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Pediatrics and adolescent gynecology

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https://www.readbyqxmd.com/read/28167141/2016-updates-to-us-medical-eligibility-criteria-for-contraceptive-use-and-selected-practice-recommendations-for-contraceptive-use-highlights-for-adolescent-patients
#1
REVIEW
Andrea J Hoopes, Katharine B Simmons, Emily M Godfrey, Gina Sucato
The US Medical Eligibility Criteria for Contraceptive Use (US MEC) and US Selected Practice Recommendations for Contraceptive Use (US SPR) provide evidence-based guidance to safely provide contraception counseling and services. Both documents were updated in 2016 and are endorsed by the North American Society for Pediatric and Adolescent Gynecology. The purpose of this mini-review is to highlight updates to the US MEC and US SPR that are most relevant to health care providers of adolescents in order to support dissemination and implementation of these evidence-based best practices...
February 3, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28062243/extramedullary-relapse-of-acute-lymphoblastic-leukemia-presenting-as-abnormal-uterine-bleeding-a-case-report
#2
Diana T Robillard, Matthew A Kutny, Joseph H Chewning, Janeen L Arbuckle
BACKGROUND: Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy. Relapse of ALL occurs in 15%-20% of patients, with 2%-6% occurring exclusively in extramedullary sites. Relapse of ALL in gynecologic organs is extremely rare. CASE: We present a case of a 12-year-old girl with a history of ALL who was referred to the pediatric gynecology clinic with abnormal uterine bleeding. She was determined to have an extramedullary uterine relapse of her ALL...
January 4, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27989630/-specificities-of-carcinomas-in-adolescents-and-young-adults
#3
REVIEW
Brice Fresneau, Marie-Emilie Dourthe, Anaïs Jouin, Valérie Laurence, Guénolée de Lambert, Christelle Colas, Mathilde Coret, Anne Laprie, Céleste Rebours, Daniel Orbach, Charlotte Demoor-Goldschmidt
Carcinomas are rare tumors of the adolescent-young adult (AYA) with a different spectrum from those of adults. The most common sites outside of the thyroid is the nasopharynx, salivary gland, colon-rectum and ovaries. If nasopharyngeal carcinoma or salivary gland tumors are good prognosis, others are more reserved prognosis, such as digestive carcinomas, gynecological or midline. The revelation modes are non-specific and depend on the location: mass, tumor syndrome, pain, impaired general condition. The unusual of pediatric carcinomas led to propose a systematic oncogenetic exploration...
December 15, 2016: Bulletin du Cancer
https://www.readbyqxmd.com/read/27969008/impact-of-a-pediatric-and-adolescent-gynecology-curriculum-on-an-obstetrics-and-gynecology-residency
#4
Dawn M Palaszewski, Branko Miladinovic, Petra M Caselnova, Shelly W Holmström
STUDY OBJECTIVE: To determine the effectiveness of a new pediatric and adolescent gynecology (PAG) curriculum for improving obstetrics/gynecology resident physician knowledge and comfort level in patient management and to describe the current deficiencies in resident physician knowledge and comfort level in PAG. DESIGN: A PAG curriculum was implemented for the obstetrics/gynecology resident physicians (n = 20) at the University of South Florida in July 2013. Before and after the curriculum was introduced, resident physicians and recent graduates of the residency program completed a survey to assess their comfort level and a knowledge assessment consisting of 20 case-based questions...
December 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27787478/dysfunctional-uterine-bleeding-as-an-early-sign-of-polycystic-ovary-syndrome-during-adolescence-an-update
#5
Efthimios Deligeoroglou, Vasileios Karountzos
AIM: Abnormal Uterine Bleeding (AUB) is a frequent reason for concern between adolescents. The most common cause of AUB in these girls, when other pathologies have been excluded, is Dysfunctional Uterine Bleeding (DUB). The aim of this review is to assess the role of DUB as an early symptom of Polycystic Ovarian Syndrome (PCOS) diagnosis later in life. METHODS: Review of the literature, using Pubmed and Medline as primary databases, regarding the correlation between DUB cases early after menarche and PCOS diagnosis in the future...
October 27, 2016: Minerva Ginecologica
https://www.readbyqxmd.com/read/27742426/confidentiality-in-pediatric-and-adolescent-gynecology-when-we-can-when-we-can-t-and-when-we-re-challenged
#6
Elizabeth M Alderman
Maintaining confidentiality is an important aspect of adolescent health care. Different states and provinces have laws around the provision of confidential health care to minors for specific health concerns such as reproductive health, mental health and substance abuse. However, there are situations where confidentiality cannot be assured, particularly if the adolescent is being abused. Educating teens and parents about the circumstances in which confidentiality is necessary is sometimes challenging for the clinician...
