Treatment of opioid dependence in adolescents and young adults with extended release naltrexone: preliminary case-series and feasibility

Addiction ◽  
2010 ◽  
Vol 105 (9) ◽  
pp. 1669-1676 ◽  
Author(s):  
Marc J. Fishman ◽  
Erin L. Winstanley ◽  
Erin Curran ◽  
Shannon Garrett ◽  
Geetha Subramaniam
Keyword(s):  
Young Adults ◽  
Opioid Dependence ◽  
Extended Release ◽  
Case Series ◽  
Adolescents And Young Adults

Retronychia in children, adolescents, and young adults: A case series

2014 ◽  
Vol 70 (2) ◽  
pp. 388-390 ◽  
Author(s):  
Bianca Maria Piraccini ◽  
Bertrand Richert ◽  
David A. de Berker ◽  
Vera Tengattini ◽  
Paola Sgubbi ◽  
...  
Keyword(s):  
Young Adults ◽  
Case Series ◽  
Adolescents And Young Adults

scholarly journals Peripheral Cemento-Ossifying Fibroma: Case Series Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Kiran Kumar Ganji ◽  
ArunKumar Bhimashankar Chakki ◽  
Sharanbasappa Chandrashekar Nagaral ◽  
Esha Verma
Keyword(s):  
Young Adults ◽  
Differential Diagnosis ◽  
Literature Review ◽  
Fibrous Dysplasia ◽  
Case Series ◽  
Adolescents And Young Adults ◽  
Ossifying Fibroma ◽  
Rare Tumour ◽  
Peripheral Ossifying Fibroma ◽  
Considerable Controversy

The concept of fibroosseous lesions of bone has evolved over the last several decades and now includes two major entities: fibrous dysplasia and ossifying fibroma. Peripheral cemento-ossifying fibroma is a relatively rare tumour classified between fibroosseous lesions. It predominantly affects adolescents and young adults, with peak prevalence between 10 and 19 yrs. The cemento-ossifying fibroma is a central neoplasm of bone as well as periodontium which has caused considerable controversy because of confusion regarding terminology and the criteria for its diagnosis. The cemento-ossifying fibroma is odontogenic in origin, whereas ossifying fibroma is of bony origin. Lesions histologically similar to peripheral ossifying fibroma have been given various names in existing literature. Therefore, we present and discuss in this paper a series of cases of peripheral cemento-ossifying fibroma emphasizing the differential diagnosis.

scholarly journals Delayed Ego Strength Development in Opioid Dependent Adolescents and Young Adults

2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
Benjamin A. Abramoff ◽  
Hannah L. H. Lange ◽  
Steven C. Matson ◽  
Casey B. Cottrill ◽  
Jeffrey A. Bridge ◽  
...  
Keyword(s):  
Young Adults ◽  
Opioid Dependence ◽  
Treatment Approach ◽  
Adolescents And Young Adults ◽  
Strength Development ◽  
Ego Strength ◽  
Confounding Variables ◽  
Linear Regression Modeling ◽  
Independent Association ◽  
Ego Strengths

Objective. To evaluate ego strengths, in the context of Erikson’s framework, among adolescents and young adults diagnosed with opioid dependence as compared to non-drug using youth.Methods. Opioid dependent (n=51) and non-drug using control (n=31) youth completed the self-administered Psychosocial Inventory of Ego Strengths (PIES). The PIES assesses development in the framework of Erikson’s ego strength stages. Multivariate linear regression modeling assessed the independent association of the primary covariate (opioid dependent versus control) as well as potential confounding variables (e.g., psychiatric comorbidities, intelligence) with total PIES score.Results. Mean total PIES score was significantly lower in opioid dependent youth (231.65±30.39opioid dependent versus270.67±30.06control;p<0.01). Evaluation of the PIES subscores found significant (p<0.05) delays in all ego strength areas (hope, will, purpose, competence, fidelity, love, care, and wisdom). When adjusting for potential confounders, opioid dependence remained a significant (p<0.001) independent predictor of total PIES score.Conclusion. Adolescents with opioid dependence demonstrated significant delays in ego strength development. A treatment approach acknowledging this delay may be needed in the counseling and treatment of adolescents with opioid dependence.

scholarly journals Acute Correction of Congenital Brachymetatarsia in Adolescents and Young Adults

2019 ◽  
Vol 25 (3) ◽  
pp. 84-89
Author(s):  
D. Keshet ◽  
S. Salminen ◽  
M. Eidelman
Keyword(s):  
Young Adults ◽  
Bone Graft ◽  
Case Series ◽  
Iliac Bone ◽  
Adolescents And Young Adults ◽  
Wound Complications ◽  
Osteotomy Site ◽  
Metatarsal Osteotomy ◽  
Iliac Bone Graft ◽  
Tract Infections

