http://pediatrics.aappublications.org:80 This feed contains articles for Pediatrics Subject Collection "Adolescent Medicine" Pediatrics http://pediatrics.aappublications.org:80 http://pediatrics.aappublications.org:80/cgi/content/short/30/11/431?rss=1 Objectives Objectives Introduction Taking the History Performing the Physical... Laboratory Investigation Management Suggested Reading After completing this article, readers should be able to: Describe the importance of screening for genitourinary problems in adolescent boys. Delineate the essential components of screening urology in adolescent boys. Explain when and how to perform sexually transmitted infection testing in adolescent boys. Counsel adolescent boys on sexuality-related issues. Introduction Objectives Introduction Taking the History ... Cavanaugh, R. M. 2009-11-01 doi:10.1542/pir.30-11-431 Screening for Genitourinary Abnormalities in Adolescent Males American Academy of Pediatrics 11 30 438 431 2009-11-01 ARTICLES http://pediatrics.aappublications.org:80/cgi/content/short/30/11/439?rss=1 Objectives Objectives Introduction Who Are Technology-dependent... Specific Technologies Psychosocial Issues General Management Principles Prognosis Websites for Families References After completing this article, readers should be able to: Describe children who are dependent on technology. List common indications for and complications of gastrostomy tubes. Define invasive and noninvasive mechanical ventilation. Recognize the psychosocial effects of having a child dependent on technology. Introduction Objectives Introduction Who Are Techn ... Glader, L. J. Palfrey, J. S. 2009-11-01 doi:10.1542/pir.30-11-439 Care of the Child Assisted by Technology American Academy of Pediatrics 11 30 445 439 2009-11-01 ARTICLES http://pediatrics.aappublications.org:80/cgi/content/short/30/11/457?rss=1 Confidential Health Care for Adolescents: Position Paper of the Society for Adolescent Medicine. Ford C, English A, Sigman G. J Adolesc Health. 2005;35 :160 -167 Achieving Quality Health Services for Adolescents. AAP Committee on Adolescence. Pediatrics. 2008;121 :1263 -1270 An Overview of Minor' Consent Law. Guttmacher Institute State Policies in Brief. New York, NY: Guttmacher Institute. 2008. Available at: http://www.guttmacher.org/statecenter/spibs/spib_OMCL.pdf ... 2009-11-01 doi:10.1542/pir.30-11-457 Adolescent Consent and Confidentiality American Academy of Pediatrics 11 30 459 457 2009-11-01 IN BRIEF http://pediatrics.aappublications.org:80/cgi/content/short/124/5/e913?rss=1 OBJECTIVE: The relationship between weight and sexual behavior among adolescents is poorly understood. We examined this relationship in a nationally representative sample of high school girls. METHODS: We performed a cross-sectional analysis of self-reported data from 7193 high school girls who completed the 2005 Youth Risk Behavior Surveillance survey. We used multivariate logistic regression to examine associations among 3 weight indices (BMI calculated from self-reported weight and height, perceived weight, and weight misperception) and 6 sexual behaviors (ever had vaginal sex; sex before age 13; [≥]4 sexual partners; and alcohol, condom, and oral contraceptive use at last sex) adjusting for age, race/ethnicity, and a history of intimate partner violence. RESULTS: There were no differences in the likelihood of ever having sex on the basis of BMI or weight perception accuracy; however, girls who perceived themselves as overweight were less likely to have ever had sex. Among sexually active girls, those who had low BMI and perceived themselves as overweight or had overweight misperceptions were less likely to report condom use at last sex. Sexually active girls who perceived themselves as overweight were also more likely to have had sex before age 13. Associations between the 3 weight indices and sexual risk behaviors varied across racial/ethnic groups. CONCLUSIONS: Sexual risk behaviors may be more common among girls who are underweight or perceive themselves (accurately or not) to be overweight and vary by racial/ethnic group. This suggests that girls at weight extremes and those from different racial backgrounds may have unique sexual health education and prevention needs. Akers, A. Y. Lynch, C. P. Gold, M. A. Chang, J. C.-C. Doswell, W. Wiesenfeld, H. C. Feng, W. Bost, J. 2009-11-01 doi:10.1542/peds.2008-2797 Exploring the Relationship Among Weight, Race, and Sexual Behaviors Among Girls American Academy of Pediatrics 5 124 920 913 2009-11-01 ARTICLES http://pediatrics.aappublications.org:80/cgi/content/short/124/5/1469?rss=1 This issue of Pediatrics launches a series entitled "Promoting Lifelong Health for Adolescents and Young Adults With Special Health Care Needs." Each article in the series provides a state-of-the-art review of the transition from pediatric to adult-centered care for adolescents and young adults with a specific health condition beginning in childhood. The first 2 articles in the series address conditions at opposite ends of the transition spectrum. In this issue, Simon et al1 describe hydrocephalus as a prototypical condition in need of transition services. Despite the complex care typically required as children with hydrocephalus mature to adulthood, programs to facilitate their transition from pediatric to adult-care settings do not exist. In contrast, transition for adolescents with cystic fibrosis increasingly is plan ... Slap, G. B. 2009-11-01 doi:10.1542/peds.2009-1662 Promoting Lifelong Health for Adolescents and Young Adults With Special