report an adolescent patient who presented only with scrotal sweeling and brucella epididymoorchitis diagnosed later. Brucellosis can be rarely seen as epididimoorchitis. So it should be especially considered in the differential diagnosis in endemic areas of brucellosis. It can be diagnosed with a well documented history and relevant laboratory investigations and appropriate treatments can prevent a number of serious complications such as necrotizing orchitis, oligospermia and azospermia. (Jo­ur­nal of Cur­rent Pe­di­at­rics 2013; 11: 150-2

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Radiologic features of preteus syndrome: A case report

    Energy Technology Data Exchange (ETDEWEB)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Energy Technology Data Exchange (ETDEWEB)

    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.

  5. THE TREATMENT OF ANKYLOGLOSSIA WITH FRENECTOMY: CASE REPORT

    OpenAIRE

    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...

  6. The glandular odontogenic jaw cyst: report of a case.

    Science.gov (United States)

    Savage, N W; Joseph, B K; Monsour, P A; Young, W G

    1996-11-01

    A case of a rare odontogenic cyst arising in the lateral periodontal membrane in the mandible in a 14 year old girl is reported. This lesion appeared to be a new entity and has been named glandular odontogenic cyst (GOC) or sialo-odontogenic cyst. Histologically the lesion was lined by mucous producing cuboidal epithelium containing several areas of thickening and numerous duct-like structures. The cyst recurred with the same histology two years postoperatively.

  7. Transcatheter Closure of Patent Ductus Arteriosus in Adolescents and Adults: A Case Series

    Directory of Open Access Journals (Sweden)

    Sukman Tulus Putra

    2017-02-01

    Full Text Available During 11 years period from January 2005 to December 2015 there were 18 adolescent and adult patients  who underwent transcatheter closure of PDA using PDA Amplatzer Duct Occluder (ADO. There were 9 cases with age of 14 to 18 years and 9 cases with age of more than 18 years where the oldest case was 46 years old. Two cases were male and 16 cases were female. Prior to procedures, clinical assessment, ECG, chest x-ray and transthoracic echocardiography (TTE were performed to confirm the diagnosis of PDA. The procedures of device implantation was performed under conscious sedation in adults and using general anesthesia in adolescents.The size of PDA ranged from 1.6 mm to 11.1 mm. Based on Kritchenko classification, the type of PDA were 15 type A1 and 3type A2. Flow ratio between pulmonary to systemic circulation was between 1.1 and 5.9. The procedure time ranged from 60-189 minutes and the fluoroscopic time 7.1-77.3 minutes. The PA pressure ranged from 22 to 63 mmHg. Immediate results after procedures as seen in angiography showed complete closure in 14 cases and smoky residual shunt or minimal residual shunts in 4 cases, which probably due to the temporary leaking through the devices. In 24 hours, complete closure was achieved in all cases (100% and continued until 1months. At 6 month follow up, there was no residual shunts detected and also there was no significant complications, such as device embolization or recanalization. This case series suggest that transcatheter closure of PDA in adolescents and adults using Amplatzer duct occluder (ADO is effective and has excellent resultswithout significant complication. However, long-term follow up is required to assess long term efficacy and safety.

  8. Primary Leiomyosarcoma of Breast in an Adolescent Girl: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Swapnil Ulhas Rane

    2012-01-01

    Full Text Available Leiomyosarcoma of the breast is a rare neoplasm, primarily reported in older women. Only 44 cases have been reported in world literature and to the best of our knowledge, no case has been reported from India till date. We report a case of primary breast leiomyosarcoma in an adolescent girl who underwent a lumpectomy for rapidly increasing lump in the left breast. Here we report the histological findings and immunohistochemical profile of this entity, along with a review of existing literature.

  9. Case Series: Outbreak of Conversion Disorder among Amish Adolescent Girls.

    Science.gov (United States)

    Cassady, Joslyn D.; Kirschke, David L.; Jones, Timothy F.; Craig, Allen S.; Bermudez, Ovidio B.; Schaffner, William

    2005-01-01

    Objective: Outbreak investigations are challenging in a cross-cultural context, and outbreaks of psychiatric disease are rare in any community. We investigated a cluster of unexplained debilitating illness among Amish girls. Method: We reviewed the medical records of cases, consulted with health care providers, performed active case finding,…

  10. Primary intracranial malignant melanoma in an adolescent girl: A case report

    OpenAIRE

    Sajeeb Mondal; Rajashree Pradhan; Subrata Pal; Supratik Bhattacharya; Arindam Banerjee; Debosmita Bhattacharyya

    2016-01-01

    Primary intracranial malignant melanoma is a very rare tumor, and most of the central nervous system melanomas are metastatic diseases. Diagnosis needs extensive dermatological, opthalmological, and radiological workup to exclude metastatic melanoma. Histologically, it should be differentiate from benign melanocytic lesions, pigmented choroid plexus carcinoma, and pigmented papillary medulloblastoma. Here, we are reporting a case of primary malignant melanoma of posterior fossa in an adolesce...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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.

  13. Chronic recurrent multifocal osteomyelitis manifested as painful clavicular swelling: a case report

    OpenAIRE

    Bleckwenn, Markus; Sommer, Bernd; Weckbecker, Klaus

    2014-01-01

    Background Chronic recurrent multifocal osteomyelitis is a form of non-bacterial osteomyelitis which occurs primarily in childhood. In some cases painful bone swelling occurs. After a malignancy has been ruled out, antibiotic therapy is often started to treat the osteomyelitis. The course of this benign disease is self-limiting and is not positively affected by the antibiotic therapy. Case presentation A 14-year-old German girl from South Africa came to the surgery with painful swelling in th...

  14. Schwannoma of the Tongue in a Paediatric Patient: A Case Report and 20-Year Review

    OpenAIRE

    2014-01-01

    Schwannomas (Neurilemmomas) are benign, encapsulated, slow-growing, and usually solitary tumours originating from Schwann cells of the peripheral nerve sheath with uncertain etiology. Approximately 25–48% of cases are seen in the head and neck region, of which 1% appears in the oral cavity. Lingual schwannoma can affect all age groups with peak incidence between the third and sixth decade. We report a rare case of lingual schwannoma in a 14-year-old girl complaining of asymptomatic swelling o...

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    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.

  17. A multiple case study comparison of normal private preparatory school and substance abusing/mood disordered adolescents and their families.

    Science.gov (United States)

    Yeh, L S; Hedgespeth, J

    1995-01-01

    This multiple case study of ten families of normal private preparatory school adolescents and five families of substance abusing/mood disordered adolescents was an effort to identify factors that may suggest a relationship between the abuse of substances in adolescents who also have mood disorders and the following family factors: parental marital discord, degree of family satisfaction, and family problem-solving styles. The fifteen families completed four assessment instruments and participated in a videotaped problem-solving exercise. The results of this study showed that all members of the substance abusing/mood disordered adolescents' families rated themselves as dysfunctional in all major areas of family life. In contrast, the normal private preparatory school families reported satisfaction with most areas of family functioning. Communication styles also differed considerably between the two small groups of families. These results appear to support the importance of family evaluation and treatment when addressing the issue of adolescent substance abusers with mood disorders.

  18. Childhood Giftedness, Adolescent Agency: A Systemic Multiple-Case Study

    Science.gov (United States)

    Mudrak, Jiri; Zabrodska, Katerina

    2015-01-01

    Although considerable research has addressed development from childhood giftedness to adult excellence, subjective perceptions of this development by gifted individuals themselves have remained largely unexplored. This multiple case study examined the ways in which young adults, who in the past had been identified as gifted, made sense of their…

  19. Multiple Case Study on Cyberbullying's Impacts on Adolescent Technology Use

    Science.gov (United States)

    Thompson, Kent W.

    2013-01-01

    This multiple case study focused on whether and how cyberbullying had an impact on students' use of technology. Analysis of the lived experiences of the participants in this study added depth to the quantitative research previously conducted by others in this area. The conceptual framework was based on social learning theory, which suggested that…

  20. Executive functioning moderates the relationship between motivation and adolescent depressive symptoms.

    Science.gov (United States)

    Vergara-Lopez, Chrystal; Lopez-Vergara, Hector I; Colder, Craig R

    2013-01-01

    We investigated the association between adolescent depressive symptoms and components of executive functioning (EF), including planning (Tower of London), set-shifting (Wisconsin Card Sorting Task), and inhibition (Stop Signal Task) in a community sample of 12-14 year olds. Further, EF was tested as a moderator of motivation (as operationalized by revised Reinforcement Sensitivity Theory) effects on depressive symptoms. Results suggested that planning ability was associated with depressive symptoms. Furthermore, planning ability moderated the relationship between motivation (fight-flight- freeze system; FFFS) and depressive symptoms, such that among adolescents with poor planning ability the FFFS positively predicted depressive symptoms, but among adolescents with strong planning ability the FFFS negatively predicts depressive symptoms. Neither set-shifting nor inhibition was associated with depressive symptoms. Findings highlight the need to consider multiple components of EF and to integrate motivational and executive dysfunction models to the study of depression.

  1. An Uncommon Case of Adolescent Ovarian Teratoma Incarcerated in Inguinal Hernia.

    Science.gov (United States)

    Pensabene, Marco; Girgenti, Vincenza; Cimador, Marcello; Li Voti, Giuseppe; Rodolico, Vito; Siracusa, Fortunato

    2016-01-01

    Mature cystic teratoma is the most frequent benign ovarian neoplastic lesion in adolescents and is generally composed of fully differentiated tissue arising from multipotential three germinal layers. It accounts for approximately 50% of benign ovarian tumors in childhood. Rarely, a bilateral, synchronous, or metachronous presentation can be observed, supporting a conservative approach as the first surgical approach. We report a case of an ovarian mature cystic incarcerated in indirect inguinal hernia in a 15-year-old girl undergoing ovary-sparing surgery. To our knowledge this is the first case of such lesion incarcerated in an inguinal hernia reported in literature.

  2. An Uncommon Case of Adolescent Ovarian Teratoma Incarcerated in Inguinal Hernia

    Directory of Open Access Journals (Sweden)

    Marco Pensabene

    2016-01-01

    Full Text Available Mature cystic teratoma is the most frequent benign ovarian neoplastic lesion in adolescents and is generally composed of fully differentiated tissue arising from multipotential three germinal layers. It accounts for approximately 50% of benign ovarian tumors in childhood. Rarely, a bilateral, synchronous, or metachronous presentation can be observed, supporting a conservative approach as the first surgical approach. We report a case of an ovarian mature cystic incarcerated in indirect inguinal hernia in a 15-year-old girl undergoing ovary-sparing surgery. To our knowledge this is the first case of such lesion incarcerated in an inguinal hernia reported in literature.

  3. Glucocorticosteroid-sensitive inflammatory eosinophilic pseudotumor of the bladder in an adolescent: a case report

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    Qu Chuangyu

    2009-11-01

    Full Text Available Abstract Introduction Inflammatory eosinophilic pseudotumor of the bladder is a rare inflammatory bladder disease. The etiology and pathophysiology of this condition are still unclear. Few case reports have described inflammatory eosinophilic pseudotumor of the bladder in adults or children. Although benign, this disease is occasionally clinically aggressive and locally invasive, thus open surgical removal or complete transurethral resection is recommended. Case presentation We present the case of a biopsy-proven inflammatory eosinophilic pseudotumor of the bladder in a previously healthy 16-year-old male adolescent with 2-month history of frequent micturition and dysuria with no significant apparent causative factors. The tumor regressed after a 6-week course of glucocorticosteroids. Conclusion To the best of our knowledge, our case is a rare case of inflammatory eosinophilic pseudotumor of the bladder treated with complete conservative management. Due to its glucocorticosteroid-sensitive nature, we postulate that this disease belongs to a subgroup of eosinophilic disorders.

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

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    Paula Orchiucci Miura

    2014-12-01

    Full Text Available 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.

  5. Resilience Processes Supporting Adolescents With Intellectual Disability: A Multiple Case Study.

    Science.gov (United States)

    Hall, Anna-Marié; Theron, Linda C

    2016-02-01

    Resilience, or the process of adjusting well to risk, relies on constructive collaboration between youths and their social ecologies. Although the literature details the risks of an intellectual disability (ID), there is little explanation of why some young people cope well despite these risks. Accordingly, we report a multiple case study that affords insight into the resilience of 24 adolescents with ID. Using a draw-and-talk methodology, these young people explained their resilience as enabled primarily by supportive social ecologies (which facilitated behavioral and emotional regulation, encouraged mastery, treated them as agentic beings, and offered safe spaces). Adolescents' positive orientation to their life-worlds co-facilitated their resilience. These insights advance effective ways to champion the resilience of young people with ID.

  6. Anti-NMDA receptor encephalitis presenting as atypical anorexia nervosa: an adolescent case report.

    Science.gov (United States)

    Mechelhoff, David; van Noort, Betteke Maria; Weschke, Bernhard; Bachmann, Christian J; Wagner, Christiane; Pfeiffer, Ernst; Winter, Sibylle

    2015-11-01

    Since 2007, more than 600 patients have been diagnosed with anti-N-methyl-D-aspartate (NMDA) receptor encephalitis, with almost 40 % of those affected being children or adolescents. In early phases of the illness, this life-threatening disease is characterized by psychiatric symptoms, such as depression, anxiety, obsessions, hallucinations or delusions. Consequently, a high percentage of patients receive psychiatric diagnoses at first, hindering the crucial early diagnosis and treatment of the anti-NMDA receptor encephalitis. We report on a 15-year-old girl initially presenting with pathological eating behaviour and significant weight loss resulting in an (atypical) anorexia nervosa (AN) diagnosis. Her early course of illness, diagnostic process, treatment and short-term outcome are described. This case report aims to raise awareness about the association between anorectic behaviour and anti-NMDA receptor encephalitis and highlight the importance of multidisciplinary teams in child and adolescent services.

  7. Adolescent witnesses in cases of teen dating violence: An analysis of peer responses

    Directory of Open Access Journals (Sweden)

    Helena Bonache

    2010-01-01

    Full Text Available Gender violence is a serious problem that also affects the adolescent population (González & Santana, 2001. The victims of such violence in adolescence, should they seek help, rely primarily on their peers and rarely report it to adults (Weisz et al., 2007. The responses or reactions of avoidance, minimization or protection that their peers may have contribute to the victim maintaining or breaking the "unhealthy" relationship. An experimental study was designed to examine the reactions of adolescents in the event that they are witness to an episode of violence (verbal and physical aggression towards a friend. The main objective was to analyze the differences in their reactions according to sex of the witness, familiarity with the perpetrator (stranger vs. a friend and the relationship between aggressor and victim (a date, romantic partner. An exploratory analysis of the influence of the witnesses’ sexist beliefs (hostile and benevolent on these reactions was also performed. Thus, more negative reactions were found (greater passivity and less empathy among men in the case where the victim maintained a relationship with the offender than in the case of a date, especially if the perpetrator was a stranger. Also, in the girls more avoidance responses were found when the violent episode occurred between members of a couple on a date. Finally, the practical implications of the findings are discussed, highlighting the need to include guidelines in programs against gender violence among adolescents on how to behave if in relation to the victim when they are witnesses of gender violence.

  8. Nodular scabies: a classical case report in an adolescent boy.

    Science.gov (United States)

    Ramachandra Reddy, Damodara; Ramachandra Reddy, Prathap

    2015-09-01

    This case report presents a classical case of nodular scabies in a 12 year boy who complained of itching for 20-21 days before presentation to the hospital. Application of Betnovate ointment (Betamethasone valerate 0.1 %) before presentation to the hospital had provided only 2-3 days of relief from itching. Dermatological examination revealed skin colored to erythematous papule of 3-4 mm on the body with predilection for web space of fingers and flexural areas and nodules on the scrotum and groin. Based on this, clinical diagnosis of scabies with nodular scabies was made on the child. The scraping obtained from the web-space of the child showed mite under the light microscope, which confirms the diagnosis. Treatment with topical permethrin 5 % lotion resulted in 50-70 % subsidence of itching within a day, and improvement in impetigo lesions of his father in 5 days. However, the scrotal and groin nodular lesion of the child persisted with severe itching. Treatment with topical steroid and tacrolimus 0.1 % ointment did not show much improvement. Intralesional injection of triamcinolone (5 mg/ml) on the nodule resulted in 30-40 % subsidence in itching and 50-60 % reduction in the size of the lesion over 2-3 weeks.

  9. The quality of communication between parents and adolescent children in the case of parental cancer

    NARCIS (Netherlands)

    Huizinga, G.A.; Visser, Annemieke; van der Graaf, W.T.; Hoekstra, H.J.; Hoekstra-Weebers, J.E.

    2005-01-01

    Background: This study was designed to investigate: (i) parent-adolescent communication in families of cancer patients; (ii) relationships between parent-adolescent communication and posttraumatic stress symptoms (PTSS) in adolescent children; and (iii) associations between parents' illness characte

  10. Two Cases of Eating Disorders in Adolescents with Dental Braces Fitted Prior to the Onset of Anorexia Nervosa.

    Science.gov (United States)

    Lee, Ju-Yeon; Kim, Sung-Wan; Kim, Jae-Min; Shin, Il-Seon; Yoon, Jin-Sang

    2015-07-01

    Orthodontic treatment typically occurs during early childhood and adolescence but the wearing of dental braces is often associated with sudden changes in eating patterns that prolong treatment into the teenage years. Despite these changes, psychological assessments related to eating disorders during the course of orthodontic treatment are often ignored. Based on the findings of the present case report, it is suggested that adolescent patients who wear braces and exhibit severe weight loss should be carefully monitored for psychiatric problems, including eating disorders.

  11. [Parsonage-Turner syndrome in childhood and adolescence: case report].

    Science.gov (United States)

    Pérez-de la Cruza, Sagrario

    2012-10-01

    We present the case of a 17-year-old male whose diagnosis is Parsonage-Turner syndrome relapsing in the right arm. In his medical record, he was diagnosed as having amyotrophic neuralgia of the upper limb in three previous occasions. The diagnosis was similar in all episodes, although the affected upper limb was alternating. He was treated in the Rehabilitation Services of two hospitals. At physical examination, in every relapse, he showed acute pain in both, shoulder and arm, and loss of strength in the shoulder blade and the affected upper limb. The aim of his treatment combines the healing of the pain and, together with physiotherapy, fighting against muscular atrophy. The patient evolved favourably in each of the episodes. Nowadays, he does not show any symptom, and he has been discharged from the rehabilitation service.

  12. Indicators of gender violence in romantic relationships. Case study in chilean adolescents

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    Maria Cruz Sánchez Gómez

    2015-05-01

    Full Text Available The presence of gender violence is increasing alarmingly in our society and has become one of our most serious social problems. The data indicate that the origin of much of this type of behaviour has its roots in early adolescent relationships, in which the presence and repetition of chauvinist patterns and models has been verified. In this paper we assume that this kind of conduct is related to socially accepted behaviours that form part of the normative patterns typical of socialization processes. To analyse this thesis, an interdisciplinary group of researchers from Spanish and Chilean universities    carried out a qualitative study on behaviours associated with gender violence in groups of adolescents and young people from different economic, geographic, social and ethnic contexts in order to gather evidence about the ways adolescents establish romantic or intimate relationships and to determine whether there are any indications of male chauvinist violence against adolescent women. The research design proposed takes as a reference the principles of Grounded Theory and employs the constant comparative method, that is, the information is collected, coded and analysed simultaneously, with theoretical sampling that involves selecting new cases as a function of their potential to help refine or expand the concepts and theories already developed. Thus, the coding of the discourse was carried out using open coding, axial coding and selective coding, and finally grouping the relevant categories or ideas into meta-categories to build the theoretical schema. Participating in the study were 156 adolescents (77 girls and 79 boys residing in the urban area of the Arica region in Chile, having been selected according to the variables “academic year” and “age”. Seventeen discussion groups were formed until data saturation was attained. The findings show that in these first adolescent dating relationships there is an important number of negative

  13. FACIAL PALSY AS FIRST PRESENTATION OF ACUTE LYMPHOBLASTIC LEUKEMIA: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    S. Inaloo

    2007-11-01

    Full Text Available Objective Facial paralysis in children is very often idiopathic and isolated facial nervepalsy, resulting from leukemic infiltration is a rare occurrence. Here we present the case of a 14 year-old boy with acute lymphobastic leukemia, who first presented with isolated right side peripheral facial nerveparalysis and was initially diagnosed with Bell’s palsy.Conclusion The presence of Bell’s palsy in young children requires a complete evaluation, keeping in mind the possibility of leptomeningeal disease.

  14. An Adolescent Girl with Giant Fibroadenoma – A Case Report

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    Ferdousee Ishrat

    2016-09-01

    Full Text Available Though fibroadenoma is the most common benign tumor of the breast and is more common under the age of 30, giant fibroadenoma is rare representing less than 4% of all fibroadenomas. A 12 years old girl presented with rapidly enlarging well-circumscribed firm, non-tender mass in right breast for 2 months which was painless and with no history of trauma, nipple discharge, fever, anorexia, weight loss or axillary lymphadenopathy. There was no family history of neoplasms. Clinically, the lump was about 12 × 12 cm and not fixed to skin or underlying structures with the absence of nipple retraction or discharge. There was no axillary lymphadenopathy. Fine needle aspiration cytology showed a benign proliferative breast disease. Total excision of mass was done preserving nipple and areola having weight of 535 gm with histopathological features suggestive of giant fibroadenoma. Giant fibroadenoma is a benign breast disease that may mimic rare malignant lesion. So, breast and nipple conserving surgery should always be performed irrespective of size of tumor as in this case.

  15. A Case of Choroidal Tubercles

    Institute of Scientific and Technical Information of China (English)

    Chaoran Zhang

    2004-01-01

    Purpose: To report a case of choroidal tubercles in a miliary tuberculosis boy.Method: Clinical features description.Results: A 14-year-old boy was found to have multifocal choroidal tubercles. Angiography was performed. He was followed up for 12 months. The choroidal lesions regressed after using anti-tuberculosis drugs for 8 months. Pigment changes remained. Conclusion: Tuberculosis may present as a posterior segment inflammation. In miliary tuberculosis, choroid is also a target tissue. Eye Science 2004;20:23-24.

  16. Body image and subjective well-being in Portuguese adolescents.

    Science.gov (United States)

    Borges, António; Gaspar de Matos, Margarida; Diniz, José Alves

    2013-01-01

    The study examines the impact of body image in adolescents' well-being. Well-being was assessed with the scale Kidscreen10, with the Cantril ladder for satisfaction with life and with an ad hoc happiness scale. The study presents data on adolescent health from the Health Behavior in School-aged Children (HBSC)/World Health Organization study in Portugal (2006), with a sample of 4,877 adolescents, average age of 14 years old and gender distribution at 49,6% males. Portuguese adolescents showed differences between gender and age group regarding their body image-related satisfaction/dissatisfaction and self-perceived body image, being that both components have a direct impact on the levels of well-being. The male gender has better results in the perception of body image and, consequently, well-being. The largest inter-gender differences for well-being is at 15 years of age. The main predictors of well-being are the look and body satisfaction/dissatisfaction, with greater importance on the affective component. This research highlights the importance of body image for adolescents' well-being, as well as to prepare educational strategies adapted to adolescents' age and gender, by helping them to develop skills concerning self-knowledge and caring for their look.

  17. Primary intracranial malignant melanoma in an adolescent girl: A case report

    Directory of Open Access Journals (Sweden)

    Sajeeb Mondal

    2016-01-01

    Full Text Available Primary intracranial malignant melanoma is a very rare tumor, and most of the central nervous system melanomas are metastatic diseases. Diagnosis needs extensive dermatological, opthalmological, and radiological workup to exclude metastatic melanoma. Histologically, it should be differentiate from benign melanocytic lesions, pigmented choroid plexus carcinoma, and pigmented papillary medulloblastoma. Here, we are reporting a case of primary malignant melanoma of posterior fossa in an adolescent girl diagnosed in squash cytology as well as in histology and confirmed by immunohistochemistry and by excluding metastatic melanoma.

  18. Osteomyelitis due to Bacillus cereus in an adolescent: case report and review.

    Science.gov (United States)

    Schricker, M E; Thompson, G H; Schreiber, J R

    1994-06-01

    Non-anthracis Bacillus species associated with clinical infections are usually dismissed as contaminants or nonpathogens. As opportunists, however, Bacillus organisms can cause significant systemic infections including bacteremia, endophthalmitis, and pneumonia. Osteomyelitis with non-anthracis Bacillus organisms has been described in adults, although to our knowledge it has been described only once in a child. We report a case of chronic osteomyelitis due to Staphylococcus aureus and superinfection with Bacillus cereus in a 13-year-old adolescent. A Bacillus isolate should be considered a true pathogen in children with chronic osteomyelitis who have a poor clinical response to antistaphylococcal therapy.

  19. Dying after cure: A case of suicide in an adolescent treated for cancer

    Directory of Open Access Journals (Sweden)

    Laura Veneroni

    2015-01-01

    Full Text Available Although suicide among childhood cancer survivors is rare, there is still a significantly higher risk in this population than in healthy adolescents. A 17-year-old girl cured of Burkitt lymphoma committed suicide after completing her treatment. She had never previously shown signs of psychological suffering and was in good general health. This case made the operators wonder how this tragic possibility might be prevented. It is essential for the ongoing monitoring of the psychological and social suffering of young people during follow-up programs to be assured by a multidisciplinary team involved in the patient′s global care.

  20. An Adolescent Case of Osteopetrosis with Portal Hypertension as well as Mandibula Osteomyelitis.

    Science.gov (United States)

    Leblebisatan, Goksel; Celik, Umit; Temiz, Fatih; Celik, Tamer; Aydin, Fahri; Istifli, Fatma Levent; Leblebisatan, Serife; Komur, Mustafa

    2015-06-01

    Osteopetrosis is a clinical syndrome characterized by the failure of osteoclasts to resorb bone. Excessive bone density can interfere with vital tissues and structures, causing serious problems of the body. Hematopoietic insufficiency, disturbed tooth eruption, nerve entrapment syndromes, and growth impairment may develop in a patient with osteopetrosis. Herein, we present an adolescent girl diagnosed with non-infantile type of osteopetrosis with rare complications of the disease like mandibular osteomyelitis and portal hypertension (PHT) without liver cirrhosis. To our knowledge, this is the first pediatric case with osteopetrosis related PHT.

  1. Does the punishment fit the crime? Judicial sentencing in adolescent and adult sexual assault cases.

    Science.gov (United States)

    Du Mont, Janice; Forte, Tania; Badgley, Robin F

    2008-06-01

    This is the first Canadian study to focus directly on whether factors commonly identified as reflecting the seriousness of a sexual assault are noted by judges, and in turn, related to the severity of the sentences they impose. We examined adolescent and adult female sexual assault cases heard in Ontario between 1993 and 2001. Two hundred twenty-one cases were identified using Quicklaw, Canada's most comprehensive on-line legal information system, with data extracted onto a coding instrument. In 201 (91%) of these cases, a perpetrator had been sentenced to prison or jail. Judges reported that in a substantial proportion of these women they had been penetrated (67%), forced (49%), coerced (50%), physically injured (33%), and psychologically harmed (65%). However, only two of the six offence seriousness factors examined were associated with a prison versus jail sentence: the occurrence of vaginal and/or anal penetration and the threat or use of a weapon(s).

  2. Moral Identity and Psychological Distance: The Case of Adolescent Parental Socialization

    Science.gov (United States)

    Hardy, Sam A.; Bhattacharjee, Amit; Reed, Americus, II; Aquino, Karl

    2010-01-01

    A mediation model using a sample of 1059 adolescents (56% girls; "M" age = 16.02, SD = 1.37) tested relations between parenting, adolescent moral identity, and the formation of psychological distance towards others. In short, adolescent moral identity mediated relations between parenting and the ways in which adolescents oriented others in their…

  3. A case of lipomatous pleomorphic adenoma in the parotid gland: a case report

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    Kondo Takeshi

    2009-06-01

    Full Text Available Abstract Introduction Pleomorphic adenoma is the most common benign neoplasm of the salivary glands. Extensive lipomatous involvement of the tumor is, however, a very rare finding. Case report Herein, a rare case of lipomatous pleomorphic adenoma arising in the parotid gland of a 14-year-old Japanese woman is presented. Conclusion This is the sixth case of lipomatous pleomorphic adenoma in the English literature. Recognition of this rare subtype of pleomorphic adenoma is important for clinical diagnosis and management. On CT scan, it may not be detected possibly due to the extensive fatty component.

  4. Stuck long-term indwelling central venous catheters in adolescents: three cases and a short topical review

    DEFF Research Database (Denmark)

    Mortensen, A; Afshari, A; Henneberg, S W

    2010-01-01

    We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated in the v......We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated...

  5. Pleomorphic rhabdomyosarcoma of the heart metastatic to bone. Report of a case with fine needle aspiration biopsy findings.

    Science.gov (United States)

    Ali, S Z; Smilari, T F; Teichberg, S; Hajdu, S I

    1995-01-01

    Pleomorphic rhabdomyosarcoma is an extremely rare and highly malignant neoplasm. We report an unusual case of a 14-year-old boy with skeletal metastases from a primary cardiac tumor. Fine needle aspiration biopsy of a lytic lesion in the right iliac wing showed a pleomorphic population of clusters and single cells with hyperchromatic nuclei; granular, pink cytoplasm; and isolated, large cells with whiplike or globoid cytoplasmic processes and occasional striations. Histologic, ultrastructural and radiologic features are also presented.

  6. Hashimoto's thyroiditis and papillary carcinoma in an adolescent girl: A case report.

    Science.gov (United States)

    Dong, Li-Qun; Sun, Xiao-Mei; Xiang, Cheng-Fa; Wu, Jin; Yu, Ping

    2016-07-01

    Hashimoto's thyroiditis with thyroid cancer in childhood is not as common in the adult population. Hashimoto's thyroiditis is an autoimmune disease associated with autoantibodies, and the association between Hashimoto's thyroiditis and papillary carcinoma of the thyroid remains controversial. The present study reported a 15-year-old adolescent girl with the diagnosis of Hashimoto's thyroiditis with thyroid cancer. With the complexity of the clinical manifestations of Hashimoto's thyroiditis, it can be expressed as not only hyperthyroidism or hypothyroidism, but also normal thyroid function. The long-term treatment, and for children with thyroid cancer, early diagnosis is particularly difficult. In the present case, the diagnosis of Hashimoto's thyroiditis is primarily based on clinical manifestations, anti-thyroglobulin antibody and anti-thyroid microsomal antibody. The only diagnostic imaging ultrasound was negative. The present study discussed the possible reason and the identification of this unique case of Hashimoto's thyroiditis with thyroid cancer.

  7. An emotion regulation intervention to reduce risk behaviors among at-risk early adolescents

    Science.gov (United States)

    Houck, Christopher D.; Hadley, Wendy; Barker, David; Brown, Larry K.; Hancock, Evan; Almy, Brandon

    2015-01-01

    This study aimed to evaluate an intervention designed to enhance early adolescents’ emotion regulation skill use and to decrease risk behaviors. Adolescents 12 to 14 years old (N = 420; 53% male) with mental health symptoms were referred for participation in either an Emotion Regulation (ER) or Health Promotion (HP) intervention consisting of twelve after-school sessions. Participants completed baseline and follow-up questionnaires on laptop computers. Using a generalized analysis of covariance controlling for baseline scores, participants in the ER intervention were less likely to be sexually active and engage in other risk behaviors, such as fighting, at the conclusion of the program. Additionally, participants in the ER intervention reported greater use of emotion regulation strategies and more favorable attitudes toward abstinence. Interventions directly targeting emotion regulation may be useful in addressing health risk behaviors of adolescents with mental health symptoms. PMID:26297499

  8. Spirituality within the family and the prevention of health risk behavior among adolescents in Bangkok, Thailand.

    Science.gov (United States)

    Chamratrithirong, Aphichat; Miller, Brenda A; Byrnes, Hilary F; Rhucharoenpornpanich, Orratai; Cupp, Pamela K; Rosati, Michael J; Fongkaew, Warunee; Atwood, Katharine A; Chookhare, Warunee

    2010-11-01

    This study investigates the influences of a family's spiritual beliefs and practices on substance use and sexual risk behaviors among young adolescents 13-14 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 representative sample of 420 pairs of parents and teens from the Bangkok metropolitan area was recruited to participate in the study. Structural equation models indicate that positive direct and indirect associations of the spirituality of parents and teens within a family and the prevention of adolescent risk behaviors are significant and consistent.

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

    Science.gov (United States)

    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 representative sample of 420 pairs of parents and teens from the Bangkok metropolitan area was recruited to participate in the study. Structural equation models indicate that positive direct and indirect associations of the spirituality of parents and teens within a family and the prevention of adolescent risk behaviors are significant and consistent. PMID:20926170

  10. Volitional cycling augmented by functional electrical stimulation in hemiparetic adolescents: A case series study

    Directory of Open Access Journals (Sweden)

    Peri Elisabetta

    2013-01-01

    Full Text Available The aim of this work was to assess the feasibility of a treatment based on volitional cycling augmented by Functional Electrical Stimulation (FES on hemiparetic adolescents. Six chronic hemiparetic adolescents were included in a case series study. Patients underwent FES-cycling training combined with voluntary pedaling. The intervention consisted of 21 sessions lasting 30 minutes each. Patients were evaluated before, after training, and at a 3-month follow-up visit through clinical scales (Winter scale, observational gait scale, gross motor function measurement, Boyd test and Ashworth scale, a standard gait analysis and a voluntary pedaling test. Results were compared with an age-matched healthy control group (N=6. Two subjects withdrew the study before the completion of the intervention. Concerning the four remaining subjects, the clinical scales showed a slight level of disability already at baseline and no changes were observed after the intervention. In terms of walking ability, some significant improvements (Kruskal-Wallis test, p-value<0.05 were obtained after training in two out of four subjects: an increase of about 16% and 41% of the ankle range of motion and of about 18% and 33% of the ankle propelling power were achieved for two subjects, respectively. During pedaling, the work produced by the paretic leg while pulling the pedal significantly increased in 3 out of 4 subjects. In one subject a more symmetrical cycling movement was observed, whilst for another subject a significant improvement in terms of co-contraction between rectus femoris and biceps femoris was achieved. In conclusion, this study assessed the feasibility of FES-cycling training on hemiparetic adolescents, but did not provide evidences about the effectiveness of this intervention in improving motor recovery and walking ability. However, since only a small group of patients with a low level of disability was involved in the study, further investigations are needed to

  11. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected

    Energy Technology Data Exchange (ETDEWEB)

    Rossi, F.; Dragoni, S. [Sports Science Inst., Rome (Italy)

    2001-03-01

    Objective. To describe the prevalence, location and sports distribution of pelvic avulsion fractures in adolescent competitive athletes. Design and patients. One thousand two hundred and thirty-eight radiographs of the pelvis taken for focal traumatic symptoms in athletes with an age range of 11-35 years over a period of 22 years were reviewed. Results. One hundred and ninety-eight adolescent athletes were affected by 203 avulsion fractures of the pelvic apophyses (five cases presented multiple locations). The localisation was the ischial tuberosity (IT) in 109 cases, anterior inferior iliac spine (AIIS) in 45 cases, anterior superior iliac spine (ASIS) in 39 cases, superior corner of pubic symphysis (SCPS) in 7 cases and iliac crest (IC) in 3 cases. Soccer (74 cases) and gymnastics (55 cases) were the sports with the highest number of avulsion fractures documented. Conclusions. Apophyseal avulsion fractures of the pelvis in adolescent competitive athletes are most common in soccer and gymnastics. The lesions are usually the consequence of sudden and forceful muscle-tendon contractions during sport activities. Plain radiographs, are determinant for the diagnosis. (orig.)

  12. Developing and sustaining adolescent-friendly health services: A multiple case study from Ecuador and Peru.

    Science.gov (United States)

    Goicolea, Isabel; Coe, Anna-Britt; San Sebastián, Miguel; Hurtig, Anna-Karin

    2016-01-08

    Adolescent-Friendly Health Services (AFHSs) are those that are accessible, acceptable, equitable, appropriate and effective for different youth sub-populations. This study investigated the process through which four clinics in two countries - Peru and Ecuador - introduced, developed and sustained AFHSs. A multiple case study design was chosen, and data from each clinic were collected through document review, observations and informant interviews. National level data were also collected. Data were analysed following thematic analysis. The findings showed that the process of introducing, developing and sustaining AFHSs was long term, and required a creative team effort and collaboration between donors, public institutions and health providers. The motivation and external support was crucial to initiating and sustaining the implementation of AFHSs. Health facilities' transformation into AFHSs was linked to the broader organisation of country health systems, and the evolution of national adolescent health policies. In Peru, the centralised approach to AFHSs introduction facilitated the dissemination of a comprehensive national model to health facilities, but dependency on national directives made it more difficult to systemise them when ideological and organisational changes occurred. In Ecuador, a less centralised approach to introducing AFHSs made for easier integration of the AFHSs model.

