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 'Journal of Pediatric and Adolescent Gynecology' source. Mon, 22 Mar 2010 15:08:50 +0100 http://www.medworm.com/index.php?rid=3125800&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809003702%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125800 Tue, 29 Dec 2009 14:47:56 +0100 3125800 http://www.medworm.com/index.php?rid=3125799&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809003684%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125799 Tue, 29 Dec 2009 14:47:56 +0100 3125799 http://www.medworm.com/index.php?rid=3125798&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807003130%2Fabstract%3Frss%3Dyes This text was written as a practical guide for residents, mid-level providers, and physicians who treat adolescent patients. The first section of Essential Adolescent Medicine begins with a thorough review of growth and development, legal and ethical issues, cultural diversity, transitioning to adulthood for the disabled, and end-of-life issues. Part II encompasses a review of key organ systems of the body during adolescence. Part III entails a full discussion of gynecology and sexuality. Part IV delves into eating disorders; Part V is an overview of sports medicine; and Part VI is a discussion of mental health issues including substance abuse, disruptive behavior disorders, mood disorders, anxiety disorders, ADHD, and schizophrenia. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125798 Tue, 29 Dec 2009 14:47:56 +0100 3125798 http://www.medworm.com/index.php?rid=3125790&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003458%2Fabstract%3Frss%3Dyes It is well known that teens and young adults have the highest rates of sexually transmitted diseases (STDs), particularly gonorrhea and chlamydia. One might logically assume that this group would also be more frequently screened for STDs; however, this appears not to be the case. A study by the Centers for Disease Control (CDC) Division of STD Prevention in 2005, using data from the National Ambulatory Medical Care Survey, found that young women were not screened at 84.0% of 1.2 million asymptomatic preventive visits and were not tested for chlamydia at 78.3% of 0.6 million visits where they presented with signs or symptoms of chlamydia. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125790 Tue, 29 Dec 2009 14:47:55 +0100 3125790 http://www.medworm.com/index.php?rid=3125769&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880900357X%2Fabstract%3Frss%3Dyes Allow me to highlight our guest editor for this issue of the Journal of Pediatric and Adolescent Gynecology, Dr. Gina Sucato. Gina serves as Associate Editor for Pediatric Adolescent Medicine. She is in the Division of Adolescent Medicine at the University of Pittsburgh School of Medicine. Her undergraduate training was at Cornell, and she received her medical degree from the University of Pennsylvania. Dr. Sucato is also an MPH; she completed this degree at the University of Washington School of Public Health and Community Medicine. Her pediatric training was at the University of Washington, and her fellowship in adolescent medicine was at the University of Pittsburgh. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125769 Tue, 29 Dec 2009 14:47:51 +0100 3125769 http://www.medworm.com/index.php?rid=3125793&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809003106%2Fabstract%3Frss%3Dyes Dear Editor, We have found that the increased number of premature deliveries and cesarean deliveries, as well as the increase in postpartum bleeding and infections such as endometritis, may be caused by large uterine myomas. Sonograms in patients with fibroids were reviewed between 2007 and 2009 in the Department of Obstetrics and Gynecology at Ege University to determine the number of fibroids, their sizes, their locations, and relationship with the placenta. Cesarean ratio, preterm loss of pregnancy, and the incidence of postpartum complications were also evaluated. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125793 Fri, 30 Oct 2009 00:00:00 +0100 3125793 http://www.medworm.com/index.php?rid=2936878&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809003192%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936878 Thu, 29 Oct 2009 14:47:33 +0100 2936878 http://www.medworm.com/index.php?rid=2936877&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809003179%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936877 Thu, 29 Oct 2009 14:47:32 +0100 2936877 http://www.medworm.com/index.php?rid=2936872&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002799%2Fabstract%3Frss%3Dyes Sierra is an 18-year-old teen and the mother of a 1-year-old son. She has been in the foster care system for several years. Her parents were unable to maintain a functional family due to drugs and violence. Though she is in contact with her mother, her mother is not able to provide her with any emotional or financial support. This is not an unfamiliar scenario in an obstetrical and gynecological practice that provides care for teens. Medically, Sierra's care has been rather unremarkable. Her prenatal, childbirth, and postpartum experiences were without any untoward events. She has come consistently for gynecological care. Today's visit is for an IUD placement because she has sometimes forgotten her birth control pills and she does not want another pregnancy. (Source: Journal of Pediatric ... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936872 Thu, 29 Oct 2009 14:47:32 +0100 2936872 http://www.medworm.com/index.php?rid=2936863&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809003118%2Fabstract%3Frss%3Dyes How do you counsel a patient with vaginal agenesis? The scenario is something like this. You complete your evaluation and the concerned parent says, “Does that mean my daughter will never have children?” Well, then we move to “she can have her own genetic child” through assisted reproduction-in vitro fertilization with a surrogate carrier. So what are the options at this point in time is the next query, and the story goes on from there. Well, we need to focus on MRKH syndrome and prepare you to address the various facets of the clinical challenge. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936863 Thu, 29 Oct 2009 14:47:31 +0100 2936863 http://www.medworm.com/index.php?rid=3125778&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002770%2Fabstract%3Frss%3Dyes We report a case of a 4-year-old premenarchal girl, previously healthy, who presented with two abdominal masses. Laboratory analysis of blood showed elevation of the serum level of the CA-125. Ultrasonographic examination disclosed bilateral cystic ovarian masses. Laparoscopic exploration revealed bilateral ovarian multicystic masses with retro-uterine peritoneal implant. Bilateral salpingo-oophorectomy with implant resection was performed. Histologic findings were consistent with a serous borderline tumors of both ovaries and the peritoneal implant was of the non-invasive type. There is no evidence of recurrence at 3-year follow-up.To our knowledge, there are only four cases of ovarian borderline tumors in premenarchal girls reported in the English literature: three of the mucinous type a... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125778 Mon, 19 Oct 2009 00:00:00 +0100 3125778 http://www.medworm.com/index.php?rid=3125792&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002617%2Fabstract%3Frss%3Dyes Why is there such extensive debate surrounding vaccination for human papillomavirus (HPV)? Ever since the vaccine was approved, detractors have used various arguments to make the point that we as a society should not be so quick to accept this important vaccine, and that we as health care professionals should not be so quick to advocate its use for our patients. Concerns expressed have included apprehension regarding vaccine safety and long-term efficacy, and the argument that vaccinating adolescents against a sexually transmitted infection is tantamount to encouraging them to become sexually active. In fact, HPV vaccines are extremely safe and effective, and represent one of the most promising and exciting health care milestones of our time. (Source: Journal of Pediatric and Adolescent Gy... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125792 Wed, 09 Sep 2009 00:00:00 +0100 3125792 http://www.medworm.com/index.php?rid=3125791&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002605%2Fabstract%3Frss%3Dyes The objective of this program is to deliver protection before or not long after their “sexual debut” to the expected 40% of girls that would become infected with HPV within two years of becoming sexually active. Now that the vaccine has been available for 3 years and the evidence in favor of the vaccine has been so compelling, is the debate finally over? I have asked Dr. Mark Harris Yudin, an infectious disease specialist in gynecology, to provide an opinion on this controversial subject. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125791 Mon, 07 Sep 2009 00:00:00 +0100 3125791 http://www.medworm.com/index.php?rid=2936875&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002599%2Fabstract%3Frss%3Dyes Androgen insensitivity is the most common cause of the undervirilized male and results from testosterone receptor abnormalities. Phenotypic presentation ranges from complete external feminization (complete androgen insensitivity) to ambiguous genitalia (partial androgen insensitivity) and finally infertile males. The diagnosis of complete androgen insensitivity is generally made as a result of primary amenorrhea, or after finding a testicle at inguinal herniorrhaphy. Earlier diagnosis is becoming increasingly more common with amniocentesis. There is little debate regarding gender of rearing in patients with complete androgen insensitivity. Quality of life in these patients has been found to be equal to controls when raised as female and no cases of gender conversion have been reported. The... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936875 Mon, 07 Sep 2009 00:00:00 +0100 2936875 http://www.medworm.com/index.php?rid=2936874&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002587%2Fabstract%3Frss%3Dyes Complete androgen insensitivity (CAIS) is an X-linked condition, involving mutations in the androgen receptor, specifically in a gene localized to the long arm of the X chromosome, Xq11-12. The estimated incidence is 1:13,000–1:20,000. As the karyotype is 46XY, under the direction of testis determining factor on the Y chromosome the gonads develop into testis. The Sertoli cells of the testis produce mullerian inhibiting substance (MIS) bilaterally, which results in inhibition of the mullerian ducts during embryo development. The lack of response via the androgen receptor to either testosterone or dihydrotestosterone fails to support the development of the Wolffian ducts (testosterone directed), and allows for development of a female phenotype of the external genitalia (lack of effect of ... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936874 Mon, 07 Sep 2009 00:00:00 +0100 2936874 http://www.medworm.com/index.php?rid=2936873&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002575%2Fabstract%3Frss%3Dyes Complete androgen insensitivity (CAIS) occurs in approximately 1 in 13,000 to 1 in 62,000 girls and results in a female phenotype but the presence of XY gonads. Fortunately there is very little controversy in regards to gender rearing these patients as females. Rather, the controversy centers primarily around the timing of the gonadectomy. All clinicians agree that XY gonads should be removed in patients with CAIS to avoid the potential risk of germ cell malignancies but when this should occur continues to be a source of debate. In this clinical opinion, I have asked Dr. Lisa Allen, a pediatric gynecologist, and Dr. Darcie Kiddoo, a pediatric urologist, to provide their opinion in favor of either an early or a delayed gonadectomy. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936873 Mon, 07 Sep 2009 00:00:00 +0100 2936873 http://www.medworm.com/index.php?rid=2764480&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002678%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764480 Fri, 04 Sep 2009 17:02:17 +0100 2764480 http://www.medworm.com/index.php?rid=2764479&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002666%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764479 Fri, 04 Sep 2009 17:02:17 +0100 2764479 http://www.medworm.com/index.php?rid=2764478&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002642%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764478 Fri, 04 Sep 2009 17:02:17 +0100 2764478 http://www.medworm.com/index.php?rid=2764448&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003471%2Fabstract%3Frss%3Dyes Abstract: Study Objective: Oligomenorrhea in active adolescent females of normal weight is presumed to be related to hypoestrogenism secondary to physical activity and decreased fat mass. We hypothesized that active adolescents with oligomenorrhea would have lower estrogen levels than normal controls with similar levels of cardiovascular fitness.Design/Participants: Twenty healthy participants between the ages of 16 and 20 years were recruited at least 2 years postmenarche. Adolescents reporting fewer than 9 cycles a year (n = 6) were compared to 14 controls with monthly menstrual cycles. Histories of eating disorder, hirsutism, severe acne, depression, or amenorrhea were cause for exclusion.Main Outcome Measures: Body composition and bone density were measured by total body dual x-ray abs... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764448 Fri, 04 Sep 2009 17:02:13 +0100 2764448 http://www.medworm.com/index.php?rid=2764441&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002629%2Fabstract%3Frss%3Dyes “Abstinence-Only Best” was the headlines for a recent local newspaper “Opinion Editorial.” The author went on to rave about “Three Cheers for Pennsylvania: in achieving a 3.1% teen pregnancy rate for 2006 and to parents across the USA for being an integral part of a one-third reduction in pregnancy rate overall.” I want to provide “Three Cheers” for the funding of sex education programs beginning in 1997; indeed, colleagues—IT MADE A DIFFERENCE! (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764441 Fri, 04 Sep 2009 17:02:13 +0100 2764441 http://www.medworm.com/index.php?rid=3125779&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002496%2Fabstract%3Frss%3Dyes Conclusion: This is the first report that LHCBSA is able to stimulate vaginal mucosal cell growth for a neovagina. It is possible that it might stimulate other surface tissue lining to cover adjacent raw areas such as bladder or esophagus. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125779 Fri, 04 Sep 2009 00:00:00 +0100 3125779 http://www.medworm.com/index.php?rid=3125780&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001910%2Fabstract%3Frss%3Dyes We report a case of tubo-ovarian abscess in a virginal adolescent female with no past surgical history and no known history of appendicitis, inflammatory bowel disease, or cancer. Cultures of the tubo-ovarian abscess drainage grew Abiotrophia/Granulicatella species. This case supports including TOA in the broad differential diagnosis for abdominal pain with fever in adolescent females regardless of sexual history. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125780 Mon, 17 Aug 2009 00:00:00 +0100 3125780 http://www.medworm.com/index.php?rid=3125773&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880900182X%2Fabstract%3Frss%3Dyes Conclusions: Results suggest that compared to nonpregnant teens and adults, pregnant teens may have an increased risk for depression. Additionally, pregnant adolescents with suicidal ideation are at greater risk for delivering infants of lower birth weight compared with teens reporting depressive symptoms without SI/SA and teens reporting no symptoms. This study supports the need for early screening and treatment of depression for young pregnant women. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125773 Mon, 17 Aug 2009 00:00:00 +0100 3125773 http://www.medworm.com/index.php?rid=2936871&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001624%2Fabstract%3Frss%3Dyes Jill, a 15-year-old, was excited, believing she was pregnant with twins. Further work-up revealed she had a molar pregnancy. Her plan for birth control was abstinence. Bonnie, a 16-year-old, presented requesting her intra-uterine device IUD to be removed. She had recently had a first trimester abortion and an IUD was inserted at the time of the abortion. She felt the IUD was not her decision but her mother's. She wanted the IUD removed because she wanted to be pregnant. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936871 Mon, 17 Aug 2009 00:00:00 +0100 2936871 http://www.medworm.com/index.php?rid=3125774&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001843%2Fabstract%3Frss%3Dyes Conclusions: Ortho Evra use attenuates bone mass acquisition in young women who are still undergoing skeletal maturation. This attenuation may be attributed in part to increased SHBG levels, which reduce the concentrations of free estradiol and free testosterone that are available to interact with receptors on the bone. Clinical implications remain to be determined in studies with a larger number of adolescents. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125774 Mon, 03 Aug 2009 00:00:00 +0100 3125774 http://www.medworm.com/index.php?rid=3125771&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001806%2Fabstract%3Frss%3Dyes Conclusion: Polycystic ovarian syndrome is a complex and heterogeneous disorder that requires multidisciplinary expertise. Knowing the unique features of the adolescent with PCOS and metabolic risks should permit earlier intervention with intensive counseling and medical therapy to address current health concerns and prevent future co-morbidities. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125771 Mon, 03 Aug 2009 00:00:00 +0100 3125771 http://www.medworm.com/index.php?rid=2936869&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001247%2Fabstract%3Frss%3Dyes Conclusion: Menstrual problems among adolescent females are common and a significant source of morbidity in this population. However, adolescent girls are reluctant to seek medical treatment, leading to delay in diagnosis and treatment. Appropriate health education measures need to be put into place to prevent this trend. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936869 Mon, 03 Aug 2009 00:00:00 +0100 2936869 http://www.medworm.com/index.php?rid=2764449&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002489%2Fabstract%3Frss%3Dyes Eighteen-year-old Denise presents for her first prenatal visit. Her medical history and physical exam are unremarkable, with the exception of poor oral health. She has extensive dental decay, missing teeth, and swollen gums. She reports she has not had dental care in many years, does not know where to go for dental care, and will seek care at an emergency room with tooth pain. Denise's oral health needs are not atypical for our service. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764449 Sun, 02 Aug 2009 23:00:00 +0100 2764449 http://www.medworm.com/index.php?rid=2655596&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002265%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655596 Fri, 31 Jul 2009 11:20:36 +0100 2655596 http://www.medworm.com/index.php?rid=2655595&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002253%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655595 Fri, 31 Jul 2009 11:20:36 +0100 2655595 http://www.medworm.com/index.php?rid=2655594&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880900223X%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655594 Fri, 31 Jul 2009 11:20:36 +0100 2655594 http://www.medworm.com/index.php?rid=2655593&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002337%2Fabstract%3Frss%3Dyes provides an all-inclusive resource for practitioners of obstetrics and the evolving field of maternal-fetal medicine. The experienced obstetrician will appreciate the detailed content, whereas the new obstetrician, resident, or family physician will benefit from the clarity and well-organized manner in which the book has been written. Bolstered with numerous images and diagrams, the text is cleverly detailed and referenced. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655593 Fri, 31 Jul 2009 11:20:36 +0100 2655593 http://www.medworm.com/index.php?rid=2655592&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002362%2Fabstract%3Frss%3Dyes , which contains contributions by many experts from around the world, provides practitioners with a quick, focused, and objective resource when confronted with issues regarding the need, quality, and importance of screening tests or exams. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655592 Fri, 31 Jul 2009 11:20:36 +0100 2655592 http://www.medworm.com/index.php?rid=2655591&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002349%2Fabstract%3Frss%3Dyes is a comprehensive textbook on the workup and management of high-risk pregnancies. It provides evidence-based information to guide obstetrical providers in the classification of pregnancies as being normal or high risk. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655591 Fri, 31 Jul 2009 11:20:36 +0100 2655591 http://www.medworm.com/index.php?rid=2655590&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002374%2Fabstract%3Frss%3Dyes This is a companion piece to The Johns Hopkins Manual of Gynecology and Obstetrics, and each chapter in the book corresponds with its respective chapter in the manual. This text provides selected questions and multiple-choice answers concerning various topics in the fields of obstetrics and gynecology. Between three and six questions are posed for each topic, and multiple-choice answers are given after the questions. They are followed by a short discussion of the correct and incorrect responses. Topics include primary care, critical care, breast disease, gynecological pathologies and concerns, and a wide variety of common obstetrical problems. Although the book cannot be all-inclusive, it presents thought-provoking questions and information about most topics. They are evidence-based and as... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655590 Fri, 31 Jul 2009 11:20:36 +0100 2655590 http://www.medworm.com/index.php?rid=2655589&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002283%2Fabstract%3Frss%3Dyes Drama—it is a major part of adolescence. During this complex period of development, adolescents routinely deal with many types of drama, none of which is more dramatic than the physical changes occurring within the body of the female adolescent. But these physical variations in “normal” female adolescent development are tremendous, as are the timeframes in which they occur. The best that we, as adult advisors to female adolescents, can do is to make gross approximations about the physical changes that can be expected along with the approximate period in which these changes may occur. Yet how many female adolescents really follow “normal” patterns (and timelines) of adolescent development? Furthermore, how many adolescents have the courage to ask us honest questions about what is ... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655589 Fri, 31 Jul 2009 11:20:36 +0100 2655589 http://www.medworm.com/index.php?rid=2655587&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808000880%2Fabstract%3Frss%3Dyes This book on pediatric neurology is geared toward educating the primary care providers on how to approach a child with neurological signs and symptoms in their general practice. It emphasizes the importance of being able to recognize these situations and manage them appropriately, as it is not uncommon to have a large time gap between the primary visit and specialty clinic visit. The book gives a great synopsis of the more commonly seen disorders in an out-patient setting and teaches the reader the clinical skills, and gives a comprehensive review on diagnosis and management of such clinical situations. In the initial few pages, the book stresses the importance of not ordering expensive and invasive tests that can otherwise be avoided. It also emphasizes the importance of reassuring the f... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655587 Fri, 31 Jul 2009 11:20:36 +0100 2655587 http://www.medworm.com/index.php?rid=2655586&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808000879%2Fabstract%3Frss%3Dyes This book is intended to help health care providers and researchers who work with adolescents by offering timely and much needed research into and discussions about adolescent behaviors, and it includes studies of adolescents from a variety of countries and cultures. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655586 Fri, 31 Jul 2009 11:20:36 +0100 2655586 http://www.medworm.com/index.php?rid=2655583&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880900165X%2Fabstract%3Frss%3Dyes Abstract: Hair abnormalities can have tremendous psychosocial impacts on adolescents and young adults, and may cause a great amount of anxiety regarding physical appearance, associated illnesses, and potential clinical course. The pathophysiology of such disorders may vary, with potential congenital, infectious, autoimmune, nutritional, or environmental causes. Hair abnormalities may present as changes in hair appearance or quality, becoming weathered or fractured. An abnormal increase in hair is present in hypertrichosis and hirsutism, whereas a thinning or shedding of hair is evident in patients with telogen effluvium and alopecia areata. Diagnosis is focused on a detailed clinical history and physical exam, in addition to laboratory testing, a variety of clinical diagnostic tests, and s... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655583 Fri, 31 Jul 2009 11:20:36 +0100 2655583 http://www.medworm.com/index.php?rid=2655582&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002313%2Fabstract%3Frss%3Dyes Conclusion: This case is presented as proof of MRKH discordance in monozygotic twins. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655582 Fri, 31 Jul 2009 11:20:36 +0100 2655582 http://www.medworm.com/index.php?rid=2655581&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001915%2Fabstract%3Frss%3Dyes Conclusions: The development of the female reproductive tract is a complex process involving all three embryonic cell layers. Female patients with multiple abnormalities of ectodermal and mesodermal origin warrant complete evaluations of their reproductive tracts. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655581 Fri, 31 Jul 2009 11:20:36 +0100 2655581 http://www.medworm.com/index.php?rid=2655580&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002866%2Fabstract%3Frss%3Dyes Conclusion: The use of the Harmonic Scalpel appears to be a safe and effective method for resection of vaginal septa. Patient healing time may vary and may take longer than with traditional techniques. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655580 Fri, 31 Jul 2009 11:20:35 +0100 2655580 http://www.medworm.com/index.php?rid=2655578&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001356%2Fabstract%3Frss%3Dyes Conclusion: The importance of the integrity of hymen changes in different cultures and religious groups. Option of a hymen sparing procedure is readily preferred by most of these patients and families. Also preservation of hymenal tissue, hence the perception of 'integrity' of female genitalia, might be an alternative treatment option. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655578 Fri, 31 Jul 2009 11:20:35 +0100 2655578 http://www.medworm.com/index.php?rid=2655573&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800332X%2Fabstract%3Frss%3Dyes Conclusion: We propose that premenarcheal girls presenting with ovarian torsion, without obvious ovarian pathology, be screened for ultrasound and biochemical evidence of PCOS. In those with evidence of PCOS, treatment with oral contraceptives should be considered taking into account the age and pubertal development, to decrease ovarian volume. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655573 Fri, 31 Jul 2009 11:20:34 +0100 2655573 http://www.medworm.com/index.php?rid=2655572&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003318%2Fabstract%3Frss%3Dyes Conclusions: Based on the concept that endometriosis can be progressive, these data suggest that combined surgical-medical management retards disease progression in adolescents and young adults. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655572 Fri, 31 Jul 2009 11:20:34 +0100 2655572 http://www.medworm.com/index.php?rid=2655571&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003264%2Fabstract%3Frss%3Dyes Abstract: Study Objective: Investigate sexually active young women's knowledge of the term Pap smear since development of the HPV vaccine.Design: Cross-sectional study conducted January–May 2007.Setting: University health services clinic at a university in southern United States.Participants: Sexually active women, age 18–24, presenting for a Pap smear or STD testing (N=145).Main Outcome Measures: Pap smear knowledge was assessed by participants' written definition of the term Pap smear and by multiple choice responses indicating Pap smear as a test for cervical cancer/ HPV and not a pelvic exam, STD test, or pregnancy test.Results: 9.7% provided accurate definitions; 12.4% checked appropriate Pap smear synonyms. 68.5% incorrectly responded that Pap smear was the same as “pelvic exam... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655571 Fri, 31 Jul 2009 11:20:34 +0100 2655571 http://www.medworm.com/index.php?rid=2655570&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002842%2Fabstract%3Frss%3Dyes Conclusion: Initial comparison of topical estrogen and betamethasone treatment of labial fusion suggests that betamethasone may separate fusion quicker with less recurrence and fewer side effects than topical estrogen therapy. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655570 Fri, 31 Jul 2009 11:20:34 +0100 2655570 http://www.medworm.com/index.php?rid=2655569&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002854%2Fabstract%3Frss%3Dyes Conclusion: Obstetrician-gynecologists are knowledgeable of the HPV vaccine and are incorporating it into practice. Financial concerns may limit widespread immunization. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655569 Fri, 31 Jul 2009 11:20:34 +0100 2655569 http://www.medworm.com/index.php?rid=2655568&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003288%2Fabstract%3Frss%3Dyes Conclusion: Contraceptive withdrawal in adolescents should not be considered ‘rare.’ Careful clinical consideration of usage within the context of other contraceptive behaviors, sexual behaviors/attitudes, and relationship issues could better inform effective contraceptive counseling efforts. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655568 Fri, 31 Jul 2009 11:20:32 +0100 2655568 http://www.medworm.com/index.php?rid=2655567&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002945%2Fabstract%3Frss%3Dyes Conclusion: GALT deficiency is not an explanation for Müllerian aplasia, at least in the Dutch population. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655567 Fri, 31 Jul 2009 11:20:32 +0100 2655567 http://www.medworm.com/index.php?rid=2655566&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002738%2Fabstract%3Frss%3Dyes Conclusion: Our study shows promising results for the use of tissue expanders in young women with significant breast asymmetry or unilateral/bilateral micromastia. The very important issues of short-term and long-term satisfaction and outcomes needs further study before advocating an early approach to teens with breast deformities. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655566 Fri, 31 Jul 2009 11:20:31 +0100 2655566 http://www.medworm.com/index.php?rid=2655564&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001927%2Fabstract%3Frss%3Dyes Conclusions: Parental acceptance of HPV vaccination was higher in a sample of Salvadoran subjects than in a sample of U.S. Latinas (P (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655564 Fri, 31 Jul 2009 11:20:31 +0100 2655564 http://www.medworm.com/index.php?rid=2655562&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002435%2Fabstract%3Frss%3Dyes Our 23rd Annual Clinical Meeting in San Antonio, Texas is a most logical forum for adolescent gynecological care being delivered to the next level. From a national perspective, let's take a look at the very recent edition of the American College of Obstetricians and Gynecologists (ACOG) Compendium section reflective of the “Committee on Adolescent Health Care” and identify a distinct parallel with our annual meeting. Specifically, let's take into mind, use of intrauterine contraceptive systems in adolescents. Did you know that the levonorgestrel-releasing intrauterine system (IUS) lowers the risk of pelvic inflammatory disease (PID)? The proposed mechanism is cervical mucus thickening and endometrial thinning. There does not appear to be any adverse effect on future fertility. Of inter... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655562 Fri, 31 Jul 2009 11:20:30 +0100 2655562 http://www.medworm.com/index.php?rid=3125796&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001259%2Fabstract%3Frss%3Dyes serves as a useful reference for providers in primary care and OBGYN. This book comprehensively covers many of the classic dermatologic conditions seen in the female patient, with a focus on dermatoses of pregnancy. The clinical photos are excellent, and the discussions are concise and straightforward. One subject that the book is lacking is a chapter dedicated to the general description for dermatologic conditions in terms of color, morphology, and distribution. Such information is usually extremely helpful to non-dermatologists in terms of following descriptive terminology in the text as well as aiding in the accuracy of documentation of clinical findings. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125796 Thu, 30 Jul 2009 00:00:00 +0100 3125796 http://www.medworm.com/index.php?rid=3125795&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001272%2Fabstract%3Frss%3Dyes The most recent edition of Comprehensive Gynecology is a thorough and comprehensive reference of topics in gynecology, ranging from the basic science and anatomy of the female reproductive system to the evidence-based clinical management of gynecologic disorders. Originally published in 1987, the 5th edition has been updated to reflect the advancement in knowledge and understanding of issues in gynecology that has occurred since the release of the 4th edition in 2001. Four new editors and 23 contributing co-authors have assembled to provide the field with an updated and revised text that continues to serve as a valuable educational tool for physicians and students. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125795 Thu, 30 Jul 2009 00:00:00 +0100 3125795 http://www.medworm.com/index.php?rid=3125788&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001612%2Fabstract%3Frss%3Dyes Conclusion: The diagnosis was a real puzzle for the clinicians because of the association of clitoral hypertrophy without hirsutism, female internal genitalia, and a 46XY karyotype. Clitoral enlargement can be explained by transient androgen secretion by the hilar cells found in the resected gonads. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125788 Thu, 30 Jul 2009 00:00:00 +0100 3125788 http://www.medworm.com/index.php?rid=3125785&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880900179X%2Fabstract%3Frss%3Dyes Conclusion: High level of suspicion and strict basic diagnostic protocol are the most important steps for a timely diagnosis of this condition. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125785 Thu, 30 Jul 2009 00:00:00 +0100 3125785 http://www.medworm.com/index.php?rid=3125784&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001855%2Fabstract%3Frss%3Dyes Abstract: Background: Ovarian serous cystadenomas are rare in children. No case of recurrence after surgical resection in a premenarchal girl has been published.Case: An 8-year-old presented with abdominal pain and ultrasound showed bilateral ovarian cystic masses with normal clinical and laboratory exam. Cystectomies were performed revealing serous cystadenomas. Ten months later, her pain returned and ultrasound showed new cysts. Persistence of cysts and symptoms required repeat surgery with the same pathology.Summary and conclusion: Premenarchal girls with ovarian cystic masses require surgical intervention in cases of persistent symptoms, uncertain diagnosis, or concern for ovarian torsion. With reassuring imaging and tumor markers, conservation of the ovary can be achieved with cystect... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125784 Thu, 30 Jul 2009 00:00:00 +0100 3125784 http://www.medworm.com/index.php?rid=3125783&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001909%2Fabstract%3Frss%3Dyes Conclusion: We recommend the use of a nephroscope in visualizing the vagina and cervix and facilitating instrumentation in prepubertal girls. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125783 Thu, 30 Jul 2009 00:00:00 +0100 3125783 http://www.medworm.com/index.php?rid=3125782&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001831%2Fabstract%3Frss%3Dyes Conclusion: The case presented shows the rare occurrence of the congenital absence of an IVC with pelvic thrombosis in a young female with a history of menorrhagia and new onset of pelvic pain. The evaluation of this case report leads to a comprehensive review in the treatment choice for menorrhagia with the preceding history of a thrombotic event. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125782 Thu, 30 Jul 2009 00:00:00 +0100 3125782 http://www.medworm.com/index.php?rid=3125781&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001922%2Fabstract%3Frss%3Dyes Conclusion: Adenosarcoma is a low malignant potential tumor of the female genital tract. A simple excision may be an option for young women who need to preserve their fertility. It is mandatory to monitor regularly the cervical base of the lesion for the purpose of the high potential of the local recurrence. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125781 Thu, 30 Jul 2009 00:00:00 +0100 3125781 http://www.medworm.com/index.php?rid=3125777&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001892%2Fabstract%3Frss%3Dyes Abstract: Study Objective: Recent attention has focused on vitamin D insufficiency but few data exist on vitamin D status among pregnant minority youth.Design: A screening study was undertaken in adolescents having prenatal blood samples drawn for other routine tests obtained during the second trimester (18±1.8 week gestation, n=44) or third trimester of pregnancy (28.4±2.1 week gestation, n=36). Serum 25- hydroxyvitamin D (25(OH)D) was measured and significant determinants of vitamin D insufficiency in this cohort were identified.Setting: Urban prenatal clinic.Participants: Eighty pregnant African American adolescents (≤ 18 y of age).Main Outcome Measure(s): Vitamin D status, STDs, hemoglobin, season, birth weightResults: Serum 25(OH)D in this group averaged 21.6±8 ng/mL (age 16.5±1... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125777 Thu, 30 Jul 2009 00:00:00 +0100 3125777 http://www.medworm.com/index.php?rid=3125776&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001880%2Fabstract%3Frss%3Dyes Conclusions: Results from this study suggest that younger generations may be taught about or encouraged to douche by their mothers. By giving women accurate information and discouraging douching, women may be less likely to douche or encourage douching in their daughters. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125776 Thu, 30 Jul 2009 00:00:00 +0100 3125776 http://www.medworm.com/index.php?rid=3125775&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001879%2Fabstract%3Frss%3Dyes Conclusions: Interventions for pregnant African-American adolescents can enhance condom use and psychosocial mediators. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125775 Thu, 30 Jul 2009 00:00:00 +0100 3125775 http://www.medworm.com/index.php?rid=3125772&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001818%2Fabstract%3Frss%3Dyes Abstract: Study Objective: The gynecologic issues of adolescents with disabilities are understudied. The purpose of this study was to identify and compare the presenting complaints, treatments, and follow-up of adolescent girls with Down syndrome (DS), autism, and cerebral palsy (CP) presenting to a specialized gynecologic clinic for women with developmental disabilities.Setting: Outpatient gynecology clinic.Participants: Forty four adolescents ( (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125772 Thu, 30 Jul 2009 00:00:00 +0100 3125772 http://www.medworm.com/index.php?rid=2764468&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003434%2Fabstract%3Frss%3Dyes Conclusion: As a routine, all cases of vaginal construction regardless of the reason for the surgery or the lining of the neovagina should have a continuous annual examination and careful inspection of the entire vagina. Biopsy of any unusual finding should be done. Despite the dark color of the vaginal lesion, bleeding and rapid appearance our patient had a benign tumor. Radiation therapy to the neovagina and prolonged treatment with podophyllin and cauterization should be avoided. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764468 Mon, 20 Jul 2009 23:00:00 +0100 2764468 http://www.medworm.com/index.php?rid=2764460&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800291X%2Fabstract%3Frss%3Dyes We describe a rare case of vaginal bleeding in a 2-year-old child caused by a vaginal müllerian duct papilloma. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764460 Mon, 20 Jul 2009 23:00:00 +0100 2764460 http://www.medworm.com/index.php?rid=2764442&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002787%2Fabstract%3Frss%3Dyes Abstract: Adolescents are an important target for microbicide research, as they are disproportionately affected by sexually transmitted infections and currently are underrepresented in the microbicide research literature. Furthermore, adolescents are psychosocially and biologically different from adults, and findings from adult research cannot be assumed to apply universally to adolescents. Adolescents, to date have rarely been included in clinical trials and acceptability research for microbicides, in part because their participation requires attention to unique developmental issues, including parental consent and confidentiality. Despite these challenges, adolescents should be included in microbicide clinical research. If adolescents are ultimately expected to use microbicides, it is ess... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764442 Mon, 20 Jul 2009 23:00:00 +0100 2764442 http://www.medworm.com/index.php?rid=3125770&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001193%2Fabstract%3Frss%3Dyes Increasing numbers of girls and young women are seeking medical attention due to concerns about the appearance of their external genitalia. One particular area of concern is hypertrophic labia minora, which remains a poorly defined clinical diagnosis. Once it was considered a variant of normal anatomy, but in recent times, increasing numbers of health care providers are being consulted for labioplasty. The symptoms, diagnosis and treatment of hypertrophic labia minora will be reviewed. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125770 Thu, 16 Jul 2009 00:00:00 +0100 3125770 http://www.medworm.com/index.php?rid=2764450&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002490%2Fabstract%3Frss%3Dyes Galactosemia is a metabolic disease wherein galactose, a sugar found in milk products, cannot be properly metabolized, causing an elevated blood galactose concentration. This disease has several variants, including a “classic” form. The “classic” form has long been associated with premature ovarian failure, although the mechanism by which this occurs is unclear. However, in our experience, variant forms of galactosemia can also be associated with premature ovarian failure, and the goal of this study is to present a series of cases wherein this association was found to occur, especially in circumstances where premature ovarian failure led to the diagnosis of a galactosemia variant. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764450 Sun, 12 Jul 2009 23:00:00 +0100 2764450 http://www.medworm.com/index.php?rid=3125794&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001260%2Fabstract%3Frss%3Dyes This compact manual offers a thorough and comprehensive, yet concise reference of clinical topics in obstetrics and gynecology. Written by residents in obstetrics and gynecology at The Johns Hopkins University in an outline format modeled after the popular Washington Manual of Medical of Medical Therapeutics, this text is a useful clinically-oriented resource for residents and medical students on their obstetrics and gynecology rotation and will also be valuable for residents and clinicians in family, emergency, and internal medicine. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125794 Fri, 10 Jul 2009 00:00:00 +0100 3125794 http://www.medworm.com/index.php?rid=2936866&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001181%2Fabstract%3Frss%3Dyes Conclusions: Female juvenile detainees in Kingston, Ontario, have higher rates of STIs, associated risk factors, and abnormal Pap tests than the general female adolescent population. This new information confirms that this population is at risk for HPV infection and subsequent cervical cancer. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936866 Fri, 10 Jul 2009 00:00:00 +0100 2936866 http://www.medworm.com/index.php?rid=2764474&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002350%2Fabstract%3Frss%3Dyes In Obstetrics in Family Medicine: A Practical Guide, Paul Lyons, of the Department of Family and Community Medicine at Temple University School of Medicine in Philadelphia, has written a concise reference for medical providers involved with the care of women during preconception, the prenatal period, labor, and delivery. Providers routinely involved in this type of care may find this book basic at best, but those who are just starting out in or are returning from a lengthy absence from obstetrical care will discover that it is a quick review and a solid platform from which to dive further into the field of obstetrics. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764474 Thu, 09 Jul 2009 23:00:00 +0100 2764474 http://www.medworm.com/index.php?rid=2764473&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808000867%2Fabstract%3Frss%3Dyes is a practical guide for clinicians working with overweight children and adolescents. Written by the director of a pediatric weight management program that incorporates a hospital-based, multi-disciplinary approach, the book is filled with important information for any professional dealing with pediatric obesity. While it is written from a medical perspective, non-medical providers, e.g., mental and behavioral health providers, will also find it useful and readable because many of the medical terms used are defined in the text. It is sophisticated enough for the medical provider yet informs the non-medical provider with clearly written material. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764473 Thu, 09 Jul 2009 23:00:00 +0100 2764473 http://www.medworm.com/index.php?rid=2764466&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809000540%2Fabstract%3Frss%3Dyes Conclusion: In this case of a premature female infant, hyperandrogenism and clitoromegaly resolved spontaneously. Only 1 other case of hyperandrogenism and clitoromegaly that resolved spontaneously in a preterm infant has been reported. In that case, the clitoromegaly and high testosterone levels were attributed to repeated blood transfusions from an adult male. The etiology of the hyperandrogenism and resultant clitoromegaly in our case is not known. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764466 Thu, 09 Jul 2009 23:00:00 +0100 2764466 http://www.medworm.com/index.php?rid=2764446&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001223%2Fabstract%3Frss%3Dyes Conclusion: Topical microbicides will be used within the context of a relationship, and characteristics of the relationship most likely will influence use. These findings suggest that special attention may have to be given to supporting use in high-risk relationships and that all interventions to enhance uptake should consider the relationship context. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764446 Thu, 09 Jul 2009 23:00:00 +0100 2764446 http://www.medworm.com/index.php?rid=2764445&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003483%2Fabstract%3Frss%3Dyes Conclusion: These findings support other literature demonstrating an association between depression and SRBs, particularly in a largely African-American population. They further suggest that perceived control does not fully explain the relationship between depression and SRBs. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764445 Thu, 09 Jul 2009 23:00:00 +0100 2764445 http://www.medworm.com/index.php?rid=3125797&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001235%2Fabstract%3Frss%3Dyes This is the fifth edition of this textbook of pediatric endocrinology, which contains 25 chapters. It opens with a basic science section summarizing the mechanisms of hormone action, genomics, proteomics, and the development of bioinformatics, in which biology and information technology converge (table 2.2) written by Westwood and Kopp Chapters 1 and 2 respectively. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125797 Thu, 09 Jul 2009 00:00:00 +0100 3125797 http://www.medworm.com/index.php?rid=3125789&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001685%2Fabstract%3Frss%3Dyes Conclusions: This case demonstrates for the first time the association of an elevated CA-125 and ovarian torsion in a pediatric patient. This benign finding allowed attempting a conservative ovary-sparing approach during the surgery even in the presence of a highly elevated CA-125. However, in general, for children CA-125 is of limited utility, as it will not affect the indication for surgical exploration of persistent masses and elevations in CA-125 may discourage ovarian conservation. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125789 Thu, 09 Jul 2009 00:00:00 +0100 3125789 http://www.medworm.com/index.php?rid=3125787&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001636%2Fabstract%3Frss%3Dyes Conclusion: Though the literature contains reports of oral mucosal grafts in primary gynecologic surgeries, this is the first report describing the use of buccal mucosa for a secondary, neovagina reconstruction. Based on the outcome of our case, we conclude that oral mucosa is a promising graft material suitable for vaginal reconstructions.Synopsis: We report a novel use of oral mucosa free graft to augment a long, strictured segment of previously reconstructed colonic neovagina in a young woman with cloacal exstrophy. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125787 Thu, 09 Jul 2009 00:00:00 +0100 3125787 http://www.medworm.com/index.php?rid=3125786&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001296%2Fabstract%3Frss%3Dyes Conclusion: This case of endometriosis in a patient with complete uterine agenesis supports the theory of coelomic metaplasia. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=3125786 Thu, 09 Jul 2009 00:00:00 +0100 3125786 http://www.medworm.com/index.php?rid=2936868&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003446%2Fabstract%3Frss%3Dyes Conclusion: Laparoscopic cystectomy is a safe and effective method of managing ovarian dermoid cysts in the pediatric and adolescent patient population. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936868 Thu, 09 Jul 2009 00:00:00 +0100 2936868 http://www.medworm.com/index.php?rid=2936864&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003306%2Fabstract%3Frss%3Dyes This article discusses the implications that existing knowledge has on future research and on clinical practice. Understanding how women with MRKH cope with and adjust to the condition will help healthcare professionals provide optimal care. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936864 Thu, 09 Jul 2009 00:00:00 +0100 2936864 http://www.medworm.com/index.php?rid=2764469&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001211%2Fabstract%3Frss%3Dyes Conclusion: Placement of a Word catheter following evacuation of vulvar hematomas is a comfortable alternative to traditional drains to prevent reaccumulation and facilitate recovery. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764469 Wed, 08 Jul 2009 23:00:00 +0100 2764469 http://www.medworm.com/index.php?rid=2764467&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809000539%2Fabstract%3Frss%3Dyes Conclusion: In the adolescent female presenting with persistent dysmenorrhea, a diagnosis of adenomyosis is rare but should remain a possibility as one considers the differential diagnosis. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764467 Wed, 08 Jul 2009 23:00:00 +0100 2764467 http://www.medworm.com/index.php?rid=2764451&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809000497%2Fabstract%3Frss%3Dyes Dear Editor Thanks to you for bringing to us pertinent information on health issues that plague the public. Victims of these health issues are seldom aware of the gravity and devastating impact of these issues on the public. Having read the article “The Chlamydia Cascade: Enhanced STD Prevention Strategies for Adolescents,” I was moved to write to you. I agree that rising rates of Chlamydia among the female adolescent population are alarming and definitely need urgent attention. A lot is said about the importance and need for sex education in schools, to help combat the escalating rates of STDs among adolescent females. However, we have failed to see a formal national sex education program established in schools. According to an advocacy group, Planned Parenthood Federation of Americ... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764451 Wed, 08 Jul 2009 23:00:00 +0100 2764451 http://www.medworm.com/index.php?rid=2936876&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001594%2Fabstract%3Frss%3Dyes PID is an acute, polymicrobial infection of the upper female genital tract. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936876 Mon, 06 Jul 2009 00:00:00 +0100 2936876 http://www.medworm.com/index.php?rid=2936870&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809000503%2Fabstract%3Frss%3Dyes Abstract: Background: Adolescents have special reproductive health needs, but these peculiar needs are often unmet in many cultures and countries.Methods: A cross-sectional study involving adolescents in three secondary schools in a northern Nigerian setting. Demographic characteristics as well as reproductive health issues (adolescent sex, abortion, sexual experience) among the students were surveyed.Results: Of the 1070 students that fully participated in the survey, 539 (50.4%) were girls and 531 (49.6%) boys. They were aged 10 - 27 years (median 16 Years). Five hundred forty three (50.7%) were Christians and 499 (46.6%) Muslims. Nine hundred and four (84.5%) of the students knew about abortion. On their view about reasons why adolescents indulge in premarital sex, 574 (53.6%) felt it w... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936870 Mon, 06 Jul 2009 00:00:00 +0100 2936870 http://www.medworm.com/index.php?rid=2936867&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001582%2Fabstract%3Frss%3Dyes Conclusions: Support for state-mandated HPV vaccination appears to be driven more by the knowledge that HPV is an STD than by its role in cervical cancer. Awareness that HPV is transmitted through sexual activity does not decrease support for vaccination and may actually enhance it. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936867 Mon, 06 Jul 2009 00:00:00 +0100 2936867 http://www.medworm.com/index.php?rid=2936865&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002465%2Fabstract%3Frss%3Dyes Conclusions: Vaginal voiding is common in girls. It occurs in girls at risk of overweight, in girls with labial fusion, and in girls adopting a hairpin posture while sitting on the toilet. The diagnosis is obtained by an adequate history. Proper voiding instructions resolve the problem. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2936865 Mon, 06 Jul 2009 00:00:00 +0100 2936865 http://www.medworm.com/index.php?rid=2764477&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003379%2Fabstract%3Frss%3Dyes The most recent edition of Comprehensive Gynecology is a thorough and comprehensive reference of topics in gynecology, ranging from the basic science and anatomy of the female reproductive system to the evidence-based clinical management of gynecologic disorders. This work was originally published in 1987; the 5th edition has been updated to reflect the advancement in knowledge and understanding of issues in gynecology that has occurred since the release of the 4th edition in 2001. Four new editors and 23 contributing co-authors have assembled to provide the field with an updated and revised text that continues to serve as a valuable educational tool for physicians and students. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764477 Sun, 05 Jul 2009 23:00:00 +0100 2764477 http://www.medworm.com/index.php?rid=2764476&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003239%2Fabstract%3Frss%3Dyes This text is written primarily to inform clinicians about current research in obesity and to provide a comprehensive review of treatment issues and strategies. “Treatment of the Obese Patient” is divided into 2 parts. Part I, comprising Chapters 1–8, gives a complicated, thorough review of the newest research in the physiological control of body weight and the pathophysiology of obesity. Part II, comprising Chapters 9–22, deals with the clinical management of the obese patient. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764476 Sun, 05 Jul 2009 23:00:00 +0100 2764476 http://www.medworm.com/index.php?rid=2764475&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002878%2Fabstract%3Frss%3Dyes The first edition of the textbook entitled Visual Diagnosis in Pediatrics provides a thorough descriptive overview of common and uncommon diagnoses that can present in a general pediatric or family practice clinical setting. The book is divided into 14 sections representing parts of the human body. Under each section, there are specific chapters titled with specific signs or symptoms that would present in a patient. This classification provides an efficient resource to use in the clinical setting in which the practitioner may not recognize the diagnosis, but with a clinical symptom or physical exam finding can easily have a differential diagnosis as well as coinciding photo images. The authors are able to categorize very specific exam findings into multiple chapters. For example, instead o... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764475 Sun, 05 Jul 2009 23:00:00 +0100 2764475 http://www.medworm.com/index.php?rid=2764472&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001661%2Fabstract%3Frss%3Dyes Conclusion: Extreme pelvic compression is an adequate mechanism of injury in a child presenting with vaginal laceration. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764472 Sun, 05 Jul 2009 23:00:00 +0100 2764472 http://www.medworm.com/index.php?rid=2764471&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001284%2Fabstract%3Frss%3Dyes In this report, we present a rare case of combined vertical fusion and transverse canalization defects in a single subject. A review of the literature along with an overview of the pertinent embryologic processes and management concepts for such cases are presented. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764471 Sun, 05 Jul 2009 23:00:00 +0100 2764471 http://www.medworm.com/index.php?rid=2764470&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880900120X%2Fabstract%3Frss%3Dyes Conclusion: Pregnancy occurred in the obstructed uterus despite a large hematometra, extensive right pelvic peritoneal endometriosis, and hematocolpos. The surgeon should make every effort to preserve the obstructed uterus. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764470 Sun, 05 Jul 2009 23:00:00 +0100 2764470 http://www.medworm.com/index.php?rid=2764465&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003380%2Fabstract%3Frss%3Dyes Conclusion: In the presence of persistent atypia in an adolescent female with an unsatisfactory colposcopy, consider using a prostaglandin analogue for adequate evaluation of the endocervix, prior to proceeding with an ablative or excisional therapy. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764465 Sun, 05 Jul 2009 23:00:00 +0100 2764465 http://www.medworm.com/index.php?rid=2764464&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800329X%2Fabstract%3Frss%3Dyes Abstract: A 20-year-old woman with massive clitoral enlargement is presented to discuss the differential diagnosis and the treatment of this condition. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764464 Sun, 05 Jul 2009 23:00:00 +0100 2764464 http://www.medworm.com/index.php?rid=2764463&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003276%2Fabstract%3Frss%3Dyes Conclusion: In this unique case, we discuss the treatment options and postulate reasons for the excellent outcome in this patient. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764463 Sun, 05 Jul 2009 23:00:00 +0100 2764463 http://www.medworm.com/index.php?rid=2764462&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003252%2Fabstract%3Frss%3Dyes Conclusions: A 17-year-old immigrant female presented with clitoral pain associated with clitoromegaly. Epidermoid cysts are usually solitary, asymptomatic, slow-growing, proliferations of epidermal cells that are commonly present on the neck, scalp, face, or trunk. There have only been four reported cases of epidermoid cysts of the clitoris not associated with female genital mutilation. The cyst in this case was removed by local excision, and the patient's pain has resolved. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764462 Sun, 05 Jul 2009 23:00:00 +0100 2764462 http://www.medworm.com/index.php?rid=2764461&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002921%2Fabstract%3Frss%3Dyes Conclusions: Mullerian duct anomaly can be a differential diagnosis in women with adnexal mass and elevated CA125. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764461 Sun, 05 Jul 2009 23:00:00 +0100 2764461 http://www.medworm.com/index.php?rid=2764459&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002891%2Fabstract%3Frss%3Dyes We present the youngest and first premenarcheal case of spontaneous rupture of cystic ovarian teratoma. Early diagnosis and minimally invasive surgical procedure are essential to preserve future fertility. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764459 Sun, 05 Jul 2009 23:00:00 +0100 2764459 http://www.medworm.com/index.php?rid=2764458&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800288X%2Fabstract%3Frss%3Dyes Conclusion: Recognition of this rare condition is important to avoid overtreatment of massive ovarian edema. Intraoperative biopsy is recommended as an alternative to oophorectomy in this patient group. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764458 Sun, 05 Jul 2009 23:00:00 +0100 2764458 http://www.medworm.com/index.php?rid=2764457&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002507%2Fabstract%3Frss%3Dyes Conclusion: Survival rates are >95% among patients diagnosed under 10 years of age. Tumor recurrence is rare but can occur as late as 48 months. Therefore, tumor surveillance is warranted for patients with even a Stage IA JGCT and involves monitoring serial inhibin B levels along with intermittent imaging. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764457 Sun, 05 Jul 2009 23:00:00 +0100 2764457 http://www.medworm.com/index.php?rid=2764456&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002301%2Fabstract%3Frss%3Dyes Conclusions: Pediatricians, gynecologists, and family physicians must be aware of labial tourniquet syndrome. If the diagnosis is missed or remains without immediate attention, the hair or string may cause necrosis and the resulting amputation of the vital body part. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764456 Sun, 05 Jul 2009 23:00:00 +0100 2764456 http://www.medworm.com/index.php?rid=2764455&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001988%2Fabstract%3Frss%3Dyes Conclusion: This case of a virilizing ovarian luteinized thecoma emphasizes the need for timely evaluation, diagnosis, and treatment of patients presenting with symptoms of excess androgen secretion in order to avoid irreversible unwanted effects. Possible ovarian causes of excess androgen secretion should not be overlooked when considering possible causes of hyperandrogenism and secondary amenorrhea. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764455 Sun, 05 Jul 2009 23:00:00 +0100 2764455 http://www.medworm.com/index.php?rid=2764452&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003331%2Fabstract%3Frss%3Dyes We present a 15-day-old female neonate who developed neonatal genital prolapse following the operation of sacral teratoma. We suggest that sacral teratoma operation may be a significant predisposing factor for genital prolapse in neonates and the neonatal vaginal prolapse may be one of the differential diagnoses of interlabial mass during the late neonatal period. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764452 Sun, 05 Jul 2009 23:00:00 +0100 2764452 http://www.medworm.com/index.php?rid=2764447&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001600%2Fabstract%3Frss%3Dyes Conclusion: Liver dysfunction consistent with nonalcoholic steatohepatitis and metabolic syndrome are prevalent in obese adolescent females with polycystic ovary syndrome. Therefore, early screening and further work-up for both disease states are warranted in cases of young adolescent females with polycystic ovary syndrome. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764447 Sun, 05 Jul 2009 23:00:00 +0100 2764447 http://www.medworm.com/index.php?rid=2764444&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800346X%2Fabstract%3Frss%3Dyes Conclusions: A culture-based method such as InPouch TV should be considered for Trichomonas vaginalis diagnosis when evaluating children and adolescents in whom sexual abuse is a concern. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764444 Sun, 05 Jul 2009 23:00:00 +0100 2764444 http://www.medworm.com/index.php?rid=2764443&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002295%2Fabstract%3Frss%3Dyes We examined screening practices over time and across a variety of pediatric settings for the evaluation of STIs in sexually abused children.Methods: A consecutive cohort of prepubertal children younger than 11 years of age who were suspected to have been sexually abused were identified between May 2002 and April 2005 at a large tertiary children's hospital and its supporting primary care network. Detailed histories and examinations based on chart abstraction were linked to hospital laboratory records to identify those who were screened for Chlamydia trachomatis and Neisseria gonorrhoeae by means of cultures, NAATs, or both. Chi-square and logistic regression analyses identified factors associated with screening, including the effects of screening location and year of study on the likelihoo... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764443 Sun, 05 Jul 2009 23:00:00 +0100 2764443 http://www.medworm.com/index.php?rid=2596512&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809002502%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2596512 Sun, 31 May 2009 23:00:00 +0100 2596512 http://www.medworm.com/index.php?rid=2492999&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001739%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492999 Sun, 31 May 2009 23:00:00 +0100 2492999 http://www.medworm.com/index.php?rid=2492998&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001727%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492998 Sun, 31 May 2009 23:00:00 +0100 2492998 http://www.medworm.com/index.php?rid=2492997&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001703%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492997 Sun, 31 May 2009 23:00:00 +0100 2492997 http://www.medworm.com/index.php?rid=2492996&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002325%2Fabstract%3Frss%3Dyes This book is an impressive international effort in its presentation of state-of-the-art three- and four-dimensional ultrasound imaging and information. It is a comprehensive textbook and atlas of gynecological and obstetrical images and scholarly information that represent the culmination of the past 50 years of ultrasound technology. The text is particularly useful and instructive for sonographers, students and providers alike. It is also a valuable resource for obstetrical and gynecological clinicians and scholars, although the book has considerably more obstetrical than gynecological information and images. The three-dimensional images throughout this text are an amazing collection of high-quality sonograms that are of more than casual interest and fascination, even for the nonmedical p... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492996 Sun, 31 May 2009 23:00:00 +0100 2492996 http://www.medworm.com/index.php?rid=2492994&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001769%2Fabstract%3Frss%3Dyes The reported incidence of sexual assault is greatest among teens and young adult women. In the USA, over half of sexual assaults occur to persons 12-24 years of age. Twenty percent of these assaults are to teens 12-17 years of age. The concept of sexual assault is widely understood now to embrace a continuum ranging from infliction of significant trauma and physical injury to nonconsensual sexual contact without the use of threat or force. In the past couple of decades, education and programming has focused on addressing the needs of victims of acute sexual assaults in a multidisciplinary fashion. The development of the Sexual Assault Nurse Examiner (SANE) program is one example. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492994 Sun, 31 May 2009 23:00:00 +0100 2492994 http://www.medworm.com/index.php?rid=2492988&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807002951%2Fabstract%3Frss%3Dyes Conclusion: The extremely large, non-resolving ovarian cysts in neonates present a major challenge for clinicians and should be treated by surgery to avoid complications. We advocate laparotomy and cystectomy when possible to avoid unnecessary loss of functional ovarian tissue. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492988 Sun, 31 May 2009 23:00:00 +0100 2492988 http://www.medworm.com/index.php?rid=2492982&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002933%2Fabstract%3Frss%3Dyes Conclusions: We did not find any activating mutation in exon 10 of the FSHR in our patients, and one patient developed precocious puberty after removal of her tumor. The development of ovarian tumors in these patients may have been caused by mutations at other exons of the FSHR and G protein subunits, so the association noted between central precocious puberty and granulosa cell tumors might not be coincidental. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492982 Sun, 31 May 2009 23:00:00 +0100 2492982 http://www.medworm.com/index.php?rid=2492981&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808003240%2Fabstract%3Frss%3Dyes Conclusion: Fibro adenoma, fibrocystic breast disease, and low grade phyllodes tumor were the most common breast lesions seen in our children and adolescent population. The three cases of malignancy observed included invasive intraductal carcinoma, a non-hodgkin lymphoma, and metastases involving the lymph nodes from an uncharacterized secondary malignancy. Phyllodes tumors were typically larger in size and tended to present earlier. Genetic characterization of such lesions is recommended for future studies as well as their relationship to lesions seen among other Africans in Diaspora. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492981 Sun, 31 May 2009 23:00:00 +0100 2492981 http://www.medworm.com/index.php?rid=2492978&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800274X%2Fabstract%3Frss%3Dyes Conclusion: There appears to be no difference in compliance with follow-up, regardless of severity of disease or surgical intervention. There was no significant progression of disease and a high regression rate of abnormalities. This information supports the current American College of Obstetricians and Gynecologists and American Society for Colposcopy and Cervical Pathology guidelines to delay aggressive intervention in adolescents. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492978 Sun, 31 May 2009 23:00:00 +0100 2492978 http://www.medworm.com/index.php?rid=2492977&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807003099%2Fabstract%3Frss%3Dyes Abstract: The approach to menstrual suppression for adolescents with developmental disabilities has evolved considerably over the years due to changing philosophies and evolving treatment options. We review the medical management options available for menstrual suppression with a focus on the needs and treatment of adolescents with developmental disabilities. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492977 Sun, 31 May 2009 23:00:00 +0100 2492977 http://www.medworm.com/index.php?rid=2492976&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001673%2Fabstract%3Frss%3Dyes We as healthcare providers are always searching for the answers to various issues in clinical medicine. The good news is you indeed witnessed “the answers” if you took the time to attend our Annual Clinical Meeting in San Antonio. You learned about communication with teens, you were asked to share the experience of your “first pelvic exam” with the person immediately behind you, as Susan Wysocki, President and CEO of the National Association of Nurse Practitioners in Women's Health aptly requested of the audience. What a great idea, everyone had the opportunity to reflect on their healthcare provider and one's experience with “the First Gynecologic Encounter”. Where else do you have a forum to bring your “Interesting Surgical Cases” and have the experts comment on managemen... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492976 Sun, 31 May 2009 23:00:00 +0100 2492976 http://www.medworm.com/index.php?rid=2655563&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800082X%2Fabstract%3Frss%3Dyes With the recent availability of a quadrivalent vaccine against human papillomavirus (HPV), there has been a surge of published information about this infection in both the scientific and lay press. Medical care providers desire more detailed information about HPV in order to answer the questions frequently being posed by their patients and their patient's parents or guardians. It is important to have a thorough and accurate understanding of the incidence/prevalence; risk factors for infection; pathophysiology; disease consequences of infection; updated screening guidelines for disease detection; and the latest information about HPV immunization including the Advisory Committee on Immunization Practices guidelines, efficacy in both viral-naïve and non-naïve populations, persistence of cro... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655563 Thu, 28 May 2009 23:00:00 +0100 2655563 http://www.medworm.com/index.php?rid=2655565&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800185X%2Fabstract%3Frss%3Dyes Conclusions: High-grade lesions were rare in our sample, supporting new guidelines for less colposcopy in this age group. Although many adolescents were followed within primary care, achieving appropriate follow-up for those with cervical dysplasia was challenging and often unsuccessful. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655565 Sun, 12 Apr 2009 23:00:00 +0100 2655565 http://www.medworm.com/index.php?rid=2764454&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001307%2Fabstract%3Frss%3Dyes Conclusion: Pediatric surgeons and gynecologists should be aware of this atypical obstructive Müllerian malformation and its management in order to avoid inappropriate management of these young patients. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764454 Wed, 08 Apr 2009 23:00:00 +0100 2764454 http://www.medworm.com/index.php?rid=2764453&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880600338X%2Fabstract%3Frss%3Dyes Abstract: Background: Phyllodes breast tumors, particularly malignant ones, are rare in adolescents. Tumor behavior does not correlate with histopathology. This case of an adolescent with a malignant phyllodes tumor, followed by the occurrence of a borderline ovarian tumor, also uncommon in adolescence, may shed light on our understanding of phyllodes and uncommon gynecologic malignancies in the young.Case: A-14 year-old Caucasian female underwent wide local excision of a 4-cm malignant phyllodes breast tumor. At 17 years of age she had excision of a serous borderline tumor of the ovary.Comments: The occurrence of two rare neoplasms in an adolescent female raises questions about a common underlying etiology, such as a genetic mutation. Genetic evaluation of minors is a sensitive and comple... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2764453 Wed, 08 Apr 2009 23:00:00 +0100 2764453 http://www.medworm.com/index.php?rid=2655588&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001423%2Fabstract%3Frss%3Dyes This second edition is intended to offer up-to-date information and knowledge of pediatric endocrinology to a variety of readers including primary care physicians, residents, medical students, and those preparing for postgraduate exams. The book aims at educating the readers on pediatric endocrine disorders with the intent that early diagnosis, tertiary referral, and appropriate management can be delivered in a professional way. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655588 Wed, 08 Apr 2009 23:00:00 +0100 2655588 http://www.medworm.com/index.php?rid=2655585&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807003142%2Fabstract%3Frss%3Dyes Creating programs, services, families, communities and, ultimately, a society that promotes healthy adolescent development as imperative for the future is the message of this book, Positive Youth Development: Development of a Pioneering Program in a Chinese Context. The authors present the reader with state-of-the-art information garnered from a specific program in Hong Kong entitled, “Positive Adolescent Training through Holistic Social Programmes (P.A.T.H.S.)”. These skilled authors first set the stage for the reader by providing an overview of youth development in Hong Kong. Regardless of your country of origin, however, issues affecting Chinese adolescents are well-known to those of us interested in adolescent healthcare across the globe: substance abuse, issues of parental control... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655585 Wed, 08 Apr 2009 23:00:00 +0100 2655585 http://www.medworm.com/index.php?rid=2655584&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880700126X%2Fabstract%3Frss%3Dyes This book is a stand-alone text describing the various vaginitis diagnoses and syndromes written by an experienced senior professor specializing in infectious diseases in obstetrics and gynecology. It is organized by specific diagnoses and/or syndromes, and presents a thorough overview of each condition. There is also a helpful index at the end of the text for easy referencing of any specific topic found in the text. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655584 Wed, 08 Apr 2009 23:00:00 +0100 2655584 http://www.medworm.com/index.php?rid=2655579&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001897%2Fabstract%3Frss%3Dyes Conclusion: In contrast to testicular relapse, ovarian relapses in acute lymphoblastic leukemia are rarely reported. Surgical removal of the mass followed by chemotherapy is the therapeutic standard. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655579 Wed, 08 Apr 2009 23:00:00 +0100 2655579 http://www.medworm.com/index.php?rid=2655577&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001782%2Fabstract%3Frss%3Dyes In this report we attempt to question whether the association between MRKHS and situs inversus is a rare feature of the müllerian dysgenetic spectrum or whether it is the result of random association. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655577 Wed, 08 Apr 2009 23:00:00 +0100 2655577 http://www.medworm.com/index.php?rid=2655576&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001848%2Fabstract%3Frss%3Dyes Conclusion: Infantile hemangiomas are a potential cause of vaginal bleeding in young girls and should be suspected if a child has a hemangioma on another part of their body. Most infantile hemangiomas resolve without therapy. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655576 Wed, 08 Apr 2009 23:00:00 +0100 2655576 http://www.medworm.com/index.php?rid=2655575&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001976%2Fabstract%3Frss%3Dyes Conclusion: Müllerian adenosarcoma of the endocervix is a very rare pediatric tumor. Due to the rarity of this tumor in this age group, optimal therapy is uncertain. Most experts recommend hysterectomy. The review of literature reveals a high recurrence rate following conservative surgical management. Chemotherapy and radiation have not been used in the absence of extensive pelvic and/or residual disease. Poor prognostic factors include depth of invasion, sarcomatous overgrowth and high-grade malignant features in the stromal component. If recurrence occurs, it tends to be local and following prior conservative treatments such as cone biopsy or trachelectomy. Recurrences may occur late and thus long term follow-up of these patients is recommended. (Source: Journal of Pediatric and Adolesc... Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655575 Wed, 08 Apr 2009 23:00:00 +0100 2655575 http://www.medworm.com/index.php?rid=2655574&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001277%2Fabstract%3Frss%3Dyes Conclusions: This appears to be the first reported case of a supernumerary nipple with symptomatic lactation in a non-pregnant adolescent. Supernumerary nipple should be considered in the differential diagnosis of a vulvar mass. Ectopic breast tissue in the vulva can undergo malignant transformation, therefore excision of this tissue is generally recommended. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2655574 Wed, 08 Apr 2009 23:00:00 +0100 2655574 http://www.medworm.com/index.php?rid=2492995&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002775%2Fabstract%3Frss%3Dyes Conclusion: Findings suggest that teen females (attending teen clinics) may experience a protective benefit based on communication with parents. This protective effect was not observed for education delivered in formal settings. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492995 Wed, 08 Apr 2009 23:00:00 +0100 2492995 http://www.medworm.com/index.php?rid=2492993&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001940%2Fabstract%3Frss%3Dyes Conclusion: Benign cystic teratomas can produce active hormones, albeit rarely. This is a finding important to consider when ovarian cystectomy is performed for removal of a benign cystic teratoma. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492993 Wed, 08 Apr 2009 23:00:00 +0100 2492993 http://www.medworm.com/index.php?rid=2492992&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001939%2Fabstract%3Frss%3Dyes Conclusion: Cystic adenomyosis is a rare cause of abdominopelvic pain and dysmenorrhea in adolescents. Imaging is key in distinguishing this disease from other congenital and acquired gynecological disorders. Awareness of this condition is important for timely, accurate diagnosis and intervention. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492992 Wed, 08 Apr 2009 23:00:00 +0100 2492992 http://www.medworm.com/index.php?rid=2492991&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807003993%2Fabstract%3Frss%3Dyes Conclusion: In sexually active adolescents with known risk factors for thromboembolism such as KTS, symptoms and signs considered characteristic for PID can be present in association with an iliac vein thrombus. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492991 Wed, 08 Apr 2009 23:00:00 +0100 2492991 http://www.medworm.com/index.php?rid=2492990&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS108331880800079X%2Fabstract%3Frss%3Dyes Abstract: A 15-year-old girl was referred to our Department by the orthopedic surgeons, showing a massive unilateral gigantomastia of her right breast and a progressive idiopathic thoracic scoliosis. Ventral positioning of the patient for the planned scoliosis correction was impossible without prior treatment of the hypertrophic breast.In the first operation the fibroadenoma with a total weight of 3020 g was resected and histological examination revealed diagnosis of a juvenile giant fibroadenoma, which is a rare tumor of the stromal breast tissue. Tumor resection was followed by anterior thoracic release and posterior scoliosis correction. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492990 Wed, 08 Apr 2009 23:00:00 +0100 2492990 http://www.medworm.com/index.php?rid=2492989&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807003592%2Fabstract%3Frss%3Dyes Abstract: Phyllodes tumor of the breast is a rare neoplasm, particularly in adolescent girls and young women. It is usually presented as a unilateral palpable mass. We are reporting the case of an 11-year-old adolescent girl who came to our Diagnostical Imaging Department with non-hematic nipple discharge. Ultrasound, mammography, and magnetic resonance imaging were performed. The histological examination showed a phyllodes tumor.The management and the biological behavior of this uncommon tumor are discussed with particular regard to the very unusual clinical presentation in this patient. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492989 Wed, 08 Apr 2009 23:00:00 +0100 2492989 http://www.medworm.com/index.php?rid=2492987&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001320%2Fabstract%3Frss%3Dyes We present two cases of TOA in patients who deny any history of sexual activity or sexual abuse. In our first case a TOA was the primary manifestation of Crohn's disease. The TOA in our second case was attributed to a combination of obesity, constipation, recurrent urinary tract infections, and poor hygiene. In both cases the laparoscopic evaluation revealed purulent fluid collections in the fallopian tubes that were not evident on imaging. These cases support the use of laparoscopy for diagnosis in atypical cases. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492987 Wed, 08 Apr 2009 23:00:00 +0100 2492987 http://www.medworm.com/index.php?rid=2492986&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808000922%2Fabstract%3Frss%3Dyes Discussion: The differential diagnosis of acute unilateral abdominal pain in adolescent females should include müllerian anomalies. The incidence of this diagnosis is low but the evaluation and treatment can be performed in an expeditious manner if the diagnosis is considered. The laparoscopic excision of a unilateral noncommunicating uterine horn is a valid and recommended treatment approach of this rare malformation. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492986 Wed, 08 Apr 2009 23:00:00 +0100 2492986 http://www.medworm.com/index.php?rid=2492985&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318807003580%2Fabstract%3Frss%3Dyes Conclusions: Though very rare, uterine avulsion during pelvic trauma may cause cryptomenorrhea. Therefore such history should be sought in all cases of obstruction of the cervical canal because cryptomenorrhea has a much better prognosis than cervical congenital dysgenesis. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492985 Wed, 08 Apr 2009 23:00:00 +0100 2492985 http://www.medworm.com/index.php?rid=2492984&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001800%2Fabstract%3Frss%3Dyes Conclusion: We hope that this report will add another therapeutic option for premenstrual syndrome in teenagers and will be useful in further studies on the treatment of this condition in adolescence. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492984 Wed, 08 Apr 2009 23:00:00 +0100 2492984 http://www.medworm.com/index.php?rid=2492983&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808001794%2Fabstract%3Frss%3Dyes Conclusions: The results of this study suggest that interstitial cystitis is an etiology of CPP in young women. Evaluation of the bladder as an origin of pelvic pain is warranted in young women with CPP and urinary frequency or dyspareunia. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492983 Wed, 08 Apr 2009 23:00:00 +0100 2492983 http://www.medworm.com/index.php?rid=2492980&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808002386%2Fabstract%3Frss%3Dyes Conclusions: In pediatric subjects with HCLC that required surgical intervention, no complications or disorder recurrence were reported. In order to preserve ovarian function, conservative surgery has to be performed whenever feasible. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492980 Wed, 08 Apr 2009 23:00:00 +0100 2492980 http://www.medworm.com/index.php?rid=2492979&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318808000958%2Fabstract%3Frss%3Dyes Conclusions: The push-through method is a good surgical technique for the patients in whom problems of constriction after surgery are expected and for patients with difficulties during surgery. Mold treatment is recommended after surgery in patients with a thick transversal vaginal septum or a partial vaginal aplasia. (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2492979 Wed, 08 Apr 2009 23:00:00 +0100 2492979 http://www.medworm.com/index.php?rid=2361354&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001648%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2361354 Wed, 01 Apr 2009 04:00:00 +0100 2361354 http://www.medworm.com/index.php?rid=2361353&cid=s_38523_29_f&fid=38523&url=http%3A%2F%2Fwww.jpagonline.org%2Farticle%2FPIIS1083318809001363%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric and Adolescent Gynecology) Journal of Pediatric and Adolescent Gynecology journals http://www.medworm.com/rss/comments.php?id=2361353 Wed, 01 Apr 2009 04:00:00 +0100 2361353