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Pediatric and adolescent gynecology

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https://www.readbyqxmd.com/read/29759115/fired-up-ready-to-go-pediatric-and-adolescent-gynecology
#1
EDITORIAL
Paula J Adams Hillard
No abstract text is available yet for this article.
June 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29750655/metabolic-risk-factors-in-adolescent-girls-with-type-1-diabetes
#2
Cíntia Castro-Correia, Rita Santos-Silva, Marta Pinheiro, Carla Costa, Manuel Fontoura
BACKGROUND: The incidence of pediatric metabolic syndrome (MS) has progressively increased. The incidence of type 1 diabetes mellitus (T1DM) has also increased. Thus, some children and adolescents with T1DM exhibit MS parameters. The aim of the study was to evaluate the presence of MS parameters in female adolescents with T1DM based on their nutritional status. METHODS: We evaluated 44 adolescents with T1DM (consecutive non-randomized sample) aged between 14 and 18 years, who were on intensive therapy with insulin...
May 11, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29643890/perceived-social-support-in-pregnant-adolescents-in-mersin-area-in-turkey
#3
Mine Yurdakul
Objective: The study examines the level and source of perceived social support in pregnant adolescents and the factors related to their perception of social support. Methods: This descriptive study was conducted with the voluntary participation of 127 adolescent pregnant females who visited the Gynecology and Pediatric Hospital in Mersin, Turkey. The data were collected based on the participants' self-expression, using the Socio-demographic Information Form and Multidimensional Scale of the Perceived Social Support...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29580917/comparison-of-parental-and-adolescent-views-on-the-confidential-interview-and-adolescent-health-risk-behaviors-within-the-gynecologic-setting
#4
Gylynthia E Trotman, Eleanor Mackey, Eshetu Tefera, Veronica Gomez-Lobo
STUDY OBJECTIVES: To explore parental and adolescent views on the confidential interview in the gynecologic setting and compare adolescent reported risk-taking behaviors with parental perception. DESIGN: Anonymous surveys were administered separately to parents/guardians and adolescents between the ages of 11-17. Information pertaining to the patient's Tanner stage and reason for visit was obtained from the provider. This first phase served as the usual care group...
March 23, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29566847/what-is-pediatric-and-adolescent-gynecology
#5
EDITORIAL
Paula J Adams Hillard
No abstract text is available yet for this article.
April 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29566846/resident-education-curriculum-in-pediatric-and-adolescent-gynecology-the-short-curriculum-2-0
#6
Hina J Talib, Nicole Karjane, Karen Teelin, Margaret Abraham, Stephanie Holt, Gayaythri Chelvakumar, Tania Dumont, Patricia S Huguelet, Lindsay Conner, Carol Wheeler, Nathalie Fleming
The degree of exposure to pediatric and adolescent gynecology (PAG) varies across residency programs in obstetrics and gynecology and pediatrics. Nevertheless, these programs are responsible for training residents and providing opportunities within their programs to fulfill PAG learning objectives. To that end, the North American Society for Pediatric and Adolescent Gynecology has taken a leadership role in PAG resident education by creating and systematically updating the Short Curriculum. This curriculum outlines specific learning objectives that are central to PAG education and lists essential resources for learners' reference...
April 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29557631/-primary-care-in-the-adolescent-gynecological-pathology
#7
José M Méndez Ribas
The Medicine for adolescents is a true specialty mostly exercised by doctors trained in pediatrics, family clinicians and gynecologists properly trained in their care and with the vocation for that. Based on my experience as a Founding Member and Director for more than 20 years of the Adolescence Program of the Hospital de Clínicas (University of Buenos Aires), I presented a methodology of attention with the objective of showing a comprehensive approach of the adolescents with an emphasis on general health promotion and prevention of diseases, and on reproductive health in particular...
April 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29524594/pediatric-and-gynecologic-rates-of-documentation-of-last-menstrual-period-in-female-adolescents
#8
Kristl Tomlin, Lucia Mirea, Amy Williamson
STUDY OBJECTIVE: The American Academy of Pediatrics and American College of Obstetricians and Gynecologists have identified the menstrual cycle as essential in assessing overall health of adolescent girls. Menses should be considered a "vital sign" and documentation of last menstrual period (LMP) is recommended at every patient encounter. The aim of this study was to estimate and compare LMP documentation among adolescent and pediatric health care providers. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study identified a random sample of 50 female patients seen in the general pediatrics (PEDS), adolescent medicine (AM), and pediatric and adolescent gynecology (PAG) ambulatory clinics at Phoenix Children's Hospital between January 1, 2016 and March 31, 2016...