  13. Getting adolescents to inform themselves about ecogenomics: a Dutch case study

    Directory of Open Access Journals (Sweden)

    Cees M. Koolstra

    2009-08-01

    Full Text Available Public opinions toward emergent technologies may be highly dependent on the manner in which people are introduced to these technologies for the very first time. In this light, understanding how such first introductions are related to adolescents’ information seeking behaviors and their developing opinions may be particularly interesting because this target public can be considered to be not only future users of the technology but also future decision makers of its development. The present paper presents a case study of the introduction of ecogenomics among 246 adolescents who were asked to inform themselves about this technology and to write two essays: one that would reflect their personal opinions, and another that would reflect their advice to the Dutch government about further funding of ecogenomics research. Results showed that the Internet was by far their preferred source of information and that most adolescents held positive attitudes toward ecogenomics as expressed in essays that reflected their personal opinions and advice to others. In their perspective, ecogenomics was a positive development in science because of expected benefits concerning medical and environmental applications, such as the potential discovery of new antibiotics and the possible use in bioremediation.

  14. Psychotic and borderline psychotic adolescents: frequency of psychiatric illness and treatment in childhood in 100 consecutive cases.

    Science.gov (United States)

    Aarkrog, T

    1975-07-01

    The first results covering the assessment period phase of a systematic study of 50 borderline psychotic and 50 psychotic adolescents are described. These 100 adolescents comprised one-third of the total number of admissions to an adolescent department during the years from 1968 to 1975. There were 58 boys and 42 girls; 53 of the 100 cases had been psychiatrically ill in childhood with evident symptoms. In 22 cases, there was positive information supporting the fact that the patients had been healthy in childhood. The rest (25 cases) were classified under "unclarified picture", showing non specific symptoms. It is concluded that in this material more than half of the adolescents had shown some instability before puberty. The illnesses described in childhood are categorised as infantile borderline psychosis, borderline psychosis probable, and other psychiatric illnesses. A shift in diagnosis is often seen in the individual case, but the symptoms in childhood and in adolescence have many similarities. The necessary treatment in childhood has not been given in one-third of the cases. The possible reasons for this are discussed. In spite of much effort in some cases and because of resistance to therapy or the proposal of inadequate therapy in others, the therapeutic possibilities in childhood have not been fully realised. It is recommended that more emphasis be placed on the emotional development in the evaluation of the children. In the treatment, development of interpersonal relationships through individual, family and/or milieu therapy should be stressed. A follow-up of children with symptoms in childhood left untreated and a teamwork between child psychiatrist and adult psychiatrist with longitudinal studies is suggested.

  15. Using Acceptance and Commitment Therapy in the Rehabilitation of an Adolescent Female with Chronic Pain: A Case Example

    Science.gov (United States)

    Wicksell, Rikard K.; Dahl, JoAnne; Magnusson, Bo; Olsson, Gunnar L.

    2005-01-01

    This case example illustrates how Acceptance and Commitment Therapy (ACT) within a behavior medicine approach was used in the rehabilitation of an adolescent with debilitating chronic pain. For chronic pain with unclear etiology (idiopathic pain), pharmacological therapy alone is often insufficient. Psychological treatment strategies have been…

  16. Stuck long-term indwelling central venous catheters in adolescents: three cases and a short topical review

    DEFF Research Database (Denmark)

    Mortensen, Anette; Afshari, A; Henneberg, S W;

    2010-01-01

    We present three cases of fixated vascular injection ports. Two patients had cystic fibrosis and one had an immunological defect. All catheters were made from polyurethane and implanted in adolescent patients. Indwelling time were 6-8 years. One patient's catheter was entirely integrated in the v...

  17. Multidetector Row CT Detection of a Patent Foramen Ovale Causing Neurologic Deficits in an Adolescent: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Bin [Dept. of Radiology, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); Kim, Dong Hun; Oh, Jae Hee [Dept. of Radiology, Chosun University College of Medicine, Gwangju (Korea, Republic of); Seo, Hye Sun [Dept. of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); Suk, Eun Ha [Dept. of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul (Korea, Republic of)

    2012-02-15

    A patent foramen ovale (PFO) is a persisting fetal circulation structural abnormality that can cause neurologic deficits such as migraine and cryptogenic stroke. Here we report a case of PFO diagnosed by cardiac multidetector row CT in an adolescent male with chronic migraine and stroke.

  18. Field assessment of balance in 10 to 14 year old children, reproducibility and validity of the Nintendo Wii board

    DEFF Research Database (Denmark)

    Larsen, Lisbeth Runge; Jørgensen, Martin Grønbech; Junge, Tina

    2014-01-01

    BACKGROUND: Because body proportions in childhood are different to those in adulthood, children have a relatively higher centre of mass location. This biomechanical difference and the fact that children's movements have not yet fully matured result in different sway performances in children......: bilateral stance with eyes open (1), unilateral stance on dominant (2) and non-dominant leg (3) with eyes open, and bilateral stance with eyes closed (4). Three rounds of the four tests were completed with the NWB and with a force platform (AMTI). To assess reproducibility, an intra-day test-retest design...

  19. Correlation of Lipid Profile and Risk of Developing Type 2 Diabetes Mellitus in 10-14 Year Old Children

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    Nusrath M. Habiba

    2016-09-01

    Full Text Available Background/Aims: The role of lipid profile in predicting the risk of Type 2 diabetes mellitus (T2DM in children is not clearly established. Our aim is to screen non-diabetic children aged 10-14 years for risk of developing T2DM and evaluate the association of abnormal lipids and socioeconomic status (SES. Methods: Data on race/ethnicity, family history, body mass index percentile, blood pressure and presence of neck pigmentation (acanthosis nigricans were collected from 149 non-diabetic children. Using these factors, children were classified into low risk (3 risk factors groups. Logistic regression model and chi-square tests were used to evaluate the association of blood lipid profile and demographic variables. Independent t-test was used to compare the ratio of Total Cholesterol (TC and High Density Lipids (HDL with T2DM risk. Results: 60% of children were at high risk for developing T2DM. HDL (pp=0.02 and TC/HDL ratio (pConclusions: The significant determinants associated with high risk group were modifiable factors providing an opportunity for early intervention and prevention.

  20. Distinct discrimination learning strategies and their relation with spatial memory and attentional control in 4- to 14-year-olds.

    Science.gov (United States)

    Schmittmann, Verena D; van der Maas, Han L J; Raijmakers, Maartje E J

    2012-04-01

    Behavioral, psychophysiological, and neuropsychological studies have revealed large developmental differences in various learning paradigms where learning from positive and negative feedback is essential. The differences are possibly due to the use of distinct strategies that may be related to spatial working memory and attentional control. In this study, strategies in performing a discrimination learning task were distinguished in a cross-sectional sample of 302 children from 4 to 14 years of age. The trial-by-trial accuracy data were analyzed with mathematical learning models. The best-fitting model revealed three learning strategies: hypothesis testing, slow abrupt learning, and nonlearning. The proportion of hypothesis-testing children increased with age. Nonlearners were present only in the youngest age group. Feature preferences for the irrelevant dimension had a detrimental effect on performance in the youngest age group. The executive functions spatial working memory and attentional control significantly predicted posterior learning strategy probabilities after controlling for age.

  1. Adaptation and validation of Child Oral Impact on Daily Performance index in 11- 14-year-old Chilean school children.

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    Constanza Vera

    2013-12-01

    Full Text Available The health condition of a population is often rated through clinical indicators. However, the psychological and social impact of diseases on quality of life has been noticed of late. Objective: to adapt, in cultural terms, the Child- Oral Impact on Daily Performance (C-OIDP questionnaire in its self- administered form and evaluate its psychometric properties among Chilean teenagers aged 11-14 from the city of Licantén, Chile, in 2013. Methodology: A cross-sectional study on scales validation. Face validity was determined by experts opinion, criterion validity by correlation with measures of self-rated health and dental treatment needs, internal consistency using the Cronbach's alpha, and temporal stability using the intraclass correlation coefficient (ICC for test- retest within a 10-day window. The sample consisted of 203 students aged 11 to 14 years from the urban sector of Licantén city. Results: Five experts determined proper face validity of the C-OIDP scale. Regarding criterion validity, statistically significance association (p<0.05 were found, positive for treatment need and negative for oral health satisfaction. Internal consistency scale showed an alpha=0.719, all items showed correlations of 0.32 to 0.54 with the rest of the scale. The temporal stability gave an ICC=0.82. . Conclusion: the cultural adaptation of the self-administered C-OIDP questionnaire for Chilean students aged 11 to 14 years showed adequate psychometric properties, so it is a valid and reliable instrument to measure the oral health impact on quality of life in this population.

  2. Models of Micro-Organisms: Children's Knowledge and Understanding of Micro-Organisms from 7 to 14 Years Old

    Science.gov (United States)

    Byrne, Jenny

    2011-01-01

    This paper describes the expressed models that children aged 7, 11, and 14 years have about micro-organisms and microbial activity. These were elicited using a variety of data collection techniques that complemented each other, resulting in a rich dataset, and provided information about the level of knowledge and progression of ideas across the…

  3. Randomised placebo-controlled trial of inhaled sodium cromoglycate in 1-4-year-old children with moderate asthma

    NARCIS (Netherlands)

    M.J.A. Tasche (Marjolein); J.C. van der Wouden (Hans); J.H.J.M. Uijen (Hans); B.P. Ponsioen (Ben); R.M.D. Bernsen (Roos); L.W.A. van Suijlekom-Smit (Lisette); J.C. de Jongste (Johan)

    1997-01-01

    textabstractAbstract BACKGROUND: Inhalation therapy with sodium cromoglycate is recommended as the first-line prophylactic treatment for moderate asthma in children. The availability of spacer devices with face-masks has extended the applicability of metered-dose inhalers to younger children. We st

  4. Self-Esteem of 8-14-Year-Old Children with Psychiatric Disorders: Disorder- and Gender-Specific Effects.

    Science.gov (United States)

    Stadelmann, Stephanie; Grunewald, Madlen; Gibbels, Charlotte; Jaeger, Sonia; Matuschek, Tina; Weis, Steffi; Klein, Annette Maria; Hiemisch, Andreas; von Klitzing, Kai; Döhnert, Mirko

    2017-02-01

    In this study, we investigated the relation between global and domain-specific self-esteem and psychiatric disorders. A sample of 577 children aged 8-14 years was recruited via psychiatric hospitals and from the general population. Parents were given a diagnostic interview to assess children's psychiatric diagnoses (current/past). Parents and children completed questionnaires on child symptoms. Children completed a questionnaire on global and domain-specific self-esteem (scales: scholastic competence, social acceptance, athletic performance and physical appearance, global self-esteem). Self-esteem of children with current psychiatric disorders was lower than that of healthy controls (η p(2) between 0.01 and 0.08). Concerning scholastic competence, social acceptance and global self-esteem, children with past psychiatric disorders scored also lower than healthy controls. Different current psychiatric disorders showed specific but small effects on dimensions of self-esteem (β between -0.08 and 0.19). Moreover, we found a gender × group interaction, indicating that girls with depressive and adjustment disorders were specifically impaired in their global self-esteem and perception of their physical appearance. Findings might help clinicians to focus on particular domains of self-esteem during the diagnostic process and to define adequate treatment goals.

  5. Dietary intake and physical activity of normal weight and overweight 6 to 14 year old Swiss children

    NARCIS (Netherlands)

    Aeberli, I.; Kaspar, M.; Zimmermann, M.B.

    2007-01-01

    Principles and questions under study: The prevalence of overweight is increasing in Swiss children, and they are at increased risk for hypertension and insulin resistance. Better understanding of how food intakes and activity patterns differ between overweight and normal weight children is needed to

  6. Prevalence and Predictors of Drooling in 7- to 14-Year-Old Children with Cerebral Palsy: A Population Study

    Science.gov (United States)

    Reid, Susan M.; McCutcheon, Jennifer; Reddihough, Dinah S.; Johnson, Hilary

    2012-01-01

    Aim: To establish a prevalence estimate for drooling and explore factors associated with drooling in a population sample of children with cerebral palsy (CP) aged 7 to 14 years living in Victoria, Australia. Method: A self-report questionnaire was used to collect data on drooling from parents of children born between 1996 and 2001, and registered…

  7. EXAMINATION OF COMPREHENSIBILITY OF POSITIVE YOUTH DEVELOPMENT SCALES FOR SPORT BY 8 - 14 YEARS OLD CHILDREN AND YOUTH ATHLETES

    Directory of Open Access Journals (Sweden)

    Koray KILIÇ

    2016-08-01

    Full Text Available The purpose of this study was to evaluate Turkish form of “Positive Youth Development Measurement Framework for Sport” (PYD; Vierimaa et al., 2012 in terms of comprehensibility and content for young athletes. Cognitive interviews were conducted with 12 athletes with different ages ((8 – 14 years; 5 girls, 7 boys in competitive sport context. The measurement framework is composed of five instruments that measure youths’ a competence (Sport Competence Inventory, b confidence (Sport Confidence Inventory, c connection (Coach–Athlete Relationship Questionnaire and Peer Connection Inventory, and d character (Athlete Behavior Scale. In order to help participants define their own cognitive processes during the application of the instruments, think-aloud technique was used. To further examine the extent that the participants understood the items of the instruments, verbal probing technique was used. The interviews were audiotaped and transcribed verbatim. The transcribed text was analyzed by using Thematic Analysis (Sparkes & Smith, 2014. The findings indicated that considerable amount of participants had difficulty in understanding the items of the instruments as well as distinguishing some of them from one another. Especially, younger participants under 12 years of age were found not to be able to understand the terms “pressure”, “sacrifice”, “feedback”, and “closeness”. According to Piaget’s (1970 theory of cognitive development, individuals progress through from the stage of concrete operations to the stage of formal operations between 11 and 12 years of age. From this perspective, it is suggested that the concepts used in the instruments examined may be abstract for younger participants. In the light of the findings, it may be more appropriate that the PYD measurement framework be used starting from 12 years of age.

  8. Ireland: child rape case undermines abortion ban.

    Science.gov (United States)

    1992-11-01

    Abortion has been illegal in Ireland since 1861. This position was written into the national Constitution in 1963 and reconfirmed by referendum in 1983. Contraception is also illegal in the country. The pregnancy of a 14-year old adolescent due to an alleged rape, however, has caused many in Ireland to voice their support for abortion in limited circumstances. Approximately 5000 pregnant women go from Ireland to the United Kingdom annually for abortions. This 14-year old youth also planned to make the crossing, but was blocked from leaving by the Irish police and later by an injunction of the Attorney-General. The Irish Supreme Court upheld the injunction even though the young woman was reportedly contemplating suicide. A national outcry ensued with thousands of demonstrators marching in Dublin to demand the availability of information on abortion and that Irish women be allowed to travel whenever and wherever they desire. 66% of respondents to recent public opinion polls favor abortion in certain circumstances. Ultimately, the Irish Supreme Court reversed their stance to allow pregnant Irish women to travel internationally and gave suicidal Irish women the right to abortions. These decisions were made shortly within the time frame needed for the young lady in question to received a legal abortion in the United Kingdom.

  9. Interpersonal Theory and Music Techniques: A Case Study for a Family With a Depressed Adolescent

    Science.gov (United States)

    Hendricks, C. Bret; Bradley, Loretta J.

    2005-01-01

    Interpersonal psychotherapy (IPT-A) is a brief, time-limited therapy developed for use with adolescents diagnosed with major depression. IPT-A has been shown to be effective with adolescents in family counseling milieus. Music therapy techniques also have been successfully used to treat adolescent depression. This article provides mental health…

  10. A Sociological Case Study on Urban Adolescents in Different Neighborhoods of Ankara-Turkey

    Science.gov (United States)

    Kasapoglu, Aytul; Cabuk, Nilay

    2005-01-01

    In this quantitative study, urban adolescents' sociodemographic and personal characteristics and their political views about problems at a variety of levels were examined. The main purpose of this research was to contribute to adolescent and youth sociology in Turkey by exploring the relationships between urban adolescents' demographic information…

  11. What about the Dads: A Case Study of Young Fathers of Babies Born to Adolescent Mothers

    Science.gov (United States)

    Scholl, Marilyn Faris

    2012-01-01

    Adolescent pregnancy remains a persistent societal problem. Both teenage mothers and the fathers of their babies are unprepared for parenthood and often drop out of school, take low-paying jobs, and never complete their education. Fathers of babies born to adolescent mothers are a critical but often forgotten component of the adolescent pregnancy…

  12. Rural female adolescence: Indian scenario.

    Science.gov (United States)

    Kumari, R

    1995-01-01

    This article describes the life conditions of female adolescents in India and issues such as health, discrimination in nutrition and literacy, child labor, early marriage, juvenile delinquency, and violence against girls in rural areas of India. Data are obtained from interview samples conducted among 12 villages in north India. Female adolescents suffer from a variety of poverty-ridden village life conditions: caste oppression, lack of facilities, malnutrition, educational backwardness, early marriage, domestic burden, and gender neglect. Girls carry a heavy work burden. Adolescence in rural areas is marked by the onset of puberty and the thrust into adulthood. Girls have no independent authority to control their sexuality or reproduction. Girls are expected to get married and produce children. Control of female sexuality is shifted from the father to the husband. There is a strong push to marry girls soon after menstruation, due to the burden of imposing strict restrictions on female sexuality, the desire to reduce the burden of financial support, and the need to ensure social security for daughters. Girls may not go out alone or stay outside after dark. Many rural parents fear that education and freedom would ruin their daughter. Girls develop a low self-image. Rural villages have poor sanitation, toilet facilities, and drainage systems. Girls are ignorant of health and sex education and lack access to education. The neglect of female children includes malnutrition, sex bias, and early marriage. In 1981, almost 4 out of every 100 girls had to work. 5.527 million girls 5-14 years old were child laborers. Girls are veiled, footbound, circumcised, and burnt by dowry hungry in-laws. Female delinquents are subjected to sexual harassment and sometime to sexual abuse while in custody. Cows are treated better in rural India than women. Gender disparity is caused by the perpetuation of patriarchal masculine values.

  13. Klippel Trenaunay Syndrome: A Case Report in an Adolescent Nigerian Boy

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    Anthonia Asanye Ikpeme

    2015-03-01

    Full Text Available AIM: This is to report a case of Klippel Trenauay Weber syndrome in a fifteen year old Nigerian boy. This is a rare syndrome and it is the first case to be reported in UCTH Calabar. CASE PRESENTATION: Product of a full term uneventful pregnancy, delivered to non-consanguineous apparently healthy parents. At birth was noted to gradually develop swelling on the right leg, worse at the right foot. There was crossed hemi-hypertrophy with right leg bigger than the left. As child grew symptoms worsened, parents separated and eventually he was abandoned to the streets. He presented at University of Calabar Teaching Hospital for medical care at the age of fifteen years with lymphatic obstruction, persistent foul smelling drainage, lipodermatosclerosis of right foot as well psycho-social and financial constraints. The diagnosis was made with x-rays and Doppler studies of the lower limb vessels. He is currently being managed conservatively with compression dressings on the affected limbs, Antibiotics for the infection and analgesics. De-bulking surgery is being anticipated at this time. CONCLUSION: This is a case of KTWS presenting in adolescence and due to its rarity in Nigeria, this report is to increase awareness.

  14. Pharmacogenetics Informed Decision Making in Adolescent Psychiatric Treatment: A Clinical Case Report

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    Teri Smith

    2015-02-01

    Full Text Available Advances made in genetic testing and tools applied to pharmacogenetics are increasingly being used to inform clinicians in fields such as oncology, hematology, diabetes (endocrinology, cardiology and expanding into psychiatry by examining the influences of genetics on drug efficacy and metabolism. We present a clinical case example of an adolescent male with anxiety, attention deficit hyperactivity disorder (ADHD and autism spectrum disorder who did not tolerate numerous medications and dosages over several years in attempts to manage his symptoms. Pharmacogenetics testing was performed and DNA results on this individual elucidated the potential pitfalls in medication use because of specific pharmacodynamic and pharmacokinetic differences specifically involving polymorphisms of genes in the cytochrome p450 enzyme system. Future studies and reports are needed to further illustrate and determine the type of individualized medicine approach required to treat individuals based on their specific gene patterns. Growing evidence supports this biological approach for standard of care in psychiatry.

  15. An adolescent girl with Rapunzel syndrome: Case report with review of literature

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    Pradnya M Diggikar

    2013-01-01

    Full Text Available Trichobezoar is a collection of dense mass of hair in stomach. When this extends into any part of the small intestine it is called Rapunzel Syndrome (RS. We report here, a case of RS in an adolescent girl who had presented with epigastric pain and swelling. Gastroscopy confirmed the presence of trichobezoar. She underwent gastrotomy and a large dense mass of hair extending up to first part of duodenum was removed. Her parents revealed their daughter′s impulsive nature of scalp-hair pulling. Following surgery, Psychiatric consultation was sought to prevent recurrence. Trichobezoar is a very rare cause of upper abdominal mass and should be considered if there is a very strong history of impulsive hair pulling. Surgical removal of a large trichobezoar is the only treatment of cure and psychiatric treatment that prevents its recurrence.

  16. Catatonia among adolescents with Down syndrome: a review and 2 case reports.

    Science.gov (United States)

    Jap, Shannon N; Ghaziuddin, Neera

    2011-12-01

    Catatonia is a relatively common condition with an estimated prevalence of 0.6% to 17% among youth with psychiatric disorders. Certain patient groups, such as those with autism, may be at a particularly high risk for catatonia. Most of the youth with catatonia are males with a diagnosis of a bipolar disorder. We describe here 2 adolescent females, both with Down syndrome, who presented with catatonia not accompanied by significant affective or psychotic symptoms or with a general medical condition. Both patients had functioned well until the onset of catatonic symptoms. In the current classification system used in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, catatonia is described in association with schizophrenia, as a specifier of affective disorders or secondary to general medical conditions. The cases described here highlight the problem with this classification system when patients fail to meet any of the 3 diagnostic categories under which catatonia is currently described.

  17. Pedal Gangrenous Changes in the Digits of an Adolescent With Ulcerative Colitis: A Case Report.

    Science.gov (United States)

    Bhoola, Prashant H; Shtofmakher, Garry; Bahri, Ankur; Patel, Ankur A; Barlizo, Sharon R; Trepal, Michael

    2016-01-01

    Ulcerative colitis is an autoimmune inflammatory disease of the colon and is occasionally associated with thrombosis. We report the case of an adolescent with ulcerative colitis who presented with bilateral gangrenous toes without signs of ascending cellulitis. Radiographs indicated the presence of bilateral and erosive changes in the distal phalanges. The vascular team referred the patient for podiatric intervention for distal vasculitis and thrombosis of the digital vessels. Transphalangeal amputations were performed, and postoperative antibiotics were initiated. The surgical sites healed uneventfully, and the patient was able to resume daily activities. Thrombosis of the foot in the context of ulcerative colitis is a rare, but serious, complication that can lead to serious comorbidities, including amputation.

  18. Ulcus vulvae acutum — A case of genital ulcers in adolescent girl

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    Daniela Visentin

    2016-01-01

    Full Text Available Ulcus vulvae acutum is a rare clinical condition characterized by the presence of multiple acute painful genital ulcers of non-venereal origin associated with systemic symptoms in young women. The aetiopathogenesis of the disease is not fully understood, although recent reports have associated it with the Epstein–Barr virus. Diagnosis is difficult and generally made by exclusion after venereal diseases, and autoimmune, inflammatory, traumatic, and neoplastic causes. We describe a case of adolescent female with an episode of ulcus vulvae acutum associated with infectious mononucleosis. The diagnosis was supported by the clinical symptoms, elevated circulating levels of liver enzymes, positive EBV serology, cervical and inguinal lymphadenomegaly, and hepatosplenomegaly. The patient presented a history of aphthous stomatitis. Negative Pathergy test and the absence of any other related symptoms allowed us to exclude the Behçhet syndrome. Lesions healed with no sequelae or recurrences.

  19. PROGERIA IN SIBLINGS: A RARE CASE REPORT

    Science.gov (United States)

    Sowmiya, R; Prabhavathy, D; Jayakumar, S

    2011-01-01

    Progeria, also known as Hutchinson-Gilford syndrome, is an extremely rare, severe genetic condition wherein symptoms resembling aspects of aging are manifested at an early age. It is an autosomal dominant disorder. It is not seen in siblings of affected children although there are very few case reports of progeria affecting more than one child in a family. Here we are presenting two siblings, a 14-year-old male and a 13-year-old female with features of progeria, suggesting a possible autosomal recessive inheritance. PMID:22121285

  20. Progeria in siblings: A rare case report

    OpenAIRE

    Sowmiya, R; Prabhavathy, D; S Jayakumar

    2011-01-01

    Progeria, also known as Hutchinson-Gilford syndrome, is an extremely rare, severe genetic condition wherein symptoms resembling aspects of aging are manifested at an early age. It is an autosomal dominant disorder. It is not seen in siblings of affected children although there are very few case reports of progeria affecting more than one child in a family. Here we are presenting two siblings, a 14-year-old male and a 13-year-old female with features of progeria, suggesting a possible autosoma...

  1. Progeria in siblings: A rare case report

    Directory of Open Access Journals (Sweden)

    R Sowmiya

    2011-01-01

    Full Text Available Progeria, also known as Hutchinson-Gilford syndrome, is an extremely rare, severe genetic condition wherein symptoms resembling aspects of aging are manifested at an early age. It is an autosomal dominant disorder. It is not seen in siblings of affected children although there are very few case reports of progeria affecting more than one child in a family. Here we are presenting two siblings, a 14-year-old male and a 13-year-old female with features of progeria, suggesting a possible autosomal recessive inheritance.

  2. Situation of impaired glucose regulation and metabolic syndrome in overweight or obesity adolescent students in Dongguan city%广东省东莞市超重及肥胖青少年代谢综合征与糖调节异常的研究

    Institute of Scientific and Technical Information of China (English)

    彭易清; 聂伟明; 陈锦国; 唐红梅; 曹婷; 林燕霞

    2009-01-01

    detection rate was 8.9%. Two age stages were compared and X2=6.86(P<0.01). Female students' IGT of 11 to 14 years old (b/Ob) had 5 positive cases and the positive detection rate was 2.6%. IGT of 15 to 18 years old (b/Ob) had 10 positive cases and the positive detection rate was 7.4%. Two age stages were compared and X2=4.02(P<0.05). All had statistical significance. The high IGT incidence rate of b/Oh group's male and female students was in the stage of 15-18 years old. Male students were more obvious. Conclusion T2DM prevention among adolescent students should start with body overweight control. Meanwhile, the adolescent students with high risk factors should be screened regularly and early measures should be taken to prevent the impaired glucose regulation (IFG,IGT) transforming into T2DM.

  3. Young adolescents' independent mobility, related factors and association with transport to school. A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Laflamme Lucie

    2010-10-01

    Full Text Available Abstract Background Children's independent mobility differs between groups of adolescents, but knowledge is lacking on how mobility-limiting factors interact. This study explores the association between factors that can affect young adolescents' mobility, searching for typical patterns within a geographical area where mobility is both relatively high and promoted (in this case Stockholm County, Sweden. An additional question is how clusters of limiting factors and demographic attributes relate to active commuting to school. Methods A sample of 7th grade students (ca 13-14 years old in Stockholm County, Sweden, answered a survey (n = 1008. A cluster analysis was performed on variables descriptive of the respondents and of potential limitations to their independent mobility, such as fears, coping, traffic situation in the neighbourhood and parent/child opinions on mobility (18 variables and 50 categories. Active commuting to/from school was compared using proportion (with 95% confidence intervals by cluster. Results Five consistent and distinct clusters were identified. Among the most discriminating factors were fears experienced in the neighbourhood, strategies to cope with fear, type of housing and traffic environment. Girls were over-represented in the two clusters most typical of respondents experiencing fears (either several of these or darkness in particular and boys in two others where housing (house vs. apartment and neighbourhood conditions played a more determinant role. The proportion of active commuting among respondents was quite similar over clusters but was nonetheless higher in the cluster (over girls reporting more fears and other factors limiting mobility. Conclusions Whereas fears - and coping - are more typical of adolescent girls in the formation of the clusters, household and neighbourhood characteristics are more typical of boys. Broadly speaking, there seem to be two groups of girls with fears but these differ based on

  4. Prevalence of problematic mobile phone use in British adolescents.

    Science.gov (United States)

    Lopez-Fernandez, Olatz; Honrubia-Serrano, Luisa; Freixa-Blanxart, Montserrat; Gibson, Will

    2014-02-01

    The problematic use of mobile phones among adolescents has not been widely studied. There are very few instruments for assessing potential technological addiction to mobile phones, or for categorizing different types of users or uses. The most widely used scale is the Mobile Phone Problem Use Scale (MPPUS), which is used to study adult populations, and has been applied in various forms in international contexts. The aims of this study were to adapt the Spanish version of this scale (MPPUSA) to British adolescents, and then to estimate the prevalence of possible problematic users. A questionnaire was administered to a sample of 1,529 secondary school pupils aged between 11 and 18 years, with 1,026 completed questionnaires being collected. The analysis showed that the factor and construct validity and reliability were comparable to those obtained in previous studies. The prevalence of problematic users among the students was 10%, and the typical problematic user tended to be an adolescent between 11 and 14 years old, studying in a public school, who considered themselves to be an expert user of this technology, who made extensive use of his/her mobile phone, and who attributed the same problem of use among their peers. These users presented notable scores in all the symptoms covered by the scale used to assess problematic use. In conclusion, the adaptation of the MPPUSA as a screening scale for British adolescents presents good sensitivity and specificity for detecting the main addictive symptoms proposed in this validated version.

  5. OBESITY IS ASSOCIATED WITH HYPERTENSION IN ADOLESCENTS

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    Hendy Hendy

    2014-12-01

    Full Text Available Obesity has become a global issue. Previous studies in Bali reveal an increase in the proportionof obesity in adolescents. Obesity causes hypertension; hence there should also be an increase inthe prevalence of hypertension as well in Bali. Hypertension in obese adolescents could be causedby various factors, hence identification of the risks factors is crucial as a preventive approach.The aim of this study was to prove an association between obesity and hypertension in adolescents,and to look for the risk factors. We used an analitical cross sectional design conducted to 12-14years old samples. We took body weight, height, waist circumference, hip circumference, andblood pressure measurements with appropriate devices and asked for information regarding lifestyle and familial history by a questionnare filled in by the samples. The association of obeseadolescents with hypertension and their risk factors was analyzed by Chi-square and multivariatetests. A total of 225 subjects from Santo Yoseph junior high school students, west Denpasar,Bali, met the inclusion criteria. The proportion of obese subjects in this study was 25.7%. Wefound that proportion in familial history of obesity was greater in obese than non-obese subjects(70.7 % vs 41.3%. Logistic regression test revealed that obese subjects with hypertension had abody mass index (BMI > 30 with odds ratio of 7.3 (CI 95% = 1.8 to 28.8 and P = 0.005. Weconcluded that there was an association between obesity and adolescents with hypertension,and BMI > 30 could be a risk factor for obese adolescents with hypertension.

  6. Social Anxiety Scale for Adolescents: factorial invariance and latent mean differences across gender and age in Spanish adolescents.

    Science.gov (United States)

    Ingles, Candido J; La Greca, Annette M; Marzo, Juan C; Garcia-Lopez, Luis J; Garcia-Fernandez, Jose M

    2010-12-01

    Little is known about the factorial invariance across gender and age for self-report measures of social anxiety in adolescence. This study examined the factorial invariance and latent mean differences of the Social Anxiety Scale for Adolescents (SAS-A) across gender and age groups in 1570 Spanish adolescents (54% girls), ranging in age from 14 to 17 years. Equality of factor structures was compared using multi-group confirmatory factor analyses. Measurement invariance for the correlated three-factor model of the SAS-A was found across gender and age samples. Analyses of latent mean differences revealed that girls exhibited higher means than boys on two SAS-A subscales, Fear of Negative Evaluation and Social Avoidance and Distress-New (SAD-New). In addition, on the SAD-New subscale, the structured means significantly diminished from 14-year olds to 16- and 17-year olds and from 15-year olds to 17-year olds. Findings are discussed in terms of the use of the SAS-A with Spanish adolescents.

  7. Inpatient Opioid Withdrawal Management of Street Children and Adolescents Admitted to Child and Adolescent Psychiatric Ward: A Preliminary Case Series

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    Mahboubeh Firouzkouhi Moghadam

    2016-07-01

    Full Text Available Background About 10 million children worldwide live or work on the street. International reports estimate the prevalence of substance use among street children to be between 25% - 90%, which is who were referredntal disorders and high-risk behaviors. Objectives The objective of this study was to report the outcomes of assisted withdrawal of opioid-dependent vulnerable children and adolescents who were referred to child and adolescent psychiatric ward of Ali Ebne Abitaleb hospital, an academic hospital in Zahedan city. Methods Clinical chart abstractions were performed on a convenience sample of 40 serial opioid-dependent street children and adolescents (mean age: 11.14 ± 3.6 years who were referred to child and adolescent psychiatric ward of Ali Ebne Abitaleb treatment and research center from November 2014 to May 2015. The demographic data, drug use history, comorbid physical and psychiatric conditions, symptomatology of opioid withdrawal syndrome, pharmacotherapies and psychosocial services, length of hospital stay, and any adverse events were extracted from the patients’ files using a checklist developed by the authors. Results Twenty-four (60% patients were male, and 16 (40% were female. The main drug used by all patients was opioids. Heroin Kerack (which has a street name of crystal in southeast Iran was the most common (75% drug of use, followed by opium (10% and opium residue (7.5%. None of the participants self-reported using injected drugs. The high rate of a lack of eligibility for guardianship was documented among parents (87.5% mainly due to their use of illegal drugs. Musculoskeletal pain and diarrhea were the most common withdrawal symptoms of the patients upon admission. The mean length of stay was 10.8 (± 7.30 days, and no significant adverse events were reported during the symptomatic treatment of opioid withdrawal syndrome. Conclusions To our knowledge, this is the first study to report on the safety and feasibility of

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

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    Anett Nyaradi

    2015-04-01

    Full Text Available 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 results from grade nine (age 14 were linked to the Raine Study data by The Western Australian Data Linkage Branch. Associations between the dietary patterns and the WALNA (mathematics, reading and writing scores were assessed using multivariate linear regression models adjusting for family and socioeconomic characteristics. Complete data on dietary patterns, academic performance and covariates were available for individuals across the different analyses as follows: n = 779 for mathematics, n = 741 for reading and n = 470 for writing. Following adjustment, significant negative associations between the ‘Western’ dietary pattern and test scores for mathematics (β = −13.14; 95% CI: −24.57; −1.76; p = 0.024 and reading (β = −19.16; 95% CI: −29.85; −8.47; p ≤ 0.001 were observed. A similar trend was found with respect to writing (β = −17.28; 95% CI: −35.74; 1.18; p = 0.066. ANOVA showed significant trends in estimated means of academic scores across quartiles for both the Western and Healthy patterns. Higher scores for the ‘Western’ dietary pattern are associated with poorer academic performance in adolescence.

  9. Perforated peptic ulcer in an adolescent boy with acute appendicitis: a case report

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    Aazam Khorassani

    2013-06-01

    Full Text Available Background: Peptic ulcer disease is one of the most common GI disorders. Perforation has the highest mortality rate of any complication of ulcer disease, while early diagno-sis and emergency treatment save patient life.Case presentation: This paper reports an adolescent boy admitted to the Ziaeian University Hospital. He suffered from severe abdominal pain with dyspnea had been started since past three hours. Periumbilical pain started from past 2-3 days, gradually localized to the right lower quadrant. He had anorexia without nausea and vomiting. He was tachycardic and tachypneic, but he did not have fever. On physical examination, bowel sound was hypoactive, there was generalize tenderness, guarding and rebound tender-ness focused in the right lower quadrant and suprapubic region. Laboratory finding indicated leukocytosis. Chest X-ray showed free air under diaphragm. Once the diagno-sis has been made, the patient was given analgesia and antibiotics, resuscitated with isotonic fluid, and taken to the operating room. Laparotomy was implemented through a midline incision. There was bile secretion in the peritoneal cavity. Appendix was inflamated. Cecum and ileum were normal. A small perforation, 4mm in size was detected in first portion of duodenum. Appendectomy and omental patch repair were done. Ten days later, the patient was discharged in a good state. Serologic test for helicobacter pylori was negative.Conclusion: Stomach and duodenal perforation should be considered in patients with-out peptic ulcer disease, especially in children and adolescents with sudden and severe abdominal pain who are admitted to the hospital for other diseases. Because some patients present with peptic ulcer complications that are seemingly exacerbated by stressful life events.

