Journal articles: '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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Parvin, Roksana, Suraiya Begum, Abul Basher Md. Osman Hayder Mazumder, Ismat Jahan, and Kohinoor Jahan Shyamaly. "Insulin Resistance in Obese Adolescents at a Tertiary care hospital in Bangladesh." Bangladesh Medical Research Council Bulletin 47, no. 2 (May 17, 2022): 212–18. http://dx.doi.org/10.3329/bmrcb.v47i2.57782.

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Background: Insulin resistance has evolved as an important metabolic alteration in obese children especially during adolescence. Emerging data suggest that insulin resistance in obesity play the key role in the pathogenesis of hypertension, dyslipidemia, impaired glucose tolerance, type 2 diabetes mellitus, non-alcoholic fatty liver disease and metabolic syndrome. Objective: The aim of this study was to assess the insulin resistance status of Bangladeshi obese adolescents in hospital settings. Methods: It was a cross sectional study done in children, aged 10 to 16 years, attending the paediatric endocrine clinic, paediatric outpatient and paediatric inpatient department, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka over a period of 15 months. Homeostasis Model Assessment of Insulin Resistance (HOMA- IR) value was obtained from fasting insulin & fasting blood glucose level to assess insulin resistance in obese and normal weight children. Results: Among obese adolescents, 78.8% were insulin resistant in comparison to16% in non-obese adolescent. Mean HOMA-IR level of obese group were significantly higher than non-obese group (4.46±1.82 Vs 1.98±1.26, p<0.001). Insulin resistance was observed in 73.8% and 84.2% among grade 1 obese and grade 2 obese adolescents respectively. HOMA-IR showed positive correlation with BMI and waist circumference. Insulin resistance showed significant association with central obesity, puberty and acanthosis nigricans (AN). Conclusion: In this study, insulin resistance was observed in higher frequency among obese adolescents than normal weight adolescents. Obese adolescents with central obesity, acanthosis nigricans and puberty are at increased risk of insulin resistance. Bangladesh Med Res Counc Bull 2021; 47(2): 212-218

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Vasconcellos, Michely De Almeida, Priscila Cristina da Silva Thiengo de Andrade, Ellen Marcia Peres, Helena Ferraz Gomes, Dayana Carvalho Leite, and Inez Silva de Almeida. "Participação familiar no cuidado ao adolescente hospitalizado: revisão integrativa." Revista Recien - Revista Científica de Enfermagem 11, no. 35 (November 23, 2021): 81–91. http://dx.doi.org/10.24276/rrecien2021.11.35.81-91.

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Identificar a participação familiar no cuidado ao adolescente hospitalizado, a partir de evidências científicas encontradas na literatura. Revisão integrativa de literatura nas bases de dados LILACS, BDENF e MEDLINE, realizada em outubro de 2019. Foram incluídos artigos na íntegra disponíveis nos idiomas português e espanhol, provenientes de estudos secundários que respondessem à pergunta de pesquisa. Obtiveram-se 2.512 artigos, sendo selecionados 11 artigos. Os resultados apontam os sentimentos gerados pelo processo de hospitalização, a educação em saúde como ferramenta de promoção e adaptação do adolescente e família, as estratégias de enfrentamento, os conflitos entre a equipe de saúde e a família e inóspito cenário hospitalar. Conclui-se que a família faz parte do processo de viver do adolescente, constituindo-se de um mundo de símbolos, significados e valores. A participação familiar na internação do adolescente garante o bem estar subjetivo de ambos, garantindo conforto e a proteção.Descritores: Adolescente, Hospitalização, Família. Family participation in hospitalized adolescent care: an integrative reviewAbstract: To identify family participation in the care of hospitalized adolescents, based on scientific evidence found in the literature. Integrative literature review in the LILACS, BDENF and MEDLINE databases, held in October 2019. Full articles available in Portuguese and Spanish, from secondary studies that answered the research question, were included. 2,512 articles were obtained, with 11 articles selected. The results point to the feelings generated by the hospitalization process, health education as a tool for the promotion and adaptation of adolescents and families, coping strategies, conflicts between the health team and the family and an inhospitable hospital scenario. It is concluded that the family is part of the adolescent's living process, constituting a world of symbols, meanings and values. Family participation in the adolescent's hospitalization guarantees the subjective well-being of both, ensuring comfort and protection.Descriptors: Adolescent, Hospitalization, Family. Participación familiar en la atención al adolescente hospitalizado: una revisión integradoraResumen: Identificar la participación familiar en el cuidado de adolescentes hospitalizados, con base en evidencia científica encontrada en la literatura. Revisión integral de la literatura en las bases de datos LILACS, BDENF y MEDLINE, realizada en octubre de 2019. Se incluyeron artículos completos disponibles en portugués y español, de estudios secundarios que respondieron a la pregunta de investigación. Se obtuvieron 2.512 artículos, con 11 artículos seleccionados. Los resultados apuntan a los sentimientos generados por el proceso de hospitalización, la educación sanitaria como herramienta para la promoción y adaptación de adolescentes y familias, estrategias de afrontamiento, conflictos entre el equipo de salud y la familia y un escenario hospitalario inhóspito. Se concluye que la familia es parte del proceso de vida del adolescente, constituyendo un mundo de símbolos, significados y valores. La participación familiar en la hospitalización del adolescente garantiza el bienestar subjetivo de ambos, asegurando comodidad y protección.Descriptores: Adolescente, Hospitalización, Familia.

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Dirayati Sharfina, Indria L. Gamayanti, Fitri Haryanti, and Yulis Hati. "STUDI KUALITATIF: PERSEPSI REMAJA PENDERITA KANKER TERHADAP PELAYANAN KEPERAWATAN." Jurnal Ilmiah Kebidanan Imelda 6, no. 1 (March 31, 2020): 45–49. http://dx.doi.org/10.52943/jikebi.v6i1.384.

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Adolescent with cancer have a complex problem. Adolescents with cancer at risk for developmental phase delay caused limitations in carrying out its role as adolescents, because of the side effects of medication and intensive relationships with health care providers. Nurses are health workers who have a frequency of more interaction to the teenagers who suffer from cancer. Form of nursing care provided by nurse will shape perceptions of teenagers. Adolescent perception of cancer patients with the care received does not match the hope will establish a nursing care desired by adolescents. This study to explore perception and hope of adolescents toward quality of nursing care in Adam Malik Hospital Medan. Qualitative research methods through a phenomenological approach. Adolescent with cancer as research subjects, aged 13-19 years who had been diagnosed with cancer and was undergoing treatment protocol. The sampling technique used the maximum variance. Data were collected through semi-structured interviews with tools interview, observation, field notes, and tools as well as the record will be analyzed by the method Colaizzi The themes that reflect the perceptions and hope of adolescents to nursing care include 1) an overview of nurses’ profile, 2) the ability and skills of nurses, 3) nurses’ attitude, 4) preparedness nurses, 5) the provision of social support. Adolescents also hope hospital’s management add room facilities in order to easy to access the health service especially service care for adolescents. Adolescents with cancer have a different impression at the beginning of the meeting and after getting care by nurses. Further researcher can choose suitable location to interview and research about hope of adolescent’s cancer and nurse’s role in adolescent’s cancer.

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Procópio, Ericka Viviane Pontes, and Ednaldo Cavalcante de Araújo. "Pregnants adolescents perceptions attended in clinic prenatal care." Revista de Enfermagem UFPE on line 1, no. 1 (August 23, 2010): 28. http://dx.doi.org/10.5205/reuol.9-8764-1-le.0101200704.

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RESUMOTrata-se de um estudo exploratório e descritivo, de abordagem qualitativa, com o objetivo de conhecer as percepções das adolescentes gestantes atendidas na Clínica de Pré-Natal do Hospital das Clínicas da Universidade Federal de Pernambuco. Nove adolescentes foram selecionadas para este estudo de acordo com os seguintes critérios: 1) adolescentes entre os 10 aos 19 anos; 2) gestantes entre o segundo e o terceiro trimestre de gravidez. Um roteiro de entrevista estruturado foi elaborado com nove questões para a coleta de informações através da técnica individual de entrevista gravada. As entrevistas foram transcritas na integra e agrupadas em quatro unidades temáticas: 1) A dificuldade para definir adolescência e o seu papel social; 2) O desafio da gravidez na adolescência; 3) Expectativas projetadas sobre a gravidez; 4) Ambigüidade dos sentimentos em relação a gravidez. Nos resultados foram relevantes as dificuldades e confusão emocional vivenciadas por elas demonstrando toda inexperiência e imaturidade, tornando a principio, a maternidade conflituosa. As expectativas e projeções realizadas a partir das vivências, transferindo para o filho todas as frustrações e alegrias do momento. Palavras-chave: Adolescência; Gravidez; Percepções; Gravidez na adolescência.ABSTRACTExploratory and descriptive study, of qualitative boarding, whose objective was to know the pregnants adolescents perceptions attended in the Clinics Hospital’s prenatal care of the University Federal of Pernambuco. An interview structured script was elaborated with nine structured questions for the individual informations collects, through interview recorded, from nine adolescents has been selected based on the following criteria: 1) pregnant adolescents from 10 to 19 years; 2) pregnant adolescents between the second and the third quarter of pregnancy. The interviews were transcribed in the integrate and grouped at four units themes: 1) Difficulty for defined adolescence and his social role; 2) Challenge of the pregnancy in the adolescence; 3) Expectations projected about the pregnancy; 4) Feelings ambiguity regarding pregnancy. Findings were prominent the difficulties and emotional tangle lived by the pregnants adolescents showing up inexperience and immaturity, becoming, at the beginning, to pregnancy with conflicts; also, the expectations and projections carried out from the individual experiences, transferring for her baby some frustrations and sharing happy moments. Keywords: Teenage; Pregnancy; Perceptions; Pregnants adolescents.RESUMENEstudio indagatorio y descriptivo, con enfoque cualitativo, con el objetivo de saber las opiniones de las adolescentes embarazadas atendió en el cuidado prenatal del Hospital de las Clínicas de la Universidad Federal de Pernambuco. Para la recolección de información fue aplicada una encuesta estructurada con nueve preguntas, con la entrevista registrada, a partir del acuerdo, fue seleccionado nueve adolescentes diente de los siguientes criterios: adolescentes embarazadas, a partir del 10 a 19 años; 2) adolescentes embarazadas entre los segundos y el tercer cuarto del embarazo. Las entrevistas fueran transcritas en el integra y agrupadas en cuatro unidades de temas: 1) Dificultad para la adolescencia definida y su papel social; 2) Desafío del embarazo en la adolescencia; 3) Las expectativas proyectaron sobre el embarazo; 4) Ambigüedad de las sensaciones con respecto a embarazo. Los resultados fueran prominentes las dificultades y el enredo emocional vivió por los adolescentes embarazadas que demostraban la inexperiencia y la inmadurez, convirtiéndose, al principio, al embarazo con conflictos; también, las expectativas y las proyecciones realizadas de las experiencias individuales, transfiriendo para su bebé algunas frustraciones y compartiendo momentos felices. Palabras-clave: Adolescente; Embarazo; Opiniones; Adolescentes embarazadas.

