scholarly journals Physical growth of children and adolescents in China over the past 35 years

2014 ◽  
Vol 92 (8) ◽  
pp. 555-564 ◽  
Author(s):  
Xin-Nan Zong ◽  
Hui Li
Keyword(s):  
Children And Adolescents ◽  
Physical Growth ◽  
The Past

Nonossifying fibroma. Four cases and review of the literature

1997 ◽  
Vol 87 (2) ◽  
pp. 66-69 ◽  
Author(s):  
A Glockenberg ◽  
E Sobel ◽  
JF Noël
Keyword(s):  
Young Children ◽  
Lower Extremity ◽  
Children And Adolescents ◽  
Lytic Lesion ◽  
Long Bones ◽  
Review Of The Literature ◽  
The Past ◽  
Nonossifying Fibroma ◽  
Metaphyseal Region

Nonossifying fibroma is a benign, lytic lesion that occurs in young children and adolescents. Radiographically, the lesion is multilocular and sharply demarcated. It often occurs at the metaphyseal region of long bones of the lower extremity and is usually eccentrically located. Four cases of nonossifying fibroma occurring during the past 7 years are presented with a review of the literature.

Abstract P105: Associations of Childhood Obesity With Cardiometabolic Risk Factors by Era of Birth: The I3c Consortium

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Jessica G Woo ◽  
Lydia A Bazzano ◽  
Trudy L Burns ◽  
Stephen R Daniels ◽  
Terence Dwyer ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Children And Adolescents ◽  
High Glucose ◽  
Weight Status ◽  
Cardiometabolic Risk ◽  
Study Cohort ◽  
High Tc ◽  
The Past ◽  
Low Hdl ◽  
Logistic Regressions

Introduction: The prevalence of childhood obesity has increased dramatically over the past several decades, but it is unclear whether children and adolescents with obesity are experiencing more or fewer cardiometabolic risks from obesity now compared with several decades ago. This study leverages data from over 2600 children and adolescents with obesity born from 1951-1996 to determine whether relationships of obesity with cardiometabolic risk have changed over time. Methods: The first study visit, age 3-19, was used to classify individuals by era of birth (quartiles: 1951-1963, 1964-1969, 1970-1974, 1975-1996), weight status (obesity defined as BMI>CDC 95 th %ile and <120% of the 95 th %ile), high BP (SBP or DBP>95 th %ile), high total cholesterol (TC>170 mg/dl), high LDL-C (>110 mg/dl), high triglycerides (TG>100 mg/dl), high glucose (>100 mg/dl), and low HDL-C (<40 mg/dl males, <50 mg/dl females). Participants with obesity (excluding severe obesity) were included in this analysis. Logistic regressions were adjusted for age, sex, race and study cohort to calculate odds ratios relative to the most recent era of birth (1975-1996). Results: The prevalence of childhood obesity increased from 6.1% in the earliest birth era to 7.7% in the most recent (p<0.0001). The adjusted odds of children with obesity having high TC (p<0.0001), high TG (p<0.0001), and high BP (p=0.003) were half as likely among children born between 1964-69 or 1970-74, compared with the most recent birth era (Table). The odds of children with obesity having high LDL (p=0.59), low HDL (p=0.17) or high glucose (0.33) did not differ across birth eras. Conclusions: Childhood obesity in more recent decades has not only become more prevalent, but is associated with greater risks of high TC, high TG and high BP. However, the risks of high LDL, low HDL and high glucose have not significantly changed among children with obesity who were born between 1951 and 1996. Thus, comparisons of children or adolescents with obesity across eras should consider these differing risk profiles.

scholarly journals Changes in Transfusion Practice in Children and Adolescents over Time

