Base de dados : MEDLINE
Pesquisa : H02.403.014 [Categoria DeCS]
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[PMID]:28292449
[Au] Autor:Ryan SA
[Ad] Endereço:Section of Adolescent Medicine, Department of Pediatrics, Yale University School of Medicine, PO Box 208064, 330 Cedar Street, New Haven, CT 06520, USA. Electronic address: Sheryl.ryan@yale.edu.
[Ti] Título:The Treatment of Dysmenorrhea.
[So] Source:Pediatr Clin North Am;64(2):331-342, 2017 Apr.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Menstrual disorders and abnormal uterine bleeding are common concerns of young women. Complaints include menses that are: too painful (dysmenorrhea), absent or occur irregularly (amenorrhea or oligoamenorrhea), or prolonged and heavy (menorrhagia, or excessive uterine bleeding). In providing optimal reproductive care, the medical provider must be able to distinguish between normal developmental patterns or symptoms requiring education and reassurance from pathologic conditions requiring prompt assessment and treatment. This article discusses the normal menstrual patterns seen in adolescent females and provides an evaluation and management approach to primary and secondary dysmenorrhea.
[Mh] Termos MeSH primário: Medicina do Adolescente/métodos
Dismenorreia/diagnóstico
Dismenorreia/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Amenorreia/diagnóstico
Amenorreia/tratamento farmacológico
Anticoncepcionais Orais/uso terapêutico
Feminino
Seres Humanos
Anamnese
Ciclo Menstrual/fisiologia
Saúde Reprodutiva
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Contraceptives, Oral)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE


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[PMID]:26840988
[Au] Autor:Malas N; Rofey D; Kuchera AM; Pletcher J; Ortiz-Aguayo R; Douaihy A; Gold M
[Ad] Endereço:Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Michigan Health System, Ann Arbor, Michigan, USA.
[Ti] Título:Motivational interviewing in paediatric residency.
[So] Source:Clin Teach;14(1):20-26, 2017 Feb.
[Is] ISSN:1743-498X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Motivational interviewing (MI) is a collaborative, evidence-based, person-centred counselling style for addressing ambivalence about behaviour change. Despite its proven effectiveness, there is little formal instruction of MI in paediatric training programmes. METHODS: Second-year paediatric residents participated in a 4-hour MI workshop, followed by a 1-hour small group review course and hands-on supervision during their Adolescent Medicine rotation. After the MI workshop, and again after their refresher course, we assessed residents' attitudes and skill with written and online surveys, as well as with a modified Helpful Responses Questionnaire (HRQ). RESULTS: Results revealed a statistically significant improvement in residents' confidence in eliciting health behaviour change [t-score(59) = 3.76, p = 0.008]. HRQ scores for all three clinical scenarios improved significantly following the workshop (p < 0.000). Residents most valued the interactive components of the workshop and review course, particularly the practice exercises, videos/video vignettes, feedback and coaching. DISCUSSION: A standardised MI curriculum for paediatric residency training improved residents' confidence in eliciting health behaviour change and use of empathic, reflective language. The curriculum is both feasible and widely accepted by residents, with opportunities for residents to practise MI under supervision during resident training. In conclusion, providing a 4-hour MI workshop for paediatric residents, with reinforcement through a review course and clinical opportunities to practise MI under supervision, improved confidence in eliciting health behaviour change and the use of MI-consistent language. This innovative and time-sensitive effort could serve as a future model for MI training for paediatric residents. There is little formal instruction of MI in paediatric training programmes.
[Mh] Termos MeSH primário: Medicina do Adolescente/educação
Internato e Residência/métodos
Entrevista Motivacional
Pediatria/educação
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Competência Clínica
Currículo
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160204
[St] Status:MEDLINE
[do] DOI:10.1111/tct.12503


