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Pesquisa : I01.880.853.150.140 [Categoria DeCS]
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[PMID]:28923284
[Au] Autor:Slowikowska-Hilczer J; Hirschberg AL; Claahsen-van der Grinten H; Reisch N; Bouvattier C; Thyen U; Cohen Kettenis P; Roehle R; Köhler B; Nordenström A; dsd-LIFE Group
[Ad] Endereço:Department of Andrology and Reproductive Endocrinology, Medical University of Lodz, Lodz, Poland.
[Ti] Título:Fertility outcome and information on fertility issues in individuals with different forms of disorders of sex development: findings from the dsd-LIFE study.
[So] Source:Fertil Steril;108(5):822-831, 2017 Nov.
[Is] ISSN:1556-5653
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate fertility outcome in individuals with different forms of disorders of sex development (DSD), if assisted reproductive technology (ART) was used, and the patients' satisfaction with the information they had received. DESIGN: A cross-sectional multicenter study, dsd-LIFE. SETTING: Not applicable. PATIENT(S): A total of 1,040 patients aged ≥16 years with different DSD diagnoses participated. INTERVENTION(S): A web-based questionnaire was filled out by all participants. The participants could chose to take part in somatic investigations including ultrasonography. MAIN OUTCOME MEASURE(S): Information on partner, number of children, ART, adoption and step-children, general health, presence of gonads and uterus, current education and economic situation, received information on fertility issues, and satisfaction with the information, was collected. RESULT(S): In the total cohort, mean age 32 years, 33% lived with a partner, but only 14% reported having at least one child including 7% with ART, 4% adopted. Only 3.5% of the total cohort had been able to reproduce without ART, most frequently women with congenital adrenal hyperplasia, and only 0.7% of participants with other diagnoses. Of the participants, 72% had received information on fertility, but 17% were not satisfied with the information. CONCLUSION(S): Fertility outcome is significantly reduced in all types of DSD; however, fertility potential should be assessed individually. The satisfaction with how fertility problems have been discussed can be improved. The care of patients with DSD is complex, should be individualized, and new treatment possibilities incorporated. A close collaboration in multidisciplinary teams is therefore essential to improve the situation for individuals with DSD.
[Mh] Termos MeSH primário: Transtornos do Desenvolvimento Sexual/complicações
Fertilidade
Infertilidade Feminina/etiologia
Infertilidade Masculina/etiologia
[Mh] Termos MeSH secundário: Acesso à Informação
Adolescente
Adoção
Adulto
Idoso
Estudos Transversais
Transtornos do Desenvolvimento Sexual/diagnóstico
Transtornos do Desenvolvimento Sexual/genética
Transtornos do Desenvolvimento Sexual/fisiopatologia
Europa (Continente)
Feminino
Predisposição Genética para Doença
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Infertilidade Feminina/diagnóstico
Infertilidade Feminina/fisiopatologia
Infertilidade Feminina/terapia
Infertilidade Masculina/diagnóstico
Infertilidade Masculina/fisiopatologia
Infertilidade Masculina/terapia
Masculino
Meia-Idade
Pais
Educação de Pacientes como Assunto
Satisfação do Paciente
Fenótipo
Gravidez
Saúde Reprodutiva
Técnicas de Reprodução Assistida
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE


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[PMID]:28827383
[Au] Autor:Hornberger LL; COMMITTEE ON ADOLESCENCE
[Ti] Título:Diagnosis of Pregnancy and Providing Options Counseling for the Adolescent Patient.
[So] Source:Pediatrics;140(3), 2017 Sep.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The American Academy of Pediatrics policy statement "Options Counseling for the Pregnant Adolescent Patient" recommends the basic content of the pediatrician's counseling for an adolescent facing a new diagnosis of pregnancy. However, options counseling is just one aspect of what may be one of the more challenging scenarios in the pediatric office. Pediatricians must remain alert to the possibility of pregnancy among their adolescent female patients. When discovering symptoms suggestive of pregnancy, pediatricians must obtain a relevant history, perform diagnostic testing and properly interpret the results, and understand the significance of the results from the patient perspective and reveal them to the patient in a sensitive manner. If the patient is indeed pregnant, the pediatrician, in addition to providing comprehensive options counseling, may need to help recruit adult support for the patient and should offer continued assistance to the adolescent and her family after the office visit. All pediatricians should be aware of the legal aspects of adolescent reproductive care and the resources for pregnant adolescents in their communities. This clinical report presents a more comprehensive view of the evaluation and management of pregnancy in the adolescent patient and a context for options counseling.
[Mh] Termos MeSH primário: Aconselhamento
Gravidez na Adolescência/psicologia
[Mh] Termos MeSH secundário: Aborto Induzido
Adolescente
Adoção
Confidencialidade
Tomada de Decisões
Família/psicologia
Pai/psicologia
Feminino
Seres Humanos
Anamnese
Relações Médico-Paciente
Gravidez
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