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Kumwenda, Andrew, and B. Vwalika. "Outcomes and Factors Associated with Adolescent Pregnancies at the University Teaching Hospital, Lusaka, Zambia." Medical Journal of Zambia 44, no. 4 (December 29, 2017): 244–49. http://dx.doi.org/10.55320/mjz.44.4.91.

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Objectives: These were to determine obstetric outcomes associated with adolescent pregnancies and those of older women at the UTH, identify factors associated with and compare the obstetric outcomes between the two age groups with determining the scale of adolescent pregnancy. Materials and methods: This was a comparative prospective cross sectional study with a purposeful sample of 200 pregnant adolescents and women aged between 20 and 30 years in a ratio of 1:1. Results: 3,456 women delivered between September and October, 2015 out of which 480 (13.9%) were adolescents. Of the 100 adolescents studied, 62(62%) had dropped out of school due to pregnancy and 81(81%) of the pregnancies were unplanned. Factors associated with adolescent pregnancies noted included mean age at coitarche (p <0.001), early marriages (p <0.001; AOR 14.6, 95% CI: 4.642 - 45.99), primary education (p 0.002; AOR 4.522, 95% CI: 1.758 – 11.634), having a boyfriend (p<0.001; AOR 12.70, 95% CI: 4.04 – 39.91) and contraceptive use. There were 95(95%) adolescents who had never used a contraceptive before compared to 40(40%) older women (p <0.001). Adolescents were also significantly associated with first degree perineal tears (p<0.001; AOR 3.46, 95% CI: 1.83 - 6.56) and preterm deliveries (p 0.026, AOR 2.60, 95% CI: 1.16 - 5.78). Furthermore, although not statistically significant, more adolescents 22(22%) had low birth weight babies compared to 14(14% older women and 11(11%) had pregnancy induced hypertension versus 7(7%) older mothers. In addition, out of the 10 documented caesarean sections among the study participants, 8(80%) were done among adolescents (p 0.052). Conclusion: Several factors and adverse obstetric outcomes are associated with adolescent pregnancies seen at the UTH. Although adolescent pregnancy is reducing, it remains high and contributing significantly to discontinuation of school. Key stakeholders need to continue targeting adolescents with appropriate health messages including an emphasis on increased access to and utilization of effective contraceptives.

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Valcárcel, Cesar, Mányuri Jatziri, Jorge Borbor, and Yasel Santiesteban. "Calidad de vida de adolescentes embarazadas atendidas en el hospital de la Junta de Beneficencia de Guayaquil. //Quality of life of pregnant teens assisted in Junta de Beneficencia de Guayaquil Hospital." CIENCIA UNEMI 11, no. 27 (June 3, 2018): 87–96. http://dx.doi.org/10.29076/issn.2528-7737vol11iss27.2018pp87-96p.

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El embarazo en la adolescencia es un problema vigente en los sistemas de salud del mundo. En Ecuador 2 de cada 10 partos son de adolescentes siendo el país con mayor índice en la región. La calidad de vida durante el embarazo implica el esfuerzo para que el proceso de gestación, suponga la menor afectación de la autonomía. Se realizó un estudio descriptivo, transversal el cual caracterizó indicadores de calidad de vida de un grupo de adolescentes embarazadas atendidas en el Hospital Gineco-Obstétrico Enrique C. Sotomayor que pertenece a la Junta de Beneficencia de Guayaquil. Se aplicó el Cuestionario de Calidad de Vida en Población Infantil y Adolescente Kindl, y una entrevista semi-estructurada con preguntas centradas en las seis dimensiones del cuestionario. Las adolescentes refieren tener fuerza y energía en el proceso de gestación, el aburrimiento durante esta etapa fue lo más frecuente en cuanto al bienestar emocional, aunque describen sentimientos de soledad, miedo e inseguridad que aparecieron en algunos momentos. Inadecuadas relaciones familiares, una autoestima matizada por una adecuada actitud para afrontar el futuro, se aprecia identificación con sus coetáneos, en la escuela muestran temor por bajas notas. En el embarazo se aprecian estados de tristeza y confianza por haber mantenido una conducta de afrontamiento adecuada.AbstractAdolescent pregnancy is a current problem in health systems around the world. In Ecuador, 2 of every 10 deliveries are of adolescents, being the country with the highest index in the region. The quality of life during pregnancy implies the effort so that the gestation process, involves the least impairment of autonomy. A descriptive, cross-sectional study was carried out which characterized indicators of quality of life of a group of pregnant adolescents attended at the Gynecological and Obstetric Enrique C. Sotomayor Hospital, belonging to the Charity Board of Guayaquil. The Quality of Life Questionnaire on the Kindl Child and Adolescent Population, Spanish adaptation, and a semi-structured interview with questions centered on the six dimensions of the questionnaire were applied. Adolescents report having strength and energy in the process of pregnancy during this stage was the most frequent in terms of emotional well-being, although they describe feelings of loneliness, fear and insecurity that appeared in some moments. Inadequate family relationships, a self-esteem nuanced by an adequate attitude to face the future, identification is appreciated with their peers, at school they show fear of low grades. States of sadness and confidence in pregnancy are appreciated for having maintained an appropriate coping behavior.

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Vera Saavedra, Maira Verónica, and Viviana Septimia Gómez Mieles. "LA ORIENTACIÓN FAMILIAR DE LAS ADOLESCENTES DE 12 A 14 AÑOS CON EMBARAZOS DE ALTO RIESGO." Revista Cognosis. ISSN 2588-0578 3, no. 5 (November 8, 2018): 65. http://dx.doi.org/10.33936/cognosis.v3i5.1529.

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En la provincia de Manabí en el cantón Sucre Bahía de Caráquez, el Embarazo Adolescente es un problema de salud pública ya que por los últimos resultados dados por el área de Ginecología del Hospital Miguel H. Alcívar y por las repercusiones biológicas y sociales, son pocos los estudios orientados al enfoque de esta situación. En la actualidad el embarazo en adolescentes es cada día más frecuente en el medio social, siendo un problema muy importante relacionado con la salud pública, ya sea en los países en vías de desarrollo como en el mundo desarrollado, debido a sus repercusiones adversas sociales y de salud, tanto para las madres como para los niños. El embarazo precoz de una adolescente implica múltiples causas como: incomprensión, maltrato emocional, carencia de apoyo, carencia de educación sexual, etc. El embarazo y la maternidad tienen un carácter negativo tanto para la joven como para su hijo o hija e incluso para todos los miembros de su familia. Se ha realizado un estudio descriptivo observacional transversal y retrospectivo en el que se pretende fijar el perfil personal y social de las adolescentes embarazadas, mediante charlas que tengan como enfoque la orientación familiar debidamente programada y organizada, para no sucumbir en embarazos no deseados. PALABRAS CLAVE: Orientación familiar; embarazo en la adolescencia; embarazo de alto riesgo. FAMILY ORIENTATION OF ADOLESCENTS FROM 12 TO 14 YEARS OF AGE WITH HIGH RISK PREGNANCY ABSTRACT In the province of Manabí in the Sucre Bay of Caráquez, Adolescent Pregnancy is a public health problem because of the recent results given by the Gynecology area of the Hospital Miguel H. Alcívar and because of the biological and social repercussions, few are the studies oriented to the approach of this situation. Currently adolescent pregnancy is becoming more frequent in the social environment, being a very important problem related to public health, either in developing countries or in the developed world, due to its adverse social and economic repercussions. of health, both for mothers and children. The early pregnancy of a teenager implies multiple causes such as: incomprehension, emotional abuse, lack of support, lack of sexual education, etc. Pregnancy and motherhood have a negative character both for the young woman and her son or daughter and even for all the members of her family. A cross-sectional and retrospective observational descriptive study has been carried out in which the personal and social profile of pregnant adolescents is set, through talks that focus on family orientation, duly programmed and organized, so as not to succumb to unwanted pregnancies. KEYWORDS: Family counseling; pregnancy in adolescence; high risk pregnancy

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Parmar, Arpita, Eluen Ann Yeh, Daphne J. Korczak, Shelly K. Weiss, Zihang Lu, Allison Zweerink, Alene Toulany, Brian J. Murray, and Indra Narang. "Family functioning among adolescents with narcolepsy." Paediatrics & Child Health 24, no. 8 (January 11, 2019): 490–94. http://dx.doi.org/10.1093/pch/pxy192.

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Abstract Background Narcolepsy is a sleep disorder with no cure with onset typically during adolescence. Caring for an adolescent with a lifelong medical condition can negatively impact family structure, cohesion, relationships, and overall functioning. The primary objective of this study was to evaluate family functioning in a cohort of adolescents with narcolepsy using the PedsQL Family Impact Module. The secondary objective was to compare family functioning in adolescents with narcolepsy to adolescents with chronic pain based on published data. Methods This was a cross-sectional study of adolescents (aged 10 to 18 years) with narcolepsy. The narcolepsy group was recruited from The Hospital for Sick Children in Toronto, Canada. Family functioning was assessed by the PedsQL family impact module total scores, which was completed by the patient’s caregiver. The PedsQL family impact module yields a total scale which encompasses parent health-related quality of life, daily activities, family relationships, communication, and worry subscales. Lower scores suggest poorer family functioning. Secondary data analyses were used to compare participants’ family functioning to a cohort of adolescents with chronic pain. Results Thirty adolescents with narcolepsy participated (mean age=13.8 ± 2.2 years, 76.7% male). Family functioning was impaired in this cohort of adolescents with narcolepsy and similar to adolescents with chronic pain (64.0 ± 19.8 versus 64.7 ± 19.5; P=0.849). Conclusion Family functioning is impaired in adolescents with narcolepsy. Clinical teams should assess family functioning at routine clinic visits by asking about concerns and challenges related to caring for an adolescent with narcolepsy and providing resources and support as needed.

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Agostino, Holly, and Brett Burstein. "90 Perceived Barriers to the Provision of Adolescent Confidential Care in the Tertiary Care Setting." Paediatrics & Child Health 25, Supplement_2 (August 2020): e37-e37. http://dx.doi.org/10.1093/pch/pxaa068.089.