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[PMID]:27865333
[Au] Autor:Aromin RA
[Ad] Endereço:Psychiatry, Psychosocial Services, Institute for Family Health, 16E 16th St, New York, NY 10003, USA. Electronic address: raarominjr@yahoo.com.
[Ti] Título:Substance Abuse Prevention, Assessment, and Treatment for Lesbian, Gay, Bisexual, and Transgender Youth.
[So] Source:Pediatr Clin North Am;63(6):1057-1077, 2016 Dec.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Knowing how to manage substance abuse in all youth is an important aspect of pediatric care, including providing clinically appropriate anticipatory guidance, monitoring, assessment, and treatment. Although most lesbian, gay, bisexual, and transgender (LGBT) youth do not abuse substances, as a group they experience unique challenges in self-identity development that put them at an increased risk for substance abuse. This article addresses prevention and management of substance use in LGBT youth relevant to pediatrics and allied professions as an aspect of their overall health care. It reviews basic information about substance abuse in youth and special considerations for LGBT youth.
[Mh] Termos MeSH primário: Educação em Saúde/organização & administração
Prevenção Primária/organização & administração
Minorias Sexuais e de Gênero/estatística & dados numéricos
Centros de Tratamento de Abuso de Substâncias/organização & administração
Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente/organização & administração
Medicina do Adolescente/organização & administração
Feminino
Seres Humanos
Masculino
Transtornos Relacionados ao Uso de Substâncias/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE


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[PMID]:27865332
[Au] Autor:Wood SM; Salas-Humara C; Dowshen NL
[Ad] Endereço:Craig-Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, 11 Northwest Tower, Philadelphia, PA 19104, USA; NYU Langone Fink Ambulatory Care Center, 160 East 32nd Street, 3rd Floor, New York, NY 10016, USA. Electronic address: woodsa@email.chop.edu.
[Ti] Título:Human Immunodeficiency Virus, Other Sexually Transmitted Infections, and Sexual and Reproductive Health in Lesbian, Gay, Bisexual, Transgender Youth.
[So] Source:Pediatr Clin North Am;63(6):1027-1055, 2016 Dec.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lesbian, gay, bisexual, transgender (LGBT), and questioning youth represent a diverse population who are affected by many sexual health inequities, including increased risk for human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). To provide comprehensive sexual health care for LGBT youth, providers should set the stage with a nonjudgmental, respectful tone. Providers should be competent in recognizing symptoms of STIs and HIV and aware of the most up-to-date screening guidelines for LGBT youth. Sexual health visits should also focus on prevention, including safer sex practices, HIV pre-exposure and post-exposure prophylaxis, family planning, and immunization for hepatitis and human papillomavirus.
[Mh] Termos MeSH primário: Medicina do Adolescente/organização & administração
Infecções por HIV/prevenção & controle
Promoção da Saúde/organização & administração
Saúde Reprodutiva
Minorias Sexuais e de Gênero/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Masculino
Anamnese
Relações Médico-Paciente
Educação Sexual/organização & administração
Doenças Sexualmente Transmissíveis/prevenção & controle
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE


  5 / 1452 MEDLINE  
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[PMID]:27447203
[Au] Autor:Basker MM
[Ti] Título:Adolescent health in Asia: insights from India.
[So] Source:Int J Adolesc Med Health;28(3):321-5, 2016 Aug 01.
[Is] ISSN:2191-0278
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Adolescents living in the Indian subcontinent form a significant proportion of the general population. India is home to 236 million adolescents, who make up one-fifth of the total population of India. Adolescent health is gradually considered an important issue by the government of India. Awareness is increasing about adolescent needs. Health care professionals in particular are becoming more interested in the specific needs of adolescent age. Adolescent medicine as a subspecialty of pediatrics has also gained importance gradually over the last decade. In a hospital setting, adolescent-specific needs are met, albeit not in a uniform manner in all the health centers. After having been trained in adolescent medicine in India and abroad, I present this paper as a bird's eye view of the practice of adolescent health and medicine in India.
[Mh] Termos MeSH primário: Serviços de Saúde do Adolescente
Saúde do Adolescente
Medicina do Adolescente
Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente/organização & administração
Serviços de Saúde do Adolescente/normas
Medicina do Adolescente/métodos
Medicina do Adolescente/organização & administração
Seres Humanos
Índia
Modelos Organizacionais
Determinação de Necessidades de Cuidados de Saúde
Melhoria de Qualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE


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[PMID]:27363229
[Au] Autor:Rosh JR; Heitlinger LA; Rosenfeld WD
[Ti] Título:Preface. Clinical GI Challenges in the Adolescent.
[So] Source:Adolesc Med State Art Rev;27(1):xiii, 2016.
[Is] ISSN:1934-4287
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina do Adolescente
Gastroenterologia
[Mh] Termos MeSH secundário: Adolescente
Doença Celíaca
Dietas da Moda
Esofagite Eosinofílica
Seres Humanos
Doenças Inflamatórias Intestinais
Obesidade
Deficiência de Vitamina D
[Pt] Tipo de publicação:INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160701
[Lr] Data última revisão:
160701
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160702
[St] Status:MEDLINE