  10. Apert′s syndrome: Report of a rare case

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    Parul V Bhatia

    2013-01-01

    Full Text Available Apert′s syndrome (AS, a form of acrocephalosyndactyly, is a rare congenital disorder with autosomal dominant mode of transmission; characterized by craniosynostosis, midface hypoplasia, and syndactyly of hands and feet. The rarity of the syndrome and similarity of features with other craniosynostosis syndromes makes it a diagnostic dilemma. Genetic counseling and early intervention form an essential part of treatment. Because of the paucity of reported cases in Indian literature and typical features in oral cavity, a dentist should be competent to diagnose and form a part of the multidisciplinary management team. Here, we report a case of a 14-year-old boy with AS.

  11. Peripheral desmoplastic ameloblastoma in adolescent age: clinico-pathological and immunohistochemical analisys of a case.

    Science.gov (United States)

    Oteri, Giacomo; Lentini, Maria; Pisano, Michele; Cicciù, Marco

    2014-01-01

    The Extraosseous or Peripheral Ameloblastoma (PA) is a rare and benign odontogenic tumour, representing 1% to 5% of all ameloblastomas. It is usually localized in the soft oral tissues, without deep bone involvement. Its biological behaviour is specific, and several authors define PA as a non-infiltrating hamartomatous lesion. Indeed, recurrences rarely occur and progression in malignant tumors appears to be rare. The PA originates from the tooth-forming apparatus and it consists of proliferating odontogenic epithelium, exhibiting the same histological cell types and patterns of the intraosseous counterpart or infiltrating ameloblastoma. The peripheral desmoplastic ameloblastoma (PDA) can be classified as a newly recognized and very rare histological variant. To our knowledge, only a few cases of adult patients affected by PDA have been published. The aim of this paper is to report a case of PDA affecting an adolescent patient. The clinical-pathological and immunohistological features are discussed in order to improve knowledge regarding a correct diagnosis and to differentiate PDA lesions from similar diseases.

  12. Some reflections on a case of mother/adolescent son incest.

    Science.gov (United States)

    Shengold, L

    1980-01-01

    A rare case of mother/adolescent son incest is presented. The son, treated in analysis, was not psychotic. Questions are raised about why father/daughter incest appears to be much more common than mother/son incest. Part of the answer, I speculate, has to do with the special psychic dangers for both mother and son, perhaps phylogenetically-based, which attach to the fantasy and the possibility of impregnating the mother. Where the incest taboo is violated, the primary responsibility would appear to be the parent's; the parent is frequently motivated by a compulsion to repeat his or her own incestuous past. In the case presented the probably psychotic mother had raised her son to look like a girl for several years, and he had been the victim of a homosexual assault at the age of 6. The incest at puberty seems to have helped him reverse a psychic position of subjection to the pre-oedipal mother, to have modified his rage and reinforced his masculinity. It also produced some of the arrogance, alongside a need for failure and punishment that evoke the legend of Oedipus. The mother, fearful of the possibility of getting pregnant, had abruptly stopped the incest. It had been repressed, and became conscious again when the son entered analysis. He then left his treatment without being able to work through much of the terror consequent to the consummation of incest, and with some of the feeling of oedipal triumph retained.

  13. Adolescent Premature Ovarian Insufficiency Following Human Papillomavirus Vaccination: A Case Series Seen in General Practice.

    Science.gov (United States)

    Little, Deirdre Therese; Ward, Harvey Rodrick Grenville

    2014-01-01

    Three young women who developed premature ovarian insufficiency following quadrivalent human papillomavirus (HPV) vaccination presented to a general practitioner in rural New South Wales, Australia. The unrelated girls were aged 16, 16, and 18 years at diagnosis. Each had received HPV vaccinations prior to the onset of ovarian decline. Vaccinations had been administered in different regions of the state of New South Wales and the 3 girls lived in different towns in that state. Each had been prescribed the oral contraceptive pill to treat menstrual cycle abnormalities prior to investigation and diagnosis. Vaccine research does not present an ovary histology report of tested rats but does present a testicular histology report. Enduring ovarian capacity and duration of function following vaccination is unresearched in preclinical studies, clinical and postlicensure studies. Postmarketing surveillance does not accurately represent diagnoses in adverse event notifications and can neither represent unnotified cases nor compare incident statistics with vaccine course administration rates. The potential significance of a case series of adolescents with idiopathic premature ovarian insufficiency following HPV vaccination presenting to a general practice warrants further research. Preservation of reproductive health is a primary concern in the recipient target group. Since this group includes all prepubertal and pubertal young women, demonstration of ongoing, uncompromised safety for the ovary is urgently required. This matter needs to be resolved for the purposes of population health and public vaccine confidence.

  14. Undiagnosed osteoid osteoma of the spine presenting as painful scoliosis from adolescence to adulthood: a case report

    Directory of Open Access Journals (Sweden)

    Efstathopoulos Nicolas E

    2009-04-01

    Full Text Available Abstract Presented here is a case of a young woman, with an undiagnosed osteoid osteoma of the spine, which presented with painful scoliosis in adolescence and was treated by bracing until her accession to adulthood. A more thorough investigation, years after the initial one, revealed the tumor. Surgical excision and stabilization offered the long-awaited cure. Misdiagnosis resulted in intractable pain for years, deformity, the discomfort of brace therapy, and the frustration of a prolonged yet ineffective treatment.

  15. Mood disorder with mixed, psychotic features due to vitamin b12 deficiency in an adolescent: case report

    OpenAIRE

    2012-01-01

    Abstract Vitamin B12 is one of the essential vitamins affecting various systems of the body. Reports of psychiatric disorders due to its deficiency mostly focus on middle aged and elderly patients. Here we report a case of vitamin B 12 deficiency in a 16-year old, male adolescent who presented with mixed mood disorder symptoms with psychotic features. Chief complaints were “irritability, regressive behavior, apathy, crying and truancy” which lasted for a year. Premorbid personality was unrema...

  16. A longitudinal case-control study on goals in adolescents with cancer

    NARCIS (Netherlands)

    Sulkers, Esther; Janse, Moniek; Brinksma, Aeltsje; Roodbol, Petrie F.; Kamps, Willem A.; Tissing, Wim J. E.; Sanderman, Robbert; Fleer, Joke

    2015-01-01

    Objective: This study examined whether: (1) the goals of adolescents with cancer at 3months post-diagnosis (T1) and healthy peers differed in terms of content, valuation, and abstraction level, (2) the content, valuation and abstraction level of the goals of the adolescents with cancer differed betw

  17. Exposing Medical Students to Child and Adolescent Psychiatry: A Case-Based Seminar

    Science.gov (United States)

    Kaplan, Jeremy S.; Lake, MaryBeth

    2008-01-01

    Objective: Despite a documented shortage of child and adolescent psychiatrists, few studies have examined whether including child and adolescent psychiatry didactics in a medical school curriculum can stimulate appreciation and interest among students, possibly leading more students to choose careers in this specialty. Methods: The authors…

  18. A Case Study of Korean American Adolescents' Identity Construction through Literacy Practices on the Internet

    Science.gov (United States)

    Ok, Hyounjin

    2009-01-01

    The purpose of this study was to provide a clearer understanding of current Korean American adolescents under the recognition that their stories are barely told in educational research. Based on the literature that has described identity as a core concept in understanding adolescence and literacy practice as a dominant tool for identity…

  19. Psychosis in an adolescent with Wilson's disease: A case report and review of the literature.

    Science.gov (United States)

    Grover, Sandeep; Sarkar, Siddharth; Jhanda, Soumya; Chawla, Yogesh

    2014-10-01

    Neuropsychiatric manifestations are common in Wilson's disease and mainly include extrapyramidal and cerebellar symptoms. Presentations with psychotic symptoms have been described less frequently. In this report we present the case of a young boy with Wilson's disease who developed psychotic symptoms. A 12-year-old boy was diagnosed with Wilson's disease on the basis of the physical examination findings and low ceruloplasmin levels (8.1 mg/dl). After 2 weeks of being diagnosed with Wilson's disease, he developed an acute onset illness, characterized by delusion of persecution, fearfulness, hypervigilence and decreased sleep. These symptoms were not associated with any confusion, clouding of consciousness, hallucinations and affective symptoms. There was no past or family history of psychosis. One week after the onset of the symptoms he was prescribed tab penicillamine, initially 250 mg/day, which was increased to 500 mg/day after 3 days. After increase in the dose of penicillamine, his psychiatric symptoms worsened and led to hospitalization. A diagnosis of organic delusional disorder (F06.2) due to Wilson's disease was considered. Tab risperidone 1 mg/day was started, and the dose of penicillamine was reduced with which symptoms resolved. Whenever a young adolescent develops psychosis, especially of delusional type, the possibility of Wilson's disease must be considered.

  20. A rare cause of chronic elbow pain in an adolescent baseball player: a case report

    Science.gov (United States)

    Wasylynko, David

    2016-01-01

    Objective: To present a case of chronic elbow pain as a result of a hidden underlying osteochondral defect. Clinical Features: A 17-year old baseball player presented with chronic lateral elbow pain. Examination revealed swelling of the elbow with signs of possible ligament, muscle, and tendon injury. Diagnosis and Treatment: Although there was apparent soft-tissue injury, the elbow swelling created immediate suspicion of a more serious underlying condition. Examination revealed a swollen and tender elbow, with plain x-ray confirming a subchondral bone disorder (osteochondral defect) of the capitellum. Surgical repair was performed by an orthopedic surgeon using DeNovo NT Natural Tissue Grafts: the implantation of small pieces of juvenile joint cartilage into the affected area, using glue-like fibrin. Rehabilitation of the elbow began immediately following surgery. Summary: Examination and imaging indicated that elbow pain in an adolescent baseball player could be from multiple sources, however, the chronic swelling raised suspicion of a condition requiring immediate and further investigation. PMID:27713578

  1. Multimodal intraoperative neuromonitoring in corrective surgery for adolescent idiopathic scoliosis: Evaluation of 354 consecutive cases

    Directory of Open Access Journals (Sweden)

    Kundnani Vishal

    2010-01-01

    Full Text Available Background : Multimodal intraoperative neuromonitoring is recommended during corrective spinal surgery, and has been widely used in surgery for spinal deformity with successful outcomes. Despite successful outcomes of corrective surgery due to increased safety of the patients with the usage of spinal cord monitoring in many large spine centers, this modality has not yet achieved widespread popularity. We report the analysis of prospectively collected intraoperative neurophysiological monitoring data of 354 consecutive patients undergoing corrective surgery for adolescent idiopathic scoliosis (AIS to establish the efficacy of multimodal neuromonitoring and to evaluate comparative sensitivity and specificity. Materials and Methods : The study group consisted of 354 (female = 309; male = 45 patients undergoing spinal deformity corrective surgery between 2004 and 2008. Patients were monitored using electrophysiological methods including somatosensory-evoked potentials and motor-evoked potentials simultaneously. Results : Mean age of patients was 13.6 years (±2.3 years. The operative procedures involved were instrumented fusion of the thoracic/lumbar/both curves, Baseline somatosensory-evoked potentials (SSEP and neurogenic motor-evoked potentials (NMEP were recorded successfully in all cases. Thirteen cases expressed significant alert to prompt reversal of intervention. All these 13 cases with significant alert had detectable NMEP alerts, whereas significant SSEP alert was detected in 8 cases. Two patients awoke with new neurological deficit (0.56% and had significant intraoperative SSEP + NMEP alerts. There were no false positives with SSEP (high specificity but 5 patients with false negatives with SSEP (38% reduced its sensitivity. There was no false negative with NMEP but 2 of 13 cases were false positive with NMEP (15%. The specificity of SSEP (100% is higher than NMEP (96%; however, the sensitivity of NMEP (100% is far better than SSEP (51

  2. Anemia prevalence in children and adolescents from educational centers in the outskirts of Londrina, PR, Brazil

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    MIGLIORANZA Lúcia Helena da Silva

    2002-01-01

    Full Text Available Iron deficiency anemia is the world most prevalent nutritional problem. To investigate anemia prevalence and its relation to nutritional status, 526 children and adolescents, 284 males and 242 females, aged 7 to 14 years old, were evaluated. The studied subjects take part in a program of the Social Action Department of the city of Londrina, state of Paraná, and attend Public Educational Centers which provides them three daily meals and pedagogic assistance. These individuals belong to deprived areas in the city outskirts, where the per capita income is lower than US$500 a year. The hemoglobin dosage was determined by digital puncture and read by Hemocue portable photometer. Anemia prevalence was verified in 41.3% of the assessed population, with no significant statistical differences between males and females (p=0.412. No association between anemia and malnutrition was found. In conclusion, high prevalence of anemia was observed in this population.

  3. Frontal and striatal alterations associated with psychopathic traits in adolescents.

    Science.gov (United States)

    Yang, Yaling; Narr, Katherine L; Baker, Laura A; Joshi, Shantanu H; Jahanshad, Neda; Raine, Adrian; Thompson, Paul M

    2015-03-30

    Neuroimaging research has demonstrated a range of structural deficits in adults with psychopathy, but little is known about structural correlates of psychopathic tendencies in adolescents. Here we examined structural magnetic resonance imaging (sMRI) data obtained from 14-year-old adolescents (n=108) using tensor-based morphometry (TBM) to isolate global and localized differences in brain tissue volumes associated with psychopathic traits in this otherwise healthy developmental population. We found that greater levels of psychopathic traits were correlated with increased brain tissue volumes in the left putamen, left ansa peduncularis, right superiomedial prefrontal cortex, left inferior frontal cortex, right orbitofrontal cortex, and right medial temporal regions and reduced brain tissues volumes in the right middle frontal cortex, left superior parietal lobule, and left inferior parietal lobule. Post hoc analyses of parcellated regional volumes also showed putamen enlargements to correlate with increased psychopathic traits. Consistent with earlier studies, findings suggest poor decision-making and emotional dysregulation associated with psychopathy may be due, in part, to structural anomalies in frontal and temporal regions whereas striatal structural variations may contribute to sensation-seeking and reward-driven behavior in psychopathic individuals. Future studies will help clarify how disturbances in brain maturational processes might lead to the developmental trajectory from psychopathic tendencies in adolescents to adult psychopathy.

  4. Inappropriate eating behavior: a longitudinal study with female adolescents

    Directory of Open Access Journals (Sweden)

    Leonardo de Sousa Fortes

    2014-03-01

    Full Text Available Objective: To evaluate the inappropriate eating behaviors (IEB of female adolescents over a one-year period. Methods: 290 adolescents aged between 11 and 14 years old participated in the three research stages (T1: first four months, T2: second four months and T3: third four months. The Eating Attitudes Test (EAT-26 was applied to assess the IEB. Weight and height were measured to calculate body mass index (BMI in the three study periods. Analysis of variance for repeated measures was used to analyze the data, adjusted for the scores of the Body Shape Questionnaire and the Brazil Economic Classification Criteria. Results: Girls at T1 showed a higher frequency of IEB compared to T2 (p=0.001 and T3 (p=0.001. The findings also indicated higher values for BMI in T3 in relation to T1 (p=0.04. The other comparisons did not show statistically significant differences. Conclusions: IEB scores of female adolescents declined over one year.

  5. Dual malignancy in adolescence: A rare case report of metachronous papillary carcinoma of thyroid following dysgerminoma of ovary

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    Suvadip Chakrabarti

    2016-01-01

    Full Text Available Dual malignancy is rare in adolescents. Dual malignancy with the second malignancy of thyroid is rare. No association has been reported between dysgerminoma of ovary and carcinoma thyroid in medical literature. Despite a thorough PubMed search (key words - Papillary carcinoma of thyroid, metachronous, dysgerminoma ovary, we were unable to find a previous reported case of metachronous papillary carcinoma of thyroid (PTC following dysgerminoma of the ovary. After surgery, the patient is being regularly followed up for recurrence/development of new primary. We report this unusual and rare case in a 17-year-old female patient.

  6. Case study: flame arresters and exploding gasoline containers.

    Science.gov (United States)

    Hasselbring, Lori C

    2006-03-17

    This paper describes the case study of a portable plastic gasoline container explosion and fire. While working at home on a science project to determine the burn rates of different types of wood fuel, a 14-year-old boy was severely burned after flames traveled back up into the portable gasoline container and exploded. A witness heard the explosion and reports that the flames went perhaps 10 ft in the air. It is shown by experimentation that a flame arrester installed in the pour opening of the portable gasoline container would have prevented an explosion inside the gasoline container.

  7. Retrocerebellar arachnoid cyst with syringomyelia : a case report.

    Directory of Open Access Journals (Sweden)

    Jain R

    2000-01-01

    Full Text Available Association of syringomyelia with retrocerebellar arachnoid cysts is rare. A case of 14 year old female is being reported, who presented with hydrocephalus caused by a large midline retrocerebellar infravermal arachnoid cyst leading to obstruction of the outlet foramina of the fourth ventricle. There was associated syringomyelia. The pathogenesis of syringomyelia is discussed. The need to evaluate cervical spinal cord by taking T1 weighted sagittal sections in all the patients of large posterior fossa mass lesions causing obstruction to the outlet foramina of the fourth ventricle has been stressed, in order to detect associated syringomyelia.

  8. Lenz microphthalmia syndrome with dental anomalies: a case report.

    Science.gov (United States)

    Ersin, Nazan Kocatas; Tugsel, Zuhal; Gökce, Bülent; Ozpinar, Birgül; Eronat, Nesrin

    2003-01-01

    This report describes the dental management and 7-year follow-up of a 14-year-old boy who showed the typical characteristics of Lenz microphthalmia syndrome, a rare genetic disorder characterized by multiple abnormalities. The main features of the syndrome are microphthalmia, developmental retardation, ear abnormalities, microcephaly, skeletal, digital and urogenital anomalies. The dental anomalies include micrognathia, hypodontia, agenesis of permanent teeth, conic-shaped incisors, and taurodontic molars. The purpose of the report was to document specific oral manifestations and dental anomalies and their management associated with a previously reported case.

  9. Recovery from Adolescent Anorexia Nervosa and Associations with Diurnal Patterns of Salivary Stress Hormones: A Case Report

    Science.gov (United States)

    Oskis, Andrea; Loveday, Catherine; Hucklebridge, Frank; Wood, David; Clow, Angela

    2012-01-01

    In the neurodevelopment of adolescent anorexia nervosa (AN), dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis is proposed to be a central component. Furthermore, a therapeutic milieu focusing on affect regulation can contribute much to treatment, given the emotional processing difficulties associated with this disorder. Studies of HPA axis function following such specialist treatments for adolescent AN, however, are rare. This study describes the diurnal pattern of HPA axis activation, including the cortisol awakening response (CAR), in a 16-year-old female diagnosed with AN both during illness and at clinical recovery following milieu therapy with a focus on affect regulation. Specialised single-case study statistics were used to assess whether the patient's data were significantly different from the healthy “norm” at illness and recovery. During illness, her measure of affective problems was outside of the normal range and cortisol and DHEA secretory profiles were significantly elevated across the diurnal period. However, at recovery both her affective state and HPA axis function became comparable to healthy controls. This case study suggests that salivary markers of HPA axis function can be feasibly incorporated into the clinical regime within a specialist adolescent AN residential service and could be used by clinicians to monitor prognosis and interventions. PMID:23304603

  10. Recovery from Adolescent Anorexia Nervosa and Associations with Diurnal Patterns of Salivary Stress Hormones: A Case Report

    Directory of Open Access Journals (Sweden)

    Andrea Oskis

    2012-01-01

    Full Text Available In the neurodevelopment of adolescent anorexia nervosa (AN, dysregulation of the hypothalamic-pituitary-adrenal (HPA axis is proposed to be a central component. Furthermore, a therapeutic milieu focusing on affect regulation can contribute much to treatment, given the emotional processing difficulties associated with this disorder. Studies of HPA axis function following such specialist treatments for adolescent AN, however, are rare. This study describes the diurnal pattern of HPA axis activation, including the cortisol awakening response (CAR, in a 16-year-old female diagnosed with AN both during illness and at clinical recovery following milieu therapy with a focus on affect regulation. Specialised single-case study statistics were used to assess whether the patient's data were significantly different from the healthy “norm” at illness and recovery. During illness, her measure of affective problems was outside of the normal range and cortisol and DHEA secretory profiles were significantly elevated across the diurnal period. However, at recovery both her affective state and HPA axis function became comparable to healthy controls. This case study suggests that salivary markers of HPA axis function can be feasibly incorporated into the clinical regime within a specialist adolescent AN residential service and could be used by clinicians to monitor prognosis and interventions.

  11. Concordance Between Self-Reported Childhood Maltreatment Versus Case Record Reviews for Child Welfare-Affiliated Adolescents.

    Science.gov (United States)

    Negriff, Sonya; Schneiderman, Janet U; Trickett, Penelope K

    2017-02-01

    The present study used data from an ongoing longitudinal study of the effects of maltreatment on adolescent development to (1) describe rates of maltreatment experiences obtained from retrospective self-report versus case record review for adolescents with child welfare-documented maltreatment histories, (2) examine self-reported versus child welfare-identified maltreatment in relation to mental health and risk behavior outcomes by maltreatment type, and (3) examine the association between the number of different types of maltreatment and mental health and risk behavior outcomes. Maltreatment was coded from case records using the Maltreatment Case Record Abstraction Instrument (MCRAI) and participants were asked at mean age = 18.49 about childhood maltreatment experiences using the Comprehensive Trauma Interview (CTI). Results showed that an average of 48% of maltreatment found by the MCRAI for each type of maltreatment were unique cases not captured by the CTI, whereas an average of 40% self-reported maltreatment (CTI) was not indicated by the MCRAI. Analyses with outcomes showed generally, self-reported maltreatment, regardless of concordance with MCRAI, was related to the poorest outcomes. The difference in associations with the outcomes indicates both self-report and case record review data may have utility depending on the outcomes being assessed.

  12. Early-adult outcome of child and adolescent mental disorders as evidenced by a national-based case register survey

    DEFF Research Database (Denmark)

    Castagnini, Augusto; Foldager, Leslie; Caffo, Ernesto;

    2016-01-01

    selected all those (n = 6043) who were enrolled for the first time in the Danish Psychiatric Register with an ICD-10 F00–99 diagnosis in 1995–1997, and identified any mental disorder for which they received treatment up to 2009. Results Neurodevelopmental and conduct disorders were the principal diagnostic......Background Mental disorders show varying degrees of continuity from childhood to adulthood. This study addresses the relationship of child and adolescent mental disorders to early adult psychiatric morbidity. Methods From a population at risk of 830,819 children and adolescents aged 6–16 years, we...... groups at 6–16 years and exhibited a characteristic male preponderance; while affective, eating, neurotic, stress-related and adjustment disorders were more common in girls. Over a mean follow-up period of 10.1 years, 1666 (27.6%) cases, mean age 23.4 years, were referred for treatment to mental health...

  13. Interactive Family Dynamics and Non-suicidal Self-Injury in Psychiatric Adolescent Patients: A Single Case Study.

    Science.gov (United States)

    Gatta, Michela; Miscioscia, Marina; Sisti, Marta; Comis, Ilaria; Battistella, Pier Antonio

    2017-01-01

    Non-Suicidal Self-Injury (NSSI) is a common, multifaceted phenomenon among adolescents. Recent researchers have shown that a number of psychological and psychiatric correlates are implicated in the onset/repetition of NSSI, but those previous studies did not directly observe the family interaction patterns of this clinical population. In this paper, the quality of family interactions was observed using the Lausanne Trilogue Play procedure to deepen the specific interactive dimensions associated with NSSI in adolescents. The results of a single case study showed a lack of positive emotional exchanges, a parenting style expressing hostility, a high level of control and difficulties in triangulation. Through this method, the authors show that a better understanding of the role of family interactions is crucial and could improve the assessment and treatment of Non-Suicidal Self-Injurious behaviors. Research and clinical implications are discussed.

  14. Interactive Family Dynamics and Non-suicidal Self-Injury in Psychiatric Adolescent Patients: A Single Case Study

    Science.gov (United States)

    Gatta, Michela; Miscioscia, Marina; Sisti, Marta; Comis, Ilaria; Battistella, Pier Antonio

    2017-01-01

    Non-Suicidal Self-Injury (NSSI) is a common, multifaceted phenomenon among adolescents. Recent researchers have shown that a number of psychological and psychiatric correlates are implicated in the onset/repetition of NSSI, but those previous studies did not directly observe the family interaction patterns of this clinical population. In this paper, the quality of family interactions was observed using the Lausanne Trilogue Play procedure to deepen the specific interactive dimensions associated with NSSI in adolescents. The results of a single case study showed a lack of positive emotional exchanges, a parenting style expressing hostility, a high level of control and difficulties in triangulation. Through this method, the authors show that a better understanding of the role of family interactions is crucial and could improve the assessment and treatment of Non-Suicidal Self-Injurious behaviors. Research and clinical implications are discussed. PMID:28220084

  15. Early-adult outcome of child and adolescent mental disorders as evidenced by a national-based case register survey

    DEFF Research Database (Denmark)

    Castagnini, Augusto; Foldager, Leslie; Caffo, Ernesto;

    2016-01-01

    Background Mental disorders show varying degrees of continuity from childhood to adulthood. This study addresses the relationship of child and adolescent mental disorders to early adult psychiatric morbidity. Methods From a population at risk of 830,819 children and adolescents aged 6–16 years, we...... selected all those (n = 6043) who were enrolled for the first time in the Danish Psychiatric Register with an ICD-10 F00–99 diagnosis in 1995–1997, and identified any mental disorder for which they received treatment up to 2009. Results Neurodevelopmental and conduct disorders were the principal diagnostic...... groups at 6–16 years and exhibited a characteristic male preponderance; while affective, eating, neurotic, stress-related and adjustment disorders were more common in girls. Over a mean follow-up period of 10.1 years, 1666 (27.6%) cases, mean age 23.4 years, were referred for treatment to mental health...

  16. Development and Predictive Effects of Eating Disorder Risk Factors during Adolescence: Implications for Prevention Efforts

    Science.gov (United States)

    Rohde, Paul; Stice, Eric; Marti, C. Nathan

    2014-01-01

    Objective Although several prospective studies have identified factors that increase risk for eating disorders, little is known about when these risk factors emerge and escalate, or when they begin to predict future eating disorder onset. The objective of this report was to address these key research gaps. Method Data were examined from a prospective study of 496 community female adolescents (M = 13.5, SD = 0.7 at baseline) who completed eight annual assessments of potential risk factors and eating disorders from preadolescence to young adulthood. Results Three variables exhibited positive linear increases: Perceived pressure to be thin, thin-ideal internalization and body dissatisfaction; three were best characterized as quadratic effects: dieting (essentially little change); negative affectivity (overall decrease), and BMI (overall increase). Elevated body dissatisfaction at ages 13, 14, 15, and 16 predicted DSM-5 eating disorders onset in the 4 year period after each assessment, but the predictive effects of other risk factors were largely confined to age 14; BMI did not predict eating disorders at any age. Discussion The results imply that these risk factors are present by early adolescence, though eating disorders tend to emerge in late adolescence and early adulthood. These findings emphasize the need for efficacious eating disorder prevention programs for early adolescent girls, perhaps targeting 14 year olds, when risk factors appear to be most predictive. In early adolescence, it might be fruitful to target girls with body dissatisfaction, as this was the most consistent predictor of early eating disorder onset in this study. PMID:24599841

  17. The Lived Experience of the Adolescent Sex Offender: A Phenomenological Case Study.

    Science.gov (United States)

    Gerhard-Burnham, Beth; Underwood, Lee A; Speck, Kathryn; Williams, Cyrus; Merino, Carrie; Crump, Yolanda

    2016-01-01

    Treatment for adolescents with sexually maladaptive behaviors is a continuing intervention that is changing and developing as greater understanding about this population of adolescents is obtained. The majority of treatment programs for adolescent sexually maladaptive behavior contain programming components that include cognitive distortions/thinking errors. Interviews including a conceptual mapping exercise were conducted with four adolescents adjudicated to a secure care program for sexual behaviors. All four boys completed an interview and a conceptual map of their perceived experiences as an adolescent with sexual maladaptive behaviors. All interviews were audio recorded. Analysis of the interviews and conceptual mappings yielded five themes present in the boys' experience as well as a consideration of the role early trauma may have in the establishment of cognitive distortion development. Contributing environmental and familial factors also play an important part in sustaining cognitive distortion. Main themes include: loss of responsible father or father figure, inability to regulate emotion, lack of personal and parental boundaries, and early exposure to pornography. The contributing influence of responsible male father figures may play an even greater role in the lives of young males than originally thought. How the adolescent inaccurately perceives his environment--in essence what he tells himself and continues to tell himself to make sense of his world--are building blocks in the development and continuation of thinking errors/cognitive distortions used to commit and justify sexual offending behaviors.

  18. Empirical Derivation and Validation of a Clinical Case Definition for Neuropsychological Impairment in Children and Adolescents.

    Science.gov (United States)

    Beauchamp, Miriam H; Brooks, Brian L; Barrowman, Nick; Aglipay, Mary; Keightley, Michelle; Anderson, Peter; Yeates, Keith O; Osmond, Martin H; Zemek, Roger

    2015-09-01

    Neuropsychological assessment aims to identify individual performance profiles in multiple domains of cognitive functioning; however, substantial variation exists in how deficits are defined and what cutoffs are used, and there is no universally accepted definition of neuropsychological impairment. The aim of this study was to derive and validate a clinical case definition rule to identify neuropsychological impairment in children and adolescents. An existing normative pediatric sample was used to calculate base rates of abnormal functioning on eight measures covering six domains of neuropsychological functioning. The dataset was analyzed by varying the range of cutoff levels [1, 1.5, and 2 standard deviations (SDs) below the mean] and number of indicators of impairment. The derived rule was evaluated by bootstrap, internal and external clinical validation (orthopedic and traumatic brain injury). Our neuropsychological impairment (NPI) rule was defined as "two or more test scores that fall 1.5 SDs below the mean." The rule identifies 5.1% of the total sample as impaired in the assessment battery and consistently targets between 3 and 7% of the population as impaired even when age, domains, and number of tests are varied. The NPI rate increases in groups known to exhibit cognitive deficits. The NPI rule provides a psychometrically derived method for interpreting performance across multiple tests and may be used in children 6-18 years. The rule may be useful to clinicians and scientists who wish to establish whether specific individuals or clinical populations present within expected norms versus impaired function across a battery of neuropsychological tests.

  19. Adolescent Idiopathic Scoliosis – case report of a patient with clinical deterioration after surgery

    Directory of Open Access Journals (Sweden)

    Weiss Hans-Rudolf

    2007-12-01

    Full Text Available Abstract Background Although there is no evidence that the long-term effects of scoliosis surgery are superior to the long-term effects of Adolescent Idiopathic Scoliosis (AIS itself, patients can fear the consequences of not under going this surgery due to incorrect or insufficient information. The main indication for surgical treatment in patients with AIS, is cosmetic. However spinal surgery may, along with other negative side effects, actually cause postoperative clinical deterioration. This complication of surgery has not yet been described in international literature. Case presentation A 15-year old female patient originally presenting with a well-compensated double curve pattern scoliosis. The patient was advised to undergo surgery due to the long-term negative impact of signs and symptoms of scoliosis upon her health. The patient agreed to surgery, which was performed in one of Germanys leading centres for spinal surgery. The thoracolumbar curve was corrected and fused, while the thoracic curve, clearly showing wedged vertebrae, defined as structural scoliosis, remained untreated. This operation left the patient with an unbalanced appearance, with radiological and clinical imbalance to the right. The clinical appearance of the patient though clearly deteriorated post-surgery. Furthermore, the wedged disc space below the fusion area indicates future problems with possible destabilisation accompanied probably by low back pain. Conclusion Scoliosis surgery for patients with AIS is mainly indicated for cosmetic or psychological reasons. Therefore the treatment leading to the best possible clinical appearance and balance has to be chosen. Patients should be informed that surgery will not necessarily improve their health status. Clinical deterioration after surgery may occur, and such information is crucial for an adequate informed consent.

  20. [Giant congenital intrapericardial left atrial appendage aneurysm: about a case and review of the literature].

    Science.gov (United States)

    Zhari, Bouchra; Bellamlih, Habib; Boumdine, Hassan; Amil, Touriya; Bamous, Mehdi; En-Nouali, Hassan

    2016-01-01

    Left atrial appendage aneurysm is a very rare heart anomaly. It may be congenital or acquired, secondary to inflammatory or degenerative processes. Most cases are asymptomatic. The prevalence of these lesions in pediatric age has been very rarely reported. As it can cause potentially fatal arrhythmias or thrombus, surgery is required immediately after diagnosis. This study reports the case of a 14-year-old boy with rapidly progressive dyspnea, palpitations, sensation of repetitive dizziness and fainting, in whom congenital left atrial appendage aneurysm was detected. Diagnosis was based on coronary CTA data. The patient was successfully treated with surgical resection of the aneurysm.

  1. CLOTHING BUYING MOTIVES AND STORE SELECTION CRITERIA – THE CASE OF CROATIAN ADOLESCENTS

    Directory of Open Access Journals (Sweden)

    Blaženka Knežević

    2016-12-01

    Full Text Available The aim of this paper is to analyse Croatian adolescents’ clothing buying motives and their retail store selection criteria. The paper examined their preferences, attitudes and behaviours when buying clothes - whether adolescents with different primary clothing motives would have similar or different store selection criteria. Also, the paper determined how today’s adolescents spend money on clothes and whether they are more inclined to purchase branded clothes or not. Finally, the paper explained whether Croatian adolescents prefer purchasing in small or large specialized apparel stores, or whether they are more prone to online purchasing or even buying clothes in second-hand shops. Also, the society influences in forming adolescents’ attitudes and decisions towards store selection and purchasing preferences of clothes were examined. The research findings showed that shopping centres are the preferred retail format. In addition, adolescents do not have a fully developed attitude on fashion and clothing. Therefore, they strongly refer to opinions of family and friends when choosing clothes. Moreover, the Internet and TV are evaluated as influential channels of consumer communication within this particular group of consumers. Based on the findings, suggestions for service management and marketing strategies are provided for apparel retail companies that target adolescents.

  2. The Importance of Family Relations for Cannabis Users: The Case of Serbian Adolescents

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    Zorica Terzic Supic

    2013-03-01

    Full Text Available Background: Adolescence is transitional stage of physical and mental human development occuring between childhood and adult life. Social interactions and environmental factors together are important predictors of adolescent cannabis use. This study aimed to examine the relationship between the social determinants and adolescents behavior with cannabis consumption.Methods: A cross sectional study as part of the European School Survey Project on Alcohol and other Drugs was conducted among 6.150 adolescents aged 16 years in three regions of Serbia, and three types of schools (gymnasium, vocational – professional, and vocational – handicraft during May – June 2008. A multivariate logistic regression analysis was carried out to obtain adjusted odds ratios with 95% confidence intervals in which the dependent variable was cannabis consumption non-user and user.Results: Among 6.7% of adolescents who had tried cannabis at least one in their lives, boys were more involved in cannabis use than girls, especially boys from gymnasium school. Well off family, lower education of mother, worse relations with parents were significantly associated with cannabis use (P < 0.05. Behaviors like skipping from schools, frequent evening outs, and playing on slot machines were also related to cannabis use (P < 0.05.Conclusions: The study confirmed the importance of family relationship development. Drug use preventive programmes should include building interpersonal trust in a family lifecycle and school culture.

  3. Occupational Therapy and Sexual and Reproductive Health Promotion in Adolescence: A Case Study.

    Science.gov (United States)

    Gontijo, Daniela Tavares; de Sena e Vasconcelos, Anna Carolina; Monteiro, Rosana Juliet Silva; Facundes, Vera Lúcia Dutra; Trajano, Maria de Fátima Cordeiro; de Lima, Luciane Soares

    2016-03-01

    Occupational therapy can contribute to sexual and reproductive health through health education. The purpose of this study was to describe an occupational therapy intervention aimed at sexual and reproductive health promotion in adolescents. Fifty-eight adolescents were involved in the study, before, during and after the interventions. Educative activities such as puzzles, storytelling, mime and board games were used, which occupational therapy faculty and students had constructed. The games were employed as mediators for gaining knowledge in sexual and reproductive health. Outcome was measured using a questionnaire, audio recordings and field diaries. The data were analysed by descriptive statistics and thematic content analysis. The results showed the adolescents' increased knowledge of sexual and reproductive health information immediately after the intervention. The thematic analysis was grouped into three categories: the adolescents' initial expectations regarding the project, reflections on the process experienced during the interventions and use of educational games by occupational therapists. The importance of rapport and dialogue was highlighted in the construction of interventions based on participatory methods. The absence of a longitudinal follow-up is a limitation in this study. Further research is important to systematically assess sexual health promotion strategies in adolescence.

