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Academic literature on the topic 'Adolescents in hospital'

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Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Adolescents in hospital"

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Jawzali, Jwan Ibrahim, Sahar Ismail Abdullah, and Nahidah Hassan Abdullah. "Nutritional status among pregnant adolescents at maternity teaching hospital." North African Journal of Food and Nutrition Research 6, no. 14 (December 31, 2022): 186–97. http://dx.doi.org/10.51745/najfnr.6.14.186-197.

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Background: Adolescent pregnancy increases nutritional requirements and the risk of pregnancy complications. There are few studies about anthropometric measurements as predictors of the nutritional status of pregnancy. Objective: The study consisted of an assessment of nutritional status by studying the association of anthropometric index and biochemical tests with adolescent pregnancy outcomes. Materials and Methods: A descriptive study included 116 convenient samples of pregnant adolescents. An interview questionnaire was used for collecting the following data: socio-demographic, body mass index (BMI), height, mid-upper arm circumference (MUAC), hemoglobin levels, and proteinuria. Pregnancy complications included; anemia, urinary tract infection, mode of delivery, preterm birth, and low birth weight. Descriptive statistics, Pearson's R test chi-square, and logistic regression were all used in statistical analysis. Results: The majority of study subjects were of late age of adolescence (≥ 17 years), housewives with primary education, and had normal obstetric history. Multigravida was only in late age of adolescence. Most 46.9% were overweight. Primigravida decrease in overweight subjects (odds ratio [OR] 0.2*; 95% confidence interval [CI] 0.03-0.88). The highest percentage had normal stature, 12.1% had short stature, 46.6 % had MUAC ˃28cm, and 3.4 % had undernutrition. Short stature increased at age 17 years and the risk of multipara increased in short stature (OR 4.2*; 95% CI 1.2-14.4). The majority had normal pregnancy outcomes. Anemia risk decreased in the normal height group (OR=0.08*: 95% CI 0.01-0.73), and in MUAC ≥ 28 cm (OR 0.77*; 95% CI 0.64-0,93). The risk of low birth weight increased not significantly in late age, among MUAC 24-28 cm, and significantly in anemia (OR=2.5*, 95% 1.1-5.5). Conclusion: This study concluded that the majority of the adolescents with primigravid/para status had normal nutritional status and pregnancy outcomes, as a result of growth in height, MUAC, and weight gain. malnutrition among overweight older adolescents with multigravida status affects growth, causes shorter stature, and anemia consequently increases the risk of low birth weight, preterm birth, and cesarian section. Because its effects manifest as teenage age increases in multigravida, this study supports the prevention of adolescent pregnancy. MUAC can be used to assess adolescent pregnancy complications.
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Roncevic, Nevenka, Jelena Popadic-Gacesa, Vera Grujic, Miodrag Arsic, and Ivana Pericin. "Hospital morbidity and mortality of adolescents in Vojvodina." Medical review 62, no. 3-4 (2009): 137–41. http://dx.doi.org/10.2298/mpns0904137r.

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Introduction. The aim of this study was to analyze hospital morbidity and mortality of adolescents in Vojvodina in 2004. Material and methods. The analyzed data for hospital morbidity were obtained from the Reports on diseases and conditions of hospitalized patients in the Service for stationary-hospital treatment. Hospital mortality was analyzed on the basis of Documentation tables of vital statistics of Republic of Serbia. In order to have better insight into the pathology, the adolescents were divided by sex and age (the younger ones from 10-14 years, and the older ones, from 15-19 years). Results . The hospital morbidity of adolescents in Vojvodina in 2004 was 47/1.000 adolescents, while in 1983 it was 53/1.000 adolescents. The most frequent indications for hospitalization of the adolescents were respiratory, digestive diseases, and injuries, poisoning and consequences of an external factor influences. The overall mortality rate was 39.68/100.000 adolescents and in 1988 44.74/100.000 adolescents. Hospital mortality rate in Vojvodina in 2004 was 16.18/100.000 adolescents and in 1986 11.65/100.000 adolescents. The male adolescents most frequently died in hospitals because of tumors, and female ones because of injuries, poisoning and consequences of external factor influences. Discussion and conclusion. Morbidity structure was not changed compared to the previous period. Older and female adolescents were more frequently hospitalized. There was a decrease in adolescent mortality for 15.5% compared to the previous 15 years. Hospital mortality rate was higher than before. Older adolescents had three times the death rate of younger. Mortality rates for male adolescents were three times rates for females. Programs for adolescents' health care must be implemented fully, with engagement of whole community services, in order to prevent and cure diseases adequately and to enhance quality of life.
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Narasimhaiah, Anitha, and Nutan Saha. "A Cross-Sectional Study of Various Gynaecological Profiles among Adolescents Attending Outpatient Department at Dr. B.R. Ambedkar Medical College and Hospital." Journal of Evidence Based Medicine and Healthcare 8, no. 9 (March 1, 2021): 507–11. http://dx.doi.org/10.18410/jebmh/2021/99.