2020 ◽  
Vol 47 (5) ◽  
pp. 379-384
Author(s):  
Florian Piekarski ◽  
Andrea Steinbicker ◽  
Kai Zacharowski ◽  
Patrick Meybohm
Keyword(s):  
Children And Adolescents ◽  
Inpatient Care ◽  
Pediatric Patients ◽  
Transfusion Practice ◽  
Blood Products ◽  
National Data ◽  
Resource Saving ◽  
The Past ◽  
Federal Statistical ◽  
Procedure Codes

Introduction: In recent years, resource-saving handling of allogeneic blood products and a reduction of transfusion rates in adults has been observed. However, comparable published national data for transfusion practices in pediatric patients are currently not available. In this study, the transfusion rates for children and adolescents were analyzed based on data from the Federal Statistical Office of Germany during the past 2 decades. Methods: Data were queried via the database of the Federal Statistical Office (Destasis). The period covered was from 2005 to 2018, and those in the sample group were children and adolescents aged 0–17 years receiving inpatient care. Operation and procedure codes (OPS) for transfusions, procedures, or interventions with increased transfusion risk were queried and evaluated in detail. Results: In Germany, 0.9% of the children and adolescents treated in hospital received a transfusion in 2018. A reduction in transfusion rates from 1.02% (2005) to 0.9% (2018) was observed for the total collective of children and adolescents receiving inpatient care. Increases in transfusion rates were recorded for 1- to 4- (1.41–1.45%) and 5- to 10-year-olds (1.24–1.33%). Children under 1 year of age were most frequently transfused (in 2018, 40.2% of the children were cared for in hospital). Transfusion-associated procedures such as chemotherapy or machine ventilation and respiratory support for newborns and infants are on the rise. Conclusion: Transfusion rates are declining in children and adolescents, but the reasons for increases in transfusion rates in other groups are unclear. Prospective studies to evaluate transfusion rates and triggers in children are urgently needed.

scholarly journals Development of Sexuality in Female Children and Adolescents*

1989 ◽  
Vol 34 (9) ◽  
pp. 879-883 ◽  
Author(s):  
Margaret Whitfield
Keyword(s):  
Sex Differences ◽  
Children And Adolescents ◽  
Sexual Desire ◽  
Female Sexuality ◽  
The Body ◽  
Childhood And Adolescence ◽  
The Past ◽  
Female Children ◽  
Women's Lives ◽  
The Impact

Female sexuality (meaning sexual desire, excitement and orgasm) has been of considerable interest in psychiatry. Women's efforts to define and legitimize their own experience of their sexuality have increased in the past 25 years. However, the integration of these new views into the body of psychiatric (especially psychoanalytic) theory has not occurred very actively or successfully. Very little is known about the development of sexuality in childhood and adolescence. This paper looks at various behaviours, interests and events in women's lives that might reveal something about the development of their sexuality. The literature on female masturbation is reviewed and some sex differences highlighted. The literature on interest in babies, the wish to have babies, and menarche is explored for possible associations with sexuality. Rather than sexuality being a central organizer of experience, it seems quite possible that experience is an organizer of sexuality. Therefore, to better understand female sexuality we need to consider the impact of experiences during childhood and adolescence.

scholarly journals Age, maturation and serum lipid parameters: findings from the German Health Survey for Children and Adolescents

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Anja Schienkiewitz ◽  
Julia Truthmann ◽  
Andrea Ernert ◽  
Susanna Wiegand ◽  
Karl Otfried Schwab ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Sexual Maturation ◽  
Serum Lipid ◽  
Serum Lipids ◽  
Physical Growth ◽  
Pubertal Stage ◽  
Cross Sectional ◽  
Pubertal Stages ◽  
The Impact ◽  
Lipid Parameters