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[PMID]:28827379
[Au] Autor:Hornberger LL; COMMITTEE ON ADOLESCENCE
[Ti] Título:Options Counseling for the Pregnant Adolescent Patient.
[So] Source:Pediatrics;140(3), 2017 Sep.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Each year, more than 500 000 girls and young women younger than 20 years become pregnant. It is important for pediatricians to have the ability and the resources in their offices to make a timely pregnancy diagnosis in their adolescent patients and provide them with nonjudgmental pregnancy options counseling. Counseling includes an unbiased discussion of the adolescent's legal options to either continue or terminate her pregnancy, supporting the adolescent in the decision-making process, and referring the adolescent to appropriate resources and services. Pediatricians who choose not to provide such discussions should promptly refer pregnant adolescent patients to a health care professional who will offer developmentally appropriate pregnancy options counseling. This approach to pregnancy options counseling has not changed since the original 1989 American Academy of Pediatrics statement on this issue.
[Mh] Termos MeSH primário: Aconselhamento
Gravidez na Adolescência/psicologia
[Mh] Termos MeSH secundário: Aborto Induzido
Adolescente
Adoção
Consciência
Tomada de Decisões
Feminino
Seres Humanos
Pediatras/psicologia
Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


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[PMID]:28778858
[Au] Autor:Sutcliffe AG; Gardiner J; Melhuish E
[Ad] Endereço:Institute of Child Health, University College London, London, United Kingdom.
[Ti] Título:Educational Progress of Looked-After Children in England: A Study Using Group Trajectory Analysis.
[So] Source:Pediatrics;140(3), 2017 Sep.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Looked-after children in local authority care are among the most disadvantaged, and measures of their well-being, including educational outcomes, are poorer than other children's. METHODS: The study sample consisted of all children in England born in academic years 1993 to 1994 through 1997 to 1998 who were in local authority care at any point during the academic years 2005 to 2006 through 2012 to 2013 and for whom results of national tests in literacy and numeracy were available at ages 7, 11, and 16 ( = 47 500). RESULTS: Group trajectory analysis of children's educational progress identified 5 trajectory groups: low achievement, late improvement, late decline, predominant, and high achievement. Being looked after earlier was associated with a higher probability of following a high achievement trajectory and a lower probability of following a late decline trajectory. For children first looked after between ages 7 and 16, having a longer total time looked after by age 16 was associated with a higher probability of following a high achievement trajectory. For children with poor outcomes at ages 7 and 11, being looked after by age 16 was associated with an increased chance of educational improvement by age 16. CONCLUSIONS: This study provides evidence that early entry into care can reduce the risk of poor educational outcomes. It also establishes group trajectory analysis as an effective method for analyzing the educational progress of looked-after children, with the particular strength that it allows factors associated with a late decline or improvement in educational progress to be identified.
[Mh] Termos MeSH primário: Logro
Bem-Estar da Criança
Escolaridade
[Mh] Termos MeSH secundário: Adolescente
Adoção
Fatores Etários
Criança
Inglaterra
Feminino
Cuidados no Lar de Adoção
Seres Humanos
Masculino
Orfanatos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170806
[St] Status:MEDLINE