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BACKGROUND Adolescents constitute about 21 % of Indian population. Adolescence is a period of major physiological change along with psychological and socio-behavioural changes. Issues in adolescent age group are not only different but are increasing over the years and need special consideration. Hence, as health care providers, we need to focus on young people as investing in their health today will reap rich rewards tomorrow. Our study focusses on the incidence of adolescents attending gynaecology outpatient department (OPD) and the different gynaecological profiles in adolescents attending OPD. METHODS 351 adolescent girls in the age group of 10 - 19 years attending gynaecological OPD of Dr. BRAMC, Bengaluru, from February’ 19 to January’ 20 were included in the study. All the adolescents presenting with various gynaecological profiles were evaluated by detailed history taking and thorough clinical examination after taking an informed consent. RESULTS There were 351 adolescent girls (5.37 %) attending the gynaecology OPD during the study period. Teenage pregnancy (38.4 %) was the commonest indication for OPD consultation among adolescent girls followed by irregular cycle (17.9 %). Pain abdomen, anaemia, white discharge per vagina (WDPV), urinary tract infections (UTI), polycystic ovarian syndrome (PCOS), heavy menstrual bleeding, breast pain, breast enlargement were few other complaints encountered during this study. CONCLUSIONS Teenage pregnancy and menstrual abnormalities are the most common issues seen in adolescents. Adolescent gynaecology needs increased awareness and greater attention. This can perhaps best be done by setting up specialised adolescent clinics and it is the need of the hour to protect and promote the health of teenagers. KEYWORDS Adolescents, Teenage Pregnancy, Menstrual Irregularities, Gynaecological Problems, Gynaecological Profile, Adolescent Issues
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Pun, K. D., and M. Chauhan. "Outcomes Of Adolescent Pregnancy at Kathmandu University Hospital, Dhulikhel, Kavre." Kathmandu University Medical Journal 9, no. 1 (June 7, 2012): 50–53. http://dx.doi.org/10.3126/kumj.v9i1.6263.

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Background Adolescence Pregnancy is a social problem worldwide with serious implication of maternal and child health. This study purposed to compare the maternal and neonatal outcome of the teenage mothers (15- 19 years) with that of the young mothers (20-24 years) to determine if adolescent pregnancies have increased risk of adverse outcomes. Objectives This st udy aims to find out the outcomes of adolescent pregnancy at Kathmandu Univeristy Hospital, Dhulikhel Hospital, KAvre. Methods Descriptive cross sectional study was done. The study included all primiparous mothers of age 15-19 (n=168) and 20-24 (n=401) recorded in the delivery record book of Dhulikhel Hospital from June 2007 to May 2008. Chi-square test and relative risk (RR) for subgroups of study population was examined using the SPSS version 10.0. Results The low birth weight baby among teenage mothers and young mothers were 28% and 26.7% respectively (p=0.572). The Relative risk of low birth weight among adolescent is 1.1 (0.75-1.684) times to that of young mothers at 95% confidence interval. Preterm birth was not associated with adolescence pregnancy (7% Vs. 11.5%, p=0.141). Normal delivery was the common mode of delivery among both groups (77.4% Vs. 74.6%). Among the neonatal complication, newborns of adolescents had greater neonatal complications than newborns of the young mothers (17.2% Vs 16.7%). Maternal complication like antepartum hemorrhage (2.4% Vs. 1.7%) and postpartum hemorrhage (0.6% Vs. 0.2%) was higher among adolescents. ConclusionsLow birth weight, common neonatal complication, antepartum hemorrhage and postpartum hemorrhage are found more in adolescent group, however statistically insignificant.http://dx.doi.org/10.3126/kumj.v9i1.6263 Kathmandu Univ Med J 2011;9(1):50-3
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Richter, Magdalena S., and Vivian Mfolo. "The Perception of South African Adolescents Regarding Primary Health Care Services." Scientific World JOURNAL 6 (2006): 737–44. http://dx.doi.org/10.1100/tsw.2006.161.

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Most of the South African public health facilities fail to provide adolescent-friendly health services. A quantitative, descriptive research study was conducted at Stinkwater, a rural area in Hammanskraal, South Africa. The objective of the study was to describe the adolescent's preferences regarding primary health care services. A survey was conducted among 119 adolescents. It was found that adolescents wished to be involved in the planning of the activities of the adolescent health service, and that friendliness and respect for adolescents were seen as desirable characteristics of an adolescent-friendly health care service. Adolescents preferred services to be available throughout the week and to be located at the school, youth center, community center, hospital, or clinic. Health education was indicated as a priority and the health care team should include different members of a multidisciplinary team. Adolescents preferred that their health services be separated from adult services and that a male nurse be employed in the adolescent service in order to create a less feminine image. It was also recommended that all adolescents be educated about the types of services available. Understanding health care service preferences of adolescents is needed in order to deliver optimal health care to this group.
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Singh, Shreejana, Saraswati Sharma, Bimala Tandukar, Pratibha Silwal, and Mohan Raj Sharma. "Knowledge and Perception Regarding Adolescent Sexual and Reproductive Health Services among Adolescents attending a Tertiary Level Hospital." Journal of Nepal Paediatric Society 42, no. 1 (November 27, 2022): 87–91. http://dx.doi.org/10.3126/jnps.v42i1.42662.

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Introduction: Adolescence is the transitional phase of growth and development between childhood and adulthood with ages ranging from 10 to 19 years. Adolescent sexual and reproductive health (ASRH) services are the centers where adolescents can get access to their queries regarding health of both physical as well as psychological aspect. The objective of the study was to find out the knowledge and perception regarding ASRH services among adolescents attending a tertiary level hospital. Methods: A descriptive study was carried out among 112 adolescents attending adolescent clinic using a pretested structured interview schedule. Non probability purposive sampling technique was used. The data were analyzed using SPSS version 16 through descriptive statistical method and Inferential statistical methods. Results: The study revealed majority (58.0%) of respondents had moderate level of knowledge regarding ASRH (Mean value 68.89 ± 14.59 S. D). Respondent’s had high perception towards programmatic domain. Almost all (97.3%) of the respondents had positive perception towards ASRH services. There was no statistical significance between the level of knowledge and perception, level of knowledge and sociodemographic variables at 95% confidence level. Conclusions: The study concludes that adolescents have moderate level of knowledge regarding ASRH. Adolescents have an overall positive perception towards the ASRH services but they have negative perception towards the facility of ASRH services in comparison to programmatic domain.
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Ribeiro, Gizele Rocha. "Biblioterapia: uma proposta para adolescentes internados em enfermarias de hospitais públicos." RDBCI: Revista Digital de Biblioteconomia e Ciência da Informação 3, no. 2 (March 16, 2006): 112. http://dx.doi.org/10.20396/rdbci.v3i2.2048.

