MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Adolescent Medicine Clinics' source. Sat, 10 Oct 2009 19:27:13 +0100 http://www.medworm.com/index.php?rid=234436&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030276%26dopt%3DAbstract Authors: O'brien RF, Kulig J PMID: 17030276 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234436 Sat, 14 Oct 2006 03:55:02 +0100 234436 http://www.medworm.com/index.php?rid=234435&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030277%26dopt%3DAbstract Authors: Braverman PK PMID: 17030277 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234435 Sat, 14 Oct 2006 03:55:02 +0100 234435 http://www.medworm.com/index.php?rid=234434&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030278%26dopt%3DAbstract Authors: Breuner CC PMID: 17030278 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234434 Sat, 14 Oct 2006 03:55:02 +0100 234434 http://www.medworm.com/index.php?rid=234433&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030279%26dopt%3DAbstract Authors: Middleman AB PMID: 17030279 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234433 Sat, 14 Oct 2006 03:55:02 +0100 234433 http://www.medworm.com/index.php?rid=234432&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030280%26dopt%3DAbstract Authors: Ornstein RM, Jacobson MS PMID: 17030280 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234432 Sat, 14 Oct 2006 03:55:02 +0100 234432 http://www.medworm.com/index.php?rid=234431&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030281%26dopt%3DAbstract Authors: Xanthakos SA, Daniels SR, Inge TH PMID: 17030281 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234431 Sat, 14 Oct 2006 03:55:02 +0100 234431 http://www.medworm.com/index.php?rid=234430&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030282%26dopt%3DAbstract Authors: Yan AC PMID: 17030282 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234430 Sat, 14 Oct 2006 03:55:02 +0100 234430 http://www.medworm.com/index.php?rid=234429&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030283%26dopt%3DAbstract Authors: Divasta AD, Gordon CM PMID: 17030283 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234429 Sat, 14 Oct 2006 03:55:02 +0100 234429 http://www.medworm.com/index.php?rid=234428&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030284%26dopt%3DAbstract Authors: Gupta N PMID: 17030284 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234428 Sat, 14 Oct 2006 03:55:02 +0100 234428 http://www.medworm.com/index.php?rid=234427&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030285%26dopt%3DAbstract Authors: O'brien RF PMID: 17030285 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234427 Sat, 14 Oct 2006 03:55:02 +0100 234427 http://www.medworm.com/index.php?rid=234426&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030286%26dopt%3DAbstract Authors: Hogben M, Burstein GR PMID: 17030286 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234426 Sat, 14 Oct 2006 03:55:02 +0100 234426 http://www.medworm.com/index.php?rid=234425&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030287%26dopt%3DAbstract Authors: Adelman WP PMID: 17030287 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234425 Sat, 14 Oct 2006 03:55:02 +0100 234425 http://www.medworm.com/index.php?rid=234424&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030288%26dopt%3DAbstract Authors: Laos C, Metzl JD PMID: 17030288 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234424 Sat, 14 Oct 2006 03:55:02 +0100 234424 http://www.medworm.com/index.php?rid=234423&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030289%26dopt%3DAbstract Authors: Williams JF, Kokotailo PK PMID: 17030289 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234423 Sat, 14 Oct 2006 03:55:02 +0100 234423 http://www.medworm.com/index.php?rid=234422&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030290%26dopt%3DAbstract Authors: Hertz JA, Knight JR PMID: 17030290 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234422 Sat, 14 Oct 2006 03:55:02 +0100 234422 http://www.medworm.com/index.php?rid=234421&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030291%26dopt%3DAbstract Authors: McPartland J, Klin A PMID: 17030291 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234421 Sat, 14 Oct 2006 03:55:02 +0100 234421 http://www.medworm.com/index.php?rid=234420&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17030292%26dopt%3DAbstract Authors: Bolfek A, Jankowski JJ, Waslick B, Summergrad P PMID: 17030292 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=234420 Sat, 14 Oct 2006 03:55:02 +0100 234420 http://www.medworm.com/index.php?rid=170606&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814692%26dopt%3DAbstract Authors: Schydlower M PMID: 16814692 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170606 Wed, 14 Jun 2006 06:00:00 +0100 170606 http://www.medworm.com/index.php?rid=170605&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814693%26dopt%3DAbstract Authors: Schydlower M, Arredondo RM PMID: 16814693 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170605 Wed, 14 Jun 2006 06:00:00 +0100 170605 http://www.medworm.com/index.php?rid=170604&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814694%26dopt%3DAbstract Authors: Irons BL Alcohol use disorders are a significant public health problem. All providers who work with teenagers are likely to encounter youth for whom this is a relevant concern. Routine screening for alcohol use disorders has become the standard of care, and a number of validated, concise screening measures are now available. Youth with alcohol use disorders are unlikely to show the physical stigmata of adult alcohol dependence. Knowledge of risk variables can inform anticipatory guidance and interventions, and all providers can play a helpful role to address problematic use of alcohol. PMID: 16814694 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170604 Wed, 14 Jun 2006 06:00:00 +0100 170604 http://www.medworm.com/index.php?rid=170603&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814695%26dopt%3DAbstract This article provides a general overview of other drugs of abuse within the adolescent population. Stimulants, hallucinogens, club drugs, inhalants, sedative-hypnotics, tranquilizers, opiates, and ergogenic drugs are included. Epidemiology, pharmacology, clinical aspects, laboratory, and treatment issues are addressed. Attention is focused on most commonly used drugs or representative drugs within each category. Review of alcohol, marijuana, and tobacco abuse can be found in other articles. PMID: 16814695 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170603 Wed, 14 Jun 2006 06:00:00 +0100 170603 http://www.medworm.com/index.php?rid=170602&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814696%26dopt%3DAbstract This article reviews these issues and includes commentary on a recently published review of treatment programs. PMID: 16814696 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170602 Wed, 14 Jun 2006 06:00:00 +0100 170602 http://www.medworm.com/index.php?rid=170601&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814697%26dopt%3DAbstract This article provides an overview of existing evidence regarding risk and prevention factors in adolescent substance abuse from a biopsychosocial viewpoint. It is believed that this approach offers a practical model for the integration of inherently complex factors into the clinical setting. These factors cannot be isolated from the influences of the greater society, such as the school system or homelessness. Prevention and treatment issues must approach the impaired adolescent with a multifactorial and comprehensive plan that integrates multidisciplinary involvement. PMID: 16814697 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170601 Wed, 14 Jun 2006 06:00:00 +0100 170601 http://www.medworm.com/index.php?rid=170600&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814698%26dopt%3DAbstract This article outlines the current clinical approach to poisonings in the adolescent age group. Management issues are presented for several specific substances frequently abused by this population. The purpose of such a review is to stimulate self-education in the practitioner. A secondary goal is to promote awareness of the various manifestations of substance abuse problems to facilitate recognition and referral. Adolescence is often a critical point for effective intervention and prevention on the road from use to addiction. Long-term survival may depend more on substance use rehabilitation than on the initial medical management. PMID: 16814698 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170600 Wed, 14 Jun 2006 06:00:00 +0100 170600 http://www.medworm.com/index.php?rid=170599&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814699%26dopt%3DAbstract This article focuses on tobacco dependence, assessment and treatment, including goals of abstinence and exposure reduction. Although more research is needed, treatment success is more likely to occur with multicomponent interventions that are tailored to the individual needs and the unique issues for this age group, including issues of parental involvement and consent for treatment, developmental issues, and patient preferences. Several school-based interventions appear promising, and many resources are available to provide education for parents, youth, and health care providers. PMID: 16814699 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170599 Wed, 14 Jun 2006 06:00:00 +0100 170599 http://www.medworm.com/index.php?rid=170598&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814700%26dopt%3DAbstract Authors: Gray KM, Upadhyaya HP, Deas D, Brady KT Screening and diagnosis of adolescent substance abuse is a challenging but achievable component of primary care practice. Successful integration of these procedures into office visits requires an understanding of prevalence, risk factors, and strategies for prevention and treatment. The authors provide a synopsis of recent advances and important issues in this area and propose a stepwise, evidence-based approach to evaluation of substance abuse in adolescents. PMID: 16814700 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170598 Wed, 14 Jun 2006 06:00:00 +0100 170598 http://www.medworm.com/index.php?rid=170597&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814701%26dopt%3DAbstract Authors: Gee RL, Espiritu RC, Huang LN Co-occurring mental and substance use disorders (COD) among children and adolescents present special challenges