  4. Neural Language Processing in Adolescent First-Language Learners: Longitudinal Case Studies in American Sign Language.

    Science.gov (United States)

    Ferjan Ramirez, Naja; Leonard, Matthew K; Davenport, Tristan S; Torres, Christina; Halgren, Eric; Mayberry, Rachel I

    2016-03-01

    One key question in neurolinguistics is the extent to which the neural processing system for language requires linguistic experience during early life to develop fully. We conducted a longitudinal anatomically constrained magnetoencephalography (aMEG) analysis of lexico-semantic processing in 2 deaf adolescents who had no sustained language input until 14 years of age, when they became fully immersed in American Sign Language. After 2 to 3 years of language, the adolescents' neural responses to signed words were highly atypical, localizing mainly to right dorsal frontoparietal regions and often responding more strongly to semantically primed words (Ferjan Ramirez N, Leonard MK, Torres C, Hatrak M, Halgren E, Mayberry RI. 2014. Neural language processing in adolescent first-language learners. Cereb Cortex. 24 (10): 2772-2783). Here, we show that after an additional 15 months of language experience, the adolescents' neural responses remained atypical in terms of polarity. While their responses to less familiar signed words still showed atypical localization patterns, the localization of responses to highly familiar signed words became more concentrated in the left perisylvian language network. Our findings suggest that the timing of language experience affects the organization of neural language processing; however, even in adolescence, language representation in the human brain continues to evolve with experience.

  5. Testosterone Replacement Therapy in Adolescents With Sickle Cell Disease Reverses Hypogonadism Without Promoting Priapism: A Case Report

    Directory of Open Access Journals (Sweden)

    Belinda F. Morrison

    2015-11-01

    Full Text Available Delayed puberty secondary to hypogonadism is commonly seen in sickle cell disease (SCD, affecting normal growth and development. The condition is rarely treated in SCD for fear of inducing priapism episodes. We present a case report of an Afro-Jamaican adolescent male at 16 years of age who presented with symptoms of delayed puberty as well as frequent stuttering priapism episodes. Endocrinological assessment revealed low serum total testosterone levels. Treatment was commenced monthly with testosterone enanthate which resulted in improved symptoms of delayed puberty, improvement in anthropometric parameters while apparently ameliorating priapism episodes.

  6. Cohen Syndrome. A Case Report

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    Elayne Esther Santana Hernández

    2014-04-01

    Full Text Available Cohen syndrome is a rare genetic disease that is transmitted in an autosomal recessive pattern. It is characterized by obesity, hypotonia, mental retardation, microcephaly, typical craniofacial dysmorphism, large and prominent central incisors as well as thin, spindle-shaped fingers. The locus for Cohen syndrome has been located on chromosome 8q 22 (COH 1. Few cases have been reported since its description, it is clinically diagnosed through a proper delineation of the phenotype. The case of 14-year-old patient with this syndrome in whom a clinical diagnosis had not been established thus far is presented. An accurate delineation of the phenotype was achieved at this age and consequently, the correct diagnosis was reached, which is critical in order to provide better genetic counseling to the family.

  7. Space maintainer for the loss of a permanent molar in the adolescent patient: report of case.

    Science.gov (United States)

    Lindemeyer, R G; Glavich, G G

    1996-01-01

    An adolescent patient who loses a permanent first molar presents a clinical challenge for the practitioner. The ideal space maintainer should not only maintain the edentulous space, but it should also maintain inter-arch integrity. An esthetic, inexpensive unilateral space maintainer has been designed for the replacement of a permanent first molar in an adolescent patient. The appliance has demonstrated high patient satisfaction, as well as, a good clinical result. This appliance is designed to remain in place until the patient is old enough to receive an implant or a more permanent prosthetic replacement.

  8. Major depressive disorder in an adolescent with Turner syndrome: a case report.

    Science.gov (United States)

    Mao, Shujiong; Sun, Liying; Li, Rong; Zhao, Zhengyan; Yang, Rongwang

    2016-01-01

    Turner syndrome (TS) is a chromosomal abnormality, of which the presence and impact of coexisting psychiatric morbidity has received little attention. The present report describes an adolescent with mosaic karyotype TS who had major depressive disorder with the predisposing cause of psychosocial burden, and relieved with the treatment of sertraline and complete remission with combined use of estradiol valerate. The report suggests us to pay more attention on the mood disorders in children with TS, especially in adolescents. For treatment aspect, medications for improving the puberty development and short stature should be added to in addition to antidepressants if they had mood disorders.

  9. Microcomputer-Based Approaches for Preventing Drug and Alcohol Abuse Among Adolescents from Ethnic-Racial Minority Backgrounds.

    Science.gov (United States)

    Moncher, Michael S; Parms, Clifford A; Orlandi, Mario A; Schinke, Steven P; Miller, Samuel O; Palleja, Josephine; Schinke, Mary B

    1989-01-01

    This study was designed to empirically assess the potential of microcomputer-based intervention with black adolescents from economically disadvantaged backgrounds. Subjects were 26, 11 through 14-year-old black females and males recruited from three boroughs in New York City. A sample task was administered via microcomputer system followed by a postintervention measurement battery. Observational measures were also employed to assess interactional variables. Subjects' attitudes toward educational content in general, and toward drug and alcohol information delivery in particular, appeared to be a significant intervening variable that could alter the overall efficacy of computer-delivered interventions. Both observational and postintervention measures indicated an overall positive subject response to computer-administered instruction. In contrast, however, respondents indicated a negative response to microcomputer delivery of drug and alcohol related materials. Results of the experiment are discussed along with rationales and future research directions.

  10. Preventive behavior for toxoplasmosis in pregnant adolescents in the state of Ceara, Brazil

    Directory of Open Access Journals (Sweden)

    Costa Fabianne

    2012-01-01

    Full Text Available Abstract Background When toxoplasmosis is acquired during pregnancy, it can be transmitted to the fetus causing severe lesions in the first two gestational trimesters. This study analyzed the main factors associated with the preventive behavior for toxoplasmosis among pregnant adolescents in the city of Fortaleza in northeast Brazil. Methods It is a cross-sectional study conducted from March 2009 to November 2010, with a sample of 320 pregnant adolescents, ages ranging from 12 to 19 years old, receiving prenatal care in the Public Health Care System. Bivariate and multivariate logistic regression model analyses were used to identify the association between preventive behavior for toxoplasmosis, and the independent variables and 95% confidence interval. Results We observed that 16.3% of the pregnant adolescents showed preventive behavior for toxoplasmosis. The factors positively associated to the preventive behavior for toxoplasmosis were: age group between 12 and 14 years old (OR = 2.75; 95%CI 1.23-6.12 and more than two prenatal consultations (OR = 2.19; 95%CI 1.17-4.09. Conclusions Noteworthy is the importance of a serologic follow-up for pregnant adolescents with clearer and more precise information about risk factors and the importance of adopting preventive behaviors. Thus, it is necessary to establish educational measures for handling food and raising kittens during prenatal care.

  11. The Adolescent Quest for Meaning through Multicultural Readings: A Case Study.

    Science.gov (United States)

    Champion, Sandra

    1993-01-01

    Examines the results of a study of the role of the secondary school library media program in easing the adolescent immigrant's struggle with assimilation. Highlights include student-centered learning environments that value cultural diversity; a focus on personal beliefs; use of technology; and a literature program based on the archetypal hero.…

  12. Communicating Trust between Parents and Their Children: A Case Study of Adolescents' Alcohol Use in Denmark

    Science.gov (United States)

    Demant, Jakob; Ravn, Signe

    2013-01-01

    This article discusses how Danish parents and their children communicate trust. Based on Niklas Luhmann's sociological theory, the article explores new aspects of communication about alcohol-related rules. The analysis shows how the parents emphasize the importance of communicating trust, while the adolescents, on the other hand, observe the…

  13. The significance of social context: the case of adolescent childbearing in the African American community.

    Science.gov (United States)

    Henly, J R

    1993-11-01

    The persistence of racial differences in US adolescent pregnancy and contraceptive use rates even after traditional indicators of social class (e.g., parental education, income, or occupation) are controlled suggests a need to focus on broader social contextual issues. Important dimensions of the social context neglected in traditional approaches to socioeconomic status include the level of racial discrimination in the community, the percentage of same-race high status workers, the differential incentives of Blacks and Whites to avoid adolescent childbearing, the quality of schools attended, and the ability of families to provide child supervision. In addition, studies comparing the long-term effects of adolescent childbearing have found less severe costs for Blacks than Whites. This finding suggests the salience of psychosocial factors such as individual resiliency and survival. Although amelioration of poverty must be a major emphasis of social policy aimed at preventing adolescent pregnancy, employment programs that prepare teens for low-paying or nonexistent jobs and other interventions that fail to address the broader social context of discrimination are insufficient.

  14. Family Socioeconomic Status, Parental Expectations, and Adolescents' Academic Achievements: A Case of China

    Science.gov (United States)

    Long, Haiying; Pang, Weiguo

    2016-01-01

    This study examines direct and indirect effects of family socioeconomic status (SES) and parental expectations on adolescents' mathematics and problem-solving achievement in mainland China. SES here is composed of family wealth, home educational resources, and parental education. Over 5,000 ninth-grade students in 5 geographical districts of China…

  15. Dialectical Behavior Therapy Modified for Adolescent Binge Eating Disorder: A Case Report

    Science.gov (United States)

    Safer, Debra L.; Couturier, Jennifer L.; Lock, James

    2007-01-01

    Given the lack of empirically supported treatments available for adolescents with eating disorders, it is important to investigate the clinical utility of extending treatments for adults with eating disorders to younger populations. Dialectical behavior therapy for binge eating disorder, based on the affect-regulation model, conceptualizes binge…

  16. "Adolescents Can't Be Gay": Perceptions on Youth, Sexual Diversity, and the Case of Mexico

    Science.gov (United States)

    Alvarez, Paulina Millan

    2006-01-01

    When it comes to adolescent sexuality, researchers have focused on topics such as sexuality education, contraceptive methods, the use of condoms, and first intercourse. These studies have provided valuable information on issues that need attention from authorities and that are widely recognized as social problems (unwanted pregnancies, for…

  17. Microbiology of destructive periodontal disease in adolescent patients with congenital neutropenia - A report of 3 cases

    NARCIS (Netherlands)

    van Winkelhoff, AJ; Schouten-van Meeteren, AYN; Baart, JA; Vandenbroucke-Grauls, CMJE

    2000-01-01

    Background, aims: Congenital neutropenia is one condition that may predispose for destructive periodontal disease at a young age. In this report, we describe the microbiology of 3 adolescent patients with congenital neutropenia two of whom suffered from severe periodontitis. Method: Microbiological

  18. Case Study: Longitudinal Treatment of Adolescents with Depression and Inflammatory Bowel Disease

    Science.gov (United States)

    Szigethy, Eva; Carpenter, Johanna; Baum, Emily; Kenney, Elyse; Baptista-Neto, Lourival; Beardslee, William R.; DeMaso, David Ray

    2006-01-01

    Objective: To assess longitudinal maintenance of improvements in depression, anxiety, global functioning, and physical health perception in 11 adolescents at 6 and 12 months following completion of manual-based cognitive-behavioral therapy. Method: Standardized instruments assessed follow-up changes in depression, anxiety, physical health, and…

  19. Self-Perceptions of a High School Female Adolescent with Asperger Syndrome: A Case History

    Science.gov (United States)

    Edwards, Kemberly V.

    2012-01-01

    The purpose of this study is to increase the knowledge base about female adolescents with Asperger syndrome (AS). The findings will be useful in providing educators with an insight into the social world of Asperger syndrome in order to give them a better understanding of the syndrome, and to assist them in teaching students more effectively. The…

  20. School Experiences Influence Personal Health and Interpersonal Relationships of Adolescents: The Canadian Case

    Science.gov (United States)

    Ma, Xin

    2007-01-01

    Canadian data from the 1998 Cross-National Survey on Health Behaviors in School-Aged Children were analyzed to examine the effects of school experiences on personal health (physical health, mental health, self-esteem, helplessness, and body image) and interpersonal relationships (number of close friends and making friends) among adolescents.…

  1. Enhancing Writing Achievement through a Digital Learning Environment: Case Studies of Three Struggling Adolescent Male Writers

    Science.gov (United States)

    Pruden, Manning; Kerkhoff, Shea N.; Spires, Hiller A.; Lester, James

    2017-01-01

    The aim of this study was to explore how "Narrative Theatre," a narrative-centered digital learning environment, supported the writing processes of 3 struggling adolescent male writers. We utilized a multicase study approach to capture 3 sixth-grade participants' experiences with the digital learning environment before, during, and after…

  2. Real and potential mercury accumulation in human scalp of adolescents: a case study.

    Science.gov (United States)

    Vieira, H C; Morgado, F; Soares, A M V M; Abreu, S N

    2015-02-01

    Mercury (Hg) concentration in human hair is used to estimate methylmercury (MeHg) exposure and establish a reference dose for MeHg intake. In this study, Hg accumulation and MeHg intake were evaluated in relation to fish consumption habits in adolescents from two coastal areas: Angra do Heroísmo (Azores archipelago) and Murtosa (Portuguese mainland). Results showed that Hg concentration and MeHg intake increased with increasing fish consumption. In spite of that, Hg concentrations remained relatively low when compared with World Health Organization "no observed adversary effect level"; therefore, risk for mercury exposure should not be considered. Adolescents revealed a similar range of Hg concentrations (0.03-2.60 μg g(-1)) in scalp hair, apart from being exposed to natural or anthropogenic Hg source (Azores and Mainland, respectively). Nevertheless, Mainland volunteers generally exhibited higher values of Hg accumulation, being approximately 50 % of the results above 1 μg g(-1). Hg concentrations increased in both adolescent groups according to the weekly rate of fish meals, however, not linearly in the highest fish consumption rates. In fact, considering the adolescents' group having over one fish meal per week, the Hg bioaccumulation pattern found in the respective scalp hair suggests the ability of the human body to induce a self-protection response, probably mitigating Hg levels in the blood when experiencing increasing Hg exposure due to fish uptake. Actual and potential mercury levels in human scalp of adolescents probably diverge as fish consumption increases, the effective Hg uptake being lower than the expected, reducing risk to human health.

  3. Sexual behavior, knowledge and information sources of very young adolescents in four sub-Saharan African countries.

    Science.gov (United States)

    Bankole, Akinrinola; Biddlecom, Ann; Guiella, Georges; Singh, Susheela; Zulu, Eliya

    2007-12-01

    Adolescents are a key target group for HIV and pregnancy prevention efforts, yet very little is known about the youngest adolescents: those under age 15. New survey data from 12-14 year olds in Burkina Faso, Ghana, Malawi and Uganda are used to describe their sexual activity, knowledge about HIV, STIs and pregnancy prevention, and sources of sexual and reproductive health information, including sex education in schools. Results show that very young adolescents are already beginning to be sexually active and many believe their close friends are sexually active. They have high levels of awareness but little in-depth knowledge about pregnancy and HIV prevention. Multiple information sources are used and preferred by very young adolescents. Given their needs for HIV, STI and pregnancy prevention information that is specific and practical and considering that the large majority are attending school in most countries in Sub-Saharan Africa, school-based sex education is a particularly promising avenue for reaching adolescents under age 15.

  4. Vocal Cord Actinomycosis: A Case Report

    Directory of Open Access Journals (Sweden)

    Bijan Khademi

    2011-04-01

    Full Text Available Introduction: Actinomycosis is a systemic chronic bacterial infection caused by Actinomyces Israelii, an anaerobic organism normally resident in the human mouth. However, the actinomycosis of the larynx is very rare, and only about 15 cases have been reported in the literature so far. Most of the cases reported occurred in patients who had previously undergone radiotherapy for laryngeal cancer. Case Report: Here we report a case of actinomycosis of the larynx in a 14-year-old shepherd boy who was not immunocompromised but had a history of tooth extraction two months prior to admission to the hospital and severe laryngitis one year prior to admission. Conclusion:        Laryngeal actinomycosis might be related to poor oral hygiene and mucosal barrier disruption, as well as to being immunocompromised.

  5. Using photovoice in adolescent health research: a case-study of the Well-being of Adolescents in Vulnerable Environments (WAVE) Study in Ibadan, Nigeria.

    Science.gov (United States)

    Olumide, Adesola O; Adebayo, Emmanuel S; Ojengbede, Oladosu A

    2016-10-14

    Photovoice is a participatory action research method in which people are given cameras and asked to take pictures of specific issues within their community. It is often used among marginalised populations. This method helps people capture specific issues within their community using photographs, critically discuss these issues within a group and present their findings to inform policies within their community. Photovoice has been used in developed countries and among adult participants; however, the extent to which it has been used in developing countries and among adolescent participants is yet to be extensively reported. In this paper, we describe the use of photovoice among male and female adolescents aged 15-19 years who participated in the qualitative phase (phase I) of the Well-being of Adolescents in Vulnerable Environments (WAVE) study in Ibadan, Nigeria. The main study was conducted among adolescents residing in disadvantaged communities within five global cities (Baltimore, USA; Ibadan, Nigeria; Johannesburg, South Africa; New Delhi, India and Shanghai, China). Our findings revealed that adolescents in Ibadan were very eager to participate, remained fully engaged throughout the process and the data obtained were rich and detailed. Some challenges encountered with using this method were that younger adolescents had a tendency to attain saturation when taking pictures much earlier than older adolescents; however, they equally discussed the pictures taken enthusiastically. Overall, our findings affirm that photovoice as a data collection method can be successfully used in research among adolescents in developing countries like Nigeria.

  6. Proximal fibular stress fractures in children and adolescents, what should we rely on? Lessons learned from a case.

    Science.gov (United States)

    de Pina, Carlos Aguiar Ramos; Balacó, Inês; Serrano, Pedro Ruas; Matos, Gabriel

    2015-02-16

    Fibula fractures are the third most common stress fractures in children and adolescents. The triad of localised periosteal reaction, endosteal thickening and radiolucent cortical lines, localised in the distal third of the fibula along with a typical clinical history is in most cases sufficient to establish the diagnosis. Proximal fibula stress lesions are a very rare finding, with few reports in the literature. Stress fractures in this location demand careful investigation before a definitive diagnosis can be made. In the presence of non-specific MRI findings, stress fracture should be a diagnosis of exclusion. The authors report a case referred to their department by a sports medicine physician with a suspicion of stress fracture of the proximal fibula without characteristic imaging findings, which was ultimately confirmed as a stress lesion only by biopsy.

  7. Granulosis rubra nasi – a case report. A literature review

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    Brzezinski Piotr

    2011-07-01

    Full Text Available Granulosis Rubra Nasi (GRN, a rare childhood dermatitis that was also defined as "Acne papulo-rosacea of the nose". Is an inflammatory dermatosis which consists on erythema, papules and itch. The hyperhidrosis the most conspicuous features of the disease and small beads of sweat and erythema on the tip of the nose may often occur. Sometimes small red papules and comedo-like lesions may be present. Etiology is unknown. lt's uncommon, chronic process and benign course. Usually subsides spontaneously at adolescence. The treatment is symptomatic and cosmetic. An 14-year-old boy presented with erythematous lesions over the nose of childhood duration without sensitivity to sunlight. Physical examination showed also excessive sweating of the nose, and erythema of the nose covered by small pustules, papules ang macules. The patient responded well to low doses of oral Isotretinoine. Should remember GRN could be a complication of hyperhidrosis.

  8. Treatment of pectus excavatum recurring after open surgery using Nuss procedure: A case report

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    Yucel Akkas

    2016-12-01

    Full Text Available We would like to report a 14-year-old male patient with pectus excavatum that recurred 10 years later after Ravitch surgery who was successfully operated using Nuss procedure. The patient underwent pectus excavatum surgery using Nuss procedure. The patient was discharged from the hospital at post-operative 5.day. The bar is planned to be removed in post-operative 3.year. In conclusion, surgery of pectus excavatum that recurred after open surgery is risky. Nuss procedure, which is a minimally-invasive technique, is a safe procedure that can be successfully applied in recurring cases due to short time of surgery and minimal blood loss.

  9. Post-Traumatic Pancreatic Pseudocyst: Report of Two Cases with Review of Literature

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    Sunder Goyal

    2013-08-01

    Full Text Available A pseudopancreatic cyst is common after inflammation and is rarely due to trauma. Trauma is the main cause of pseudopancreatic cysts in children and the inflammation in adults. Various treatment modalities are percutaneous drainage, endoscopic drainage and surgical drainage and these are used accordingly. Teamwork between interventional radiologists, endoscopists and surgeons is essential for proper management. We report two cases of a post-traumatic pseudopancreatic cyst: a 14-year-old male child after a fall and a 40-year-old male who was hit by a tractor (agricultural vehicle. [Arch Clin Exp Surg 2013; 2(4.000: 251-258

  10. FACIAL PALSY AS FIRST PRESENTATION OF ACUTE LYMPHOBLASTIC LEUKEMIA: A CASE REPORT

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    S. Inaloo

    2008-11-01

    Full Text Available ObjectiveFacial paralysis in children is very often idiopathic and isolated facial nerve palsy, resulting from leukemic infiltration is a rare occurrence. Here we present the case of a 14 year-old boy with acute lymphobastic leukemia, who first presented with isolated right side peripheral facial nerve paralysis and was initially diagnosed with Bell's palsy.ConclusionThe presence of Bell's palsy in young children requires a complete evaluation, keeping in mind the possibility of leptomeningeal disease.Key words: Lymphoblastic Leukemia, Facial nerve palsy, Children.

  11. Uterine perforation in an adolescent using an intrauterine device with memory function: a case report and review of the published work.

    Science.gov (United States)

    Tong, Jin-Yi; Sun, Wen-Chao; Li, Juan; Jin, Mei; Shen, Xiu-Zhen; Zhang, Zhi-Fen

    2015-04-01

    Intrauterine devices (IUD) are the most common method of reversible birth control used worldwide. Adolescents infrequently have uterine perforation caused by IUD, hampering both the diagnosis and treatment. Herein, we report a case of uterine perforation in an 18-year-old primipara after insertion of an IUD that possessed memory function (AiMu MCu). The patient presented with vomiting and abdominal pain after insertion of an AiMu MCu IUD, was treated via laparoscopy and had a full recovery. The present case indicated that uterine perforation caused by an AiMu MCu IUD may occur as a rare complication and that uterine perforation can occur in an adolescent. Clinicians might consider a diagnosis of uterine perforation in an adolescent reporting vomiting and abdominal pain after IUD insertion. Laparoscopy could be a reasonable treatment option for such patients.

  12. How resilient adolescent learners in a township school cope with school violence: a case study.

    OpenAIRE

    2008-01-01

    The aim of this study is to analyse and describe how resilient adolescent learners in a township school cope with school violence in order to develop and recommend a model to promote resilience in coping with school violence. As basis for this study violence is described and explained in the theoretical framework of the ecosystemic theory, as well as the social learning and cognitive behavioural theories. Based on these theories violence is discussed as a reaction and as an action that occurs...

  13. Conventional intramuscular sedatives versus ziprasidone for severe agitation in adolescents: case-control study

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    Klotz Steven G

    2009-03-01

    Full Text Available Abstract Objective The objective of this study was to compare intramuscular (IM ziprasidone to conventional IM medications (haloperidol combined with lorazepam for the treatment of severe agitation in adolescents (age 12–17. Methods We retrospectively identified consecutive severe agitation episodes (defined as requiring physical restraint in adolescents treated with either IM ziprasidone or conventional IM agents in a psychiatric emergency room. For ziprasidone, the dosage was 20 mg for 23 episodes and 10 mg for 5 episodes. For 24 episodes treated with combined haloperidol and lorazepam, the dosages were 4.8 ± 0.3 SEM mg and 1.9 ± 0.4 mg respectively. Outcomes were the duration of restraint and need for adjunctive "rescue" medications within 60 minutes. These outcomes were decided prior to reviewing any records. Results No difference was found in restraint duration (ziprasidone, N = 28, 55 ± 5 minutes; haloperidol with lorazepam N = 24, 65 ± 7 minutes, P = NS. Use of "rescue" medications did not differ between the two groups. No changes in blood pressure were found, but pulse decreased 8.3 ± 2.4 for haloperidol with lorazepam and 8.9 ± 4.24 for ziprasidone (P = NS. No instances of excessive sedation or extra-pyramidal symptoms were documented. Conclusion In this study, IM ziprasidone appeared effective, well tolerated, and similar in clinical profile to combined conventional IM medications for treating severe agitation in adolescents. Given the reportedly favorable acute side effect profile of parenteral atypical agents, they may provide an alternative to conventional antipsychotics for treating acute agitation in both adult and adolescent populations. Future randomized, controlled studies are needed.

  14. The Case for Adolescent HIV Vaccination in South Africa: A Cost-Effectiveness Analysis.

    Science.gov (United States)

    Moodley, Nishila; Gray, Glenda; Bertram, Melanie

    2016-01-01

    Despite comprising 0.7% of the world population, South Africa is home to 18% of the global human immunodeficiency virus (HIV) prevalence. Unyielding HIV subepidemics among adolescents threaten national attempts to curtail the disease burden. Should an HIV vaccine become available, establishing its point of entry into the health system becomes a priority. This study assesses the impact of school-based HIV vaccination and explores how variations in vaccine characteristics affect cost-effectiveness. The cost per quality adjusted life year (QALY) gained associated with school-based adolescent HIV vaccination services was assessed using Markov modeling that simulated annual cycles based on national costing data. The estimation was based on a life expectancy of 70 years and employs the health care provider perspective. The simultaneous implementation of HIV vaccination services with current HIV management programs would be cost-effective, even at relatively higher vaccine cost. At base vaccine cost of US$ 12, the incremental cost effectiveness ratio (ICER) was US$ 43 per QALY gained, with improved ICER values yielded at lower vaccine costs. The ICER was sensitive to duration of vaccine mediated protection and variations in vaccine efficacy. Data from this work demonstrate that vaccines offering longer duration of protection and at lower cost would result in improved ICER values. School-based HIV vaccine services of adolescents, in addition to current HIV prevention and treatment health services delivered, would be cost-effective.

  15. Activity/rest rhythm of depressed adolescents undergoing therapy: case studies

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    Maria Eugênia Mesquita

    Full Text Available Abstract Introduction: Disorders of circadian rhythms have been reported in studies of both depressed children and of depressed adolescents. The aim of this study was to evaluate whether there is a relationship between the 24-hour spectral power (24h SP of the activity/rest rhythm and the clinical course of depression in adolescents. Methods: Six 14 to 17-year-old adolescents were recruited for the study. They were all suffering from major depressive disorder, according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV criteria, as identified by the Schedule for Affective Disorders and Schizophrenia for School Aged Children: Present and Lifetime Version (K-SADS-PL. Depressive symptoms were assessed using the Children's Depression Rating Scale - Revised (CDRS-R and clinical evaluations. Locomotor activity was monitored over a period of 13 consecutive weeks. Activity was measured for 10-minute periods using wrist-worn activity monitors. All patients were prescribed sertraline from after the first week up until the end of the study. Results: We found a relationship between high CDRS values and low 24-hour spectral power. Conclusions: The 24h SP of the activity/rest rhythm correlated significantly (negatively with the clinical ratings of depression.

  16. Anxiety disorders and anxiety-related traits and serotonin transporter gene-linked polymorphic region (5-HTTLPR) in adolescents: case-control and trio studies.

    Science.gov (United States)

    Bortoluzzi, Andressa; Blaya, Carolina; Salum, Giovanni A; Cappi, Carolina; Leistner-Segal, Sandra; Manfro, Gisele G

    2014-08-01

    The role of the serotonin transporter gene-linked polymorphic region (5-HTTLPR) in anxiety disorder and anxiety-related traits is controversial. Besides this study, few studies have evaluated the triallelic genotype in adolescents. The aim of this study was to investigate whether anxiety disorders and anxiety-related traits are associated with 5-HTTLPR (biallelic and triallelic) in adolescents, integrating both case-control-based and family-based designs in a community sample. This is a cross-sectional community study of 504 individuals and their families: 225 adolescents (129 adolescents with anxiety disorder and 96 controls) and their biological families. We assessed psychiatric diagnosis using the Kiddie Schedule for Affective Disorders and Schizophrenia. The Temperament and Character Inventory and the Resnick Behavioral Inhibition Scale were used to evaluate harm avoidance and behavioral inhibition. DNA was extracted from saliva and genotyped, including biallelic and triallelic 5-HTTLPR classification, by PCR-RFLP followed by agarose gel electrophoresis. We were not able to find any associations between 5-HTTLPR and anxiety-related phenotypes in both case-control and trio analyses. Further investigation and meta-analytic studies are needed to better clarify the inconsistent results with regard to the association between 5-HTTLPR and anxiety-related phenotypes in adolescents.

  17. Giant malignant peripheral nerve sheath tumor of thigh in an adolescent with neurofibromatosis type 1: a case report

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    Tosun HB

    2015-10-01

    Full Text Available Haci Bayram Tosun,1 Sancar Serbest,2 Bilge Aydin Turk,3 Seyit Ali Gumustas,1 Abuzer Uludag1 1Department of Orthopaedics and Traumatology, Faculty of Medicine, Adiyaman University, Adiyaman, 2Department of Orthopaedics and Traumatology, Faculty of Medicine, Kirikkale University, Kirikkale, 3Department of Pathology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey Abstract: Malignant peripheral nerve sheath tumors (MPNSTs are rare sarcomas of children and adolescents, and they are aggressive tumors with a high rate of local recurrence. We present a 15-year-old boy with neurofibromatosis type 1 (NF1, who had a giant MPNST on the right thigh taking into account the available literature. Diagnosis of MPNST may be delayed in NF1 patients due to confusion with a neurofibroma and/or a plexiform neurofibroma. Malignancy should be considered, especially in cases with big masses, with heterogeneous involvement, or in the presence of cysts or necrotic nodules. The aim of surgical treatment is complete surgical excision. Keywords: nerve sheath neoplasm, sarcoma, adolescent, neurofibromatosis, lower extremity

  18. The expulsion of evil and its return: an unconscious fantasy associated with a case of mass hysteria in adolescents.

    Science.gov (United States)

    Loa Zavala, Nashyiela

    2010-10-01

    The formal study of hysteria started with psychoanalysis, which opened paths to studying the unconscious. However, we have found no psychoanalytic or psychiatric studies in the literature reporting epidemics of hysteria in hundreds of adolescent girls affected for several months like the one we describe. This epidemic occurred in a religious boarding-school in a rural area of Mexico. Our study aimed to determine psychoanalytic and sociocultural elements contributing to explain a behavioural epidemic outbreak during which young girls were unable to walk normally and which led to a temporary cessation of routine activities at the boarding-school. Key informers were interviewed, including the first cases of affected adolescent girls and the nuns. Interviews included questions concerning informers' life history and their life at the boarding-school before and during the epidemic. We found that this boarding-school functioned as a large family affected by a psychotic episode which resulted from modes of communication of its members. This article describes the phenomenon and emphasizes perceived communication among members of the boarding-school and visitors at the time of the outbreak.

  19. Cross-domain generality of achievement motivation across sport and the classroom: the case of Spanish adolescents.

    Science.gov (United States)

    Castillo, Isabel; Duda, Joan L; Balaguer, Isabel; Tomás, Inés

    2009-01-01

    Drawing from contemporary social cognitive theories of achievement motivation, the relationship of personal theories of achievement (ego and task theory) with perceived ability and reported satisfaction with school and sport was examined. The cross-domain generality of these relationships in these contexts, in the case of a representative sample of adolescents between 11 and 15 years of age (N = 967, M age = 13.5, SD = 1.80; 492 girls and 475 boys) from the Valencian Community (Spain) also was examined. According to previous research in the United States (Duda & Nicholls, 1992), the findings of this study indicate a cross-domain consistency with regard to how adolescents tend to define success and their views of how achievement activities operate across sport and the classroom. However, little cross-domain generality was found for perceptions of ability and reported satisfaction. In the sport and classroom domains, a task theory was related to greater satisfaction, while an ego theory was related to greater reported boredom and low interest in the activity.

  20. Cases of fatal accidents and violence among children, adolescents and young people: perception of the family and associated factors

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    Christine Baccarat de Godoy Martins

    2014-10-01

    Full Text Available Hundreds of children and young people die from fatal accidents or violence every year and others suffer the consequences of non-lethal lesions. Knowing the associated factors is essential for moving forward in the control of these events. The study analysed the families’ perception and factors associated with deaths due to external causes of children, adolescents and young people. Cross-sectional study from deaths from accidents and violence in the age group of 0 to 24 years in the city ofCuiabá-State of Mato Grosso, followed by a domestic survey with the families. The families could not tell whether the accident/violence was a foreseeable event and do not believe that habits/lifestyle have favoured the occurrence. Intentional deaths showed a greater association with factors: maternity/paternity in adolescence, role overload of the mother, consumption of alcohol/drugs, family conflicts and prior deaths from external cause. Feelings of appreciation (study, housing, work, and whether the victim’s pregnancy has been desired were positive in a higher proportion among cases at which the victims died in an accident. The families had easy access to health care services; however, it was difficult to access the network of social and religious support. Associated factors differ according to the intentionality of the event.

  1. Positive Behavioural Support in Schools for Children and Adolescents with Intellectual Disabilities Whose Behaviour Challenges: An Exploration of the Economic Case

    Science.gov (United States)

    Iemmi, Valentina; Knapp, Martin; Brown, Freddy Jackson

    2016-01-01

    Decision-makers with limited budgets want to know the economic consequences of their decisions. Is there an economic case for positive behavioural support (PBS)? A small before-after study assessing the impact of PBS on challenging behaviours and positive social and communication skills in children and adolescents with intellectual disabilities…

  2. Examining Struggling Male Adolescent Readers' Responses to Graphic Novels: A Multiple Case Study of Four, Eighth-Grade Males in a Graphic Novel Book Club

    Science.gov (United States)

    Gavigan, Karen W.

    2010-01-01

    Although graphic novels are an increasingly popular literary format, there is currently little empirical research that documents their use with struggling male adolescent readers in school settings. The purpose of this multiple case study was to examine the ways in which four struggling, eighth-grade, male readers responded to graphic novels…

  3. Adapting Cognitive-Behavioral Therapy for Depressed Adolescents Exposed to Interpersonal Trauma: A Case Study with Two Teens

    Science.gov (United States)

    DePrince, Anne P.; Shirk, Stephen R.

    2013-01-01

    A substantial body of evidence indicates that interpersonal trauma increases risk for adolescent and adult depression. Findings from 4 clinical trials for adolescent depression show poorer response to standard cognitive-behavioral therapy (CBT) among depressed adolescents with a trauma history than youth without such a history. This paper reports…

  4. Adolescents' interhospital transfers from a pediatric emergency department

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    Cláudia Arriaga

    2016-02-01

    Full Text Available Introduction: The maternal-infant referral network, established in Portugal since 2001, allows a complementarity between all healthcare units, providing universal access to healthcare. Aim: To characterize adolescents interhospital transfers from the Pediatric Urgency (PU of a B1 hospital.. Methods: Retrospective analytic study. Data from clinical files of adolescents transferred from the PU in 2011 were collected. We defined and compared two age groups: 10 to 14 years old (G1 and 15 to 18 years old (G2 and characterized these about demographics, diagnosis, diagnostic procedures and reason for transfer. Statistical analysis was performed with PASW 18.0® software (p<0,05. Results: There were 43.409 admissions to the PU, 24,2%(n=10.498 from adolescents, with an average age of 14,5 (±2,1 years; 67% were males. Around 1,2% (n=131 of the adolescents were transferred, which counted for 46% of all transfers in pediatric age. When analyzing admissions by age group, 65,8% belonged to G1 from all transfers and 57,3% to G2 (p<0,001. The reason for transfer was trauma in 45%, medical in 37,4%, and surgical in 17,6%. The main diagnosis of the adolescents transferred were ear-nose-throat problems, urologic and psychiatric conditions. Diagnostic procedures were performed in 42,7% of the adolescents and 82,1% were imaging exams. The lack of specialities, in the emergency department, in the local hospital was the reason for the transfer in 90,8%, and the missing speciality was surgical in 72,2%. Psychiatric conditions were more frequently diagnosed in adolescents transferred from G2 (22,7% than G1 (9,1%, p=0,037. Of all the adolescents transferred to A1 hospital, 28,2% were admitted for hospitalization. Conclusions: Although adolescents comprised only a quarter of the admissions of the PU, they represented an important percentage of all transfers, mainly the older ones. The main reason for transfers was the lack of medical and surgical specialities in the PU

  5. The importance of taking a history of over-the-counter medication use: a brief review and case illustration of "PRN" antihistamine dependence in a hospitalized adolescent.

