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Sample records for 14-year-old adolescent case

  1. 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

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

    International Nuclear Information System (INIS)

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

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

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    Sunita Sudhir

    2014-09-01

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

  4. 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;}

  5. 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.

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

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    R. Barikbin

    2008-01-01

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

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

    OpenAIRE

    Sunita Sudhir; Sunita,; Vrunda; Komal

    2014-01-01

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

  8. Buprenorphine in drug-facilitated sexual abuse: a fatal case involving a 14-year-old boy.

    Science.gov (United States)

    Kintz, Pascal; Villain, Marion; Tracqui, Antoine; Cirimele, Vincent; Ludes, Bertrand

    2003-10-01

    The first case involving repetitive sexual abuse linked to the use of buprenorphine is reported. Under the tradename Subutex, buprenorphine is largely used for the substitution management of opiate-dependent individuals, but it can also be easily found on the black market. A 14-year-old boy was found dead at the home of a well-known sex offender of minors. At the autopsy, no particular morphological changes were noted, except for pulmonary and visceral congestion. There was no evidence of violence, and no needle marks were found by the pathologist. Toxicological analyses, as achieved by liquid chromatography-mass spectrometry, demonstrated both recent and repetitive buprenorphine exposure in combination with nordiazepam. Buprenorphine concentrations were 1.1 ng/mL and 23 pg/mg in blood and hair, respectively. The boy's death was attributed to accidental asphyxia in a facilitated repetitive sexual abuse situation due to the combination of buprenorphine and benzodiazepines, even at therapeutic concentrations. The use of buprenorphine as a sedative drug was not challenged by the perpetrator. PMID:14607012

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

    Science.gov (United States)

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

    International Nuclear Information System (INIS)

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

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

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    Ana María Quezada Ugalde

    2015-07-01

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

  13. 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)

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

    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

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

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    Monyeki Makama

    2012-05-01

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

  18. Disk degeneration in 14 year old children

    International Nuclear Information System (INIS)

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

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

    OpenAIRE

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

    2015-01-01

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

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

    OpenAIRE

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

    2009-01-01

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

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

    International Nuclear Information System (INIS)

    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.)

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

    Energy Technology Data Exchange (ETDEWEB)

    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.)

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    Rotter, Annette

    2016-05-01

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

  5. Recurrent lower respiratory tract infections in a 14-year-old boy with tracheobronchomegaly (Mounier-Kuhn syndrome).

    Science.gov (United States)

    Benesch, M; Eber, E; Pfleger, A; Zach, M S

    2000-06-01

    Tracheobronchomegaly (Mounier-Kuhn syndrome) is characterized by dilatation of the central airways, tracheobronchial outpouchings, and chronic tracheobronchitis. Most cases are diagnosed in adulthood. We report the clinical, radiographic, and bronchoscopic findings in a 14-year-old boy with tracheobronchomegaly, ptosis of the right eyelid, and redundant skin and mucosa of the upper lip, who presented with a 2-year history of recurrent lower respiratory tract infections. Pediatricians should be aware of the possibility that tracheobronchomegaly may cause clinical symptoms in childhood and adolescence. Pediatr Pulmonol. 2000; 29: 476-479. PMID:10821730

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

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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.

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

    OpenAIRE

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

    2015-01-01

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

  8. 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.

  9. 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.

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

    Science.gov (United States)

    Hurwitz, Brian; Richardson, Joshua

    2010-01-01

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

  11. 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

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

    Directory of Open Access Journals (Sweden)

    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.

  13. 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...

  14. 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

    Little is known about dietary patterns on weekdays and weekend days in children, and the aim of the present study was to investigate 4–14-year-old children's dietary patterns specifically on weekdays (Monday–Thursday) and weekend days (Saturday–Sunday). Dietary data were derived from the Danish...

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

    OpenAIRE

    Yoshihiko Sakurai; Takaaki Murata; Hirohisa Hirata; Takeshi Morita

    2015-01-01

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

  16. 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 PMID:27175985

  17. 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…

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

    Science.gov (United States)

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

    2016-01-01

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

  19. 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.

  20. 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

    The objective of the present study was to examine the associations between eleven putative predisposing single nucleotide polymorphisms (COL9A3, COL11A2, IL1A, IL1B, IL6 and VDR) and early disc degeneration (DD). The population consisted of 12 to 14-year-old Danish children (N=352). DD...... rs1800587 in CT/TT compared to CC resulted in OR 2.85 [1.19-6.83]. In IL6 promoter polymorphism rs1800796, the C-allele was more frequent among the subjects with DD, OR 6.71 [1.71- 26.3]. Of the IL6 haplotypes, GCG was associated with DD, OR 6.46 [1.61 – 26.0]. No associaamong boys. Our results...... 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...

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

    Directory of Open Access Journals (Sweden)

    Mehri Delvarian-Zadeh

    2008-01-01

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

  2. 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

    . As the NWB has only been validated and tested for reproducibility in adults, the purpose of this study was to examine reproducibility and validity of the NWB in a field setting, in a population of children. METHODS: Fifty-four 10-14 year-olds from the CHAMPS-Study DK performed four different balance tests...

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

    Science.gov (United States)

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

    2014-01-01

    A 14-year-old Morgan gelding was presented for progressive weakness and muscle atrophy. The horse was initially diagnosed with equine protozoal myelitis based on history, physical examination, and laboratory diagnostics. Despite therapy, the horse declined clinically and was euthanized. Necropsy revealed a rare form of neurotropic lymphoma, described in this report. PMID:24688140

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

    OpenAIRE

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

    2014-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    Rashidi Birgani M; Ravanmehr H

    1998-01-01

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

  8. 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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    Prokic, Tijana; Dronkers, Jaap

    2010-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  13. 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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

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

    2011-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Ferhat AKTAŞ

    2011-04-01

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

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

    OpenAIRE

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

    2016-01-01

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

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

    OpenAIRE

    TK Bhagat; Shrestha, A; TN Yadav

    2015-01-01

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

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

    OpenAIRE

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

    2012-01-01

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

  19. 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...... examination at age 14. Higher prenatal PCB exposure was associated with lower serum concentrations of both luteinizing hormone (LH) and testosterone. In addition, sex hormone binding globulin (SHBG) was positively associated with both prenatal and concurrent PCB exposures. The PCB-SHBG association was robust...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

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

    2013-01-01

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

  2. 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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  6. 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

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

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

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    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

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

    International Nuclear Information System (INIS)

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

  9. 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.

  10. 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.

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

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    A. Burgio

    2012-01-01

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

  12. 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.

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

    Directory of Open Access Journals (Sweden)

    Ayele Fenta A

    2013-01-01

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

  14. 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.

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

    OpenAIRE

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

    2014-01-01

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

  16. 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

  17. 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

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

    NARCIS (Netherlands)

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

    2016-01-01

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

  19. 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 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 To...

  20. 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.

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

    Science.gov (United States)

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

    2016-01-01

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

  2. 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.

  3. Incidental finding of a huge ovarian serous cystadenoma in an adolescent female with menorrhagia.

    Science.gov (United States)

    Abu Sulb, Ahmad; Abu El Haija, Marwa; Muthukumar, Akila

    2016-01-01

    Pelvic tumors in adolescent females are very uncommon. While the most common presentation is pelvic discomfort, we report the case of a 14-year-old female presenting with menorrhagia which is an unusual initial complaint for a large pelvic tumor. Adolescent females who present with heavy menstrual bleeding initially undergo assessment to rule out a bleeding disorder. In this case, careful history and physical examination helped in making a quick diagnosis and management. Ultrasound of abdomen showed a huge cystic mass due to serous cystadenoma of the ovary. PMID:27489715

  4. 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,…

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

    Institute of Scientific and Technical Information of China (English)

    梅秋红; 许国章

    2012-01-01

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

  6. 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

  7. 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

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

    International Nuclear Information System (INIS)

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

  9. 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

  10. 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

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

    OpenAIRE

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

    2015-01-01

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

  12. An Epidemiologic Study of Hearing Impairment of children under 14 Years Old in Guizhou Province%贵州省0~14岁儿童听力障碍流行病学调查

    Institute of Scientific and Technical Information of China (English)

    王幼勤; 杨崇玲; 许世文; 薛晓红; 李斐; 刘宇清; 叶清

    2009-01-01

    目的 了解贵州省0~14岁儿童耳疾和听力障碍现患率、病因和干预需求的情况.方法 根据WHO方案,用容量比例概率抽样(PPS)方法调查贵州省30个点人群的听力和耳疾情况,抽取其中0~14岁儿童2 068人的资料进行统计分析.结果 0~14岁儿童听力减退现患率为3.48%,听力残疾现患率为1.84%,明显高于国内其他省市水平;7~14岁组听力残疾现患率为2.66%,显著高于0~6岁组(0.51%);男性儿童听力减退现患率为4.22%,显著高于女性儿童(2.54%).听力减退的可能原因分别是:耳疾50.00%(其中急慢性中耳炎占37.40%)、非感染因素11.11%、遗传性聋20.83%、病因不明27.77%.3.58%的调查对象需要得到药物或外科手术治疗;2.32%患儿需要佩戴助听器.结论 贵州省0~14岁儿童听力残疾现患率高于国内其他省市水平,中耳炎是引起儿章听力障碍的主要病因,且儿童遗传性聋比例也较高.%Objective To undertake a survey on the prevalence, pathogenic factors and treatment needs of hearing impairment in children under 14 years old in Guizhou province. Methods Using the probability proportion to size (PPS) method, 2 068 children aged 0~14 years were included in the study and in 30 clusters in Guizhou province based on the WHO protocol. Results For children aged 0~14 years, the prevalence of hearing impairment was 3.48% and the prevalence of hearing disability was 1.84 %. There were statistically differences of the prevalence of hearing disability between children aged 7~ 14 years (2.66 %) and 0~ 6 years (0. 51%), and the differences also in hearing impairment between male children (4.22%) and female children (2.54%). The main causes of hearing impairment were ear diseases (50.00%), non-infective conditions (11.11%), genetic conditions (20.83 %) and unknown causes (27. 77%). 3. 58% of all subjects needed medical or surgical treatment and 2. 32% needed hearing aids. Conolusion The prevalence of hearing

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

    Directory of Open Access Journals (Sweden)

    Parvin Khadem

    2013-08-01

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

  14. Association between genetic taste sensitivity, 2D:4D ratio, dental caries prevalence, and salivary flow rate in 6-14-year-old children: a cross-sectional study.

    Science.gov (United States)

    Lakshmi, Chintamaneni Raja; Radhika, Doppalapudi; Prabhat, Mpv; Bhavana, Sujana Mulk; Sai Madhavi, Nallamilli

    2016-01-01

    Background. The aim of this study was to assess the relationship between genetic taste sensitivity, dietary preferences and salivary flow rate in 6‒14-year-old children for identification of individuals at higher risk of developing dental caries. Methods. A total of 500 children 6‒14 years of age, of both genders, who reported to the Department of Oral Medicine and Radiology, were included. Propylthiouracil (PROP) sensitivity test was carried out and the subjects whose perception was bitter were grouped as tasters, whereas those who were unable to perceive any taste were grouped as non-tasters. The 2D:4D ratio was obtained by measuring the length ratio of index finger to ring finger with the help of a digital Vernier caliper. Evaluation of dietary preferences was carried out using a 24-hour dietary recall and accordingly they were categorized as sweet likers and dislikers. The salivary flow rate was estimated by collecting unstimulated saliva by spitting method. Data were analyzed with Student's t-test and chi-squared test. Results. The results suggested a positive relation between low digit ratio (2D:4D), non-tasters, sweet likers and high caries index among the participants with a highly significant statistical difference (P ≤ 0.000). Tasters had high mean of USSR (0.48) than non-tasters (0.29), which was statistically significant. Conclusion. The present research revealed a positive correlation between all the parameters evaluated. Therefore an individual considered as non-taster by PROP was a sweet liker with low 2D:4D ratio, reduced salivary flow rate and high caries index. PMID:27651879

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

    Institute of Scientific and Technical Information of China (English)

    冯承芸; 魏新燕; 牛丽

    2012-01-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  17. 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.

  18. 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…

  19. 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

  20. 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.

  1. 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

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

    Institute of Scientific and Technical Information of China (English)

    于晓锋; 徐庆连

    2014-01-01

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

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

    Science.gov (United States)

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

    2009-01-01

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

  4. 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)…

  5. 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

  6. 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

  7. 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.

  8. 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…

  9. 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…

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

    Directory of Open Access Journals (Sweden)

    Vera Pedersen

    2014-08-01

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

  11. ENDOMETRIOSIS IN ADOLESCENTS-ANALYSIS OF 6 CASES

    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.

  12. 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

  13. 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 .

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

    OpenAIRE

    Hemal A; Kumar R; Wadhwa S

    1996-01-01

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

  15. 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

  16. 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…

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

    Institute of Scientific and Technical Information of China (English)

    葛国兴; 钟亚萍; 梁美春

    2013-01-01

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

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

    Science.gov (United States)

    Loukas, Alexandra; Prelow, Hazel M.

    2004-01-01

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

  19. 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…

  20. 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…

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

    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。

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

    OpenAIRE

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

    2015-01-01

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

  3. Dupuytren’s Disease in an AdolescentCase Report

    Directory of Open Access Journals (Sweden)

    Żyluk Andrzej

    2016-05-01

    Full Text Available Dupuytren’s disease is typically observed in adults, in children and adolescents being rarely diagnosed. Only several cases were reported in children under the age of 10 years, including two infants under one year. There were no such reports in Polish literature. We presented a case of Dupuytren’s disease in a 17 year-old adolescent, in whom the first signs of the disease were observed in early childhood.

  4. 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.

  5. 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.

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

    Science.gov (United States)

    Torney-Purta, Judith; Richardson, Wendy Klandl

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

  7. 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%…

  8. 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.

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

    Science.gov (United States)

    Streeck-Fischer, Annette

    2015-12-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

  11. 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

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

    OpenAIRE

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

    2015-01-01

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

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

    OpenAIRE

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

    2014-01-01

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

  14. 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.

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

    OpenAIRE

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

    2013-01-01

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

  16. 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.

  17. An Adolescent with Anorexia Nervosa – A Case Report

    OpenAIRE

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

    2011-01-01

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

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

    Science.gov (United States)

    Elkes, Barbara Halpren; Crocitto, John A.

    1987-01-01

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

  19. Reversible Pulmonary Hypertension in Adolescent with Left Atrial Myxoma

    OpenAIRE

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

    2011-01-01

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

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

    Science.gov (United States)

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

    2012-01-01

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

  1. 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.

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

    OpenAIRE

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

    2009-01-01

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

  3. Adolescent lumbar disc herniation: a case report

    OpenAIRE

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

    1996-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Younis Maha S

    2012-01-01

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

  5. A Case of Acute Psychosis in an Adolescent Male

    OpenAIRE

    Ghufran Babar; Ramin Alemzadeh

    2014-01-01

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

  6. Phyllodes tumor in adolescent. Case study.

    OpenAIRE

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

    2008-01-01

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

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

    OpenAIRE

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

    2016-01-01

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

  8. 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.

  9. 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

  10. 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.

