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Young people emergency

Linda Petronella Martina Maria Wijlaars, Pia Hardelid, Astrid Guttmann, Ruth Gilbert
OBJECTIVE: To determine whether changes in emergency admission rates during transition from paediatric to adult hospital services differed in children and young people (CYP) with and without underlying long-term conditions (LTCs). DESIGN: Cross-sectional study. SETTING: Emergency admissions between 2009 and 2011 recorded in the Hospital Episode Statistics Admitted Patient Care data in England. PARTICIPANTS: 763 199 CYP aged 10-24 years with and without underlying LTCs (LTCs were defined using the International Classification of Diseases, 10th Revision codes recorded in the past 5 years)...
June 22, 2018: BMJ Open
Hanneke Hendriks, Bas Van den Putte, Winifred A Gebhardt, Megan A Moreno
BACKGROUND: Alcohol is often consumed in social contexts. An emerging social context in which alcohol is becoming increasingly apparent is social media. More and more young people display alcohol-related posts on social networking sites such as Facebook and Instagram. OBJECTIVE: Considering the importance of the social aspects of alcohol consumption and social media use, this study investigated the social content of alcohol posts (ie, the evaluative social context and presence of people) and social processes (ie, the posting of and reactions to posts) involved with alcohol posts on social networking sites...
June 22, 2018: Journal of Medical Internet Research
Paula Jacobs, Kenneth MacMahon, Ethel Quayle
BACKGROUND: The transition to adulthood has been described as a difficult time in the lives of young people with intellectual disability. There has been little emphasis on young people with severe or profound intellectual disability specifically, even though their pathways may differ, due to greater support needs across the life course. METHODS: A systematic review was conducted utilising Bronfenbrenner's ecological model to inform framework analysis to synthesise qualitative findings...
June 22, 2018: Journal of Applied Research in Intellectual Disabilities: JARID
Natalie Merrill, Jordan A Booker, Robyn Fivush
Family stories help shape identity and provide a foundation for navigating life events during adolescence and early adulthood. However, little research examines the types of stories passed onto adolescents and emerging adults, the extent to which these stories are retained and accessible, and the potentially influential parental- and self-identity content constructed in telling these stories. Across three samples, we investigate the accessibility and functions of intergenerational narratives that adolescents and emerging adults know of their parents...
June 21, 2018: Topics in Cognitive Science
Stephanie Easton, Katherine Morton, Zara Tappy, Daniella Francis, Laura Dennison
BACKGROUND: Social media use has become ubiquitous in the lives of many people, especially young adults. A popular recent trend emerging on social media is that of posting and following 'Fitspirational' content - material that purports to motivate and showcase healthy lifestyle habits, particularly relating to exercise and diet. There is very limited existing literature on how engaging with this type of content influences people's psychological and physical heath. Initial studies have focused on concerns over potential negative effects on psychological wellbeing including body image, self-esteem and eating disorders...
June 18, 2018: Journal of Medical Internet Research
Xinguang Chen, Bin Yu, Ding-Geng Chen
A growing number of young people smoke electronic (e-) cigarettes, presenting an emerging challenge to tobacco control. Analyses are needed to better understand the dynamics of mutual transitions between e-cigarette and conventional combustible (c-) cigarette smoking to advance evidence-based tobacco control. In this study we modeled the nonlinear dynamics of c- and e-cigarette smoking behavior transitions using the 2014 National Youth Tobacco Survey (NYTS) data. A model with five Markov-Chain transition stages linked by 21 transitional paths/probabilities was constructed, guided by the probabilistic discrete event systems (PDES) theory...
July 2018: Nonlinear Dynamics, Psychology, and Life Sciences
Monique Anderson, Kate Parkinson
In England and Wales, family group conferences (FGCs) are most often found either in the field of youth justice or in the field of child protection, and consequently often have priorities in line with either one of the two systems. On the one hand, FGCs are a restorative justice tool to address offending behavior and hold young perpetrators to account, while giving victims the possibility of contributing to the justice process. On the other hand, FGCs address safeguarding concerns and are used to plan for child safety and protection...
