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[PMID]: 29206357 [Au] Autor: Semitala FC; Camlin CS; Wallenta J; Kampiire L; Katuramu R; Amanyire G; Namusobya J; Chang W; Kahn JG; Charlebois ED; Havlir DV; Kamya MR; Geng EH [Ad] Endereço: Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda. [Ti] Título: Understanding uptake of an intervention to accelerate antiretroviral therapy initiation in Uganda via qualitative inquiry. [So] Source: J Int AIDS Soc;20(4), 2017 Dec. [Is] ISSN: 1758-2652 [Cp] País de publicação: Switzerland [La] Idioma: eng [Ab] Resumo: INTRODUCTION: The Streamlined Antiretroviral Therapy Initiation Strategy (START-ART) study found that a theory-based intervention using opinion leaders to inform and coach health care providers about the risks of treatment delay, provision of point of care (POC) CD4 testing machines (PIMA) and reputational incentives, led to rapid rise in ART initiation. We used qualitative research methods to explore mechanisms of provider behaviour change. METHODS: We conducted in-depth interviews (IDIs) with 24 health care providers and nine study staff to understand perceptions, attitudes and the context of changes in ART initiation practices. Analyses were informed by the Theoretical Domains Framework. RESULTS: Rapid dissemination of new practices was enabled in the environmental context of an existing relationship based on communication, implementation and accountability between Makerere University Joint AIDS Program (MJAP), a Ugandan University-affiliated organization that provided technical oversight for HIV service delivery at the health facilities where the intervention was implemented, and a network of health facilities operated by the Uganda Ministry of Health. Coaching carried out by field coordinators from MJAP strengthened influence and informal accountability for carrying out the intervention. Frontline health workers held a pre-existing strong sense of professional identity. They were proud of attainment of new knowledge and skills and gratified by providing what they perceived to be higher quality care. Peer counsellors, who were not explicitly targeted in the intervention design, effectively substituted some functions of health care providers; as role models for successful ART uptake, they played a crucial role in creating demand for rapid ART initiation through interactions with patients. Point of care (POC) CD4 testing enabled immediate action and relieved providers from frustrations of lost or delayed laboratory results, and led to higher patient satisfaction (due to reduced costs because of ability to initiate ART right away, requiring fewer return trips to clinic). CONCLUSIONS: Qualitative data revealed that a multicomponent intervention to change provider behaviour succeeded in the context of strong institutional and individual relationships between a University-affiliated organization, government facilities, and peer health workers (who acted as a crucial link between stakeholders) and the community. Fostering stable institutional relationships between institutional actors (non-governmental organization (NGOs) and ministry-operated facilities) as well as between facilities and the community (through peer health workers) can enhance uptake of innovations targeting the HIV cascade in similar clinical settings. [Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico Infecções por HIV/tratamento farmacológico Pessoal de Saúde Aceitação pelo Paciente de Cuidados de Saúde [Mh] Termos MeSH secundário: Instituições de Assistência Ambulatorial Feminino Pessoal de Saúde/psicologia Seres Humanos Masculino Motivação Grupo Associado Sistemas Automatizados de Assistência Junto ao Leito Pesquisa Qualitativa Uganda [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Anti-HIV Agents) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180307 [Lr] Data última revisão: 180307 [Sb] Subgrupo de revista: IM; X [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE [do] DOI: 10.1002/jia2.25033

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[PMID]: 28470439 [Au] Autor: Clement S; Bollinger R [Ad] Endereço: John Templeton Foundation, West Conshohocken, PA, USA. sclement@templeton.org. [Ti] Título: Accelerating Progress: A New Era of Research on Character Development. [So] Source: J Youth Adolesc;46(6):1240-1245, 2017 Jun. [Is] ISSN: 1573-6601 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Adolescent character development is a high priority for educators, policymakers, and front-line youth workers. To meet this growing demand, and as exemplified in the five articles in this special section, character development scholars are drawing from a range of academic disciplines to push beyond the traditional boundaries of the science of character development. These articles highlight important trends in character research, including the co-development of a subset of character strengths, the articulation of developmental trajectories of character, the use of advanced methodological approaches, and the implications for education. Studies such as these are critically important for establishing the research base that will be used to design the character development programs of tomorrow. [Mh] Termos MeSH primário: Comportamento do Adolescente Desenvolvimento do Adolescente Caráter Desenvolvimento Moral Desenvolvimento da Personalidade [Mh] Termos MeSH secundário: Adolescente Seres Humanos Grupo Associado Pesquisa Comportamento Social Meio Social [Pt] Tipo de publicação: EDITORIAL [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180307 [Lr] Data última revisão: 180307 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE [do] DOI: 10.1007/s10964-017-0681-9