  11. Epidemiological Study on Sleep Characteristics in Children from 6 to 14 Years Old in Xinjiang Different Ethnic and Region Groups%新疆不同民族、不同地区6~14岁儿童睡眠状况流行病学调查

    Institute of Scientific and Technical Information of China (English)

    阿布来提; 茹凉; 徐佩茹; 塔吉古丽; 多力坤

    2011-01-01

    目的 了解新疆不同民族、不同地区6~14岁儿童睡眠状况及其相关因素.方法 2009年10-12月在新疆地区6个县、2个市随机抽取6~14岁不同民族儿童,由专人负责对其家长进行儿童家庭、社会环境与睡眠健康问卷调查,实际发放调查问卷总数为7 011份,回收问卷6 893份(回收率为98.00%),剔除>14岁及<6岁的儿童问卷,有效问卷6 833份.结果 新疆不同民族6~14岁儿童平时平均每天睡眠时间比较,哈萨克族、维吾尔族儿童睡眠时间较汉族、回族儿童睡眠时间长.在被调查的儿童中,睡眠障碍者占33.3%.其中哈萨克族儿童睡眠障碍发生率为45.85%,汉族为40.78%,维吾尔族为18.42%,回族为28.16%.不同民族常见的睡眠障碍表现亦有差别.影响儿童睡眠时间的主要因素有完成家庭作业所需时间、母乳喂养断乳时间、孩子吃晚餐时间、民族、是否用摇床等,而睡眠障碍发生的主要危险因素有曾长期或近期服用某些药物、民族、常患感冒、家庭人均住房面积、家族中有人有睡眠障碍、与父母同睡等.结论 新疆不同民族儿童普遍存在睡眠时间不足、睡眠质量差,睡眠障碍的发生率较高,其中哈萨克族及汉族儿童尤为显著.儿童睡眠状况应予以重视.%Objective To evaluate sleep characteristics and related factors of different ethnic group in children from 6 to 14 years old in Xinjiang. Methods Six thousand eight hundred and ninety - three different ethnic group chidren who were randomly selected among the 6 counties and 2 cities in Xinjiang were administered the questionnaires about children's sleep and their social environment. There were 7 011 delivered questionnaires, received 6 893 ( recovery rate was 98.00% ), among them deleted under 6 years and older than 14 years child, useful questionnaires were 6 833. Results The mean of total sleep time of 6 - 14 years in different ethnic group children: The Hasak and

  12. 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.

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

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    Rosa María Fernández-Torres

    2014-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

  15. Kleine-Levin syndrome: a case report

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    Octávio da Silveira Neto

    1991-09-01

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

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

    OpenAIRE

    Garavan, Hugh

    2013-01-01

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

  17. 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...

  18. 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.

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

    OpenAIRE

    Mokbel, Carine

    1988-01-01

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

  20. 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. PMID:27595880

  1. Anorexia in the Adolescence - case study

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    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.

  2. 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.

  3. 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.

  4. 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.

  5. 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. PMID:25830736

  6. 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

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

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    Artemis Tsitsika

    2011-01-01

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

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

    International Nuclear Information System (INIS)

    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. 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…

  10. 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.

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

    OpenAIRE

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

    2010-01-01

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

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

    OpenAIRE

    Madikizela, Siniko

    2013-01-01

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

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

    OpenAIRE

    Strahan, Brandy E.; Elder, Jennifer H.

    2015-01-01

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

  14. A Case of Acute Psychosis in an Adolescent Male

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    Ghufran Babar

    2014-01-01

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

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

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    Unnikrishnan Ranjith

    2010-01-01

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

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

    OpenAIRE

    Connell, Arin M.; Dishion, Thomas J.

    2006-01-01

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

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

    OpenAIRE

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

    2014-01-01

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

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

    OpenAIRE

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

    2012-01-01

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

  19. 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

  20. 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…

  1. 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. PMID:25086461

  2. 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.

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

    Directory of Open Access Journals (Sweden)

    Deborah Carvalho Malta

    2014-01-01

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

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

    OpenAIRE

    Nel, Lindi

    2005-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Belde KASAP

    2014-01-01

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

  6. 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.

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

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    B. Piedad Urdinola

    2015-06-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2015-01-01

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

  10. 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.

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

    OpenAIRE

    B. Piedad Urdinola; Carlos Ospino

    2015-01-01

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

  12. Stenosing Tenosynovitis Due to Excessive Texting in an Adolescent Girl: A Case Report.

    Science.gov (United States)

    Johnson, Jason D; Gaspar, Michael P; Shin, Eon K

    2016-04-01

    We present a case report of stenosing tenosynovitis of the flexor pollicis longus tendon in an adolescent girl who required surgical release after failing conservative measures. The patient had no other risk factors, aside from her excessive texting, which we postulate led to her condition. Although there have been a few reports of tendinitis and tenosynovitis secondary to texting, we believe this is the first in the literature to report trigger thumb requiring surgical release in an adolescent. PMID:27616827

  13. A Case of Primary Vertebral Osteosarcoma Metastasizing to Pancreas

    Directory of Open Access Journals (Sweden)

    Serhat Avcu

    2009-07-01

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

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

  15. 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…

  16. 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

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

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

    Science.gov (United States)

    Diehl, J M

    1999-02-01

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

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

    OpenAIRE

    Pettinato, M.; Hazan, V.

    2013-01-01

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

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

    OpenAIRE

    Krupińska-Nanys, Magdalena; Zarzecka, Joanna

    2015-01-01

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

  20. 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.

  1. 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…

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

    Science.gov (United States)

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

    2009-10-01

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

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

    OpenAIRE

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

    2014-01-01

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

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

    OpenAIRE

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

    2014-01-01

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

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    Zuo Jianlin

    2012-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Diogo F Guerreiro

    2009-11-01

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

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

    Directory of Open Access Journals (Sweden)

    Danny Salazar-Pousada

    2010-01-01

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

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

    Science.gov (United States)

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

    2010-01-01

    Background. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the 14-item Wagnild and Young Resilience Scale (RS), respectively. A case-control approach was used to compare differences between adolescents and adults. Results. A total of 302 pregnant women were enrolled in the study, 151 assigned to each group. Overall, 56.6% of gravids presented total CESD-10 scores 10 or more indicating depressed mood. Despite this, total CESD-10 scores and depressed mood rate did not differ among studied groups. Adolescents did however display lower resilience reflected by lower total RS scores and a higher rate of scores below the calculated median (P < .05). Logistic regression analysis could not establish any risk factor for depressed mood among studied subjects; however, having an adolescent partner (OR, 2.0 CI 95% 1.06–4.0, P = .03) and a preterm delivery (OR, 3.0 CI 95% 1.43–6.55, P = .004) related to a higher risk for lower resilience. Conclusion. In light of the findings of the present study, programs oriented at giving adolescents support before, during, and after pregnancy should be encouraged. PMID:21461335

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

    Science.gov (United States)

    Yektaş, Çiğdem; Tufan, Ali Evren

    2016-01-01

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

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

    Science.gov (United States)

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

    1998-10-01

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

  12. 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…

  13. 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.…

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

    Directory of Open Access Journals (Sweden)

    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.

  15. [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.

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

    OpenAIRE

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

    2014-01-01

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

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

    Science.gov (United States)

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

    2013-09-01

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

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

    OpenAIRE

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

    2012-01-01

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

  19. 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.

  20. 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.

  1. 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.

  2. 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...

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

    OpenAIRE

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

    1987-01-01

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

  4. 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.

  5. 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.

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

    Science.gov (United States)

    Low, Sara; Kern, Michael; Atanda, Alfred

    2016-07-01

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

  7. [Questions by adolescents about dieting].

    Science.gov (United States)

    Bloch, A

    1989-12-15

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

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

    Science.gov (United States)

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

    2012-12-01

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

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

    OpenAIRE

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

    2011-01-01

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

  11. 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,…

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

    OpenAIRE

    Lara Lages Gava; Debora Dalbosco DellAglio

    2013-01-01

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

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

    Science.gov (United States)

    Strahan, Brandy E; Elder, Jennifer H

    2015-01-01

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

  14. 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.

  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. Burkitt Lymphoma of Thyroid Gland in an Adolescent

    Directory of Open Access Journals (Sweden)

    K. Cooper

    2014-01-01

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

  17. Burkitt Lymphoma of Thyroid Gland in an Adolescent

    OpenAIRE

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

    2014-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

  19. 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. PMID:7676876

  20. 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.

  1. 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.

  2. 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. PMID:23105161

  3. Exposure to violence and victimization and the use of violence by adolescents in the United States.

    Science.gov (United States)

    Champion, H L; Durant, R H

    2001-06-01

    Violence by adolescents in the United States is of growing concern. Despite a decrease in the rate of violence and death by firearms, firearm injuries are the second leading cause of death among Americans age 15 to 24 and the third leading cause of death among 10- to 14-year-old children. Although there are many factors associated with the use of violence by youths, exposure to violence and victimization has consistently been a predictor of the use of violence, as well as intentions to use violence, carrying a gun, and having attitudes accepting of the use of violence and aggressive behavior to resolve conflict. Adolescents' families, friends, neighborhoods, schools, and the media provide sources of exposure and victimization related to the use of violence. The cultural transmission of deviant behavior theory establishes a framework for understanding the influence of exposure to violence and victimization from these sources on adolescents' use of violence. PMID:11455306

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

    DEFF Research Database (Denmark)

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

    2016-01-01

    modulated by expertise (Sørensen & Kyllingsbæk, 2012; Dall, Watanabe, & Sørensen, in review). Here we explore a case of a young female synesthete; AR (age 13), who presented an unusual, but consistent, color profile that allowed us to explore the effects of partial color encoding in synesthesia...

  5. 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…

  6. 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…

  7. Resilience in adolescents adopted from Romanian orphanages: a multiple case study analysis

    OpenAIRE

    Kurytnik, Karen Patricia

    2008-01-01

    This study describes resilience (and non-resilience) processes in nine adolescents adopted between 9.5 and 24 months of age from Romanian orphanages between 1990 and 1991. The study was carried out using a qualitative case study methodology incorporating data from assessments at four time periods—at 11 months post-adoption, age 4.5, age 10.5, and age 16.5. The data were analyzed using a code and sort procedure similar to the one described by Bogdan and Biklen (1992). Case studies regarding th...

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

    Science.gov (United States)

    Girgenti, Vincenza; Cimador, Marcello; Li Voti, Giuseppe

    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. PMID:27525145

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  11. [Psychosocial problems of lymphedema patients in adolescence. Two case reports].

    Science.gov (United States)

    Rogge, H

    1993-08-01

    Two case reports are presented. A ten year-old boy is impeded in his social activities as sports and a seventeen year-old girl in uptaking the normal activities of a young woman. Both are threatened by the "lymphologic rules" and possibly overprotective mothers, in consequence adverse psychic structures may develop. Physiotherapist and physicians are requested to give advice to the young patients and their parents. PMID:8379247

  12. Non-toxigenic penicillin-resistant cutaneous C. diphtheriae infection: a case report and review of the literature.

    Science.gov (United States)

    FitzGerald, Rosemarie Philippa; Rosser, Andrew J; Perera, Dona Nelun

    2015-01-01

    Here, we report a case of non-toxigenic Corynebacterium diphtheriae in a previously healthy 14-year-old girl that was acquired in Ethiopia and presented locally. This is the first clinical case of penicillin-resistant C. diphtheriae in the UK. This is significant finding because penicillin is the recommended first-line agent for the prophylaxis against and treatment of C. diphtheriae in patients who are not allergic to penicillin. PMID:25027172

  13. 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.

  14. Adolescent Mandibular Central Odontoameloblastoma: A Rare Case Report.

    Science.gov (United States)

    Arun Kumar, K V; Mowar, Apoorva; Gupta, Rajat; Deepa, D

    2016-03-01

    Odontoameloblastoma is a rare odontogenic tumour, characterised by simultaneous occurrence of an ameloblastoma and a compound or complex odontoma in the same tumoral mass. The tumour is seen in first three decades and affects mandible or maxilla equally, commonly found posterior to the canines. The management is similar to unicystic ameloblastoma and odontoma excision. A long term follow up is a must to observe the recurrence. Here we present a rare case of odontoameloblastoma in a 17 year old male, presenting as an asymptomatic anterior mandibular swelling with chief complaint of missing lower front teeth. PMID:26929561

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

    NARCIS (Netherlands)

    Huizinga, G.A.; Visser, A.; 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

  16. Adolescent muscle dysmorphia and family-based treatment: a case report.

    Science.gov (United States)

    Murray, Stuart B; Griffiths, Scott

    2015-04-01

    A growing body of evidence suggests that the prevalence of male body dissatisfaction and muscle dysmorphia is rising. To date, however, there is no published evidence on the efficacy of treatments for muscle dysmorphia. We present the case of a 15-year-old boy who met full diagnostic criteria for muscle dysmorphia, whose symptoms were treated into remission with eating disorder-focused, family-based treatment. The age of this patient fell within the time period in which symptoms of muscle dysmorphia are most likely to develop and this case represents the first published case report of family-based treatment for muscle dysmorphia in this age group. Thus, this case report has important implications for clinicians considering treatment options for presentations of muscle dysmorphia when first presenting in adolescence. Implications for the development of treatment guidelines for muscle dysmorphia and for the diagnostic debate surrounding muscle dysmorphia are also discussed. PMID:24554557

  17. 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...... catheters (CVCs) in adolescents. Furthermore, it highlights the importance of not breaking a CVC in the attempt to remove it....

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

    OpenAIRE

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

    2015-01-01

    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 sho...

  19. Uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA syndrome): A case report

    OpenAIRE

    Mohamed Amin El-Gohary

    2014-01-01

    Uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare congenital urogenital anomaly. We report a case of a 14-year-old female who presented with acute lower abdominal pain and tender pelvic mass. The initial diagnosis of twisted left ovarian cyst was confirmed by abdominal ultrasonography (US), which showed an associated absent left kidney. The findings at laparoscopy were that of uterus didelphys with obstructed left hemivagina. Parents were co...

  20. Scoliosis Surgery in Cystic Fibrosis: Surgical Considerations and the Multidisciplinary Approach of a Rare Case

    OpenAIRE

    Mataliotakis, George I; Tsirikos, Athanasios I; Pearson, Karen; Urquhart, Don S.; Smith, Carolyn; Fall, Andrew

    2016-01-01

    Spinal deformity in patients with cystic fibrosis (CF) is usually mild requiring no treatment. These patients are rarely considered as surgical candidates for scoliosis correction, as the pulmonary condition and other comorbidities increase the risk of general anaesthesia and recovery. This paper reviews all the literature up to date with regard to scoliosis in patients with CF and reports this unique case of a 14-year-old Caucasian girl with progressive scoliosis, who was treated surgically ...

  1. Giant Serpentine Internal Carotid Artery Aneurysm: Endovascular Parent Artery Occlusion: A Pediatric Case Report

    OpenAIRE

    Prochazka, V.; Chmelova, J.; Cizek, V.; Skoloudik, D.; Hrbac, T.

    2007-01-01

    We report on a case of a 14-year-old boy with a giant serpentine aneurysm of the left internal carotid artery cavernous segment with symptoms of acute mass-effect cranial nerve dysfunction. After a balloon occlusion test of the collateral circulation, the patient underwent parent artery occlusion with platinum Guglielmi detachable coils and fibered coils. An optimal angiographic result and successful clinical outcome were achieved with resolution of IIIrd, IVth and Vlth cranial nerve ischemic...

  2. Hypersensitivity Reaction to Insulin Glargine and Insulin Detemir in a Pediatric Patient: A Case Report

    OpenAIRE

    Badik, Jennifer; Chen, Jimmy; Letvak, Kira; So, Tsz-Yin

    2016-01-01

    Allergy to human insulin or its analogs is rare, but it is still a significant issue in current diabetes care. Allergic reactions can range from localized injection site reactions to generalized anaphylaxis, and they can be caused by excipients or the insulin molecules themselves. We presented a case of a 14-year-old male patient with generalized allergic reactions to insulin glargine and insulin detemir. The patient was successfully managed by being switched to a continuous subcutaneous insu...