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[PMID]:27341557
[Au] Autor:Kerem NC; Hardoff D
[Ti] Título:Adolescent health care education and training: insights from Israel.
[So] Source:Int J Adolesc Med Health;28(3):303-7, 2016 Aug 01.
[Is] ISSN:2191-0278
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:There is a growing need for health care professionals to extend their knowledge in adolescent health care. Formal training curricula in adolescent medicine have been established in the United States, Canada, and Australia, yet many other countries have developed shorter training programs to enable interested physicians to further pursue knowledge and practical experience in delivering improved quality health care for adolescents. The Israeli experience in building an infrastructure that allows students and physicians to learn about adolescent medicine and to train in the field is described. It includes a series of lectures and seminars for medical students during medical school and at the clinical rotations in pediatric wards; the development of hospital-based and community-based multidisciplinary adolescent health services where residents can practice adolescent health care; a 3-year diploma course in adolescent medicine for specialists in pediatrics and family medicine; mini courses in adolescent medicine for pediatricians and family practitioners working in community settings; and a simulated patient-based program regarding communication with adolescents, aimed for all professional levels - medical students, residents, and specialists. This infrastructure has been developed to create a leading group of physicians, who are able to operate adolescent clinics and to teach adolescent medicine. Recently, a formal fellowship program in adolescent medicine has been approved by the Scientific Council of the Israel Medical Association. The Israeli experience described here could be applied in countries, where formal training programs in adolescent health care are not yet established.
[Mh] Termos MeSH primário: Saúde do Adolescente
Medicina do Adolescente
Currículo
Educação
Bolsas de Estudo/métodos
[Mh] Termos MeSH secundário: Adolescente
Medicina do Adolescente/educação
Medicina do Adolescente/métodos
Medicina do Adolescente/organização & administração
Assistência à Saúde/métodos
Assistência à Saúde/normas
Educação/métodos
Educação/organização & administração
Seres Humanos
Israel
Modelos Educacionais
Determinação de Necessidades de Cuidados de Saúde
Melhoria de Qualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160625
[St] Status:MEDLINE


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[PMID]:27283963
[Au] Autor:de Tournemire R; Boudailliez B; Jacquin P; Foucaud P; Chevallier B
[Ad] Endereço:Unité de médecine pour adolescents, hôpital de Poissy-Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, BP 73082, 78303 Poissy cedex, France. Electronic address: rdetournemire@chi-poissy-st-germain.fr.
[Ti] Título:[Pediatricians-to-be: The imperative need of acquiring skills in adolescent in patient units].
[Ti] Título:Pédiatres de l'enfant « jusqu'à 18 ans ¼ : de l'urgence d'acquérir des compétences dans des unités de médecine pour adolescents..
[So] Source:Arch Pediatr;23(7):675-8, 2016 Jul.
[Is] ISSN:1769-664X
[Cp] País de publicação:France
[La] Idioma:fre
[Mh] Termos MeSH primário: Medicina do Adolescente/educação
Educação de Pós-Graduação em Medicina
Pediatria/educação
[Mh] Termos MeSH secundário: Adolescente
Currículo
França
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160611
[St] Status:MEDLINE