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Este artigo versa sobre uma proposta de implantação de um programa de Biblioterapia para adolescentes, como coadjuvante de tratamento médico, nas enfermarias de hospitais públicos da Rede Municipal de Saúde do Rio de Janeiro. A proposta nasceu a partir da uma revisão de literatura que apontou a biblioterapia como um processo de cura, de lazer, de estímulo à leitura e, conseqüentemente, de aumento do conhecimento para os adolescentes estimulados durante o período de internação. Abstract It is proposed a project to set up a bibliotherapeutic program for in-patients adolescents, from ten to twelve years old, of public hospitals infirmaries of The Municipal Net of Health of Rio de Janeiro (RJ, Brazil). Biblioteraphy, besides integrating the leisure and cure process during the staying of the adolescent in the hospital, will be able to serve as stimulus to reading; consequently it will increase their knowledge after this period hospitalization.
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Feldman, Florencia. "Teen Pregnancy and Situation of the Clinics Hospital of Montevideo Uruguay: Observational Study." Obstetrics Gynecology and Reproductive Sciences 4, no. 1 (January 23, 2020): 01–05. http://dx.doi.org/10.31579/2578-8965/034.

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Introduction: Adolescence constitutes one of the most important transition stages in life and is characterized by changes representing a stage of vulnerability. Teen pregnancy is one of the most important medical dilemmas, Uruguay considered reducing it in the framework of the "2020 National Health Objectives". Objective: to describe the percentage of births, repetition of pregnancy and Voluntary Interruption of Pregnancy (IVE) in the adolescent population using the Montevideo-Uruguay Clinic Hospital between 2009-2017. Material and methods: observational, descriptive, retrospective study. Results: 1,574 births were in adolescents (24.02%). 29.8% occurred in users with previous pregnancies and 19.1% had at least one child alive. 19.18% of the IVE were in adolescents. Discussion and conclusions: There is a stagnation of the percentages of the parameters analyzed in these years. Teen pregnancy and its repetition constitute a failure of health policies in sexual education and it is necessary to increase our efforts to reduce them.
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Spezani, Renê Dos Santos, and Denize Cristina de Oliveira. "Construção do circuito afetivo-representacional de adolescentes que vivem com HIV." Revista Recien - Revista Científica de Enfermagem 10, no. 30 (June 30, 2020): 179–90. http://dx.doi.org/10.24276/rrecien2020.10.30.179-190.

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Descrever como é construído o circuito afetivo-representacional dos adolescentes que vivem com HIV e analisar os desafios que emergem dessa construção para o conhecimento e a assistência de enfermagem. Pesquisa exploratória, desenvolvida em ambulatório de hospital de referência para tratamento de HIV/aids na cidade do Rio de Janeiro, com 42 adolescentes soropositivos ao HIV. Os dados foram coletados mediante instrumento de contextualização dos sujeitos e entrevistas semiestruturadas e analisados com base nas proposições metodológicas da Teoria Ego-ecológica e análise de conteúdo temática. A construção do circuito afetivo-representacional dos adolescentes é mediada por um processo dialógico psicocontextual, que transcorre em meio a vivências demarcadas pela necessidade de encobrimento do diagnóstico em suas relações cotidianas. A valorização desse circuito se faz necessária para as práticas de enfermagem, visto que configura possibilidades de estabelecer percursos que possam dar maior resolutividade às demandas de saúde dos adolescentes que vivem com HIV.Descritores: Adolescente, Cuidados de Enfermagem, Soropositividade para HIV. Construction of the affective-representational circuit of adolescentes living with HIVAbstract: Describe how the affective-representational circuit of adolescents living with HIV is constructed and analyze the challenges that emerge from this construction for nursing knowledge and care. Exploratory research, developed at a referral hospital for treatment of HIV / AIDS in the city of Rio de Janeiro, with 42 HIV-positive adolescents. Data were collected through subject contextualization instrument and semi-structured interviews and analyzed based on the methodological propositions of the Ego-ecological theory and thematic content analysis. The construction of adolescents affective-representational circuit is mediated by a contextual psychological process, that takes place in the midst of experiences marked by the need to cover up the diagnosis in their daily relationships. The evaluation of this circuit is necessary for nursing practices since it configures possibilities to establish pathways that can give greater resolution to the health demands of adolescents living with HIV.Descriptors: Adolescent, Nursing Care, Seropositivity HIV. Construcción del cicuito afectivo-representativo de adolescentes com VIHResumen: Describir cómo se construye el circuito afectivo-representativo de los adolescentes que viven con el VIH y analizar los desafíos que surgen de esta construcción para el conocimiento y la atención de enfermería. Investigación exploratoria, desarrollada en un hospital ambulatorio de referencia para el tratamiento del VIH / SIDA en la ciudad de Río de Janeiro, con 42 adolescentes VIH positivos. Los datos fueron recolectados por medio del instrumento de contextualización del sujeto y entrevistas semiestructuradas y analizados en base a las propuestas metodológicas de la Teoría Eco-Ecológica y el análisis de contenido temático. La construcción del circuito afectivo-representativo de los adolescentes está mediada por un proceso dialógico psico-contextual, que tiene lugar en medio de experiencias marcadas por la necesidad de encubrir el diagnóstico en sus relaciones cotidianas. La apreciación de este circuito es necesaria para las prácticas de enfermería, ya que configura posibilidades para establecer vías que puedan dar una mayor resolución a las demandas de salud de los adolescentes que viven con el VIH.Descriptores: Adolescente, Cuidado de Enfermería, Seropositividad al HIV.
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Agalarova, K. "Adolescent’s perception of hospital spaces." Клиническая и специальная психология 5, no. 1 (2016): 33–44. http://dx.doi.org/10.17759/cpse.2016050103.

