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Journal of Pediatric and Adolescent Gynecology

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https://www.readbyqxmd.com/read/27903446/polycystic-ovary-syndrome-an-under-recognized-cause-of-abnormal-uterine-bleeding-in-adolescents-admitted-to-a-children-s-hospital
#1
Sofya Maslyanskaya, Hina J Talib, Jennifer L Northridge, Amanda M Jacobs, Chanelle Coble, Susan M Coupey
STUDY OBJECTIVE: To evaluate whether ovulatory dysfunction due to polycystic ovary syndrome (PCOS) is a common underlying etiology of abnormal uterine bleeding (AUB) in adolescents requiring hospitalization and to explore etiology, treatment and complications of AUB with severe anemia in adolescents. DESIGN: We identified females aged 8 to 20 years admitted to a children's hospital for treatment of AUB from January 2000 to December 2014. Our hospital protocol advises hormonal testing for PCOS and other disorders prior to treatment for AUB...
November 26, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27894860/pediatric-ovarian-torsion-and-its-recurrence-a-multicentric-study
#2
Mirko Bertozzi, Ciro Esposito, Claudio Vella, Vito Briganti, Nicola Zampieri, Daniela Codrich, Michele Ubertazzi, Alessandro Trucchi, Elisa Magrini, Sonia Battaglia, Vittorio Bini, Maria Luisa Conighi, Caterina Gulia, Alessandra Farina, Francesco Saverio Camoglio, Waifro Rigamonti, Piergiorgio Gamba, Giovanna Riccipetitoni, Salvatore Fabio Chiarenza, Alessandro Inserra, Antonino Appignani
STUDY OBJECTIVE: to report results of a retrospective multicentric Italian survey concerning the management of pediatric ovarian torsion (OT) and its recurrence. DESIGN: Multicentric retrospective cohort study. SETTING: Italian Units of Pediatric Surgery. PARTECIPANTS: Females 1<years-old<14 with surgically diagnosed OT between 2004-2014 . INTERVENTIONS: Adnexal detorsion, adnexectomy, mass excision by laparoscopy or laparotomy...
November 25, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27887999/rates-and-technique-for-oophoropexy-in-pediatric-ovarian-torsion-a-single-institution-case-series
#3
I M Comeau, N Hubner, S L Kives, L M Allen
STUDY OBJECTIVE: Ovarian torsion (OT) is uncommon, but can result in loss of reproductive function. Traditionally managed by adnexectomy, torsed adnexae are now being conserved, increasing the potential for recurrent OT. As a result, some experts suggest oophoropexy (OP) to prevent recurrence. We present here a series of 11 patients who underwent OP. DESIGN, SETTING, PARTICIPANTS: A retrospective case series was conducted from 2004 to 2013 identifying patients under age 18 with OT...
November 22, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27884730/a-qualitative-application-of-diffusion-of-innovations-to-adolescents-perceptions-of-long-acting-reversible-contraception-s-attributes
#4
Molly K Murphy, Pamela J Burke, Sadia Haider
BACKGROUND: Long-acting reversible contraceptive (LARC) methods are the most effective forms of reversible contraception but adolescents often opt for other, less effective methods. This study explored how adolescents viewed LARC as an innovation to be adopted or rejected, and how their assessment of innovation attributes impacted their decisions about LARC. MATERIALS AND METHODS: Sexually active adolescents between 15-22 years old (n=22) participated in semi-structured qualitative interviews...
November 21, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27871920/integrating-long-acting-reversible-contraception-larc-services-into-new-york-city-school-based-health-centers-sbhcs-quality-improvement-to-ensure-provision-of-youth-friendly-services
#5
Manaswi Sangraula, Samantha Garbers, Janet Garth, Emily Birchfield Shakibnia, Sarah Timmons, Melanie A Gold
STUDY OBJECTIVE: Adolescents face barriers to accessing youth-friendly family planning services, specifically long-acting reversible contraception (LARC). School-Based Health Centers (SBHCs) can provide youth-friendly care. A quality improvement (QI) project was undertaken to assess quality of care before, during and after LARC services at three SBHCs, and to identify specific strategies for improving these LARC services. METHODS: We interviewed 18 female adolescents who received LARC services...
November 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27871919/motivational-interviewing-to-promote-long-acting-reversible-contraception-in-postpartum-teenagers
#6
Kristl Tomlin, Tammalynn Bambulas, Maureen Sutton, Vanessa Pazdernik, Dean V Coonrod
STUDY OBJECTIVE: To determine if teenage patients receiving prenatal care in an adolescent-focused clinic, emphasizing Long-acting Reversible Contraception (LARC) using motivational interviewing techniques, had higher rates of uptake of postpartum LARC than a control group. DESIGN: Retrospective cohort study comparing young women who received prenatal care in an adolescent-focused setting and those enrolled in Standard Prenatal Care. PARTICIPANTS: Adolescents between the ages of 13 and 17 receiving prenatal care within the Maricopa Integrated Health safety-net system between 2007 and 2014...