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Abstract Background A cornerstone of quality adolescent health care is assuring confidential time for adolescent patients. Adolescents are more likely to seek care and disclose sensitive health information if confidentiality is assured. Several national societies endorse the need for confidential care at all health-related encounters with adolescents. Many adolescents have infrequent contact with the medical system other than unscheduled urgent care in pediatric hospitals. Little is known regarding the effectiveness and feasibility of providing confidential care to adolescents in a tertiary pediatric hospital setting. Objectives We hypothesized that significant variation exists in the frequency and quality of confidential care delivery for adolescents. This study sought to characterize clinician comfort with confidentiality provision as well as identification of potential predicators and barriers to providing confidential care for adolescents in a tertiary, pediatric hospital setting. Design/Methods We undertook a cross-sectional survey among Emergency Department (ED), Hospitalist and Resident physicians at an urban, academic pediatric center. Data was collected using a standardized, self-administered electronic questionnaire. Survey participants responded to multiple-choice questions to characterize their comfort and self-identified barriers to providing confidential care to adolescents. Results Response rate was 91% (n=72/79; 26 ED, 14 Hospitalists, 32 Residents). A majority of respondents were female (69%), under the age of 50 (60%) and within their first 10 years of practice (51%). Forty-seven percent of respondents reported being somewhat/very doubtful that confidential care was being consistently provided to adolescents. Eighty-nine percent of respondents identified barriers to the quantity or quality of confidential care provided. Factors most commonly reported to influence physician decision to provide confidential care were diagnosis (75%), time of visit (45%), and patient age (25%). Among attending physicians 60% reported that they usually/always provide confidential care to adolescents, and 83% ensure that their trainees offer confidential care; whereas only 31% of trainees reported usually/always providing confidential care themselves (p=0.01). Limits of confidentiality were more likely to be explained to adolescent patients compared to their parents (83% vs. 33%; p<0.001). The most common reasons identified limiting the provision of confidential care were insufficient time (21%), perceived parental resistance (26%), lack of private space (26%) and the belief that it is not necessary for all adolescent encounters (34%). Forty percent of respondents reported discussing sensitive topics with adolescents in front of family members. Among both attending physicians and trainees, only 45% felt they had received adequate training on how best to deliver confidential care and similarly, 75% in both groups reported a desire for additional training. Conclusion Survey results suggest inadequate provision of confidential care in an academic pediatric hospital, with several potentially modifiable barriers. Confidentiality-specific education likely represents an important intervention to optimize physician comfort and improve the delivery of appropriate confidential care for adolescents.

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Andres, Marina de Paula, Sergio Podgaec, Karina Belickas Carreiro, and Edmund Chada Baracat. "Endometriosis is an important cause of pelvic pain in adolescence." Revista da Associação Médica Brasileira 60, no. 6 (December 2014): 560–64. http://dx.doi.org/10.1590/1806-9282.60.06.015.

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Objective: despite endometriosis being a common disease, where early detection is key to preventing its progression, it is a condition often overlooked in adolescents. The aim of this study was to report the clinical characteristics of adolescent patients with endometriosis monitored in a tertiary hospital. Methods: a retrospective study of 394 patients undergoing surgery with a histological diagnosis of endometriosis at the Endometriosis Division of the Gynecology Department at the Hospital das Clínicas of the University of São Paulo Medical School from 2008 to 2013. 21 adolescents were included (aged under 21 years). Results: the age ranged from 17.95 ± 1.48 years, the average time for diagnostic confirmation was 2.96 ± 2.93 years, and the age at the onset of symptoms was 15.28 ± 3.03 years on average. The sites affected were ovarian (38%), peritoneal (47.6%) and retrocervical (23.8%). Dysmenorrhea was found in 80.9 % of adolescents (severe in 33.3% of cases) and chronic pelvic pain in 66.6%. Conclusion: endometriosis in adolescents is an important differential diagnosis from pelvic pain and ovarian cysts, mainly among those with no response to conventional treatment. The main forms of involvement are peritoneal and ovarian. Despite the onset of symptoms in adolescence and advances in imaging methods, the diagnosis of this disease is still delayed.

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Morais, Aisiane Cedraz, and Cínthia Dos Santos de Castro Campos. "Caring for the newborn child: experience of primiparous adolescent." Revista de Enfermagem UFPE on line 5, no. 10 (November 3, 2011): 2406. http://dx.doi.org/10.5205/reuol.2133-15571-1-le.0510201110.

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ABSTRACTObjective: to understand the experience of primiparous adolescents with regard to the care with the newborn and analyze the factors that interfere in the caring/care of the newborn provided by the adolescent mother. Methodology: this is a descriptive qualitative study whose data collection was carried out on October 2009, at the joint rooming of a public hospital in the town of Petrolina, Pernambuco, Brazil, with eight primiparous adolescent mothers, using the techniques of non participative direct observation and semi-structured interview, after the approval by the Research Ethics Committe of Associacao Caruaruense de Ensino Superior, under the Protocol 145/09. The analysis was ruled out by the Content Analysis technique. Results: it started from three thematic categories: The care provided by the adolescent mother to her newborn child; Difficulties to take care of the child; and Support for the care: family support and the knowledge of the health care professional. Conclusion: there are difficulties the adolescent mother faces to take care of her newborn child and they point to the need for an individualized prenatal care provided to the adolescent mother, besides the family and health professionals support throughout the pregnancy-puerperium cycle. Descriptors: infant's care; caregivers; mother-child relations; adolescents.RESUMOObjetivo: compreender a vivência das adolescentes primíparas em relação ao cuidado com o recém-nascido e analisar os fatores que interferem no cuidar/cuidado do recém-nascido pela mãe adolescente. Método: trata-se de estudo qualitativo descritivo cuja coleta de dados ocorreu em outubro de 2009, no alojamento conjunto de um hospital público no município de Petrolina-PE com oito mães adolescentes primíparas, empregando as técnicas de observação direta não participante e entrevista semiestruturada, após aprovação pelo Comitê de Ética em Pesquisa da Associação Caruaruense de Ensino Superior, sob o Protocolo n. 145/09. A análise pautou-se pela técnica de Análise de Conteúdo. Resultados: partiu-se de três categorias temáticas: O cuidado da mãe adolescente com seu filho recém-nascido; Dificuldades para cuidar do filho; e Suporte para o cuidado: apoio familiar e o saber do profissional de saúde. Conclusão: há dificuldades que a mãe adolescente enfrenta para cuidar do seu filho recém-nascido e elas apontam para a necessidade de um pré-natal individualizado para a mãe adolescente, além do apoio familiar e de profissionais de saúde durante todo o ciclo gravídico-puerperal. Descritores: cuidado do lactente; cuidadores; relações mãe-filho; adolescentes.RESUMENObjetivo: comprender la vivencia de las adolescentes primíparas en relación al cuidado con el recién nacido y analizar los factores que interfieren en el cuidar/cuidado del recién nacido por la madre adolescente. Metodología: esto es un estudio cualitativo descriptivo cuya recogida de datos ocurrió en octubre de 2009, en el alojamiento conjunto de un hospital público en el municipio de Petrolina, Pernambuco, Brasil, con ocho madres adolescentes primíparas, utilizando las técnicas de observación directa no participante y entrevista semi-estruturada, después de la aprobación por el Comité de Ética en Investigación de la Associação Caruaruense de Ensino Superior, bajo el Protocolo 145/09. El análisis se pautó por la técnica de Análisis de Contenido. Resultados: se partió de tres categorías temáticas: El cuidado de la madre adolescente con su hijo recién nacido; Dificultades para cuidar del hijo; y Soporte para el cuidado: apoyo familiar y el saber del profesional de salud. Conclusión: hay dificultades que la madre adolescente enfrenta para cuidar de su hijo recién nacido y ellas apuntan a la necesidad de un prenatal individualizado para la madre adolescente; además del apoyo familiar y de profesionales de salud durante todo el ciclo gravídico-puerperal. Descriptores: cuidado del lactante; cuidadores; relaciones madre-hijo; adolescentes.

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Silva, Ítalo Rodolfo, Antonio Marcos Tosoli Gomes, Glaucia Valente Valadares, Nereida Lúcia Palko dos Santos, Thiago Privado da Silva, and Joséte Luzia Leite. "Nurses' perceptions of the vulnerabilities to STD/AIDS in light of the process of adolescence." Revista Gaúcha de Enfermagem 36, no. 3 (September 2015): 72–78. http://dx.doi.org/10.1590/1983-1447.2015.03.47293.

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Objective: to understand the perception of nurses on the vulnerabilities to STD/AIDS in light of the process of adolescence.Method: qualitative research conducted with 15 nurses in a centre for the studies of adolescent healthcare of a university hospital in Rio de Janeiro/Brazil. The adopted theoretical and methodological frameworks were the Complexity Theory and the Grounded Theory, respectively. The semi-structured interview was used to collect data from January to August 2012.Results: this research presents the category: Nurses' perceptions of the vulnerabilities to STD/AIDS in light of the process of adolescence, and the subcategories: Risks and uncertainties of the process of adolescence: paths to STD/AIDS; Age-adolescence complex: expanding knowledge from the perception of nurses.Conclusion: once the nurses understand the complexity of adolescence, they create strategies to reduce the vulnerability of adolescents to STD/AIDS. This signals the need to invest in education, assistance and the management of nursing care for adolescents.

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Chaura, Tamara, Donnie Mategula, and Luis Aaron Gadama. "Adolescent pregnancy outcomes at Queen Elizabeth Central Hospital, Malawi: a cross-sectional study." Malawi Medical Journal 33, no. 4 (December 22, 2021): 261–68. http://dx.doi.org/10.4314/mmj.v33i4.6.

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Introduction Malawi has a growing population with a high Maternal Mortality Ratio (MMR) of 439 per 100,000 live births to which adolescents contribute 25%. Current data suggests adolescent pregnancies in low resource settings are at an increased risk of both maternal and neonatal morbidity. Objectives This study assessed the pregnancy outcomes amongst adolescents while using women from the early adulthood (20 - 24-year-old) and advanced maternal age (35 years old and above) groups as reference.Methods This was a cross-sectional study, carried out at the Chatinkha maternity (labour) and post-natal wards at QECH, and included all adolescents (10 – 19 years old) and women between 20 - 24 years old (early adulthood) and 35 years old or older (advanced maternal age), presenting in labor, at any gestational age ≥ 28 weeks or with a birth weight of 1000 grams or above. Results The study found the prevalence of adolescent pregnancy to be 20.4% (N=5035) out of all the deliveries during the recruitment period. Sexually transmitted infections were proportionally higher in the adolescent group, with 12% testing HIV seroreactive and 10% syphilis seroreactive. Neonatal outcomes of birth asphyxia (3.5%), low birth weight (5%), prematurity (4.3%) and early neonatal death (4.3%) were not statistically different from the outcomes of the older age groups. The major causes of maternal morbidity were determined to be a high caesarean section rate of 31.9% and intrapartum diagnosis of urinary tract infection (7.4%), malaria (7.4%) and hypertensive disorders (14.5%). Conclusions Adolescents are a significant proportion of the pregnant population in Malawi. These adolescents are at increased risk of some pregnancy and peripartum complications when compared to women of older age groups. However, our study determined that these outcomes appear to be more likely related to the peripartum care received and not solely specific to maternal age.