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The article is devoted to the study of children’s and adolescent’s perceptions of hospital spaces. Before knowledge of the needs of children and adolescents was obtained from the adult’s feedback. Now this problem is solved by means of children’s reports. The study was carried out in several medical institutions of Moscow and aimed to examine the influence of hospital environment factors of teenagers’ psychological status and their recovery, as well as to study the patterns of their behavior at the hospital. The most important positive hospital factor for adolescents-patients in contrast to adults is communication with their peers, as well as the expression of individuality getting underway in things and clothing. They take less attention to therapy quality and to professionalism of medical staff. Knowledge of the adolescents’ needs allows to create the appropriate living conditions and therefore to improve their psychological well-being.
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Dissertations / Theses on the topic "Adolescents in hospital"

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Bishop, Katherine G. "From their perspectives: Children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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Bishop, Katherine G. "From their perspectives children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being /." University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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Doctor of Philosophy (PhD)
This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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Ludwick, Cleo Vandermolen. "Ministering to adolescents in an institutional setting." Theological Research Exchange Network (TREN), 1987. http://www.tren.com.

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Montoro, Silene Barbosa. "Influencia da orientação personalizada para atividade fisica na melhora da condição clinica e fisica de crianças e adolescentes obesos no Hospital de Clinicas da Unicamp." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308168.

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Orientador: Angelica Maria Bicudo Zeferino
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-13T09:18:42Z (GMT). No. of bitstreams: 1 Montoro_SileneBarbosa_M.pdf: 3875536 bytes, checksum: 751cb7ff987e9c19c0011fddb6588f92 (MD5) Previous issue date: 2009
Resumo: Com o intuito de prestar assistência às crianças e aos adolescentes obesos com maior risco de doenças, oriundos da área de cobertura do Hospital de Clínicas da Unicamp, foi criado o Ambulatório de Obesidade Infantil da Criança e do Adolescente. Este estudo teve como objetivo avaliar a eficácia da orientação para atividade física feita por profissional Educador Físico no serviço de atendimento de crianças e adolescentes obesos do Hospital de Clínicas da Unicamp. Trata-se de um estudo longitudinal das crianças e adolescentes de 07 a 19 anos que fizeram pelo menos duas avaliações de performance com espaço mínimo de 12 meses entre a primeira e a segunda avaliação. Dos 150 pacientes atendidos, 77 pacientes aderiram à atividade física após a primeira consulta (51%); dentre esses, 33 permaneceram em atividade física pelo menos por 12 meses (43%). Houve melhora significativa da distância percorrida no teste vai-e-vem 20 metros entre os meninos. Houve aumento do IMC nos dois gêneros. Não houve impacto significativo nas outras variáveis estudadas (PA, FC e indicadores bioquímicos).
Abstract: Intending to give assistance to children and teenagers that are obese in risk of disease, coming from of the area of the hospital of the Unicamp, it was created the obesity out-patient clinic of the children and teenagers. The goal of this research was test the efficacy of guidance for physical activity done by Physical Educator professional in customer service for obese children and adolescents at the clinic hospital of the Unicamp. This is a longitudinal study regarding children and teenagers between seven and nineteen years old, who took at least two examinations of performance, with a minimum period of twelve months between the first and the second examination. The results of the 150 patients attempted is about 77 started practicing physician activities after the first appointment with a the physical educator (51%), among them 33 kept those activities for at least one year (43%).There have been some increase in the good results about the distance covered in the 20 meters come and go test among the boys There have been some increase either on the IMC in both two genders There haven't been meaningful impacts on the other data searched (PA, FC and some biochemistry indicator).
Mestrado
Saude da Criança e do Adolescente
Mestre em Saude da Criança e do Adolescente
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Kong, Jenny P. F. "Systemic family therapy with families with children and adolescents in an outpatient hospital setting." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ56131.pdf.

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Connor, Liam. "Adolescents with congenital heart disease: an exploration of psychosocial development, intra-hospital and familial experiences." Thesis, Queensland University of Technology, 2009.

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The last twenty years has seen a significant improvement in the physical health of sufferers of Congenital Heart Disease (CHD) due to advances in medical assessment, diagnosis and treatment. Children with CHD are living longer into adolescence and adulthood. Research now assesses the psychosocial development of this population. Two studies were conducted: phase one used qualitative research analyses to interview adolescents (N=6) about their experiences with CHD. A number of themes emerged: CHD defines sense of identity and experience of the disease generates apprehension. Phase 2 used quantitative analysis to measure experiences of Health Related Quality of Life (HRQoL) and psychopathology in a larger sample (N-42). Older adolescents were more likely to experience negative mood, anger, poorer cognitive and social functioning. A number of HRQoL scales were related to depression, anxiety and stress. Results are discussed in the context of chronic illness behavior and developmental tasks of adolescents and have implications for the provision of psychological services to this population.
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PHELAN, KIERAN J. "TRENDS AND PATTERNS OF PLAYGROUND INJURIES IN UNITED STATES CHILDREN AND ADOLESCENTS." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1006198437.

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Selape-Kebuang, Bongani Lebo. "Adolescents’ perceptions and experiences of Anti-retroviral therapy (ART) at a tertiary hospital in Francistown, Botswana." University of the Western Cape, 2016. http://hdl.handle.net/11394/4900.

