Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients

Purpose To compare the anterior translation and internal rotation of tibia on magnetic resonance imaging (MRI) between adult and adolescent patients with anterior cruciate ligament (ACL) tears. Methods Patients who underwent isolated ACL reconstruction from January 2013 to May 2021 were retrospectively reviewed. The exclusion criteria included incomplete data, poor image quality, a prior ACL surgery, and concomitant fractures or other ligament injuries. The enrolled patients were divided into two groups based on their ages: an adult group (age > 19 years) and an adolescent group (15 to 19 years of age). Anterior tibial translation and femorotibial rotation were measured on MRI. A Student’s t-test was used for the statistical analysis comparing the adult and adolescent groups. Results A total of 365 patients (279 adults and 86 adolescents) were enrolled in the present study. The anterior tibial translation in the adult group (4.8 ± 4.4 mm) and the adolescent group (5.0 ± 4.2 mm) was not significantly different (p = 0.740). On the other hand, the tibial internal rotation in the adult group (5.6 ± 5.0 degree) was significantly greater compared to the adolescent group (4.2 ± 5.6 degree) (p = 0.030). The intraclass correlation coefficients (ICC) of the measured data from two independent observers showed excellent reliability (0.964 and 0.961 for anterior tibial translation and tibial internal rotation, respectively). Conclusion The adult patients with ACL tears exhibited significant greater tibial internal rotation compared to the adolescent patients, whereas the magnitude of the anterior tibial translation was similar in both groups. Care should be taken if clinicians plan to establish the cutoff point values for diagnosis of ACL tears using the femorotibial internal rotation angle.

Susbstance P Levels in Children with Atopic Dermatitis

Background: Atopic dermatitis (AD) is the most common skin disease in infants and children. AD is influenced by hereditary and environmental factors, and it is characterized by an inflammatory reaction in the skin. In developing countries, children suffering from AD are estimated around 10–20%, of which 60% of the cases persist into adulthood. Substance P is a cutaneous neuropeptide that contributes to the pathogenesis of AD. Substance P promotes the production of nerve growth factors from keratinocytes, and the release of histamine, leukotriene, or tumor necrosis factor from mast cells, which cause the growth of sensory nerve fibers, augmentation of skin inflammation, and are considered pruritogenic factors. Purpose: This study aims to determine the description of substance P in children with atopic dermatitis using a descriptive observational study with a cross-sectional approach. Methods: This is a destructive observational study with a crossectional approach samples were selected from AD patients at the Universitas Sumatera Utara Hospital. Result: The largest group of subjects were childhood (2–12 years old), there was 60%, followed by the adolescent group (12–18 years old) and the infant group (<2 years old). In the childhood group, the highest level of substance P was found in girls with a mean of 349.03 ± 146.7. On the other hand, the highest levels of substance P in the adolescent were found in males with a mean of 243.73 ± 64.57 ng/L. Conclusion: In this study, we found that the level of substance p was higher in the childhood group.

Terapi Air Putih untuk Dismenorea Primer

Primary dysmenorrhea is a condition of lower abdominal pain that occurs before or during menstruation without any abnormalities or pelvic disease, where the prevalence is higher in the adolescent group, which is 74.42%. The pain experienced has an impact on the disruption of learning activities and concentration. Drinking water is the only means of transporting waste cells that have died from all parts of the body.This study aims to determine the effect of water therapy on primary dysmenorrhea. This type of research is pre-experimental design. The study population was 181 people and a sample of 30 people with accidental sampling technique and met the inclusion criteria. The study was conducted for 1 month. Data were analyzed using paired sample t test. The results of the study: before water therapy most of the young women experienced moderate pain (76.7%) and after therapy, most of them experienced mild pain (73.4%). The results of the paired sample t test value = 0.000. Conclusion; There is an effect of water therapy on primary dysmenorrhea in adolescent girls. Suggestion: The importance of drinking water before and during menstruation to reduce the incidence of dysmenorrhea.

A Conceptual Framework for Teacher Counselors in Colleges

Working with a counsellor helps the student solve a variety of issues that they confront in their daily life, as the sessions in counselling are provided by trained professionals. In the absence of a trained counsellor, a teacher who has received training and practice in the relevant area can play the role of a teacher counsellor. The teacher herself has to undergo a phase of transition from teacher to teacher counsellor. Due to this pandemic situation, life has changed a lot. Researches done in this area shows that the mental health of the adolescent group is largely affected by COVID 19. Even if the present mode of education is online, a teacher counsellor can help a student if she is equipped with the various strategies followed in counselling. The skills which are required in the field of counselling can be achieved by attending courses as well as training programs conducted by universities, government, non-governmental organisations, or institutions. This enables a teacher counsellor to get equipped with the basic skills required for counselling. Also, at the same time, she should be aware of the professional code of ethics in the process of counselling. When the teacher counsellor passes through the transition from teacher to teacher counsellor, she should possess the capacity to understand the student’s needs and also be capable of maintaining a good rapport and relationship with the student. In this way, both the teacher counsellor and the student can work together to achieve the goals for change.