March 8, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29499376/improving-resident-knowledge-in-pediatric-and-adolescent-gynecology-an-evaluation-of-the-north-american-society-for-pediatric-and-adolescent-gynecology-short-curriculum
#9
P S Huguelet, G ChelvaKumar, L Conner, T Dumont, N Fleming, M Abraham, N W Karjane, J Sheeder, H J Talib, K Teelin, C Wheeler, P Kaul
BACKGROUND: Resident education in Pediatric and Adolescent Gynecology (PAG) is challenging. It encompasses patients from neonates to young adults with different disorders involving multiple subspecialties. Residents have inadequate exposure to PAG topics and report lack of knowledge in this area. OBJECTIVE: To determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in PAG among Obstetrics and Gynecology (ObGyn), Family Medicine and Pediatric residents...
February 27, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29408736/diagnostic-evaluation-comorbidity-screening-and-treatment-of-polycystic-ovary-syndrome-in-adolescents-in-3-specialty-clinics
#10
Meghna R Sebastian, Constance M Wiemann, Fida Bacha, Sharonda J Alston Taylor
STUDY OBJECTIVE: A polycystic ovary syndrome (PCOS) diagnosis in adolescence can have significant long-term health implications. The criteria for its diagnosis in adolescents have been subject to much debate. In this study we aimed to characterize the variability in diagnosis and management among different pediatric specialties. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS: This was a retrospective review of electronic medical records of female patients (11-21 years old) who presented to 3 specialties (adolescent medicine [ADO], pediatric endocrinology [ENDO], and gynecology [GYN]), with a postvisit diagnosis of PCOS, menstrual disorders, or hirsutism, at a large tertiary care center, from November 1, 2011 to October 31, 2012...
February 1, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29333822/labial-adhesions-experience-in-a-children-s-hospital
#11
Anahí Rubinstein, Gisel Rahman, Paula Risso, Dolores Ocampo
Labial adhesions are defined as the complete or partial fusion of the pudendal cleft due to the agglutination of the labia minora in the midline. They most commonly occur between 3 months and 6 years of life. Between January 1st, 2002 and December 31st, 2015, 425 girls diagnosed with labial adhesions and seen at the Unit of Pediatric and Adolescent Gynecology of Hospital de Niños de La Plata, Argentina, were analyzed. Their average age was 2.7 years (standard deviation: 2.6 years). The most common presentation of labial adhesions was that involving more than 75% of the total length of the labia (p < 0...
February 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29274443/gynecologic-bleeding-complications-in-postmenarchal-female-adolescents-receiving-antithrombotic-medications
#12
Heather Soni, Jennifer Kurkowski, Danielle Guffey, Jennifer E Dietrich, Lakshmi V Srivaths
STUDY OBJECTIVE: The prevalence, clinical features, and management of gynecologic bleeding complications and health care provider awareness of these in postmenarchal adolescents receiving antithrombotic medications has rarely been addressed in the literature. We sought to address these issues in a review of our experience in a pediatric tertiary care center. DESIGN, SETTING, AND PARTICIPANTS: A retrospective chart review was conducted with institutional review board approval from 2004 to 2014, on eligible postmenarchal adolescents receiving antithrombotic medications...
December 20, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29239814/surgical-considerations-and-challenges-in-the-pediatric-and-adolescent-gynecologic-patient
#13
REVIEW
Serena H Chan, Eduardo Lara-Torre
It is important for practitioners to recognize that there are special considerations when performing gynecologic surgery in a pediatric or adolescent patient. A provider must be familiar with differences in anatomy, physiology, surgical technique, and psychosocial concerns. This can be challenging for a provider who does not routinely operate on patients in this population. A minimally invasive surgical approach is preferred in the pediatric and adolescent patient whenever possible. While a good command of laparoscopy in the adult patient is certainly a useful skill when operating on pediatric and adolescent patients, there are technical adaptations and challenges to consider...