June 12, 2018: Journal of Child Sexual Abuse
M Freeman, D Stewart, C E Cunningham, J W Gorter
BACKGROUND: Young people with cerebral palsy (CP) and their families have identified lack of information received during the transition to adulthood as a barrier to successful outcomes. To date, few studies have explored the information needs, preferences, timing, and method of provision from the perspective of individuals with CP. METHOD: The methodological approach to this qualitative study was interpretive description. Nine adults living with CP, between the ages of 20 and 40, were purposively recruited in Ontario, Canada, to explore, retrospectively, their information needs during the transition to adulthood...
June 11, 2018: Child: Care, Health and Development
Shona J Kelly, Hilary Piercy, Rachel Ibbotson, Sally V Fowler Davis
OBJECTIVES: This report describes the patients who used additional out-of-hours (OOH) appointments offered through a UK scheme intended to increase patient access to primary care by extending OOH provision. DESIGN: Cohort study and survey data. SETTING: OOH appointments offered in four units in one region in England (October 2015 to November 2016). METHODS: Unidentifiable data on all patients were abstracted from a bespoke appointment system and the responses to a patient opinion questionnaire about this service...
June 9, 2018: BMJ Open
Manjri Raval, Matthew C Choy, Peter De Cruz
Ulcerative colitis (UC) is a chronic inflammatory bowel disease with an age of onset that affects young people during the peak of their reproductive years. Management of flares of disease during pregnancy can be complex and there are few case reports of pregnant women with acute severe ulcerative colitis (ASUC). We present the case of a 31-year-old pregnant woman who at 16 weeks gestation developed ASUC in the context of primary non-response to infliximab therapy. She subsequently underwent an emergency laparoscopic colectomy after failing to respond to hydrocortisone and cyclosporine salvage therapy...
June 8, 2018: BMJ Case Reports
Amy Jo Vassallo, Bridget Kelly, Lelin Zhang, Zhiyong Wang, Sarah Young, Becky Freeman
BACKGROUND: Omnipresent marketing of processed foods is a key driver of dietary choices and brand loyalty. Market data indicate a shift in food marketing expenditures to digital media, including social media. These platforms have greater potential to influence young people, given their unique peer-to-peer transmission and youths' susceptibility to social pressures. OBJECTIVE: The aim of this study was to investigate the frequency of images and videos posted by the most popular, energy-dense, nutrient-poor food and beverage brands on Instagram and the marketing strategies used in these images, including any healthy choice claims...
June 5, 2018: JMIR Public Health and Surveillance
Emily Dauria, Marina Tolou-Shams, Halyna Skipalska, Mariya Bachmaha, Sara Hodgdon
Purpose Ukraine has one of the fastest growing HIV epidemics globally. Due to their engagement in high-risk behaviors, adolescents and emerging adults involved with the penitentiary system are at a particularly high risk of HIV-acquisition. To address the epidemic, young males (aged 14 to 20 years) in penitentiary institutions across Ukraine participated in a ten-week, group-based HIV-prevention intervention (STEPS). The paper aims to discuss these issues. Design/methodology/approach The authors analyzed clinical and programmatic services data collected as part of an evaluation of the STEPS intervention...
June 11, 2018: International Journal of Prisoner Health
Jhumka Gupta, Lauren F Cardoso, Courtney S Harris, Arielle D Dance, Tamer Seckin, Nina Baker, Yvonne O Ferguson
OBJECTIVE: Symptoms of endometriosis, including pelvic pain, back and nerve pain, and gastrointestinal pain, often begin in adolescence. Yet, research on the experience of these debilitating symptoms among young people is scarce. Of particular concern is the influence of adolescent girls' social context. This study qualitatively examined how, among adolescents, endometriosis and symptoms suggestive of endometriosis is perceived at the family, peer/school and community/society levels. DESIGN: Eight focus groups were conducted; vignettes were used to elicit participants' perceptions of factors that may shape girls' experiences of endometriosis...