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Magister Artium (Social Work) - MA(SW)
Botswana is experiencing high levels of HIV prevalence rate at 16.9% among the general population, 4.5% among adolescents aged 10-14 and 4.7% among adolescents aged 14-19. Adolescents are in a critically stage between childhood and adulthood and undergo a lot of developmental changes physically, sychologically and emotionally. The scourge of HIV/AIDS has also brought with it multiple challenges to adolescents as those who are HIV positive have to adhere to all the health requirements of being HIV positive and at the same time being pressurised by the societal expectations. Stigmatisation and discrimination are experienced as barriers against the fight towards HIV which is seen a major factor among adolescents. The aim of the study was to explore and describe adolescents’ perceptions and experiences of anti-retroviral therapy at a tertiary hospital in Francistown, Botswana. The study followed a qualitative research approach with an exploratory descriptive research design. Purposive sampling was used to recruit participants. Participants were school going adolescents aged between 13 and 19 years, who are on antiretroviral therapy and going for reviews at a tertiary hospital in Francistown, Botswana. Data were gathered though face to face semi structured interviews with each of the 24 participants. Data were analysed thematically. The following four themes emerged during the analysis: i. “ARVs control but don’t cure”; ii. “Why did it happen to me?-the reality of using ARVs”; iii. “I don’t want to take them for the rest of my life”; and iv. “No man is an island”, which addressed the research objectives. The findings led to the conclusion that, despite the fact that HIV has been around for over two decades and ARVs has been around for more than a decade, adolescents living with HIV still faces challenges such as stigmatisation due to social as well as clinical factors and adjusting to a lifelong treatment which made it difficult for them to adhere to their treatment. However, adolescents are happy as they are living a healthy and a fruitful life as a result of the ARVs. Ethical considerations were adhered too. Furthermore the findings of the study could assist the Ministries of Health, Education, Local Government and Rural Development to address these challenges experienced by the adolescents in the development of social programmes to improve the livelihood of the adolescents living with HIV/AIDS.
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Zorzo, Renato Augusto. "Perfil clínico-epidemiológico de 121 crianças e adolescentes com doença renal crônica: 22 anos de experiência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/17/17138/tde-28072008-211159/.

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A doença renal crônica (DRC) atinge cada vez mais uma parcela significativa da população, e entre os pacientes adultos as doenças metabólicas são as principais causas, respondendo por aproximadamente 70% dos pacientes em tratamento dialítico. Porém, há poucas publicações sobre levantamento epidemiológico de DRC em crianças disponíveis na literatura. O objetivo deste trabalho foi descrever o perfil clínico-epidemiológico das crianças e adolescentes com DRC atendidos pelo Serviço de Nefrologia Pediátrica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), contemplando 22 anos de experiência. Para tanto, foram revisados 121 prontuários e coletadas 21 variáveis de cada um deles. Do total, 58,7% eram do sexo masculino, e 41,3% do sexo feminino. A média de idade de entrada foi 59,1 meses. Os pacientes menores que 5 anos somaram 62,5% do total. Os pacientes procedentes de Ribeirão Preto ou de cidades com até 300km de distância somaram 63% dos casos. As causas básicas de DRC foram: uropatias (48,8%), glomerulopatias (20,7%), displasias renais congênitas ou policísticas (7,4%), vasculopatias (6,6%), tubulopatias (2,5%), outras causas (7,4%) e causa indeterminada (6,6%). Das glomerulopatias, os tipos histológicos encontrados foram a glomeruloesclerose segmentar e focal (GESF) (25,0%), a proliferação mesangial difusa (PMD) (20,8%), a glomerulonefrite (GN) avançada (12,5%), a glomerulonefrite crescêntica (GNC) (8,3%) e a Síndrome de Alport (8,3%), sendo que 4,2% dos casos foram considerados indeterminados e 20,8% dos pacientes não foram submetidos a biópsia. A grande maioria dos pacientes (59,8%) tinha estatura abaixo do 5º percentil para idade e sexo no momento do diagnóstico. O tempo de seguimento clínico variou de 2 a 263 meses, com média de 67,5 meses. A creatinina sérica no momento do diagnóstico variou de 0,5 a 12,1 mg/dL, com média igual a 3,0 mg/dL. A média de RFG calculado pela Fórmula de Schwartz no momento do diagnóstico foi 27,4 mL/min/1,73m2. A maioria dos casos (62,3%) chegou ao serviço em DRC estágios 4, 5 ou em diálise. Hipertensão arterial (HA) foi detectada em 56,2% dos pacientes em algum momento do curso clínico. Acidose metabólica foi detectada em 53,7% dos pacientes no momento do diagnóstico. Do total de pacientes, 38,0% foram submetidos a tratamento dialítico, sendo as modalidades peritoneais preferidas em 80,4% dos casos. Transplante renal foi realizado em 24,8% dos pacientes, sendo as proporções de doador vivo relacionado (DVR) e doador cadáver (DC) semelhantes. A proporção de óbitos no período do estudo foi 22,3%. Dos demais pacientes, 17,4% foram transferidos para seguimento pela Clínica Médica do HCFMRP-USP, e 38,8% dos casos ainda estavam em seguimento pela Nefrologia Pediátrica em dezembro de 2005. Concluímos que a população estudada mostrou características clínico-epidemiológicas semelhantes às publicações nacionais e internacionais consultadas.
The prevalence of chronic renal failure (CRF) increases every day, and among adult patients, the principal causes are metabolic diseases, responsible to almost 70% of patients who are under dialysis. However, there are few studies regarding epidemiologic data of CRF in children. The objective of this study was to describe clinical and epidemiological profiles of children and adolescents with CRF who have been followed up by the Pediatric Nephrology Team of the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), along 22 years of experience. Data of 121 medical records have been reviewed, and 21 variables have been collected from each of them. From the total of the patients, 58.7% were male and 41.3% were female. The average of age of registration was 59.1 months. Patients who were younger than 5 years summed 62.5% of all. From the total of patients, 63% lived in Ribeirão Preto or in cities until 300km far. The primary renal diseases described were: uropathies (48.8%), glomerulopathies (20.7%), congenital or polycystic renal dysplasia (7.4%), vasculopathies (6.6%), tubular diseases (2.5%), miscellaneous (7.4%) and unknown causes (6.6%). Among the glomerulopathies group, the histological patterns described were: Focal Segmental Glomerulosclerosis (25.0%), Diffuse Mesangial Proliferation (20.8%), Advanced Glomerulonephritis (12.5%), Crescentic Glomerulonephritis (8.3%) and the Alport Syndrome (8.3%). From total of biopsies, 4.2% were not able to define a diagnosis, and 20.8% of the glomerulopathies\' patients were not undergone renal biopsy. From the total, 59.8% of the patients were under the 5o percentile of the NCHS curve in their registration, related to their height. The follow up showed a variation of 2 to 263 months, which average was 67.5 months. The blood creatinine level showed a variation of 0.5 to 12.1 mg/dL, which average was 3.0 mg/dL. The average Glomerular Filtration Rate, estimated by the Schwartz\'s formula, was 27.4 mL/min/1,73m2. At the onset, 62.3% of the patients were classified at the stages 4, 5 or under dialysis. Hypertension was described in 56.2% of the patients at any time of the follow up. Metabolic acidosis was described in 53.7% of the patients at the onset. Patients who underwent dialysis summed 38.0%, and the peritoneal modalities performed 80.4% of all cases. Renal transplantation was performed in 24.8% of the patients, with similar proportions of live-related and cadaveric donors. The proportion of deaths during the 22 years of study was 22.3% of all. The rest of them were delivered to the Clinical Team of the HCFMRP-USP (17.4%) or still had been followed up by the Pediatric Nephrology Team by December 2005 (38.8%). We concluded that the population described had similar clinical and epidemiological characteristics to the other Brazilian and international data available.
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Lemme, Thato. "Barriers to highly active antiretroviral therapy amongst HIV-infected adolescents in a government hospital in Botswana." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/53426.