Abstract Background Recommendations on preventive lipid screening among children and adolescents remain controversial. The aim of the study was to assess age and puberty-related changes in serum lipids, including total cholesterol (TC), and high-density (HDL-C) and non-high-density lipoprotein cholesterol (Non-HDL-C). Methods Using cross-sectional data from the National Health Interview and Examination Survey for Children and Adolescents in Germany (KiGGS 2003–2006; N = 13,676; 1–17 years), changes in distributions of serum lipids were visualized according to sex, age and maturation. Youth aged 10–17 years were classified as prepubescent, early/mid-puberty, and mature/advanced puberty. Multiple linear regressions were used to quantify the impact of pubertal stage on serum lipid levels, adjusted for potential confounding factors. Results Among children 1–9 years mean serum lipid measures increased with age, with higher mean TC and Non-HDL-C among girls than boys. Among children 10–17 years, advanced pubertal stage was independently related to lower lipid measures. Adjusted mean TC, HDL-C and Non-HDL-C was 19.4, 5.9 and 13.6 mg/dL lower among mature/advanced puberty compared to prepubescent boys and 11.0, 4.0 and 7.0 mg/dL lower in mature/advanced puberty compared to prepubescent girls. Conclusions Lipid concentrations undergo considerable and sex-specific changes during physical growth and sexual maturation and significantly differ between pubertal stages. Screening recommendations need to consider the fluctuations of serum lipids during growth and sexual maturation.

How Pornography May Distort Risk Assessment of Children and Adolescents Who Sexually Harm

2015 ◽  
Vol 40 (3) ◽  
pp. 232-241 ◽  
Author(s):  
Russell Pratt ◽  
Cyra Fernandes
Keyword(s):  
Risk Assessment ◽  
Children And Adolescents ◽  
Causal Relationship ◽  
The Past ◽  
Length Of Treatment ◽  
Sexually Abusive ◽  
Pornography Consumption ◽  
Assessment And Treatment ◽  
Abusive Behaviour

Over the past three decades, an accepted “given” of adolescent sexually abusive behaviour assessment and treatment has been that the more serious the sexual acts committed, the more entrenched that adolescent's behaviours are likely to be, with a likely progression from minor assaults through to more serious, intrusive acts. We assume youth engaging in the sexually abusive behaviour may have become both desensitised to the harm they are causing, whilst needing to engage in more severe offences to gain the level of arousal originally achieved through lesser acts. This conceptualisation suggests a somewhat causal relationship between the duration of the sexually abusive behaviour; the severity of the behaviour and the length of treatment required to manage and treat the issue.Has pornography consumption potentially impacted the assessment and treatment of youth who sexually harm? Does a relationship exist between the severity and the entrenchment of the sexually assaultive acts committed, or has viewing pornography and re-enacting what has been viewed altered this relationship? This article explores a number of these themes and questions.

Depression in Children and Adolescents

2005 ◽  
Vol 21 (6) ◽  
pp. 311-317 ◽  
Author(s):  
Noel M. Davis
Keyword(s):  
Risk Factors ◽  
Academic Performance ◽  
Social Development ◽  
Children And Adolescents ◽  
Diagnostic Criteria ◽  
Nursing Practice ◽  
Early Recognition ◽  
Psychosocial Interventions ◽  
School Nursing ◽  
The Past

During the past 20 years, depression has been recognized widely in children and adolescents. However, even with what is known today about depression, many children and adolescents remain undiagnosed. Early recognition is imperative to prevent further episodes that may continue into adulthood. Depression in children and adolescents affects social development, academic performance, and ultimately, success as an adult. This article describes risk factors for depression, diagnostic criteria, medications, psychosocial interventions, and implications for school nursing practice.

Predictors of Mortality in Children and Adolescents with Sickle Cell Disease: The PUSH Study

Blood ◽  
2011 ◽  
Vol 118 (21) ◽  
pp. 515-515 ◽  
Author(s):  
Mehdi Nouraie ◽  
Sohail R. Rana ◽  
Oswaldo L Castro ◽  
Lori Luchtman-Jones ◽  
Craig Sable ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Children And Adolescents ◽  
Sickle Cell ◽  
Severe Pain ◽  
Blood Transfusions ◽  
Cell Disease ◽  
Risk Of Death ◽  
The Past ◽  
History Of