    Science.gov (United States)

    Gracious, Barbara; Abe, Naomi; Sundberg, Jane

    2010-12-01

    Over-the-counter (OTC) and prescription medication abuse has been rapidly increasing, yet publications on OTC abuse in adolescents are limited. We present a brief literature review and a novel report of antihistamine dependence emerging after admission in an adolescent, subsequently treated with naltrexone. This case highlights the need to take a thorough history of OTC, herbal, and prescription drug use from parents and patients separately and repeatedly, at initial presentation, and again if withdrawal symptoms emerge. General strategies for combating OTC and prescription abuse are given.

  6. Stress and emotional valence effects on children's versus adolescents' true and false memory.

    Science.gov (United States)

    Quas, Jodi A; Rush, Elizabeth B; Yim, Ilona S; Edelstein, Robin S; Otgaar, Henry; Smeets, Tom

    2016-01-01

    Despite considerable interest in understanding how stress influences memory accuracy and errors, particularly in children, methodological limitations have made it difficult to examine the effects of stress independent of the effects of the emotional valence of to-be-remembered information in developmental populations. In this study, we manipulated stress levels in 7-8- and 12-14-year-olds and then exposed them to negative, neutral, and positive word lists. Shortly afterward, we tested their recognition memory for the words and false memory for non-presented but related words. Adolescents in the high-stress condition were more accurate than those in the low-stress condition, while children's accuracy did not differ across stress conditions. Also, among adolescents, accuracy and errors were higher for the negative than positive words, while in children, word valence was unrelated to accuracy. Finally, increases in children's and adolescents' cortisol responses, especially in the high-stress condition, were related to greater accuracy but not false memories and only for positive emotional words. Findings suggest that stress at encoding, as well as the emotional content of to-be-remembered information, may influence memory in different ways across development, highlighting the need for greater complexity in existing models of true and false memory formation.

  7. How can peer group influence the behavior of adolescents: explanatory model.

    Science.gov (United States)

    Tomé, Gina; Matos, Margarida; Simões, Celeste; Diniz, José Alves; Camacho, Inês

    2012-02-29

    The current work aims to study both the peer group and family influence on adolescent behaviour. In order to achieve the aforementioned objective, an explanatory model based on the Structural Equations Modelling (SEM) was proposed. The sample used was the group of adolescents that participated in the Portuguese survey of the European study Health Behaviour in School-aged Children (HBSC). The Portuguese survey included students from grades 6, 8 and 10 within the public education system, with an average age of 14 years old (SD=1.89). The total sample of the HBSC study carried out in 2006 was 4,877; however with the use of the SEM, 1,238 participants were lost out of the total sample. The results show that peers have a direct influence in adolescents' risk behaviours. The relationship with parents did not demonstrate the expected mediation effect, with the exception of the following elements: relation between type of friends and risk behaviour; and communication with parent and lesser involvement in violence behaviours and increased well-being. The negative influence of the peer group is more connected to the involvement in risk behaviours, whilst the positive influence is more connected with protective behaviours.

  8. Morningness-eveningness and sleep habits among adolescents: age and gender differences.

    Science.gov (United States)

    Collado Mateo, M José; Díaz-Morales, Juan Francisco; Escribano Barreno, Cristina; Delgado Prieto, Pedro; Randler, Christoph

    2012-01-01

    Previous research has indicated the need to use large samples in different cultural contexts in order to clarify age and gender differences on morningness-eveningness and sleep habits. The goal of our research was to study the relationship between morningness-eveningness and sleep habits in a large sample of 2,649 adolescents between 12 and 16 years. The Morningness- Eveningness Scale for Children and an adaptation of the School Sleep Habits Survey measures were used. Results indicated a greater tendency toward eveningness with age and higher eveningness in 13- and 14-year-old girls. Older adolescents claimed later rising time on weekends, later bedtime and shorter sleep length, and greater social jetlag, weekend rise time delay, and weekend bedtime delay. Girls reported earlier rising time on weekdays, later rising time on weekends, longer sleep length on weekends, and greater social jetlag and weekend rising time delay. Lastly, evening oriented adolescents claimed later rising time and bedtime, shorter sleep length on weekdays but longer sleep duration on weekends, and greater social jetlag, weekend rising time delay, and weekend bedtime delay.

  9. Thicker temporal cortex associates with a developmental trajectory for psychopathic traits in adolescents.

    Directory of Open Access Journals (Sweden)

    Yaling Yang

    Full Text Available 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 substance abuse (54 males and 54 females were examined to detect cortical thickness variations associated with psychopathic traits and individual rates of change in psychopathic traits from ages 9 to 18. We found cortical thickness abnormalities to correlate with psychopathic traits both cross-sectionally and longitudinally. Specifically, at age 14, higher psychopathic scores were correlated with thinner cortex in the middle frontal gyrus, particularly in females, and thicker cortex in the superior temporal gyrus, middle temporal gyrus, and parahippocampal gyrus, particularly in males. Longitudinally, individual rates of change in psychopathic tendency over time were correlated with thicker cortex in the superior temporal gyrus, middle temporal gyrus, inferior temporal gyrus, parahippocampal gyrus, and posterior cingulate gyrus, particularly in males. Findings suggest that abnormal cortical thickness may reflect a delay in brain maturation, resulting in disturbances in frontal and temporal functioning such as impulsivity, sensation-seeking, and emotional dysregulation in adolescents. Thus, findings provide initial evidence supporting that abnormal cortical thickness may serve as a biomarker for the development of psychopathic propensity in adolescents.

  10. From Benign to Malign in a Case of Cervical Adenopathy in a 17-Year-Old Adolescent: Diagnostic Traps

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    Simona Dumitra

    2016-01-01

    Full Text Available Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of error in a diagnosis. We report a case of right laterocervical adenopathy in a 17-year-old teenager admitted to hospital with an episode of fever associated with dysphagia, congested pharynx, and pultaceous deposits. Initially the adenopathy was considered to be secondary to a coinfection with Streptococcus B-hemolytic and Epstein-Barr virus, as suggested by the positive bacteriological and serological tests. The onset of the adenopathy before the episode and the ultrasound modifications raised the suspicion of a malignancy, later confirmed by the histopathologic examination of the lymph node excision. The final diagnosis was nodal metastasis of an undifferentiated lymphoepithelial carcinoma with an ENT starting point. Currently, the adolescent is hospitalised in the ENT ward, where the pharynx carcinoma with nodal metastasis was confirmed. Sometimes the infectious context can mask or unmask a malign chronic disease with insidious evolution.

  11. Slipped capital femoral epiphysis after septic arthritis of the hip in an adolescent: report of a case.

    Science.gov (United States)

    Marx, R G; Wright, J G

    1999-04-01

    Septic arthritis of the hip must be managed promptly to avoid the serious complications associated with the condition. In the case reported here, the diagnosis was delayed and was complicated by a slipped capital femoral epiphysis. The patient, an adolescent boy previously in good health, presented with a 2-week history of hip pain and systemic illness. Septic arthritis was diagnosed and was managed by incision and drainage and antibiotic therapy. Two weeks later he presented with a subcutaneous abscess and a slipped capital femoral epiphysis, which was pinned in situ. There was a 2.5-cm leg-length discrepancy. Avascular necrosis of the femoral head subsequently developed leaving the boy with a permanent disability.

  12. Adolescent development

    Science.gov (United States)

    Development - adolescent; Growth and development - adolescent ... During adolescence, children develop the ability to: Understand abstract ideas. These include grasping higher math concepts, and developing moral ...

  13. Relapsing tubulointerstitial nephritis in an adolescent with inflammatory bowel disease without aminosalicylate exposure.

    LENUS (Irish Health Repository)

    Shahrani Muhammad, H S

    2012-01-31

    A 14-year-old boy presented with ongoing constipation as a manifestation of newly diagnosed Crohn\\'s disease (CD) and a concomitant decline in renal function with biopsy-proven interstitial nephritis. Initiation of steroid therapy and mesalazine was associated with an improvement in symptoms and renal function. We describe a rare case of a 5-aminosalicylic acid (5-ASA)-naive patient who developed interstitial nephritis in association with CD with no evidence of other primary glomerulopathy. A unique feature of the case being a profound systemic inflammatory response at the time of diagnosis and a relapse in nephritis 2 months after cessation of mesalazine in the absence of any macroscopic colitis.

  14. Identifying the Unique Aspects of Adolescent and Young Adult Palliative Care: A Case Study to Propel Programmatic Changes in Pediatric Hospitals.

    Science.gov (United States)

    Humphrey, Lisa; Dell, Mary Lynn

    2015-09-01

    Using a case study, in this article we seek to highlight how the distinct developmental needs of adolescent and young adult patients facing a life-threatening condition require a different approach to patient care by pediatric health care workers. The case underscores pitfalls in using a pediatric construct of care in areas of pain management, social stressors, and advanced care planning, and suggests programs to implement for improvement, including partnership with psychiatry, substance abuse, and palliative care specialists.

  15. Piloting behavioral family systems therapy to improve adherence among adolescents with HIV: a case series intervention study.

    Science.gov (United States)

    Gray, Wendy N; Janicke, David M; Fennell, Eileen B; Driscoll, Danielle C; Lawrence, Robert M

    2011-07-01

    Adolescents with HIV are at high risk for suboptimal adherence but have been ignored by the literature. Treatment outcome and feasibility data for the first-known adaptation of Behavioral Family Systems Therapy (BFST) targeting adherence among adolescents with HIV are presented for four adolescents with suboptimal adherence. The intervention was delivered in an alternating home-based and telehealth format and a multi-method adherence assessment approach was used. Adherence improved for three adolescents, viral load decreased for two adolescents, and barriers to adherence declined for all participants. Delivery of an adapted BFST intervention was acceptable to families and may be a promising treatment approach.

  16. Idiopathic gynaecomastia in twins: a case report

    Directory of Open Access Journals (Sweden)

    S.V. Kumar

    2014-08-01

    Full Text Available Gynaecomastia is a common pathological condition of breast seen in men. This is defined as benign enlargement of breast tissue in males. It was first described by Palus Aegineta (AD 635-690. Herewith we are presenting cases of 14 year old twins attending the surgical O.P.D with bilateral enlarged breasts and pain. A diagnosis of pubertal gynaecomastia was made with no evidence of malignancy by histopathological examinations and mammography. One boy with 5 x 6 cm of right breast and 2 x3 cm of left breast was treated by subcutaneous mastectomy. Other boy had only enlargement of nipple and areola. He was reassured and sent home without surgical intervention. A rare case of idiopathic gynaecomastia in pubertal twins is described here. [Int J Res Med Sci 2014; 2(4.000: 1755-1757

  17. Atlantoaxial subluxation as an early manifestation in an adolescent with undifferentiated spondyloarthritis: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Jea Andrew

    2011-07-01

    Full Text Available Abstract Introduction Atlantoaxial instability has been described as a manifestation of ankylosing spondylitis (juvenile and adult onset, reactive arthritis, juvenile idiopathic arthritis, and rheumatoid arthritis; however, it has rarely been reported as an early manifestation of these disorders. We present this case report to increase awareness of the condition in the hope that earlier recognition of this disease may prevent further serious injury. Case presentation We report the case of a 17-year-old Hispanic adolescent woman who was initially diagnosed with undifferentiated spondyloarthritis due to peripheral arthritis, enthesitis, a positive human leukocyte antigen B27 result, and inflammatory spinal pain lasting two months. Our patient experienced persistent and worsening occipitocervical pain and signs of myelopathy three months after diagnosis; consequently, we found atlantoaxial instability along with cervical spine bone erosion and pannus formation. She was treated surgically with a C1-2 posterior instrumented fusion and at six weeks post-operatively was started on tumor necrosis factor α blockade. Her occipitocervical symptoms subsided following surgery and initiation of immunomodulation. Conclusions Our report serves to emphasize to pediatric and adult general practitioners, pediatricians, internists, family physicians, pediatric and adult rheumatologists and spine surgeons that atlantoaxial subluxation may be an early manifestation of spondyloarthritis, and that the condition is treatable by surgical intervention and immunomodulation.

  18. Successful treatment of a case of acute myeloid leukemia following Langerhans cell histiocytosis in an adolescent: a case report and review of the literature

    Science.gov (United States)

    Xu, Gaixiang; Yang, Min; Huang, Jian; Jin, Jie

    2015-01-01

    Langerhans cell histiocytosis (LCH) is a rare histiocytic disorder of unknown etiopathogenesis. Its clinical presentation is variable and ranges from isolated skin or bone disease to a life-threatening multisystem condition. LCH can occur at any age but is more frequent in the pediatric population. The diagnosis depends on clinical, histopathological and radiographic examination and should be confirmed by immunohistochemical study with CD1a, S100 protein and langerin, three markers used widely for identifying Langerhans cells. Herein, we report an adolescent with acute myeloid leukemia (AML-M2) who was treated just with surgical management alone for LCH. As far as we know, this is the first case that the LCH patient without chemotherapy evolved into AML and was successfully cured. Cooperative studies of large numbers of LCH patients are needed to evaluate a possible association between LCH and acute leukemia, and to identify common risk factors or predisposing agents if such be present. The previously reported cases of LCH concomitant with other hematological disorders are also summarized and described compared with the present case. PMID:25932277

  19. Esthesioneuroblastoma in children and adolescent: experience on 11 cases with literature review.

    Science.gov (United States)

    El Kababri, Maria; Habrand, Jean L; Valteau-Couanet, Dominique; Gaspar, Nathalie; Dufour, Christelle; Oberlin, Odile

    2014-03-01

    Esthesioneuroblastoma is a rare tumor of the olfactory epithelium. This report analyzed 11 children and adolescents treated in a single institution between 1982 and 2002. For 9 patients, therapy consisted of an initial course of chemotherapy before surgical resection and postoperative radiotherapy, for 1 patient an initial course of chemotherapy before radiotherapy and for another resection before radiotherapy with no chemotherapy. Response to chemotherapy was assessed in 9 patients of whom 6 achieved a complete or a partial remission. Ten patients are long-term survivors. The 5-year actuarial disease-free survival and overall survival rate was 91% (95% confidence interval, 62%-98%). Our study indicates that esthesioneuroblastoma is sensitive to chemotherapy and supports the role of combined modalities including neoadjuvant chemotherapy, surgery, and radiation therapy.

  20. Oppositional COMT Val158Met effects on resting state functional connectivity in adolescents and adults.

    Science.gov (United States)

    Meyer, Bernhard M; Huemer, Julia; Rabl, Ulrich; Boubela, Roland N; Kalcher, Klaudius; Berger, Andreas; Banaschewski, Tobias; Barker, Gareth; Bokde, Arun; Büchel, Christian; Conrod, Patricia; Desrivières, Sylvane; Flor, Herta; Frouin, Vincent; Gallinat, Jurgen; Garavan, Hugh; Heinz, Andreas; Ittermann, Bernd; Jia, Tianye; Lathrop, Mark; Martinot, Jean-Luc; Nees, Frauke; Rietschel, Marcella; Smolka, Michael N; Bartova, Lucie; Popovic, Ana; Scharinger, Christian; Sitte, Harald H; Steiner, Hans; Friedrich, Max H; Kasper, Siegfried; Perkmann, Thomas; Praschak-Rieder, Nicole; Haslacher, Helmuth; Esterbauer, Harald; Moser, Ewald; Schumann, Gunter; Pezawas, Lukas

    2016-01-01

    Prefrontal dopamine levels are relatively increased in adolescence compared to adulthood. Genetic variation of COMT (COMT Val158Met) results in lower enzymatic activity and higher dopamine availability in Met carriers. Given the dramatic changes of synaptic dopamine during adolescence, it has been suggested that effects of COMT Val158Met genotypes might have oppositional effects in adolescents and adults. The present study aims to identify such oppositional COMT Val158Met effects in adolescents and adults in prefrontal brain networks at rest. Resting state functional connectivity data were collected from cross-sectional and multicenter study sites involving 106 healthy young adults (mean age 24 ± 2.6 years), gender matched to 106 randomly chosen 14-year-olds. We selected the anterior medial prefrontal cortex (amPFC) as seed due to its important role as nexus of the executive control and default mode network. We observed a significant age-dependent reversal of COMT Val158Met effects on resting state functional connectivity between amPFC and ventrolateral as well as dorsolateral prefrontal cortex, and parahippocampal gyrus. Val homozygous adults exhibited increased and adolescents decreased connectivity compared to Met homozygotes for all reported regions. Network analyses underscored the importance of the parahippocampal gyrus as mediator of observed effects. Results of this study demonstrate that adolescent and adult resting state networks are dose-dependently and diametrically affected by COMT genotypes following a hypothetical model of dopamine function that follows an inverted U-shaped curve. This study might provide cues for the understanding of disease onset or dopaminergic treatment mechanisms in major neuropsychiatric disorders such as schizophrenia and attention deficit hyperactivity disorder.

  1. Correction of a Forefoot Deformity Caused by a Large, Solitary Metatarsal Osteochondroma in an Adolescent: A Case Report.

    Science.gov (United States)

    Patil, Sampat Dumbre; Patil, Vaishali Dumbre; Khan, Ashraf; Khanore, Charudatta

    2016-01-01

    Solitary osteochondroma is the most common bone tumor, accounting for 20% to 50% of all benign bony tumors. Osteochondromas are usually found on the metaphysis of the long bones near the physis; the bones of the foot are less commonly involved. We describe a 13-year-old female with a large osteochondroma arising from the fourth metatarsal. Pressure from the tumor on the adjacent metatarsals had deformed her forefoot, creating cosmetic and functional problems. The second and third toes were deviated laterally at the metatarsophalangeal joint, and the fourth and fifth toes were deviated medially. In addition, the fourth and fifth toes were flexed at the proximal interphalangeal joint. We excised the osteochondroma and stabilized the metatarsophalangeal joints. After 3 years, the cosmetic and functional results were satisfactory. The subluxation at the metatarsophalangeal joints had resolved without treatment. Her Revised Foot Function Index score had improved from 141 preoperatively to 95 postoperatively, and her Manchester-Oxford Foot Questionnaire score had improved from 25 to 0. This case is a rare example of a large metatarsal osteochondroma in a growing child in which pressure from the tumor caused secondary forefoot deformities. The management of this case also shows the potential for the forefoot to remodel itself during adolescence, after the tumor has been resected and the joints stabilized.

  2. The implementation of mentalization-based treatment for adolescents: a case study from an organizational, team and therapist perspective

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    Hutsebaut Joost

    2012-07-01

    Full Text Available Abstract Background Reports on problems encountered in the implementation of complex interventions are scarce in psychotherapy literature. This is remarkable given the inherent difficulties of such enterprises and the associated safety risks for patients involved. Case description A case study of the problematic implementation process of Mentalization- Based Treatment for Adolescents (MBT-A, a new therapy for 14 to 18 year old youngsters with severe personality disorders, is presented. The implementation process is described and analyzed at an organizational, team and therapist level. Discussion and evaluation Our analysis shows that problems at all three levels contributed and interacted to make the implementation cumbersome and hazardous. Conclusion The implementation of complex psychotherapeutic programs for difficult patients could benefit from a structured attention to processes at multiple levels. We therefore propose a new comprehensive heuristic model of treatment integrity. This new model includes organisational, team and therapist adherence to the treatment model as necessary components of treatment integrity in the implementation of complex interventions. The application of this new model of treatment integrity potentially increases the chance of successful implementations and reduces safety risks for first patients enrolling in a new program.

  3. Fatal non-accidental alpha-lipoic acid intoxication in an adolescent girl.

    Science.gov (United States)

    Hadzik, B; Grass, H; Mayatepek, E; Daldrup, T; Hoehn, T

    2014-09-01

    The aim of our report is to increase awareness that the antioxidant alpha-lipoic acid, which is marketed primarily as weight loss and energy supplement, has potentially lethal effects. A 14-year-old girl ingested in suicidal intention a large amount of alpha-lipoic acid, which led to multiorgan failure and subsequent death within 24 h. Multiorgan failure consisted of decreased myocardial contractility, seizures, anuria, thrombocytopenia, and coagulopathy. Therapy consisted of ventilation, anticonvulsive treatment and circulatory support with high-dose catecholamines. According to alpha-lipoic acid serum levels following ingestion the girl must have ingested a minimum of 10 alpha-lipoic acid tablets of 600 mg each. This is the first report on a fatal case of alpha-lipoic acid ingestion, which is intended to inform physicians, pharmacists and patients about critical side effects of this allegedly innocuous drug.

  4. A case of Sertoli-Leydig cell tumour of the ovary with a multilocular cystic appearance on CT and MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Azuma, Asako [Kyoto University, Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto (Japan); Kameda Medical Center, Department of Radiology, Kamogawa (Japan); Koyama, Takashi [Kyoto University Hospital, Department of Radiology, Kyoto (Japan); Mikami, Yoshiki [Kyoto University Hospital, Laboratory of Anatomic Pathology, Kyoto (Japan); Tamai, Ken; Fujimoto, Koji; Morisawa, Nobuko; Togashi, Kaori [Kyoto University, Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto (Japan); Nagano, Fusaka; Yoshioka, Shinya [Graduate School of Medicine, Kyoto University Hospital, Department of Gynecology and Obstetrics, Kyoto (Japan)

    2008-08-15

    We present a case of Sertoli-Leydig cell tumour of the ovary in a 14-year-old girl who presented with abdominal distension. Ultrasonography showed a multilocular cystic lesion filled with finely echogenic fluid. Contrast-enhanced CT demonstrated a huge multilocular cystic mass with thickened septa. At MR imaging, the capsule of the cyst was focally thickened, showing intermediate signal intensity on T2-W images. Although extensive cyst formation of Sertoli-Leydig cell tumour is rare, this tumour should be considered in the differential diagnosis of a multilocular cystic ovarian tumour in a young female. (orig.)

  5. Giant cavernous malformation in the ventrolateral midbrain with extension into the thalamus: a case report of a paramedian supracerebellar transtentorial approach.

    Science.gov (United States)

    Duan, Hongzhou; Hara, Yosuke; Goto, Tetsuya; Chiba, Akihiro; Hongo, Kazuhiro

    2016-08-01

    Cavernous malformations (CMs) of the midbrain and thalamus are relatively rare and particularly difficult to be resected given their location in eloquent tissues. Here, we report a case of a 14-year-old boy who experienced repeated and progressive right hemiparesis. Image examinations showed a gradually enlarged CM originated in the left ventrolateral midbrain extending to the left thalamus with repeated hemorrhage. By performing a paramedian supracerebellar transtentorial approach, the CM was totally removed, and the patient recovered without any new neurological deficit. The authors' experience suggests that this approach is eminent in treating giant lesions involving the ventrolateral midbrain and thalamus.

  6. Sinusitis in children and adolescents with chronic or recurrent headache: a case-control study.

    Science.gov (United States)

    Senbil, Nesrin; Gürer, Y K Yavuz; Uner, Ciğdem; Barut, Yaşar

    2008-02-01

    The aim of this study was to determine the frequency of misdiagnosis of sinus headache in migraine and other primary headache types in the children and adolescents with chronic or recurrent headaches. Children with chronic or recurrent headaches (n = 310) were prospectively evaluated. Data collection for each patient included history of previously diagnosed sinusitis due to headache, and additional sinusitis complaints (such as fever, cough, nasal discharge, postnasal discharge) at the time of sinusitis diagnosis, and improvement of the headache following treatment of sinusitis. If sinus radiographs existed they were recorded. The study included 214 patients with complete data. One hundred and sixteen (54.2%) patients have been diagnosed as sinusitis previously and 25% of them had at least one additional complaint, while 75% of them had none. Sinusitis treatment had no effect on the headaches in 60.3% of the patients. Sinus graphy had been performed in 52.8%, and 50.4% of them were normal. The prevalence of sinus headache concomitant with primary headache, and only sinus headache was detected in 7 and 1%, respectively, in our study. Approximately 40% of the patients with migraine and 60% of the patients with tension-type headache had been misdiagnosed as "sinus headache". Children with chronic or recurrent headaches are frequently misdiagnosed as sinus headache and receive unnecessary sinusitis treatment and sinus graphy.

  7. An Adolescent Case of Citrin Deficiency With Severe Anorexia Mimicking Anorexia Nervosa.

    Science.gov (United States)

    Takeuchi, Satsuki; Yazaki, Masahide; Yamada, Shinji; Fukuyama, Tetsuhiro; Inui, Akio; Iwasaki, Yasushi; Ikeda, Shu-ichi

    2015-08-01

    We report a 12-year-old female citrin-deficient patient presenting with severe anorexia and body weight loss, mimicking the restricting type of anorexia nervosa (AN). She showed normal development until age 10 years when she started to play volleyball at school. She then became gradually anorexic, and her growth was stunted. At age 12, she was admitted to hospital because of severe anorexia and thinness. She was first thought to have AN, and drip infusion of glucose solution and high-calorie drinks were given, but her condition deteriorated further. She had a history of neonatal hepatitis and was therefore suspected to have citrin deficiency (CD). Genetic analysis of SLC25A13 revealed that she was compound heterozygous for 851del4 and IVS16ins3kb, and a diagnosis of CD was made. A low-carbohydrate diet with oral intake of arginine and ursodeoxycholic acid was started, and her condition gradually improved. The clinical features in our patient were similar to those of AN, and therefore AN may also be an important clinical sign in adolescent patients with CD.

  8. Dyskeratosis congenita: report of a case.

    Science.gov (United States)

    Brown, C J

    2000-12-01

    Dyskeratosis congenita is a rare multisystem condition involving mainly the ectoderm. It is characterized by a triad of reticular skin pigmentation, nail dystrophy and leukoplakia of mucous membranes. Oral and dental abnormalities may also be present. Complications are a predisposition to malignancy and bone marrow involvement with pancytopenia. The case of a 14-year-old girl is described who presented with several of the characteristic systemic features of this condition, together with the following oral features: hypodontia, diminutive maxillary lateral incisors, delayed dental eruption, crowding in the maxillary premolar region, short roots, poor oral hygiene, gingival inflammation and bleeding, alveolar bone loss, caries and a smooth atrophic tongue with leukoplakia. Although this condition is rare, dental surgeons should be aware of the dental abnormalities that exist and the risk of malignant transformation within the areas of leukoplakia.

  9. Mood disorder with mixed, psychotic features due to vitamin b12 deficiency in an adolescent: case report

    Directory of Open Access Journals (Sweden)

    Tufan Ali

    2012-06-01

    Full Text Available Abstract Vitamin B12 is one of the essential vitamins affecting various systems of the body. Reports of psychiatric disorders due to its deficiency mostly focus on middle aged and elderly patients. Here we report a case of vitamin B 12 deficiency in a 16-year old, male adolescent who presented with mixed mood disorder symptoms with psychotic features. Chief complaints were “irritability, regressive behavior, apathy, crying and truancy” which lasted for a year. Premorbid personality was unremarkable with no substance use/exposure or infections. No stressors were present. The patient was not vegetarian. Past medical history and family history was normal. Neurological examination revealed glossitis, ataxia, rigidity in both shoulders, cog-wheel rigidity in the left elbow, bilateral problems of coordination in cerebellar examination, reduced swinging of the arms and masked face. Romberg’s sign was present. Laboratory evaluations were normal. Endoscopy and biopsy revealed atrophy of the gastric mucosa with Helicobacter Pylori colonization. Schilling test was suggestive of malabsorbtion. He was diagnosed with Mood disorder with Mixed, Psychotic Features due to Vitamin B12 Deficiency and risperidone 0.5 mg/day and intramuscular vitamin B12 500 mcg/day were started along with referral for treatment of Helicobacter pylori. A visit on the second week revealed no psychotic features. Romberg’s sign was negative and cerebellar tests were normal. Extrapyramidal symptoms were reduced while Vitamin B12 levels were elevated. Risperidone was stopped and parenteral Vitamin B12 treatment was continued with monthly injections for 3 months. Follow-up endoscopy and biopsy at the first month demonstrated eradication of H. pylori. He was followed monthly for another 6 months and psychiatric symptoms did not recur at the time of last evaluation. Despite limitations, this case may underline the observation that mood disorders with psychotic features

  10. Positive behavioural support in schools for children and adolescents with intellectual disabilities whose behaviour challenges: an exploration of the economic case

    OpenAIRE

    Iemmi, Valentina; Knapp, Martin; Brown, Freddy Jackson

    2016-01-01

    Decision-makers with limited budgets want to know the economic consequences of their decisions. Is there an economic case for positive behavioural support (PBS)? A small before–after study assessing the impact of PBS on challenging behaviours and positive social and communication skills in children and adolescents with intellectual disabilities and behaviours that challenge was followed by an evaluation of costs. Results were compared with the costs of alternative packages of care currently a...

  11. Economic impact of childhood/adolescent ADHD in a European setting : the Netherlands as a reference case

    NARCIS (Netherlands)

    Le, Hoa H.; Hodgkins, Paul; Postma, Maarten J.; Kahle, Jennifer; Sikirica, Vanja; Setyawan, Juliana; Erder, M. Haim; Doshi, Jalpa A.

    2014-01-01

    Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent psychiatric disorder in children/adolescents. This study reviews available European-based studies of ADHD-related costs and applies the findings to the Netherlands to estimate annual national costs for children/adolescents from a

  12. A Case Study Examining the Impact of Adventure Based Counseling on High School Adolescent Self-Esteem, Empathy, and Racism

    Science.gov (United States)

    Cale, Chris

    2010-01-01

    This study investigated the effectiveness of Adventure Based Counseling upon high school adolescents. The goals of this study were to (a) explore the effectiveness of ABC Counseling in increasing levels of self-esteem and empathy among adolescents; (b) study the efficacy of ABC counseling in reducing perceived racial discrimination, racist…

  13. Cognitive Abilities, Social Adaptation, and Externalizing Behavior Problems in Childhood and Adolescence: Specific Cascade Effects Across Development.

    Science.gov (United States)

    Racz, Sarah Jensen; Putnick, Diane L; Suwalsky, Joan T D; Hendricks, Charlene; Bornstein, Marc H

    2016-11-04

    Children's and adolescents' cognitive abilities, social adaptation, and externalizing behaviors are broadly associated with each other at the bivariate level; however, the direction, ordering, and uniqueness of these associations have yet to be identified. Developmental cascade models are particularly well-suited to (1) discern unique pathways among psychological domains and (2) model stability in and covariation among constructs, allowing for conservative tests of longitudinal associations. The current study aimed to identify specific cascade effects among children's cognitive abilities, social adaptation, and externalizing behaviors, beginning in preschool and extending through adolescence. Children (46.2 % female) and mothers (N = 351 families) provided data when children were 4, 10, and 14 years old. Cascade effects highlighted significant stability in these domains. Unique longitudinal associations were identified between (1) age-10 cognitive abilities and age-14 social adaptation, (2) age-4 social adaptation and age-10 externalizing behavior, and (3) age-10 externalizing behavior and age-14 social adaptation. These findings suggest that children's social adaptation in preschool and externalizing behavior in middle childhood may be ideal intervention targets to enhance adolescent well-being.

  14. [Relationship between the courses of clinical Features of patients with schizophrenia in adolescents and admission to psychiatric clinic].

    Science.gov (United States)

    Hattori, Isao; Miyauchi, Toshiro

    2005-01-01

    In order to improve diagnosis of schizophrenia with onset in adolescents at an early stage, we investigated in detail the clinical features of 74 patients with schizophrenia, (23 males) at adolescents psychiatric clinic. Many of the subjects had been suffering from the illness about 14 years old but had not undergone their first psychiatric examination until a few years later. A high percentage (more than 80%) of our subjects presented psychiatric symptoms such as delusional remembrance, delusional moods, delusions of persecution and hypobulia. Additionally, more than 60% of our subjects presented auditory hallucinations. In general, teenage patients with schizophrenia onset show vague symptoms such as anxiety, embarrassment and strange moods rather than obvious hallucinations. Nevertheless, it was possible to identify certain clinical features of this disorder in adolescents: many patients suffer delusional remembrance, delusional moods and delusions of persecution immediately after the onset of the illness. Gradually, problematic behaviors such as anorexia, self injury, offences against their families, voluntary vomiting, etc., develop, but patients do not always receive psychiatric examination at this stage. After socially obvious problems such as school refusal, withdrawal from social activities and lowering of school record develop over a period of time, patients may be urged to undergo psychiatric examination. Our research again underlines the difficulty of achieving diagnosis of schizophrenia at an early stage. The key to early diagnosis appears to be the accurate identification of psychiatric symptoms in the early stages of the illness at school, or at home if possible, before socially problematic behaviors arise.

  15. A Case-Study of Inclusion of an Intellectually Gifted Adolescent with Autism Spectrum Disorder in a General Education School: Risk Factors and Developmental Resources

    Directory of Open Access Journals (Sweden)

    Demina E.V.,

    2016-10-01

    Full Text Available The article examines the case of integration of an intellectually gifted adolescent with autism spectrum disorder in a general education school. It provides results of the applied behavioral analysis aimed at developing general learning skills. The child, diagnosed with Asperger’s syndrome at early school age, encountered difficulties related to the inability to study effectively at school in spite of the clear evidence of intellectual giftedness (including such motivational and instrumental preconditions as high levels of cognitive interest, verbal and abstract reasoning, and educability. The article reflects on the risks and advantages of the developmental work with the “twice exceptional” adolescent following an individual behavioral plan. Based on the results of the study, the article outlines the possible ways of forming the learning behavior skills: learning activity-based, communicative and organizational. The article discusses the necessity of further support of the “twice exceptional” adolescent based on an integrated approach with regard to the special learning needs of the intellectually gifted adolescent.

  16. Childhood and adolescent tracheobronchial mucoepidermoid carcinoma (MEC): a case-series and review of the literature.

    Science.gov (United States)

    Jaramillo, Sergio; Rojas, Yesenia; Slater, Bethany J; Baker, Michael L; Hicks, M John; Muscal, Jodi A; Vece, Timothy J; Wesson, David E; Nuchtern, Jed G

    2016-04-01

    Tracheobronchial mucoepidermoid carcinomas (MEC) are rare in the pediatric population with literature limited primarily to case reports. Here we present our institutional experience treating MEC in three patients and review the literature of 142 pediatric cases previously published from 1968 to 2013. Although rare, tracheobronchial MEC should be included in the differential diagnosis in a child with recurrent respiratory symptoms. Conservative surgical management is often sufficient to achieve complete resection and good outcomes.

  17. Brazilian Adolescents' Conceptions of Autonomy and Parental Authority

    Science.gov (United States)

    Milnitsky-Sapiro, Clary; Turiel, Elliot; Nucci, Larry

    2006-01-01

    Thirty-two middle class and 32 lower class southern Brazilian pre-adolescent (M=12.8 years) and adolescent (M=15.7 years) participants were individually interviewed regarding their perceptions of who (adolescent or parent) should determine the adolescent's actions in cases where the parents and adolescent disagree over the action choice.…

  18. Does Motor Competence Affect Self-Perceptions Differently for Adolescent Males and Females?

    Directory of Open Access Journals (Sweden)

    Elizabeth Rose

    2015-11-01

    Full Text Available Little is understood about the impact of level of motor competence on self-perceptions in adolescence, in particular how this may differentially affect girls and boys. A sample of 1,568 14-year-old participants (766 girls and 802 boys were grouped into four motor competence levels (very low to high based on the McCarron Assessment of Neuromuscular Development (MAND. Self-perceptions were assessed using the Self-Perception Profile for Adolescents. Boys had higher self-perceptions of global self-worth, athletic competence, and physical appearance, whereas girls had higher scores for close friendships and behavioral conduct. Main effects in the predicted direction were found for motor competence for self-perceptions of global self-worth, athletic competence, physical appearance, close friendships, social acceptance, and romantic appeal. These findings indicate that level of motor competence is important in many aspects of self-perceptions, affecting girls and boys differently. Higher motor competence has a protective effect on psychosocial health, particularly for girls.

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

    Directory of Open Access Journals (Sweden)

    Simone Kühn

    Full Text Available 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 across the whole cortical surface was correlated with self-reported duration of video gaming (hours per week. A robust positive association between cortical thickness and video gaming duration was observed in left dorsolateral prefrontal cortex (DLPFC and left frontal eye fields (FEFs. No regions showed cortical thinning in association with video gaming frequency. DLPFC is the core correlate of executive control and strategic planning which in turn are essential cognitive domains for successful video gaming. The FEFs are a key region involved in visuo-motor integration important for programming and execution of eye movements and allocation of visuo-spatial attention, processes engaged extensively in video games. The results may represent the biological basis of previously reported cognitive improvements due to video game play. Whether or not these results represent a-priori characteristics or consequences of video gaming should be studied in future longitudinal investigations.