October 11, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27741188/disorders-of-sexual-development-in-adult-women
#7
Veronica Gomez-Lobo, Anne-Marie Amies Oelschlager
Disorders (differences) of sexual development encompass a variety of conditions with atypical development of chromosomal, gonadal, or anatomic sex. Three of the most common differences of sex development conditions include congenital adrenal hyperplasia, complete androgen insensitivity, and Turner syndrome. Obstetrician-gynecologists who care for affected individuals in their practice must be familiar with the genetic, endocrine, and anatomic considerations of the most common conditions to provide optimal care...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27678038/using-the-wharton-sheares-george-method-to-create-a-neovagina-in%C3%A2-patients-with-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome-a-step-by-step-video-tutorial
#8
Lorenz Kuessel, René Wenzl, Marie-Louise Marschalek, Georg Slavka, Daniela Doerfler, Heinrich Husslein
OBJECTIVE: To provide a review of the literature regarding this technique as well as a step-by-step description with the goal of increasing its use as a safe surgical option. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is characterized by vaginal agenesis and a variety of mullerian duct anomalies. To date, a variety of procedures have been described for creating a neovagina, but the best treatment remains debated. The Wharton-Sheares-George method, a minimally invasive surgical approach for the creation of a neovagina, is remarkably simple to perform...
December 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27663301/laparoscopic-outcomes-of-adnexal-surgery-in-older-children-and-adolescents
#9
Ozlem Dural, Cenk Yasa, Ercan Bastu, Funda Gungor Ugurlucan, Gamze Yilmaz, Bahar Yuksel, Suleyman Engin Akhan, Faruk Buyru
STUDY OBJECTIVE: To evaluate the outcomes of laparoscopic surgery for the treatment of adnexal pathology in older children and adolescents. DESIGN: A retrospective cohort review. SETTING: A tertiary academic center in Istanbul, Turkey. PARTICIPANTS: Pediatric and adolescent patients aged between 9 and 19 years (n = 69) who underwent laparoscopic surgery for adnexal pathology from January 2005 through September 2015. The patients who were pregnant or with non-gynecologic pathology detected during surgery were excluded from the study...
February 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27639749/surgical-management-of-benign-adnexal-masses-in-the-pediatric-adolescent-population-an-11-year-review
#10
Lauren M Bergeron, Katherine C Bishop, Holly R Hoefgen, Margaret S Abraham, Nhial T Tutlam, Diane F Merritt, Jeffrey F Peipert
STUDY OBJECTIVE: The purpose of this study was to compare ovarian conservation rates and surgical approach in benign adnexal surgeries performed by surgeons vs gynecologists at a tertiary care institution. DESIGN: A retrospective cohort review. SETTING: Children's and adult tertiary care university-based hospital. PARTICIPANTS: Patients 21 years of age and younger who underwent surgery for an adnexal mass from January 2003 through December 2013...
February 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27517340/common-prepubertal-vulvar-conditions
#11
Samantha E Vilano, Cynthia L Robbins
PURPOSE OF REVIEW: The purpose of this article is to provide an update for the GP on selected common vulvar concerns in prepubertal girls. Presentation, diagnostic criteria, and management of common vulvar conditions will be described. The following conditions are frequently encountered and may pose diagnostic or management challenges if unrecognized. RECENT FINDINGS: The article is a review of current literature on pediatric vulvar conditions and was conducted through searching PubMed and published books on this topic...
October 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27486027/fertility-awareness-counseling-for-adolescent-girls-guiding-conception-the-right-time-right-weight-and-right-way
#12
Rashmi Kudesia, Hina J Talib, Staci E Pollack
STUDY OBJECTIVE: To provide a detailed summary of fertility awareness counseling pearls for healthy teens and those with fertility-relevant comorbidities, and to assist providers in offering such counseling to adolescents and young adult women. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Comprehensive literature review of English-language studies relating to fertility in pediatric and adolescent female patients (ages 13-21 years), and evidence-based dialogue guide...
February 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27454853/pediatric-and-adolescent-gynecology-improving-the-reproductive-health-of-youth
#13
Eduardo Lara-Torre
No abstract text is available yet for this article.
