34.2 DEVELOPING AN EMPIRICAL DEFINITION OF IMPULSIVE AGGRESSION AND MOOD LATENT PROFILES IN CHILDREN AND ADOLESCENTS WITH EXTERNAL VALIDATION ACROSS THREE OUTPATIENT SAMPLES

The relevance of improving the quality of preventive medical surveillance of children and adolescents is undeniable, which provides the basis for the search for methodologically sound approaches to an integrated assessment of the health of the child population. The purpose of the study was to develop and create the software product «Computer Program «Comprehensive Assessment of the Health of Children and Adolescents». For realization of the purpose, patent search, compilation of a technical specification on the basis of criteria of assessment of children’s health and assignment to a particular group of health, writing of a software product using modern programming libraries, as well as preparation of accompanying documents for registration of an intellectual property object were performed. The result of the work was the «Computer Program «Comprehensive Assessment of the Health of Children and Adolescents», designed for the integrated assessment of the state of health of children and adolescents during screening and preventive examinations. After filling in all fields, the program processes the received data and displays the final result — assessment of the child’s health status with the definition of the health group. Information about the examined patient is sent to the program database. The built-in database allows you to systematize the data obtained, analyze the health indicators of the surveyed contingents both in one-step and in longitudinal studies. This program product can be used in the work of medical organizations, higher educational institutions of a medical profile, physical education organizations and institutions of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Russian Federation.

Download Full-text

Pharmacologic treatment of children and adolescents with impulsive aggression and related behaviors

Handbook of Child and Adolescent Psychopharmacology ◽

10.1201/b14454-11 ◽

2006 ◽

pp. 297-314

Author(s):

Dario Calderoni

Keyword(s):

Children And Adolescents ◽

Pharmacologic Treatment ◽

Impulsive Aggression

Download Full-text

Brazilian transgender children and adolescents: Attributes associated with quality of life

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.3504.3351 ◽

2020 ◽

Vol 28 ◽

Author(s):

Fernanda Karla Nascimento ◽

Roberta Alvarenga Reis ◽

Alexandre Saadeh ◽

Fran Demétrio ◽

Ivaneide Leal Ataide Rodrigues ◽

...

Keyword(s):

Quality Of Life ◽

Children And Adolescents ◽

World Health ◽

Social Dimensions ◽

Transgender Children ◽

Prejudice And Discrimination ◽

Definition Of ◽

Health Organization ◽

Negative Attributes

Objective: to describe attributes associated with the Quality of Life of Brazilian transgender children and adolescents according to their own perception. Method: descriptive study conducted with 32 participants between eight and 18 years old, who were either interviewed or participated in focus groups. The statements were transcribed, grouped with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software, version 0.7 alpha 2 and described according to the definition of Quality of Life by the World Health Organization concerning to the mental, physical, and social dimensions. Results: it was possible to identify the family nucleus as the main social support for transgender children and adolescents. However, the experience of prejudice and discrimination were negative attributes associated with Quality of Life. Conclusion: the statements indicate that lives of transgender children and adolescents are impacted by social, physical, and mental factors due to the stigma and discrimination experienced. It is expected to contribute to the formulation of public policies related to transgender children and adolescents and expand the discussion on the citizens’ duties and rights in relation to transsexuality.

Download Full-text

Hypertension in Children and Adolescents: A Position Statement From a Panel of Multidisciplinary Experts Coordinated by the French Society of Hypertension

Frontiers in Pediatrics ◽

10.3389/fped.2021.680803 ◽

2021 ◽

Vol 9 ◽

Author(s):

Béatrice Bouhanick ◽

Philippe Sosner ◽

Karine Brochard ◽

Claire Mounier-Véhier ◽

Geneviève Plu-Bureau ◽

...

Keyword(s):

Blood Pressure ◽

Children And Adolescents ◽

Care Pathway ◽

Paediatric Population ◽

Position Statement ◽

French Society ◽

Cardiovascular Morbidity And Mortality ◽

And Gender ◽

Definition Of ◽

Hypertension In Children

Hypertension is much less common in children than in adults. The group of experts decided to perform a review of the literature to draw up a position statement that could be used in everyday practice. The group rated recommendations using the GRADE approach. All children over the age of 3 years should have their blood pressure measured annually. Due to the lack of data on cardiovascular morbidity and mortality associated with blood pressure values, the definition of hypertension in children is a statistical value based on the normal distribution of blood pressure in the paediatric population, and children and adolescents are considered as having hypertension when their blood pressure is greater than or equal to the 95th percentile. Nevertheless, it is recommended to use normative blood pressure tables developed according to age, height and gender, to define hypertension. Measuring blood pressure in children can be technically challenging and several measurement methods are listed here. Regardless of the age of the child, it is recommended to carefully check for a secondary cause of hypertension as in 2/3 of cases it has a renal or cardiac origin. The care pathway and principles of the therapeutic strategy are described here.