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The emergence of the Human Immuno-Deficiency Virus (HIV) and Acquired Immuno-Deficiency Syndrome (AIDS) has resulted in many children being perinatally-infected. Some die before reaching adolescence, while others survived into adolescence due to the introduction of Highly Active Antiretroviral Therapy (HAART). Amongst countries of sub-Saharan Africa, Botswana has the highest estimated prevalence rate of HIV and AIDS which is 18.5% of a total population of 2 038 228. In 2002, Botswana became the first country in sub-Saharan Africa to launch a free national HAART programme in the public health sector. The country has achieved more than a 96% coverage rate of HAART. Despite availability of HAART, adolescence is a complex developmental phase marked with psychological, behavioural, physiological and cognitive changes. Hence, the goal of the study has been to identify barriers to HAART adherence amongst HIV-infected adolescents in a government hospital, in Botswana. A qualitative research approach and a phenomenological research design have been utilised to explore and describe factors that inhibit HIV-infected adolescents from adhering appropriately to HAART. The study participants are twelve HIV-infected adolescents (males and females) aged 13 to 17 years who receive HAART from a government hospital in Botswana. Simple random sampling had been used to select these study participants. Unstructured, one-on-one interviews had been conducted utilising an interview schedule and the data that had been collected from the interviews has been transcribed and thematically analysed using Tesch s framework. A bio-ecological perspective has been applied to enhance understanding of this phenomenon. The following themes emerged from the study: knowledge about HIV and AIDS and the importance of HAART adherence, contextualising and conceptualising HAART adherence amongst adolescents, factors contributing towards non-adherence to HAART amongst HIV-infected adolescents, coping strategies and recommendations. The study findings reveal that participants displayed adequate knowledge regarding HIV and AIDS, its transmission, prevention and treatment. However, participants showed inadequate knowledge regarding the myths of HIV and AIDS. The study findings reveal further that participants are knowledgeable of the benefits of HAART adherence, methods that are being utilised to assess adherence and consequences of non-adherence. Hospital, school, home, radio, television, pamphlets, teen club and church are the major sources of information for the knowledge displayed. The results of the study show that a significant number of participants started treatment at a younger age and have been on treatment for lengthier periods. The main barriers to HAART adherence are individually-related factors, regimen or medication side effects, social stigma from school and community, and lengthy waiting times in the health facility during medication refills. However, disclosure of HIV positive status, support from family, teen club or peers, hospital, school, church and various individual strategies were utilised as coping mechanisms. Moreover, majority of the participants were adamant that continuous education on the importance of HAART adherence by healthcare workers and caregivers is essential. They also added that medication supervision is a key strategy in enhancing adherence amongst non-adherent HIV-infected adolescents. Recommendations include the imperativeness of a multi-sectoral approach towards strengthening education on HIV and AIDS, including the importance of HAART adherence, as well as addressing stigma and discrimination surrounding HIV and AIDS. Last of all, future research should include caregivers and healthcare workers particularly, in studies of this nature to strengthen the findings. It should also consider the effectiveness of initiatives that have been outlined to promote HAART adherence.
Mini Dissertation (MSW)--University of Pretoria, 2015.
Social Work and Criminology
MSW
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Books on the topic "Adolescents in hospital"

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Adolescents in psychiatric hospitals: A psychodynamic approach to evaluation and treatment. Springfield, Ill: C.C. Thomas, 1998.

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Short-term psychiatric hospitalization of adolescents. Chicago: Year Book Medical Publishers, 1990.

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Harris, D. Robert. Race/ethnicity and treatment of children and adolescents in hospitals by diagnosis. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1996.

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1947-, Sullivan Linda, and Hill Nancy Herban 1934-, eds. Management guidelines for nurse practitioners working with children and adolescents. 2nd ed. Philadelphia: F.A. Davis, 2004.

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Colijn, Sjoerd. Adolescents in residential psychiatric care: Treatment outcome, social support, and cultural background : results from the Laanzicht research project. Leiden: Universiteit Leiden, 2001.

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Thatcher, Robert W. IMAI district clinician manual: Hospital care for adolescents and adults : guidelines for the management of common illnesses with limited resources. Geneva, Switzerland: World Health Organization, 2011.

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Bisson, Christina B. Experiences of transitional care from paediatric to adult health care services for adolescents with chronic physical conditions - a study of one hospital. Guildford: University of Guildford, 1993.

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Goldstein, Mark A. The MassGeneral Hospital for Children adolescent medicine handbook. Edited by Massachusetts General Hospital for Children. New York: Springer, 2011.

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Nigro, Magdalena. Hospitalização: O impacto na criança, no adolescente e no psicólogo hospitalar. São Paulo, SP, Brasil: Casa do Psicólogo, 2004.