October 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27423257/gynecologic-surgery-in-the-pediatric-and-adolescent-populations-review-of-perioperative-and-operative-considerations
#14
REVIEW
James Casey, Amanda Yunker, Ted Anderson
Gynecologists are often consulted on pediatric and adolescent patients who may require a surgical treatment for a gynecologic diagnosis. This patient population can present an interesting challenge for a nonpediatrician. It is helpful to review the differences in anatomy, alterations in drug dosing, surgical limitations, and counseling and consent requirements in this patient population before proceeding with a surgical treatment. This is a review of preoperative, intraoperative, and postoperative considerations for gynecologic surgery in the pediatric and adolescent patient population...
November 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27381235/evolution-in-the-management-of-pediatric-and-adolescent-ovarian-torsion-as-a-result-of-quality-improvement-measures
#15
Nicole Hubner, Jacob Charles Langer, Sari Kives, Lisa Mary Allen
STUDY OBJECTIVE: The aim of this study was to document the change in ovarian conservation rate after ovarian torsion as a result of continuous quality improvement (CQI) measures, and to determine factors that contribute to this outcome. DESIGN: A retrospective, uncontrolled before-and-after study. SETTING: An academic children's hospital. PARTICIPANTS: Female adolescents younger than 18 years with surgically confirmed ovarian torsion from April 1, 1988 to October 15, 2013; excluding cases from 2003 (intervention period)...
February 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27325636/menstrual-management-for-adolescents-with-disabilities
#16
Elisabeth H Quint, Rebecca F O'Brien
The onset of menses for adolescents with physical or intellectual disabilities can affect their independence and add additional concerns for families at home, in schools, and in other settings. The pediatrician is the primary health care provider to explore and assist with the pubertal transition and menstrual management. Menstrual management of both normal and abnormal cycles may be requested to minimize hygiene issues, premenstrual symptoms, dysmenorrhea, heavy or irregular bleeding, contraception, and conditions exacerbated by the menstrual cycle...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27260348/greek-health-professionals-perceptions-of-the-hpv-vaccine-state-policy-recommendations-and-their-own-role-with-regards-to-communication-of-relevant-health-information
#17
Christina Karamanidou, Kostas Dimopoulos
BACKGROUND: Every year in Europe 60,000 women develop cervical cancer and 30,000 die from the disease. HPV vaccines are currently believed to constitute an important element of cervical cancer control strategy. Currently in Greece, the HPV vaccine is given on demand after prescription by a healthcare professional. Health care professionals' role is key as they are in a position to discuss HPV vaccination with parents, adolescents and young women. This study is aiming to explore health care professionals' perceptions of the HPV vaccine, state policy recommendations and their own role with regards to communication of relevant health information...
2016: BMC Public Health
https://www.readbyqxmd.com/read/27216709/does-the-north-american-society-for-pediatric-and-adolescent-gynecology-short-curriculum-increase-resident-knowledge-in-pediatric-and-adolescent-gynecology
#18
P S Huguelet, K J Browner-Elhanan, N Fleming, N W Karjane, M Loveless, J Sheeder, H J Talib, C Wheeler, P Kaul
STUDY OBJECTIVE: To determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in pediatric and adolescent gynecology (PAG) among obstetrics and gynecology (Ob/Gyn) residents, at programs without PAG-trained faculty. DESIGN: Prospective, cross-sectional exposure to the NASPAG short curriculum with a follow-up questionnaire. SETTING: Ob/Gyn residency training programs without PAG faculty...
December 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27215673/growing-the-north-american-society-for-pediatric-and-adolescent-gynecology-thirty-years-in-the-making
#19
EDITORIAL
Joseph S Sanfilippo
No abstract text is available yet for this article.
June 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/26985329/oxidative-stress-during-ovarian-torsion-in-pediatric-and-adolescent-patients-changing-the-perspective-of-the-disease
#20
REVIEW
Antonio Simone Laganà, Vincenza Sofo, Francesca Maria Salmeri, Vittorio Italo Palmara, Onofrio Triolo, Milan Milosav Terzić, Tito Silvio Patrelli, Adolf Lukanovic, Eda Vrtcnik Bokal, Giuseppe Santoro
Among the different causes of gynecological acute pelvic pain, ovarian torsion represents a surgical emergency. It is a rare case in the pediatric/adolescent aged group that must be included in the differential diagnosis of any girl with abdominal pain or pelvic/abdominal mass. Current recommendations suggest that laparoscopic detorsion should be performed in order to preserve the integrity of the ovaries and fertility, although oophoropexy may be considered in case of severe necrosis. Nevertheless, maintaining the circulation of the ovary after detorsion deteriorates the tissue injury and leads to a pathologic process called ischaemia/reperfusion (I/R) injury, which is characterized by oxidative stress...
January 2016: International Journal of Fertility & Sterility
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