Health Care Needs American Academy of Pediatrics 5 124 1470 1469 2009-11-01 COMMENTARIES http://pediatrics.aappublications.org:80/cgi/content/short/30/10/375?rss=1 Objectives Objectives Introduction Initial Assessment Medical Management The Physician-family Partnership... Periodic Monitoring Management of Acute... References Additional Resources After completing this article, readers should be able to: Identify the major environmental factors and comorbid conditions that affect asthma. Describe the role of a written asthma action plan in the management of asthma. Know how to assess asthma control and adjust therapy appropriately. Discuss the evaluation and management of the child who has an acute exacerbation of asthma. ... Wood, P. R. Hill, V. L. 2009-10-01 doi:10.1542/pir.30-10-375 Practical Management of Asthma American Academy of Pediatrics 10 30 385 375 2009-10-01 ARTICLES http://pediatrics.aappublications.org:80/cgi/content/short/30/10/396?rss=1 Introduction Introduction Acupuncture/Acupressure Mind/Body Conclusions References Nocturnal enuresis (NE) is characterized by the involuntary discharge of urine at night in those 5 years of age or older. Primary NE (PNE) is diagnosed in an individual who has never achieved nighttime dryness; in secondary NE (SNE), incontinence follows a dry period of at least 6 months. In either, the enuresis must not be due exclusively to a medical condition or diuretic therapy. Prevalence is estimated at 5% to 10% among 5-year-olds, 3% to 5% among 10-year-olds, and 1% among those 15 years of age and older. Between 5% and 10% of cases resolve annually without treatment. (1) The causes of PNE and SNE remain unclear, although physical, neurologic, and psyc ... Adams, D. Vohra, S. 2009-10-01 doi:10.1542/pir.30-10-396 Complementary, Holistic, and Integrative Medicine: Nocturnal Enuresis American Academy of Pediatrics 10 30 400 396 2009-10-01 ARTICLES http://pediatrics.aappublications.org:80/cgi/content/short/30/10/403?rss=1 Case 1 Presentation Case 1 Presentation Case 2 Presentation Case 3 Presentation Case 1 Discussion Case 2 Discussion Footnotes Case 3 Discussion A 3[1/2]-year-old boy, who lives in the southeastern United States, is referred for evaluation of eosinophilia that was detected on laboratory tests performed during a routine health supervision visit. A few days ago, he had loose stools, without blood or mucus, associated with low-grade fever. He has no history of significant illness, allergies, respiratory symptoms, weight loss, sick contacts, or travel. He is not taking any medications. He lives with his mother, aunt, three siblings, four cousins, and two dogs in a rural area that has city water ... George, R. P. Bocchini, J. A. Smith, H. D. Shah, A. Becton, J.L. McDonough, C. 2009-10-01 doi:10.1542/pir.30-10-403 Index of Suspicion American Academy of Pediatrics 10 30 408 403 2009-10-01 ARTICLES http://pediatrics.aappublications.org:80/cgi/content/short/30/10/414?rss=1 Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR. Washington, DC: American Psychiatric Association; 2000:781 -783 Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting. Stirling J and the Committee on Child Abuse and Neglect. Pediatrics. 2007;119 :1026 -1030 Munchausen Syndrome by Proxy. Hettler J. Pediatr Emerg Care. 2002;18 :371 -374 ... Brown, P. Tierney, C. Serwint, J. R. 2009-10-01 doi:10.1542/pir.30-10-414 Munchausen Syndrome by Proxy American Academy of Pediatrics 10 30 415 414 2009-10-01 IN BRIEF http://pediatrics.aappublications.org:80/cgi/content/short/124/4/e596?rss=1 OBJECTIVE: This study aimed to determine the impact of teen depression on peer, family, school, and physical functioning and the burden on parents. METHODS: Patients participated in a longitudinal study of teens with and without probable depression, drawn from 11 primary care offices in Los Angeles, California, and Washington, DC. A total of 4856 teens completed full screening assessments; 4713 were eligible for the study, and 187 (4.0%) met the criteria for probable depression and were invited to participate, as were teens who were not depressed. A total of 184 baseline assessments for teens with probable depression and 184 for nondepressed teens were completed, as were 339 (90%) parent interviews. Follow-up interviews were conducted with 328 teens (89%) and 302 parents (82%). Measures included teen reports of peer and parent support, 2 measures of school functioning, grades, physical health, and days of impairment. Parent reports included peer, school, and family functioning and subjective and objective burdens on parents. RESULTS: Teens with depression and their parents reported more impairment in all areas, compared with teens without depression at baseline, and reported more coexisting emotional and behavioral problems. Both depression and coexisting problems were related to impairment. There was a lasting impact of depressive symptoms on most measures of peer, family, and school functioning 6 months later, but controlling for coexisting baseline emotional and behavioral problems attenuated this relationship for some measures. CONCLUSION: Improvements in teen depression might have benefits that extend beyond clinical symptoms, improving peer, family, and school functioning over time. Jaycox, L. H. Stein, B. D. Paddock, S. Miles, J. N. V. Chandra, A. Meredith, L. S. Tanielian, T. Hickey, S. Burnam, M. A. 2009-10-01 doi:10.1542/peds.2008-3348 Impact of Teen Depression on Academic, Social, and Physical Functioning American Academy of Pediatrics 4 124 605 596 2009-10-01 ARTICLES