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Goldstein, Mark A., ed. The MassGeneral Hospital for Children Adolescent Medicine Handbook. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-6845-6.

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Book chapters on the topic "Adolescents in hospital"

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Sharma, Amita. "Hypertension in Adolescents." In The MassGeneral Hospital for Children Adolescent Medicine Handbook, 119–29. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-45778-9_12.

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Neilan, Anne M. "HIV in Adolescents." In The MassGeneral Hospital for Children Adolescent Medicine Handbook, 237–45. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-45778-9_21.

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Del Conte, Garry S. "Partial Hospital Programs and Settings." In Dialectical Behavior Therapy With Adolescents, 63–84. New York, NY : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315692425-6.

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Goldstein, Mark A. "Sexually Transmitted Infections in Adolescents." In The MassGeneral Hospital for Children Adolescent Medicine Handbook, 119–46. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-6845-6_17.

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Goldstein, Mark A. "Nature, Nurture, Adolescents, and Resilience." In The MassGeneral Hospital for Children Adolescent Medicine Handbook, 345–51. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-45778-9_28.

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Gupta, Nupur. "Contraceptive Options for Adolescents." In The MassGeneral Hospital for Children Handbook of Pediatric Global Health, 179–90. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7918-5_13.

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D’Alberton, Franco. "Group Therapy with Parents, Children, and Adolescents." In Psychoanalytic Work with Children in Hospital, 179–90. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003252238-12.

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Neilan, Anne M. "Sexually Transmitted Infections (STI) in Adolescents." In The MassGeneral Hospital for Children Adolescent Medicine Handbook, 207–36. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-45778-9_20.

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Goldstein, Mark A., and Nupur Gupta. "Sexually Transmitted Infections in Adolescents." In The MassGeneral Hospital for Children Handbook of Pediatric Global Health, 151–77. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7918-5_12.

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Henin, Aude, Jamie A. Micco, Melissa Schoeller, Alexandra Boudreaux, and Dina Hirshfeld-Becker. "Cognitive Behavioral Therapy with Children and Adolescents." In The Massachusetts General Hospital Handbook of Cognitive Behavioral Therapy, 259–75. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2605-3_19.

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Conference papers on the topic "Adolescents in hospital"

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Caredda, E., R. Wilkinson, S. Bennett, JH Cross, M. Tisdall, Helen Spoudeas, S. Harrison, S. Varadkar, and I. Heyman. "89 The psychiatric and cognitive profiles of children and adolescents with hypothalamic hamartomas." In Great Ormond Street Hospital Conference. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-084620.71.

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McWilliams, A., C. Reilly, F. McFarlane, and I. Heyman. "94 A study of psychogenic non-epileptic seizures in children and adolescents; characteristics and experiences of a case series." In Great Ormond Street Hospital Conference. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-084620.75.

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John, J., and R. Sala. "043 Is the prevalence of autism spectrum disorder decreased in black and ethnic children and adolescents?" In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.43.

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Mahadevan, Y., and W. Mandy. "15 Exploring the prevalence of callous-unemotional traits in children and adolescents with asd and their association and significance in relation to conduct problems." In Great Ormond Street Hospital Conference. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-084620.44.

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Vutipongsatorn, K., V. Ramadoss, D. Preston, and K. Malbon. "P9 Getting it right for adolescents: what do they want? Patient experience of a hospital stay." In RCPCH and SAHM Adolescent Health Conference; Coming of Age, 18–19 September 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjpo-2019-rcpch-sahm.17.

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Basile, Susan, and Xiaopeng Zhao. "Modeling and Analysis of Proximal Tibial Growth Plate Fractures in Adolescents." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-203651.

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Today, children and adolescents are participating heavily in organized athletics year-round. Each year, approximately one third of these children will experience a serious injury requiring a doctor’s or hospital visit. Physeal, or growth plate fractures, are one such type of overuse injury commonly seen in adolescents. At the knee joint, injuries in adolescents occur most often in the proximal region of the tibia as opposed to the middle or distal thirds of the tibia, or in the soft tissues of the joint, as seen in adults. While the exact reasons for this difference have not been directly and definitively quantified, several hypotheses have been suggested. They include differences in movement strategies, changes in limb inertial and material properties, and the timing of these changes in relation to one another. This work aims to compare the changes in and interaction of inertial properties of the lower leg and forces transmitted through the patellar tendon, along with tibiofemoral contact before, during, and after puberty. Forces were first determined using Kane’s method of dynamics in conjunction with an isometric knee extension study yielding separate adult and youth data. These results were then extended to a finite element analysis to load tibial models and investigate changes in stress and strain at the proximal tibia.
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Lea, S., RM Taylor, and F. Gibson. "P79 The importance of the physical environment in creating a social environment for adolescents and young adults in hospital." In RCPCH and SAHM Adolescent Health Conference; Coming of Age, 18–19 September 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjpo-2019-rcpch-sahm.80.

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de Melo Lima, Lenita, Rafaela Baroni Aurilio, Ana Alice Ibiapina Amaral Parente, Adriana Rodrigues Fonseca, Claudia Stella Pereira, Michely Alexandrino de Souza Pinheiro, Belize Marques Barreto, et al. "Children and adolescents with rheumatic diseases and tuberculosis in a tertiary hospital in Rio de Janeiro – case series." In SBR 2021 Congresso Brasileiro de Reumatologia. Sociedade Brasileira de Reumatologia, 2021. http://dx.doi.org/10.47660/cbr.2021.1974.

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Cavalli, Lesley, Rachel Naunton, Rashaun Pacquette-Simpson, Amy Sutton, and Nigel Mills. "46 Capturing the insights of adolescents with lived experience of health and social care to inform the design & delivery of a training for HSCP that supports effective conversations with children & young people & their families about transition." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.46.