  20. Trends in adolescent sexual behavior, impact of information, and attitudes about HIV/AIDS in Portugal.

    Science.gov (United States)

    Ramiro, Lúcia; Reis, Marta; de Matos, Margarida Gaspar; Diniz, José Alves

    2014-01-01

    There is a recent decline in HIV in a significant number of countries due to the adoption of preventive sexual behaviors, which demonstrates that HIV reduction is possible. The goal of this research was to deepen knowledge of preventive sexual behavior in adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2010. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children, a collaborative WHO study. The study provided national representative data of 10,587 Portuguese adolescents attending 8th and 10th grade. In terms of preventive behaviors, results showed an increasing trend regarding the percentage reporting first sexual intercourse at 14 years old or more and condom use at last intercourse and a stabilized trend concerning having had intercourse, contraceptive pill use at last intercourse and having had intercourse under the influence of alcohol or drugs. Nevertheless, results showed a systematic decreasing trend in terms of knowledge and attitudes. This suggested that sex education programs are still too limited to teaching sessions, strongly homogenized in their content and inadequate to enhance knowledge and attitudes regarding HIV, let alone personal and social skills of different target groups.

  1. Evaluation of Varicocele Frequency in Adolescents in the City of Isfahan

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    Mohammad Hossein Nasr Esfahani

    2007-01-01

    Full Text Available Background: Although varicocele can be treated, it is considered as one of the most common causes of infertility. This study was performed in order to estimate prevalence of varicocele in adolescents aging 12-14 years in the city of Isfahan.Materials and Methods: During this descriptive analytic research, 800 secondary school students who were 12 to 14 years old were randomly chosen from all the five areas of the city. Physical examination results were considered absolutely private. Examinations could screen grades I, II, III, unilateral and bilateral varicocele. Finally, recorded data was analyzed.Results: From 800 students examined, 133 individuals had varicocele. 74 students out of 133 individuals with varicocele, had grade I (55.6% in the left side, 44 students had grade II (33.1% in the left side, 4 students had grade III (3% in the left side, and 11 students had bilateral varicocele (8.3%.Conclusion: Considering the significant frequency of varicocele among adolescents more attention must be paid to early treatment of varicocele in order to restore the testicular function and therefore, future fertility. However late treatment may lead to testicular atrophy and irreversible consequences. Thus examination, diagnosis and treatment of possible varicocele in individuals at this range of age is highly recommended. In addition, the results of this study highlight the importance of parents' education about the consequences of varicocele on the future fertility of their children.

  2. Positive Association of Video Game Playing with Left Frontal Cortical Thickness in Adolescents

    Science.gov (United States)

    Kühn, Simone; Lorenz, Robert; Banaschewski, Tobias; Barker, Gareth J.; Büchel, Christian; Conrod, Patricia J.; Flor, Herta; Garavan, Hugh; Ittermann, Bernd; Loth, Eva; Mann, Karl; Nees, Frauke; Artiges, Eric; Paus, Tomas; Rietschel, Marcella; Smolka, Michael N.; Ströhle, Andreas; Walaszek, Bernadetta; Schumann, Gunter; Heinz, Andreas; Gallinat, Jürgen

    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 across the whole cortical surface was correlated with self-reported duration of video gaming (hours per week). A robust positive association between cortical thickness and video gaming duration was observed in left dorsolateral prefrontal cortex (DLPFC) and left frontal eye fields (FEFs). No regions showed cortical thinning in association with video gaming frequency. DLPFC is the core correlate of executive control and strategic planning which in turn are essential cognitive domains for successful video gaming. The FEFs are a key region involved in visuo-motor integration important for programming and execution of eye movements and allocation of visuo-spatial attention, processes engaged extensively in video games. The results may represent the biological basis of previously reported cognitive improvements due to video game play. Whether or not these results represent a-priori characteristics or consequences of video gaming should be studied in future longitudinal investigations. PMID:24633348

  3. Community therapy application in intervention with adolescents: new strategies for prevention and promotion

    Directory of Open Access Journals (Sweden)

    Flávia Cristina Zago

    2013-08-01

    Full Text Available Given adolescents vulnerability facing transformations and resistances, the group work used by Occupational Therapy through techniques and dynamics favors expression, anxiety control and biopsychosocial maturity in intervention. Currently, one strategy used with teenagers is Community Therapy (CT, because it provides a welcoming environment where all are equal and can share their sufferings, anxieties and affinities. Thus, this study examined the effectiveness of group activities used in occupational therapy as warm up strategies in Community Therapy circles. Eleven teenagers aged 12 to 14 years old participated in the research. The study was carried out in a social institution that aims to support children and youth in the municipality of Uberaba, Minas Gerais state. Video and photo images and handwritten records were used as data collection instruments during the application of the 12 strategies, divided into three categories: competition, cooperation, and self-knowledge/self-esteem, applied for warming up the CT circles. Data were analyzed and presented through the use of a chart for better visualization and understanding of the adolescents’ behavior during the warm up CT circles. The results obtained showed dispute, unrest, lack of attention and sociability; behaviors that are inherent to adolescence due to the several changes, emotional alterations and search for identity that these subjects experience. Based on the survey results, it was possible observe that the behaviors have triggered direct-indirect relationship with the strategies used as facilitators in the discussion development regarding the issues addressed in the CT circles.

  4. Unique and interactive effects of empathy, family, and school factors on early adolescents' aggression.

    Science.gov (United States)

    Batanova, Milena; Loukas, Alexandra

    2014-11-01

    Although research indicates that empathy inhibits youth aggression, little is known about the prospective associations between different components of empathy and aggression, as well as whether family and school factors moderate the aforementioned associations in early adolescents. Based on prior research, the current study examined whether empathic concern and perspective taking would contribute to subsequent overt and relational aggression over a 1-year period in middle school. Guided by the social development model, we also examined if positive family relations and school connectedness would differentially moderate the associations between both components of empathy and aggression. Participants were 481 10- to 14-year old students (54 % female; 78 % European American) who completed the first wave of a survey in 6th and 7th grades. Hierarchical regression analyses indicated that only for girls did lower levels of empathic concern, not perspective taking, contribute to increases in subsequent overt, not relational, aggression. Although neither positive family relations nor school connectedness played protective roles for girls, results indicated that boys' reports of positive family relations buffered the negative impact of low empathic concern on both forms of aggression 1 year later. Over and above the two components of empathy, school connectedness also contributed to a decline in boys' subsequent overt aggression. Recommendations are made to foster family and school relationships among boys, as well as to more heavily consider the role of emotion processes in the study and prevention of early adolescents' aggression.

  5. A semi-qualitative study of attitudes to vaccinating adolescents against human papillomavirus without parental consent

    Directory of Open Access Journals (Sweden)

    Kitchener Henry C

    2007-02-01

    Full Text Available Abstract Background The first vaccine to prevent human papillomavirus (HPV and cervical cancer has been licensed, and in future, vaccination may be routinely offered to 10–14 year old girls. HPV is a sexually transmitted virus and some parents may refuse consent for vaccination. Under-16s in the UK have a right to confidential sexual health care without parental consent. We investigated parents' views on making available HPV vaccination to adolescent minors at sexual health clinics without parental consent. Methods This was a semi-qualitative analysis of views of parents of 11–12 year old school children collected as part of a population-based survey of parental attitudes to HPV vaccination in Manchester. Parents were firstly asked if they agreed that a well-informed child should be able to request vaccination at a sexual health clinic without parental consent, and secondly, to provide a reason for this answer. Ethical perspectives on adolescent autonomy provided the framework for descriptive analysis. Results 307 parents answered the question, and of these, 244 (80% explained their views. Parents with views consistent with support for adolescent autonomy (n = 99 wanted to encourage responsible behaviour, protect children from ill-informed or bigoted parents, and respected confidentiality and individual rights. In contrast, 97 parents insisted on being involved in decision-making. They emphasised adult responsibility for a child's health and guidance, erosion of parental rights, and respect for cultural and moral values. Other parents (n = 48 wanted clearer legal definitions governing parental rights and responsibilities or hoped for joint decision-making. Parents resistant to adolescent autonomy would be less likely to consent to future HPV vaccination, (67% than parents supporting this principle (89%; p Conclusion In the UK, the principle of adolescent autonomy is recognised and logically should include the right to HPV vaccination, but

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

    Directory of Open Access Journals (Sweden)

    Aziemah ZULKIFLI

    2015-10-01

    Full Text Available 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 exposures. Respiratory symptoms were assessed using a standard questionnaire of International Study of Asthma and Allergies in Childhood. Hair samples were collected from each adolescent and were analyzed for nicotine via Gas Chromatography-Mass Spectrophotometry with nitrogen detection method.Result: The geometric mean of hair nicotine was 0.0184± 2.31 ng/mg. The prevalence of current, ever wheeze, nocturnal cough, exercised-induced wheeze and self-reported asthma were 7.69%, 14.1%, 11.5%, 20.5% and 13.7%, respectively. A significant association was found between household smoking status with exercise-induced wheeze (Adjusted Odds Ratio, AOR 1.06; 95%Confidence Interval, CI 0.42-2.66 and nocturnal cough (AOR 14.2; 95%CI 1.60-125. Reported ever wheeze was linked to reported SHS exposure in family’s vehicle (AOR 3.27; 95%CI 1.15-9.34. The risk of exercise-induced wheeze was related with postnatal SHS exposure (AOR 2.69; 95%CI 1.13-6.43.Conclusion: Respiratory symptoms were mostly affected by household smoking habits. Thus, in an attempt to reduce the repercussion of SHS exposure among younger adolescents, effort should be emphasized in encouraging parents to move from indoor to outdoor smoking far from the vicinity of children.Keywords: Passive smoking, Household smoking habits, Youth, Respiratory health, Hair nicotine 

  7. Social Anxiety with Peers in 9- to 14-year-olds. Developmental Process and Relations with Self-Consciousness and Perceived Peer Acceptance.

    Science.gov (United States)

    Mallet, Pascal; Rodriguez-Tome, Gladis

    1999-01-01

    Hypothesizes that self-consciousness and perceived peer acceptance correlates with social anxiety. Focuses on 508 French fourth- to ninth-grade students who completed questionnaires that assessed their perceptions of social anxiety with peers, self-consciousness, and perceived peer acceptance. Discusses the results. (CMK)

  8. Prenatal exposure to lead and cognitive deficit in 7- and 14-year-old children in the presence of concomitant exposure to similar molar concentration of methylmercury

    DEFF Research Database (Denmark)

    Yorifuji, Takashi; Debes, Frodi; Weihe, Pal;

    2011-01-01

    , language, visuospatial, and memory) using multiple regression models. Overall, the lead concentration showed no clear pattern of association. However, in subjects with a low methylmercury exposure, after inclusion of statistical interaction terms, lead-associated adverse effects on cognitive functions were...

  9. COMPREHENSIVE ASSESSMENT OF THE RELATIVE FREQUENCY OF SLEEP DISORDERS IN MIGRAINE AND NON MIGRAINE IN 6- TO 14-YEAR-OLD CHILDREN

    Directory of Open Access Journals (Sweden)

    Omid Yaghini MD

    2010-12-01

    Full Text Available AbstractObjectiveHeadaches are common during childhood. In addition, sleep disorders are common problems in children, too. Although it is commonly thought thatheadache and sleep problems are related, there is not enough evidence to confirm this relationship. Finding evident relations between these problemswould help practitioners a lot to make earlier diagnosis and plan treatment modalities for both problems as soon as possible. This study aimed to assess therelative frequency of sleep disorders in migraine and non migraine children.Material & MethodsIn a cross sectional study, 148 children were enrolled in migraine (60 and non migraine (88 groups. They were aged 6 to 14 years. Migraine group consistedof patients who had definite migraine according to IHS (International Headache Society criteria. Ten sleep problems (snoring, nightmares, sleep walking, sleeptalking, bedtime struggle, bruxism, sweating during sleep, excessive daytime sleepiness, insomnia in early or mid night and sleep apnea were comparedbetween 2 groups. Fisher exact and chi square tests were used for making comparisons.ResultsWe found relationships between night sleep and daytime headaches. Some of these relationships were easy to explain but for some others, finding complicatedexplanations are necessary.Our findings showed that bruxism, sleep walking, early and midnight insomnia was significantly higher in migraine children. There was a common etiology forheadache and sleep disorders. Also, parents and migraine children were well familiar with the effect of relaxation on decreasing migraine episodes .Theyprovided appropriate facilities for night sleep for this reason.Conclusionwe found relationships between night sleep and daytime headaches. Some of these relationships were easy to explain but for some others, finding complicatedexplanations are necessary.

  10. COMPREHENSIVE ASSESSMENT OF THE RELATIVE FREQUENCY OF SLEEP DISORDERS IN MIGRAINE AND NON MIGRAINE IN 6- TO 14-YEAR-OLD CHILDREN

    Directory of Open Access Journals (Sweden)

    Omid YAGHINI

    2011-02-01

    Full Text Available ObjectiveHeadaches are common during childhood. In addition, sleep disorders are common problems in children, too. Although it is commonly thought thatheadache and sleep problems are related, there is not enough evidence to confirm this relationship. Finding evident relations between these problemswould help practitioners a lot to make earlier diagnosis and plan treatment modalities for both problems as soon as possible. This study aimed to assess therelative frequency of sleep disorders in migraine and non migraine children.Material & MethodsIn a cross sectional study, 148 children were enrolled in migraine (60 and non migraine (88 groups. They were aged 6 to 14 years. Migraine group consistedof patients who had definite migraine according to IHS (International Headache Society criteria. Ten sleep problems (snoring, nightmares, sleep walking, sleeptalking, bedtime struggle, bruxism, sweating during sleep, excessive daytime sleepiness, insomnia in early or mid night and sleep apnea were comparedbetween 2 groups. Fisher exact and chi square tests were used for making comparisons.ResultsWe found relationships between night sleep and daytime headaches. Some of these relationships were easy to explain but for some others, finding complicatedexplanations are necessary.Our findings showed that bruxism, sleep walking, early and midnight insomnia was significantly higher in migraine children. There was a common etiology forheadache and sleep disorders. Also, parents and migraine children were well familiar with the effect of relaxation on decreasing migraine episodes .Theyprovided appropriate facilities for night sleep for this reason.Conclusionwe found relationships between night sleep and daytime headaches. Some of these relationships were easy to explain but for some others, finding complicatedexplanations are necessary.Keywords: migraine, sleep disorder, headache.

  11. RADIAL VARIATION OF MICROFIBRIL ANGLE AND WOOD DENSITY AND THEIR RELATIONSHIPS IN 14-YEAR-OLD Eucalyptus urophylla S.T. BLAKE WOOD

    Directory of Open Access Journals (Sweden)

    Loïc Brancheriau Mail

    2011-06-01

    Full Text Available The orientation of cellulose microfibrils in the cell wall along the stem axis has major effects on stiffness and longitudinal shrinkage and is of key importance in wood quality. The aim of this study was to investigate the radial variability of MFA and wood density (ρ and their relationships in Eucalyptus urophylla wood. Three MFA values were estimated by X-ray diffraction at three points of each one of the 175 tangential sections, and the basic density was measured. A decrease of microfibril angles from pith to bark can be observed in most samples; however, some radial strips presented different patterns of variation. For basic density, a linear significant increase from pith to bark was confirmed. There was no significant correlation between microfibril angle and density. The relationships among the three MFA estimated on tangential sections of wood were strong. The “curvature effect” due to the growth rings had a negligible effect on the three measurements of tangential sections cut near to the pith. This study showed that a single T value measurement by X-ray diffraction, preferably at the centre of the tangential section, is precisely sufficient to estimate the mean MFA of Eucalyptus urophylla wood.

  12. Impact of malocclusion on oral health-related quality of life in 10–14-year-old children of Mumbai, India

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    Rupinder Bhatia

    2016-01-01

    Full Text Available Aims and Objectives: The aim and objective of this study was to establish the relationship of oral health-related quality of life (OHRQoL as assessed by the Child Perception Questionnaire (CPQ 11–14 with the Index of Orthodontic Treatment Need (IOTN and the child's apprehension with his/her dental appearance and how upset the child would feel if he/she is unable to obtain orthodontic treatment. Materials and Methods: An observational cross-sectional study was conducted among 604 children between the age group of 10–14 years to analyze the effect of malocclusion on the quality of life of children on the basis of impact on oral symptoms, functional limitation, emotional well-being, and social well-being. Malocclusion was evaluated using the IOTN, and the CPQ 11–14 was used to study the OHRQoL in children. The collected data were then subjected to statistical analysis. Statistical Analysis: Spearman's correlation coefficient was used to analyze the data statistically. Results: Out of the 604 children examined, boys showed effect on emotional well-being, whereas girls showed a significant correlation on both emotional and social well-being. There was a statistically significant correlation between IOTN and all the four domains of CPQ scores with respect to the two questions that were added to the CPQ questionnaire. Conclusion: A questionnaire when developed specifically for determining the effect of malocclusion on OHRQoL focusing more on emotional and psychological impact and less on oral symptoms and functional limitation will provide advantages of having limited questions, being less time-consuming, and providing better understanding of the patients' concern.

  13. Changes in and the Relationship between Language Learning Motivation and Self-Concept in 11-14 Year-Old Students in Hungary: A Longitudinal Study

    Science.gov (United States)

    Péter-Szarka, Szilvia

    2012-01-01

    Motivation to learn foreign languages is a significant determinant of successful language acquisition. The subject has been widely researched in the past, and since the early 1990s a great deal of empirical research related to the classroom environment has been proposed to expand theory into everyday classroom practice. I present an empirical,…

  14. Prevalence of dental diseases in 5- to 14-year-old school children in rural areas of the Barabanki district, Uttar Pradesh, India

    Directory of Open Access Journals (Sweden)

    Meghna Singh

    2011-01-01

    Results: The prevalence of gingivitis, fluorosis, and malocclusion was 78.35%, 33.37%, and 34.09%, respectively. The difference between age groups for the prevalence of gingivitis was highly significant, and was more among girls as compared to boys. A significant increase in the prevalence of malocclusion was observed with age. No significant difference was found among genders for the prevalence of malocclusion. An increase in the prevalence of fluorosis was highly significant with age. The difference in fluorosis was insignificant between boys and girls.

  15. [NUTRITIONAL STATUS AND BIOCHEMICAL MARKERS OF DEFICIENCY OR EXCESS OF MICRONUTRIENTS IN 4 TO 14 YEAR-OLD CHILEAN CHILDREN: A CRITICAL REVIEW].

    Science.gov (United States)

    Rozowski Narkunska, Jaime; Castillo Valenzuela, Oscar; Figari Jullian, Nicole; García-Díaz, Diego F; Cruchet Muñoz, Sylvia; Weisstaub Nuta, Gerardo; Pérez-Bravo, Francisco; Gotteland Russel, Martín

    2015-12-01

    La prevalencia de obesidad en niños chilenos ha aumentado consistentemente en las últimas dos décadas. El primer estudio que determinó el estado nutricional y la ingesta de alimentos efectuado en una muestra representativa de la población fue llevado a cabo en 1960. Recientemente el Ministerio de Salud publicó la Encuesta Nacional de Consumo Alimentario (ENCA), efectuada en el año 2012. Sin embargo, este estudio no incluyó mediciones bioquímicas de nutrientes que permitan un diagnóstico integral y representativo de la condición nutricional del niño en Chile. Objetivos: revisar la literatura disponible entre los años 2004 y 2014 sobre ingesta de alimentos y estado nutricional en niños chilenos de 4 a 14 años de edad. Método: un total de 362 referencias publicadas en ese período se obtuvieron de las bases de datos PubMed, Lilacs, Embase y Scielo. De estos, 40 artículos fueron seleccionados para una revisión completa. Resultados: la ingesta de alimentos se caracteriza por una ingesta calórica alta; un bajo consumo de frutas, verduras y productos lácteos y un alto consumo de pan. La ENCA concluyó que un 95% de los chilenos presenta una dieta deficiente. Se observa una alta prevalencia de obesidad desde edades tempranas. Desde 1960 no ha habido un estudio representativo de la población que incluya niveles plasmáticos de micronutrientes, que proveerían información más confiable sobre el estado nutricional de los niños, además de encuestas de consumo de alimentos. Conclusión: los niños chilenos presentan un estado nutricional y una alimentación deficientes; sin embargo, no hay evidencia representativa de los niveles plasmáticos de nutrientes, por lo que es imperativo desarrollar un estudio representativo que incluya indicadores bioquímicos de micronutrientes con objeto de desarrollar estrategias para mejorar el estado nutricional de los niños.

  16. Short-term effects of a physical activity intervention on obesity and cardiovascular fitness of 12-14-year-old boy students

    Directory of Open Access Journals (Sweden)

    Sayed Mohammad Marandi

    2014-01-01

    Conclusions: Findings of this study signify that an implementation of short-term intervention components in the school system may have a beneficial effect on body-fat percentage and cardiovascular fitness of overweight/obese children.

  17. Investigating Risk Factors for Cardiovascular Disease Based on Polycystic Ovary Syndrome phenotypes in the 18-14 year Old High School Girls in Shiraz 2009

    Directory of Open Access Journals (Sweden)

    MH Dabbaghmaneh

    2012-05-01

    Full Text Available Introduction: In patients with polycystic ovary syndrome hyperinsulinaemia, insulin resistance, dyslipidemia and hyperglycemia may represent an increased risk for coronary cardiovascular disease .This study aimed to investigate risk factors for cardiovascular disease based on polycystic ovary syndrome phenotypes in Shiraz. Methods: This Cross-sectional study was performed on 3200 students aged 18-14. Demographic survey, clinical signs of androgen excess (acne, hirsutism, alopecia, Ultrasound were applied in order to find the cyst. Tests included prolactin, dehydroepiandrodion sulfate, and oral glucose tolerance test, fasting blood glucose, blood sugar two hours later, triglycerides, cholesterol, high density lipoprotein. Data were submitted to SPSS software, version 11.5 and then analyzed by chi-square tests. Results: The serum cholesterol mean in four phenotypes had a statistically significant relationship with non-PCOS patients(p<0.05. Mean of serum cholesterol in oligomenorrhea, Hyperandrogenism and polycystic ovary phenotype (195.09±30.28 was higher than the other phenotypes. Mean of serum cholesterol and low density lipoprotein(LDL-C were significantly higher in patients with Hyperandrogenism and polycystic ovarian phenotype(130.046±26.27 and oligomenorrhea, Hyperandrogenism and polycystic ovary syndrome phenotype(138.58±28.34 compared with non-infected individuals. Serum glucose mean in all phenotype was higher than non-infected after two hours and it showed a significant relation in oligomenorrhea and also polycystic ovarian phenotype(98.03 ± 20.98 versus 87.5±12.97 with non-infected individuals. Conclusion: Biochemical factors that lead to increased risk of cardiovascular diseases is increased in patients with polycystic ovary syndrome. Therefore, it should be attended in prevention programs

  18. Investigating Risk Factors for Cardiovascular Disease Based on Polycystic Ovary Syndrome phenotypes in the 18-14 year Old High School Girls in Shiraz 2009

    OpenAIRE

    MH Dabbaghmaneh; T. Naderi; Akbarzadeh,M.; HR Tabatabaee; Z Zareh

    2012-01-01

    Introduction: In patients with polycystic ovary syndrome hyperinsulinaemia, insulin resistance, dyslipidemia and hyperglycemia may represent an increased risk for coronary cardiovascular disease .This study aimed to investigate risk factors for cardiovascular disease based on polycystic ovary syndrome phenotypes in Shiraz. Methods: This Cross-sectional study was performed on 3200 students aged 18-14. Demographic survey, clinical signs of androgen excess (acne, hirsutism, alopecia), Ultrasound...

  19. Confirmation of childhood abuse in child and adolescent cases of multiple personality disorder and dissociative disorder not otherwise specified.

    Science.gov (United States)

    Coons, P M

    1994-08-01

    The diagnostic validity of multiple personality disorder (MPD) and its association to trauma have been questioned because corroboration of child abuse in studies of patients with MPD is scant. The purpose of this study was to determine on a retrospective basis whether external corroboration of child abuse could be found in a group of patients with MPD and dissociative disorder not otherwise specified. A group of child and adolescent psychiatric inpatients and outpatients was chosen because of the extensive number of collateral records collected on them in a tertiary care setting. This group was also chosen because of the intense interest paid by child protective services and courts to child abuse during the past 15 years. This retrospective chart review confirmed child abuse in eight of nine patients with MPD and in all 12 cases of dissociative disorder not otherwise specified. This study provides further evidence of the association of severe dissociative disorders with trauma, particularly child abuse. Future studies should be prospective and blinded to avoid the possibility of investigator bias, and should include a control group for comparison of base rate of child abuse.

  20. Adolescence spinal epidural abscess with neurological symptoms: case report, a lesson to be re-learnt.

    Science.gov (United States)

    Sales, Jafar Ganjpour; Tabrizi, Ali; Elmi, Asghar; Soleimanpour, Jafar; Gavidel, Ehsan

    2013-02-01

    Epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. It promptly progresses and can cause neurologic paralysis, urinary retention or cauda equina syndrome. Compromised immune system that occurs in patients with diabetes mellitus, AIDS, chronic renal failure, alcoholism, or cancer is a predisposing factor. It mostly occurs in adults. Here we would like to report a case of spontaneous pyogenic lumbar epidural abscess with neurological deficit diagnosed in a 15 year old boy. We treated this case successfully with surgical microscopic decompression and drainage.

  1. Role of perioperative transesophageal echocardiography in the management of adolescent truncus arteriosus: Rare case report

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    P S Nagaraja

    2015-01-01

    Full Text Available Truncus arteriosus (TA is a rare congenital heart disease defined as a single arterial vessel arising from the heart that gives origin to the systemic, pulmonary and coronary circulations. The truncal valve in majority of the cases is tricuspid though quadricuspid and bicuspid valves have been reported. Patients with TA typically have a large nonrestrictive sub truncal ventricular septal defect. Survival of these infants beyond 1-year is uncommon. Here, we report a unique case of 12-year-old female patient with persistent TA who underwent surgical repair by using transesophageal echocardiography as a monitoring device during the perioperative management.

  2. Effectiveness of lorazepam-assisted interviews in an adolescent with dissociative amnesia A case report

    Institute of Scientific and Technical Information of China (English)

    Yuna Seo; Mi-Hee Shin; Sung-Gon Kim; Ji-Hoon Kim

    2013-01-01

    To facilitate gathering information during a psychiatric interview, some psychiatrists advocate augmenting the interview using drugs. Rather than barbiturates, benzodiazepines have been used for drug-assisted interviews. Dissociative amnesia is one of the indications for these interviews. Herein, we present the case of a 15-year-old female who was diagnosed as having dissociative amnesia because of conflicts with her friends. She was administered a lorazepam-assisted interview to aid recovery of her memories. In this case, a small dose of lorazepam was sufficient to recover her memories without any adverse effects.

  3. Low Birthweight, Rapid Weight Gain and Metabolic Syndrome in Adolescence: An Illustrative Case Report

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    Onyiriuka Alphonsus N.

    2015-12-01

    Full Text Available A 16-year-old boy whose diabetes mellitus was diagnosed 3 months previously in a private hospital but was not placed on medication. The presenting complaints were fast breathing for 24 hours, weakness for 2 hours, and unresponsiveness to calls for 0.5 hours. His father was obese with type 2 diabetes mellitus and died 8 months earlier from cardiac arrest. His birthweight was low, 2.2kg. At first presentation, his weight, BMI and blood pressure were 60kg (25th-50th percentile, 19.4kg/m2 (25thpercentile and 110/70mmHg (systolic BP 50th percentile, diastolic BP 50th-90th percentile, respectively. He was managed for diabetic ketoacidosis and was discharged on subcutaneous premixed insulin, 1 Unit/kg/day. At point of discharge, weight and BP were 60.5 kg and 120/70 mmHg, respectively. The patient defaulted but presented again 6 months later at the age of 17 years. At second presentation, his weight, BMI and BP were 89 kg (95th percentile, 27.5 kg/m2 (90th-95th percentile and 180/80 mmHg (systolic 99th percentile; diastolic 90th percentile, respectively. His waist circumference was 98.7cm (> 90th percentile. We had no record of previous waist circumference. His lipid profile showed low HDL-cholesterol 0.7252 mmol/L [(28mg/dl; <5thpercentile]. His fasting blood glucose and HbA1C were 6.5 mmol/L (117mg/dl and 34 mol/mol (5.3%, respectively. A diagnosis of metabolic syndrome in a patient with ketosis-prone type 2 diabetes was made. He was referred to the pediatric cardiologist for management of his hypertension. He defaulted again and was lost to follow up. Conclusion: This report illustrates the association of low birth weight and rapid weight gain with metabolic syndrome in adolescence.

  4. Multiple sclerosis and exposure to house pets during childhood and adolescence : a case-control study

    NARCIS (Netherlands)

    De Keyser, J; Zwanikken, C

    1997-01-01

    Multiple sclerosis (MS) might be triggered by an infectious agent early in life. In a case-control study, we compared exposure to household pets for the age periods 0-5, 6-10, 11-15 and 16-20 years in 100 patients with MS and 100 controls. Exposure to household dogs between the ages of 0-10 years wa

  5. Aris: A case study of an adolescent with severe learning difficulties in Cyprus

    OpenAIRE

    Antoniou, Antigoni

    2010-01-01

    The current study focuses on the impact of dyslexia on students’ social and emotional wellbeing and examines the following: 1) Ways in which the personal environment influences the emotions, social skills and behaviour of children with dyslexia. 2) The significance of teacher skills in the self-image development of children with dyslexia. It provides an overview of the key literature issues relevant to the emotional development of children with dyslexia. It then describes a single-case st...

  6. Total spine and posterior fossa MRI screening in adolescent idiopathic scoliosis (177 cases

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    MR Etemadifar

    2005-05-01

    Full Text Available Background: MRI screening for idiopathic scoliosis is controversial. Considering our clinical experiences, the results of MRI in all patients with idiopathic scoliosis were evaluated. Methods: In a prospective clinical study, all neurologically normal patients with idiopathic scoliosis screened by posterior fossa and total spine MRI. Results: After excluding 9 patients for mild neurological findings, in other 177 patients (132 female, 45 male, the average age and curve angle was 15±2 years and 59±17º (30 to 135º, respectively. Convexity was to right in 146 and to left in 31 cases. MRI was positive in 12 cases (6.8%. In 5 cases (2.8%, neurosurgical intervention was necessary prior to scoliosis surgery. There was no relation between age, sex, presence of pain or curve angle and positive MRI findings (P>0.05. Left convexity was significantly related to positive MRI findings (P=0.013. In males with left convex curves, the probability of positive MRI findings was 8.8 folds other patients. Conclusion: Considering our results and other reported articles, it seems that routine MRI screening of all patients presenting as idiopathic scoliosis is necessary for detection of underlying pathologies. Key words: Idiopathic Scoliosis, MRI, Spine Syrinx, Chiari

  7. An atypical presentation of cystic fibrosis: a case report

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    Joshi Deepak

    2008-06-01

    Full Text Available Abstract Introduction The presentation of cystic fibrosis is dependant upon which organs are affected. Common presentations include chronic respiratory infections and malabsorption. Patients with atypical disease tend to present late in childhood or as adults. Eye manifestations of cystic fibrosis are less well known. Case presentation A 14-year-old Caucasian boy presented with tiredness and difficulty seeing at night, over a period of 6 months. Good vision was only described in bright conditions. There was no history of jaundice, steatorrhea or diarrhoea. Conclusion This is the first reported case of newly diagnosed cystic fibrosis-related liver disease in a teenage boy, whose presenting symptom was night blindness secondary to vitamin A deficiency.

  8. Diagnostic Dilemma in Appendiceal Mucormycosis: A Rare Case Report.

    Science.gov (United States)

    Priyanka Akhilesh, Sali; Kamal Sunder, Yadav; Prasad, Pande; Asha, George Mary; Mohan, Agarwal; Hitesh, Mehta

    2016-01-01

    Appendiceal mucormycosis is a rare life-threatening infection seen in immunocompromised patients. It is usually seen in chemotherapy induced neutropenia in patients with hematological malignancies. Clinically, the symptoms and signs may be masked due to ongoing corticosteroids. The condition may mimic bacterial appendicitis and the less serious condition, typhlitis. The disease demands prompt surgical debulking and aggressive antifungal treatment. However, surgery is delayed due to the poor performance status and severe neutropenia. This may lead to perforative peritonitis and further dissemination. The survival rates of such disease are dismal. Unfortunately, the diagnosis may be confirmed only on histological examination of the surgically excised tissue. Very few cases have been reported so far. We present here once such a fatal case of appendiceal mucormycosis in a 14-year-old boy who was immunosuppressed due to intensive induction therapy for Acute Myeloblastic Leukemia.

  9. Diagnostic Dilemma in Appendiceal Mucormycosis: A Rare Case Report

    Science.gov (United States)

    Prasad, Pande; Asha, George Mary; Mohan, Agarwal; Hitesh, Mehta

    2016-01-01

    Appendiceal mucormycosis is a rare life-threatening infection seen in immunocompromised patients. It is usually seen in chemotherapy induced neutropenia in patients with hematological malignancies. Clinically, the symptoms and signs may be masked due to ongoing corticosteroids. The condition may mimic bacterial appendicitis and the less serious condition, typhlitis. The disease demands prompt surgical debulking and aggressive antifungal treatment. However, surgery is delayed due to the poor performance status and severe neutropenia. This may lead to perforative peritonitis and further dissemination. The survival rates of such disease are dismal. Unfortunately, the diagnosis may be confirmed only on histological examination of the surgically excised tissue. Very few cases have been reported so far. We present here once such a fatal case of appendiceal mucormycosis in a 14-year-old boy who was immunosuppressed due to intensive induction therapy for Acute Myeloblastic Leukemia. PMID:27635276

  10. Intraneural hemangioma of the median nerve: A case report

    Directory of Open Access Journals (Sweden)

    Sevinç Teoman

    2008-02-01

    Full Text Available Abstract Hemangiomas of the median nerve are very rare and, so far, only ten cases of intraneural hemangioma of this nerve have been reported in the literature. We present a case of 14-year-old girl who had a soft tissue mass in the region of the left wrist with signs and symptoms of carpal tunnel syndrome. Total removal of the mass was achieved using microsurgical epineural and interfasicular dissection. The symptoms were relieved completely, after this procedure, without any neurologic deficit. On follow-up two years later, no recurrence was observed. Whenever a child or young adult patient presents with CTS the possibility of a hemangioma involving the median nerve should be kept in mind in the differential diagnosis.

  11. Unusual prerectal location of a tailgut cyst: A case report

    Institute of Scientific and Technical Information of China (English)

    Si-Hyong Jang; Ki-Seok Jang; Young-Soo Song; Kyueng-Whan Min; Hong-Xiu Han; Kyeong-Geun Lee; Seung- Sam Paik

    2006-01-01

    Tailgut cyst is a rare congenital cystic lesion arising from the remnants of the embryonic postanal gut. It occurs exclusively within the retrorectal space and rarely in the perirenal area or in the subcutaneous tissue. A prerectal and retrovesical location of tailgut cyst is extremely rare.To the best of our knowledge, only three cases have been reported in the English literature. We experienced an unusual case of tailgut cyst developed in the prerectal and retrovesical space in a 14-year-old boy. Abdominal computed tomography demonstrated a prerectal cyst which was located at the anterolateral portion to the rectum. The cyst contained yellowish inspissated mucoid material. Microscopically, the cyst was lined by squamous, columnar, cuboidal and transitional epithelia and the wall was fibrotic with dispersed smooth muscle cells. Although tailgut cyst arising in prerectal area is extremely rare, its possibility should be considered in differential diagnosis of a prerectal and retrovesical cystic mass.

  12. Smith-Magenis syndrome in Puerto Rico: a case report.

    Science.gov (United States)

    Jardón, Javier; Izquierdo, Natalio J

    2009-01-01

    Smith-Magenis syndrome (SMS) is characterized by deletions in the short arm of chromosome 17. Systemic findings in patients with the syndrome include: dysmorphic facies and skeletal deformities. Ophthalmic findings in patients with the SMS include: strabismus, refractive errors, microcornea, iris anomalies, microphthalmos, and coloboma. A 14-year-old boy with cytogenetic studies confirming the SMS underwent a comprehensive ophthalmologic examination. The patient has a history of strabismus surgery. Clinical findings in this patient include: developmental delay, facial dysmorphism, enamel hypoplasia, short broad hands, clinodactyly, and scoliosis. Ocular findings in our patient include: myopia, iris nodules, loose zonules, and ectopia lentis. To our knowledge this is the first reported case of SMS in the Caribbean basin and the first case that report ectopia lentis in SMS. There is a possibility that lens subluxation in our patient is due to self inflicted trauma.

