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PubMed2003

[Large uterine fibroma in a 15 year old adolescent. Giant leiomyoma in adolescence].

We report a case of giant leiomyoma in a 15-year-old teenager. Diagnosis was based on the association of menorrhagia, severe anemia and presence of a solid painless abdominal mass. Approximately 25-40% of uterine leiomyomas occur in women during childbearing years but exceptional cases are observed during adolescence. Conservative treatment by laparoscopic or laparotomic myomectomy should be considered the only valid approach in teenagers.

Adolescent↗
PubMed2005

[Treatment of eating disorders in adolescents--the view of a child and adolescence psychiatric hospital].

The paper presents--in the sense of clinical guidelines--reality of clinical care in a child and adolescence university hospital specialised on eating disorders. Need of a multimodal therapeutic approach is emphasized, including normalisation of weight and eating behaviour, nursing and pedagogical measures, individual, group and family therapy, completed by body therapy, art and music therapy and in case psychopharmacotherapy. Recommendations for overcoming weak spots are made.

Adolescent↗
PubMed1989

[Trauma and poisoning in children and adolescents in Poland from 1980-1985 in the light of data on hospitalization. II. Territorial differences in hospitalization of children and adolescents in Poland for trauma and poisoning].

The differences between various provinces in the frequency of hospitalizations of children and adolescents in Poland in the years are presented. The data were obtained from the All-Polish study of General Hospital Morbidity. The provinces with the highest hospitalization rates included those of Wałbrzych, Jelenia Góra, Suwałki, and the lowest rates were in the Province of Gdańsk and Province of Rzeszów. A relationship was noted between the number of hospitalized patients and the duration of hospital stay--with longer hospitalization in the areas with low number of such cases.

Adolescent↗
PubMed1989

[Trauma and poisoning in children and adolescents in Poland from 1980-1985 in the light of data on hospitalization. III. Hospital mortality of children and adolescents in Poland from trauma and poisoning].

The hospital mortality of children and adolescents hospitalized for traumas and intoxications in Poland in 1980-1985 is discussed. Only 20% of deaths due to these causes occurred in hospitals, the remaining deaths were on the scene of accident or in the home of the patient. The hospital mortality was similar in boys and girls although the frequency of hospitalization for trauma and intoxication was twice as high in boys as in girls. The main causes of death in hospital were cranial trauma, spinal fractures, internal organ injuries, burns and poisoning. With the exception of poisoning these causes produced a higher mortality in hospital of young individuals from rural areas than those from urban centres. Without respect to the place of residence nearly 40% of hospital deaths occurred on the first day in hospital.

Adolescent↗
PubMed1989

[Compulsive neurosis and adolescence. The therapeutic process in an adolescent patient with compulsive neurosis].

The central anxiety of the young woman patient with compulsive neurosis who fears condemnation for sexual and aggressive desires unfolds within the context of the transfer relationship. It is shown here that the integration of the isolated and suppressed expressions of instinctual representatives and self-aspects is made possible through the acceptance of super-ego transfer. It is decisive for the process that the patient is sure that the therapist cannot be destroyed or seduced. The result of the achievement of integration is not only that the compulsive symptoms disappear but that the real task of adolescence as a struggle toward the integrated self and its own values comes to the fore.

Adolescent↗
PubMed1986

World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls. I. A multicenter cross-sectional study of menarche. World Health Organization Task Force on Adolescent Reproductive Health.

To study the maturation processes during puberty, the Task Force on Adolescent Reproductive Health of the World Health Organization implemented a multicenter study on the age of menarche. From seven centers in six countries, 3,073 girls between the ages of 11 and 15 years volunteered for a two-year study. The girls were questioned at entry as to whether they had menstruated; social background data were recorded, and height and weight were measured. The median age for menarche was calculated by a life-table technique. The median ages were: Hong Kong-12 years, 9 months; Geneva, Switzerland-13 years, 1 month; Zafed, Israel and Stockholm, Sweden-13 years, 3 months; urban Colombo, Sri Lanka-13 years, 6 months; Ile-Ife, Nigeria-13 years, 9 months; and rural Peradeniya, Sri Lanka-14 years, 5 months. Menarche of the rural Peradeniya girls was later than the urban girls from Colombo and other study centers. The mean heights, weights, and obesity indices (Quetelet's Index) were higher in postmenarcheal girls compared to premenarcheal girls for each age at all centers.