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"PS-113 - ADOLESCENTES Y PATOLOGÍA DUAL EN PANDEMIA: UN ESTUDIO COMPARATIVO DE LA ATENCIÓN EN URGENCIAS DURANTE EL PRIMER AÑO DE COVID-19 Y EL AÑO PREVIO AL MISMO." In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps113.

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1. INTRODUCCIÓN Y OBJETIVOS: Tras la pandemia por COVID-19 se ha descrito un aumento de la demanda asistencial por problemas de salud mental en población adolescente. El objetivo del estudio es revisar las características de adolescentes con y sin patología dual atendidos en urgencias psiquiátricas de un hospital general durante el primer año de pandemia respecto al año previo. 2. MATERIAL Y MÉTODOS: A través del registro de historias clínicas informatizadas se identificó a todos los adolescentes atendidos en urgencias psiquiátricas de un hospital general entre 15/03 y 21/06 de 2019 y 2020. Mediante un formulario ad hoc se recogieron variables sociodemográficas y clínicas. 3. RESULTADOS: Durante el periodo de estudio se realizaron 184 asistencias de adolescentes en urgencias (84 el primer año de pandemia). Un 24% de los adolescentes presentaban un consumo concomitante de sustancias (excluyendo tabaco), destacando el cannabis y el alcohol. En el grupo de adolescentes consumidores prevalecía el sexo masculino, así como una mayor asistencia a urgencias en horario nocturno (p=0,037). Este grupo de pacientes describía síntomas ansiosos y cuadros de heteroagresividad, y asociaba menor presencia de síntomas depresivos e ideación autolítica . También presentaban menor prevalencia de seguimiento psicológico o psiquiátrico previo (p=0,012) y de tratamiento psicofarmacológico previo (p=0,023). No se encontraron diferencias en la prevalencia de tentativas o gestos autolíticos. 4. CONCLUSIONES: Este estudio detecta cambios en la atención a los adolescentes en urgencias durante la pandemia respecto al año previo. También en las características clínicas de los pacientes con consumo concomitante de sustancias frente a aquellos sin dicho consumo. Dada la persistencia de la pandemia y su repercusión sobre una población especialmente vulnerable como son los adolescentes, sería necesario disponer de más estudios para evaluar la evolución posterior de los adolescentes atendidos en urgencias, especialmente cuando hay un consumo de sustancias comorbido.
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Reports on the topic "Adolescents in hospital"

1

Muia, Esther G., and Joyce Olenja. Enhancing the use of emergency contraception in a refugee setting: Findings from a baseline survey in Kakuma refugee camps, Kenya. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1038.

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In August 1992, the International Rescue Committee (IRC) at the request of the United Nations, the United Nations High Commission for Refugees, and the Kenyan Government, initiated a primary health care program in the Kakuma Refugee Camp. Since then, the population of the camp has continued to grow, and activities have moved from a crisis to a maintenance phase. In January 1997, IRC assumed the additional responsibility of the camp hospital, bringing the entire health sector under their management. IRC's programs focus on maintaining and improving public health and promoting self-reliance, particularly of the most vulnerable communities. This project focuses on emergency contraception as an aspect of the reproductive health (RH) needs of refugee women and men of reproductive age. The project will especially target the large adolescent community currently resident in the camp. The objective is to contribute to the improved quality of RH services for refugees and the local Turkana population in Kakuma through operations research on the introduction of emergency contraception. This report presents findings from the baseline survey.
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Youth talk about sexuality: A participatory assessment of adolescent sexual and reproductive health in Lusaka, Zambia. Population Council, 1998. http://dx.doi.org/10.31899/rh1998.1023.

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Thirty-six percent of Zambia’s 9 million inhabitants are between 10 and 19 years of age, and most adolescents are sexually active by their mid-teens. Pregnant teenagers have an elevated risk of maternal mortality and complications related to birth. In 1990, at Lusaka’s University Teaching Hospital, self-induced abortion accounted for up to 30 percent of maternal mortality, and one-quarter of these deaths occurred in women under 18 years. Sexually transmitted infections (STIs) are a major health problem for adolescents, yet only a small proportion protect themselves from pregnancy and STIs. There are many barriers to improving the situation, including opposition by parents and teachers to the use of modern contraceptive methods. CARE Zambia is conducting a study to test community-based strategies that increase knowledge of, demand for, and use of barrier methods to reduce unprotected intercourse among out-of-school adolescents in peri-urban Lusaka. As noted in this report, adolescent behavior change will be measured as the prevalence of barrier method use, number of sexual partners, FP attitudes, and measures of self-esteem and responsibility among participants.
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Dr Jon Goldin on the coronavirus and child mental health. ACAMH, March 2020. http://dx.doi.org/10.13056/acamh.11501.

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Voices of vulnerable and underserved adolescents in Guatemala: A summary of the qualitative study 'Understanding the lives of indigenous young people in Guatemala'. Population Council, 2005. http://dx.doi.org/10.31899/pgy19.1011.

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Abstract:
Governments in developing countries recognize the need for appropriate technology for the treatment of emergencies from incomplete abortion or miscarriage. Numerous studies have investigated the appropriateness of an integrated model of postabortion care (PAC) that includes three essential elements: emergency treatment for spontaneous or induced abortion; counseling and family planning services; and links to other reproductive health services. Many integrated PAC services include replacement of the conventional clinical treatment, sharp curettage (SC), with manual vacuum aspiration (MVA). In 1997 and 1999 the Population Council supported intervention studies in Mexico and Bolivia, respectively, to assess PAC programs in terms of safety, effectiveness, quality of care, cost, and subsequent contraceptive use by clients. Both interventions introduced integrated PAC services and compared the outcomes of MVA and SC use in large public hospitals. To assess changes in service quality and costs, researchers analyzed clinical records and interviewed clients and providers before and after the interventions. As noted in this summary, SC and MVA are equally safe and effective and can be provided on an outpatient basis. Integrating clinical treatment with family planning counseling and services increased clients’ knowledge and contraceptive use.
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