  3. High level increase in liver enzymes and severe thrombocytopenia in a male case of anorexia nervosa

    OpenAIRE

    Mojgan Karahmadi; Elmira Layegh; Samira Layegh; Maryam Keypour

    2011-01-01

    Background: Anorexia nervosa (AN) is a difficult-to-treat psychosomatic disease. Very few cases of acute liver failure associated with AN have been described. We describe one patient who was affected by AN and presented high level increase of serum liver enzymes, along with sever thrombocytopenia. Then, we discuss the possible etiopathogenic factors. Methods: A 14-year-old boy with AN was admitted in the pediatric psychiatric emergency department of Alzahra Hospital with impaired electrol...

  4. 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.

  5. 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

    in the vessel wall and impossible to remove. In the other two cases, catheters were removed with great difficulty by the interventional radiologists. These cases raise important questions concerning the maximum indwelling time and the choice of catheter material when implanting permanent central venous......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...... catheters (CVCs) in adolescents. Furthermore, it highlights the importance of not breaking a CVC in the attempt to remove it....

  6. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  8. An Adolescent Girl with Giant Fibroadenoma - A Case Report.

    Science.gov (United States)

    Ferdousee, Ishrat; Arafat, S M Yasir; Ahmed, Zuhayer

    2016-09-01

    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. PMID:27648624

  9. 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. PMID:23866210

  10. Odontogenic tumors in Nigerian children and adolescents- a retrospective study of 92 cases

    Directory of Open Access Journals (Sweden)

    Adeyemo Wasiu L

    2004-11-01

    Full Text Available Abstract Background Tumours arising from odontogenic tissues are rare and constitute a heterogenous group of interesting lesions. The aim of this study was to determine the relative frequency of odontogenic tumors (OT among Nigerian children and adolescents 19 years or younger. Patients and methods The histopathology records were retrospectively reviewed for all the tumors and tumor-like lesions of the oral cavity and the jaws seen in children and adolescents ≤ 19 years seen between January 1980 and December 2003. Hematoxylin and eosin-stained sections were re-evaluated and the diagnosis in each case was confirmed or modified according to World Health Organization (WHO classification, 1992; and were subjected to analysis of age, sex, site of tumor and histopathologic type. Results A total of 477 tumors and tumor-like lesions were seen in patients ≤ 19 years during the period of the study. Of these, 92 (19.3% were odontogenic tumors. Benign odontogenic tumors constituted 98.9% of the cases seen, while only 1 case (1.1% of malignant variety was seen during the period. The mean (SD age of patients was 14.9 (± 3.1 years (range, 4–19 years. Male-to-female ratio was 1:1; and mandible-to-maxilla ratio was 2.7:1. OT's were most frequently seen in patients aged 16–19 years (46.7% and the least number (2.2% were found in patients aged 0–5 years. Among nine histologic types of OT seen, ameloblastoma (48.9%, adenomatoid odontogenic tumor (19.6% and odontogenic myxoma (8.7% were predominant. Multicystic/solid and unicystic variants of ameloblastoma were diagnosed in 40 (89% and 5 (11% cases respectively. Conclusions Odontogenic tumors are relatively common in children and adolescents in Nigeria. One out of every 5 children and adolescents with tumors and tumor-like lesions of oral cavity and the jaws seen in this study had a diagnosis of odontogenic tumor.

  11. 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.

  12. 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.

  13. 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).

  14. Arresting rampant dental caries with silver diamine fluoride in a young teenager suffering from chronic oral graft versus host disease post-bone marrow transplantation: a case report

    OpenAIRE

    Chu, Chun-Hung; Lee, Angeline Hui-Cheng; Zheng, Liwu; Mei, May Lei; Chan, Godfrey Chi-fung

    2014-01-01

    BACKGROUND: Rampant caries is an advanced and severe dental disease that affects multiple teeth. This case describes the management of rampant caries in a young teenager suffering from chronic oral graft versus host disease after allogeneic bone marrow transplantation. CASE PRESENTATION: A 14-year-old Chinese boy suffering from beta-thalassemia major was referred to the dental clinic for the management of rampant dental caries. An oral examination revealed pale conjunctiva, bruising of lips, ...

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

    Directory of Open Access Journals (Sweden)

    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.

  16. 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.

  17. 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.

  18. Photodynamic Therapy as Novel Treatment for Halitosis in Adolescents: A Case Series Study

    Science.gov (United States)

    Lopes, Rubia Garcia; de Santi, Maria Eugenia Simões Onofre; Franco, Bruno Edin; Deana, Alessandro Melo; Prates, Renato Araujo; França, Cristiane Miranda; Fernandes, Kristianne Porta Santos; Ferrari, Raquel Agnelli Mesquita; Bussadori, Sandra Kalil

    2014-01-01

    Introduction: Halitosis is a common problem that affects a large portion of the population worldwide. The origin of this condition is oral in 90% of cases and systemic in 10% of cases. The foul odor is caused mainly by volatile sulfur compounds produced by Gram-negative bacteria. However, it has recently been found that anaerobic Gram-positive bacteria also produce hydrogen sulfide (H2S) in the presence of amino acids, such as cysteine. Light with and without the combination of chemical agents has been used to induce therapeutic and antimicrobial effects. In photodynamic therapy, the antimicrobial effect is confined to areas covered by the photosensitizing dye. The aim of the present case series study was to evaluate the antimicrobial effect of photodynamic therapy on halitosis in adolescents through the analysis of volatile sulfur compounds measured using a sulfide meter (Halimeter®). Methods: Five adolescents aged 14 to 16 years were evaluated using a sulfide meter before and one hour after photodynamic therapy, which involved the use of methylene blue 0.005% on the middle third and posterior thirds of the dorsum of the tongue and nine points of laser irradiation in the red band (660 nm) with an energy dose of 9 J, power output of 100 mW and 90-seconds exposure time. Results: A 31.8% reduction in the concentration of volatile sulfur compounds was found in the comparison of the initial and final readings. The statistically significant reduction (p = 0.0091) led to an absence of halitosis following treatment (mean: 58.2 ppb). Conclusion: Photodynamic therapy seems to be effective on reduction the concentration of volatile sulfur compounds.Considering the positive effects of photodynamic therapy in this case series, further studies involving microbiological analyses should be conducted to allow comparisons of the results. PMID:25653814

  19. Ovarian tumors in childhood and adolescence: Histopathological evaluation of 44 cases

    Directory of Open Access Journals (Sweden)

    Sevgiye KAÇAR ÖZKARA

    2007-09-01

    Full Text Available Ovarian tumors of childhood and adolescence constitute the most frequent and special group of gynaecologic tumors due to clinical and histopathological peculiarities and age specific therapeutic implications related to physically, hormonally and immunologically immature host. Pathologic features of ovarian tumors of children and adolescents diagnosed in our department in ten-year period, constitute the perspective of this report. Macroscopical, microscopical, immunohistochemical, and cytopathological features of ovarian tumors under 21-years-of age, and diagnosed in 1997-2006 are re-evaluated.Fourty-two cases (9.7% belong to the young patients among 391 primary ovarian tumors diagnosed in tenyears. Germ-cell tumors were the most frequent (54.8% while epithelial tumors were 38.1% and sexcord- stromal tumors was 7.1%. Malignancy rate was 28.6% among all subtypes while epithelial malignancy were 4.8%. Malignancy under 16 years was 31.3% while it was 26.9% in adolescence. Epithelial tumors in childhood was 18.8% while it was 50% over 16 years; the difference was significant (p=0.043. In our series, 60.9% of germ cell tumors were mature cystic teratomas. Malignancy rate within this group was 39.1%. There were four pure dysgerminomas, three mixed germ cell tumors and two immature teratomas within the malignant germ cell tumors. The mean tumor diameter was 92.1 mm. in benign tumors while it was 172.9 mm. in malignant tumors, and the difference was significant (p=0.001. Most of the solid tumors were malignant (p=0.002.As the malignancy potential among the young was considerably high, a detailed clinical and pathological evaluation is mandatory for abdominopelvic masses.

  20. 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

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

    International Nuclear Information System (INIS)

    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.)

  2. 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.

  3. 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…

  4. 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.

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

    International Nuclear Information System (INIS)

    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.

  6. Long-Term Follow-Up Clinical Courses of Cerebellar Hemangioblastoma in von Hippel-Lindau Disease : Two Case Reports and a Literature Review

    OpenAIRE

    Lee, Seung Hwan; Park, Bong Jin; Kim, Tae Sung; Lim, Young Jin

    2010-01-01

    Although cerebellar hemangioblastomas are histopathologically benign, they yield a degree of malignant clinical behavior in long-term follow-up. We present two cases of long-term progression of renal cell carcinoma, which had been diagnosed as renal cysts during treatment for cerebellar hemangioblastoma. A 14-year-old male with von Hippel-Lindau disease was admitted for a cerebellar hemangioblastoma with multiple spinal hemangioblastomas and a renal cyst. After primary total resection of the ...

  7. Interpersonal Psychotherapy for Depressed Adolescents (IPT-A): A Case Illustration

    Science.gov (United States)

    Hall, Elisabeth Baerg; Mufson, Laura

    2009-01-01

    This article describes the treatment of a depressed adolescent (15 years of age) boy using Interpersonal Psychotherapy for depressed adolescents (IPT-A). IPT-A is an empirically supported psychosocial intervention for adolescents suffering from a depressive episode. It is delivered as an individual psychotherapy with a minimum of parental…

  8. 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…

  9. 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. PMID:12158005

  10. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  12. 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.

  13. Binge Drinking among 12-to-14-Year-Old Canadians: Findings from a Population-Based Study

    OpenAIRE

    Esme Fuller-Thomson; Tamara Grundland; Sheridan, Matthew P.; Cathy Sorichetti

    2014-01-01

    Purpose. This study’s objective is to document which factors are associated with binge drinking behaviour in a population-based sample of Canadian youth aged 12 to 14. Middle school is a key period in which binge drinking behaviour is initiated. Binge drinking is an important risk factor for alcohol-related injuries, accidental death, unsafe sexual behaviour, and substance abuse problems. Understanding the drinking patterns of this population can serve to better inform prevention programs and...

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

    Directory of Open Access Journals (Sweden)

    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.

  15. 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…

  16. 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; Grønbech Jørgensen, Martin; Junge, Tina;

    2014-01-01

    and adults. When assessing static balance, it is essential to use objective, sensitive tools, and these types of measurement have previously been performed in laboratory settings. However, the emergence of technologies like the Nintendo Wii Board (NWB) might allow balance assessment in field settings...

  17. 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

  18. Examining Effects of Volleyball Trainings on Some Respiration and Circulation Parameters of 11 - 14 Years Old Female Test Subjects

    Directory of Open Access Journals (Sweden)

    Yeliz ÖZVEREN

    2014-08-01

    Full Text Available The aim of this study is to determine the effects of the training done by the students on their respiration and blood circulation systems who plays volleyball, aged 11 - 14, at Izmir. 42 students doing sports average age 12.93 ± 0.74 and 36 students not doing an y sports, with the age average 12.46 ± 0.91, voluntary involved in this study, which aims to determine the effects of the training done by test subjects on respiration and blood circulation systems. Parameters of age, height, weight, resting pulse measures , systolic - diastolic blood pressure, and vital capacity (VC, force vital capacity (FVC, force expiration volume (FEV, and maximum voluntary ventilation (MVV values of respiration system were recorded. Findings obtained by SPSS 11.0 statistics program. The differences between the averages of groups were examined with independent t test at 0.01 and 0.05 levels. The differences between groups in terms of age, height, weight and diastolic blood pressure valves are not significant. There were significant dif ference on resting pulse and systolic blood pressure, vital capacity, force vital capacity and force expiration volume, maximum voluntary ventilation values of experimental group. In conclusion, resting pulse and blood pressure values of the students, who do training, were found to be lower; the respiration values VC, FVC, FEV1 and MVV were higher than those of the students not doing sports.

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

    OpenAIRE

    Hellfritzsch, Maja; Grove, Erik Lerkevang

    2015-01-01

    Patient: Female, 14 Final Diagnosis: Pulmonary embolism Symptoms: Chest pain • dyspnea • syncope Medication: Combined oral contraceptives Clinical Procedure: — Specialty: Internal Medicine Objective: Adverse events of drug therapy Background: The prothrombotic effect of combined oral contraceptives (COCs) is well-established, with a 3–6-fold increased risk of VTE compared to non-users. When initiation of COCs is considered, it is therefore of paramount importance to carefully evaluate all oth...

  20. 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; Shin, Il-Seon; Yoon, Jin-Sang

    2015-01-01

    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. PMID:26207138

  1. 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. PMID:26207138

  2. Prosthetic rehabilitation of an adolescent with hypohidrotic ectodermal dysplasia with partial anodontia: Case report

    Directory of Open Access Journals (Sweden)

    Kaul S

    2008-01-01

    Full Text Available Ectodermal dysplasia is a hereditary syndrome characterized by dysplasia of tissues of ectodermal origin (hair, skin, nails, and teeth and occasionally, dysplasia of mesodermally derived tissues. The triad of nail dystrophy (onychodysplasia, alopecia, or hypotrichosis (scanty, fine, light hair on the scalp and eyebrows and palmoplantar hypohidrosis is usually accompanied by lack of sweat glands and partial or complete absence of primary and permanent dentition. Hypohidrotic ectodermal dysplasia usually has an X-linked inheritance and affects only males severely, while female heterozygotes show only minor defects. The clinical management of children with ectodermal dysplasia provides a unique opportunity for cooperative effort between the pedodontist and the prosthodontist. The following case report discusses the management of a young boy with hypohidrotic ectodermal dysplasia. Removable prostheses were employed in the treatment. The aim was to rehabilitate the adolescent prosthodontically and boost him psychologically.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  5. The home environment: A mediator of nutrition knowledge and diet quality in adolescents.

    Science.gov (United States)

    Tabbakh, Tamara; Freeland-Graves, Jean H

    2016-10-01

    The objective of this research was to assess adherence to the Healthy Eating Index-2010 of mothers and their adolescents (11-14 years old) and to examine the role of the home environment as a mediator of maternal nutrition knowledge and adolescent diet quality. It is hypothesized that mothers with greater knowledge impact the diet quality of their adolescents by creation of healthier home environments. A sample of 206 mother-adolescent dyads separately completed the Multidimensional Home Environment Scale, a Food Frequency Questionnaire, and a Nutrition Knowledge Scale. Body mass index-for-age percentiles were derived from weight and height measurements obtained by researcher; diet quality was estimated via the Healthy Eating Index (HEI)-2010. Percent of maximum score on nutrition knowledge for both mothers and adolescents were poor, with lowest scores on recommendations of healthy eating and physical activity (48% and 19%, respectively). A model of maternal nutrition knowledge (independent variable) and adolescent diet quality (dependent variable) indicated that greater knowledge was associated with higher scores on total fruit (p = 0.02), whole grains (p = 0.05), seafood and plant proteins (p = 0.01), and overall diet quality (p variables were all significant mediators of nutrition knowledge on diet quality. These results emphasize the importance of maternal nutrition knowledge and the mediating effect of the home environment on the diet quality of adolescents. PMID:27170447

  6. 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.

  7. Risk factors in adolescence: the case of gambling, videogame playing, and the internet.

    Science.gov (United States)

    Griffiths, M; Wood, R T

    2000-01-01

    It has been noted that adolescents may be more susceptible to pathological gambling. Not only is it usually illegal, but it appears to be related to high levels of problem gambling and other delinquent activities such as illicit drug taking and alcohol abuse. This paper examines risk factors not only in adolescent gambling but also in videogame playing (which shares many similarities with gambling). There appear to be three main forms of adolescent gambling that have been widely researched. Adolescent gambling activities and general risk factors in adolescent gambling are provided. As well, the influence of technology on adolescents in the form of both videogames and the Internet are examined. It is argued that technologically advanced forms of gambling may be highly appealing to adolescents.