  13. Clinical features of 457 cases of adolescent tuberculosis%青少年肺结核457例临床特点

    Institute of Scientific and Technical Information of China (English)

    叶静

    2013-01-01

    Objective To investigate the clinical features of 457 cases of adolescent tuberculosis. Methods 457 cases of adolescent tuberculosis were selected, and their clinical features were analyzed and compared with the clinical features of senile patients with tuberculosis. Results There was no significant gender difference in adolescent TB patients, and the incidence increased with age increase (1.1% , 39. 2% , 53. 2% ). Most of the adolescent had the contact history with tuberculosis ( 60. 5% ), and 99. 8% of them were inoculated with beg vaccine. The positive rate of sputum smear was 35.1% , and the confirmed time was short ( diagnosed within 3 months up to 87. 3% ). The type of adolescent tuberculosis mainly was secondary pulmonary tuberculosis ( 82. 5% ), which showed a statistical significance with the senile TB patients ( P <0. 05 ). Conclusion The clinical features of adolescent tuberculosis should be paid mor attention by the majority of medical workers.%目的 探讨研究青少年肺结核457例临床特点.方法 收集我院门诊收治的457例青少年肺结核病例,并对比同期收治的500例老年肺结核患者的临床特点.结果 青少年结核病患者无明显性别差异,随着年龄增加患病率增加(12~15岁7.7%、15~18岁39.2%、18~22岁53.2%),大部分有结核病接触史(60.5%),绝大数有卡介苗接种史(99.8%),痰涂片阳性率较低(35.7%),确诊时间较短(3个月内确诊达87.3%),青少年临床结核分型以继发型肺结核为主(82.5%),与老年组有统计学差异(P<0.05).结论青少年结核病的临床特点应引起广大医务工作者的重视.

  14. Intelligence and family marital structure: the case of adolescents from monogamous and polygamous families among Bedouin Arabs in Israel.

    Science.gov (United States)

    Elbedour, Salman; Bart, William M; Hektner, Joel

    2003-02-01

    The levels of intelligence among Bedouin Arab adolescents from monogamous and polygamous families living in the Negev region of Israel were examined. A shortened version of the Raven's Progressive Matrices (RPM) test (S. Elbedour, T. J. Bouchard, & Y. Hur, 1997; J. Raven, J. C. Raven, & J. H. Court, 1998) was used to assess intelligence. There were no significant test score differences between adolescents from monogamous families and adolescents from polygamous families. In addition, participants with 2 mothers tended to have lower RPM scores than those with 3 or 4 mothers, and participants with related parents tended to have lower RPM scores than participants with unrelated parents. One major finding of this study is that polygamous family marital structures tended not to have deleterious effects on the Bedouin Arab adolescents' RPM test scores.

  15. Immune disease expressed in liver and platelets in an adolescent: a case report.

    Science.gov (United States)

    Antunes, Henedina; Rocha, Ruben; Silva, Nicole; Pontes, Teresa; Antunes, Ana; Martins, Sofia

    2010-06-11

    We report a case of a 15-year-old boy with autoimmune hepatitis lacking common serologic markers and normal gammaglobulinemia associated with immune thrombocytopenia and family history of psoriasis. He presented to our department with a 4-year history of a cervical posterior lymphadenopathy and recent petechiae. Previous laboratory results 6 months before already showed hepatocellular injury. After exclusion of other causes, the diagnosis of autoimmune hepatitis was made based on clinical grounds, associated immune disorder and histological features of liver biopsy.The authors alert for this atypical presentation of autoimmune hepatitis and associated immune thrombocytopenia.

  16. Immune disease expressed in liver and platelets in an adolescent: a case report

    Directory of Open Access Journals (Sweden)

    Pontes Teresa

    2010-06-01

    Full Text Available Abstract We report a case of a 15-year-old boy with autoimmune hepatitis lacking common serologic markers and normal gammaglobulinemia associated with immune thrombocytopenia and family history of psoriasis. He presented to our department with a 4-year history of a cervical posterior lymphadenopathy and recent petechiae. Previous laboratory results 6 months before already showed hepatocellular injury. After exclusion of other causes, the diagnosis of autoimmune hepatitis was made based on clinical grounds, associated immune disorder and histological features of liver biopsy. The authors alert for this atypical presentation of autoimmune hepatitis and associated immune thrombocytopenia.

  17. Adolescent cavitary tuberculosis. Secondary case finding using a social contact scale.

    Science.gov (United States)

    Frisch, L E

    1985-11-01

    The spread of tuberculosis in a university environment following a case of cavitary disease was studied. Six loci of potential secondary infection were ascertained and the persons at risk were identified for tuberculin screening. All named contacts were ranked by the index patient and her friends on a closeness scale for social contact. This scale proved to be an excellent predictor of tuberculin positivity, suggesting that in a noninstitutionalized setting the risk of tuberculin conversion is associated more with social contact than with mere living proximity.

  18. Clozapine-Induced Myocarditis: A Case Report of an Adolescent Boy with Intellectual Disability

    Directory of Open Access Journals (Sweden)

    Lila Aboueid

    2015-01-01

    Full Text Available Background. Although known for its efficacy in treatment-resistant schizophrenia, the usage of clozapine has been limited due to concerns over potential adverse effects. Myocarditis, one potential fatal complication, can develop at any point during treatment but has been most commonly observed 2-3 weeks after clozapine initiation. Objective. A case of acute clozapine-induced myocarditis is described, highlighting the history, onset, and treatment course of presentation. There is a need to raise awareness of this potential complication, especially in the pediatric population. Results. 17-year-old Puerto Rican boy, with history of schizophrenia, disorganized type (treatment resistant, and intellectual disability, developed myocarditis on the thirteenth day following clozapine commencement. Initial presenting symptoms included tachycardia, lethargy, and vague gastrointestinal distress. Patient fully recovered after supportive medical care and clozapine discontinuation. Conclusions. Myocarditis is a known potential complication of clozapine initiation; however, due to its limited usage in the pediatric population, reported cases are limited. There is a need to establish evidence-based monitoring guidelines for clozapine usage, particularly in the pediatric population where the presentation may be atypical and clinical suspicion may be overlooked.

  19. SAPHO syndrome in an adolescent: a clinical case with unusual severe systemic impact.

    Science.gov (United States)

    Freira, Sílvia; Fonseca, Helena; Ferreira, Pedro Dias; Vasconcelos, Pedro; Fonseca, João Eurico

    2014-08-01

    SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) syndrome includes both dermatological and rheumatologic symptoms. Being a rare condition, the diagnosis is frequently late. The authors report a case of a 13-year-old boy diagnosed with synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome with unusual severe systemic repercussions. The patient presented with acne conglobata, inability to walk due to pain and weakness and weight loss. Bone scintigraphy was suggestive of sacroiliitis, and lumbar spine x-ray showed signs of hyperostosis. His clinical state improved after treatment with nonsteroidal anti-inflammatory drugs, methotrexate, clindamycin, and isotretinoin. A review of the clinical aspects of this syndrome is presented, emphasizing how this underdiagnosed syndrome can lead to severe weight loss and significant functional and psychological impairment at an early age.

  20. An unusual cause of intestinal obstruction in an adolescent: a case report

    Directory of Open Access Journals (Sweden)

    Victor Hip Wo Yeung

    2009-11-01

    Full Text Available A 15-year-old boy presented with intestinal obstruction two weeks following a blunt abdominal trauma. He had progressive bilious vomiting without abdominal distension or peritonitis. The contrast computed tomography (CT scan of the abdomen provided the definitive diagnosis: there was an obstructing duodenal hematoma, which might have been slowly progressing or have arisen from secondary hemorrhage after the initial injury. The boy remained stable over a ten-day period of conservative treatment, and his obstructive symptoms and signs were resolved completely. A follow-up CT scan of the abdomen (16 days after admission showed an almost complete resolution of the hematoma. Delayed duodenal hematoma causing intestinal obstruction has been reported rarely in previous literature. Occasionally a significant secondary hemorrhage resulting in intestinal obstruction can become life threatening. Clinical follow-up is paramount after initial recovery. Although conservative treatment suffices in most cases, the surgeon should be wary of the need for definitive surgical intervention if there is evidence of ongoing acute hemorrhage or of the obstructing hematoma failing to resolve. Laparoscopic drainage of the hematoma provides optimistic results for patients failing conservative management.

  1. Building on a YMCA's health and physical activity promotion capacities: A case study of a researcher-organization partnership to optimize adolescent programming_.

    Science.gov (United States)

    Bush, Paula Louise; García Bengoechea, Enrique

    2016-08-01

    School-based physical activity programs are only effective for increasing adolescents' school-based physical activity. To increase out-of-school-time physical activity, complementary community programs are warranted. Partnerships between universities and community organizations may help build the capacity of these organizations to provide sustainable programs. To understand capacity building processes and outcomes, we partnered with a YMCA to build on their adolescent physical activity promotion capacity. Together, we designed and implemented means to evaluate the YMCA teen program to inform program planning. For this qualitative case study, emails and interviews and meetings transcripts were collected over 2.5 years and analyzed using inductive and deductive thematic analysis. Findings illustrate that the YMCA's workforce and organizational development capacities (e.g., evaluation and health promotion capacity and competence) were increased through our partnership, resource allocation, and leadership. We responded to YMCA partners' perceived needs, yet guided them beyond those needs, successfully combining our complementary objectives, knowledge, and skills to generate an integrated program vision, rationale, and evaluation results. This provided YMCA partners with validation, reminders, and awareness. In turn, this contributed to programming and evaluation practice changes. In light of extant capacity building literature, we discuss how our partnership increased the YMCA's capacity to promote healthy adolescent programs.

  2. Application of Hellison's Teaching Personal and Social Responsibility Model in physical education to improve self-efficacy for adolescents at risk of dropping-out of school.

    Science.gov (United States)

    Escartí, Amparo; Gutiérrez, Melchor; Pascual, Carmina; Marín, Diana

    2010-11-01

    This study evaluated improvement in self-efficacy and personal and social responsibility among at-risk of dropping-out of school adolescents participating in a program in which Hellison's Teaching Personal and Social Responsibility Model was applied in physical education classes during the course of an academic year. Thirty at-risk adolescents aged 13-14 years old (23 boys, 7 girls) were assigned to an intervention group (12 boys and 3 girls) or a comparison group (11 boys, 4 girls), the latter of which did not participate in the program. Quantitative results showed a significant improvement in the students' self-efficacy for enlisting social resources and in self-efficacy for self-regulated learning. Qualitative results showed an improvement in responsibility behaviors of participants in the intervention group. This suggests that the model could be effective for improving psychological and social development in at-risk adolescents, and that physical education classes may be an appropriate arena for working with these young people.

  3. Predicting nicotine dependence profiles among adolescent smokers: the roles of personal and social-environmental factors in a longitudinal framework

    Directory of Open Access Journals (Sweden)

    Kleinjan Marloes

    2012-03-01

    Full Text Available Abstract Background Although several studies have reported that symptoms of nicotine dependence can occur after limited exposure to smoking, the majority of research on nicotine dependence has focused on adult smokers. Insufficient knowledge exists regarding the epidemiology and aetiology of nicotine dependence among adolescent smokers. The objective of the present study is to identify the effects of theoretically driven social and individual predictors of nicotine dependence symptom profiles in a population-based sample of adolescent smokers. Method A longitudinal study among 6,783 adolescents (12 to 14 years old at baseline was conducted. In the first and second year of secondary education, personality traits and exposure to smoking in the social environment were assessed. Two and a half years later, adolescents' smoking status and nicotine dependence symptom profiles were assessed. A total of 796 adolescents were identified as smokers and included in the analyses. Results At follow-up, four distinct dependence symptom profiles were identified: low cravings only, high cravings and withdrawal, high cravings and behavioural dependence, and overall highly dependent. Personality traits of neuroticism and extraversion did not independently predict nicotine dependence profiles, whereas exposure to smoking in the social environment posed a risk for the initial development of nicotine dependence symptoms. However, in combination with environmental exposure to smoking, extraversion and neuroticism increased the risk of developing more severe dependence symptom profiles. Conclusions Nicotine dependence profiles are predicted by interactions between personal and environmental factors. These insights offer important directions for tailoring interventions to prevent the onset and escalation of nicotine dependence. Opportunities for intervention programs that target individuals with a high risk of developing more severe dependence symptom profiles are

  4. Atopic dermatitis in adolescence

    Directory of Open Access Journals (Sweden)

    Giampaolo Ricci

    2011-12-01

    Full Text Available Atopic dermatitis (AD is a chronic inflammatory skin disorder that typically occurs during childhood especially in the first year of life, with a variable frequency from 10% to 30%. Recent studies have shown that in Europe among 10-20% of children with AD suffer from this disorder also in adolescence. AD is a chronic inflammatory skin disease with a typical onset in the first years of life and with a 10- 30% prevalence among young children. AD prevalence in adolescence has been estimated around 5-15% in European countries. AD persists from childhood through adolescence in around 40% of cases and some risk factors have been identified: female sex, sensitization to inhalant and food allergens, allergic asthma and/or rhinoconjunctivitis, the practice of certain jobs. During adolescence, AD mainly appears on the face and neck, often associated with overinfection by Malassezia, and on the palms and soles. AD persistence during adolescence is correlated with psychological diseases such as anxiety; moreover, adolescents affected by AD might have problems in the relationship with their peers. Stress and the psychological problems represent a serious burden for adolescents with AD and cause a significant worsening of the patients’ quality of life (QoL. The pharmacological treatment is similar to other age groups. Educational and psychological approaches should be considered in the most severe cases.

  5. Analysis of obstetric outcomes in 289 cases of adolescent pregnancy%289例青春期妊娠初产妇产科结局分析

    Institute of Scientific and Technical Information of China (English)

    王昊珏; 陆显义

    2015-01-01

    Objective To explore the characteristics of obstetric outcomes of adolescent pregnancy. Methods A retrospective case-control study was performed in 289 cases of adolescent pregnancy and 300 cases of adult pregnancy in Xishan People's Hospital of Wuxi City from 2010 to 2014. Results The rate of natural delivery premature delivery and precipitate labor of adolescent group (74. 0%、14. 9 %、4. 5 %) were higher than those of adult group (47. 3 %, 3. 7 %, 1. 3 %) (P<0. 05). The incidence of preeclampsia, anemia, postpartum hemorrhage, cervical laceration, vaginal wall hematoma of adolescent group ( 10. 0 %、7. 6 %、2. 8 %、3. 5 %、22. 1 %) were higher than those of adult group ( 4. 0 %, 1. 3 %, 0. 7 %, 1. 0 %, 3. 7 %) ( P<0. 05 ) . The incidence of birth defects and neonatal asphyxia of adolescent group ( 3. 1%, 3. 8 %) were higher than those of adult group ( 0. 6 %, 1. 0 %) ( P<0. 05). Conclusion The maternal and fetal outcomes of adolescent pregnancy are poor than adult pregnancy, adolescent pregnancy should strengthen perinatal care and monitoring, to improve the pregnancy and birth outcomes.%目的:探讨青春期妊娠分娩产科结局的特点。方法对2010~2014年无锡市锡山人民医院分娩的289例青春期妊娠初产妇与同期300例成年产妇的临床资料进行回顾性对照分析。结果青春期组阴道分娩、早产、急产的发生率(分别为74.0%、14.9%、4.5%)高于成年组(分别为47.3%、3.7%、1.3%)(P<0.05);青春期组并发妊娠期高血压疾病、贫血、产后出血、宫颈裂伤、阴道壁血肿的发生率(分别为10.0%、7.6%、2.8%、3.5%、22.1%)均高于成年组(分别为4.0%、1.3%、0.7%、1.0%、3.7%)( P<0.05);青春期组新生儿出生缺陷及新生儿窒息率(3.1%、3.8%)高于成年组(0.7%、1.0%)(P <0.05)。结论青春期妊娠母儿结局均较成年组差,青春期妊娠产妇更应加强围产期保健及监测,尽可能地改善妊娠及分娩结局。

  6. Compulsive Television Watching In An Adolescent: A Case Study [adolescente Com Compulsão De Assistir Tv: Relato De Caso

    OpenAIRE

    2006-01-01

    We report the case of a 19-year-old female adolescent with social anxiety who has watched television for 8 to 14 hours daily, sometimes 20 hours, over the past 4-5 years. We discuss the patient's subjective perceptions of this situation; the cluster of symptoms she experienced when she tried to change this behavior for the first time; the short-term prognosis after administration of sertraline 200 mg/d, analytic psychotherapy and cognitive approach during psychiatric outpatient treatment. A p...

  7. A displaced stress fracture of the femoral neck in an adolescent female distance runner with female athlete triad: A case report.

    Science.gov (United States)

    Okamoto, Shinichi; Arai, Yuji; Hara, Kunio; Tsuzihara, Takashi; Kubo, Toshikazu

    2010-03-05

    This report presents a case of a displaced stress fracture of the femoral neck in an adolescent female distance runner with amenorrhea. Both reduction and internal fixation were performed early after the injury. At 24 months postoperatively, magnetic resonance imaging and bone scintigraphy showed no positive signs of femoral head necrosis and bone union was confirmed on plain X-ray. A medical examination for the presence of the signs of the female athlete triad by checking weight, calorie intake and menstrual cycles is most important to prevent such stress fractures. Athletes as well as their coaches or parents therefore need to understand female athlete triad.

  8. A displaced stress fracture of the femoral neck in an adolescent female distance runner with female athlete triad: A case report

    Directory of Open Access Journals (Sweden)

    Okamoto Shinichi

    2010-03-01

    Full Text Available Abstract This report presents a case of a displaced stress fracture of the femoral neck in an adolescent female distance runner with amenorrhea. Both reduction and internal fixation were performed early after the injury. At 24 months postoperatively, magnetic resonance imaging and bone scintigraphy showed no positive signs of femoral head necrosis and bone union was confirmed on plain X-ray. A medical examination for the presence of the signs of the female athlete triad by checking weight, calorie intake and menstrual cycles is most important to prevent such stress fractures. Athletes as well as their coaches or parents therefore need to understand female athlete triad.

  9. Aggressive Periodontitis – A Case Report

    Directory of Open Access Journals (Sweden)

    Gaurav Solanki

    2012-04-01

    Full Text Available Aggressive periodontitis which is an uncommon condition is characterized by severe loss of attachment and destruction of alveolar bone around one or more permanent teeth during the period of pubescence. Aggressive periodontitis have localized and generalized forms. It is currently believed that combination of bacteriologic, immunologic and hereditary factors are of major importance in the etiology of this disease. The case was of a 14 - year old female and his clinical and radiographic findings were typical for generalized aggressive periodontitis. Treatment consisted of thorough training in techniques of plaque control, scaling and root planning and administration of tetracycline 250 mg every six hours for three weeks, as well as combined surgery and antibiotic therapy. But both failed to cure or control the disease mostly because of the non-cooperation with the oral hygiene instructions. 

  10. [Psoas abscess and lumbar spine osteomyelitis: case report].

    Science.gov (United States)

    Silva, Ana M; Schmalbach, Lauwence A

    2016-10-01

    Psoas abscess is a common disease in children. It can have a nonspecific clinical presentation, insidious onset and sometimes fever. The most common type in children is the primary one; however, it can sometimes be of secondary origin and associated with severe infections such as osteomyelitis so a high index of suspicion is required to detect and treat it promptly. We present an unusual case of psoas abscess with infiltration of the vertebral body of L2 in a 14 year old male patient previously healthy with no history of trauma or fever on admission. X-ray and ultrasound were performed but the diagnosis was confirmed by magnetic resonance imaging of the lumbosacral spine. With positive blood cultures for methicillin-resistant Staphylococcus aureus he completed 2 weeks of intravenous antibiotic therapy and 4 weeks of oral antibiotic therapy with blood cultures negativization and resolution of symptoms.

  11. [Child abuse in Tlaxcala: a case-control study].

    Science.gov (United States)

    Herrada-Huidobro, A; Nazar-Beutelspacher, A; Cassaball-Núñez, M; Vega-Ramos, R; Nava-Cruz, C B

    1992-01-01

    A longitudinal, retrospective and descriptive study about child abuse was carried out in the Hospitals of the Tlaxcala Secretariat of Health, Mexico. The information was obtained from hospitalized children's charts between January first and November 30, 1991. The charts included were those belonging to zero to 14 year old children with injuries, poisoning, and II-III degrees of malnutrition. Four child-abuse criteria were established: physical, sexual, non organic malnutrition and mixed (physical and non organic malnutrition). Two control groups were defined. Different patterns were observed between accidental and non accidental injuries, malnutrition and poisoning among the case and the control groups. The study provides useful information for the integral diagnosis of child abuse in hospitalized children.

  12. Anorexia Nervosa and Refeeding Syndrome. A Case Report

    Directory of Open Access Journals (Sweden)

    Kohji Azumagawa

    2007-01-01

    Full Text Available This is a case story of a 14-year-old girl with severe anorexia nervosa (AN (158 cm, 28 kg, –44.1% ideal body mass index, admitted with purpura, edema, and general fatigue. We treated her carefully and paid particular attention to prevent development of refeeding syndrome (RS, and her body weight increased satisfactorily. However, RS (edema, hypoalbuminemia, and heart failure occurred despite careful treatment. We used albumin and diuretics for treatment of RS, but severe liver damage resulted. RS was aggravated by the medical treatment. More attention should have been paid to her weight gain and medical treatment should have been initiated more slowly to prevent dramatic changes in the patient's fluid and electrolyte status.

  13. Juvenile psammomatoid ossifying fibroma: An unusual case report

    Directory of Open Access Journals (Sweden)

    Nidhi Yadav

    2013-01-01

    Full Text Available Ossifying fibromas are well-demarcated benign fibro-osseous tumors of craniofacial skeleton most often in the jaws. It has two types, conventional and juvenile ossifying fibroma (JOF. JOF is considered a separate entity from ossifying fibroma due to its locally aggressive behavior and tendency to occur at a young age. Two subtypes of JOF, i.e., juvenile psammomatoid ossifying fibroma (JPOF and juvenile trabecular ossifying fibroma have been identified on the basis of histology 70% of the JPOF occur in the paranasal sinuses, 20% in the maxilla and only 10% in the mandible. Here, we report a case of JPOF in a 14-year-old girl causing an asymptomatic expansile swelling in the right mandibular posterior region, which is a rare site for this tumor.

  14. ["What I don't Appreciate in Real Life": Online Role Playing Game Addiction of an Adolescent--Case Study].

    Science.gov (United States)

    Gerlach, Marie; Traxl, Bernd

    2015-01-01

    The present article aims to provide an insight into the life story of a computer-game addicted adolescent. Here, the relationship between the symptom game addiction, the family as a reference framework, the game's characteristics, as well as the subjective emotional state of the adolescent are of particular interest. An emphasis is also laid on the psychodynamically approached question of the impact of infantile and current relationship experiences (both within a family environment as well as with peers) on personal development. Last, still within a psychodynamic framework, we hope to provide a better understanding of the role of online computer-game addiction in the process of experiences potentially dominated by conflicts.

  15. Sexting among peruvian adolescents

    OpenAIRE

    West, Joshua H.; Lister, Cameron E; Hall, P Cougar; Crookston, Benjamin T; Snow, Paola Rivera; Zvietcovich, Maria Elena; West, Richard P

    2014-01-01

    Background Sexting (sexual messaging via mobile devices) among adolescents may result in increased risky sexual practices, psychological distress and in some cases, suicide. There is very little research on sexting in developing nations, such as Peru. In particular, little is known about gender differences in the correlates of sexting. The purpose of this study was to determine the sexting prevalence and correlates of sexting among adolescent boys and girls in Cusco, Peru. Methods The study s...

  16. A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture

    Directory of Open Access Journals (Sweden)

    Ryo Takamatsu

    2013-01-01

    Full Text Available We report a case of delayed myelopathy caused by atlantoaxial subluxation without fracture. The patient was a 38-year-old male who became aware of weakness in extremities. The patient had a history of hitting his head severely while diving into a swimming pool at the age of 14 years old. At that time, cervical spine plain X-ray images showed no fracture, and the cervical pain disappeared after use of a collar for several weeks. At his first visit to our department, X-ray images showed an unstable atlantoaxial joint. After surgery, weakness of the extremities gradually improved. At 6 months after surgery, bone union was completed and the symptoms disappeared. This case shows that atlantoaxial ligament injuries are difficult to diagnose and may easily be missed. A high level of suspicion is important in such cases, since neurological compromise or deterioration may occur many years after the injury.

  17. Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.

    LENUS (Irish Health Repository)

    Street, John

    2012-02-03

    The child who presents with fever, limp and hip pain will often undergo multiple diagnostic procedures before a definitive diagnosis is made. We describe a diagnostically challenging case of a 14-year-old boy presenting with an atraumatic painful limp and pyrexia. Eventually the diagnosis of obturator internus muscle abscess with associated ischial osteomyelitis was made. Of the 19 previous cases reported, four children had associated osteomyelitis and were of an older age. Symptomatology varies, clinical examination is non-specific and the diagnosis can be difficult. Haematological indices are more predictive than in cases of classical osteomyelitis or septic arthritis. Subtle features on conventional radiography and isotope bone scanning should not be overlooked while CT and MRI may be complementary in diagnosis.

  18. An unusual case of seronegative, 16S PCR positive Brucella infection

    Science.gov (United States)

    Backhouse, Lucy; Rawat, David; Naik, Sandhia; Millar, Michael

    2016-01-01

    Introduction: Brucella is a zoonotic infection commonly diagnosed by isolation of the organism from blood culture or positive serological testing. It is an uncommon cause of a pyrexia of unknown origin in the United Kingdom. Case presentation: We describe the case of a 14-year-old girl with no history of travel who presented with pyrexia, weight loss, arthralgia, multiple splenic abscesses and a subsequent pleural effusion, the latter of which isolated a Brucella species on 16S rRNA PCR. The patient responded well to initiation of treatment for brucellosis and on repeat imaging, after 3 months, the splenic abscesses had resolved. Conclusion: This unique case demonstrates uncommon complications of brucellosis and the challenges of diagnosing the organism, the latter of which can be alleviated by the utilization of molecularbased technologies. This patient had a negative serology result for brucellosis, which highlights the need to interpret serology results with caution in non-endemic regions for brucellosis.

  19. Is Parental Divorce a Critical Stressor for Young Adolescents? Grade Point Average as a Case in Point.

    Science.gov (United States)

    Neighbors, Bryan; And Others

    1992-01-01

    Examined pre- and postdivorce effects on academic functioning of young adolescents (n=58). Boys from subsequently divorcing families had significantly poorer academic functioning prior to parents' divorce than did boys from intact families and girls from divorcing families. Girls from subsequently divorcing families showed decline in academic…

  20. Multilevel Analysis of the Impact of School-Level Tobacco Policies on Adolescent Smoking: The Case of Michigan

    Science.gov (United States)

    Paek, Hye-Jin; Hove, Thomas; Oh, Hyun Jung

    2013-01-01

    Background: In efforts to curb and prevent youth smoking, school tobacco policies have become an important and effective strategy. This study explores the degrees and types of tobacco-free school policy (TFSP) enforcement that are associated with adolescent smoking. Methods: A multilevel analysis was performed using 983 students who are nested in…

  1. Changing Bilingual Self-Perceptions from Early Adolescence to Early Adulthood: Empirical Evidence from a Mixed-Methods Case Study

    Science.gov (United States)

    Caldas, Stephen J.

    2008-01-01

    In the emerging tradition of language socialization research, this study examines the changing bilingual self-perceptions of three children, identical twin girls and their older brother, from early adolescence through early adulthood. The children were reared in a predominantly French-speaking home in south Louisiana by French/English bilingual…

  2. Cultural Considerations in the Treatment of Mental Illness among Sexually Abused Children and Adolescents: The Case of Bali, Indonesia

    Science.gov (United States)

    Lesmana, Cokorda Bagus J.; Suryani, Luh Ketut; Tiliopoulos, Niko

    2015-01-01

    Childhood and adolescence sexual abuse can have long-lasting and devastating effects on personal and interpersonal growth and development. Sexually abused children tend to exhibit higher rates of poor school performance, aggressive behavior, PTSD (posttraumatic stress disorder), or depressive symptomatology, as well as social and relational…

  3. Anxiety in Adolescents Born Preterm or with Very Low Birthweight: A Meta-Analysis of Case-Control Studies

    Science.gov (United States)

    Somhovd, Mikael J.; Hansen, Bo M.; Brok, Jesper; Esbjorn, Barbara H.; Greisen, Gorm

    2012-01-01

    Aim: To determine if adolescents who are born very preterm (less than 32wks; of gestation) and/or with very low birthweight (VLBW; less than 1500g) have a higher risk of experiencing clinically significant anxiety problems. Method: We used a systematic review and meta-analysis. We searched the databases ISI Web of Knowledge, PubMed, PsycNET,…

  4. Nonconvulsive status epilepticus precipitated by carbamazepine presenting as dissociative and affective disorders in adolescents.

    Science.gov (United States)

    Marini, Carla; Parmeggiani, Lucio; Masi, Gabriele; D'Arcangelo, Gianluca; Guerrini, Renzo

    2005-08-01

    Nonconvulsive status epilepticus can be confused with psychiatric disorders. Inappropriate drug treatment can represent a precipitating factor. We describe two patients with idiopathic generalized epilepsy in whom nonconvulsive status epilepticus, aggravated by carbamazepine, was misdiagnosed as psychiatric disorder. A 14-year-old girl experienced a tonic-clonic seizure at age 12 years preceded by monthly episodes of confusion with awkward behavior since age 9 years. She was treated with carbamazepine, and the episodes of confusion became more frequent, leading to a diagnosis of dissociative disorder. An electroencephalogram during one of these episodes revealed nonconvulsive status epilepticus. Substitution of carbamazepine with valproic acid controlled the episodes of status epilepticus. A 23-year-old woman presented at age 16 years with a tonic-clonic seizure. Since early adolescence, she had had episodes of depressive mood, worsening of school performances, and facial tics. Carbamazepine treatment caused worsening of the depressive episodes and facial tics. An electroencephalogram during a typical episode revealed nonconvulsive status epilepticus. Carbamazepine substitution with valproate led to seizure freedom and behavioral improvement. Nonconvulsive status epilepticus should be suspected and searched for in patients with epileptic seizures and ictal or fluctuating behavioral disorders.

  5. Cyberbullying among Finnish adolescents – a population-based study

    Directory of Open Access Journals (Sweden)

    Lindfors Pirjo L

    2012-11-01

    Full Text Available Abstract Background Cyberbullying, threatening or harassing another via the internet or mobile phones, does not cause physically harm and thus the consequences are less visible. Little research has been performed on the occurrence of cyberbullying among adolescents or the perception of its seriousness. Only a few population-based studies have been published, none of which included research on the witnessing of cyberbullying. Here, we examined exposure to cyberbullying during the last year, and its frequency and perceived seriousness among 12 to 18-year-old adolescents in Finland. We studied four dimensions of cyberbullying: being a victim, bully, or both victim and bully of cyberbullying, and witnessing the cyberbullying of friends. Methods Self-administered questionnaires, including four questions on cyberbullying, were mailed to a representative sample of 12-, 14-, 16-, and 18-year-old Finns in 2009 (the Adolescent Health and Lifestyle Survey. The respondents could answer via the internet or paper questionnaire. Results The number of respondents was 5516 and the response rate was 56%. Girls more often than boys reported experiencing at least one dimension of cyberbullying during the last year. The proportion was highest among 14-year-olds and lowest among 18-year-olds of both sexes. Among girls, the most commonly encountered dimension was witnessing the cyberbullying of friends (16%; and being a victim was slightly more common than being a bully (11% vs. 9%. Among boys, an equal proportion, approximately 10%, had been a victim, a bully, or had witnessed cyberbullying. The proportion of bully-victims was 4%. Serious and disruptive cyberbullying was experienced by 2% of respondents and weekly cyberbullying by 1%; only 0.5% of respondents had been bullied weekly and considered bullying serious and disruptive. Conclusions Adolescents are commonly exposed to cyberbullying, but it is rarely frequent or considered serious or disruptive. Cyberbullying

  6. Cyberbullying among Finnish adolescents – a population-based study

    Science.gov (United States)

    2012-01-01

    Background Cyberbullying, threatening or harassing another via the internet or mobile phones, does not cause physically harm and thus the consequences are less visible. Little research has been performed on the occurrence of cyberbullying among adolescents or the perception of its seriousness. Only a few population-based studies have been published, none of which included research on the witnessing of cyberbullying. Here, we examined exposure to cyberbullying during the last year, and its frequency and perceived seriousness among 12 to 18-year-old adolescents in Finland. We studied four dimensions of cyberbullying: being a victim, bully, or both victim and bully of cyberbullying, and witnessing the cyberbullying of friends. Methods Self-administered questionnaires, including four questions on cyberbullying, were mailed to a representative sample of 12-, 14-, 16-, and 18-year-old Finns in 2009 (the Adolescent Health and Lifestyle Survey). The respondents could answer via the internet or paper questionnaire. Results The number of respondents was 5516 and the response rate was 56%. Girls more often than boys reported experiencing at least one dimension of cyberbullying during the last year. The proportion was highest among 14-year-olds and lowest among 18-year-olds of both sexes. Among girls, the most commonly encountered dimension was witnessing the cyberbullying of friends (16%); and being a victim was slightly more common than being a bully (11% vs. 9%). Among boys, an equal proportion, approximately 10%, had been a victim, a bully, or had witnessed cyberbullying. The proportion of bully-victims was 4%. Serious and disruptive cyberbullying was experienced by 2% of respondents and weekly cyberbullying by 1%; only 0.5% of respondents had been bullied weekly and considered bullying serious and disruptive. Conclusions Adolescents are commonly exposed to cyberbullying, but it is rarely frequent or considered serious or disruptive. Cyberbullying exposure differed between

  7. An adolescent with pseudomigraine, transient headache, neurological deficits, and lymphocytic pleocytosis (HaNDL Syndrome): case report and review of the literature.

    Science.gov (United States)

    Filina, Tatiana; Feja, Kristina N; Tolan, Robert W

    2013-06-01

    We report a 16-year-old adolescent with 2 episodes of focal neurological deficits, pseudomigrainous headache, and lymphocytic pleocytosis due to the syndrome of transient headache and neurological deficits with cerebrospinal fluid (CSF) lymphocytosis (HaNDL), also known as pseudomigraine with CSF pleocytosis. Review of the literature identifies 13 additional cases of HaNDL in the pediatric population. These cases are reviewed and evidence for possible etiopathogenesis is discussed. This syndrome may mimic much more common conditions such as complicated or hemiplegic migraine, aseptic meningitis, meningoencephalitis, or stroke. However, HaNDL differs from complicated or hemiplegic migraine and stroke since CSF pleocytosis is uniformly present. There are many infectious conditions that can present with neurological deficits, headache, and CSF pleocytosis, but the transient nature of the deficits and lack of a consistently identifiable infectious etiology despite extensive evaluations typify HaNDL. This clinical syndrome is underrecognized and underreported. HaNDL remains a diagnosis of exclusion.

  8. Papillon-Lefevre syndrome: A case report with review of literature

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    Rajeev Gadgil

    2009-01-01

    Full Text Available Papillon-Lefèvre syndrome is an extremely rare genodermatosis inherited as an autosomal recessive trait, affecting children between the ages of 1-4 years. It has a prevalence of 1-4 cases per million persons. Males and females are equally affected and there is no racial predominance. The disorder is characterized by diffuse palmoplantar keratoderma and premature loss of both deciduous and permanent teeth. Often, there is associated hyperhidrosis of the palms and soles resulting in a foul-smelling odor. Well-demarcated psoriasiform plaques occur on the elbows and knees. The second major feature of PLS is severe periodontitis, which starts at age 3 or 4 years. We report a case of a 14-year-old patient with Papillon-Lefevre syndrome.