Download Full-text

ISSUES OF CHILDREN'S RIGHTS IN “AVESTO”

Journal of law research ◽

10.26739/2181-9130-2021-2-3 ◽

2021 ◽

Vol 6 (2) ◽

pp. 19-25

Author(s):

Murod Turgunov ◽

Keyword(s):

Pregnant Women ◽

Children And Adolescents ◽

Legal Status ◽

Family Law ◽

Family Relations ◽

National Legislation ◽

Rights Of The Child ◽

Modern Family ◽

Definition Of ◽

Criminal Legislation

Thecurrent article discusses the issues of ensuring the rights of the child in the Avesta, the sacred book of the Zoroastrians, analyzes the problems of modern family law, implementation of theprovisions of international legal instruments into national legislation regulating family relations in the historical and legal values.Furthermore, the author examines issues related to the definition of pregnancy, its termination, and the legal status of pregnant women based on the analysis of the relevant parts of the Avesta.On the basis of the study of the provisions of this holy book, the author compares the provisions of the modern criminal legislation of Uzbekistan with the provisions of this historical book on marriages, the definition of kinship, the legalstatus of children and adolescents

Download Full-text

Profiles of Active Transportation among Children and Adolescents in the Global Matrix 3.0 Initiative: A 49-Country Comparison

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17165997 ◽

2020 ◽

Vol 17 (16) ◽

pp. 5997 ◽

Cited By ~ 1

Author(s):

Silvia A. González ◽

Salomé Aubert ◽

Joel D. Barnes ◽

Richard Larouche ◽

Mark S. Tremblay

Keyword(s):

Children And Adolescents ◽

Human Development ◽

Human Development Index ◽

Latent Variables ◽

Latent Profile Analysis ◽

Active Transportation ◽

Children And Youth ◽

Development Index ◽

High Prevalence ◽

Definition Of

This article aims to compare the prevalence of active transportation among children and adolescents from 49 countries at different levels of development. The data was extracted from the Report Cards on Physical Activity for Children and Youth from the 49 countries that participated in the Global Matrix 3.0 initiative. Descriptive statistics and a latent profile analysis with active transportation, Human Development Index and Gini index as latent variables were conducted. The global average grade was a “C”, indicating that countries are succeeding with about half of children and youth (47–53%). There is wide variability in the prevalence and in the definition of active transportation globally. Three different profiles of countries were identified based on active transportation grades, Human Development Index (HDI) and income inequalities. The first profile grouped very high HDI countries with low prevalence of active transport and low inequalities. The second profile grouped low and middle HDI countries with high prevalence of active transportation and higher inequalities. And the third profile was characterized by the relatively high prevalence of active transportation and more variability in the socioeconomic variables. Promising policies from countries under each profile were identified. A unified definition of active transportation and contextualized methods for its assessment are needed to advance in surveillance and practice.

Download Full-text

Correction to: Latent Profiles and Grouping Effects of Resilience on Mental Health among Poor Children and Adolescents

Child Indicators Research ◽

10.1007/s12187-019-09662-2 ◽

2019 ◽

Vol 13 (2) ◽

pp. 657-657 ◽

Cited By ~ 1

Author(s):

Wenjie Duan ◽

Yujia Fei ◽

Xiaoqing Tang

Keyword(s):

Mental Health ◽

Children And Adolescents ◽

Latent Profiles ◽

Poor Children

Download Full-text

Tumor Marker-Based Definition of the Transarterial Chemoembolization-Refractoriness in Intermediate-Stage Hepatocellular Carcinoma: A Multi-Cohort Study

Cancers ◽

10.3390/cancers11111721 ◽

2019 ◽

Vol 11 (11) ◽

pp. 1721 ◽

Cited By ~ 1

Author(s):

Jun Sik Yoon ◽

Dong Hyun Sinn ◽

Jeong-Hoon Lee ◽

Hwi Young Kim ◽

Cheol-Hyung Lee ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Cohort Study ◽

Tumor Marker ◽

Systemic Therapy ◽

Transarterial Chemoembolization ◽

External Validation ◽

Intermediate Stage ◽

Prognostic Impact ◽

High Baseline ◽

Definition Of

Background: For patients with hepatocellular carcinoma (HCC), the definition of refractoriness to transarterial chemoembolization (TACE), which might make them a candidate for systemic therapy, is still controversial. We aimed to derive and validate a tumor marker-based algorithm to define the refractoriness to TACE in patients with intermediate-stage HCC. Methods: This multi-cohort study was comprised of patients who underwent TACE for treatment-naïve intermediate-stage HCC. We derived a prediction model for overall survival (OS) using the pre- and post-TACE model to predict tumor recurrence after living donor liver transplantation (MoRAL) (i.e., MoRAL score = 11×√protein induced by vitamin K absence-II + 2×√alpha-fetoprotein), which was proven to reflect both tumor burden and biologic aggressiveness of HCC in the explant liver, from a training cohort (n = 193). These results were externally validated in both an independent hospital cohort (from two large-volume centers, n = 140) and a Korean National Cancer Registry sample cohort (n = 149). Results: The changes in MoRAL score (ΔMoRAL) after initial TACE was an independent predictor of OS (MoRAL-increase vs. MoRAL-non-increase: adjusted hazard ratio (HR) = 2.18, 95% confidence interval (CI) = 1.37–3.46, p = 0.001; median OS = 18.8 vs. 37.8 months). In a subgroup of patients with a high baseline MoRAL score (≥89.5, 25th percentile and higher), the prognostic impact of ΔMoRAL was more pronounced (MoRAL-increase vs. MoRAL-non-increase: HR = 3.68, 95% CI = 1.54–8.76, p < 0.001; median OS = 9.9 vs. 37.4 months). These results were reproduced in the external validation cohorts. Conclusion: The ΔMoRAL after the first TACE, a simple and objective index, provides refined prognostication for patients with intermediate-stage HCC. Proceeding to a second TACE may not provide additional survival benefits in cases of a MoRAL-increase after the first TACE in patients with a high baseline MoRAL score (≥89.5), who might be candidates for systemic therapy.

Download Full-text