Notification alert! Effects of auditory text alerts on attention and heart rate variability across three developmental periods

In a modern world saturated with cellphone-related stimuli, surprisingly little is known about their psychological effects. A small number of previous studies have found global distracting effects of cellphone rings on cognitive performance in undergraduate students. However, moment-to-moment reactions to cellphone sounds have not been investigated, nor have physiological changes that might accompany the cognitive effects. Developmental variations also remain unexamined. Thus, two experiments were conducted to examine the effects of cellphone notification sounds on cognitive performance (i.e., reaction time and accuracy on math problems) and heart rate variability in three age groups: adolescents (mean age: 15 years); young adults (mean age: 20 years); and mid-life adults (mean age: 48 years). Effects were most pronounced in the adolescent group, whose math problem accuracy and reaction time was compromised in response to notification sounds. These compromises were accompanied by increases in heart rate variability.

Long-term Follow-up Of Adolescent And Adult Patients With Cystic Fibrosis: A Single Center's Experience

Cystic fibrosis (CF) is a chronic disease with autosomal recessive inheritance, chlorine duct defect, and multisystemic involvement. In this study, we evaluated the problems of our adolescent and adult patients with CF who were followed up in our unit to determine their problems at the regional level, to better observe their treatments, and to offer solutions for complications that occurred during their follow-up. Sixty-five patients with CF (50 adolescents and 15 adults) who consulted our clinic between September 2008 and November 2020 were included in this study, and their retrospective data were reviewed and saved. The mean age of the patients was 17.2±6.21 years, and the mean age at diagnosis was 7.1 years. Nearly three-quarters (73.8%) of the patients were adolescents, 26.2% were adults. Their mean body mass index (BMI) was 18.81±4.06 kg/m2. The mean FEV1 was 82.94±25.22% in the adolescent group and 64.47 ±28.47% in the adult group. Pseudo-Bartter syndrome was the most common clinical presentation in adolescents (44%) and productive cough 28.6% was most common in adults. The rate of bronchiectasis was 73.6% in the adults and 29.2% in the adolescents. CF-related diabetes was seen in 33.3% of the adults and 8.3% of the adolescents. Gastroesophageal reflux disease was present in 25.5% of the adolescents, but it was not seen in the adults. Mortality was 20.0% in the adult group and 4.1% in the adolescents. There was no significant difference between the groups regarding BMI, chronic pseudomonas colonization, and pulmonary exacerbation. In both groups, the most common allele (21.8%) was delf508. We saw that the disease complications were less in the adolescent group. We thought that early diagnosis and treatment were related to this condition

To Assess the effect of Fast Food among Adolescent Group

Background: Different types of fast food are becoming more popular in all parts of the world, including both developed and developing nations. Because of changes and transitions in people's lifestyles and dietary habits, an increasing number of people of all ages, particularly adolescents and young adults, are gravitating toward fast food. For past 10 years, Fast food consumption has increased globally. Hence, the topic of eating fast food can turn specifically very much better for the age group of 13-18. Because of this for controlling the eating habits of fast food first attention might be given to developing some nutritional habit to the adolescents. Aim: To assess the effect of fast food among adolescent group. Materials and Methods: A cross-sectional research design was used in the study. The study was conducted among adolescents’ group rural area of Wardha district, Maharashtra. The population of the study was the adolescent group. The sampling technique used was simple random sampling. The sample was consisting of a total number of 85 subjects. A structured knowledge questionnaire were used to assess the knowledge and effect of fast food. Results: After the detailed analysis of the conducted study leads to the following conclusion that Means score of the adolescent group was 12±2.88 and the mean percentage of score was 60±14.41 It is revealed that the adolescent group is having lot many effects of fast food on their health and having knowledge regarding the effect of fast food, in that 1.18% of the adolescent group had a no effect, 30.59% of them had mild, 58.82% of them were moderate and 9.41% of them had a severe. The minimum score was 5 and the maximum score was 17 out of 20. Conclusion: The research concludes that adolescents are having an effect of fast food on their health so because of that they are having average knowledge regarding the effect of fast food.

Epidemiologic and clinical evaluation of the acute intoxication in pediatric patients

Acute poisoning is a critical and emergent public health problem worldwide among pediatric age group. The common epidemiological observation is required to understand the characteristics of the pediatric intoxication for each location and important for management the poisoning cases. This retrospective study researched the epidemiology of poisoning among children. This study represented the epidemiology of poisonings of children admitted to the pediatric intensive care unit at Afyonkarahisar Health Science University Faculty of Medicine between February 2020 and May 2021. Fifty one pediatric patients were reffered to the PICU due to acute intoxication. 58.9% of the analyzed patients were male and 41.1% were female. The mean age of all patients was 8.57±7.6. The majority of cases were due to drug-related poisonings. The average age of cases of suicidal poisoning was higher than accidental intoxication cases. Paracetamol was the most prevalent cause of drug-related intoxication and more common in children under 5 years of age and selective serotonin reuptake inhibitors were more frequent in adolescent group. All patients survived. Almost all of the patients were discharged from hospital within 3 days. Poisonings are still a serious reason for morbidity and mortality in developing countries among children. Early awareness of poisoning and appropriate management appeared to be effective and to decrease the mortality rate.

Prevention of Conflicts in Adolescent Environment

This article deals with the problem of conflicts in adolescence, which in the modern socio-cultural space has acquired unprecedented relevance. Dynamically changing society from day to day, dictates its own rules in the adolescent environment. Differences in views, preferences, thoughts and worldview are acutely perceived within the adolescent group. Due to the age and physiological characteristics that occur at this age, adolescents often do not know how to control their behavior and correctly respond to emerging controversial situations. All this sets the task of teachers and psychologists to help the teenager, to teach him a rational way out of the conflict, as well as to carry out preventive measures, to create programs to reduce the level of negative manifestations.