  8. 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

  9. Lumbar Thrust Manipulation and Exercise for the Treatment of Mechanical Low Back Pain in Adolescents: A Case Series.

    Science.gov (United States)

    Walston, Zachary; Yake, Dale

    2016-05-01

    Study Design Case series. Background Low back pain (LBP) is an increasing problem in health care. The evidence for the use of spinal manipulative therapy to treat pediatric patients with LBP is minimal. The treatment of pediatrics with manual therapy, particularly spinal manipulation, is controversial within the medical community, primarily with respect to adverse events. The purpose of this case series was to illustrate the feasibility and safety of lumbar manipulation plus exercise in the adolescent population with mechanical LBP. Case Description Three patients-a 13-year-old adolescent girl, 15-year-old adolescent girl, and 13-year-old adolescent boy-were treated in an outpatient physical therapy setting for mechanical LBP. All 3 patients were assessed using a lumbar manipulation clinical prediction rule and treated with sidelying lumbar manipulation and exercise. Outcomes Patients were treated for a total of 10 to 14 visits over a course of 8 to 9 weeks. Pain (measured by a numeric pain-rating scale) and disability (measured by the modified Oswestry Disability Index) improved to 0/10 and 0%, respectively, in each patient. No adverse reactions to manipulation were reported. Discussion The results of this case series describe the use of lumbar thrust manipulation and exercise for the treatment of mechanical LBP in adolescents. The positive results indicate that lumbar manipulation may be a safe adjunct therapy. Further studies, including randomized controlled trials, are needed to determine effectiveness. Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2016;46(5):391-398. Epub 6 Apr 2016. doi:10.2519/jospt.2016.6366.

  10. 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.

  11. 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.

  12. A Western dietary pattern is associated with poor academic performance in Australian adolescents.

    Science.gov (United States)

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

    2015-04-01

    The aim of this study was to investigate cross-sectional associations between dietary patterns and academic performance among 14-year-old adolescents. Study participants were from the Western Australian Pregnancy Cohort (Raine) Study. A food frequency questionnaire was administered when the adolescents were 14 years old, and from the dietary data, a 'Healthy' and a 'Western' dietary pattern were identified by factor analysis. The Western Australian Literacy and Numeracy Assessment (WALNA) 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. PMID:25898417

  13. 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.

  14. 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.

  15. 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.

  16. 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.

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

    OpenAIRE

    Zorica Terzic Supic; Milena Santric Milicevic; Isidora Sbutega; Vladimir Vasic

    2013-01-01

    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...

  18. The Case Report of Treatment Strategy for Anorexia nervosa with Psychotic Elements in Adolescent

    OpenAIRE

    Dodig-Ćurković, Katarina; Ćurković, Mario; RADIĆ, JOSIPA; Degmečić, Dunja; Požgain, Ivan; Filaković, Pavo

    2010-01-01

    Eating disorders in early childhood are the same frequency in boys and girls. During adolescence eating disorders are ten (10) times more frequent in girls than in boys. Worrying is the fact that eating disorders are the third chronic illness among adolescents after obesity and asthma. Depicting this adolescent we tried to show difficulty of treatment of this disorder, where in the beginning is important to stabilize body weight and prevent somatic damages such as: heart damage, amenorrhoea, ...

  19. 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.

  20. One-Year Retrospective Analysis of Forensic Cases Referred to Child and Adolescent Psychiatry Outpatient Clinic in the Province of Adiyaman

    OpenAIRE

    Funda Gumustas; Yasemin Yulaf; Sebla Gokce; Sema Saglam; Emel Koyuncu Kutuk

    2014-01-01

    Purpose: This study’s aim is to investigate child and adolescent cases referred for forensic examination to our child and adolescent psychiatry outpatient clinic. Material and Methods: File informations of 121 cases who referred to Adiyaman University Training and Research Hospital, child psychiatry clinic between 01 June 2012 and 31 May 2013 were reviewed retrospectively. Socio-demographic characteristics of the children and reasons for referral determined. The study was focused on ...

  1. Inpatient treatment of conduct disorders in childhood and adolescence a€“ A retrospective analysis of case numbers and treatment duration

    OpenAIRE

    Zepf, Florian Daniel; Bubenzer, S.; Gaber, T. J.; BAURMANN, D; Helmbold, K.; Wöckel, L.

    2011-01-01

    Objective: Conduct disorders (CD) are among the most frequently diagnosed disorders in child and adolescent psychiatry. However, to date, a thorough analysis of clinical case numbers and treatment duration in children and adolescents is missing. Method: Data provided by the German Federal Health Monitoring System were analyzed for the period from 2000-2007 with respect to case numbers, treatment duration and different subtypes of disorders related to the CD spectrum. Results: The...

  2. Adolescents during and after Times of Social Change: The Case of the Czech Republic

    Science.gov (United States)

    Macek, Petr; Ježek, Stanislav; Vazsonyi, Alexander T.

    2013-01-01

    The paper introduces a set of four studies focused on adolescents in the Czech Republic. In the first part, authors reflect on the cultural background, the political, social, and psychological factors that have had influence on several generations of adolescents in the period of the communist totalitarian regime. They also describe the social…

  3. 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…

  4. 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

  5. The management of autonomy in adolescent diabetes: a case study of triadic medical interaction.

    Science.gov (United States)

    Buchbinder, Mara

    2009-03-01

    The transfer of responsibility for diabetes management from parent to child has been seen as a central challenge for the clinical care of adolescents with Type 1 diabetes. Research is needed to better understand how clinicians, patients, and families handle the delicate balance between parental involvement and adolescent responsibility for diabetes management. The aim of this study is to investigate the interactional processes by which an adolescent's autonomy is facilitated and constrained in a clinical interaction between a nurse practitioner (NP), a 13-year-old diabetes patient, and the patient's mother. Integrating psychological perspectives on adolescent autonomy and responsibility with conversation analytic approaches to participation, I examine participation frameworks and shifting alignments to illuminate the negotiation of adolescent autonomy within a single clinical encounter. The analysis demonstrates that the patient's autonomy is emphasized while identifying problems, yet restricted when considering solutions. Clinical implications are discussed. PMID:19228827

  6. 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.

  7. 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.

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

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    Lara Lages Gava

    2013-09-01

    Full Text Available Currently, there is no standardized protocol for the evaluation of situations of sexual abuse. Thus, this study investigated the techniques used by psychologists in forensic examinations in cases of suspected child and adolescent sexual abuse in the context of the criminal investigation. Semi-structured interviews, which were qualitatively analyzed using the WebQDA software, were applied with twelve psychologists who work as expert witnesses in the Medical-Legal Institute of six Brazilian capitals. The results showed a diversity of actions taken in the forensic examination practice, as well as consensus and controversy regarding the use of psychological testing and the credibility assessment of the report. Flexibility in conducting the forensic examinations by the teams was also observed, with the techniques used adapted according to the needs. The importance of the diversity of techniques was highlighted, as these aim to assist the expert witness to come to reliable conclusions, as well as maintain the rigor and technical quality of the evaluation.

  9. 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

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

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    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

  11. 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.

  12. 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.

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

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    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.

  14. 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.

  15. Effectiveness of a School-Based Physical Activity Intervention on Cognitive Performance in Danish Adolescents: LCoMotion-Learning, Cognition and Motion

    DEFF Research Database (Denmark)

    Tarp, Jakob; Domazet, Sidsel Louise; Froberg, Karsten;

    2016-01-01

    BACKGROUND: Physical activity is associated not only with health-related parameters, but also with cognitive and academic performance. However, no large scale school-based physical activity interventions have investigated effects on cognitive performance in adolescents. The aim of this study...... was to describe the effectiveness of a school-based physical activity intervention in enhancing cognitive performance in 12-14 years old adolescents. METHODS: A 20 week cluster randomized controlled trial was conducted including seven intervention and seven control schools. A total of 632 students (mean (SD) age......: 12.9 (0.6) years) completed the trial with baseline and follow-up data on primary or secondary outcomes (74% of randomized subjects). The intervention targeted physical activity during academic subjects, recess, school transportation and leisure-time. Cognitive performance was assessed using...

  16. 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.

  17. 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...

  18. Rumination in Adolescence: the Distinctive Impact of Brooding and Reflection on Psychopathology.

    Science.gov (United States)

    Xavier, Ana; Cunha, Marina; Pinto-Gouveia, José

    2016-01-01

    Rumination has a crucial role in the onset, severity and maintenance of depression in adolescent and adult populations. The Ruminative Responses Scale (RRS) is the most widely self-report instrument used to assess individual differences in the tendency to engage in ruminative responses style. This paper aims to test the factor structure of the 10-item RRS and the gender-based measurement invariance, in a community sample of adolescents, using a Confirmatory Factor Analysis. Participants were 542 adolescents (53% females) with a mean age of 14 years old (SD = 1.75) from middle and secondary schools (years of education's mean = 9.46, SD = 1.60) in Portugal. Results confirm the two-factor structure of the RRS composed by brooding and reflection dimensions (GFI = .93, CFI = .90, TLI = .87, SRMR = .05, RMSEA = .11, 90% C.I. [0.092 to 0.121]) and the invariance across gender (GFI = .91, CFI = .89, TLI = .85, RMSEA = .08, 90% C.I. [0.069 to 0.090], p rumination than male adolescents. Overall, these findings support the usefulness of the Portuguese version of RRS and suggest that this short version is an economical, valid and reliable measure to assess ruminative response styles in adolescence. PMID:27320186

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

    OpenAIRE

    Diogo F Guerreiro; Neves, Ema L; Rita Navarro; et al, ...

    2009-01-01

    Diogo F Guerreiro, Ema L Neves, Rita Navarro, Raquel Mendes, Ana Prioste, Diana Ribeiro, Tiago Lila, António Neves, Mónica Salgado, Nazaré Santos, Daniel SampaioYouth Suicide Study Group (NES), The Hospital Santa Maria, Psychiatry Department, Lisbon Faculty of Medicine, PortugalAbstract: Deliberate self-harm (DSH) among adolescents is a high-risk condition for suicide. The aim of the present study is to describe the characteristic clinical features of adolesce...

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

    OpenAIRE

    Helena Bonache; Francisca Exposito; Josefa Ruiz

    2010-01-01

    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 a...

  1. 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. PMID:26828129

  2. Agenesia da artéria carótida interna: relato de caso Agenesis of the internal carotid artery: a case report

    Directory of Open Access Journals (Sweden)

    William da Silva Neves

    2008-02-01

    Full Text Available Relata-se, aqui, caso de uma adolescente de 14 anos de idade que apresentou episódio isolado de síncope, sem outros sintomas. No exame de ressonância magnética observou-se, nos cortes nos planos axial e coronal ponderados em T2, ausência do flow void da artéria carótida interna direita na sua porção intracavernosa. Realizou-se, então, angiorressonância magnética técnica time-of-flight, que mostrou ausência da artéria carótida interna direita, o que foi comprovado com a angiorressonância magnética de vasos cervicais e com angiotomografia computadorizada, que mostrou, nos cortes axiais, agenesia do canal carotídeo direito. Tal achado é relatado na literatura, em associação com outras anomalias, como encefaloceles transesfenoidais e aneurismas do polígono de Willis. No presente caso, não foram observadas tais associações. A paciente permaneceu assintomática.The present paper reports a case of a 14-year-old-female adolescent who presented a single episode of syncope, without any other symptom. Axial and coronal T2-weighted magnetic resonance imaging demonstrated an absent right internal carotid artery flow void. A subsequent magnetic resonance angiography utilizing the time-of-flight technique showed absence of the right internal carotid artery. This finding was confirmed by magnetic resonance angiography of the cervical vessels, and axial computed tomography angiography showed agenesis of the right carotid canal. The literature reports such finding in association with other anomalies such as transsphenoidal encephaloceles and circle of Willis aneurysms. These associations were not observed in the present case. The patient remained asymptomatic.

  3. Case management via telephone counseling and SMS for weight maintenance in adolescent obesity: study concept of the TeAM program

    OpenAIRE

    Markert, Jana; Herget, Sabine; Marschke, Stefanie; Lehnert, Thomas; Falkenberg, Christian; Blüher, Susann

    2014-01-01

    Background In-patient obesity treatment programs for adolescents are associated with good success and substantial weight loss. However, maintaining weight loss remains a challenge. This article presents the concept of the TeAM (Telephone counseling as Adiposity Management) program. TeAM is an innovative, weight maintenance program for obese adolescents after in-patient therapy. It applies the case management approach in combination with new media (telephone counseling, web forum, and SMS mess...

  4. 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.

  5. 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.

  6. Non-anaplastic peripheral T cell lymphoma in children and adolescents-an international review of 143 cases.

    Science.gov (United States)

    Mellgren, K; Attarbaschi, A; Abla, O; Alexander, S; Bomken, S; Bubanska, E; Chiang, A; Csóka, M; Fedorova, A; Kabickova, E; Kapuscinska-Kemblowska, L; Kobayashi, R; Krenova, Z; Meyer-Wentrup, F; Miakova, N; Pillon, M; Plat, G; Uyttebroeck, A; Williams, D; Wróbel, G; Kontny, U

    2016-08-01

    Peripheral T cell lymphomas (PTCL) are rare in children and adolescents, and data about outcome and treatment results are scarce. The present study is a joint, international, retrospective analysis of 143 reported cases of non-anaplastic PTCL in patients event-free survival was (pEFS) 0.45 ± 0.05. Patients with SP TCL had a good outcome with 5-year pOS of 0.78 ± 0.1 while patients with HS TCL were reported with 5-year pOS of only 0.13 ± 0.12. Twenty-five percent of the patients were reported to have a pre-existing condition, and this group had a dismal outcome with 5-year pOS of 0.29 ± 0.09. The distribution of non-anaplastic PTCL subtypes in pediatric and adolescent patients differs from what is reported in adult patients. Overall outcome depends on the subtype with some doing better than others. Pre-existing conditions are frequent and associated with poor outcomes. There is a clear need for subtype-based treatment recommendations for children and adolescents with PTCL. PMID:27270301

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

    Directory of Open Access Journals (Sweden)

    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.

  8. 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. PMID:26174484

  9. 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.

  10. 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. PMID:25410427

  11. Cohen Syndrome. A Case Report

    Directory of Open Access Journals (Sweden)

    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.

  12. Cognitive Function of Children and Adolescents with Attention Deficit Hyperactivity Disorder and Learning Difficulties: A Developmental Perspective

    Science.gov (United States)

    Huang, Fang; Sun, Li; Qian, Ying; Liu, Lu; Ma, Quan-Gang; Yang, Li; Cheng, Jia; Cao, Qing-Jiu; Su, Yi; Gao, Qian; Wu, Zhao-Min; Li, Hai-Mei; Qian, Qiu-Jin; Wang, Yu-Feng

    2016-01-01

    Background: The cognitive function of children with either attention deficit hyperactivity disorder (ADHD) or learning disabilities (LDs) is known to be impaired. However, little is known about the cognitive function of children with comorbid ADHD and LD. The present study aimed to explore the cognitive function of children and adolescents with ADHD and learning difficulties in comparison with children with ADHD and healthy controls in different age groups in a large Chinese sample. Methods: Totally, 1043 participants with ADHD and learning difficulties (the ADHD + learning difficulties group), 870 with pure ADHD (the pure ADHD group), and 496 healthy controls were recruited. To investigate the difference in cognitive impairment using a developmental approach, all participants were divided into three age groups (6–8, 9–11, and 12–14 years old). Measurements were the Chinese-Wechsler Intelligence Scale for Children, the Stroop Color-Word Test, the Trail-Making Test, and the Behavior Rating Inventory of Executive Function-Parents (BRIEF). Multivariate analysis of variance was used. Results: The results showed that after controlling for the effect of ADHD symptoms, the ADHD + learning difficulties group was still significantly worse than the pure ADHD group, which was, in turn, worse than the control group on full intelligence quotient (98.66 ± 13.87 vs. 105.17 ± 14.36 vs. 112.93 ± 13.87, P ADHD symptoms, intelligence quotient, age, and gender. As for the age groups, the differences among groups became nonsignificant in the 12–14 years old group for inhibition (meaning interference of the Stroop Color-Word Test, 18.00 [13.00, 25.00] s vs. 17.00 [15.00, 26.00] s vs. 17.00 [10.50, 20.00] s, P = 0.704) and shift function (shifting time of the Trail-Making Test, 62.00 [43.00, 97.00] s vs. 53.00 [38.00, 81.00] s vs. 101.00 [88.00, 114.00] s, P = 0.778). Conclusions: Children and adolescents with ADHD and learning difficulties have more severe cognitive

  13. 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.