Actuarial Analysis↗
PubMed1995

[Adolescents and chlamydia: cervix microbiology among adolescents; the first statistics of the family planning centers according to the Calmat law].

Infertility due to Chlamydia trachomatis infection can be prevented by systematic screening of low genital tract infection. This screening is to be done systematically in women < 25 years old in Family Planning Centers. In France, according to Calmat's low, screening and treatment are anonymous and free of charges for adolescents and people without National Health care. In a foreseeable future, screening will be done for both sexes, by PCR or LCR, on first void urines.

Adolescent↗
PubMed1995

[Illicit drug consumption among adolescents. An epidemiologic survey carried out in 1993 among 12,391 adolescents between 11 and 19 years old].

In 1993, a large epidemiological health study was carried out among a French school population, aged 11 to 19 (sample size = 12,391). Illicit drugs consumption was one of the topics investigated. 15% of French adolescents experimented illicit drugs, this proportion increased from 4% (11-12 aged old) to 30% (18 aged old and over). Young people who tasted illicit drugs went often to pubs and nightclubs. Multinomial regression analysis indicated that 1/sex, socio-economic status and parents' matrimonial status are only weakly related to drug consumption; 2/ location (urban, rural, suburban), nationality and origin (French, no French), participation to extra-curricular activities (e.g. sport) are not related to drug consumption. Involvements of prevention were suggested.

Adolescent↗
PubMed1994

Depressive and anxiety disorders in adolescence: a follow-up study of adolescents with school refusal.

Twenty-five adolescents referred to an outpatient clinic because of school refusal in 1985-1986 were followed up after an average of 5 years. DSM-III diagnoses and scores on the Maudsley Symptom Checklist were obtained at initial contact and a follow-up. At follow-up, information was also gathered on psychosocial adjustment, and subjects completed self-ratings of anxiety and depression. At initial contact, school refusal was associated mainly with anxiety symptoms, and to a lesser extent with depressive and somatoform disorders. No specific relationships were found between diagnoses at baseline and at follow-up. About half of the sample still had a psychiatric disorder at follow-up. Outcome was negatively associated with a history of previous psychosocial or psychiatric treatment and a small family size, and positively with a history of frequent somatic complaints.

Adolescent↗
PubMed1994

[Adolescent idiopathic scoliosis among girls in the Herning region. A follow-up of girls with adolescent idiopathic scoliosis found in an earlier screening at school].

A nine year follow-up study of 76 females was carried out to investigate the spontaneous course of adolescent idiopathic scoliosis. The subjects were selected in an earlier epidemiological investigation by a screening (forward bending test and Moiré topography) of 989 girls aged 10-17 years. A prevalence of 7.7% was found (76 girls). Four scolioses progressed to treatment (0.4%). Of the rest (72 girls) forty girls (55.6%) participated fully in the follow-up investigation involving clinical examination, Moiré topography and X-ray examination. Of these 22.5% had thoracic, 37.5% had thoracolumbar and 40.0% had lumbar curve. The median size of the Cobb-angles was initially 10.1 (5-31) and at follow-up 8.5 degrees (0-30). A progression of more than four degrees was seen in 12.5%. The rest were unchanged or showed regression. None of the subjects needed treatment at any time. We found no indicators for the different spontaneous courses in untreated mild idiopathic scoliosis. Neither topography of the scoliosis, initial curve size nor age at the investigation-start showed corellation with curve behavior.

Adolescent↗
PubMed1997

[The value of different sources of information in evaluating psychiatric disorders in adolescence--a comparison of parental judgment and self-assessment by adolescents].

Data from the national representative epidemiologic survey (PAK-KID-study) assessed by the German versions of Achenbach'S Child Behavior Checklist and Youth Self-Report of N = 1757 parents and their children aged 11 to 18 years are compared by using the corresponding Cross-Informant-Scales. On all problem scales adolescents report more problems than parents. For some scales the differences between girls and their parents are higher than between boys and their parents (social withdrawal, somatic complaints, anxious/depressed, attention problems, internalizing and total score). Averaged Pearson correlations of the eight subscales are in a moderate rage (r < 0.50). For all problem scales an agreement of 30% in the area of high problems (> PR95) is found. If one informant scores above PR95 the Relative Risk of the other one scoring in this range too is significantly higher than one for nearly all scales.

Adolescent↗