November 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27871918/the-impact-of-interprofessional-student-led-reproductive-health-education-on-youths-in-juvenile-detention
#7
Ji Son, Willa M Miller, Krystel Tossone, Fredrick Butcher, Kelly Kuo
STUDY OBJECTIVE: To assess the effects of an interprofessional student-led comprehensive sexual education curriculum in improving the reproductive health literacy among at-risk youths in detention. DESIGN: Setting, and Participants: We performed a prospective cohort study involving 134 incarcerated youth and an interprofessional team of 23 medical, nursing, and social work students, who participated in a comprehensive reproductive health curriculum over the course of 3 days...
November 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27871917/gonococcal-conjunctivitis-a-case-report-of-an-unusual-mode-of-transmission
#8
Anna Jo Bodurtha Smith, Samuel B Holzman, Reza Sedighi Manesh, Trish M Perl
BACKGROUND: Outside of the newborn period, development of gonococcal conjunctivitis is rare and predominantly occurs through auto-inoculation. We report an unusual case of gonococcal conjunctivitis in a young woman exposed through direct inoculation. CASE: A 19-year-old woman presented with purulent ocular discharge, severe pain, and decreased vision unresponsive to topical antibiotics or ganciclovir approximately 3 weeks after accidental ocular exposure to seminal fluid during unprotected oral sex...
November 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27818263/brief-report-a-second-primary-endodermal-sinus-tumor-nine-years-after-initial-diagnosis
#9
Lea A Moukarzel, Kimberly Levinson, Francis C Grumbine
BACKGROUND: Ovarian yolk sac tumors (YST) are rare malignant germ cell tumors known to present unilaterally, allowing for fertility sparing surgical treatment with adjuvant chemotherapy. The few published cases of bilateral ovarian involvement were at the time of original diagnosis in patients with widely metastatic disease. We present this first case of bilateral ovarian YSTs, diagnosed several years apart, and discuss the implications on recurrence and tumor marker surveillance for these tumors...
November 3, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27789350/bone-mineral-density-and-weight-changes-in-adolescents-randomized-to-three-doses-of-depot-medroxyprogesterone-acetate
#10
Hannah L H Lange, Brittny E Manos, M David Gothard, Lynette K Rogers, Andrea E Bonny
STUDY OBJECTIVE: To assess the association between medroxyprogesterone acetate exposure and bone mineral density (BMD) loss and weight change in adolescents. DESIGN: 48-week prospective, randomized trial conducted May 2012-April 2014. SETTING: Recruitment occurred in the general community and outpatient clinics in Central Ohio. PARTICIPANTS: Self-referred sample of 34 adolescent females aged 12-21 years initiating depot medroxyprogesterone acetate (DMPA)...
October 24, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27789349/iron-deficiency-anemia-in-adolescents-presenting-with-heavy-menstrual-bleeding
#11
Amanda G Cooke, Timothy L McCavit, George R Buchanan, Jacquelyn M Powers
STUDY OBJECTIVE: To assess the clinical severity and initial treatment of iron deficiency anemia (IDA) in adolescent females with heavy menstrual bleeding (HMB) in our center DESIGN: Retrospective cohort study of electronic medical records via search of administrative records using International Classification of Diseases Ninth Revision (ICD-9) codes for IDA or unspecified anemia and disorders of menstruation SETTING: Children's Medical Center in Dallas, Texas PARTICIPANTS: 107 patients with HMB and concomitant IDA (median age 14...
October 24, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27769689/fetiform-teratoma-in-the-ovary-of-a-7-year-old-a-case-report
#12
Hanna R Goldberg, Lisa Allen, Sari Kives
BACKGROUND: Fetiform teratoma, a highly differentiated mature cystic teratoma resembling a fetus, is rare and typically found in the ovaries of women of reproductive age. This report describes the youngest case of ovarian fetiform teratoma. CASE: A 7-year-old female presented with acute abdominal pain. Radiological examinations revealed a 5.2 cm ovarian complex cystic mass with fetal-like components in favour of fetus-in-fetu (FIF) and teratoma. Following surgical removal, the mass resembled a fetus consisting of a head, two eye slits, two small upper limb projections, and hair...
October 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27769688/rate-of-oophorectomy-for-benign-indications-in-a-children-s-hospital-influence-of-a-gynecologist
#13
Gylynthia E Trotman, Helen Cheung, Eshetu A Tefera, Renuka Darolia, Veronica Gomez-Lobo
STUDY OBJECTIVE: To compare the rates of oophorectomy performed by pediatric surgeons for benign indications before and after the addition of a gynecologist to the surgical staff of a children's hospital. Study Design, Participants, Intervention and Outcome Measure: Retrospective chart review of patients ages 5-21 who underwent surgical management by pediatric surgeons for benign adnexal indications. Patient characteristics and clinical outcomes were recorded. Rates of oophorectomy for cases managed prior to the addition of a gynecologist (1998-2004) were compared to those managed after a gynecologist joined the surgical staff (2005-2013)...