  14. 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.

  15. 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

    2016-05-01

    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. PMID:26698832

  16. Peer victimization, deviant peer affiliation and impulsivity: Predicting adolescent problem behaviors.

    Science.gov (United States)

    Zhu, Jianjun; Yu, Chengfu; Zhang, Wei; Bao, Zhenzhou; Jiang, Yanping; Chen, Yuanyuan; Zhen, Shuangju

    2016-08-01

    Abundant evidence has demonstrated an association between peer victimization and adolescent problem behaviors. However, there is a large gap in knowledge about the potential mediators that associate peer victimization with problem behaviors and the potential moderators that exacerbate or buffer this association. The current study examined whether deviant peer affiliation mediated the association between peer victimization and problem behaviors and whether the direct and indirect associations were moderated by impulsivity. A sample of 1401 adolescents (50.1% boys, 11-14 years old) completed anonymous questionnaires regarding peer victimization, impulsivity, deviant peer affiliation, and problem behaviors. Gender, age and socioeconomic status (SES) were controlled for in the analyses. Structural equation models showed that peer victimization was significantly associated with more problem behaviors, and this association was mediated by deviant peer affiliation. Impulsivity moderated both the direct association (peer victimization→problem behaviors) and the second stage of the indirect path (deviant peer affiliation→problem behaviors). Specifically, these associations were especially stronger for adolescents with higher impulsivity. Identifying the processes by which peer victimization is associated with adolescent problem behaviors has important implications for an integrative framework of theory and prevention. PMID:27348798

  17. Cystic tuberculosis of the scapula in a young boy: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Jain Deepali

    2009-08-01

    Full Text Available Abstract Introduction Tuberculosis of the flat bones is rare and only a small percentage involves the scapular bone. Case presentation We report a rare case of tuberculosis of the scapula in a 14-year-old. Diagnostic clues include lytic areas with low density seen in the body of the scapula involving a glenoid margin associated with typical clinical features. Treatment should include a regimen of four antitubercular drugs along with surgical debridement if required. Conclusion Although rare, tuberculosis should be suspected in patients presenting with a chronic sinus in the scapular region, particularly in the developing world.

  18. 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

  19. "Living on the Edge": A Case of School Reform Working for Disadvantaged Young Adolescents

    Science.gov (United States)

    Smyth, John; McInerney, Peter

    2007-01-01

    This paper describes an instance of a disadvantaged (urban) Australian government school that realized it had little alternative but to try new approaches; "old ways" were not working. The paper describes an ensemble of school reform practices, philosophies and strategies that give young adolescents genuine ownership of their learning. This school…

  20. "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…

  1. 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.…

  2. 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…

  3. Dialectical Behavior Therapy Modified for Adolescent Binge Eating Disordspan>er: 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…

  4. 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…

  5. 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…

  6. Case Study: The Internet as a Developmental Tool in an Adolescent Boy with Psychosis.

    Science.gov (United States)

    Daley, Melita L.; Becker, Daniel F.; Flaherty, Lois T.; Harper, Gordon; King, Robert A.; Lester, Patricia; Milosavljevic, Nada; Onesti, Silvio J.; Rappaport, Nancy; Schwab-Stone, Mary

    2005-01-01

    The Internet has become an increasingly important part of teen culture; however, there still remains little in the medical/psychiatric literature pertaining to the impact of the Internet on adolescent development. Despite the potential problems associated with communication online, the Internet offers a variety of positive opportunities for teens.…

  7. The Prevalence of Cyberbullying among Adolescents: A Case Study of Middle Schools in Serbia

    Science.gov (United States)

    Popovic-Citic, Branislava; Djuric, Sladjana; Cvetkovic, Vladimir

    2011-01-01

    Cyberbullying has become widespread, and is generating growing concerns as it affects students and school climates in general. The objective of this article is to investigate the prevalence of cyberbullying among Serbian adolescents. Special emphasis was placed on gender differences regarding different forms of cyberbullying and victimization. In…

  8. Parent-adolescent relationships and social adjustment: the case of a collectivistic culture.

    Science.gov (United States)

    Scharf, Miri; Wiseman, Hadas; Farah, Faten

    2011-06-01

    This study examined how parent-adolescent relationships are related to adolescent loneliness, interpersonal difficulties and school adjustment among Israeli Arabs. Two hundred and thirty-one 11th graders (103 boys and 128 girls) and their homeroom teachers participated. Four groups of adolescents were identified according to parenting practice profiles: Adolescents in the harsh parenting group reported the highest levels of loneliness, those in the distant and mixed groups reported midway levels of loneliness, and those in the warm group showed the lowest degree of loneliness and the lowest levels of interpersonal problems. Overall, boys reported higher levels of peer-related loneliness and lower levels of affinity for aloneness than girls. Gender interacted significantly with parenting group, with girls in the harsh parenting group exhibiting greater parent-related loneliness and affinity for loneliness, while boys exhibited more peer-related loneliness. The important role that parents play in their children's social adjustment is discussed in relation to gender and culture. PMID:22044231

  9. 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…

  10. 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.

  11. Uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA syndrome: A case report

    Directory of Open Access Journals (Sweden)

    Mohamed Amin El-Gohary

    2014-09-01

    Full Text Available Uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA syndrome is a rare congenital urogenital anomaly. We report a case of a 14-year-old female who presented with acute lower abdominal pain and tender pelvic mass. The initial diagnosis of twisted left ovarian cyst was confirmed by abdominal ultrasonography (US, which showed an associated absent left kidney. The findings at laparoscopy were that of uterus didelphys with obstructed left hemivagina. Parents were concerned about hymnal integrity and refused hemivaginal septal resection.

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

    Directory of Open Access Journals (Sweden)

    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.

  13. A rare case report on ovotesticular disorders of sex development (DSD) 46XY variant

    OpenAIRE

    Sujata Swain; Lopamudra Pradhan; R. N. Satpathy; Mahapatra, P. C.

    2014-01-01

    Ovotestis refers to the histology of a gonad that contains both ovarian follicles and testicular tubular elements. Ovotesticular DSD is a rare condition characterized by mixed ovarian and testicular tissue. Majority have a 46,XX karyotype, 7% have 46,XY karyotype and 10-40% exhibit chromosomal mosaicism. Here, we report the case of a boy with a 46,XY karyotype diagnosed as ovotesticular DSD by gonadal biopsy. A 14 year-old reared as boy presented with came with ambiguous genitalia with no pa...

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

    Directory of Open Access Journals (Sweden)

    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

  15. Paradoxical vocal cord movement during sleep - A unique case with review of literature.

    Science.gov (United States)

    Sakthivel, Pirabu; Ranipatel, Shikha; Singh, Ishwar; Gulati, Achal

    2015-11-01

    Paradoxical vocal cord movement (PVCM) refers to paradoxical adduction of the true vocal cords during inspiration resulting in variable upper airway obstruction. The condition often presents with shortness of breath, wheeze or stridor, mimicking bronchial asthma. Both organic and non-organic causes have been described. PVCM occurring only during sleep has rarely been reported in patients with CNS disease. We present a case of PVCM occurring only during sleep in a 14-year-old boy without any CNS disease, who was initially misdiagnosed as bronchial asthma. PMID:26318024

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

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

    2014-01-01

    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 mandibu...

  18. Assessing community readiness for overweight and obesity prevention in pre-adolescent girls: a case study

    OpenAIRE

    Kesten, Joanna May; Cameron, Noel; Griffiths, Paula Louise

    2013-01-01

    Background Childhood overweight and obesity is a global public health concern. For girls in particular, being overweight or obese during pre-adolescence (aged 7–11 years) has intergenerational implications for both the mother and her future offspring. In the United Kingdom (UK) there is increasing interest in community targeted interventions but less is known about how to tailor these approaches to the needs of the community. This study applied the Community Readiness Model (CRM), for the fir...

  19. Lumbar disc replacement in adolescents: An initial experience in two cases

    OpenAIRE

    Kasliwal, Manish K.; Harel Deutsch

    2012-01-01

    Management of painful lumbar disc degeneration is one of the most common conditions treated by spine surgeons. Several recent prospective multicenter trials have demonstrated the effectiveness of artificial lumbar disc replacement in treating discogenic lower back pain. Though data on the safety and effectiveness has gradually been accumulated in adults, there is a lack of published data on the effectiveness and feasibility of lumbar artificial disc replacement in adolescents. The authors sha...

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

    OpenAIRE

    Weiss Hans-Rudolf

    2007-01-01

    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. ...

  1. Recognition of Asperger’s Syndrome in adolescent patient with bipolar disorder: a case report

    OpenAIRE

    Oflaz, Serap; Bozkurt, Hasan; Güveli, Hülya; Gümüş, Sevda

    2014-01-01

    Asperger’s syndrome (AS) is a pervasive developmental disorder characterized by impairment in social interaction and restricted repetitive behaviors or interests. This disorder is rarely recognized in adolescence or adulthood especially because of unawareness for AS among clinicians and the confounding effects of the comorbid psychiatric conditions. Diagnosing this neurodevelopmental disorder is critical for optimal treatment approaches. Here we present a seventeen-year-old boy with bipolar ...

  2. 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. PMID:26825890

  3. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  5. 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. PMID:20955250

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

    Directory of Open Access Journals (Sweden)

    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.

  7. 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…

  8. A Case Study of the Identity Development of an Adolescent Male with Emotional Disturbance and 48, XYYY Karyotype in an Institutional Setting

    Science.gov (United States)

    Rausch, John L.

    2012-01-01

    The goal of this study was to utilize a phenomenological case study design to investigate the individual and social identity development of an adolescent male who had been placed in a high-security group home setting. The participant had been identified with emotional disturbance (ED), and 48, XYYY karyotype. The participant described his social…

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

    OpenAIRE

    DePrince, Anne P.; Shirk, Stephen R.

    2012-01-01

    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 on the development of a modified CBT (mCBT) protocol that has been adapted for treating depressed adolescents who have been exposed to traumatic int...

  10. 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…

  11. Incomplete joint side tear of the subscapularis tendon with a small fragment in an adolescent tennis player: a case report

    Directory of Open Access Journals (Sweden)

    Kato Soki

    2012-07-01

    Full Text Available Abstract Case In this case report, we presented the case of an adolescent tennis player with avulsion injury of the subscapularis tendon of the right shoulder. Patients A 17-year-old right-hand-dominant male tennis player visited our hospital complaining of pain in the anterior aspect of the right shoulder. We performed X-ray and three-dimensional computed tomography (3D-CT and magnetic resonance imaging (MRI scans for the diagnosis. Results Plain radiographs did not reveal the presence of lesion; however, 3D-CT and MRI scans showed a small bony fragment located between the humeral head and the glenoid of the scapula and a high-intensity area of the subscapularis tendon. He was subsequently diagnosed with incomplete joint side tear of the subscapularis tendon with a small bony fragment. Subsequently, we performed arthroscopic excision of the bony fragment and repair of the subscapularis tendon. Conclusions This case highlighted the presence of an injury with minor trauma associated with repeated tennis strokes in a skeletally immature patient.

  12. 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.

  13. 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. PMID:26308492

  14. 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.

  15. Cannabis use in early adolescence: Evidence of amygdala hypersensitivity to signals of threat.

    Science.gov (United States)

    Spechler, Philip A; Orr, Catherine A; Chaarani, Bader; Kan, Kees-Jan; Mackey, Scott; Morton, Aaron; Snowe, Mitchell P; Hudson, Kelsey E; Althoff, Robert R; Higgins, Stephen T; Cattrell, Anna; Flor, Herta; Nees, Frauke; Banaschewski, Tobias; Bokde, Arun L W; Whelan, Robert; Büchel, Christian; Bromberg, Uli; Conrod, Patricia; Frouin, Vincent; Papadopoulos, Dimitri; Gallinat, Jurgen; Heinz, Andreas; Walter, Henrik; Ittermann, Bernd; Gowland, Penny; Paus, Tomáš; Poustka, Luise; Martinot, Jean-Luc; Artiges, Eric; Smolka, Michael N; Schumann, Gunter; Garavan, Hugh

    2015-12-01

    Cannabis use in adolescence may be characterized by differences in the neural basis of affective processing. In this study, we used an fMRI affective face processing task to compare a large group (n=70) of 14-year olds with a history of cannabis use to a group (n=70) of never-using controls matched on numerous characteristics including IQ, SES, alcohol and cigarette use. The task contained short movies displaying angry and neutral faces. Results indicated that cannabis users had greater reactivity in the bilateral amygdalae to angry faces than neutral faces, an effect that was not observed in their abstinent peers. In contrast, activity levels in the cannabis users in cortical areas including the right temporal-parietal junction and bilateral dorsolateral prefrontal cortex did not discriminate between the two face conditions, but did differ in controls. Results did not change after excluding subjects with any psychiatric symptomology. Given the high density of cannabinoid receptors in the amygdala, our findings suggest cannabis use in early adolescence is associated with hypersensitivity to signals of threat. Hypersensitivity to negative affect in adolescence may place the subject at-risk for mood disorders in adulthood. PMID:26347227

  16. Dietary intake patterns of low-income urban african-american adolescents.

    Science.gov (United States)

    Wang, Youfa; Jahns, Lisa; Tussing-Humphreys, Lisa; Xie, Bin; Rockett, Helaine; Liang, Huifang; Johnson, Luann

    2010-09-01

    Unhealthy eating increases risks for chronic disease. Few studies have examined the multifaceted aspects of dietary intake of low-income, urban African-American adolescents. This study aimed to describe dietary patterns including energy, nutrients, food groups, and diet quality and to identify areas to guide future interventions. Baseline data for a school-based obesity prevention study were collected from 382 African-American adolescents (10- to 14-year-olds) from four Chicago, IL, public schools in 2003. Diet was assessed using a 152-item food frequency questionnaire. Diet quality was measured using a modified version of the US Department of Agriculture Healthy Eating Index (HEI) and compared to published estimates for a nationwide sample. Participants reported high energy intakes and several unhealthy eating patterns: 58.6% consumed one or more servings of sweetened beverages per day and 15.7% consumed three or more servings per day; average fried food consumption was high (1.4 servings/day), 58.4% consumed one or more serving per day; and 75% consumed three or more three snacks per day. Only 49% of participants met the recommended three servings of dairy foods per day. Compared to a national, mostly white sample, participants had lower HEI scores (P80 ("good"). This study reveals key areas of problematic dietary patterns for future interventions targeting low-income African-American adolescents, including frequent intakes of calorie-dense, low nutrient-rich foods, such as fried foods, snacks, and sweetened beverages. PMID:20800126

  17. 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.