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[PMID]: 28455262 [Au] Autor: Alcazar L; Raber M; Lopez K; Markham C; Sharma S [Ad] Endereço: University of Texas Health Science Center Houston, School of Public Health, 1200 Pressler Street, Houston, TX 77030, USA. [Ti] Título: Examining the impact of a school-based fruit and vegetable co-op in the Hispanic community through documentary photography. [So] Source: Appetite;116:115-122, 2017 09 01. [Is] ISSN: 1095-8304 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Hispanic families are at elevated risk for certain diet related illnesses including obesity and diabetes. Brighter Bites is a 16-week school-based program that delivers produce and nutrition education to high-need areas. The purpose of this study was to explore the adoption of Brighter Bites healthy eating strategies in low-income Spanish-speaking families as well as barriers to the sustainability of improved dietary behaviors using Photovoice. Two researchers worked with a predominately Hispanic, low-income public school to conduct the project. Spanish speaking parents participating in Brighter Bites were recruited and five mothers completed the study. Participants developed research questions, took documentary photos, attended group analysis sessions, and organized a community event. Photos from participants were gathered at two time points: i) during the Brighter Bites produce distributions, and ii) when the distributions were no longer in session. Participants organized resulting photos into themes during discussion groups that proceeded each photo-taking period. Themes that emerged during the produce distribution period included: cost savings, increased variety and accessibility of fresh produce, and ability to practice healthy eating. Themes that emerged when the weekly produce distributions were no longer in session included: increased costs, lack of variety, the continued effect of Brighter Bites, and innovative ways to cook with produce. Overall, participants were enthusiastic about the benefits they experienced with the program, but noted hardships in accessing nutritious food without the produce distributions in session. Innovative approaches are needed to create sustainable pathways to healthful food access after community nutrition interventions are complete. [Mh] Termos MeSH primário: Participação da Comunidade Assistência Alimentar Frutas Dieta Saudável Ciências da Nutrição/educação Cooperação do Paciente Verduras [Mh] Termos MeSH secundário: Telefone Celular Criança Consenso Estudos de Viabilidade Feminino Frutas/economia Dieta Saudável/economia Dieta Saudável/etnologia Hispano-Americanos Seres Humanos Masculino Mães Cooperação do Paciente/etnologia Educação de Pacientes como Assunto Grupo Associado Fotografia Áreas de Pobreza Pesquisa Qualitativa Instituições Acadêmicas Texas Verduras/economia [Pt] Tipo de publicação: EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170430 [St] Status: MEDLINE

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[PMID]: 29194305 [Au] Autor: Badowski DM; Oosterhouse KJ [Ad] Endereço: About the Authors Donna M. Badowski, DNP, RN, CNE, is an assistant professor, DePaul University School of Nursing, Chicago, Illinois. Kimberly J. Oosterhouse, PhD, RN, CCRN-K, CNE, is an assistant professor, Loyola University, Chicago, Illinois. For more information, write to dbadowsk@depaul.edu. [Ti] Título: Impact of a Simulated Clinical Day With Peer Coaching and Deliberate Practice: Promoting a Culture of Safety. [So] Source: Nurs Educ Perspect;38(2):93-95, 2017 Mar/Apr. [Is] ISSN: 1536-5026 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Nursing education is challenged to shift from task-based proficiencies to higher level competencies with patient safety as a priority. Using a quasi-experimental pretest/posttest design, a simulation-based, peer-coached, deliberate practice clinical substitution was implemented to compare nursing students' knowledge, skills, and attitudes for promoting safety. Our findings demonstrated improved knowledge and skill acquisition in the intervention and control groups. The former trended toward improved team communication attitudes and enteral medication skill performance. Additional research with larger samples is needed to further investigate this innovative strategy. [Mh] Termos MeSH primário: Educação Técnica em Enfermagem/métodos Segurança do Paciente Grupo Associado Treinamento por Simulação/métodos [Mh] Termos MeSH secundário: Competência Clínica Avaliação Educacional Seres Humanos Cultura Organizacional Projetos Piloto [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180227 [Lr] Data última revisão: 180227 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171202 [St] Status: MEDLINE [do] DOI: 10.1097/01.NEP.0000000000000108