Introduction. Brachymetatarsia is a relatively rare abnormal shortening of metatarsal bone with female predominance. No consensus exists about the ideal surgical treatment for this condition while the two common strategies are gradual lengthening using external fixation and acute one stage lengthening. We describe the surgical technique of acute lengthening using iliac bone graft and report our results. Materials and Methods. Twelve patients (11 females, one male) with 14 short metatarsals were treated in our hospital over a 12-year period. The mean age was 17.4 years (range 14-28 years). Treatment protocol included metatarsal osteotomy, lengthening of extensor tendon and percutaneous tenotomy of the flexor tendon at the level of affected MP joint. Autologous iliac bone graft was inserted after elongation of the metatarsal by distraction through the osteotomy site and fixed using Kirshner wire. Results. Average metatarsal shortening was 13mm (range, 11-18 mm). The metatarsal length gained was an average of 12mm (range, 11-15 mm). Uneventful bone union was achieved in all cases after six weeks. At the end of treatment, the normal cascade of the metatarsal heads (metatarsal parabola) had been restored in 11 of the 14 metatarsals treated. There were no wound complications or pin tract infections around the wire. All but one patient were satisfied with the cosmetic appearance of the foot. Conclusion. Based on our experience, acute metatarsal lengthening using an iliac autugraft is a reliable and effective treatment method for congenital brachymetatarsia in adolescents and young adults.Level of Evidence: Level IV Case series.

The Relationship Between Narcissism and Personality Traits of the Five-Factor-Model in Adolescents and Young Adults

2018 ◽  
Vol 46 (6) ◽  
pp. 516-522 ◽  
Author(s):  
Marc Allroggen ◽  
Peter Rehmann ◽  
Eva Schürch ◽  
Carolyn C. Morf ◽  
Michael Kölch
Keyword(s):  
Young Adults ◽  
Personality Traits ◽  
Five Factor Model ◽  
Self Report ◽  
Adolescents And Young Adults ◽  
Personality Factors ◽  
Big Five Personality ◽  
Grandiose Narcissism ◽  
Vulnerable Narcissism ◽  
The Relationship

Abstract.Narcissism is seen as a multidimensional construct that consists of two manifestations: grandiose and vulnerable narcissism. In order to define these two manifestations, their relationship to personality factors has increasingly become of interest. However, so far no studies have considered the relationship between different phenotypes of narcissism and personality factors in adolescents. Method: In a cross-sectional study, we examine a group of adolescents (n = 98; average age 16.77 years; 23.5 % female) with regard to the relationship between Big Five personality factors and pathological narcissism using self-report instruments. This group is compared to a group of young adults (n = 38; average age 19.69 years; 25.6 % female). Results: Grandiose narcissism is primarily related to low Agreeableness and Extraversion, vulnerable narcissism to Neuroticism. We do not find differences between adolescents and young adults concerning the relationship between grandiose and vulnerable narcissism and personality traits. Discussion: Vulnerable and grandiose narcissism can be well differentiated in adolescents, and the pattern does not show substantial differences compared to young adults.

Epidemiological Trends in Attempted Suicide in Adolescents and Young Adults Between 1996 and 2004

Crisis ◽  
2009 ◽  
Vol 30 (3) ◽  
pp. 115-119 ◽  
Author(s):  
Stephanie De Munck ◽  
Gwendolyn Portzky ◽  
Kees Van Heeringen
Keyword(s):  
Young Adults ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Epidemiological Studies ◽  
Adolescents And Young Adults ◽  
University Hospital ◽  
International Studies ◽  
Suicide Attempters ◽  
Increased Risk ◽  
Epidemiological Trends

Background: Notwithstanding the epidemiological studies indicating an increased risk of attempted suicide among adolescents and young adults, there is a scarcity of international studies that examine long-term epidemiological trends in rates and characteristics of this vulnerable group. Aims: This article describes the results of a 9-year monitoring study of suicide attempts in adolescents and young adults referred to the Accident and Emergency Department of the Gent University Hospital (Belgium). Methods: Between January 1996 and December 2004, trends, sociodemographic, and methodrelated characteristics of suicide attempts were assessed by a psychiatrist on data sheets. Results: Attempted suicide rates declined from 1996 to 2001 and then rose until 2004, but did not exceed previous rates. During the 9 years of monitoring, there was a preponderance of female suicide attempters, except for 1997. Rates of attempts and of fatal suicide were negatively correlated. Significantly more males than females deliberately injured themselves. Younger attempters, especially females, significantly more often poisoned themselves with analgesics. In nearly one in five attempts, alcohol was used in combination with other methods, and alcohol intake was more commonly observed in older suicide attempters. Nearly half of the adolescents were identified as repeaters. Conclusions: The results of this study warrant further monitoring of trends and characteristics of young suicide attempters.

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