  18. Cannabis use in early adolescence: Evidence of amygdala hypersensitivity to signals of threat

    Directory of Open Access Journals (Sweden)

    Philip A. Spechler

    2015-12-01

    Full Text Available Cannabis use in adolescence may be characterized by differences in the neural basis of affective processing. In this study, we used an fMRI affective face processing task to compare a large group (n = 70 of 14-year olds with a history of cannabis use to a group (n = 70 of never-using controls matched on numerous characteristics including IQ, SES, alcohol and cigarette use. The task contained short movies displaying angry and neutral faces. Results indicated that cannabis users had greater reactivity in the bilateral amygdalae to angry faces than neutral faces, an effect that was not observed in their abstinent peers. In contrast, activity levels in the cannabis users in cortical areas including the right temporal-parietal junction and bilateral dorsolateral prefrontal cortex did not discriminate between the two face conditions, but did differ in controls. Results did not change after excluding subjects with any psychiatric symptomology. Given the high density of cannabinoid receptors in the amygdala, our findings suggest cannabis use in early adolescence is associated with hypersensitivity to signals of threat. Hypersensitivity to negative affect in adolescence may place the subject at-risk for mood disorders in adulthood.

  19. Thai Parenting Practices, Family Rituals and Risky Adolescent Behaviors: Alcohol Use, Cigarette Use and Delinquency.

    Science.gov (United States)

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

    2011-10-01

    Data were obtained from face-to-face interviews conducted with 420 randomly selected families (one parent, one 13-14 year old teen) in their homes from seven districts of Bangkok, Thailand. Adolescent risky behaviors that may be influenced by parenting practices and family rituals include alcohol use, cigarette use, and delinquency. Measures include: parental monitoring, parenting style, parental closeness, parental communication, and family rituals. Findings reveal increased alcohol use among Thai adolescents exposed to risks in family rituals. Lower prevalence of cigarette use is indicated among youth exposed to authoritative parenting and greater levels of parental monitoring. Serious delinquency is related to more risks in family rituals, but for girls only. Minor delinquency is related to less rule-setting, but also for girls only. These analyses provide support for using a risk and protective framework for guiding prevention strategies in Thailand. The relationship between family rituals and adolescent behaviors warrants further investigation and especially the elements of family rituals that reflect positive vs. the negative forces in the family dynamics. PMID:24511362

  20. DKA with Severe Hypertriglyceridemia and Cerebral Edema in an Adolescent Boy: A Case Study and Review of the Literature.

    Science.gov (United States)

    Saengkaew, Tansit; Sahakitrungruang, Taninee; Wacharasindhu, Suttipong; Supornsilchai, Vichit

    2016-01-01

    A 13-year-old adolescent boy with type 1 diabetes mellitus (1b) presented with diabetic ketoacidosis (DKA) and cerebral edema. Grossly lipemic serum and lipemia retinals due to extremely high triglyceride (TG) level were observed without evidence of xanthoma or xanthelasma. Cerebral edema was treated by appropriate ventilation and mannitol administration. Normal saline was carefully given and regular insulin was titrated according to blood sugar levels. Triglyceride levels were reduced from 9,800 mg/dL to normal range within 9 days after conventional treatment was commenced without antilipid medication. Based on our review of the literature, this is the first reported case of confirmed pediatric DKA with severe hypertriglyceridemia and cerebral edema. In patients with DKA and hypertriglyceridemia, clinicians should be mindful of the possibility of associated acute pancreatitis and cerebral edema. PMID:26904318

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

    Science.gov (United States)

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

    2015-01-01

    Background Eating disorder behaviours begin in adolescence. Few longitudinal studies have investigated childhood risk and protective factors. Aims To investigate the prevalence of eating disorder behaviours and cognitions and associated childhood psychological, physical and parental risk factors among a cohort of 14-year-old children. Method Data were collected from 6140 boys and girls aged 14 years. Gender-stratified models were used to estimate prospective associations between childhood body dissatisfaction, body mass index (BMI), self-esteem, maternal eating disorder and family economic disadvantage on adolescent eating disorder behaviours and cognitions. Results Childhood body dissatisfaction strongly predicted eating disorder cognitions in girls, but only in interaction with BMI in boys. Higher self-esteem had a protective effect, particularly in boys. Maternal eating disorder predicted body dissatisfaction and weight/shape concern in adolescent girls and dieting in boys. Conclusions Risk factors for eating disorder behaviours and cognitions vary according to gender. Prevention strategies should be gender-specific and target modifiable predictors in childhood and early adolescence. PMID:26206865

  2. 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.

  3. Medical device design for adolescent adherence and developmental goals: a case study of a cystic fibrosis physiotherapy device

    Directory of Open Access Journals (Sweden)

    Lang AR

    2014-03-01

    Full Text Available Alexandra R Lang,1 Jennifer L Martin,2 Sarah Sharples,1 John A Crowe3 1Human Factors Research Group, Faculty of Engineering, University of Nottingham, Nottingham, UK; 2Mindtech Healthcare Technology Cooperative (Htc, Faculty of Medicine and Health Sciences, Institute of Mental Health, Nottingham, UK; 3Biomedical Engineering, Faculty of Engineering, University of Nottingham, UK Purpose: This study investigates the psychosocial aspects of adolescent medical device use and the impact on adolescent adherence and goals for the transitional years between child and adulthood. Patients and methods: Interviews were carried out with 20 adolescents with cystic fibrosis, investigating adolescent medical device use and experiences in relation to their personal and social lives and development through the adolescent years. The qualitative dataset was thematically examined using a content analysis method. Results: The results show that adolescent users of medical technologies want their independence and capabilities to be respected. Adolescent adherence to medical device use was associated with short- and long-term motivations, where older adolescents were able to comprehend the longer-term benefits of use against short-term inconvenience more acutely than younger adolescents. It was suggested that medical devices could provide a tool for communication with families and clinicians and could support adolescents as they take responsibility for managing their condition. Themes of “fitting into teenage life” and “use in the community” were associated with adolescents' needs to form their own identity and have autonomy. Conclusion: This study shows that adolescent needs regarding medical device use are complex. It provides evidence to suggest that devices designed inclusively for adolescents may lead to improved adherence and also facilitate transition through the adolescent years and achievement of adolescent goals. Keywords: young people, teenagers

  4. Oseltamivir and Neuropsychiatric Behaviors – A Case Report on an Adolescent Teen and Evaluation of the Literature

    Directory of Open Access Journals (Sweden)

    Tsz-Yin SO

    2009-11-01

    Full Text Available OBJECTIVE: To illustrate a case of oseltamivir induced neuropsychiatric behaviors in an adolescent teen. CASE SUMMARY: A 15-year-old previously healthy adolescent presented to the emergency department with acute onset of altered mental status after taking two doses of oseltamivir prescribed to him by his primary care physician for presumed influenza infection. A thorough examination at the hospital, which included a urine drug screen, complete blood count, complete metabolic panel, urine and blood cultures, head computed tomography, and chest radiograph, did not indicate any other clinical conditions that could explain his abnormal behaviors. No other medications were given to him in the hospital. About 20 hours after the last dose of oseltamivir, he awoke from a nap and his mental status was completely back to baseline. He had no memory of the events transpired in the past 24 hours and was discharged home with no further incidence.DISSCUSION: Oseltamivir is an anti-viral agent that is often used as treatment and prophylaxis for influenza infection. Neuropsychiatric adverse events such as hallucination and delirium can potentially occur with this agent. This rare adverse event may be due to the binding of the medication to the enzyme sialidase causing increase in dopamine activity. Most of the reports were in young Japanese children less than 16 years old. Some studies have shown a causal relationship with oseltamivir leading to this adverse event, while some have failed to do so, probably due to flaws in their analytical method. The Naranjo ADR probability scale showed a possible causality between neuropsychiatric behaviors and oseltamivir administration in this patient.CONCLUSIONS: Oseltamivir is an effective anti-viral for influenza infection if started early in the course of the illness. Clinicians should monitor for neuropsychiatric symptoms when starting patients on this medication.

  5. Idiopathic gynaecomastia in twins: a case report

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    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

  6. Adolescent development

    Science.gov (United States)

    Development - adolescent; Growth and development - adolescent ... rights and privileges. Establish and maintain satisfying relationships. Adolescents will learn to share intimacy without feeling worried ...

  7. One-dose vaccination associated with attenuated disease severity of adolescent and adult varicella cases in Beijing’s Fengtai District

    Science.gov (United States)

    Zhang, Xue; yu, yuncui; Zhang, Jie; P Kwan, Edwin; Huang, Shengtian; Wang, Zhongzhan; Zhang, Jianjun; Peng, Xiaoxia; Yan, Yuxiang; Zhang, Lin; Luo, Yanxia; Han, Shujing; Han, Xu; Liu, Guangxue; Liu, Fen; Zhao, Jianzhong; He, Yan

    2014-01-01

    Background In recent years, the number of varicella cases in adults has significantly increased in Beijing. However, the effect of the vaccination on varicella-related characteristics among adults has not been studied. Methods and Results: Using data from the Infectious Disease Reporting System and the Immunization Information System, we compared the epidemiology and disease severity in breakthrough and unvaccinated varicella cases in adolescents and adults (≥ 15 year-old) from 2008 to 2011 in Beijing’s Fengtai district, China. The results showed that the age (P = 0.003),contact history (90% vs. 73%, P = 0.019) and outbreak cases (10% vs. 1%, P < 0.0001) were significantly differently distributed between the two groups and that both the incidence of moderate-to-severe cases (26% vs. 45%, P = 0.035, OR = 0.446) and varicella-associated fever (49% vs. 66%, P = 0.068, OR = 0.534) were either significantly lower or trended to be lower in the breakthrough group than in the unvaccinated group. Additionally,vaccine effectiveness against moderate-to-severe cases of varicella was 55.4%. Conclusion: Altogether, these results indicate that vaccination against varicella among adolescents and adults affected the epidemiology and attenuated the disease severity of the cases. The Results from this study will provide useful information for the prevention of varicella in adolescents and adults. PMID:25424949

  8. Clinical observation of the effects and safety of orthokeratology therapy in adolescent myopia%角膜塑形镜矫治青少年近视疗效的临床观察

    Institute of Scientific and Technical Information of China (English)

    颜美荣; 李正贤; 周一鸣; 彭晓; 张景瑶; 孔颖

    2015-01-01

    ObjectiveTo observe the clinical effects of orthokeratology lens therapy and to evaluate the effectiveness, com-pliance, and security in adolescent myopia.Methods Totaly thirty-two patients (64 eyed 19 males and 13females, ages from 8 to 14 years old ) with less than 6.00D received orthokeratology treatment in our hospital from July 2011 to June 2012. The clini-cal data was retrospective analyzed.Results One year after treatment , The uncorrected visual acuity increased significantly and the difference was significant; the corneal curvature became lower after 1 year wearing and the difference was significant. All cases have no serious complications.Conclusions Overnight orthokeratology is an effective and safe for the treatment of adoles-cent myopia.%目的:观察角膜塑形镜对青少年近视矫治的临床效果,评价控制近视进展的有效性、依从性及安全性。方法:回顾分析32例(64眼)进行角膜塑形镜治疗的患者资料。本组病例,男性19例,女性13例,年龄8~14岁,近视度数均<6.00D。结果:与戴镜前比较,角膜塑形镜戴镜1年后,矫正视力较戴镜前有明显提高,差异有统计学意义角膜曲率均明显变平,差异有统计学意义。本组病例没有发生严重并发症。结论:夜戴角膜塑形镜矫治青少年近视效果确切、安全。

  9. 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

    2016-09-01

    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 available in England obtained from a Delphi exercise conducted alongside the study. Children and adolescents supported with PBS showed improvement in challenging behaviours and social and communication skills, at a total weekly cost of GBP 1909 (and GBP 1951 including carer-related costs). PBS in schools for children and adolescents with intellectual disabilities and behaviours that challenge may help to support them in the community with potential improvements in outcomes and also cost advantages. PMID:26912505

  10. 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

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

    Directory of Open Access Journals (Sweden)

    Najihah Zainol ABIDIN

    2015-10-01

    Full Text Available Background: Secondhand Smoke (SHS exposure has been reported to cause a number of adverse health effects. Although studies have been conducted to identify the link between SHS exposure and cognitive functioning of children, its relationship is still unclear. This study aimed to identify the association of prenatal and postnatal SHS exposure with cognitive ability among adolescents.Methods: A total of 370 adolescents aged 13-14 years old in two states in Malaysia participated in this study. A modified Global Youth Tobacco Survey questionnaire was used to assess exposure to SHS. Parental-administered questionnaire was used to obtain information on parental smoking and prenatal SHS exposure. Cognitive ability was objectively measured using Wechsler Nonverbal Scale of Ability.Results: 75.4% and 24.6% adolescents were identified to have cognitive ability categorized as high (>90marks and low (≤90marks, respectively. From the logistic analysis adjusting for confounders, adolescents with SHS exposure in toddlerhood (≤2years old were three times more likely to have lower cognitive ability compared to those without exposure (Adjusted Odds Ratio (AOR, 2.89; 95% Confidence Interval (CI, 1.21-6.83. School absenteeism was associated with lower cognitive ability.Conclusion: Exposure to SHS during toddlerhood was linked to lower cognitive ability among adolescents. The findings of this study emphasize the need for preventing involuntary toddlerhood SHS exposure from parents and indirectly encourage home smoking restriction practices among Malaysian citizens. Keywords:  Passive smoking, Adolescents, Cognitive ability, Youth, Tobacco smoke

  12. 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.

  13. Low dose quetiapine in the treatment of an adolescent with somnambulism: a case report.

    Science.gov (United States)

    Gill, Jesjeet Singh; Pillai, Subash Kumar; Koh, Ong Hui; Jambunathan, Stephen Thevanathan

    2011-06-01

    Somnambulism or sleepwalking is a sleep disorder of arousal. Compared to in adults, pediatric and adolescent sleep disorders is still under-researched and poorly described. We report the successful use of low dose quietiapine, an atypical antipsychotic, in the treatment of a 15-year-old Indian male who presented with significant somnambulism. To the best of our knowledge, this is the first report on the use of quetiapine for the treatment of somnambulism in the literature. The presence of high voltage delta waves in sleepwalkers has been offered as a possible explanation for the patho-physiology of sleepwalking Quetiapine has been reported to decrease brain delta activity, and we postulate that this may be the mechanism on how it was beneficial for our patient. PMID:21748939

  14. 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.)

  15. A unique case of growth hormone and human chorionic gonadotropin treatment in a 45,X male with Y: autosome translocation and literature review.

    Science.gov (United States)

    Mareri, Arianna; Iezzi, MariaLaura; Salvatore, Alessia; Ligas, Claudio; D'Alessandro, Elvira

    2016-07-01

    Maleness associated with a 45,X karyotype is a rare condition in childhood. It is usually diagnosed in adult age because of infertility. We report a unique case of an unbalanced translocation t(Y;21) in a 14-year-old boy with 45,X karyotype referred because of short stature, thin habitus and puberty delay. Hormone analysis showed low serum levels of basal testosterone, insulin-like growth factor (IGF-I) and gonadotrophins. Diagnosis of GH deficiency and puberty delay were made. He was treated with human chorionic gonadotropin (hCG) and GH therapy, respectively, for 6 and 24 months. PMID:27054600

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

    International Nuclear Information System (INIS)

    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.)

  17. 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.

  18. Identity dynamics and peer relationship quality in adolescents with a chronic disease: the sample case of congenital heart disease

    OpenAIRE

    Rassart, Jessica; Luyckx, Koen; Apers, Silke; Goossens, Eva; Moons, Philip

    2012-01-01

    Objective: Identity formation has been found to relate to psychosocial and disease-specific functioning in chronically ill adolescents. Therefore, examining antecedent factors of identity formation in this population is needed. The main goal of the present longitudinal study was to examine how peer relationship quality influenced identity formation in adolescents with congenital heart disease (CHD). Method: Adolescents with CHD were selected from the database of pediatric and congenital ...