  9. Emergency surgical management of traumatic superior sagittal sinus injury: An unusual case

    Directory of Open Access Journals (Sweden)

    Sudhansu Sekhar Mishra

    2012-01-01

    Full Text Available Head injuries following fall of heavy objects are not very uncommon in developing countries. However, compound depressed skull fracture with superior sagittal sinus (SSS laceration caused by a flying asbestos fragment in a stormy afternoon is an unusual mode of head injury. We report such an unusual case of compound depressed skull fracture by an asbestos fragment injuring the middle third of SSS and its successful surgical management in a 14-year-old child. The role of computed tomography (CT scan of head with 3D reconstruction is highlighted. Early steps taken in this case to check the profuse bleeding, which helped save the life of this boy is interesting to note.

  10. Ultrasound follow up of testicular adrenal rest tumors with congenital adrenal hyperplasia: Report of three cases

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Jeong Yeon; Kim, Dong Won; Yoon, Seong Kuk; Nam, Kyung Jin [Dept. of Radiology, Dong-A University Hospital, Busan (Korea, Republic of)

    2014-12-15

    While testicular adrenal rest tumor is generally a rare intratesticular tumor, it is frequent in patients with congenital adrenal hyperplasia. The tumors are diagnosed and followed up by ultrasound examination because these tumors are non-palpable and symptomless in most cases and always benign. Ultrasound imaging features change depending on how congenital adrenal hyperplasia is controlled. We herein report three cases of testicular adrenal rest tumors with different usual and unusual imaging findings and follow-up imaging. Patient 1 was a 14-year-old boy who presented with poor compliance to medication. Patient 2 and 3 were a 10-year-old and 13-year-old boy who presented with precocious puberty and short stature, respectively. Ultrasound examinations demonstrated oval hypoechoic masses and irregular speculated hyperechoic masses in the testes and different serial imaging findings.

  11. Inter-tester and intra-tester reliability of ultrasound imaging measurements of abdominal muscles in adolescents with and without idiopathic scoliosis: a case-controlled study.

    Science.gov (United States)

    Yang, Hoe S; Yoo, Ji W; Lee, Bo A; Choi, Chang K; You, Joshua H

    2014-01-01

    The present study established inter-tester and intra-tester reliabilities of ultrasound imaging and diagnostically differentiated muscle imbalances in lateral abdominal muscle sizes between normal adolescents and adolescents with idiopathic scoliosis (AIS). Fifteen adolescents with AIS were age- and gender-matched with 15 normal adolescents. There was no significant difference between bilateral abdominal muscles in normal adolescents, but there was a significant difference between bilateral abdominal muscles in adolescents with AIS (Pabdominal muscle thickness is: (1) highly reliable between and within the testers; and (2) capable of distinguishing between subjects with and without pathological muscle morphology due to AIS.

  12. Leukocytoclastic vasculitis in an adolescent with ulcerative colitis: Report of a case and review of the literature

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    G Tyler Butts

    2014-08-01

    Full Text Available An adolescent female with long-standing, difficult-to-control ulcerative colitis developed leukocytoclastic vasculitis, a rare cutaneous extra-intestinal manifestation of the inflammatory bowel disease. The authors provide a literature review on leukocytoclastic vasculitis complicating ulcerative colitis. Furthermore, the clinical features of leukocytoclastic vasculitis are compared and contrasted with the more common cutaneous extra-intestinal manifestations of inflammatory bowel disease, erythema nodosum, and pyoderma gangrenosum.

  13. Behavioural activation for the treatment of low-income, African American adolescents with major depressive disorder: a case series.

    Science.gov (United States)

    Jacob, Maryann; Keeley, Mary L; Ritschel, Lorie; Craighead, W Edward

    2013-01-01

    Behavioural activation (BA) is a psychosocial treatment that has shown promise in the treatment of adults suffering from major depressive disorder (MDD). Recent studies have shown that BA may also be effective for treating depressed adolescents. There are no studies that have reported on the BA treatment of depressed and low-income African American adolescents; thus, the current study reports on the effectiveness of a version of BA adapted for the treatment of African American adolescents who were diagnosed with MDD (n = 3). Participants were allowed to attend a maximum of 17 sessions of weekly psychotherapy. Based on results taken from structured interviews, two of the three participants no longer met criteria for MDD at the end of treatment, and the severity of clinician-rated depressive symptoms and impairment decreased for all participants at post-treatment assessment. Additionally, all participants and their caregivers reported satisfaction with treatment. Implications of these findings, study limitations and suggestions for future directions are discussed.

  14. Impact of Television Programs and Asvertisements of School Going Adolescents: A Case Study of Bahawalpur City, Pakistan

    Directory of Open Access Journals (Sweden)

    A. Hassan

    2013-05-01

    Full Text Available Teenage is the most vital and delicate stage of human life. During teenage youngsters try to follow new fashion, culture and style which is being presented in different programs and advertisements on television. They have strong urge and inclination to adopt something new and extra ordinary different from their surroundings. In Pakistan, there are about 43.40% are the adolescents of the age between 13-16 years as stated by Federal Bureau of Statistics. Adolescents are the age group that is the most effected by T.V pro-grams and advertisements. Target audience of most of the programs and ad-vertisements area adolescents e.g. cell phone advertisements. Most of the children in different countries spend almost 3-4 hours per day in watching T.V as per statement of UNESCO. The effects of the commercials and T.V pro-grams on children vary from person to person. This research tries to dig out the impact of different T.V programs and ads on the children between the age group of 13-16 of different schools of Bahawalpur City.

  15. Is parental divorce a critical stressor for young adolescents? Grade point average as a case in point.

    Science.gov (United States)

    Neighbors, B; Forehand, R; Armistead, L

    1992-01-01

    Previous studies have shown parental divorce to be associated with poor functioning of children and adolescents. Almost all of the studies attempting to delineate these effects, and to shed light on the differences between boys and girls, have limited data collection to postdivorce. This practice has left a void in the picture of divorce--specifically in the area of predivorce effects. The purpose of the present study was to examine academic functioning of young adolescents with respect to both pre- and postdivorce effects. Fifty-eight young adolescents (29 from families which subsequently divorced and 29 from families which remained intact) were studied. Results indicated that boys from subsequently divorcing homes had significantly poorer academic functioning prior to their parents' divorce than did boys whose families remained intact and girls whose parents divorced. Differentially, girls from subsequently divorcing families showed a decline in academic functioning which began prior to divorce and continued beyond the time of divorce. Possible explanations for these gender differences are explored, and the importance of examining predivorce effects is addressed.

  16. [Lack of association between MMR vaccination and the incidence of autism in children: a case-control study].

    Science.gov (United States)

    Mrozek-Budzyn, Dorota; Kiełtyka, Agnieszka; Majewska, Renata

    2009-01-01

    The matched case-control study has been undertook to investigate whether measles, mumps, and rubella (MMR) vaccine may be casually associated with autism in children. Cases were children to 14-year old with diagnosis of core autism or atypical autism. Controls were matched on age, sex and general practice. The 96 cases and 192 controls were included. The study provides strong evidence against association of autism with both MMR and a single measles individual vaccine. Additionally children vaccinated with MMR, regardless of age of vaccination (to 18th, 24th and 36th month of life), had risk equal half of that of single measles vaccinated (for vaccinated to 18th month OR=0.41 95%PU: 0.20-0.85). Our findings confirm that MMR vaccination is not associated with an increased risk of autism in children.

  17. Correlation between dento-skeletal characteristics and craniomandibular disorders in growing children and adolescent orthodontic patients: retrospective case-control study

    Science.gov (United States)

    DI VENERE, D.; GAUDIO, R. M.; LAFORGIA, A.; STEFANACHI, G.; TAFURI, S.; PETTINI, F.; SILVESTRE, F.; PETRUZZI, M.; CORSALINI, M.

    2016-01-01

    SUMMARY Purpose The aim of this retrospective case-control study was to identify, in a group of growing children and adolescents affected by malocclusion, specific dento-skeletal characteristics which could be correlated to the onset, in the above-mentioned subjects, of craniomandibular disorders (CMD). Materials and methods Among the patients treated at the Paedodontics and Orthodontics department of Bari Dental School, we recruited a group of patients with malocclusion and symptoms of temporomandibular disorders, as an experimental group. We considered as controls those patients who, match-paired to their skeletal class depending on the ANB angle, did not show any CMD sign or symptom. Results Of the 128 examined patients, 15 showed signs and/or symptoms of CMD (11.7%). When compared to 15 patients non-affected by CMD, we could not detect statistically significant differences in both skeletal and occlusal characteristics. It is still interesting to notice how in CMD patients, characteristics of skeletal hyperdivergence are often to be found. Conclusions The present study seems to confirm that in growing children and adolescents, the presence of signs and/or symptoms of CMD is not associable to a specific vertical skeletal growth pattern or to other specific occlusal characteristics. PMID:28042446

  18. Computer-associated health complaints and sources of ergonomic instructions in computer-related issues among Finnish adolescents: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Ketola Ritva L

    2010-01-01

    Full Text Available Abstract Background The use of computers has increased among adolescents, as have musculoskeletal symptoms. There is evidence that these symptoms can be reduced through an ergonomics approach and through education. The purpose of this study was to examine where adolescents had received ergonomic instructions related to computer use, and whether receiving these instructions was associated with a reduced prevalence of computer-associated health complaints. Methods Mailed survey with nationally representative sample of 12 to 18-year-old Finns in 2001 (n = 7292, response rate 70%. In total, 6961 youths reported using a computer. We tested the associations of computer use time and received ergonomic instructions (predictor variables with computer-associated health complaints (outcome variables using logistic regression analysis. Results To prevent computer-associated complaints, 61.2% reported having been instructed to arrange their desk/chair/screen in the right position, 71.5% to take rest breaks. The older age group (16-18 years reported receiving instructions or being self-instructed more often than the 12- to 14-year-olds (p Conclusions This report shows that ergonomic instructions on how to prevent computer-related musculoskeletal problems fail to reach a substantial number of children. Furthermore, the reported sources of instructions vary greatly in terms of reliability.

  19. Obstetric outcomes of 316 cases of adolescent pregnancy%316例青春期妊娠产科结局分析

    Institute of Scientific and Technical Information of China (English)

    徐艳; 陈寒; 王静

    2014-01-01

    目的:探讨青春期妊娠分娩产科结局的特点。方法在北京市海淀区妇幼保健院分娩的316例青春期妊娠与同期301例成人产妇的临床资料进行回顾性对照分析。结果青春期组自然分娩、早产、急产的发生率(79.7%、13.0%、4.4%)高于成年组(49.5%、2.3%、1.3%);青春期组并发妊娠期高血压疾病(PIH)、贫血、胎儿宫内发育迟缓(FGR)、产后出血、宫颈裂伤、阴道壁血肿的发生率(10.1%、7.6%、3.5%、2.8%、2.8%、22.4%)均高于成年组(4.0%、1.3%、1.0%、0.7%、0.7%、3.7%);青春期组低出生体重儿、新生儿畸形及新生儿窒息率(5.3%、2.5%、3.5%)高于成年组(1.9%、0.3%、1.0%);两组比较差异均有统计学意义。两组胎膜早破、产前出血、妊娠期糖尿病、胎儿窘迫和围产儿死亡率比较,差异无统计学意义。结论青春期妊娠产科及新生儿结局较成年组差,故对青春期妊娠产妇,应加强围产期保健及监测,尽可能地改善妊娠及分娩结局。%Objective To describe the characteristics of obstetric outcomes of adolescent pregnancy. Methods A retrospective case-control study was performed of 316 cases of adolescent pregnancy and 301 cases of adult pregnancy in Maternal and Children’s Health Hospital of Haidian District,Beijing. Results The rates of natural delivery (79.7%), premature delivery (13.0%),and precipitate labor(4.4%)in the adolescent group were higher than those of the adult group (49.5%,2.3%,and 1.3%,respectively).The rates of preeclampsia (10.1%),anemia (7.6%),fetal growth restriction (3.5%),postpartum hemorrhage (2.8%),cervical laceration (2.8%),and hematoma of vagina (22.4%)in the adolescent group were higher than those of the adult group (4.0%,1.3%,1.0%,0.7%,0.7%,and 3.7%, respectively).In addition,the rates of low birth weight (5.3%),neonatal malformations (2.5%)and neonatal asphyxia

  20. The Chinese version of the Child and Adolescent Scale of Environment (CASE-C): validity and reliability for children with disabilities in Taiwan.

    Science.gov (United States)

    Kang, Lin-Ju; Yen, Chia-Feng; Bedell, Gary; Simeonsson, Rune J; Liou, Tsan-Hon; Chi, Wen-Chou; Liu, Shu-Wen; Liao, Hua-Fang; Hwang, Ai-Wen

    2015-03-01

    Measurement of children's participation and environmental factors is a key component of the assessment in the new Disability Evaluation System (DES) in Taiwan. The Child and Adolescent Scale of Environment (CASE) was translated into Traditional Chinese (CASE-C) and used for assessing environmental factors affecting the participation of children and youth with disabilities in the DES. The aim of this study was to validate the CASE-C. Participants were 614 children and youth aged 6.0-17.9 years with disabilities, with the largest condition group comprised of children with intellectual disability (61%). Internal structure, internal consistency, test-retest reliability, convergent validity, and discriminant (known group) validity were examined using exploratory factor analyses, Cronbach's α coefficient, intra-class correlation coefficients (ICC), correlation analyses, and univariate ANOVAs. A three-factor structure (Family/Community Resources, Assistance/Attitude Supports, and Physical Design Access) of the CASE-C was produced with 38% variance explained. The CASE-C had adequate internal consistency (Cronbach's α=.74-.86) and test-retest reliability (ICCs=.73-.90). Children and youth with disabilities who had higher levels of severity of impairment encountered more environmental barriers and those experiencing more environmental problems also had greater restrictions in participation. The CASE-C scores were found to distinguish children on the basis of disability condition and impairment severity, but not on the basis of age or sex. The CASE-C is valid for assessing environmental problems experienced by children and youth with disabilities in Taiwan.

  1. Risk factors for overweight and obesity in adolescents of a Brazilian University: a case-control study Factores de riesgo para el sobrepeso y a obesidad en adolescentes de una Universidad de Brasil: un estudio de casos-control

    OpenAIRE

    I. H. Carvalho Francescantonio Menezes; M. Borges Neutzling; J. A. de Aguiar Carrazedo Taddei

    2009-01-01

    Objective:To analyze the risk factors associated to overweight and obesity in freshmen of a public university in the Center-West region of Brazil. Methods: A case-control study comprising 1,465 adolescents, identifying 106 cases (Body Mass Index (BMI)> = 85th percentile of National Center for Health Statistics -NCHS) and 233 controls (BMI > 5th and < 85th percentile of NCHS). Interviews were made to collect information on socioeconomic data, eating habits, physical activity and health habits....

  2. Ruptured mucinous adenocarcinoma of the colon in a child : a case report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jong Chul; Shin, Kyung Sook [School of Medicine, Chungnam National University, Taejon (Korea, Republic of)

    2000-04-01

    Carcinoma of the colon is extremely rare in pediatric patients, and due to the preponderance of poor histological characteristics and the difficulty of diagnosis, the prognosis in children is quite unfavorable. We describe a case of ruptured and disseminated mucinous adenocarcinoma of the descending and sigmoid colon in a 14-year-old boy with abdominal pain, diarrhea and fever. Ultrasonography and computed tomography revealed a large soft tissue mass containing tiny calcifications and poorly enhanced hypodense portions in the thickened descending and sigmoid colon, as well as abundant ascites. Where images reveal a mass with low attenuation, calcifications, and aggressive dissemination, mucinous adenocarcinoma may be preferentially included in the differential diagnosis of a pedriatic colon tumor. (author)

  3. Tiagabine overdose: a case of status epilepticus in a non-epileptic patient.

    Science.gov (United States)

    Fulton, Jessica A; Hoffman, Robert S; Nelson, Lewis S

    2005-01-01

    Tiagabine is an antiepileptic drug used as adjunctive therapy for partial seizures that is believed to selectively inhibit the presynaptic reuptake of gamma aminobutyric acid (GABA). We describe a case of a tiagabine overdose that resulted in status epilepticus (SE) in a patient with no seizure history. A 14-year-old girl with a history of asthma presented with convulsive SE after ingestion of an unknown amount of her sister's tiagabine in a suicide attempt. Attempted anticonvulsant therapy included a total of diazepam 10 mg IV, lorazepam 6 mg IV, pyridoxine 5 g IV, and fosphenytoin 20 mg PE/kg. All were without effect. A computed tomography and electrocardiogram were normal. Continuous bedside EEG monitoring showed suppression of seizure activity following intravenous midazolam. A tiagabine level obtained on ED arrival was 420 ng/mL (therapeutic 20-103 ng/mL). The patient was discharged to psychiatry within 1 week with no neurologic sequelae.

  4. Oral Manifestations of Lamellar Ichthyosıs; A Case Report

    Directory of Open Access Journals (Sweden)

    Sedat Akdeniz

    2009-09-01

    Full Text Available Background:The name ichthyosis is derived from the Greek ikhthus meaning "fish" and refers to the similarity in appearance of the skin to fish scale. The ichthyoses are a heterogeneous group of disorders. There are few studies about the oral manifestations of these disorders. But early reports of ichthyosis in the Indian and Chinese literature date back to several hundred years. Case Presentation:Oral manifestations of the 14-year-old female patient with ichthyosis are presented. Physical examination revealed thick, brownish scales covering the entire body surface including all larger body flexures and corneae. She had short and dry hair. There were no nail abnormalities and hearing loss. Conclusion:We consider that this patient represents a new manifestation of lamellar ichthyosis disease, because congenitally teeth missing and cephalometric analysis measurements have not been reported before.

  5. Fatores de risco para a gravidez na adolescência em uma maternidade-escola da Paraíba: estudo caso-controle Risk factors for pregnancy in adolescence in a teaching maternity in Paraíba: a case-control study

    Directory of Open Access Journals (Sweden)

    Melania Maria Ramos Amorim

    2009-08-01

    identify factors associated with gestation in adolescence in a State of the northeast of Brazil. METHODS: a case-control study in the ratio of one 10 to 19-year-old adolescent (case for two 20 to 35-year-old women (controls, with a total of 168 cases and 337 controls. The variables analyzed were: schooling, marital status, origin, family income per capita in Brazilian currency, paid job, mother's schooling, and presence of adolescent's father at home. Reproductive variables such as age at the first intercourse, mother's history of adolescence pregnancy, gynecological appointments before the pregnancy, knowledge, access and use of contraceptive methods were also included in the analysis. RESULTS: the following variables were associated with gestation in adolescence: schooling lower than eight years, lack of a regular mate, and maternal history of adolescence gestation. Also, the age at the first intercourse was significantly lower among the adolescents and that they had a lower rate of gynecological appointments. Knowledge of hormonal methods and access to contraceptive methods were also less frequent among the adolescents. After the multiple logistic regression analysis, risk factors for pregnancy at adolescence were: low schooling (OR=2.3; CI95%=1.3-3.8, age at the first intercourse lower than 15 years old (OR=3.6; CI95%=2.2-5.7, history of maternal pregnancy at adolescence (OR=2.6; CI95%=1.7-3.4. The history of previous gynecological appointments (OR=0.3; CI95%=0.2-0.4 and the use of hormonal methods (OR=0.6; CI95%=0.4-0.9 were protecting variables. CONCLUSIONS: the main factors associated with pregnancy in adolescence were: the adolescent's low schooling, maternal history of adolescence gestation, lack of previous gynecological appointments and lack of access to contraceptive methods.

  6. Neck/shoulder pain is more strongly related to depressed mood in adolescent girls than in boys.

    Science.gov (United States)

    Pollock, C M; Harries, R L; Smith, A J; Straker, L M; Kendall, G E; O'Sullivan, P B

    2011-06-01

    A cross-sectional study of 1258, 14 year old girls and boys used self-report and physical examination measures to assess neck/shoulder pain in the last month, depressed mood, physical fitness, body composition, self-efficacy, global self-worth, family functioning and social advantage. The data was used to compare the relationship between depressed mood and neck/shoulder pain (NSP) in adolescent girls and boys. The prevalence of NSP in girls (34%, 211/621) was significantly greater than in boys (21%, 134/637; p < .001). After controlling for covariates, girls with medium (OR = 4.28; CI = 2.31-7.92; p < .001) and high depressed mood (OR = 8.63; CI = 4.39-16.98; p < .001) were significantly more likely to report NSP than girls with low depressed mood. Depressed mood was also a significant correlate of NSP in boys after controlling for covariates, although the association was substantially weaker (OR = 2.44; CI = 1.29-4.61; p < .001). After controlling for relevant biological, psychological and social covariates, depressed mood was a significant correlate of NSP in both sexes; but the association between depressed mood and NSP was significantly stronger for girls than for boys.

  7. Modifying spike jump landing biomechanics in female adolescent volleyball athletes using video and verbal feedback.

    Science.gov (United States)

    Parsons, Joanne L; Alexander, Marion J L

    2012-04-01

    Landing awkwardly from a jump is a common mechanism of injury for the anterior cruciate ligament (ACL) of the knee. Augmented feedback, such as verbal or visual instruction, has been shown to cause an immediate, positive change in landing biomechanics in a laboratory setting. No data exist on the longer term effects of feedback on jump landing biomechanics in a sports-specific setting. The purpose of this study was to explore whether providing video and verbal feedback to adolescent (12-14 years old) female volleyball athletes would improve their landing technique. Trunk and lower extremity kinematic variables were measured in 19 participants before a feedback session was provided to the intervention group (IG). Follow-up kinematic measurements of the IG were taken immediately postintervention, and again after 2 and 4 weeks. Two-way repeated measures analysis of variance (ANOVA) was used to compare the IG with a control group (CG), who received no feedback. The IG (n = 10) demonstrated increased maximal hip and trunk flexion compared with the CG (n = 9) at week 4 (p ≤ 0.05). One-way repeated measures ANOVA was used to determine if changes were evident within the IG over time. Ankle dorsiflexion, right knee and hip flexion, and trunk flexion changed significantly (p ≤ 0.05) over the 4-week period. Augmented feedback appeared to produce a positive change in landing biomechanics in adolescent female volleyball athletes performing a sports-specific skill. Courtside video and verbal feedback may present a relatively simple, cost-effective method of introducing one component of a comprehensive ACL injury prevention program at a young age.

  8. Effects on adolescents' lipid profile of a fitness-enhancing intervention in the school setting: the EDUFIT study

    Directory of Open Access Journals (Sweden)

    Daniel N. Ardoy

    2013-02-01

    Full Text Available Objectives: Observational studies have reported an association among physical activity, fitness and lipid profile in youth. The purpose of this study was to analyse the effect of a school-based intervention focused on increasing the number and intensity of Physical Education (PE sessions a week, on adolescents' lipid profile. Methods: A 4-month group-randomized controlled trial was conducted in 67 adolescents (12-14 years-old from South-East Spain, 2007. Three school classes were randomly allocated into control group (CG, experimental group-1 (EG1 and experimental group-2 (EG2. The CG received the usual PE in Spain (2 sessions/week, the EG1 received 4 PE sessions/week, and the EG2 received 4 PE sessions/week of high intensity. The main study outcomes were fasting levels of total cholesterol, high-density lipoprotein cholesterol (HDLc, low-density lipoprotein cholesterol (LDLc and triglycerides. All the analyses were adjusted for sex, sexual maturation, attendance and baseline value of the outcome studied. Results: The intervention did not positively affect cardio-metabolic parameters except for LDLc, that was marginally yet significantly reduced in EG2 (-10.4 mg/dl, compared with the CG (+4.1 mg/dl (p = 0.04; no differences were observed however for the LDLc/HDLc ratio. No significant effects were observed in EG1. Discussion: Overall, a 4-month school-based physical activity intervention did not substantially influence lipid profile in adolescents. However, the results suggest that increasing both frequency and intensity of PE sessions had a modest effect on LDLc in youth. Future studies involving larger sample sizes and longer interventions should focus on the separate effects of volume and intensity of PE.

  9. Postural Orthostatic Tachycardia With Chronic Fatigue After HPV Vaccination as Part of the "Autoimmune/Auto-inflammatory Syndrome Induced by Adjuvants": Case Report and Literature Review.

    Science.gov (United States)

    Tomljenovic, Lucija; Colafrancesco, Serena; Perricone, Carlo; Shoenfeld, Yehuda

    2014-01-01

    We report the case of a 14-year-old girl who developed postural orthostatic tachycardia syndrome (POTS) with chronic fatigue 2 months following Gardasil vaccination. The patient suffered from persistent headaches, dizziness, recurrent syncope, poor motor coordination, weakness, fatigue, myalgias, numbness, tachycardia, dyspnea, visual disturbances, phonophobia, cognitive impairment, insomnia, gastrointestinal disturbances, and a weight loss of 20 pounds. The psychiatric evaluation ruled out the possibility that her symptoms were psychogenic or related to anxiety disorders. Furthermore, the patient tested positive for ANA (1:1280), lupus anticoagulant, and antiphospholipid. On clinical examination she presented livedo reticularis and was diagnosed with Raynaud's syndrome. This case fulfills the criteria for the autoimmune/auto-inflammatory syndrome induced by adjuvants (ASIA). Because human papillomavirus vaccination is universally recommended to teenagers and because POTS frequently results in long-term disabilities (as was the case in our patient), a thorough follow-up of patients who present with relevant complaints after vaccination is strongly recommended.

  10. Radiological assessment of surgical treatment results in children and adolescents with pectus excavatum: medium-term results of 75 cases

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    Sh.K. Khakimov

    2014-09-01

    Full Text Available Objective — Minimally invasive repair of pectus excavatum (PE has been established as the preferred technique for the repair of PE. Modified techniques of repair based on D. Nuss method for PE are promoted to improve the safety of the procedures. Purpose of this work was to analyzing the operative results with accounting of the toracometric parameters of pectus excavatum in children and adolescents. Methods — Toracometric parameters were the followings, as: sternum rotation, cardiac and pulmonary vein rotation angles, Haller and asymmetry indices in children and adolescents with PE. 48 (64% patients are operated by D. Nuss procedure and 27 (36% with modifications, due to severity of diagnostic parameters, which were exhibited the significance difference between pre- and postoperative indices, mainly, in patients who has a severe degree changes preoperatively. Results — The sternum rotation degree (in 75 patients was decreased till 0.4±0.02° (P=0.01, whereas was 20.7±0.46° preoperatively (P=0.001. Preoperatively, the mean of cardiac rotation angle significantly reduced, preoperative was 56.0±2.9° (P=0.001 (in 75 patients and after operative intervention made up 47.0±2.7° (P=0.001. Haller index also is decreased till 2.3±0.2, whereas was 3.9±0.2 preoperatively (P=0.002. The angle of the pulmonary vein rotation was preoperatively 51.0±3.4° (P=0.001 and after operation was increased till 53.0±1.8° (P=0.01. Conclusions — It has necessity apply the computer tomography investigation in patients with PE deformity. Also, it cannot miss the stage of the sterno-costal complex strength, its pliability and the gravity of the sternum rotation, which may lead to raise the share of good and excellent results.

  11. Long-term Outcome after Robotic-assisted Gastroplication in Adolescents: Hunger Hormone and Food Preference Changes Two Case Reports.

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    Calcaterra, Valeria; Cena, Hellas; Fonte, Maria Luisa; De Amici, Mara; Vandoni, Matteo; Albanesi, Michela; Pelizzo, Gloria

    2016-06-05

    Weight loss surgery (WLS) is efficacious for long-term weight reduction and decreases overall mortality in severely obese patients. The mechanisms implicated in long-term weight loss are not fully understood. Proposed mechanisms include changes in gut hormones and brain regulation of appetite and satiety. We aimed to investigate the long-term ghrelin and leptin profiles and changes in food preference and eating behavior after WLS in adolescent patients. Two obese females aged 15 years and 14 4/12 years, who did not respond to lifestyle changes, including dietary intervention and physical exercise in combination with medical therapy, underwent robotic-assisted gastroplication. Anthropometric measurements, food habits and eating behavior, as well as metabolic and hormonal changes during long-term post-surgical follow-up were monitored. Long-term weight reduction was obtained in both patients, with a significant decrease in waist circumference. Resting energy expenditure showed a decrease over time, with a respiratory quotient that increased showing a shift from oxidation of a high-fat diet before surgery to oxidation of a mixed diet two and three years later. Both subjects improved their eating habits and lifestyle. Co-morbidity resolution was also noted. Increased pre-prandial ghrelin levels as well as higher post-prandial ghrelin and a leptin drop compared with pre-surgery values were observed in both patients. Persistent weight loss after gastroplication is associated with a favorable change in gut hormones and food preferences. The role of hormonal and sensory components in long-term results seems crucial. Particularly in adolescent patients, a multidisciplinary approach and continuous nutritional care is mandatory for weight maintenance and consolidation of changes.

  12. Is adolescence a critical period for learning formal thinking skills? A case study investigating the development of formal thinking skills in a short-term inquiry-based intervention program

    Science.gov (United States)

    Towne, Forrest S.

    Current domestic and international comparative studies of student achievement in science are demonstrating that the U.S. needs to improve science education if it wants to remain competitive in the global economy. One of the causes of the poor performance of U.S. science education is the lack of students who have developed the formal thinking skills that are necessary to obtain scientific literacy. Previous studies have demonstrated that formal thinking skills can be taught to adolescents, however only 25% of incoming college freshman have these necessary skills. There is some evidence that adolescence (girls aged 11-13, boys aged 12-14) is a critical period where students must learn formal thinking skills, similar to the critical period that exists for young children learning languages. It is not known whether it is more difficult for students to learn formal thinking skills either prior to or following adolescence. The purpose of this quantitative case study is to determine whether adolescence is a critical period for students to learn formal thinking skills. The study also investigates whether a formal thinking skills focused program can improve students' intelligence. In this study 32 students who had not developed any formal thinking skills, ranging in age from 10-16, underwent an intensive four-week, inquiry-based, formal thinking skill intervention program that focused on two formal thinking skills: (1) the ability to control and exclude variables; and (2) the ability to manipulate ratios and proportionalities. The students undergoing the training were matched with control students by age, gender, formal thinking skill ability, and intelligence. The control group attended their traditional science course during the intervention periods. The results of the study showed that the intervention program was successful in developing students' formal thinking skills. The pre-adolescents (males, age 10-11, females, age 10) were unable to learn formal thinking skills

  13. Tailoring the delivery of cancer diagnosis to adolescent and young adult patients displaying strong emotions: An observational study of two cases

    Directory of Open Access Journals (Sweden)

    Live Korsvold

    2016-04-01

    Full Text Available Delivering the bad news of a cancer diagnosis to adolescent and young adult (AYA patients who display strong emotions is particularly challenging not the least because AYAs are at a vulnerable developmental stage. Due to the lack of research on how to personalize the delivery of bad news to AYA patients’ emotions we report a case study of the communicative behavior of oncologists in two such consultations to describe the complexity of the phenomena at study. We audio-recorded and transcribed consultations where oncologists delivered cancer diagnoses to nine AYAs aged 12–25 years. Two of these patients displayed particularly strong emotional behavior (anger, fear, and sadness and were chosen as cases. An interpretative analysis in three steps was applied to investigate the oncologists’ communicative behavior when delivering bad news. The focus was on how the oncologists responded to the strong but different emotional behaviors of the AYAs. We also related the oncologists’ communicative behavior to elements from a widely used protocol for delivering bad news. We found that the oncologists applied five communication strategies: elicit patient perspective, provide information, respond to patient's expression of emotion (acknowledging and containing emotions, encourage commitment to treatment, and provide hope. The findings illustrate how oncologists’ communicative behavior may be tailored to individual expressions of emotions in AYA cancer patients.

  14. Association between isotretinoin use and central retinal vein occlusion in an adolescent with minor predisposition for thrombotic incidents: a case report

    Directory of Open Access Journals (Sweden)

    Labiris Georgios

    2009-02-01

    Full Text Available Abstract Introduction We report an adolescent boy with minimal pre-existing risk for thromboses who suffered central retinal vein occlusion associated with isotretinoin use for acne. To the best of our knowledge, this is the first well documented case of this association. Case presentation An otherwise healthy 17-year-old white man who was treated with systemic isotretinoin for recalcitrant acne was referred with central retinal vein occlusion in one eye. Although a detailed investigation was negative, DNA testing revealed that the patient was a heterozygous carrier of the G20210A mutation of the prothrombin gene. Despite the fact that this particular mutation is thought to represent only a minor risk factor for thromboses, it is probable that isotretinoin treatment greatly increased the risk of a vaso-occlusive incident in this patient. Conclusion Isotretinoin use may be associated with sight- and life-threatening thrombotic adverse effects even in young patients with otherwise minimal thrombophilic risk. Physicians should be aware of such potential dangers.

  15. Radiosurgery-induced brain tumor. Case report.

    Science.gov (United States)

    Kaido, T; Hoshida, T; Uranishi, R; Akita, N; Kotani, A; Nishi, N; Sakaki, T

    2001-10-01

    The authors describe a case of glioblastoma multiforme (GBM) associated with previous gamma knife radiosurgery for a cerebral arteriovenous malformation (AVM). A 14-year-old boy had undergone radiosurgery for an AVM, which was performed using a 201-source 60Co gamma knife system at another institution. The maximum and margin radiation doses used in the procedure were 40 and 20 Gy, respectively. One year after radiosurgery, the patient noticed onset of mild left hemiparesis due to radiation necrosis. Six and one-half years after radiosurgery, at the age of 20 years, the patient experienced an attack of generalized tonic-clonic seizure. Magnetic resonance (MR) imaging revealed the existence of a brain tumor in the right parietal lobe. The patient underwent an operation and the histological diagnosis of the lesion was GBM. Ten months following the operation, that is, 99 months postradiosurgery, this patient died. To the best of the authors' knowledge, this is the first reported case of a neoplasm induced by radiosurgery for an AVM and the second case in which it occurred following radiosurgery for intracranial disease.

  16. Retrograde Percutaneous Drilling for Osteochondritis Dissecans of the Head of the Talus: Case Report and Review of the Literature.

    Science.gov (United States)

    Corominas, Laura; Sanpera, Ignacio; Masrouha, Karim; Sanpera-Iglesias, Julia

    2016-01-01

    Osteochondral lesions of the talus might be a more common cause of pain than previously recognized, especially among those involved in athletic activities. However, the location of an osteochondral lesion on the talar head is much less common than such lesions localized to the dome of the talus and can pose diagnostic difficulties. We present the case of a 14-year-old soccer player who complained of longstanding pain in his left foot. After unsuccessful conservative treatment consisting of rest and bracing, he was ultimately treated with retrograde percutaneous drilling of the talar head performed by a medial approach. This was followed by casting and non-weightbearing for 6 weeks, after which physical therapy was undertaken. He was able to return to full activity and remained asymptomatic during a 5-year observation period. Although rare, osteochondritis dissecans of the talar head should be considered in young athletes with persistent foot pain that is unresponsive to reasonable therapy.

  17. Adolescent Loneliness.

    Science.gov (United States)

    Goldenberg, Sheila

    Research has suggested that the incidence of loneliness peaks at adolescence and decreases with age. Changes in the determinants of loneliness during adolescence were investigated for grade 8, grade 11, and university students. Subjects (N=410) completed a written questionnaire which included ten items from the UCLA Loneliness Scale, the…

  18. Positively Adolescent!

    Science.gov (United States)

    Williamson, Sue

    2000-01-01

    Believes that music teachers should reassess their views toward adolescent behavior in the music classroom by learning to see their behavior in a positive light. Describes teaching strategies that build on four adolescent behaviors: (1) desire for peer acceptance; (2) abundant energy; (3) love of fun; and (4) limited time-managing skills. (CMK)

  19. Punishing adolescents

    DEFF Research Database (Denmark)

    Ryberg, Jesper

    2014-01-01

    Should an adolescent offender be punished more leniently than an adult offender? Many theorists believe the answer to be in the affirmative. According to the diminished culpability model, adolescents are less mature than adults and, therefore, less responsible for their wrongdoings and should...

  20. Additional case of Marden-Walker syndrome: support for the autosomal-recessive inheritance adn refinement of phenotype in a surviving patient.

    Science.gov (United States)

    Orrico, A; Galli, L; Zappella, M; Orsi, A; Hayek, G

    2001-02-01

    In this report, we present a 14-year-old girl, born to consanguineous parents, who presented with severe mental retardation, hypotonia, short stature, and congenital joint contractures. The craniofacial features were scaphocephaly, thin/long and immobile face, marked hypoplasia of the midface, temporal narrowness, blepharophimosis, palpebral ptosis, and strabismus. The combination of such a distinctive craniofacial appearance and psychomotor retardation allows us to recognize a new case of the Marden-Walker syndrome. Our patient represents one of the rare cases in which consanguineous mating supports the autosomal-recessive pattern of inheritance of this condition. Furthermore, through refining the phenotype of a surviving patient, this report may contribute to a better recognition of this disorder in older affected children.