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Penna, Lucia Helena Garcia, Raquel Fonseca Rodrigues, Valéria Aliprandi Lucido, Claudia Rosane Guedes, and Licia Maria Accioly Lima. "Care of adolescents sheltered in maternity hospitals from the perspective of health professionals." Acta Paulista de Enfermagem 25, spe2 (2012): 121–27. http://dx.doi.org/10.1590/s0103-21002012000900019.

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OBJECTIVE: Discuss determinant aspects of quality care of pregnant adolescents sheltered in a maternity hospital, according to the perspective of health professionals. METHODS: Study with a qualitative, exploratory approach, conducted in a maternity hospital in the Municipality of Rio de Janeiro - RJ, reference for sheltered youngsters. The subjects of the study were 14 health professionals. The data were treated according to the Content Analysis technique. RESULTS: Two categories of analysis emerged: Characteristics of care provided by health professionals at the maternity hospital directed towards the sheltered adolescent mother and her child; Characteristics of the organization/structure of the maternity hospital that affected the care of the sheltered pregnant adolescents. CONCLUSION: It is necessary to incorporate the guiding practices of integrality/interdisciplinarity into the service. The stigmatization of these youngsters is one of the greatest challenges to full assistance and care. The maternity hospital space is a rich environment for the nurse-adolescent dialogic process.

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Kazlauskaite, Vaida, and Stephen T. Fife. "Adolescent Experience With Parental Cancer and Involvement With Medical Professionals: A Heuristic Phenomenological Inquiry." Journal of Adolescent Research 36, no. 4 (January 9, 2021): 371–97. http://dx.doi.org/10.1177/0743558420985446.

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Experiencing the death of a loved one can be a difficult occurrence. Adolescents, in particular, experience death in a unique way. Yet there is relatively little research on adolescents’ experience with parental death and their involvement in the medical setting during a parent’s terminal illness. This qualitative study utilized heuristic inquiry, a type of phenomenological research, to investigate adolescents’ involvement in the hospital setting during parental terminal illness. Qualitative analysis of participants’ experiences resulted in two primary categories associated with adolescents’ involvement with medical professionals during parental illness: factors influencing hospital involvement and experience with health care professionals. The findings have implications for medical and mental health professionals who work with adolescent family members of terminally ill patients.

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Theodoratos, Oreste, Lyn McPherson, Catherine Franklin, Bruce Tonge, Stewart Einfeld, Nicholas Lennox, and Robert S. Ware. "Psychopathology of adolescents with an intellectual disability who present to general hospital services." Australasian Psychiatry 25, no. 5 (May 2, 2017): 481–85. http://dx.doi.org/10.1177/1039856217706820.

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Objective: Adolescents with intellectual disability have increased rates of psychopathology compared with their typically developing peers and present to hospital more frequently for ambulant conditions. The aim of this study is to describe the psychopathology and related characteristics of a sample of adolescents with intellectual disability who presented to general hospital services. Method: We investigated a cohort of adolescents with intellectual disability in South East Queensland, Australia between January 2006 and June 2010. Demographic and clinical data were obtained via mailed questionnaires and from general practice notes. Psychopathology was measured with the Short Form of the Developmental Behaviour Checklist. Results: Of 98 individuals presenting to hospital, 71 (72.5%) had significant levels of psychopathology. Unknown aetiology for the intellectual disability was associated with presence of problem behaviours. Adolescents with more severe intellectual disability were more likely to have major problem behaviours. Co-morbid physical health issues were not associated with psychopathology. Only 12 (12.1%) adolescents had undergone specialized mental health intervention. Conclusions: The general hospital environment may offer opportunities for liaison psychiatry services to screen and provide management expertise for adolescent individuals with intellectual disability presenting for physical health issues.

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Joseph, R. S., G. R. Mahiti, G. Frumence, and C. M. Ulrich. "Parents’ perceptions of ethical issues in adolescents’ HIV care and treatment at Temeke Regional Referral Hospital, Tanzania." South African Journal of Bioethics and Law 15, no. 2 (October 12, 2022): 54–59. http://dx.doi.org/10.7196/sajbl.2022.v15i2.784.

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Background. Decisions to test, enrol and disclose HIV status are among the ethical challenges that may influence adherence to antiretroviral therapy (ART) and HIV care and treatment in adolescents living with HIV. In the Tanzanian setting, how parental perceptions of ethical issues affect adolescents’ adherence to HIV care and treatment is not well known.Objective. To explore parental perceptions of ethical issues in adolescent HIV care and treatment. Methods. The study employed a descriptive qualitative exploratory design and was conducted at Temeke Regional Referral Hospital in Dar es Salaam Care and Treatment Centre (CTC) in the Outpatient Department (OPD). The study population were parents and non-parent caregivers of HIV-infected adolescents 10 - 19 years of age. A total of 16 persons participated in semi-structured interviews after their consent was obtained. All interviews were audiotaped, transcribed verbatim in Swahili and back-translated into English. An inductive content analysis was used, and standards of qualitative rigour applied. Results. Three qualitative themes emerged: balancing adolescents’ autonomy with parents’ desire to protect their children; parental dilemmas regarding disclosure of adolescents’ HIV status; and parental reasons for delayed disclosure.Conclusion. Participants perceived that parental authority should override adolescents’ autonomy in HIV care and treatment. Disclosure of HIV status to adolescents is a challenge to parents. Delays in disclosure often occur because parents feel guilty and because they have fears of rejection by their adolescent children.

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Agostino, Holly. "146 Provision of Adolescent Confidential Care in a Tertiary Care Setting." Paediatrics & Child Health 26, Supplement_1 (October 1, 2021): e101-e102. http://dx.doi.org/10.1093/pch/pxab061.115.

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Abstract Primary Subject area Adolescent Medicine Background Adolescents are more likely to seek care and disclose sensitive health information if confidentiality is assured. Several national societies endorse the need for confidential care at all health-related encounters with adolescents. Many adolescents have infrequent contact with the medical system other than unscheduled urgent care in pediatric hospitals. Little is known regarding the effectiveness and feasibility of providing confidential care to adolescents in a tertiary pediatric hospital setting. Objectives We sought to evaluate the frequency, quality and factors associated with the provision of confidential care to adolescent patients at a pediatric teaching hospital. Design/Methods We undertook a cross-sectional survey of adolescents presenting to an urban tertiary pediatric hospital from December 2019 to December 2020. Adolescents eligible for confidential care under Quebec legislation (aged 14-18) were recruited from a convenience sample either when presenting to the Emergency Department (ED) for low acuity visits (CTAS 3-5) or when hospitalized on the pediatric inpatient medical ward. Participants completed a standardized, self-administered electronic questionnaire regarding the confidential care provided at their initial ED or inpatient medical encounter. Multivariable logistic regression was used to identify factors associated with the provision of confidential care. Results A total of 406 adolescents completed the survey (335 ED; 71 inpatient). The majority of respondents identified as female (233, 57.4%), white/Caucasian (260, 64.0%) and presented to the hospital with a parent (367, 90.4%). Overall, confidential care was offered to 137 (33.7%) respondents, with 95 (69.3%) accepting confidential time alone with their doctor. Among participants receiving confidential care, 43.2% endorsed that the limits of confidentiality were not reviewed, 24.2% reported that their private issues were still discussed in front of family members and 15.8% had private information that they had wished to discuss but were not asked. When offered, there was no difference between hospitalized and ED patients declining confidential care (32/100 vs. 10/37; p=0.73). The most common reasons identified for declining private time were that it was deemed unnecessary (29/42, 69.0%), perceived risk of parental conflict (8/42, 19.0%), or concerns for violation of trust by the medical team (5/42, 11.9%). Multivariable analysis found inpatient location (aOR 2.28, 1.04-5.01), female gender (aOR 2.02, 1.21-3.38), age (aOR 1.67, 1.03-2.69), psychiatric diagnosis (aOR 8.10, 1.47-44.6), resident involvement (aOR 1.96, 1.09-3.53) and overnight assessment (aOR 0.23, 0.06-0.90) were all associated with the provision of confidential care, after adjusting for patient- and hospital-level covariates. Conclusion Survey results suggest inadequate provision of confidential care in an academic pediatric hospital. Adolescents receiving confidential care were not consistently explained to regarding the limits of confidentiality, and breaches were reported in a quarter of all cases. Confidentiality-specific education initiatives are necessary to improve the frequency and quality of confidential care for adolescents in tertiary care settings.

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Madaan, Monika, Swati Agrawal, Manju Puri, Jyoti Meena, Harvinder Kaur, and Shubha Sagar Trivedi. "Health profile of urban adolescent girls from India." International Journal of Adolescent Medicine and Health 26, no. 2 (May 1, 2014): 233–37. http://dx.doi.org/10.1515/ijamh-2013-0513.

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Abstract Context: Adolescents comprise 22.5% of the population, which forms a significant part of the entire population. It is only recently that we have acknowledged the need for a separate specialty to handle adolescent problems and ailments. Aims: The aim of the present study is to study the health profile of the adolescents girls presenting to the tertiary care hospital situated in New Delhi, India. Materials and methods: The study was conducted on 316 adolescent girls who presented to the adolescent clinic at Smt Sucheta Kriplani Hospital, New Delhi. Apart from recording the various health problems to which they presented, a detailed HEADSS assessment was done for each case. Results: Majority of the adolescents (60.74%) presented with menstrual problems, 78.48% discussed their problems with their parents, and 91.77% agreed on common things with them. About 69.62% were attending school or college, while 30.37% had either left or never attended school. Majority of the adolescents (77.84%) had only a few friends, 62.96% watched TV in their free time, and only 7.27% performed regular exercise. In addition, 0.94% adolescents in the study group were married. Among the 313 unmarried adolescents, 3.83% were dating and 4.47% were sexually active. There was a low incidence of teenage pregnancy (0.94%) reported in the unmarried study population. History of contraceptive use was present in only 1.26% cases, and only 5.06% of the adolescents had knowledge of HIV. Conclusions: Adolescent health must be viewed with a comprehensive approach comprising of social, mental, physical and emotional aspects. The active involvement of the entire society, including parents and teachers, must also be encouraged towards the healthy development of adolescents.