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[PMID]: 29357380 [Au] Autor: Debussche X; Besançon S; Balcou-Debussche M; Ferdynus C; Delisle H; Huiart L; Sidibe AT [Ad] Endereço: Department of Endocrinology Diabetology Nutrition, Felix Guyon University Hospital, Saint-Denis, La Réunion. [Ti] Título: Structured peer-led diabetes self-management and support in a low-income country: The ST2EP randomised controlled trial in Mali. [So] Source: PLoS One;13(1):e0191262, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Our objective was to evaluate the effectiveness of peer-led self-management education in improving glycaemic control in patients with type 2 diabetes in a low-income country (Mali). METHODS: We conducted an open-label randomised controlled trial. A total of 151 adults (76% women, mean age 52.5) with type 2 diabetes (HbA1c≥8%), treated in the diabetes consultation units of two secondary health centres in Bamako, were allocated to peer-led structured patient education (n = 76) or conventional care alone (n = 75). The intervention group received 1 year of culturally tailored structured patient education (3 courses of 4 sessions) delivered in the community by five trained peer educators. Both groups underwent conventional diabetes monitoring and follow-up. Primary outcome was the mean absolute change in HbA1c from baseline to 12 months. RESULTS: 177 education sessions were delivered to the intervention group. Patient attrition was 8%. From baseline to 12 months, the decrease in HbA1c levels was 1.05% (SD = 2.0; CI95%: 1.54;-0.56) in the intervention group compared with 0.15% (SD = 1.7; CI95%: -0.56; 0.26) in the control group, p = 0.006. Mean BMI change was -1.65 kg/m2 (SD = 2.5; CI95%: -2.25; -1.06) in the intervention group and +0.05 kg/m2 (SD = 3.2; CI95%: -0.71; 0.81) in the control group, p = 0.0005. Mean waist circumference decreased by 3.34 cm (SD = 9.3; CI95%: -5.56;-1.13) in the intervention group and increased by 2.65 cm (SD = 10.3; CI95%: 0.20; 5.09) in the control group, p = 0.0003. CONCLUSIONS: Peer-led structured patient education delivered over 1 year to patients with poorly controlled type 2 diabetes in Mali yielded substantial improvements in glycaemic control and anthropometric parameters. This is of importance for the scaling up of efficient interventions in low-resource settings in the future. TRIAL REGISTRATION: ClinicalTrials.gov NCT01485913. [Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/terapia Autogestão/métodos [Mh] Termos MeSH secundário: Adulto Países em Desenvolvimento Diabetes Mellitus Tipo 2/sangue Feminino Hemoglobina A Glicada/metabolismo Seres Humanos Masculino Mali Meia-Idade Avaliação de Resultados (Cuidados de Saúde) Educação de Pacientes como Assunto/métodos Grupo Associado Autocuidado/métodos [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (Glycated Hemoglobin A) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180226 [Lr] Data última revisão: 180226 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180123 [Cl] Clinical Trial: ClinicalTrial [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0191262

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[PMID]: 28455111 [Au] Autor: Dzurec LC; Kennison M; Gillen P [Ad] Endereço: School of Nursing, Widener University, Chester, PA. Electronic address: lcdzurec@widener.edu. [Ti] Título: The incongruity of workplace bullying victimization and inclusive excellence. [So] Source: Nurs Outlook;65(5):588-596, 2017 Sep - Oct. [Is] ISSN: 1528-3968 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: Bullying occurs frequently-and with significant negative outcomes-in workplace settings. Once established, bullying endures in the workplace, requiring the interaction of a bully perpetrator and an intended target who takes on the role of victim. Not every target becomes a victim, however. The purpose of this study is to investigate the processes by which targets, intended objects of bullies' affronts, become victims, those individuals who experience ongoing emotional injury in response to bullies' affronts, and to clarify how bullying victimization impedes inclusive excellence in the workplace. DESIGN: The design for this study was pragmatic utility, an inductive research approach grounded in assumptions of hermeneutics. METHODS: The pragmatic utility process involved the investigators' synthesis of descriptions from a broad, interdisciplinary published literature. Integrating knowledge from their previous research and practice experiences with the pragmatic utility process, they derived qualitative features of victims' experiences, differentiating target from victim in bullying encounters. FINDINGS: For those targets who ultimately are victimized, response to bullies' affronts extends far beyond the immediate present. Redolence of personal, lived experience revives bygone vulnerabilities, and naïve communication and relationship expectations reinforce a long-standing, impoverished sense. That sense couples with workplace dynamics to augment a context of exclusion. CONCLUSION: Findings suggest that, as Heidegger contended, we are our histories. Personal history demonstrates a significance influence on the manifestation of bullying victimization, acting to distance them from their workplace peers and to impede inclusive excellence. [Mh] Termos MeSH primário: Bullying Vítimas de Crime/psicologia Pessoal de Saúde/psicologia Relações Interprofissionais Local de Trabalho/psicologia [Mh] Termos MeSH secundário: Adulto Atitude do Pessoal de Saúde Feminino Seres Humanos Masculino Meia-Idade Grupo Associado Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 180227 [Lr] Data última revisão: 180227 [Sb] Subgrupo de revista: AIM; IM; N [Da] Data de entrada para processamento: 170430 [St] Status: MEDLINE