Abstract Abstract 515 Background: Recent studies indicate that the disease-specific mortality In sickle cell anemia is about 6% in children up to 18 years and 15% in the 18–30 year age group, yielding a cumulative mortality of 21% by age 30 years. It is important to identify children at high risk so that early interventions can be developed to reduce this high mortality. Methods: We prospectively enrolled 505 children and adolescents with sickle cell disease in 2005–2010, 380 with hemoglobin SS and 130 with other genotypes. The median age at enrollment was 12 years with a range of 3 to 20 years. Baseline clinical features, echocardiography, six-minute walk test and pulmonary function testing were performed at steady-state. Follow-up for mortality has been performed in 470 of the participants at a median of 37 months after enrollment, range of 1 to 59 months. Results: Six of 470 patients (1.3%) died during the follow-up period, five with hemoglobin SS and one with hemoglobin SC. The median age at the time of death in these six participants was 20 years, range of 15 to 23 years. Death occurred during the follow-up period in 2.7% of participants over 12 years of age at enrollment and 3.7% of those over 15 years of age. The causes of death were stroke in 4, multiorgan failure in 1 and unknown in 1. Death occurred in 5.9% of 51 participants with a history of stroke versus 0.7% of 416 without stroke history; in 3.5% of 113 participants with a history of asthma versus 0.6% of 354 without asthma history; in 4.9% of 103 participants with 10 or more blood transfusions lifetime versus 0.3% of 359 with less than 10 blood transfusions; in 3.3% of 90 participants with two or more severe pain episodes in the past year versus 0.8% of 380 participants with less than two severe pain episodes in the past year. In age-adjusted analyses, the hazards ratio (95% CI) of death was 6.1 (1.2-30.5) for history of stroke (P=0.029), 10.2 (1.2-89.5) for history of frequent blood transfusions (P=0.036), 5.8 (1.1-31.8) for history of asthma (P=0.044) and 1.07 (1.00-1.14) for frequent severe pain episodes (P=0.047). Clinical findings associated with these risk factors included higher concentrations of markers of hemolysis for history of stroke and history of frequent blood transfusions, decreased FEV1/FVC and increased total lung capacity for history of asthma, and lower concentrations of markers of hemolysis and high ECHO-determined tricuspid regurgitation velocity for history of frequent severe pain episodes. Conclusions: Over a median of three years of observation of this cohort, no deaths occurred among 248 sickle cell disease children 12 years of age or younger at enrollment but there were 6 deaths among 222 participants 13–20 years of age at enrollment. In bi-variate age-adjusted analyses, histories of stroke, asthma, frequent blood transfusions and frequent pain episodes were associated with an increased risk of death. Strikingly, four of the five deaths in which the cause was known were due to stroke. The present data on mortality in the PUSH study suggest that prevention of stroke is critical in improving the survival in adolescents and young adults with sickle cell disease. Disclosures: No relevant conflicts of interest to declare.

Development of interpersonal trust among children and adolescents

2012 ◽  
Vol 43 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Małgorzata Szcześniak ◽  
Melusina Colaço ◽  
Gloria Rondón
Keyword(s):  
Children And Adolescents ◽  
Interpersonal Trust ◽  
Academic Discipline ◽  
Empirical Studies ◽  
Three Dimensional ◽  
Point Of View ◽  
School Age Children ◽  
The Past ◽  
Human Functioning ◽  
Developmental Point

Development of interpersonal trust among children and adolescentsThe main purpose of the present article is to introduce a topic related to the development of interpersonal trust among children and adolescents. Although this subject, since the beginnings of psychology considered as an academic discipline, has been regarded as an essential component of human functioning, there are still very few theoretical and empirical studies that approach the issue from a developmental point of view. In this paper the three-dimensional conceptualization of interpersonal trust is provided. Furthermore, the article highlights the past and current theoretical and empirical research on the development of interpersonal trust in infants, preschool and school-age children. Finally, some challenges are presented in the field of interpersonal trust studies.

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