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Silva, Lygia Maria Pereira da, Tarcísia Domingos de Araújo Sousa, Mirian Domingos Cardoso, Lúcia De Fátima Santos de Souza, and Taciana Mirella Batista dos Santos. "Violência perpetrada contra crianças e adolescentes." Revista de Enfermagem UFPE on line 12, no. 6 (June 2, 2018): 1696. http://dx.doi.org/10.5205/1981-8963-v12i6a23153p1696-1704-2018.

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RESUMOObjetivo: descrever o perfil dos casos de violência cometidos contra crianças e adolescentes registrados em um hospital de Pernambuco. Método: estudo quantitativo, descritivo, retrospectivo, de base populacional, realizado em hospital referência no atendimento à criança e adolescentes vítimas de violência. Os tipos de violência foram as variáveis dependentes e os resultados apresentados em frequência absoluta e relativa com respectivo intervalo de 95% de confiança. Resultados: 58,92% da população eram adolescentes, 65,40% do sexo masculino e as violências prevalentes foram Negligência (48,24%) e a Violência Física (44,72%). Os principais agressores de crianças e adolescentes foram a Mãe (16,80%) e Desconhecidos (18,70%). O Conselho Tutelar (68,18%) foi o principal local de encaminhamento para os casos de Negligência. Conclusão: o conhecimento epidemiológico sobre os tipos de violência e papel dos profissionais de saúde dentro da rede de proteção de crianças e adolescentes são importantes. Descritores: Vigilância Epidemiológica; Prevalência; Maus-Tratos Infantis; Delitos Sexuais.ABSTRACTObjective: to describe the profile of cases of violence committed against children and adolescents registered in a hospital in Pernambuco. Method: quantitative, descriptive, retrospective, population-based study, performed at a reference hospital in the care of children and adolescents victims of violence. The types of violence were the dependent variables and the results were presented in absolute and relative frequency with their respective 95% confidence interval. Results: 58.92% of the population was adolescents, 65.40% were male and the prevalent types of violence were neglect (48.24%) and physical violence (44.72%). The main offenders of children and adolescents were the mother (16.80%) and unknown people (18.70%). The Guardianship Council (68.18%) was the main referral site for cases of neglect. Conclusion: epidemiological knowledge about the types of violence and the role of health professionals within the protection network of children and adolescents is important. Descriptors: Epidemiological Surveillance; Prevalence; Child Abuse; Sexual Offenses.RESUMENObjetivo: describir el perfil de los casos de violencia cometidos contra niños y adolescentes registrados en un hospital de Pernambuco. Método: estudio cuantitativo, descriptivo, retrospectivo, de base populacional, realizado en hospital referencia en el atendimiento al niño y adolescentes víctimas de violencia. Los tipos de violencia fueron las variables dependientes y los resultados presentados en frecuencia absoluta y relativa con respectivo intervalo de 95% de confianza. Resultados: 58,92% de la población eran adolescentes, 65,40% del sexo masculino y las violencias prevalentes fueron Negligencia (48,24%) y la Violencia Física (44,72%). Los principales agresores de niños y adolescentes fueron la Madre (16,80%) y Desconocidos (18,70%). El Consejo Tutelar (68,18%) fue el principal lugar de envíos para los casos de Negligencia. Conclusión: el conocimiento epidemiológico sobre los tipos de violencia y el papel de los profesionales de salud dentro de la red de protección de niños y adolescentes son importantes. Descriptores: Vigilancia Epidemiológica; Prevalencia; Maltrato a los Niños; Delitos Sexuales.

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Massimo, Luisa, Nicoletta Rossoni, Francesca Mattei, Stefano Bonassi, and Daniela Caprino. "Needs and expectations of adolescent in-patients: the experience of Gaslini Children’s Hospital." International Journal of Adolescent Medicine and Health 28, no. 1 (February 1, 2016): 11–17. http://dx.doi.org/10.1515/ijamh-2014-0070.

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Abstract Background: Adolescents affected by a severe disease who undergo high-risk treatment may experience stress, pain, extreme frustration, depression, and anger. In this large spectrum of emotions, several situations must be considered carefully. To improve coping and quality of services offered to adolescents in paediatric hospitals, we elaborated a semi-structured interview and a short questionnaire (Quality of life-adolescent-Istituto Giannina Gaslini, QoL-adol-IGG scale) to investigate the quality of life, the needs and expectations of adolescent in-patients. Methods: The study sample includes 117 in-patients aged between 10 and 20 years coming from several Italian regions who were admitted to the G. Gaslini Research Children’s Hospital for a period of 10 days or more, regardless of the disease. The QoL-adol-IGG scale was administered – after obtaining informed consent from the children and their parents – in one single encounter by trained psychologist. The distribution of the answers was evaluated after stratification by patient’s age, gender, area of residence, and clinical diagnosis. Continuous data were compared using the Kruskal-Wallis, while the χ2-test was used for categorical data. Results: Seventy-two percent had difficulty practicing normal daily activities during their stay in the hospital, not only because of the disease (40%), but also because of the poor organization within the hospital, the lack of proposals/activities and space for spare time, and the limited access to technologies. Adolescents ≥15 years were more frequently dissatisfied than youngsters concerning the access to Internet and other technologies, the possibility to make new friends and to take part in social activities. Conclusion: The results of this study, which evaluated the hospital’s organization, but also psychological functioning in a representative sample of patients, may contribute to optimize internal procedures of clinical departments where adolescent in-patients are present, on the basis of their requests and taking into account their age.

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Melania and Denny Satria Utama. "THE CHARACTERISTICS OF ADOLESCENTS NASOPHARYNGEAL CARCINOMA PATIENTS IN MOHAMMAD HOESIN GENERAL HOSPITAL PALEMBANG JANUARY 2013 -DECEMBER 2017." INTERNATIONAL JOURNAL OF NASOPHARYNGEAL CARCINOMA (IJNPC) 1, no. 1 (May 23, 2019): 11–13. http://dx.doi.org/10.32734/ijnpc.v1i1.955.

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Introduction Nasopharyngeal carcinoma is (NPC) mostly found in men of productive age with a ratio of men and women 2,18: 1 and 60% of patients age between 25 and 60 years. NPCs are very rarely found in adolescents, namely age 11 to 21 years. Objective To determine the characteristics of nasopharyngeal carcinoma in adolescent patients at ORL-HNS Department of Dr. Mohammad Hoesin General Hospital Palembang. Method This is a descriptive retrospective study. The sample is all patients diagnosed with NPC in adolescence at ORL-HNS Department of Dr. Mohammad Hoesin General Hospital Palembang in January 2013 to December 2017 period. Results In this study, the number of adolescent NPC patients from January 2013 to December 2017 was 12 patients. The majority of adolescent NPC patients were male (66,6%). The most common histopathological finding was WHO 2B (50%). Based on the T category, largely, the patients were T4 (41,6%). Most patients with Nodules were N3 (58,3%) and came to the ENT clinic were already in stage IV (41,6%). Conclusion Adolescent nasopharyngeal carcinoma is more common in men than women (2: 1), and shows a response to proper therapy.

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Onigu-Otite, Edore, Miju Kurtzweil, Veronica Tucci, and Nidal Moukaddam. "Substance Use in Adolescents Presenting to the Emergency Department." Adolescent Psychiatry 9, no. 2 (January 10, 2020): 142–58. http://dx.doi.org/10.2174/2210676608666181015114220.

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Background: Adolescent substance use is a dynamic public health problem. Adolescence is a unique developmental period involving overlapping biological, psychological, and social factors which increase the rates of initiation of substance use. The developing adolescent brain is particularly susceptible to the effects of substances and most adults with substance use disorders began to have symptoms and problems in their adolescent years. Yet, for various reasons, most adolescents who use, misuse, abuse, or are addicted to substances do not perceive the need for treatment. Objective: Drug and alcohol use among adolescents is a common presentation in hospital Emergency Departments (EDs) and presents in different forms including in association with intoxication, withdrawal states, or trauma associated with drug-related events. For many adolescents with substance use, the Emergency Department (ED) is the first point of contact with medical personnel and thus also serves as a potential entry point into treatment. Methods: This article reviews the common ways drug and alcohol problems present in the ED, clinical assessment of the patient and family, screening, laboratory testing, brief interventions in the ED, and referral to treatment beyond the ED. Conclusion: Guidelines on how to manage the shifting terrain of adolescent substance use presenting in EDs across the nation continue to evolve. We highlight that considerable further research is needed to inform effective ED protocols to address this important individual and public health safety concern. Systems of care models which include collaborative teams of diverse stake holders are needed to effectively manage adolescents with substance use disorders..

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Mireille, Ndje. "Experienced Anxiety and Death Impulse in Diabetic Adolescents." Journal of Clinical Research and Reports 4, no. 1 (May 4, 2020): 01–06. http://dx.doi.org/10.31579/2690-1919/066.

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The drive and the experience of the diabetic adolescent have been extensively discussed, but not enough the one of the death drive in teenagers suffering from diabetes. Some researchers have addressed this issue raising the expression of suffering and the role of caregivers in caring for the person with diabetes. The refusal to be treated is due to the fact that diabetes unlike other chronic diseases requires daily injections, adherence to a diet and control of blood sugar every day. We are interested in the teenager who is invaded by the death drive due to the imprint of diabetes on his adolescence thereby weakening his psyche. The main goal is to understand the experiences of non-compliant adolescents living with diabetes. To achieve this, we used the clinical method and the clinical interviews have been done at the Central Hospital of Yaoundé from three participants. These interviews have been treated through a content analysis and the findings show that diabetes sound on the psyche of the teenager. So, this disease cause suffering, pain related to daily injections that grow some adolescents with non-therapeutic compliance and even refusal to seek treatment. Thus, this disease destroys the body of the adolescent, limits his pleasures, disintegrates his body, makes him suffer. Indeed, it damages the body of the adolescent, destroys it for the sole purpose of annihilating it. All these difficulties related to the disease in adolescence weaken his psyche and develop in him the death drive. This allowed us to the deadly trends in the adolescent who suffers because of his posture of chronic patient as well as all the restrictions imposed by the disease to adolescence weakening his psyche that could lead to an uncertain death.

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Figueiredo, Sarah Vieira, Lívia Lopes Custódio, Aline Mayra Lopes Silva, Roselene Soares De Oliveira, Juliana Vieira Figueiredo, and Ilvana Lima Verde Gomes. "Experiências de acesso à atenção primária de crianças e adolescentes com deficiências." Revista de Enfermagem UFPE on line 11, no. 12 (December 17, 2017): 5197. http://dx.doi.org/10.5205/1981-8963-v11i12a22872p5197-5206-2017.