October 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27751908/gynandroblastoma-with-a-juvenile-granulosa-cell-component-in-an-adolescent-case-report-and-literature-review
#14
Akihiro Takeda, Kazuko Watanabe, Shotaro Hayashi, Sanae Imoto, Hiromi Nakamura
BACKGROUND: Gynandroblastoma is an extremely rare ovarian sex cord tumor with malignant potential. CASE: An 18-year-old adolescent experienced intermittent vaginal bleeding. A year later, right adnexal mass with a heterogeneous imaging appearance was identified. Laparoendoscopic single-site ovarian tumorectomy was performed. A histopathological examination showed gynandroblastoma composed of juvenile granulosa and Sertoli-Leydig cells. Since the tumor was upstaged to stage Ic due to cyst rupture during surgery, three cycles of adjuvant chemotherapy with carboplatin and paclitaxel were added...
October 14, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27751907/assessment-of-an-electronic-intervention-in-young-women-with-heavy-menstrual-bleeding
#15
J E Dietrich, D L Yee, X M Santos, J L Bercaw-Pratt, J Kurkowski, H Soni, Y J Lee-Kim, M D Shah, D Mahoney, L V Srivaths
BACKGROUND: Bleeding disorders (BD) occur in up to 50% of adolescents with heavy menstrual bleeding (HMB). This presents unique challenges to healthcare providers given the complexity of treating the condition and such complexity can result in difficulty with patients understanding basic information about their condition, limit communication with medical providers, and patient compliance. SPECIFIC AIMS: To use an electronic approach to enhance patient compliance with medications used to treat their HMB...
October 14, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27744096/the-efficacy-of-postoperative-cyclic-oral-contraceptives-after-gonadotropin-releasing-hormone-agonist-therapy-to-prevent-endometrioma-recurrence-in-adolescents
#16
Jong-Wook Seo, Dong-Yun Lee, Byung-Koo Yoon, DooSeok Choi
STUDY OBJECTIVE: Young age is a possible risk factor of endometriosis recurrence after surgery. However, the efficacy of postoperative medical treatment has not been well addressed in adolescents. The purpose of this study was to evaluate whether postoperative medical treatment is as effective in adolescents as it is in adults in the prevention of endometrioma recurrence. DESIGN: A retrospective cohort study SETTING: Samsung Medical Center, Seoul, Korea. PARTICIPANTS: This study included 176 reproductive-aged women who underwent conservative laparoscopic surgery for pathology-confirmed endometrioma...
October 12, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27742428/treat-me-but-don-t-judge-me-a-qualitative-examination-of-health-care-experiences-of-pregnant-and-parenting-youth
#17
Megan E Harrison, Chantalle Clarkin, Kristina Rohde, Kerry Worth, Nathalie Fleming
STUDY OBJECTIVE: To share pregnant and parenting youth's experiences with health care in order to inform recommendations for promoting youth-friendly medical encounters. DESIGN: This exploratory study used a qualitative descriptive approach. SETTING: Three urban centers that service pregnant youth and young parents in a large Canadian city. PARTICIPANTS: Convenience sample of 26 participants (mean age of 18.7 years) was recruited across sites...
October 11, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27742427/the-use-of-telehealth-to-teach-reproductive-health-to-rural-high-school-females
#18
J L Yoost, R W Starcher, R A King-Mallory, N Hussain, C A Hensley, T W Gress
STUDY OBJECTIVE: To evaluate the use of telehealth to teach reproductive health to rural areas with high rates of teen pregnancy. DESIGN: Prospective cohort study SETTING: Two high schools in rural West Virginia. PARTICIPANTS: High school females that attended telehealth sessions. INTERVENTIONS: Teleconferencing equipment connected rural high schools to a distal academic institution. Telehealth sessions included reproductive health and life skills topics...
October 11, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27742426/confidentiality-in-pediatric-and-adolescent-gynecology-when-we-can-when-we-can-t-and-when-we-re-challenged-elsevier-lecture-naspag-acrm-april-2014
#19
Elizabeth M Alderman
No abstract text is available yet for this article.
October 11, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27721027/the-utility-of-routine-ultrasound-in-the-diagnosis-and-management-of-adolescents-with-abnormal-uterine-bleeding
#20
Yael Pecchioli, Lamide Oyewumi, Lisa M Allen, Sari Kives
STUDY OBJECTIVE: Despite the fact that most cases of abnormal uterine bleeding (AUB) in adolescence are due to an immature hypothalamic-pituitary-ovarian axis (HPO), the current approach to investigating adolescents presenting with AUB often includes pelvic ultrasound to exclude rare structural causes. The aim of this study was to determine whether an ultrasound ordered for the investigation of AUB in adolescents detects any significant anatomic pathology or alters diagnosis and management...
October 6, 2016: Journal of Pediatric and Adolescent Gynecology
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