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

    Directory of Open Access Journals (Sweden)

    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.

  20. Predictors of violence and depression: the case of adolescents in Turkey.

    Science.gov (United States)

    Çiftçi, Ali; Kasapoglu, Aytul

    2015-11-01

    Violence is a leading problem that has a negative impact on daily living. Today, it continues to be an important topic owing to its widespread occurrence, especially among the youth. The main objective of this study is to specify the predictors that influence violence and depression observed among youth aged 15-18 years. While some of these factors are individual (age, gender, flirting, sports. etc.), the subjects' background, such as the family's education level, sibling number, etc., were investigated as social and environmental factors. In the survey, data were obtained from 109 high school students receiving education in a private teaching institution using a structured questionnaire technique. With regards the reliability of the survey, equal numbers of boys and girls were chosen from each year in high school lasting for 4 years. After asking questions that aim to obtain students' sociodemographic features, their depression level was surveyed using the Beck Depression Scale; meanwhile, the Violence Tendency Scale was used to survey their tendency to be violent. Findings revealed that some individual and domestic features of adolescents have significant impacts on their tendencies towards violence and depression.

  1. 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.

  2. [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.

  3. Ovarian masses in children and adolescents in China: analysis of 203 cases

    OpenAIRE

    Liu, Hongqian; Wang, Xiangao; Lu, Donghao; Liu, Zhihong; Shi, Gang

    2013-01-01

    Objective The true incidence of ovarian tumors in children is unknown. Few studies beyond case reports and case series have been published concerning pediatric ovarian tumors. Herein we review a large number of ovarian tumor cases. Methods The charts of 203 patients who presented with adnexal masses were reviewed. Results The patient’s ranged in age from 2 to 18 years (mean = 15.6 years), with 30 being premenarchal (14.8%). The incidence of ovarian tumor increases with age, especially in pati...

  4. Colorectal adenocarcinoma in childhood and adolescent: Report of 11 cases and review of the literature

    International Nuclear Information System (INIS)

    Eleven new cases of colorectal carcinoma in children (0-15 years of age) are added to the 212 cases already described in the literature. Mucinous adenocarcinoma was the most frequent histological type. Acute abdominal obstruction was the most frequent presentation. A radiologic diagnosis of malignancy was made in only six of eleven cases. The interval between onset of clinical symptoms and diagnosis ranged from two days to one year. Duration of symptoms, pathologic findings, stage, and prognosis differed markedly as compared with adult colorectal carcinomas. In spite of its rarity, colorectal malignancies may occur in children. (orig.)

  5. 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…

  6. 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.

  7. 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.

  8. Facial preferences in early adolescent girls: pubertal maturity predicts preferences maturity.

    Science.gov (United States)

    Kościński, Krzysztof

    2013-09-01

    Despite numerous studies on perception of facial attractiveness in adults, preferences in adolescents remain poorly recognized. The aim of present study was to explore facial preferences in girls at early adolescence (11-14 years old) and compare them with preferences of women. All females evaluated the same 30 male faces, which were also assessed by independent judges for several perceived features. Regardless of age, girls assessed attractiveness much the same as women, and the strengths of their preferences for specific facial features were similar to those of women. Except for the youngest girls, pubertal maturity (measured as the time elapsed since the menarche and breast development) correlated positively with the similarity of the girls' attractiveness evaluations to those of adult women and with strength of preference for cues to good biological quality (skin healthiness and sexy appearance). This remained true even after controlling for age and psychosexual development, suggesting thus that sex hormones are involved in development of facial preferences in pubescent girls. PMID:24308210

  9. 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.

  10. 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.

  11. 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

  12. 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.

  13. 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.

  14. Infant attachment predicts bodily freezing in adolescence: evidence from a prospective longitudinal study

    Directory of Open Access Journals (Sweden)

    Hannah C. M. Niermann

    2015-10-01

    Full Text Available Early life-stress, particularly maternal deprivation, is associated with long-lasting deviations in animals’ freezing responses. Given the relevance of freezing for stress-coping, translational research is needed to examine the relation between insecure infant-parent attachment and bodily freezing-like behavior in humans. Therefore, we investigated threat-related reductions in body sway (indicative of freezing-like behavior in 14-year-old adolescents (N=79, for whom attachment security was earlier assessed in infancy. As expected, insecure (versus secure attachment was associated with less body sway for angry versus neutral faces. This effect remained when controlling for intermediate life-events. These results suggest that the long-lasting effects of early negative caregiving experiences on the human stress and threat systems extend to the primary defensive reaction of freezing. Additionally, we replicated earlier work in adults, by observing a significant correlation (in adolescents assessed as securely attached between subjective state anxiety and reduced body sway in response to angry versus neutral faces. Together, this research opens venues to start exploring the role of freezing in the development of human psychopathology.

  15. 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 

  16. 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

  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. Pediatric Soft Tissue Sarcomas

    OpenAIRE

    Loeb, David M.; Thornton, Katherine; Shokek, Ori

    2008-01-01

    Soft tissue sarcomas in children are relatively rare. Approximately 850 to 900 children and adolescents are diagnosed each year with rhabdomyosarcoma (RMS) or one of the non-RMS soft tissue sarcomas (NRSTS). Of these, 350 are cases of RMS. RMS is the most common soft tissue sarcoma in children 14 years old and younger, and NRSTS is more common in adolescents and young adults. Infants also get NRSTS, but their tumors constitute a distinctive set of histologies, including infantile fibrosarcoma...

  19. Wilson disease with thrombocytopenia (case report).

    Science.gov (United States)

    Zhvania, M; Gogberashvili, K; Gagoshidze, M; Uberi, E

    2014-12-01

    We present an adolescent patient with WD accompanied with secondary amenorrhea, and thrombocytopenia. NK, a 14 year-old girl, had amenorrhea for 5 months despite having had regular menses for 2 years. An abdominal ultrasound scan revealed ascitis and some ovarian cysts. On physical examination: slight jaundice, edema of lower extremities, skin purpuric rash, enlarged abdomen, dry skin. She had no hepatomegaly and no splenomegaly. Breast and pubic hair development was concomitant with Tanner stage 4. There was performed laboratory and instrumental investigations. The patient was diagnosed as WD owing to the low level of ceruloplasmin, with increased level of copper in 24-hour urine excretion and in dry liver tissue. The needle biopsy of liver showed severe hepatocellular necrosis, inflammatory changes and fibrosis. The platelet count was found to be low with lack of increased number of megakaryocytes in the bone marrow aspiration suggesting the thrombocytopenia was not exclusively owing to hypersplenism. The absence of antithrombocyte and other autoimmune and viral antibodies excluded respectively the diagnosis of autoimmune thrombocytopenia, other autoimmune diseases and viral infections. Thus, we support the recommendation that adolescents with amenorrhea or children with thrombocytopenia without any obvious cause should be evaluated for WD, because the early detection and treatment of WD is capable of reversing described changes and restoring a normal liver function. PMID:25617103

  20. 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.

  1. Role of perioperative transesophageal echocardiography in the management of adolescent truncus arteriosus: Rare case report

    Directory of Open Access Journals (Sweden)

    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. Photodynamic Therapy as Novel Treatment for Halitosis in Adolescents: A Case Series Study

    OpenAIRE

    Lopes, Rubia Garcia; de Santi, Maria Eugenia Simões Onofre; Franco, Bruno Edin; Deana, Alessandro Melo; Prates, Renato Araujo; França, Cristiane Miranda; Fernandes, Kristianne Porta Santos; Ferrari, Raquel Agnelli Mesquita; Sandra Kalil BUSSADORI

    2014-01-01

    Introduction: Halitosis is a common problem that affects a large portion of the population worldwide. The origin of this condition is oral in 90% of cases and systemic in 10% of cases. The foul odor is caused mainly by volatile sulfur compounds produced by Gram-negative bacteria. However, it has recently been found that anaerobic Gram-positive bacteria also produce hydrogen sulfide (H2S) in the presence of amino acids, such as cysteine. Light with and without the combination of chemical agent...

  3. National strategy for prevention of oral diseases in children from 0 to 14 years old age in the Republic of Macedonia for the period 2008-2018.

    Science.gov (United States)

    Sarakinova, Olivera; Carcev, Mile; Getova, Biljana; Carceva Salja, Sofija; Janevska, Sevdalina

    2013-01-01

    Human principles and the fundamental values are the main principles stipulated in the Constitution of Republic of Macedonia. The Government of the Republic of Macedonia, within its program objectives, implementing the laws in the country, the international standards and the global health care as the worlds objective of the Constitution of WHO. According to the information received through the health monitoring system, as well as the results from target and selective studies, they have shown that the condition of oral health, especially the condition with the dental caries is serious health problem of all groups. The alarm was activated by the state of increase of the caries incidence, showing a value of DMFT=6.88 in children at 12 years of age, which is considered as a high value compared to the WHO recommendations for oral health (DMFT=3). The experience from the developed countries, as well as the knowledge based on scientific and professional evidence in RM, prove that this desease may be successfully prevented, eliminated and eradicated by conduction of primary preventive measures. The program objectives of the National Strategy for prevention of oral deseases are shared in shorth term, medium term and long term objectives, which aim is eradication of the caries. The Strategy include a prevention of periodontal desease and orthodontic anomalies. The prevention of the caries will be performed by using a five preventive measures: 1. mechanical and chemical control of the dental plaque 2. Discipline of sugar take regime 3. Application of fluorides (systemic and topic) 4. sealing fissures and cavities 5. Education and motivation for sustainnability of oral health. In the frame of the Strategy, we planed a dental dispensarisation of children through registering data in the patients file, as propose by WHO, and arrangement of preventive teams and professional assistance of paediatrics and gynecologists. The evaluation of the effects from the preventive program shall be performed two years from the initiation of the program implementation and the follow-up evaluations shall be performed every year, on the representative sample from the group of children at 6, 8 and 12 years of age covered with the program. The statistical data processing shall be presented at professional and scientific forums and published in the annual report of WHO. PMID:24280788

  4. Appreciation and implementation of the Krachtvoer healthy diet promotion programme for 12- to 14- year-old students of prevocational schools

    Directory of Open Access Journals (Sweden)

    Bessems Kathelijne MHH

    2011-12-01

    Full Text Available Abstract Background Krachtvoer is a school-based healthy diet programme, developed in 2001 and revised in 2007 to meet the needs of particular segments of the target population as well as a wider target group. The main aims of the present process evaluation of the revised programme were to examine student and teacher appreciation of the programme, completeness of and adherence to its implementation, and relations between appreciation and completeness of implementation. Methods Data were collected among 22 teachers and 1117 students of 13 schools, using student evaluation forms, teacher logbooks, telephone interviews, and classroom observations. Results Results indicate favourable levels of teacher and student appreciation for the programme in general and the revised elements. Girls, first-year students and students with more favourable dietary intakes particularly appreciated individual programme elements. Levels of completeness of implementation were high, but several teachers did not adhere to the intended implementation period. Some moderately strong relations were found between teacher appreciation and completeness of implementation scores. Conclusion We conclude that the revisions have resulted in a programme that was appreciated well, also by the extended target group, and was implemented with a high degree of completeness. Teacher appreciation proved potentially important for completeness of implementation. We identified several aspects requiring improvement, indicating the importance of continued programme updates and repeated evaluation.

  5. Appreciation and implementation of the Krachtvoer healthy diet promotion programme for 12- to 14- year-old students of prevocational schools

    NARCIS (Netherlands)

    Bessems, K.M.; Assema, P. van; Martens, M.K.; Paulussen, T.G.; Raaijmakers, L.G.; Vries, N.K. de

    2011-01-01

    Background: Krachtvoer is a school-based healthy diet programme, developed in 2001 and revised in 2007 to meet the needs of particular segments of the target population as well as a wider target group. The main aims of the present process evaluation of the revised programme were to examine student a

  6. 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

  7. 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; M Akbarzadeh; 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...

  8. 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.

  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

    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.

  10. COMPREHENSIVE ASSESSMENT OF THE RELATIVE FREQUENCY OF SLEEP DISORDERS IN MIGRAINE AND NON MIGRAINE IN 6- TO 14-YEAR-OLD CHILDREN

    OpenAIRE

    Omid Yaghini MD; Seyyed Mohammad Amirshahkarami MD; Touran Mahmoudian MD; Elham Haj Hashemi MD

    2011-01-01

    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 m...

  11. Appreciation and implementation of the Krachtvoer healthy diet promotion programme for 12- to 14- year-old students of prevocational schools

    OpenAIRE

    Bessems Kathelijne MHH; Assema Patricia van; Martens Marloes K; Paulussen Theo GWM; Raaijmakers Lieke GM; De Vries Nanne K

    2011-01-01

    Abstract Background Krachtvoer is a school-based healthy diet programme, developed in 2001 and revised in 2007 to meet the needs of particular segments of the target population as well as a wider target group. The main aims of the present process evaluation of the revised programme were to examine student and teacher appreciation of the programme, completeness of and adherence to its implementation, and relations between appreciation and completeness of implementation. Methods Data were colle...

  12. Spatial patterns of the congenital heart disease prevalence among 0- to 14-year-old children in Sichuan Basin, P. R China, from 2004 to 2009

    OpenAIRE

    Ma, Li-Guang; Zhao, Jun; Ren, Zhou-Peng; Wang, Yuan-yuan; Peng, Zuo-Qi; Wang, Jin-feng; Ma, Xu

    2014-01-01

    Background Congenital heart disease (CHD) is the most common type of major birth defects in Sichuan, the most populous province in China. The detailed etiology of CHD is unknown but some environmental factors are suspected as the cause of this disease. However, the geographical variations in CHD prevalence would be highly valuable in providing a clue on the role of the environment in CHD etiology. Here, we investigate the spatial patterns and geographic differences in CHD prevalence among 0- ...

  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. 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

    Few studies have examined the effects of mixed metal exposures in humans. We have evaluated the effect of prenatal lead exposure in a Faroese birth cohort in the presence of similar molar-level exposure to methylmercury. A cohort of 1022 singleton births was assembled in the Faroe Islands during ...

  15. 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.

  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. Prospective associations between objective measures of physical activity and fat mass in 12-14 year old children: the Avon Longitudinal Study of Parents and Children (ALSPAC)

    OpenAIRE

    Riddoch, Chris J; Leary, Sam D; Ness, Andy R; Blair, Steven N.; Deere, Kevin; Mattocks, Calum; Griffiths, Alex; Davey Smith, George; Tilling, Kate

    2009-01-01

    Objective To investigate associations between physical activity at age 12 and subsequent adiposity at age 14. Design Prospective birth cohort study with data collected between 2003 and 2007. Setting Original recruitment in 1991-2 of 14 541 pregnant women living in the former County of Avon (United Kingdom). Participants At age 12, 11 952 children were invited to attend the research clinic. Of these, 7159 attended, and 4150 (1964 boys, 2186 girls) provided sufficient data on exposure, outcome,...

  18. The Incidence and Types of Physical Contact Associated with Body Checking Regulation Experience in 13–14 Year Old Ice Hockey Players

    Science.gov (United States)

    Goulet, Claude; Roy, Thierry-Olivier; Nadeau, Luc; Hamel, Denis; Fortier, Kristine; Emery, Carolyn A.