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RESUMOObjetivo: compreender o acesso de crianças e adolescentes com deficiências aos serviços de Atenção Primária em Saúde a partir da experiência de familiares. Método: estudo qualitativo, descritivo, exploratório, desenvolvido a partir de entrevistas semiestruturadas, realizadas em hospital de referência pediátrica. Os dados foram analisados pela Técnica de Análise categorial temática. Resultados: os achados revelaram uma subutilização desses serviços em consequência das suas fragilidades em relação à assistência e ao acesso de crianças e adolescentes com deficiências, como ausência de adaptações estruturais para essas pessoas e de profissionais de saúde qualificados. Conclusão: a Atenção Primária precisa passar por reestruturações, tanto em relação às suas condições físicas quanto à capacitação dos seus recursos humanos e criação de estratégias que contribuem para o acesso de infantes com necessidades especiais de saúde. Descritores: Criança; Adolescente; Acesso aos Serviços de Saúde; Atenção Primária à Saúde; Pessoas com Deficiências.ABSTRACTObjective: to understand the access of children and adolescents with disabilities to Primary Health Care services based on family experience. Method: this is a qualitative, descriptive, exploratory study, developed from semi-structured interviews, performed in a pediatric referral hospital. The data were analyzed by the Thematic Categorical Analysis Technique. Results: The findings revealed an underutilization of these services as a result of their weaknesses in the care and access of children and adolescents with disabilities, such as the lack of structural adaptations for these people and qualified health professionals. Conclusion: primary Care needs to undergo restructuring, both in its physical conditions and the training of its human resources and the creation of strategies that contribute to the access of infants with special health needs. Descriptors: Child; Adolescent; Health Services Accessibility; Primary Health Care; Disabled Persons.RESUMENObjetivo: comprender el acceso de niños y adolescentes con deficiencias a los servicios de Atención Primaria en Salud a partir de la experiencia de familiares. Método: estudio cualitativo, descriptivo, exploratorio, desarrrollado a partir de entrevistas semi-estructuradas, realizadas en hospital de referencia pediátrica. Los datos fueron analizados por la Técnica de Análise categorial temática. Resultados: los hallados revelaron una subutilización de esos servicios en consecuencia de sus fragilidades en relación a la asistencia y al acceso de niños y adolescentes con deficiencias, como ausencia de adaptaciones estructurales para esas personas y de profesionales de salud calificados. Conclusión: la Atención Primaria precisa pasar por reestructuraciones, tanto em sus condiciones físicas como en la capacitación de sus recursos humanos y creación de estrategias que contribuyen para el acceso de infantes con necesidades especiales de salud. Descriptores: Niño; Adolescente; Accesibilidad a los Servicios de Salud; Atención Primaria de Salud; Personas con Discapacidad.

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Boukhchina, R., A. Aissa, I. Kammoun, Y. Zgueb, S. Madouri, U. Ouali, and R. Jomli. "Particularities of suicide attempts in late adolescence in Tunisia." European Psychiatry 65, S1 (June 2022): S275. http://dx.doi.org/10.1192/j.eurpsy.2022.704.

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Introduction Suicide attempts in late adolescence deserves special attention. Identifying particularities of suicidal behavior in this age group seems important in order to detect suicidal ideations. Objectives Describe the characteristics of suicide attempts in late adolescence among hospitalized patients. Methods This is a retrospective descriptive study that was conducted in our psychiatry department in Razi Hospital, Tunisia. It focused on a population of Tunisian adolescents aged between 15 and 19 years old and who were hospitalized after a suicide attempt between January, 1st 2010 and November,15th 2018.We used a pre-established questionnaire that explored the sociodemographic and clinical data of patients. Results Thirty adolescents were included. Twenty-three of them (77%) were female. Mean age of suicidal adolescents was 16.5 years. They were mostly living with their families (80%). Intentional drug ingestion was reported in 56% of cases. Half of the adolescents were indifferent regard the suicide attempt. Conflictual family environment was reported to be a triggering factor of the suicidal thoughts in 60% of cases, and romantic breakup in 20% of cases. In fact, these adolescents were diagnosed with adjustment disorder with depressed mood in 47% of them and depression (28%).Adolescent suicide attempts were correlated with a conflictual family environment (p=0.04) and the presence of academic difficulties (p<10-3). Conclusions Family dysfunction and conflictual environment are predictors of suicide risk in the late adolescence. Prevention strategies should be reviewed and focus more on these factors. Disclosure No significant relationships.

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Irwin, Charles E., and Sheryl A. Ryan. "Problem Behavior of Adolescents." Pediatrics In Review 10, no. 8 (February 1, 1989): 235–46. http://dx.doi.org/10.1542/pir.10.8.235.

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The health problems of adolescents have recently become the focus of new and unprecedented attention by public health officials and physician organizations. By traditional outcome measures of morbidity and mortality, the health status of adolescents in the United States is excellent. Outpatient physician use and hospital discharge rates for the age group 11 to 20 years remain the lowest of any age cohort.1 Because of these low frequency utilization rates and apparent excellent health status, the pediatrician has a major challenge: how to identify emergent problems in his or her preadolescent and adolescent patients. These data concern primarily short-term, medical outcomes and provide little information about rates of chronic medical and psychologic disability, rates of change of behaviors during the second decade of life, and, most important, behavior-related problems, which often have their onset during adolescence. A different picture of adolescent health emerges when the causes of mortality are assessed. In 1986, 80% of the deaths in this age group were from accidents, homicides, and suicides—an increase from 51% in 1950. Furthermore, when the rate of change of mortality is evaluated during the second decade, there is a 200% increase, the largest in any single decade of the lifespan.2 Although hospitalization rates are low in this age group, leading discharge diagnoses, excluding pregnancy-related causes, are injuries and poisonings.

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Bessa, Maria Misrelma Moura, Jefferson Drezett, Fernando Adami, Sandra Dircinha Teixeira de Araújo, Italla Maria Pinheiro Bezerra, and Luiz Carlos de Abreu. "Characterization of Adolescent Pregnancy and Legal Abortion in Situations Involving Incest or Sexual Violence by an Unknown Aggressor." Medicina 55, no. 8 (August 13, 2019): 474. http://dx.doi.org/10.3390/medicina55080474.

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Background and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent’s access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the “pregnancy from incest group”, and 174 in the group “pregnancies resulting from rape by a stranger” were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent’s legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent’s procurement of health service, and interfered negatively with abortion assistance as allowed by law.

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Mota, Cristina Portela da, Alessandra Gonçalo do Silva Oliveira, Jorge Luiz Lima da Silva, Wallace Henrique Pinho da Paixão, Rayssa do Nascimento Sousa, Cláudia Maria Messias, and Ricardo José de Oliveira Mouta. "Uso de preservativos por adolescentes do ensino médio de escola pública federal do município de Niterói." Research, Society and Development 11, no. 4 (March 18, 2022): e26611427419. http://dx.doi.org/10.33448/rsd-v11i4.27419.

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Sexuality in adolescence translates into a field of discovery, experimentation and experience of freedom. In adolescence occurs puberty and often the onset of sexual activity. The first sexual intercourse is considered a milestone in the reproductive life of any individual and has occurred earlier and earlier. This study aimed to investigate the use of condoms by high school adolescents of a public school in the city of Niterói. This is a descriptive, cross-sectional, quantitative approach. The study population consisted of 51 adolescents aged 15 to 19 enrolled in the 1st, 2nd and 3rd year of high school. The inclusion criteria were: to be a high school student of both sexes, to be duly enrolled in the school in question, to have expressed interest in participating in the study, and to obtain the express permission of the legal guardian. Data collection was developed in May and June 2017 through a structured questionnaire with 65 closed questions. This study was approved by the Human Research Ethics Committee of the Antônio Pedro University Hospital under CAAE: 0265.0.258.000-10. It was found that 37.2% of the participating adolescents (19) have already started their sexual life. Being that, 13.7% of the adolescents (7) use a condom as a contraceptive method. 25.5% of adolescents (13) reported having used condoms the first time. Risk behavior was observed, as 37.3% of adolescents (19) indicated that they expected the other to remember the use of the condom, in opposition to 15.5% (8) that they remember to use. As well as, 29.4% of the adolescents (15) would not use condoms if the partner did not accept. Promoting adolescent health requires the challenge of adhering to more effective participatory strategies. The adolescents in this study remain exposed to unwanted pregnancies or sexually transmitted infections, emphasizing the need to raise the age group's awareness of the risks of unprotected sex. Nursing is inserted in this context with the responsibility of clarifying and raising the awareness of the adolescent towards safe actions that reduce or eliminate the risks of contamination.

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Leôncio, Josly Santiago Martins, Maria Vitória De Carvalho Fontes da Silva, Olivia Souza Agostini, Lucas Ramon Santos Souza, and Clarice Ribeiro Soares Araújo. "A perspectiva de crianças e adolescentes sobre brincar durante a hospitalização/The perspective of children and adolescents about playing during hospitalization." Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO 6, no. 4 (November 30, 2022): 1295–307. http://dx.doi.org/10.47222/2526-3544.rbto53666.