for family members and primary care clinicians. A broad understanding of prevalence rates, etiology, risk and protective factors, and intervention strategies is important in promoting evidence-based practices. The authors present a synopsis of important issues in this area and provide support for integrating behavioral health into primary care practice. PMID: 16814701 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170597 Wed, 14 Jun 2006 06:00:00 +0100 170597 http://www.medworm.com/index.php?rid=170596&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814702%26dopt%3DAbstract This article highlights the need for changes at the clinical, organizational, and policy levels to create a system of care that can effectively identify, refer, treat, and coordinate the care for these adolescents and their families. PMID: 16814702 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170596 Wed, 14 Jun 2006 06:00:00 +0100 170596 http://www.medworm.com/index.php?rid=170595&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16814703%26dopt%3DAbstract Authors: Horigian VE, Lage OG, Szapocznik J This chapter describes the epidemiology of drug use among adolescents from different racial and ethnic groups. Second, it addresses the cultural variables prevalent in each of these groups and their relevance in the delivery of clinical care. Third, it describes the risks and protective factors for adolescent drug use and their interface with culture and the screening tools available for the pediatrician. Finally, we present the treatment and model programs of prevention that were tested specifically with ethnic groups ranked by the National Registry of Evidence-Based Programs. PMID: 16814703 [PubMed - in process] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170595 Wed, 14 Jun 2006 06:00:00 +0100 170595 http://www.medworm.com/index.php?rid=170619&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473291%26dopt%3DAbstract Authors: Kreipe RE Somatoform disorders are presented in the first article in this issue of Adolescent Medicine Clinics because the physical symptoms that cause the adolescent to present for diagnosis and treatment reflect the interaction of the psyche and the soma in ways that are poorly understood. Because of dualistic conceptualizations that are encouraged by technology such as MRI, CT scans and other technologically advanced tools, patients who have these conditions often suffer. As noted by Cassell [35], "suffering is experienced by persons, not merely by bodies, and has its source in challenges that threaten the intactness of the person as a complex social and psychological entity." Clinicians who care for adolescents who have somatic complaints also suffer when they are unable t... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170619 Tue, 14 Feb 2006 07:00:00 +0100 170619 http://www.medworm.com/index.php?rid=170618&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473292%26dopt%3DAbstract Authors: Campbell AT Health care for adolescents with psychiatric conditions plays out on a complex stage with considerable state variation, based on a mix of statutory and case law. Added to this are less defined factors such as level of trust in community providers, level of cooperation between generalists and specialists, and local regulatory stances toward adolescent health care and mental health care. And, of course, there is the great diversity in diagnosis and maturity level, as well as family cohesion, from patient to patient (and even within a given patient across time). Finally, this situation resides within a larger environment of stigma vis-a-vis mental health care, most notably evident in the United States in disparate insurance coverage of mental versus physical health tr... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170618 Tue, 14 Feb 2006 07:00:00 +0100 170618 http://www.medworm.com/index.php?rid=170617&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473293%26dopt%3DAbstract Authors: O'Brien RF, Kifuji K, Summergrad P A variety of medical conditions can present, or be associated, with psychiatric symptoms. At times, these may be so prominent that they can overshadow the underlying pathophysiologic process that accounts for them. Thus, it is equally important for mental health providers to be alert to the possibility that adolescents whom they are treating may have symptoms related to a treatable medical condition as it is for primary care providers to conduct a targeted history and physical examination with their adolescent patients exhibiting psychiatric symptoms. Using the biopsychosocial approach, these two domains are not considered separately or hierarchically, but as highly interactive. In some cases (eg, adrenal insufficiency), appropriate and conti... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170617 Tue, 14 Feb 2006 07:00:00 +0100 170617 http://www.medworm.com/index.php?rid=170616&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473294%26dopt%3DAbstract Authors: Brookman RR, Sood AA Mood disorders and anxiety disorders contribute significantly to morbidity and mortality during adolescence. These disorders often persist or recur in adulthood. Clinical presentations in the primary care setting are myriad and often confusing. Early recognition, differentiation from physical and other psychiatric disorders, and accurate diagnosis lead to more appropriate treatment and improved outcome. Collaboration among primary care providers and mental health professionals is key to reducing the suffering from these disorders for adolescents and their families. PMID: 16473294 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170616 Tue, 14 Feb 2006 07:00:00 +0100 170616 http://www.medworm.com/index.php?rid=170615&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473295%26dopt%3DAbstract Authors: Karnik NS, McMullin MA, Steiner H CD and ODD present unique challenges in both the diagnostic and treatment arenas. The complex network of causes leading to disruptive disorders makes it necessary to structure treatment in a multifaceted manner. The earlier that adolescents are identified as exhibiting disruptive behavior disorders, the better the opportunity to intervene. While early-onset CD is very difficult to treat effectively, the disorder is far more difficult to correct if left untreated and can ultimately lead to ASPD in adulthood. When physicians are presented with behavioral complaints, they must fully assess the adolescent to determine what, if any, referrals and treatments are needed. PMID: 16473295 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine C... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170615 Tue, 14 Feb 2006 07:00:00 +0100 170615 http://www.medworm.com/index.php?rid=170614&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473296%26dopt%3DAbstract Authors: Vijay NR, Langley J, Links PS Both BPD and ASPD are disorders whose complex presentations pose numerous clinical challenges to all health care professionals. However, early careful diagnosis and management can diminish the long-term morbidity of these illnesses and offer the hope of a better outcome. As data emerge regarding the long-term prognosis and effective treatment of PDs, clinicians are cautioned to avoid the traditional teaching that the dysfunctional patterns will necessarily continue into adulthood. PMID: 16473296 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170614 Tue, 14 Feb 2006 07:00:00 +0100 170614 http://www.medworm.com/index.php?rid=170613&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473297%26dopt%3DAbstract Authors: Hodgman CH Psychotic behavior in adolescent patients is uncommon but occasionally encountered in adolescent medicine practice. Although a physician may not be able to distinguish the precise diagnosis initially, immediate symptomatic management of acute psychotic symptoms is indicated to allay the patient's anxiety and tQ begin treatment. In chronic and more subtle conditions, their recognition is the essential first step. In all cases, referral to a mental health specialist is indicated for comprehensive evaluation and appropriate management. Continuing support of patient and family by the primary care physician avoids a perception of abandonment and can help ensure effective long-term care. PMID: 16473297 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinic... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170613 Tue, 14 Feb 2006 07:00:00 +0100 170613 http://www.medworm.com/index.php?rid=170612&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473298%26dopt%3DAbstract Authors: Palumbo D, Lynch PA Psychological and neuropsychological assessment remains an important aspect of clinical evaluation in adolescents with psychiatric and neurologic disorders. The primary care practitioner can refer for psychological and neuropsychological assessment when cognitive, behavioral, or psychiatric problems appear to be affecting the adolescent's learning, psychosocial development, or overall functioning. The most appropriate assessment depends upon the diagnostic issue at hand. Most referrals will include IQ and achievement testing to assess for learning disabilities; behavioral and personality assessment to aid in psychiatric diagnosis and treatment planning; and neuropsychological testing for more complex issues, such as the impact of neurological disorders and ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170612 Tue, 14 Feb 2006 07:00:00 +0100 170612 http://www.medworm.com/index.php?rid=170611&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473299%26dopt%3DAbstract Authors: Scharf MA, Williams TP Psychopharmacology is a challenge for health care providers treating adolescents. A detailed and accurate assessment, including developmental issues relevant to adolescence in general and to the individual adolescent, guides clinicians in formulating thoughtful and effective treatment plans to meet the needs of each patient. Parents play an important role in providing family history regarding psychiatric diagnoses and the response to various drugs, in making decisions to initiate medication and to change a medication regimen, and in monitoring an adolescent's adherence to a prescribed regimen. The role of parents is especially important for younger patients. Following the biopsychosocial model, rarely should psychopharmacologic agents be used as the sole... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170611 Tue, 14 Feb 2006 07:00:00 +0100 170611 http://www.medworm.com/index.php?rid=170610&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473300%26dopt%3DAbstract This article reviews the epidemiology, risk factors, and critical elements of emergency evaluation and treatment of a variety of juvenile psychiatric emergencies. Factors influencing presentation, disposition,and consideration of local treatment resources are reviewed. PMID: 16473300 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170610 Tue, 14 Feb 2006 07:00:00 +0100 170610 http://www.medworm.com/index.php?rid=170609&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473301%26dopt%3DAbstract Authors: Borzekowski DL Emerging research on adolescents and the Internet should be thoughtfully considered, especially with respect to the influence of Internet activities on mental health and psychiatric conditions. A given Internet site may have content that would be helpful to one, have no effect on another, and be harmful to yet an-other adolescent. The effect on the adolescent would in part be determined by the site itself and the way in which it provides information and interactivity, and in part on the characteristics of the particular adolescent. It will be necessary to employ diverse approaches to keep current the information on how adolescents use the Internet, as well as to understand how it affects them. Rather than rely on focus groups and self-report surveys, researchers... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170609 Tue, 14 Feb 2006 07:00:00 +0100 170609 http://www.medworm.com/index.php?rid=170608&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473302%26dopt%3DAbstract Authors: McCann CM, le Roux P The three main psychotherapeutic treatment modalities include individual,family, and group therapies. Many theoretic orientations guide psychotherapists as they try to help adolescents with mental health problems. PCPs play a critical role in initial assessment of mental health symptoms, in addition to coordinating treatment needs. There is a need for increased education regarding mental health treatment for health care providers to help them connect adolescents and their families to appropriate mental health care providers. Integrative approaches that involve more than one treatment modality are often needed to provide the best treatment for adolescents. Better collaborative care not only improves physician understanding of mental health treatment but als... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170608 Tue, 14 Feb 2006 07:00:00 +0100 170608 http://www.medworm.com/index.php?rid=170607&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16473303%26dopt%3DAbstract Authors: Garrison D, Daigler GE The intensive psychiatric treatment settings, including inpatient hospitalization, day programs and residential care, are valuable options for clinicians caring for adolescents with serious mental health problems. The availability of these setting may be limited by geographic, insurance, or financial restraints, but providers should stay informed about the treatment settings available in their area and be prepared to advocate for their adolescent patients' psychiatric needs.Although little evidence-based practice is available to guide clinicians taking care of adolescents in need of the most intensive psychiatric treatment settings, certain elements of care have proven most essential, including especially the successful engagement of families in treatmen... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170607 Tue, 14 Feb 2006 07:00:00 +0100 170607 http://www.medworm.com/index.php?rid=170631&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183535%26dopt%3DAbstract This article addresses some of the issues involved with preventing adolescent pregnancy, focusing on contraception. PMID: 16183535 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170631 Fri, 14 Oct 2005 06:00:00 +0100 170631 http://www.medworm.com/index.php?rid=170630&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183536%26dopt%3DAbstract This article describes both barrier and spermicide methods of contraception including the male and female condom, diaphragm, contraceptive sponge, Lea Shield, cervical cap and multiple spermicide options. Their efficacy, differences and proper use are discussed with an emphasis on the adolescent user. PMID: 16183536 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170630 Fri, 14 Oct 2005 06:00:00 +0100 170630 http://www.medworm.com/index.php?rid=170629&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183537%26dopt%3DAbstract This article discusses the different combined hormonal contraception methods. Combined methods, delivering both estrogen and a progestin simultaneously, are among the most effective, widely used hormonal contraceptive options. They also have the best noncontraceptive benefit profile for young women of all hormonal contraceptive options. Oral contraceptive pills (OCPs) are described as the standard combined hormonal method and are discussed in detail. Newer combined hormonal contraceptive delivery systems, the transdermal patch, vaginal ring, and injectable form, are compared with OCPs in terms of pharmacology, efficacy, and adverse events. Advantages and disadvantages of all methods are emphasized, with particular attention to adolescent development and acceptability. PMID: 16183537 [P... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170629 Fri, 14 Oct 2005 06:00:00 +0100 170629 http://www.medworm.com/index.php?rid=170628&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183538%26dopt%3DAbstract This article delineates the noncontraceptive benefits of hormonal contraception, including combined and progestin-only methods. Contraindications to the use of these hormonal methods also are discussed. Knowledge of the noncontraceptive benefits of birth control methods can increase compliance and continuation of use, with the ultimate goal of decreasing unplanned pregnancy. PMID: 16183538 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170628 Fri, 14 Oct 2005 06:00:00 +0100 170628 http://www.medworm.com/index.php?rid=170627&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183539%26dopt%3DAbstract Authors: Burkett AM, Hewitt GD Some adolescents use progestin only contraceptive products because of an underlying medical condition; others simply prefer them. Current options include pills, a long -acting intramuscular injection, an implant, and a progestin-releasing intrauterine device. Also available is Plan B, a progestin only emergency contraceptive option. Although these products vary in efficacy, they are generally safe and well tolerated by adolescents. The implants and intramuscular injections are particularly well suited for adolescent use because of their need for little compliance, well-tolerated adverse effect profile, and excellent efficacy rates. PMID: 16183539 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170627 Fri, 14 Oct 2005 06:00:00 +0100 170627 http://www.medworm.com/index.php?rid=170626&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183540%26dopt%3DAbstract Authors: Bonny AE, Harkness LS, Cromer BA Depot medroxyprogesterone acetate (DMPA) is an effective and easy-to-use contraceptive method for adolescents. However, recent literature suggests that overweight teens may be at increased risk for weight gain while on this contraceptive method, and decreases in bone mineral density have been documented in adolescents on DMPA, particularly with longer duration of use. Consideration of this new literature on DMPA and its implications for clinical practice must be done in the context of the United States having the highest adolescent pregnancy rate in the industrialized world. Hence, potential DMPA risks need to be weighed against the risk of unintended pregnancy in an adolescent. PMID: 16183540 [PubMed - indexed for MEDLINE] (Source: Adolesc... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170626 Fri, 14 Oct 2005 06:00:00 +0100 170626 http://www.medworm.com/index.php?rid=170625&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183541%26dopt%3DAbstract This article reviews available forms of emergency contraception, their indications, contraindications, adverse effects and efficacy at preventing pregnancy. This article describes the mechanism of action of different forms of emergency contraception and provides recommendations on when to start or restart an ongoing method of contraceptive after emergency contraception use. Literature on the impact of the advance provision of emergency contraception on contracepting behaviors is reviewed, and behavior change counseling related to emergency contraception is described. PMID: 16183541 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170625 Fri, 14 Oct 2005 06:00:00 +0100 170625 http://www.medworm.com/index.php?rid=170624&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183542%26dopt%3DAbstract This article discusses some complementary and alternative medicine options for contraception, including natural family planning and plant-derived hormonal contraception. Primary care providers are crucial resources for advice and recommendations about these options. The discussion will include medical evidence to support or refute these methods, potential dangers of these interventions, and additional resources for those who want to learn more. PMID: 16183542 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170624 Fri, 14 Oct 2005 06:00:00 +0100 170624 http://www.medworm.com/index.php?rid=170623&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183543%26dopt%3DAbstract Authors: Reape KZ The approval of various new contraceptive products in recent years has resulted in broadening the options available to women. Trends in contraceptive research for hormonal products include variations in dose and dosing regimens, introduction of novel compounds, evaluation of products for noncontraceptive indications, and development of nonoral delivery systems and male contraceptives. Nonhormonal areas of research include microbicidal products, dual protection methods, and contraceptive vaccines. For each of these categories, contraceptive products currently in development and the potential implications for adolescents are discussed. Ongoing contraceptive research and development activity is robust and should ensure the continued availability of various new products f... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170623 Fri, 14 Oct 2005 06:00:00 +0100 170623 http://www.medworm.com/index.php?rid=170622&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183544%26dopt%3DAbstract This article offers options for contraception for girls with various chronic medical conditions. Considerations of some of the newer contraception methods are discussed as future options for these girls. PMID: 16183544 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170622 Fri, 14 Oct 2005 06:00:00 +0100 170622 http://www.medworm.com/index.php?rid=170621&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183545%26dopt%3DAbstract This article highlights contraceptive issues in Asia, home to some 700 million adolescents. It starts with a description of the socio-cultural milieu of adolescents in South and Southeast Asia, their knowledge and use of contraceptives, the myriad barriers to access, and the many innovative programs to broaden contraceptive availability. The reproductive health needs of adolescents in poor countries cannot be solved by merely supplying them with contraceptives--these needs can only be fully addressed in the context of gender equality, poverty alleviation and the conviction that investing in the reproductive health of adolescents is a most urgent priority. Investing in the reproductive health of adolescents will have an impact not only on birth and abortion rates, maternal health, and the s... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170621 Fri, 14 Oct 2005 06:00:00 +0100 170621 http://www.medworm.com/index.php?rid=170620&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183546%26dopt%3DAbstract Authors: Morgan Mulchahey K Caring for the contraceptive needs of an adolescent young woman can be a challenge on many levels. Adolescents are often called young adults, but they are not adults developmentally. Therefore, adult strategies for contraceptive teaching, decision-making, and compliance are often inappropriate and unsuccessful. Health care providers are faced with increasing constraints in the office that can make it difficult to find the time to counsel the adolescent appropriately. Parental involvement in contraceptive decision making, compliance, and continuation will be different with each adolescent and her family. Although this interaction can be a problem, it is also an area where the clinician may make a positive impact for the adolescent and her family. PMID: 16... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170620 Fri, 14 Oct 2005 06:00:00 +0100 170620 http://www.medworm.com/index.php?rid=170643&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111617%26dopt%3DAbstract Authors: Hogan MJ The mass media are rife with violent images and messages and youth spend a great deal of time with media. A rich tradition of research shows that exposure to media violence leads to aggressive thoughts, emotions, and behavior, and also to fear and desensitization. Certain youth are more vulnerable to violent media messages and images; the impact of media violence is modified by its nature and context. Parents, teachers, and the media industry should work toward mitigating the effects of media violence on youth; pediatricians and other health care providers play a key role in fostering healthy family media habits. PMID: 16111617 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170643 Tue, 14 Jun 2005 06:00:00 +0100 170643 http://www.medworm.com/index.php?rid=170642&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111618%26dopt%3DAbstract Adolescents, sex, and the media: ooooo, baby, baby-a Q & A. Adolesc Med Clin. 2005 Jun;16(2):269-88, vii Authors: Strasburger VC The media arguably have become the leading sex educator for American children and adolescents. More than 80% of the top teen shows contain sexual content, and the average teen views nearly 14,000 sexual references on television alone. The gap between suggestive and responsible content on primetime television is narrowing, but only slowly. Parents and teachers need to recognize the power of the media to educate and begin incorporating principles of media literacy into existing sex education programs. PMID: 16111618 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170642 Tue, 14 Jun 2005 06:00:00 +0100 170642 http://www.medworm.com/index.php?rid=170641&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111619%26dopt%3DAbstract This article reviews the literature on body image and media use among adolescents. We begin by defining body image and how it is constructed, especially among young people. We then offer information on when one's body image perception is askew with one's perception of personal ideal, which can result in disordered eating, including obesity, anorexia, and bulimia. Next, we describe the research literature on media use and its relationship to adolescents' body image perceptions and discuss content analyses and correlational, experimental, and qualitative studies. Lastly, we recommend, beyond conducting further and improved research studies, interventions and policies that may have an impact on body image and media use. PMID: 16111619 [PubMed - indexed for MEDLINE] (Source: Adolescent Med... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170641 Tue, 14 Jun 2005 06:00:00 +0100 170641 http://www.medworm.com/index.php?rid=170640&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111620%26dopt%3DAbstract This article focuses on the effects of exposure to pornography on teenagers, particularly males, and concentrates on sexually aggressive outcomes and on the characteristics of the individual as crucial in determining whether pornography consumption may or may not lead to sexually aggressive outcomes. In future work, it is important not to use an overly simplistic lens of focus in which pornography exposure is seen as generally harmful or not. Depending on particular constellations of personality characteristics, the effects of pornography may differ considerably among different teenagers as well as within different cultures. The research suggests that particular concerns may be needed for those who are highly frequent consumers of pornography, those who seek out sexually violent content, a... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170640 Tue, 14 Jun 2005 06:00:00 +0100 170640 http://www.medworm.com/index.php?rid=170639&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111621%26dopt%3DAbstract Authors: Grube JW, Waiters E Drinking portrayals and alcohol advertising are common in popular media and young people are highly exposed to them. Although some studies found that exposure to drinking portrayals is related to increases in drinking among youth, other studies produced mixed and inconclusive findings. Similarly, research on the effects of alcohol advertising presents mixed findings. Recent longitudinal research and studies that used modeling techniques that controlled for reciprocal effects suggests that exposure to, attention to, and liking of alcohol advertising may influence children and adolescents' drinking beliefs and behaviors. Further research, and particularly longitudinal studies that address at-risk populations, such as children and minorities, is necessary befo... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170639 Tue, 14 Jun 2005 06:00:00 +0100 170639 http://www.medworm.com/index.php?rid=170638&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111622%26dopt%3DAbstract This article examines the evidence that supports an association between seeing smoking depictions in movies and adolescent smoking. The portrayal of tobacco use is common in movies and often is modeled by stars, who, from a social influences standpoint, should be powerful behavior change agents. The results of studies that assess audience responses to tobacco portrayal in movies are remarkably consistent in showing a moderate to strong association between seeing movie smoking and more positive attitudes toward smoking and adolescent smoking initiation. The two published longitudinal studies show an independent link between exposure to movie smoking at baseline and initiation in the future, with estimates of the effect size being remarkably consistent with their cross-sectional counterparts... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170638 Tue, 14 Jun 2005 06:00:00 +0100 170638 http://www.medworm.com/index.php?rid=170637&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111623%26dopt%3DAbstract This article summarizes the health-related content of music videos, and discusses associations between music videos and adolescent health risks. PMID: 16111623 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170637 Tue, 14 Jun 2005 06:00:00 +0100 170637 http://www.medworm.com/index.php?rid=170636&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111624%26dopt%3DAbstract This article describes some of the currently popular video games, as well as developments that are on the horizon, and discusses the status of research on the positive and negative impacts of playing video games. Recommendations are made to help parents ensure that children play games that are consistent with their values. PMID: 16111624 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170636 Tue, 14 Jun 2005 06:00:00 +0100 170636 http://www.medworm.com/index.php?rid=170635&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111625%26dopt%3DAbstract This article addresses several primary benefits and potential hazards associated with adolescent Internet use. It describes general trends in adolescent Internet use and considers how the medium allows individuals to extend their social networks and create new ones. Several ideas for maximizing the potential benefits and minimizing any potential harms are presented. PMID: 16111625 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170635 Tue, 14 Jun 2005 06:00:00 +0100 170635 http://www.medworm.com/index.php?rid=170634&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111626%26dopt%3DAbstract This article review is organized by studies that are relevant for testing the reliability and validity of ratings systems. Specifically, the interrater reliability, consistency, temporal stability, content validity, construct validity, and criterion validity of media ratings systems are reviewed. Data that are related to testing the "forbidden fruit" and "tainted fruit" hypotheses also are reviewed. Several changes are recommended to improve the ratings systems, including the creation of a universal ratings system that could be applied equally to all media. The research reviewed here can provide a guide for how to construct a reliable, valid, and more useful ratings system. This is important because the decisions that parents make regarding their children's media use can be only as good as... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170634 Tue, 14 Jun 2005 06:00:00 +0100 170634 http://www.medworm.com/index.php?rid=170633&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111627%26dopt%3DAbstract Authors: Molnar A Commercial activities in public schools are examined in light of growing concern over increasing rates of childhood obesity. The work and findings of the Education Policy Studies Laboratory, which documents school commercialism through media references, is detailed. Alongside evidence of increased commercialism, including activities that promote the consumption of unhealthful beverages and foods by students, growing public opposition to such activities also is documented. The argument is made that schoolhouse commercialism is not in the best interests of the health or the education of students. PMID: 16111627 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170633 Tue, 14 Jun 2005 06:00:00 +0100 170633 http://www.medworm.com/index.php?rid=170632&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16111628%26dopt%3DAbstract Authors: McCannon R In the face of media industry consolidation, fewer people control media content which makes it harder for parents and citizens to know the research about media-related issues, such as video game violence, nutrition, and sexual risk-taking. Media literacy offers a popular and potentially successful way to counter the misinformation that is spread by Big Media public relations. PMID: 16111628 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170632 Tue, 14 Jun 2005 06:00:00 +0100 170632 http://www.medworm.com/index.php?rid=170658&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844380%26dopt%3DAbstract Authors: Boydstun II Acute renal failure (ARF) can be defined as the sudden loss of adequate renal function to clear metabolic wastes and maintain normal fluid and electrolyte balance. ARF may occur in otherwise healthy children, may complicate underlying chronic kidney disease, or may result from multiorgan disorders. The underlying cause of the renal injury remains the major factor that determines outcomes for patients with ARF. Overall mortality in children with ARF varies from 8% to 89%, with greater than 50% mortality associated with three-organ system failure. Management of the adolescent with ARF ranges from conservative management in mild cases to more intensive care in hospitalized patients with complications of fluid overload, hypertension, metabolic acidosis, or life-threate... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170658 Mon, 14 Feb 2005 07:00:00 +0100 170658 http://www.medworm.com/index.php?rid=170657&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844381%26dopt%3DAbstract Authors: Flynn JT BP elevation in adolescence may be the first clue to underlying renal or other organ-system pathology, or it may be simply a warning sign of future cardiovascular risk. Careful measurement of BP and thorough evaluation of adolescents with sustained BP elevation should make possible the identification of those who require treatment. Usually a combination of pharmacologic and nonpharmacologic measures will result in satisfactory control of hypertension while permitting a normal quality of life. PMID: 15844381 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170657 Mon, 14 Feb 2005 07:00:00 +0100 170657 http://www.medworm.com/index.php?rid=170656&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844382%26dopt%3DAbstract This article reviews the nephrotoxic effects of OTC analgesics, natural medicines, and illicit drugs. PMID: 15844382 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170656 Mon, 14 Feb 2005 07:00:00 +0100 170656 http://www.medworm.com/index.php?rid=170655&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844383%26dopt%3DAbstract Authors: Abitbol CL, Friedman LB, Zilleruelo G The adolescent population is particularly vulnerable to STDs. Those that cause significant kidney disease are of viral origin. The primary VVD are HIV-1, HBV, and HCV. Screening of high-risk populations should include quantitation of proteinuria, including total protein and microalbumin, to assess severity of renal damage and potential for progression. Renal biopsy is indicated for diagnosis and for planning important treatment interventions if there is significant proteinuria or decreased renal function. Causes of acute renal failure are frequently reversible and should be treated aggressively. These include HUS, vaso-motor or ischemic acute tubular necrosis, and drug toxicities. The spectrum of chronic kidney disease associated with VVD ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170655 Mon, 14 Feb 2005 07:00:00 +0100 170655 http://www.medworm.com/index.php?rid=170654&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844384%26dopt%3DAbstract Authors: Lau KK, Wyatt RJ GN in the adolescent requires prompt diagnosis. When even mild degrees of renal insufficiency are documented, immediate referral to a nephrologist is necessary to ensure that serious conditions, such as RPGN, are correctly diagnosed and aggressively managed. In an adolescent with macroscopic hematuria, the demonstration of dysmorphic RBCs, RBC casts, and proteinuria indicates that the bleeding is of glomerular origin. Physicians caring for adolescents with chronic GN should have a basic understanding of the specific disorders. They may be involved in blood pressure monitoring and should be aware of the potential side effects of the antihypertensive and immunosuppressive medications used in patients with GN. PMID: 15844384 [PubMed - indexed for MEDLINE] (So... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170654 Mon, 14 Feb 2005 07:00:00 +0100 170654 http://www.medworm.com/index.php?rid=170653&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844385%26dopt%3DAbstract Authors: Srivastava T, Alon US Idiopathic urolithiasis in children has become more frequent in the past few decades as a result of increasing affluence and rapid change in our society's dietary habits. In Western societies, calcium stones in the kidney and ureter predominate. Pediatric urolithiases, unlike the adult form, require a comprehensive metabolic evaluation, because metabolic and enzymatic derangements play an important role in their pathogenesis. The recent advancements in endoscopic procedures, interventional radiology, and lithotripsy have allowed children to be managed effectively without open surgery. Pediatric urolithiasis requires a close working relationship between the urologist for acute surgical management of urolithiasis and the nephrologists for prevention of ston... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170653 Mon, 14 Feb 2005 07:00:00 +0100 170653 http://www.medworm.com/index.php?rid=170652&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844386%26dopt%3DAbstract This article reviews relevant aspects of renal disease that have implications for sports participation by adolescents, including hematuria, proteinuria, hyponatremia, hypertension, solitary kidney, exercise-related acute renal failure, and chronic/end-stage renal disease. It also reviews the renal effects of creatine and protein supplementation in athletes. PMID: 15844386 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170652 Mon, 14 Feb 2005 07:00:00 +0100 170652 http://www.medworm.com/index.php?rid=170651&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844387%26dopt%3DAbstract This article provides a summary of renal cancers that can affect adolescent patients. It encompasses both isolated and syndrome-associated cancers and the various renal complications associated with cancer therapy. Prompt recognition and appropriate referral and management, along with periodic long-term follow-up, will enhance both the survival and quality of life of young people afflicted with these serious diseases. PMID: 15844387 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170651 Mon, 14 Feb 2005 07:00:00 +0100 170651 http://www.medworm.com/index.php?rid=170650&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844388%26dopt%3DAbstract Authors: Bonny AE, Brouhard BH UTIs occur quite frequently among adolescent females. In the vast majority of these patients, UTIs are uncomplicated infections and are not suggestive of underlying anatomic abnormality of the urinary tract. A UTI in an adolescent female is suggestive, however, of sexual debut. A small number of adolescent males suffer from UTI annually; in at least half of such cases, there is likewise no underlying urinary anomaly. Because of the symptomatic overlap and high prevalence of STI in adolescents, the clinician must have a high index of suspicion for STI in any adolescent presenting with urinary symptoms. PMID: 15844388 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170650 Mon, 14 Feb 2005 07:00:00 +0100 170650 http://www.medworm.com/index.php?rid=170649&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844389%26dopt%3DAbstract Authors: Hogg RJ Persistent proteinuria of various degrees of severity in adolescents should be regarded seriously, because recent evidence points to this abnormality's being associated with chronic kidney disease. However, it is also important for primary care physicians to be aware that most adolescents who are found to have proteinuria on a screening urinalysis do not have renal disease, and the proteinuria will usually resolve on repeat testing. Appropriate measures to determine whether the proteinuria is fixed and not orthostatic can and should be conducted expeditiously, because they will allay stress for most patients. For the minority of patients in whom more serious forms of proteinuria exist, timely consultation with a pediatric nephrologist is recommended. PMID: 15844389... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170649 Mon, 14 Feb 2005 07:00:00 +0100 170649 http://www.medworm.com/index.php?rid=170648&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844390%26dopt%3DAbstract Authors: Ellis EN Diabetic nephropathy continues to be a major complication of both types I and II diabetes; renal disease in the two types of diabetes exhibits no major differences with regard to initiation, progression, or treatment. The increasing prevalence of type II diabetes among adolescents means that understanding diabetic nephropathy and its prevention and treatment strategies is increasingly important for physicians caring for this population. The most important prevention and treatment modalities for diabetic nephropathy are improved glycemic control and aggressive blood pressure control, beginning as soon as possible after the diagnosis of diabetes. PMID: 15844390 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170648 Mon, 14 Feb 2005 07:00:00 +0100 170648 http://www.medworm.com/index.php?rid=170647&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844391%26dopt%3DAbstract Authors: Boydstun II Chronic kidney disease (CKD) involves a fixed deficit or progressive deterioration in kidney function, producing variable losses of normal physiologic functions. In adolescents, CKD results from a wide range of causes. Because of the broad spectrum of disease, the physician providing primary care to the adolescent must be knowledgeable about findings leading to the diagnosis of CKD and must understand the physiologic basis for therapeutic management. Complications of normal renal function loss include issues of fluid, electrolyte, and acid-base balance, as well as development of anemia, cardiovascular disease, metabolic bone disease, and growth failure. Goals of therapy include anticipation and replacement of lost physiologic functions so that the adolescent can gr... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170647 Mon, 14 Feb 2005 07:00:00 +0100 170647 http://www.medworm.com/index.php?rid=170646&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844392%26dopt%3DAbstract Authors: Smith JM, McDonald RA Renal transplantation remains the goal for the pediatric patient with end-stage renal disease. Recent advances in technology and immunosuppression have greatly enhanced patient and graft survival, while reducing significant complications. However, transplantation of adolescents is still fraught with the potential for serious problems. The increased risk of graft loss, late acute rejection, and incomplete rejection reversal observed in the adolescent age group demands further investigation. Lack of adherence to immunosuppression regimens may be an important contributory factor. Strategies to address the unique concerns of this high-risk population, including the use of a multidisciplinary team, are essential to improving outcomes. PMID: 15844392 [PubMe... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170646 Mon, 14 Feb 2005 07:00:00 +0100 170646 http://www.medworm.com/index.php?rid=170645&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844393%26dopt%3DAbstract This article focuses on several areas of urology common to the adolescent. PMID: 15844393 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170645 Mon, 14 Feb 2005 07:00:00 +0100 170645 http://www.medworm.com/index.php?rid=170644&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15844394%26dopt%3DAbstract Authors: Gordon C, Stapleton FB Hematuria is not a rare finding during adolescence. The high prevalence of microscopic hematuria is not surprising when one considers the vast number of ways in which RBC can end up in the urine. The adolescent presenting with gross hematuria, proteinuria, or microscopic hematuria in combination with other symptoms of genitourinary disease is more likely to require a therapeutic intervention than is the individual found incidentally to have microscopic hematuria. Screening for hematuria is not supported by current evidence. When it is discovered as the result of a screening examination, persistent microscopic hematuria in an otherwise asymptomatic individual may not require further investigation; however, the renal ultrasound examination has little risk ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170644 Mon, 14 Feb 2005 07:00:00 +0100 170644 http://www.medworm.com/index.php?rid=170667&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625986%26dopt%3DAbstract Authors: Inge TH, Zeller M, Garcia VF, Daniels SR The obesity epidemic has resulted in the premature onset of traditionally adult diseases in children and adolescents. Bariatric surgery can be used to achieve significant weight loss and resolution of major and minor comorbidities of obesity. It is not known, however, whether weight loss or comorbidity resolution after adolescent bariatric surgery is sustainable over the lifetime, given the powerful biologic mechanisms that are thought to play an important role in development of severe obesity in these patients. There are also concerns about whether bariatric procedures may have unanticipated adverse nutritional consequences when applied in adolescence. Principles of adolescent medicine and evidence from adult bariatric surgical studies... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170667 Thu, 14 Oct 2004 06:00:00 +0100 170667 http://www.medworm.com/index.php?rid=170666&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625987%26dopt%3DAbstract Authors: Goretsky MJ, Kelly RE, Croitoru D, Nuss D Pectus excavatum, the concave depression of the breast bone, comprises most chest wall anomalies. The Nuss procedure, a minimally invasive procedure to correct pectus excavatum, has revolutionized the management of this disease over the past decade. The results and complications of this procedure are discussed. The surgical management of the less common pectus carinatum or "pigeon breast" also is reviewed. PMID: 15625987 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170666 Thu, 14 Oct 2004 06:00:00 +0100 170666 http://www.medworm.com/index.php?rid=170665&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625988%26dopt%3DAbstract Authors: Arca MJ, Caniano DA Although breast cancer is rare in childhood and adolescence, breast concerns among patients in this age group are common. Benign proliferative changes and benign masses such as fibroadenomas are the most common entities encountered in the adolescent patient. Evaluation of breast complaints includes a careful history and physical examination. Ultrasonography is the best adjunctive radiologic modality to assess the adolescent breast. Surgical intervention usually is contraindicated in prepubertal patients. In the postpubertal patient, discrete breast masses, which are not suspicious on clinical examination, may be observed. Additionally, FNA and surgical removal are also safe diagnostic and therapeutic alternatives in this patient population. PMID: 156259... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170665 Thu, 14 Oct 2004 06:00:00 +0100 170665 http://www.medworm.com/index.php?rid=170664&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625989%26dopt%3DAbstract Authors: McGrath MH, Schooler WG Adolescent patients are seeking plastic surgery to correct deformities or perceived deformities in increasing numbers. It is essential for the physician to understand the influence of perceived body image irregularity that motivates patients of all ages to request plastic surgery. The increased demand for plastic surgical procedures among young patients is caused partially to increased media exposure to the available procedures offered by plastic surgeons. A successful aesthetic procedure can have a positive influence on a mature, well-motivated teenager, while surgery on a psychologically unstable adolescent can be damaging to the patient. The American Society for Aesthetic Plastic Surgery has developed guidelines for the appropriate selection of teena... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170664 Thu, 14 Oct 2004 06:00:00 +0100 170664 http://www.medworm.com/index.php?rid=170663&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625990%26dopt%3DAbstract This article gave perspective on those relatively common and superficial lesions in an office setting. PMID: 15625990 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170663 Thu, 14 Oct 2004 06:00:00 +0100 170663 http://www.medworm.com/index.php?rid=170662&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625991%26dopt%3DAbstract Authors: Jayanthi VR There are several urologic conditions in the adolescent male and female that require medical attention. The conditions discussed in this article represent some of the most common concerns in adolescents. PMID: 15625991 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170662 Thu, 14 Oct 2004 06:00:00 +0100 170662 http://www.medworm.com/index.php?rid=170661&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625992%26dopt%3DAbstract Authors: Powell JK Adnexal masses are common in adolescents. Certain conditions will require immediate intervention, including possible torsion, medically refractory tuboovarian abscess, intra-abdominal hemorrhage with hemodynamic instability, or possible ectopic pregnancy. Further evaluation of other masses, including additional imaging or tumor markers may be indicated, especially if masses are complex, solid, or have features characteristic of benign or malignant neoplasms. Otherwise, expectant management and surveillance allow for spontaneous resolution of most masses, especially cystic masses, and prevents unnecessary surgical intervention with its potential risks and sequelae. Laparoscopy can be done in many patients, and conservative, adnexal-sparing surgery should be encouraged... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170661 Thu, 14 Oct 2004 06:00:00 +0100 170661 http://www.medworm.com/index.php?rid=170660&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625993%26dopt%3DAbstract This article focuses on the most common gynecologic cancers in pediatric and adolescent girls, with a special emphasis on treatment that maintain fertility and positive body image. PMID: 15625993 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170660 Thu, 14 Oct 2004 06:00:00 +0100 170660 http://www.medworm.com/index.php?rid=170659&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15625994%26dopt%3DAbstract This article reviews new recommendations for initiation of screening, revisions in cytology terminology, and evidence-based guidelines for management of lower genital tract disease, including the application of HPV testing. PMID: 15625994 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170659 Thu, 14 Oct 2004 06:00:00 +0100 170659 http://www.medworm.com/index.php?rid=170679&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449841%26dopt%3DAbstract Authors: Shafii T, Burstein GR Half of all United States high school students are sexually experienced. Female adolescents bear the highest rates of many STIs. Many adolescents infected with STIs report no symptoms suggestive of their infections. Health care providers who see adolescents should be poised to implement effective STI control through risk assessment, disease screening, and CDC-recommended treatment and prevention counseling. PMID: 15449841 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170679 Mon, 14 Jun 2004 06:00:00 +0100 170679 http://www.medworm.com/index.php?rid=170678&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449842%26dopt%3DAbstract Authors: Shrier LA A large and complex array of risk and protective factors influence adolescents' sexual behavior and their risk for sexually transmitted diseases. Programs designed to reduce sexually transmitted diseases in adolescents should take a focused and integrated approach that addresses the modifiable biologic, cognitive, psychologic, behavioral, and social issues affecting adolescent sexual risk. PMID: 15449842 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170678 Mon, 14 Jun 2004 06:00:00 +0100 170678 http://www.medworm.com/index.php?rid=170677&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449843%26dopt%3DAbstract Authors: Syed TS, Braverman PK Vaginitis is a common complaint of adolescent females. It can cause extreme distress for some patients, especially those with recurrent symptoms. Thus, it is important to take care when evaluating these patients and to acknowledge their frustration when appropriate. A thoughtful and thorough history will determine most causes, with the most common being yeast, trichomoniasis, and BV. PMID: 15449843 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170677 Mon, 14 Jun 2004 06:00:00 +0100 170677 http://www.medworm.com/index.php?rid=170676&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449844%26dopt%3DAbstract Authors: Simpson T, Oh MK Sexually acquired lower-genitourinary tract infections are a significant source of morbidity for adolescents. Causative organisms include T. vaginalis, Mycoplasma organisms, Ureaplasma organisms, and, most commonly, N. gonorrhoeae and C. trachomatis. With NAATs, noninvasive screening can be accomplished easily. The importance of screening in high-risk populations cannot be overemphasized, especially because these infections are often asymptomatic. The treatment of sexually transmitted bacterial infections includes appropriate antibiotic treatment for the presenting patient, partner identification and treatment, and counseling to prevent reinfection. PMID: 15449844 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170676 Mon, 14 Jun 2004 06:00:00 +0100 170676 http://www.medworm.com/index.php?rid=170675&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449845%26dopt%3DAbstract Authors: Banikarim C, Chacko MR Pelvic inflammatory disease (PID) is an infection of the upper female genital tract. It encompasses an array of inflammatory disorders, including endometritis, parametritis, salpingitis, oophoritis, tubo-ovarian abscess, peritonitis, and perihepatitis. In most adolescents with acute severe infections it is difficult to differentiate some of these entities; thus the term PID is used commonly. Perihepatitis (Fitz-Hugh-Curtis syndrome) and tubo-ovarian abscess are acute complications, whereas chronic complications include infertility, ectopic pregnancy, and chronic pain. PMID: 15449845 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170675 Mon, 14 Jun 2004 06:00:00 +0100 170675 http://www.medworm.com/index.php?rid=170674&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449846%26dopt%3DAbstract Authors: Spigarelli MG, Biro FM Most STIs in adolescents are asymptomatic. Recent studies in adolescents have documented relatively short periods of time until reinfection occurs (median times 4.7-7.6 months), suggesting that sexually active adolescents should be screened for STI every 6 months. Evidence-based practice is exceedingly helpful in deciding when to test, whom to test, and which methodology to use. In a recent critical analysis regarding screening women for chlamydia, screening all women for chlamydia was more cost-effective than testing only symptomatic women. With the proliferation of highly sensitive and specific assays, and the usefulness of different specimen sources (such as urine or self-swabs), health care providers of adolescents should screen all patients at risk ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170674 Mon, 14 Jun 2004 06:00:00 +0100 170674 http://www.medworm.com/index.php?rid=170673&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449847%26dopt%3DAbstract Authors: Kahn JA, Hillard PA Human papillomavirus (HPV) infection is highly prevalent in adolescent girls and young women and may be associated with substantial morbidity and mortality. HPV infection may lead to condylomata (genital warts), cervical intraepithelial neoplasia (CIN), and cervical cancer. Recent research focused on the virology, natural history, and sequelae of HPV infection has led to evidence-based revisions of the system for classification of cervical cytology results, recommendations for cytologic screening, and guidelines for management of CIN. Vaccines to prevent HPV infection and its sequelae are under investigation. PMID: 15449847 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170673 Mon, 14 Jun 2004 06:00:00 +0100 170673 http://www.medworm.com/index.php?rid=170672&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449848%26dopt%3DAbstract Authors: Trager JD Evaluating the adolescent with a genital lesion requires a thorough knowledge of the common and less-common STDs that cause genital findings. A thoughtful history and complete physical examination are always in order, as is testing for a particular suspected STD and for coexisting STDs, especially HIV. PMID: 15449848 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170672 Mon, 14 Jun 2004 06:00:00 +0100 170672 http://www.medworm.com/index.php?rid=170671&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449849%26dopt%3DAbstract Authors: Catallozzi M, Rudy BJ STIs are one consequence of specific risk-taking behaviors, not sexual orientation. Providers who care for adolescents should be aware of the STIs for which LGBTQ youth are at risk and the necessary screening (see Table 1). Although it is vital to recognize that LGBTQ youth are at risk for STIs, it is important not to view the youth within this narrow perspective. LGBTQ youth, like all adolescents, should be appreciated for their individuality, idealism, and resiliency. Most LGBTQ youth emerge from adolescence as productive and healthy adults. Treating adolescents with understanding and respect and honoring confidentiality are integral to the physical and emotional health of young people dealing with sexual-identity issues. Understanding the process of se... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170671 Mon, 14 Jun 2004 06:00:00 +0100 170671 http://www.medworm.com/index.php?rid=170670&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449850%26dopt%3DAbstract Authors: Futterman DC HIV infection in adolescents continues to challenge health providers, policymakers, and advocates for youth. There will be no relief from its complexities soon. Primary care providers are in a unique position to use effective HIV prevention and care interventions. Successful programs move beyond moralism to realism. They show a willingness to engage young people and their families in a sensitive dialogue about the needs of youthful sexual development. Youth at high risk for HIV should be identified and referred to comprehensive care and counseling as soon as possible. HIV-positive youth need intensive individual and group interventions to remain healthy and reduce transmission to others. To protect their patient population, health care providers will need to commi... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170670 Mon, 14 Jun 2004 06:00:00 +0100 170670 http://www.medworm.com/index.php?rid=170669&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449851%26dopt%3DAbstract Authors: Rupp R, Stanberry LR, Rosenthal SL STIs are a major global health problem. Biomedical strategies are under development that will help prevent these infections. Vaccines against C. trachomatis and N. gonorrhoeae are in early stages of development. Stage-III trials are underway on prophylactic vaccines for HPV and HSV-2. Strategies focused on immunizing only high-risk individuals are unlikely to stem the tide of STIs. Approaches to widespread immunization require acceptance of such vaccines by health care providers, institutions providing funding, parents, and adolescents. Microbicides offer a female-controlled method for protection from STIs. They use many strategies to prevent infection. These products are at various stages of development. It seems that young women and teenage... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170669 Mon, 14 Jun 2004 06:00:00 +0100 170669 http://www.medworm.com/index.php?rid=170668&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15449852%26dopt%3DAbstract Authors: Kane ML, Rosen DS The office-based clinician has an important role in preventing, diagnosing, and treating STIs in adolescents. Primary-care guidelines consistently recommend the annual screening of adolescents for sexual activity and its sequelae. Appropriate office-based care of adolescents requires a firm understanding of adolescent confidentiality laws as well as sensitivity to the adolescent's need for privacy. Counseling should be provided regarding abstinence, the use of condoms, and the value of dual contraception. Newer screening methods, such as the use of urine samples and nucleic-acid amplification techniques, may facilitate appropriate office-based screening for STIs in adolescent patients. PMID: 15449852 [PubMed - indexed for MEDLINE] (Source: Adolescent Medi... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170668 Mon, 14 Jun 2004 06:00:00 +0100 170668 http://www.medworm.com/index.php?rid=170691&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272253%26dopt%3DAbstract Authors: Hyams JS Recurrent or chronic abdominal pain is a description and not a diagnosis. The clinician should consider both disease and functional pain. In the absence of obvious disease, adolescents fulfilling symptom-based criteria for functional gastrointestinal disorders can be treated for their problems without initially performing extensive diagnostic studies. Most of these patients will have symptoms resembling IBS, functional dyspepsia, or functional abdominal pain syndrome. It is imperative that the clinician takes a biopsychosocial approach in dealing with these patients. Although the clinician still evaluates for biologic disease, he or she maintains an appreciation that psychosocial events may have a profound impact on physiology and symptom production. PMID: 1527225... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170691 Sat, 14 Feb 2004 07:00:00 +0100 170691 http://www.medworm.com/index.php?rid=170690&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272254%26dopt%3DAbstract Authors: Sood MR, Rudolph CD Gastroesophageal reflux disease (GERD) occurs in adolescents but its frequency and severity is less than in adults. Typical symptoms of heartburn and regurgitation generally do not require a diagnostic evaluation unless they are associated with alarm signs including odynophagia, dysphagia, upper gastrointestinal bleeding, weight loss, atypical chest pain, or respiratory disease. Empiric treatment with proton pump inhibitors (PPIs) provides relief in most patients. Patients with persistent symptoms requiring PPI therapy should undergo endoscopy. Those with chronic GERD require medical or surgical therapy, whereas those with nonerosive reflux disease often benefit from changes in lifestyle or intermittent, on-demand medical therapy with a therapeutic aim of s... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170690 Sat, 14 Feb 2004 07:00:00 +0100 170690 http://www.medworm.com/index.php?rid=170689&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272255%26dopt%3DAbstract Authors: Youssef NN, Sanders L, Di Lorenzo C It is important for physicians who deal with adolescents to become familiar with the multiple facets of the symptom of constipation. Constipation is not a life-threatening problem; however, affected patients may suffer a great deal of angst and have their lives disrupted, especially when it is left untreated. A thorough history and physical examination will uncover the majority of predisposing problems that may contribute to constipation. Most adolescents are adequately treated by appropriate behavioral and lifestyle changes and pharmacologic interventions. Failure of treatment despite good compliance requires reconsideration of the differential diagnosis, further evaluation, and possible referral to the subspecialist. PMID: 15272255 [Pu... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170689 Sat, 14 Feb 2004 07:00:00 +0100 170689 http://www.medworm.com/index.php?rid=170688&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272256%26dopt%3DAbstract Authors: Chelimsky G, Blanchard SS, Czinn SJ There is now considerable evidence that suggests that the H. pylori organism isa human pathogen. The strong association between H. pylori and gastroduodenal disease is well documented. A number of hypotheses have been suggested for the pathogenic mechanisms of H. pylori-induced gastroduodenal disease, including the presence of bacterial virulence factors, the production of inflammatory mediators, disregulation of acid secretion, and the host immune response. At the present time, treatment with a combination of a proton pump inhibitor and antimicrobial agents continues to be recommended for the treatment of H. pylori-associated peptic ulcer disease. PMID: 15272256 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170688 Sat, 14 Feb 2004 07:00:00 +0100 170688 http://www.medworm.com/index.php?rid=170687&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272257%26dopt%3DAbstract This article reviews the current understanding of the etiopathogenesis of IBD, the emerging epidemiologic data in pediatric IBD, clinical presentations, diagnostic evaluation, distinctions between adult and pediatric-onset disease, and a comprehensive review of both conventional and new therapies, highlighting age-specific issues such as growth, sexual delay, and psychological and behavioral health. PMID: 15272257 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170687 Sat, 14 Feb 2004 07:00:00 +0100 170687 http://www.medworm.com/index.php?rid=170686&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272258%26dopt%3DAbstract Authors: Rossi T Childhood celiac disease--gluten-sensitive enteropathy--is defined in its most salient form by malabsorption and disturbed growth in association with a specific histologic lesion of the small intestine. Celiac disease occurs in response to grain consumption in susceptible individuals. Although subtotal villus atrophy with crypt hyperplasia has, in the past, been considered essential for the diagnosis, a spectrum of histologic lesions are now appreciated. The advances in the field of diagnosis (specifically, the recent development of serologic diagnostic tests) have been instrumental in correlating the histopathology of patients with subtle clinical features of the disease. Through observations, an expansion of the clinical findings associated with the condition has evo... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170686 Sat, 14 Feb 2004 07:00:00 +0100 170686 http://www.medworm.com/index.php?rid=170685&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272259%26dopt%3DAbstract Authors: Lake AM The allergic bowel diseases of the adolescent have been traditionally lumped under the diagnosis of allergic or eosinophilic gastroenteritis. Over the past 20 years, clinical criteria have been established to distinguish three distinct clinical syndromes: eosinophilic esophagitis, eosinophilic gastroenteritis, and eosinophilic ascites. Each has a characteristic infiltration of eosinophils in, respectively,the esophagus only, the stomach, small bowel, and/or large bowel, or the serosal surface of the bowel. These conditions are distinguished by clinical presentation, diagnostic features, and treatment alternatives. Teenagers with these conditions may present to their pediatrician, family physician, allergist, or gastroenterologist, so each physician must appreciate the ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170685 Sat, 14 Feb 2004 07:00:00 +0100 170685 http://www.medworm.com/index.php?rid=170684&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272260%26dopt%3DAbstract Authors: Barnard JA Although gastrointestinal polyps are more common in the first decade of life than during adolescence, underlying genetic polyposis syndromes are more likely in adolescents. In the past decade, the discovery of gene defects associated with polyposis syndromes has improved classification of these disorders, assisted in the stratification of cancer risk, and permitted more precise diagnosis. Genetic testing is now clinically available for the gene defects that occur in familial adenomatous polyposis coli, Peutz-Jeghers syndrome, Cowden syndrome, and juvenile polyposis syndrome. This review outlines clinical features, genetics, and management strategies for the major polyposis syndromes that affect adolescents. PMID: 15272260 [PubMed - indexed for MEDLINE] (Source: ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170684 Sat, 14 Feb 2004 07:00:00 +0100 170684 http://www.medworm.com/index.php?rid=170683&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272261%26dopt%3DAbstract This article discusses the diagnosis and treatment of the three types of autoimmune hepatitis proposed based on characteristic autoantibody profiles, as well as de novo autoimmune hepatitis, a new type of autoimmune hepatitis that has been recently described in liver transplant recipients without previous autoimmune disease. PMID: 15272261 [PubMed - indexed for MEDLINE] (Source: Adolescent Medicine Clinics) Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170683 Sat, 14 Feb 2004 07:00:00 +0100 170683 http://www.medworm.com/index.php?rid=170682&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272262%26dopt%3DAbstract Authors: Suskind DL, Rosenthal P Although less common in childhood, hepatitis B virus (HBV) and hepatitis C virus (HCV) remain the most common causes of chronic hepatitis in the United States and worldwide. Children with chronic HBV or HCV are often asymptomatic, with normal or mildly elevated serum transaminases. Although chronic HBV and HCV are indolent diseases in childhood, they cause significant morbidity and mortality later in life. Because the dreaded complications of chronic HBV and HCV--cirrhosis with liver failure and hepatocellular carcinoma--can be seen in childhood, routine follow-up with a pediatric gastroenterologist or hepatologist is recommended. The most important role of the primary care physician and pediatric gastroenterologist or hepatologist is prevention of chro... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170682 Sat, 14 Feb 2004 07:00:00 +0100 170682 http://www.medworm.com/index.php?rid=170681&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272263%26dopt%3DAbstract Authors: Jonas MM Nonalcoholic fatty liver disease (NAFLD) is a spectrum of disorders that encompasses simple hepatic steatosis and the more serious nonalcoholic steatohepatitis (NASH) that can progress to cirrhosis. Although the prevalence of NAFLD in childhood is not clear, it is apparently more common than originally thought. The major association with NAFLD is obesity, and as the prevalence of obesity in childhood and adolescence increases, fatty liver is recognized with greater frequency. Although the factors associated with progression of liver disease have not been determined fully, the pathogenesis of NASH is a "two hit" process that includes disturbed lipid homeostasis, resistance to the effects of insulin and subsequent hyperinsulinemia, and local toxic effects of triglycerid... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170681 Sat, 14 Feb 2004 07:00:00 +0100 170681 http://www.medworm.com/index.php?rid=170680&cid=s_33203_144_f&fid=33203&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15272264%26dopt%3DAbstract Authors: Neimark E, Schilsky ML, Shneider BL Wilson's disease (WD) and hereditary hemochromatosis (HH) are two inherited disorders with potentially devastating and life-threatening complications. Their eminent treatability makes diagnosis in adolescence or young adulthood critical. WD is the result of abnormal copper homeostasis, causing copper overload and end-organ damage. Chelation therapy can be highly efficacious in preventing manifestations of WD. HH is caused by inappropriate absorption of dietary iron, typically as the result of a specific mutation, C282Y, in the HFE gene. End-organ disease from iron accumulation is protean and includes progressive damage of the liver, pancreas, skin, heart, and pituitary. It is important to permit therapeutic phlebotomy to commence before the ... Adolescent Medicine Clinics journals http://www.medworm.com/rss/comments.php?id=170680 Sat, 14 Feb 2004 07:00:00 +0100 170680