April 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29223412/resident-education-in-pediatric-and-adolescent-gynecology
#14
EDITORIAL
Paula J Adams Hillard
No abstract text is available yet for this article.
February 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29194189/ovarian-yolk-sac-tumors-does-age-matter
#15
Cecile Faure Conter, Caihong Xia, David Gershenson, Jean Hurteau, Al Covens, Farzana Pashankar, Mark Krailo, Deborah Billmire, Catherine Patte, Brice Fresneau, Furqan Shaikh, Sara Stoneham, James Nicholson, Matthew Murray, Anne Lindsay Frazier
BACKGROUND: Whereas among pediatric oncologists, ovarian yolk sac tumor (O-YST) is considered a chemosensitive tumor, it is often cited as an adverse prognostic factor in adult women with ovarian germ cell tumors. METHODS: The Malignant Germ Cell International Consortium data set included 6 pediatric clinical trials (United States, United Kingdom, and France) and 2 adult gynecology clinical trials (United States). Any patient with an O-YST that was International Federation of Gynecology and Obstetrics stage IC or higher and treated with a platinum-based chemotherapy was eligible...
January 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29056510/examination-of-the-pediatric-adolescent-patient
#16
REVIEW
Judith Simms-Cendan
Gynecologic examination of the pediatric adolescent patient provides a valuable opportunity for patient education and diagnosis, yet presents special challenges, including achieving comfort for the patient and guardian and finding equipment that are sized for pediatric patient. Anatomic changes due to the hormonal environment evolve from newborn through pubertal development. As pediatric adolescent gynecology has evolved as a specialty, techniques and training for providing optimal office and surgical examination have emerged...
September 1, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29030157/bits-and-pieces-a-crowd-sourced-series-of-54-cases-of-fractured-hormonal-implants
#17
Bonnie C Crouthamel, Melissa A Schiff, Anne-Marie E Amies Oelschlager, Sarah W Prager, Katherine E Debiec
STUDY OBJECTIVE: The fracture of hormonal implants, including Implanon, Nexplanon, and histrelin acetate is rare. Our aim was to describe patient demographics, mechanisms, and consequences of fractured implants by surveying physicians' experience via listservs and social media. DESIGN: We developed a REDCap survey for physicians regarding their experience with implant fracture, including patient characteristics, mechanism of fracture, changes in menstrual bleeding patterns, time from insertion to fracture, and time from fracture to seeking care...
October 10, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28942106/familiarity-with-long-acting-reversible-contraceptives-among-obstetrics-and-gynecology-family-medicine-and-pediatrics-residents-results-of-a-2015-national-survey-and-implications-for-contraceptive-provision-for-adolescents
#18
Susan A Davis, Nikolay P Braykov, Eva Lathrop, Lisa B Haddad
STUDY OBJECTIVE: To assess familiarity with long-acting reversible contraceptives (LARC) among current obstetrics and gynecology (OB/GYN), family medicine (FM), and pediatrics senior residents in the United States. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We selected 156 OB/GYN, FM, and pediatrics residency programs using the American Medical Association Freida database. Senior residents completed a survey addressing any training they had received on LARC, and rated their comfort level counseling about and inserting LARC...
February 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28927766/vulvovaginitis-presentation-of-more-common-problems-in-pediatric-and-adolescent-gynecology
#19
REVIEW
Meredith Loveless, Ohmar Myint
Vulvovaginitis is one of the most common gynecological complaints presenting in the pediatric and adolescent female. The common causes of vulvovaginitis in the pediatric patient differ than that considered in adolescent females. When a child present with vulvar itching, burning and irritation the most common etiology is non-specific and hygiene measures are recommended. However these symptoms can mimic more serious etiologies including infection, labial adhesion, lichen sclerosis, pinworms and foreign body must be considered...
September 5, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28923750/surgical-decision-making-in-pediatric-and-adolescent-gynecology-just-because-you-can-doesn-t-mean-you-should
#20
EDITORIAL
Paula J Adams Hillard
No abstract text is available yet for this article.
September 15, 2017: Journal of Pediatric and Adolescent Gynecology
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