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Introdução: A hospitalização provoca impactos à vida da criança e do adolescente, por apresentar um caráter desafiador em um ambiente desconhecido. Nesse contexto, o brincar pode ser um recurso aliado dos pacientes durante a internação. Objetivo: Compreender a perspectiva da criança e do adolescente sobre o brincar no período de hospitalização. Métodos: Trata-se de um estudo descritivo realizado em uma enfermaria pediátrica. Os instrumentos de coleta foram: questionário sociodemográfico, “Critério de Classificação Econômica Brasil – CCEB da Associação Brasileira de Empresas de Pesquisa” e o roteiro de entrevista. Para a análise dos dados, optou-se pela abordagem descritiva qualitativa baseada em Sandelowski. Resultados: O estudo contou com a participação de 10 crianças e adolescentes. A análise dos dados gerou duas categorias: “brincando no hospital” e “utilização do brincar como estratégia de enfrentamento do processo de hospitalização”. Os resultados destacaram a brinquedoteca, o leito e o quarto como os locais para a realização do brincar durante a hospitalização, além de uma diversidade de recursos utilizados durante as brincadeiras. Destaca-se os benefícios do brincar durante a internação pediátrica como estratégia de enfrentamento da hospitalização. Conclusão: O brincar contribui para o enfrentamento da hospitalização pediátrica, possibilitando a distração, o alívio de tensões, o preenchimento do tempo ocioso e a fuga da realidade. Além disso, foi possível verificar que os adolescentes apresentaram preferência pelos quartos para a realização do brincar, apesar da disponibilidade da brinquedotecaPalavras-chave: Hospitalização. Jogos e Brinquedos. Saúde da criança. Saúde do adolescente AbstractIntroduction: Hospitalization causes impacts the lives of children and adolescents, as it presents a challenging character, in an unknown environment. In this context, playing can be an allied resource for patients during hospitalization. Objective: To understand the perspectives of children and adolescents about playing during hospitalization. Methods: This is a descriptive study carried out in a pediatric unit. The data collection instruments were: a sociodemographic questionnaire, “Brazilian Economic Classification Criteria – CCEB of the Brazilian Association of Research Companies” and the interview. For data analysis, a qualitative descriptive approach based on Sandelowski was chosen. Results: Ten children and adolescents participated in the study. Data analysis generated two categories: “playing in the hospital” and “use of play as a coping strategy in the hospitalization process”. The results highlighted the play library, the bed, and the bedroom as the places to play during hospitalization, in addition to a diversity of resources used during the games. The benefits of playing during pediatric hospitalization are highlighted as a strategy for coping with hospitalization. Conclusion: Playing contributes to coping with pediatric hospitalization, enabling distraction, relieving tension, filling time and escaping reality. In addition, it was possible to verify that the adolescents showed a preference for rooms for playing, despite the availability of the play library.Keywords: Hospitalization. Play and Playthings. Child health. Adolescent health ResumenIntroducción: La hospitalización provoca impactos en la vida de los niños y adolescentes, ya que presenta un carácter desafiante, en un entorno desconocido. En este contexto, el juego puede ser un recurso aliado para los pacientes durante la hospitalización. Objetivo: Comprender la perspectiva de niños y adolescentes sobre el juego durante la hospitalización. Métodos: Se trata de un estudio descriptivo realizado en un servicio de pediatría. Los instrumentos de recolección fueron: cuestionario sociodemográfico, “Criterios de Clasificación Económica Brasileña – CCEB de la Asociación Brasileña de Empresas de Investigación” y el guión de entrevista. Para el análisis de los datos se optó por un enfoque descriptivo cualitativo basado en Sandelowski. Resultados: El estudio contó con la participación de 10 niños y adolescentes. El análisis de los datos generó dos categorías: “jugar en el hospital” y “uso del juego como estrategia de afrontamiento del proceso de hospitalización”. Los resultados destacaron la ludoteca, la cama y el dormitorio como los lugares de juego durante la hospitalización, además de una diversidad de recursos utilizados durante los juegos. Se destacan los beneficios del juego durante la hospitalización pediátrica como estrategia de enfrentamiento de la hospitalización. Conclusión: El juego contribuye para el enfrentamiento de la internación pediátrica, posibilitando la distracción, aliviando la tensión, llenando los tiempos muertos y escapando de la realidad. Además, fue posible verificar que los adolescentes prefirieron las salas para jugar, a pesar de la disponibilidad de la ludoteca.Palabras clave: Hospitalización. Juego e Implementos de Juego. Salud del Niño. Salud del Adolescente

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Liu, Xiaoliang, Fang Wang, Kaiyu Zhou, Yimin Hua, Mei Wu, Lei Liu, Shuran Shao, and Chuan Wang. "Clinical characteristics of Kawasaki disease in adolescents." Journal of International Medical Research 49, no. 11 (November 2021): 030006052110568. http://dx.doi.org/10.1177/03000605211056839.

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Objective Studies focusing on Kawasaki disease (KD) in adolescents are lacking in Southwest China. We systematically summarized the clinical characteristics of KD in adolescents to improve pediatricians’ recognition of this condition. Methods The clinical data of patients with adolescent-onset KD in our center were retrospectively analyzed. The patients were divided into Group A (n = 7), whose first hospitalization was at our hospital, and Group B (n = 10), who were transferred from their local hospital or community health center. Results Seventeen patients with adolescent-onset KD were identified (constituent ratio of 0.8%). Seven patients had an intermittent fever for >10 days. The incidence of incomplete KD was 52.9%. These patients had a high incidence of other atypical clinical manifestations. Fifteen patients were initially misdiagnosed with other infectious diseases. Although the incidence of typical KD was higher in Group B, the overall misdiagnosis rate at the initial stages was higher and the average fever duration on arrival and before IVIG administration were much longer in Group B than A. Conclusions KD in adolescents was frequently misdiagnosed, which might be associated with its atypical, diverse clinical features and pediatricians’ poor recognition. Pediatricians must be aware of the possibility of KD in adolescents.

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Oulasmaa, Lauri, Pirkko Riipinen, Helinä Hakko, Kaisa Riala, and Liisa Kantojärvi. "Sex-Specific Predictors of Exposure to Hospital-Treated Assaults Among Former Adolescent Psychiatric Inpatients." Violence and Victims 36, no. 6 (December 1, 2021): 751–69. http://dx.doi.org/10.1891/vv-d-19-00165.

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This study examined the associations of psychiatric disorders, suicidal behavior and family-related characteristics during adolescence, to subsequent experiences of hospital-treated physical, or sexual assaults, among 508 young adults with a history of psychiatric inpatient care at adolescence (aged 13–17 years). Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) based adolescent psychiatric disorders were assessed at index hospitalization using Schedule for Affective Disorder and Schizophrenia for School-Age children, Present and Lifetime version (K-SADS-PL). Treatment episodes for assaults were obtained from the health care register, provided by the Finnish National Institute for Health Welfare. About 14.4% of the participants had experienced physical or sexual assault during their lifetime. Results of logistic regression analysis indicated that anxiety disorder (odds ratio [OR] = 9.6) and nonsuicidal self-injury (OR = 3.7) in adolescence for males, and personality disorder (OR = 3.4) for females, were associated with increased likelihood for subsequent assault exposure leading to hospitalization. These findings can be used in targeting vulnerable adolescents and designing primary prevention strategies.

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Santos, Iraneide Nascimento dos, Janniele Carla Malaquias de Lima, Tatiana Melo Lopes, Ednaldo Cavalcante de Araújo, Eliane Maria Ribeiro de Vasconcelos, and Betinha (Elizabeth) Cordeiro Fernandes. "SEXUAL BEHAVIOR OF MALE ADOLESCENTS OF THE SCHOOLS AT RECIFE." Revista de Enfermagem UFPE on line 1, no. 2 (November 2, 2007): 168. http://dx.doi.org/10.5205/reuol.378-8804-1-le.0102200708.

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RESUMOEstudo descritivo e exploratório, de abordagem quantitativa, com o objetivo de identificar comportamentos sexuais de adolescentes do gênero masculino em uma escola da rede pública e em outra particular de Recife, Pernambuco (PE), visando a contribuir para o planejamento das ações preventivas em infecção sexualmente transmissível, HIV/AIDS, especificamente. A pesquisa foi realizada com aprovação do Comitê de Ética em Pesquisa do Hospital Agamenon Magalhães e após o consentimento livre e esclarecido dos pais, de responsáveis legais ou pelo adolescente, quando maior de idade. Da população de estudantes entre os 15 aos 19 anos, foi obtida a amostra, tipo intencional, com 113 participantes. Os dados foram coletados por meio de questionário estruturado, organizados, dispostos no Programa Excel e submetidos à análise estatística elementar, considerando números absolutos e valores percentuais. Dos adolescentes da escola particular, 62,7% declararam já terem tido a primeira relação sexual, sendo 33,3% com a idade de 14 anos e 2,7% aos nove anos. Na escola pública, 72,2% dos adolescentes relataram já ter iniciação sexual. Conclui-se que é necessário capacitar os adolescentes para a tomada de decisão consciente e responsável através de programas efetivos de educação sexual, o que contribuirá para diminuir os riscos de gestações indesejadas e infecções sexualmente transmissíveis, em especial o HIV/AIDS. Descritores: Adolescentes; Sexualidade; Prevenção; Comportamento. ABSTRACTExploratory and descriptive study, of quantitative boarding, with the objective of identifying sexual behaviors of male adolescents of private and public schools of Recife for contributing to the planning of health actions in sexually transmitted diseases, HIV/AIDS, in especial. The population was constituted by students, from 15 to 19 years old, whose sample not probabilistic intentional was 113. The data had been collected through a questionnaire, after the project to have been approved for the Ethics Committee in Research of the Hospital Agamenon Magalhães, and with the authorization by means of the term of free and clarified assent, after presentation and project legal clarification to the adolescents, parents or for the responsible by the same ones. The data had been organized in microcomputer, using EXCEL program, analyzed and had evidenced that 62,7% of the adolescents of the private school declared already to have had to first sexual relation and 33,9% did not it have yet. However, in the public school, 72,2% initiated the sexual life. In the private school, 33,3% answered to have had to first sexual relation to the 14 years old and only 2,7% with nine years old. On the basis in these data, become evident that is each more urgent time to enable the adolescents to the taking of conscientious and responsible decision through a preventive program of specific sexual education of long stream in the searched schools, for the sexuality exercise with a little risks of involving in sexual risk relations, whose undesirable resulted can be infecting themselves with a sexually transmissible infection, also the human immunodeficiency virus or becoming a pregnant woman. Descriptors: Adolescents; Sexuality; Prevention; Behavior. RESUMENEstudio exploratorio y descriptivo, de tipo cuantitativo, con el objetivo de identificar comportamientos sexuales de los adolescentes del género masculino en una escuela de la red pública y en otra privada, de Recife (PE), para contribuir al planeamiento de las acciones preventivas en las enfermedades de transmisión sexual, HIV/AIDS, en especial. La población estuvo representada por los estudiantes, con edades entre los 15 y 19 años; la muestra fue intencional, integrada por 113 estudiantes. Los datos han sido recogidos a través de un cuestionario estructurado, después de haber sido aprobado por el Comité del Etica en Investigación del Hospital Agamenon Magalhães, y con el consentimiento libre e informado de los padres o responsables legales o por el adolescente. Los datos fueron organizados y procesados utilizando el programa Excel, y sometidos al análisis estadístico básico (tabla de valores absolutos y relativos). El 62,7% de los adolescentes de la escuela privada reconocen haber tenido la primera relación sexual, siendo el 33,9% de ellos con edad de 14 años. En la escuela pública, 72,2% de los adolescentes iniciaron la vida sexual. Estos datos hacen evidente que es necesario capacitar a los adolescentes para la toma de decisiones conciente y responsablemente a través de un programa efectivo de educación sexual, que contribuirá a disminuir los riegos de embarazos no deseados e infecciones sexuales, especialmente el HIV/AIDS.Descriptores: Adolescentes; Sexualidad; Prevención; Comportamiento

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Thaker, Rajal V., Anuradha B. Madiya, Hiral D. Chaudhari, Jayesh D. Maru, and Shyama B. Baranda. "Health profile of adolescent girls visiting obstetrics and gynecology department of tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 11 (October 25, 2018): 4678. http://dx.doi.org/10.18203/2320-1770.ijrcog20184529.