June 4, 2018: BMJ Open
Vlatka Boričević Maršanić, Josipa Jukić, Mia Flander
The onset of psychosis is typically preceded by a prodromal phase that is characterised by the emergence of "attenuated" psychotic symptoms. This phase is described as ultra-high risk (UHR) or at-risk mental state (ARMS) of psychosis. Criteria have been established for identifying these young people who are at clinical high risk. People at ultra-high risk (UHR) of psychosis have about 30% chance of developing the illness within two years. This category was introduced with the goal of developing treatments for prevention of psychotic disorders...
June 2018: Psychiatria Danubina
Kate Pennington, Rhonda Owen, Jenny Mun
The 2009 influenza season was considered a significant season triggered by the April 2009 emergence of a novel influenza A virus prompting a World Health Organization (WHO) declaration of a public health emergency of international concern. The overall number of notifications in the Australian 2009 influenza season was the highest since national reporting to the National Notifiable Diseases Surveillance System (NNDSS) began in 2001, and substantially higher than in prior years. Over 59,000 notifications were reported to the NNDSS, almost ten times the five year mean and representing a crude notification rate of 272...
December 1, 2017: Communicable Diseases Intelligence Quarterly Report
Mary O'Loughlin, Linton Harriss, Fintan Thompson, Robyn McDermott, Jane Mills
OBJECTIVE: Explore factors that influence presentation at a regional hospital ED and identify opportunities to reduce attendance, particularly for adults with chronic conditions. METHODS: Cross-sectional survey of ED attenders, for 1 month period (March to April 2014), with linkage of survey data to administrative data sets. RESULTS: A total of 1000 adults completed the survey of which 549 (54.9%) self-identified as living with a chronic condition...
May 31, 2018: Emergency Medicine Australasia: EMA
Chantal Coles-Brennan, Anna Sulley, Graeme Young
Digital eye strain, an emerging public health issue, is a condition characterised by visual disturbance and/or ocular discomfort related to the use of digital devices and resulting from a range of stresses on the ocular environment. This review aims to provide an overview of the extensive literature on digital eye strain research with particular reference to the clinical management of symptoms. As many as 90 per cent of digital device users experience symptoms of digital eye strain. Many studies suggest that the following factors are associated with digital eye strain: uncorrected refractive error (including presbyopia), accommodative and vergence anomalies, altered blinking pattern (reduced rate and incomplete blinking), excessive exposure to intense light, closer working distance, and smaller font size...
May 23, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Patricia Thille, Barbara E Gibson, Thomas Abrams, Laura C McAdam, Bhavnita Mistry, Jenny Setchell
For those with chronic, progressive conditions, high quality clinical care requires attention to the human dimensions of illness-emotional, social, and moral aspects-which co-exist with biophysical dimensions of disease. Reflexivity brings historical, institutional, and socio-cultural influences on clinical activities to the fore, enabling consideration of new possibilities. Continuing education methodologies that encourage reflexivity may improve clinical practice and trainee learning, but are rare. We piloted a dialogical methodology with a children's rehabilitation team to foster reflexivity (patient population: young people with Duchenne's or Becker's muscular dystrophy)...
May 24, 2018: Advances in Health Sciences Education: Theory and Practice
Lucy Biddle, Jane Derges, Carlie Goldsmith, Jenny L Donovan, David Gunnell
Despite accelerating interest in the impact of the internet on suicidal behaviour, empirical work has not captured detailed narratives from those who engaged in suicide-related internet use. This study explored the suicide-related online behaviour of two contrasting samples of distressed users, focusing on their purpose, methods and the main content viewed. In-depth interviews were conducted in the UK between 2014-2016 with i) young people in the community; and ii) self-harm patients presenting to hospital emergency departments...
2018: PloS One
Brian C Kelly, Mike Vuolo
Alongside the rise of emerging adulthood, policy contexts for marijuana have rapidly changed, with increases in availability and the number of daily users. We identify heterogeneous pathways of marijuana use from age 16 to 26, and examine how these pathways differentiate adult role transitions by age 28. Latent class analyses identified five trajectories: abstainers, dabblers, consistent users, early heavy quitters, and persistent heavy users. Dabblers are no different from abstainers on educational and labor market outcomes, and both have higher odds of adult role transitions relative to heavier use classes...
July 2018: Social Science Research
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