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[PMID]: 28464902 [Au] Autor: Andre C; Deerin J; Leykum L [Ad] Endereço: Division of General and Hospital Medicine, University of Texas Health Science Center San Antonio (UTHSCSA), 7703 Floyd Curl Drive, MC 7982, San Antonio, TX, 78229, USA. andre@uthscsa.edu. [Ti] Título: Students helping students: vertical peer mentoring to enhance the medical school experience. [So] Source: BMC Res Notes;10(1):176, 2017 May 02. [Is] ISSN: 1756-0500 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Effective mentoring is an important component of medical student professional development. We provide a description of the mentoring program at our institution. METHODS: Our institution UTHSCSA implemented a student-advising program (Veritas) with clinical faculty mentors and senior students (MiMs). The MiMs provided vertical peer mentoring to more junior students as an adjunct to faculty advising. The MiMs lead small group discussions that foster camaraderie, share academic and career information and promote professional identity. An optional MiM elective more intensively develops mentorship and leadership skills through a formal curriculum. The authors used annual survey data of all students as well as student mentors to evaluate program effectiveness. RESULTS: Overall, student perception of the program improved each year across multiple domains, including feeling more prepared, supported and satisfied with their overall experience in medical school. Student mentors also found the process rewarding and helpful to their future careers as physicians. CONCLUSIONS: The authors suggest implementing a vertical peer-mentoring program can be an effective adjunct to faculty mentoring. [Mh] Termos MeSH primário: Tutoria/organização & administração Mentores/educação Satisfação Pessoal Avaliação de Programas e Projetos de Saúde Estudantes de Medicina/psicologia [Mh] Termos MeSH secundário: Currículo Feminino Seres Humanos Liderança Masculino Grupo Associado Desenvolvimento de Programas Faculdades de Medicina Inquéritos e Questionários Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180223 [Lr] Data última revisão: 180223 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170504 [St] Status: MEDLINE [do] DOI: 10.1186/s13104-017-2498-8

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[PMID]: 29338013 [Au] Autor: Moussaïd M; Noriega Campero A; Almaatouq A [Ad] Endereço: Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany. [Ti] Título: Dynamical networks of influence in small group discussions. [So] Source: PLoS One;13(1):e0190541, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: In many domains of life, business and management, numerous problems are addressed by small groups of individuals engaged in face-to-face discussions. While research in social psychology has a long history of studying the determinants of small group performances, the internal dynamics that govern a group discussion are not yet well understood. Here, we rely on computational methods based on network analyses and opinion dynamics to describe how individuals influence each other during a group discussion. We consider the situation in which a small group of three individuals engages in a discussion to solve an estimation task. We propose a model describing how group members gradually influence each other and revise their judgments over the course of the discussion. The main component of the model is an influence network-a weighted, directed graph that determines the extent to which individuals influence each other during the discussion. In simulations, we first study the optimal structure of the influence network that yields the best group performances. Then, we implement a social learning process by which individuals adapt to the past performance of their peers, thereby affecting the structure of the influence network in the long run. We explore the mechanisms underlying the emergence of efficient or maladaptive networks and show that the influence network can converge towards the optimal one, but only when individuals exhibit a social discounting bias by downgrading the relative performances of their peers. Finally, we find a late-speaker effect, whereby individuals who speak later in the discussion are perceived more positively in the long run and are thus more influential. The numerous predictions of the model can serve as a basis for future experiments, and this work opens research on small group discussion to computational social sciences. [Mh] Termos MeSH primário: Processos Grupais [Mh] Termos MeSH secundário: Seres Humanos Relações Interpessoais Aprendizagem Modelos Teóricos Grupo Associado Comportamento Social [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180215 [Lr] Data última revisão: 180215 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180117 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0190541