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Background: Gynecological problems of adolescents occupy a special space in the spectrum of gynecological disorders of all ages. In this study, an attempt has been made to review the health profile of adolescent girls visiting department of Obstetrics and Gynecology of a tertiary care hospital.Methods: This observational study was conducted at a tertiary care teaching hospital during June 2014 to May 2016. Data was collected after due permission.Results: Adolescent girls having gynecological problems were 2.3%. Mean age of menarche was 12.5 years. Anemia was present in 89(62.7%). About 72(50.7%) adolescent girls were having abnormal body mass index (BMI). Majority of girls 136(95.8%) had menstrual problems. Leucorrhoea, Pelvic Inflammatory Disease (PID), ovarian mass, urinary problems, breast problems, injury to genital tract and sexual assault were present in 42(29.6%), 24(16.9%), 20(14.1%), 13(9.2%), 12(8.5%), 4(2.8%) and 1(0.7%) respectively.Conclusions: A very small proportion of adolescent girls came to the hospital for health-related issues. Anemia was present in more than half of adolescent girls and almost half of adolescent girls were having abnormal BMI. Majority of adolescent girls had menstrual problems. Health education regarding normal physiology, various gynecological problems, importance of nutrition and exercise for adolescents is necessary.

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Dimond, Claire, and David Goldberg. "On Admitting Psychotic Adolescents to Hospital: Time to Review the Admission Process." Child Psychology and Psychiatry Review 4, no. 1 (February 1999): 16–19. http://dx.doi.org/10.1017/s1360641798001804.

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Difficult management issues, frequently involving many agencies, arise when psychotic adolescents need admission to hospital. We review the recent experience of a community-based adolescent team and identify factors that appeared to inhibit effective management at times when admission was necessary. Suggestions are made about how to develop the flexible arrangements necessary to facilitate appropriate management.

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Hawton, Keith, and Joan Fagg. "Deliberate Self-poisoning and Self-injury in Adolescents." British Journal of Psychiatry 161, no. 6 (December 1992): 816–23. http://dx.doi.org/10.1192/bjp.161.6.816.

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In Oxford during the late 1970s and early 1980s a decline in rates of deliberate self-poisoning and self-injury in older female teenagers was followed by a steady increase between 1986 and 1989. Rates for male adolescents and young female adolescents remained relatively stable throughout 1976–89. Applying the Oxford rates to England and Wales suggests a total of 18 000–19 000 hospital-referred cases per year. While self-poisoning with minor tranquillisers and sedatives has declined, there has been a marked increase in paracetamol self-poisoning, such that by 1988–89 it was involved in 48.3% of overdoses. Relationship difficulties were the most frequent problems faced by these adolescents, especially the females, with unemployment and alcohol and drug problems also being common, especially in males, but psychiatric disorders relatively rare. Substantial proportions of the adolescents, especially the males, were not living with either relatives or friends, and had a history of violence or a criminal record. The annual rate of repetition of attempts, which was 8.9% overall, was higher in adolescents not admitted to the general hospital, and in females not referred to the hospital psychiatric service. Adolescent attempted suicide clearly continues to be a major health problem for which both effective preventive and therapeutic strategies are badly needed.

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Stafford, Ed, and Dewey G. Cornell. "Psychopathy Scores Predict Adolescent Inpatient Aggression." Assessment 10, no. 1 (March 2003): 102–12. http://dx.doi.org/10.1177/1073191102250341.

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This prospective study found that psychopathy scores predicted aggressive behavior among 72 adolescent psychiatric inpatients, even after controlling for age, sex, socioeconomic status, length of hospital stay, and independent self-report measures of impulsivity and conduct problems. Psychopathy was assessed within 3 days of hospital admission by clinical raters trained in the use of Hare's Psychopathy Checklist–Revised. Aggressive behavior was recorded by clinical staff members who were unaware of psychopathy ratings. Adolescents rated higher in psychopathy exhibited higher frequencies of both reactive and instrumental aggressive behavior than adolescents rated lower in psychopathy. Post hoc regression analyses revealed that psychopathy had incremental validity in predicting aggression beyond the contribution of clinical diagnosis or scores on the Millon Adolescent Clinical Inventory.

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Nath, Ravindra. "Knowledge, Attitude and Practice (KAP) Towards COVID-19 Vaccination among 15–17 Year Old Beneficiaries of COVID Vaccination Centre (CVC) of a Tertiary Hospital in New Delhi." Indian Journal of Youth & Adolescent Health 09, no. 02 (June 30, 2022): 4–8. http://dx.doi.org/10.24321/2349.2880.202205.

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Introduction: India started its nationwide vaccination campaign on 16th January 2021 for the vulnerable population and for the 15 years to 17 Years olds on 3rd January 2022. The purpose of this study is to understand the adolescent’s perceptions of COVID-19 vaccination, preferences, willingness, concerns. Methodology: It was a questionnaire-based cross-sectional study using a semi-structured, self-administered questionnaire which was used to assess the socio-demographic profile, knowledge and attitude regarding COVID-19 infection and vaccines. The study subjects included the first thousand COVID vaccine adolescent recipients at a COVID vaccination center in VMMC and Safdarjung hospital, New Delhi. Results: A very positive attitude was noticed regarding the vaccine as almost all (99.6%) of the participants admitted to the willingness to recommend the COVID-19 vaccination to others as well. Almost all (99.47%) correctly answered the questions about COVID-19 vaccines of the national program. Conclusion: A high proportion (99.5%) of the participants had knowledge about COVID – 19 vaccines but 60% were unaware about the possibility of breakthrough infection. This can be targeted while educating adolescents regarding vaccination. Also, most of the adolescents were influenced by the social media and therefore it can be used to launch health campaigns online to disseminate knowledge especially through the social media to improve the reach to the adolescent age group.

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Boukhchina, R., A. Aissa, I. Kammoun, Y. Zgueb, S. Madouri, U. Ouali, and R. Jomli. "Epidemiological and clinical profile of suicide attempts in Tunisian adolescents." European Psychiatry 65, S1 (June 2022): S273. http://dx.doi.org/10.1192/j.eurpsy.2022.700.

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Introduction Suicidal behavior remains an important clinical problem and a major cause of death in youth. Objectives The purpose of this study was to describe the epidemiological and clinical profile of adolescents with suicide attempts. Methods This is a retrospective descriptive study that focused on a population of Tunisian adolescents aged between 10 and 19 years old and who were hospitalized after a suicide attempt between between January, 1st 2010 and November,15th 2018, in Razi Hospital. We used a pre-established questionnaire that explored the sociodemographic and clinical data of patients. Results Sixty adolescents were included in this study. The average age of the respondents was 14.3±2 years. The sex-ratio (m/f ) was 0, 36. The suicidal adolescent was a female (73%), single (98%), enrolled in school (66%) with school failure history (52%). Family history of suicide was reported in 8%. Fifty adolescents (83%) lived with their parents and the relationship with them was described as disturbed in 60% of them. A history of physical and sexual abuse was reported in 25% during first adolescence and 15% during second adolescence. The most frequent diagnoses were adjustment disorder with depressed mood (45%) and depression (28%). Drug ingestion was the most common mean of suicide (63%), in an impulsive way in 82% of cases. Conclusions Development of repeated epidemiological surveys makes it possible to better understand the prevalence of suicide attempts in adolescents and to implement suicide prevention programs. Disclosure No significant relationships.

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Zhang, Dafang, Benton E. Heyworth, Elizabeth S. Liotta, Katelyn A. Hergott, and Brandon E. Earp. "VARIATION IN TREATMENT APPROACHES TO ADOLESCENT MIDSHAFT CLAVICLE FRACTURES IN PEDIATRIC VERSUS ADULT HOSPITALS." Orthopaedic Journal of Sports Medicine 9, no. 7_suppl3 (July 1, 2021): 2325967121S0015. http://dx.doi.org/10.1177/2325967121s00157.

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Background: Optimal treatment of midshaft clavicle fractures in adolescents remains a topic of controversy. While adolescent midshaft clavicle fractures have historically been treated nonoperatively, recent randomized controlled trials of displaced midshaft clavicle fractures in the adult literature have raised the question of decreased symptomatic nonunion and malunion and improved functional outcomes with surgery. Consequently, the rates of surgical treatment of adolescent midshaft clavicle fractures, particularly in the older adolescent age group, has increased, despite a paucity of high-level evidence to justify this trend. Hypothesis/Purpose: To identify differences in treatment approach for isolated, displaced midshaft clavicle fractures in ‘older’ adolescent patients at adult versus pediatric hospitals. The secondary objective was to identify factors associated with surgery. Methods: Adolescents aged 15 to 18 years with isolated, displaced midshaft clavicle fractures treated at one of two adult tertiary care hospitals or one pediatric tertiary care hospital. Exclusion criteria included open fractures, skin tenting, nondisplaced fractures, medial third or distal third clavicle fractures, non-isolated injuries, and delay from injury to presentation of more than 2 weeks. Bivariate analysis and multivariable logistic regression analysis were used to identify factors associated with surgical treatment. Results: Two hundred and fourteen patients (median age: 16 years, mean BMI: 22.5, 85% male) were included. The cohort from the pediatric hospital was significantly younger, had lower BMI, had fewer comminuted fractures, and a higher proportion of angulated fractures (Table 1). One hundred six (50%) patients underwent surgical treatment. Bivariate analysis showed that older age (p = 0.004), higher BMI (p = 0.002), dominant upper extremity injury (p = 0.001), and treatment at an adult hospital (p < 0.0001) were associated with surgery. The fracture characteristics of comminution (p < 0.0001), greater displacement (p < 0.0001), and greater shortening (p < 0.0001) were associated with surgery. Multivariable logistic regression analysis showed superior-inferior fracture displacement (OR 1.13, 95% CI 1.06 to 1.20), dominant upper extremity injury (OR 2.60, 95% CI 1.19 to 5.67), and treatment at an adult hospital (OR 5.28, 95% CI 2.28 to 12.2) to be independently associated with surgery. Conclusions: After controlling for relevant demographic and fracture characteristics, adolescent patients treated at adult hospitals for displaced midshaft clavicle fractures have more than 5 times the odds of surgical treatment than those treated at a pediatric hospital. Significant practice variation across institutions reflects ongoing controversy in surgical indications and underscores the need for high quality prospective outcomes studies. [Table: see text]

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Journal articles on the topic 'Adolescents in hospital'

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