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[PMID]:27267139
[Au] Autor:Greenberg KB; Baldwin C
[Ad] Endereço:Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York; Department of Obstetrics/Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, New York. Electronic address: Katherine_greenberg@urmc.rochester.edu.
[Ti] Título:Use of a Self-Reflection Tool to Enhance Resident Learning on an Adolescent Medicine Rotation.
[So] Source:J Adolesc Health;59(2):230-5, 2016 Aug.
[Is] ISSN:1879-1972
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Adolescent Medicine (AM) educators in pediatric residency programs are seeking new ways to engage learners in adolescent health. This mixed-methods study presents a novel self-reflection tool and addresses whether self-reflection enhanced residents' perception of the value of an adolescent rotation, in particular, its relevance to their future practice. METHODS: The self-reflection tool included 17 Likert scale items on residents' comfort with the essential tasks of adolescent care and open-ended questions that promoted self-reflection and goal setting. Semi-structured, postrotation interviews encouraged residents to discuss their experiences. Likert scale data were analyzed using descriptive statistics, and interview notes and written comments on the self-reflection tool were combined for qualitative data analysis. RESULTS: Residents' pre-to post-self-evaluations showed statistically significant increases in comfort with most of the adolescent health care tasks. Four major themes emerged from our qualitative analysis: (1) the value of observing skilled attendings as role models; (2) the comfort gained through broad and frequent adolescent care experiences; (3) the career relevance of AM; and (4) the ability to set personally meaningful goals for the rotation. CONCLUSIONS: Residents used the self-reflection tool to mindfully set goals and found their AM education valuable and relevant to their future careers. Our tool helped make explicit to residents the norms, values, and beliefs of the hidden curriculum applied to the care of adolescents and helped them to improve the self-assessed quality of their rapport and communications with adolescents. We conclude that a structured self-reflection exercise can enhance residents' experiences on an AM rotation.
[Mh] Termos MeSH primário: Medicina do Adolescente/educação
Atitude do Pessoal de Saúde
Internato e Residência/métodos
Autoavaliação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Escolha da Profissão
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE


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[PMID]:27262627
[Au] Autor:Ibrahim N; de Tournemire R; Jacquin P; Stheneur C; Boudailliez B
[Ad] Endereço:Unité de médecine de l'adolescent, CHU Amiens-Picardie, avenue René-Laënnec-Salouel, 80054 Amiens, France. Electronic address: nour-el-ayoun.ibrahim@aphp.fr.
[Ti] Título:[Perception of adolescent medicine among French pediatric residents].
[Ti] Título:Représentations de la médecine de l'adolescent chez les futurs pédiatres..
[So] Source:Arch Pediatr;23(7):695-705, 2016 Jul.
[Is] ISSN:1769-664X
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:PURPOSE: The perception of adolescent medicine (AM) among future pediatricians in France has scarcely been explored although adolescent health care is an integral part of the pediatrician's job. Moreover, pediatric residents seem to have a lack of enthusiasm for this field. The aim of this study was to assess the beliefs and perceptions of fourth-year French pediatric residents regarding adolescents and AM. METHODOLOGY: We conducted a national electronic survey among French pediatric residents in their last year of residency. An original 51-item, open-ended declarative questionnaire was sent out including questions on demographics, career expectations, AM block rotation experiences, and perceptions and beliefs regarding adolescents and AM. Difficulties and barriers experienced in this field were investigated. Queries about residents' specific AM courses and about their educational needs were also explored. RESULTS: The survey was conducted online between January and March 2015. There were 121 respondents, achieving a 43% response rate. The majority of respondents perceived teens as interesting (75%), vulnerable (83%), and time-consuming (84%). Up to four fifths of respondents (81%) considered AM to be a skill that all pediatricians should acquire. A subgroup analysis showed that the residents who had not experienced an AM block rotation did not seem to be convinced of the need for training in this field (P=0.09). The following issues were reported as major difficulties by residents: providing care for teens reluctant to seek health care (65%), managing violent behavior among adolescents in the emergency ward (98%), and managing adolescents who attempt suicide (80%). Less than half (45%) of the residents reported their residency program had a specific AM course. Among them, 73% attended the lectures and 57% found them useful. One third (32%) of the respondents had experienced a 2-month block rotation in the field of AM during their residency. DISCUSSION: This is the first nationwide study in France in this field. Although the response rate is below 50%, it exceeded our expectations. Our results are in line with previous studies showing that pediatric residents report a high interest in working with adolescents and yet their educational needs in AM are unmet. The limitations of this study include the self-selection bias and implicit limitations carried by the phrasing of the survey questions. CONCLUSIONS: There is a need to devise a better educational approach combining a broader proposal of AM block rotations together with a specific competency framework in adolescent health, since we know it improves the quality of health care delivered to adolescents. Moreover, training pediatricians in AM is a public health priority so as to comply with medical schools' principles of social accountability and address the priority health needs for an efficient, equitable, and sustainable health system. At a time when postgraduate reform is being made, the inclusion of an AM curriculum in the general pediatrician course is necessary.
[Mh] Termos MeSH primário: Medicina do Adolescente/educação
Atitude do Pessoal de Saúde
Internato e Residência
[Mh] Termos MeSH secundário: Adulto
Feminino
França
Seres Humanos
Masculino
Pediatria/educação
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160606
[St] Status:MEDLINE



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