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[PMID]: 29304114 [Au] Autor: Chen Y; He L; Xu K; Li J; Guan B; Tang H [Ad] Endereço: Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. [Ti] Título: Comparison of calf muscle architecture between Asian children with spastic cerebral palsy and typically developing peers. [So] Source: PLoS One;13(1):e0190642, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To compare the muscle thickness, fascicle length, and pennation angle of the gastrocnemius, soleus, and tibialis anterior between Asian children with spastic cerebral palsy (CP) and typically developing (TD) peers. METHODS: This cross-sectional study involved a total of 72 children with hemiplegic CP (n = 24), and diplegic CP (n = 24) and their TD peers (n = 24). Muscle architecture was measured at rest using ultrasound. Clinical measures included gross motor function and a modified Ashworth scale. RESULTS: The thicknesses of the tibialis anterior and medial gastrocnemius muscles were smaller in the affected calf of children with CP (p<0.05) than in those of their TD peers. Additionally, the lengths of the lateral gastrocnemius and soleus fascicle were shorter (p<0.05) in children with diplegic CP than in their TD peers. The fascicle length was shorter in the affected calf of children with CP (p<0.05) than in the calves of their TD peers or the unaffected calf of children with hemiplegic CP. However, the length of the lateral gastrocnemius fascicle was similar between the two legs of children with hemiplegic CP. The pennation angles of the medial gastrocnemius and soleus muscles were larger (p<0.05) in the affected calf in children with hemiplegic CP than in the calves of their TD peers. The fascicle length of the lateral gastrocnemius and the thickness of the soleus muscle were positively correlated with gross motor function scores in children with CP (p<0.05). CONCLUSIONS: Muscle thickness and fascicle length were lower in the affected tibialis anterior, gastrocnemius, and soleus in children with spastic CP. These changes may limit the ability to stand and walk, and indicate a need to strengthen the affected muscle. [Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático Paralisia Cerebral/patologia Músculo Esquelético/anatomia & histologia Grupo Associado [Mh] Termos MeSH secundário: Adolescente Antropometria Paralisia Cerebral/fisiopatologia Criança Pré-Escolar Estudos Transversais Feminino Seres Humanos Masculino Músculo Esquelético/patologia Músculo Esquelético/fisiopatologia Caminhada [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180215 [Lr] Data última revisão: 180215 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180106 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0190642

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[PMID]: 27776683 [Au] Autor: Davis JP; Dumas TM; Wagner EF; Merrin GJ [Ad] Endereço: University of Illinois at Urbana-Champaign, Urbana, IL, USA. Electronic address: jdavis37@illinois.edu. [Ti] Título: Social Ecological Determinants of Substance Use Treatment Entry Among Serious Juvenile Offenders From Adolescence Through Emerging Adulthood. [So] Source: J Subst Abuse Treat;71:8-15, 2016 12. [Is] ISSN: 1873-6483 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To examine the social-ecological determinants of substance use treatment entry among serious juvenile offenders over a 7 year period. Using the social-ecological framework, relevant predictors of substance use from the literature were used to assess risk (and protective) factors at the individual, parental, peer and neighborhood level. METHOD: Serious juvenile offenders (N=1354, M =16.0 years, SD=1.14) were prospectively followed over 7 years (M =23.0 years, SD=1.15). Cox regression with time invariant and time varying predictors was used to predict time to first substance use treatment entry. RESULTS: Results for each dimension, separately, varied slightly from the full model. In the full model peer delinquency, peer arrests, post-traumatic stress disorder (PTSD), impulse control, temperament, and emotional regulation remained salient risk (and protective) factors for treatment entry. CONCLUSION: Associating with more deviant peers and having more of your peers arrested over the 7 year study period was associated with substantial increase in time to treatment entry. Furthermore, one of the strongest risk factors for treatment entry was a PTSD diagnosis. Treatment implications are discussed regarding peer affiliation and PTSD symptomology as well as potential neurological and biological contributors to increased risk for treatment entry. [Mh] Termos MeSH primário: Criminosos/estatística & dados numéricos Delinquência Juvenil/estatística & dados numéricos Meio Social Transtornos de Estresse Pós-Traumáticos/epidemiologia Transtornos Relacionados ao Uso de Substâncias/epidemiologia Transtornos Relacionados ao Uso de Substâncias/terapia [Mh] Termos MeSH secundário: Adolescente Adulto Feminino Seres Humanos Estudos Longitudinais Masculino Pais Grupo Associado Fatores de Proteção Fatores de Risco Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 180215 [Lr] Data última revisão: 180215 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161026 [St] Status: MEDLINE

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