    2016-01-01

    Background: Ice hockey has one of the highest sport participation and injury rates in youth in Canada. Body checking (BC) is the predominant mechanism of injury in leagues in which it is permitted. The objectives of this study were to determine whether the incidence and types of physical contact differ for Bantam players (aged 13–14 years) who were exposed to BC at Pee Wee level (aged 11–12 years) in Calgary, Alberta versus Bantam players who were not exposed to BC at Pee Wee level in Québec City, Québec. All teams were exposed to BC at bantam level; Methods: A cohort study was conducted in Québec City and Calgary. Sixteen games for Calgary and 15 for Québec City were randomly selected and analysed with a validated observation system to quantify five intensities of physical contact and to observe different types of physical contact such as slashing and holding; Results: A total of 5610 incidences of physical contact with the trunk and 3429 other types of physical contact were observed. Very light intensity trunk contact was more frequent in Calgary (adjusted incidence RR (ARR): 1.71; 95% CI: 1.28–2.29). Holding (ARR: 1.04; 95% CI: 1.02–1.07) and slashing (ARR: 1.38; 95% CI: 1.07–1.77) were more frequent in Calgary; Conclusion: Results suggest that players’ physical contacts differ between Bantam leagues in which BC was permitted at Pee Wee level and leagues in which it was not permitted until Bantam level. PMID:27399750

  19. [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.

  20. Low Birthweight, Rapid Weight Gain and Metabolic Syndrome in Adolescence: An Illustrative Case Report

    Directory of Open Access Journals (Sweden)

    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.

  1. Ulcerative colitis and esclerosant cholangitis in children and adolescents; case report and literature revision

    International Nuclear Information System (INIS)

    In spite of being considered rare in the pediatric practice, the intestinal inflammatory illness is recognized now with more frequency in children of all the ages. In fact, 25 to 30% of all the patients with Crohn illness, and 20% the patients with ulcerative colitis, they consult before the 20 years. A case is presented of patient of 15 years with primary esclerosant cholangitis

  2. Congenital Abnormalities of the Breast. A Case Report

    Directory of Open Access Journals (Sweden)

    Elvira María Martínez Barreto

    2015-12-01

    Full Text Available Normal breasts have a wide range of shapes and sizes varying according to cultural, racial, or other conditions, but it is clear that there are abnormalities related to the shape, size, number, location, and so on. Management of these defects requires prior clinical and imaging assessment in addition to plastic surgery. The case of a 14-year-old mestizo girl of rural origin treated at the Paquito González Cueto University Pediatric Hospital due to multiple breast abnormalities and significant asymmetry is presented. Reconstructive surgery of both breasts was performed, placing a breast implant in one of them. The asymmetry and the rest of the malformations were corrected to the patient and her family’s satisfaction. This is the first case of breast implants in the province, hence the interest in presenting it.

  3. An atypical presentation of cystic fibrosis: a case report

    Directory of Open Access Journals (Sweden)

    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.

  4. Unusual prerectal location of a tailgut cyst: a case report.

    Science.gov (United States)

    Jang, Si-Hyong; Jang, Ki-Seok; Song, Young-Soo; Min, Kyueng-Whan; Han, Hong-Xiu; Lee, Kyeong-Geun; Paik, Seung-Sam

    2006-08-21

    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. PMID:16937513

  5. 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.

  6. 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.

  7. 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. PMID:27635276

  8. 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.

  9. Immune disease expressed in liver and platelets in an adolescent : a case report

    OpenAIRE

    Pontes Teresa; Silva Nicole; Rocha Ruben; Antunes Henedina; Antunes Ana; Martins Sofia

    2009-01-01

    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 cli...

  10. Adolescence spinal epidural abscess with neurological symptoms: case report, a lesson to be re-learnt

    OpenAIRE

    Sales, Jafar Ganjpour; Tabrizi, Ali; Elmi, Asghar; Soleimanpour, Jafar; Gavidel, Ehsan

    2013-01-01

    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 ...

  11. Total spine and posterior fossa MRI screening in adolescent idiopathic scoliosis (177 cases

    Directory of Open Access Journals (Sweden)

    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

  12. 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.

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

    OpenAIRE

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

    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 acti...

  14. A RARE CASE OF A FUNCTIONAL NON COMMUNICATING HORN IN UNICORNUATE UTERUS IN POSTMENARCHEAL ADOLESCENT GIRL

    Directory of Open Access Journals (Sweden)

    Vijayalaxmi R

    2014-06-01

    Full Text Available A 15-year-old girl presented with acute abdomen. On exploratory laparotomy she was found to have a right functional rudimentary horn of the uterus. We report a case of unicornuate uterus with functioning rudimentary horn. We here in highlight that mullerian duct anomalies should be considered in the differential diagnosis of acute abdomen even in normally menstruating girls. Unicornuate uterus with a rudimentary horn is susceptible to many gynecologic and obstetric complications. Hematometra, chronic pelvic pain, endometriosis, infertility are some of the complaints in women with unicornuate uterus.

  15. 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.

  16. 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.

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

    Science.gov (United States)

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

    2016-01-01

    Background: Since type-2 diabetes is the most common chronic disease among Iranian female adolescents, we applied theory of planned behavior to examine the effect of training to intention to preventative nutritional behaviors for type-2 diabetes among female adolescents. Methods: In this experimental study 200 (11-14 year old) girls from 8 schools of Tehran city (100 in each intervention and control group) were recruited based on cluster sampling method during two stages. For intervention group, an educational program was designed based on the theory of planned behavior and presented in 6 workshop sessions to prevent type-2 diabetes. The data were collected before and two months after the workshops using a valid and reliable (α=0.72 and r=0.80) authormade questionnaire based on Ajzens TPB questionnaire manual. The data were analyzed using t-test, chi-square test and analysis of covariance. Results: Findings indicate that the two groups were homogeneous regarding the demographic characteristics before education, but the mean score of the theory components (attitudes, subjective norms, perceived behavioral control, and intention) was higher in the control group. Also, results showed all of the theory components significantly increased after the education in the intervention group (p=0.000). Conclusion: Training based on the theory of planned behavior enhances the intention to adherence preventative nutritional behaviors for type-2 diabetes among the studied female adolescents. PMID:27390718

  18. 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.

  19. 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.

  20. 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. PMID:27161649

  1. Epidemiological study of congenital heart defects in children and adolescents: analysis of 4,538 cases

    Directory of Open Access Journals (Sweden)

    Nelson Itiro Miyague

    2003-03-01

    Full Text Available OBJECTIVE: To analyze the frequency and prevalence of congenital heart defects in a tertiary care center for children with heart diseases. METHODS: We carried out an epidemiological assessment of the first medical visit of 4,538 children in a pediatric hospital from January 1995 to December 1997. All patients with congenital heart defects had their diagnoses confirmed at least on echocardiography. The frequency and prevalence of the anomalies were computed according to the classification of sequential analysis. Age, weight, and sex were compared between the groups of healthy individuals and those with congenital heart defects after distribution according to the age group. RESULTS: Of all the children assessed, 2,017 (44.4% were diagnosed with congenital heart disease, 201 (4.4% with acquired heart disease, 52 (1.2% with arrhythmias, and 2,268 (50% were healthy children. Congenital heart diseases predominated in neonates and infants, corresponding to 71.5% of the cases. Weight and age were significantly lower in children with congenital heart defects. Ventricular septal defect was the most frequent acyanotic anomaly, and tetralogy of Fallot was the most frequent cyanotic anomaly. CONCLUSION: Children with congenital heart defects are mainly referred during the neonatal period and infancy with impairment in gaining weight. Ventricular septal defect is the most frequent heart defect.

  2. 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.

  3. 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.

  4. 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。

  5. 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

    2010-01-01

    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. PMID:20205723

  6. Atopic dermatitis in adolescence

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    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.

  7. 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.

  8. Impact of Television Programs and Asvertisements of School Going Adolescents: A Case Study of Bahawalpur City, Pakistan

    OpenAIRE

    Hassan, A; M. Daniyal

    2013-01-01

    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 th...

  9. 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…

  10. 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…

  11. The Impact of Birth Order on Intergenerational Transmission of Attitudes from Parents to Adolescent Sons: The Israeli Case

    Science.gov (United States)

    Kulik, Liat

    2004-01-01

    This study deals with birth order and its impact on intergenerational transmission of parental attitudes to adolescent sons in Israeli society. The sample included 294 participants (including 98 mothers, 98 fathers, and 98 sons). The attitudes chosen were key issues of concern in Israeli society: gender role attitudes, ethnic stereotypes, and…

  12. Cyberbullying among Finnish adolescents – a population-based study

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    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

  13. From mother to child: orbitofrontal cortex gyrification and changes of drinking behaviour during adolescence.

    Science.gov (United States)

    Kühn, Simone; Witt, Charlotte; Banaschewski, Tobias; Barbot, Alexis; Barker, Gareth J; Büchel, Christian; Conrod, Patricia J; Flor, Herta; Garavan, Hugh; Ittermann, Bernd; Mann, Karl; Martinot, Jean-Luc; Paus, Tomas; Rietschel, Marcella; Smolka, Michael N; Ströhle, Andreas; Brühl, Rüdiger; Schumann, Gunter; Heinz, Andreas; Gallinat, Jürgen

    2016-05-01

    Adolescence is a common time for initiation of alcohol use and alcohol use disorders. Importantly, the neuro-anatomical foundation for later alcohol-related problems may already manifest pre-natally, particularly due to smoking and alcohol consumption during pregnancy. In this context, cortical gyrification is an interesting marker of neuronal development but has not been investigated as a risk factor for adolescent alcohol use. On magnetic resonance imaging scans of 595 14-year-old adolescents from the IMAGEN sample, we computed whole-brain mean curvature indices to predict change in alcohol-related problems over the following 2 years. Change of alcohol use-related problems was significantly predicted from mean curvature in left orbitofrontal cortex (OFC). Less gyrification of OFC was associated with an increase in alcohol use-related problems over the next 2 years. Moreover, lower gyrification in left OFC was related to pre-natal alcohol exposure, whereas maternal smoking during pregnancy had no effect. Current alcohol use-related problems of the biological mother had no effect on offsprings' OFC gyrification or drinking behaviour. The data support the idea that alcohol consumption during pregnancy mediates the development of neuro-anatomical phenotypes, which in turn constitute a risk factor for increasing problems due to alcohol consumption in a vulnerable stage of life. Maternal smoking during pregnancy or current maternal alcohol/nicotine consumption had no significant effect. The OFC mediates behaviours known to be disturbed in addiction, namely impulse control and reward processing. The results stress the importance of pre-natal alcohol exposure for later increases in alcohol use-related problems, mediated by structural brain characteristics. PMID:25913102

  14. Development of an accelerometer-linked online intervention system to promote physical activity in adolescents.

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    Nicole Guthrie

    Full Text Available Most adolescents do not achieve the recommended levels of moderate-to-vigorous physical activity (MVPA, placing them at increased risk for a diverse array of chronic diseases in adulthood. There is a great need for scalable and effective interventions that can increase MVPA in adolescents. Here we report the results of a measurement validation study and a preliminary proof-of-concept experiment testing the impact of Zamzee, an accelerometer-linked online intervention system that combines proximal performance feedback and incentive motivation features to promote MVPA. In a calibration study that parametrically varied levels of physical activity in 31 12-14 year-old children, the Zamzee activity meter was shown to provide a valid measure of MVPA (sensitivity in detecting MVPA = 85.9%, specificity = 97.5%, and r = .94 correspondence with the benchmark RT3 accelerometer system; all p < .0001. In a subsequent randomized controlled multi-site experiment involving 182 middle school-aged children assessed for MVPA over 6 wks, intent-to-treat analyses found that those who received access to the Zamzee intervention had average MVPA levels 54% greater than those of a passive control group (p < 0.0001 and 68% greater than those of an active control group that received access to a commercially available active videogame (p < .0001. Zamzee's effects on MVPA did not diminish significantly over the course of the 6-wk study period, and were statistically significant in both females and males, and in normal- vs. high-BMI subgroups. These results provide promising initial indications that combining the Zamzee activity meter with online proximal performance feedback and incentive motivation features can positively impact MVPA levels in adolescents.

  15. 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.

  16. Emergency surgical management of traumatic superior sagittal sinus injury: An unusual case

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    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.

  17. Rare presentation of pancreatitis secondary to intussusception of duodenal duplication cyst, a pediatric case report

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    Valentina Shakhnovich

    2014-12-01

    Full Text Available Duodenal duplication cysts are rare congenital malformations of which there is limited literature in the pediatric population. The most common presentation in symptomatic patients is abdominal pain and pancreatitis. We present a case of a 14 year old female that presented with emesis, abdominal pain, weight loss, and admission biochemical profile concerning for acute pancreatitis in conjunction with severe hypochloremic, hypokalemic metabolic alkalosis. Further imaging was highly suggestive of duodeno-duodenal intussusception causing obstruction of the pancreatic duct. Patient was taken emergently to the operating room for exploration. Patient underwent laparoscopic assisted reduction of intussusception and resection of duodenal duplication cyst. Patient tolerated the surgery well, and was able to be discharged home in stable condition soon after. There have been no cases reported in the literature that describe pancreatitis secondary to intussusception of duodenal duplication cyst. When diagnosed early, these patients can be safely managed laparoscopically even in emergent settings.

  18. Portal vein thrombosis in a patient with Turner's syndrome: a case report.

    Science.gov (United States)

    Shedeed, Soad A

    2012-03-01

    This work aimed at reporting a case of Turner's syndrome with portal vein thrombosis and elevated levels of factor VIII and von Willebrand factor. A 14-year-old Libyan girl was admitted for evaluation of infantilism and pallor; meanwhile, she was found to be of short stature, with webbing of the neck. Chromosomal studies showed monosomy pattern Turner's syndrome (45XO). Abdominal ultrasound displayed a hugely enlarged spleen. Computed tomography (CT) imaging of the abdomen revealed portal vein thrombosis and dilated venous collaterals in porta hepatis. Thrombophilia screening demonstrated elevated levels of factor VIII (207 IU dl(-1)) and von Willebrand factor (450 IU dl(-1)). It was concluded that this was a case report on the unusual finding of portal vein thrombosis in a patient with Turner's syndrome in whom high levels of factor VIII and von Willebrand factor were found. Detailed molecular epidemiological study is recommended to clarify this finding and its underlying factors. PMID:22560822

  19. Sertoli-Leydig cell tumor (arrhenoblastoma in adolescent age group

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    Swarnalata Samal

    2013-08-01

    Full Text Available Arrhenoblastoma, also known as Sertoli-Leydig cell tumors or androblastomas, are very rare neoplasm of the ovaries, resulting in the overproduction of the male hormone testosterone. This is a rare tumour which accounts for less than 0.5% of all ovarian tumours. These tumours are found in women of all age groups, but are most common in young women. Presence of an ovarian tumour plus hormonal disturbances suggests a Sertoli-Leydig cell tumour. Patients present with a recent history of progressive masculinisation. Masculinisation is preceded by anovulation, oligomenorrhoea, amenorrhoea and defeminisation. Arrhenoblastomas are generally unilateral benign tumour; do not normally spread beyond the ovary, occurring in reproductive age. This work summarizes the morphological and immunohistochemical characteristics of this tumour in a 15-year old girl with clinical signs of virilisation. A 14 year old female admitted with abdominal distension, change in voice, male pattern balding and clitoromegaly in the dept. of Ob/Gy A.V.B.R.H. (Acharya Vinoba Bhave Rural Hospital Sawangi, Wardha. Investigations included Sonography C.T scan, ascetic tap, Serum testosterone was done. She was managed by exploratory Laparotomy and follow up was advised. On follow up her serum testosterone levels and sonography was done. Here we are representing the case. [Int J Reprod Contracept Obstet Gynecol 2013; 2(4.000: 722-725

  20. [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.