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[PMID]:28734520
[Au] Autor:Waggoner-Fountain LA
[Ad] Endereço:Department of Pediatrics, Division of Infectious Diseases, University of Virginia School of Medicine, 3601 Hospital Drive, Charlottesville, VA 22908, USA. Electronic address: law4q@virginia.edu.
[Ti] Título:Management of Refugees and International Adoptees.
[So] Source:Pediatr Clin North Am;64(4):953-960, 2017 Aug.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Refugee children and international adoptees have special medical considerations that must be addressed. Providers must be aware of the immigration history, where, and under what circumstances the child lived and migrated to the United States. Federal guidelines exist regarding which infections should be screened for, and how and when and which vaccines should be administered.
[Mh] Termos MeSH primário: Adoção
Emigração e Imigração
Programas de Rastreamento/métodos
Refugiados
Vacinação/métodos
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE


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[PMID]:28401841
[Au] Autor:Vantieghem MR; Gabard-Durnam L; Goff B; Flannery J; Humphreys KL; Telzer EH; Caldera C; Louie JY; Shapiro M; Bolger N; Tottenham N
[Ad] Endereço:Columbia University.
[Ti] Título:Positive valence bias and parent-child relationship security moderate the association between early institutional caregiving and internalizing symptoms.
[So] Source:Dev Psychopathol;29(2):519-533, 2017 May.
[Is] ISSN:1469-2198
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Institutional caregiving is associated with significant deviations from species-expected caregiving, altering the normative sequence of attachment formation and placing children at risk for long-term emotional difficulties. However, little is known about factors that can promote resilience following early institutional caregiving. In the current study, we investigated how adaptations in affective processing (i.e., positive valence bias) and family-level protective factors (i.e., secure parent-child relationships) moderate risk for internalizing symptoms in previously institutionalized (PI) youth. Children and adolescents with and without a history of institutional care performed a laboratory-based affective processing task and self-reported measures of parent-child relationship security. PI youth were more likely than comparison youth to show positive valence biases when interpreting ambiguous facial expressions. Both positive valence bias and parent-child relationship security moderated the association between institutional care and parent-reported internalizing symptoms, such that greater positive valence bias and more secure parent-child relationships predicted fewer symptoms in PI youth. However, when both factors were tested concurrently, parent-child relationship security more strongly moderated the link between PI status and internalizing symptoms. These findings suggest that both individual-level adaptations in affective processing and family-level factors of secure parent-child relationships may ameliorate risk for internalizing psychopathology following early institutional caregiving.
[Mh] Termos MeSH primário: Adaptação Psicológica/fisiologia
Sintomas Afetivos/psicologia
Criança Institucionalizada/psicologia
Emoções/fisiologia
Relações Pais-Filho
[Mh] Termos MeSH secundário: Adolescente
Adoção/psicologia
Criança
Expressão Facial
Reconhecimento Facial
Feminino
Seres Humanos
Masculino
Fatores de Proteção
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1017/S0954579417000153


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[PMID]:28401831
[Au] Autor:Raby KL; Yarger HA; Lind T; Fraley RC; Leerkes E; Dozier M
[Ad] Endereço:University of Utah.
[Ti] Título:Attachment states of mind among internationally adoptive and foster parents.
[So] Source:Dev Psychopathol;29(2):365-378, 2017 May.
[Is] ISSN:1469-2198
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The first aim of the current study was to examine the latent structure of attachment states of mind as assessed by the Adult Attachment Interview (AAI) among three groups of parents of children at risk for insecure attachments: parents who adopted internationally (N = 147), foster parents (N = 300), and parents living in poverty and involved with Child Protective Services (CPS; N = 284). Confirmatory factor analysis indicated the state of mind rating scales loaded on two factors reflecting adults' preoccupied and dismissing states of mind. Taxometric analyses indicated the variation in adults' preoccupied states of mind was more consistent with a dimensional than a categorical model, whereas results for dismissing states of mind were indeterminate. The second aim was to examine the degree to which the attachment states of mind of internationally adoptive and foster parents differ from those of poverty/CPS-referred parents and low-risk parents. After controlling for parental age, sex, ethnicity, and socioeconomic status, (a) internationally adoptive parents had lower scores on the dismissing dimension than the sample of community parents described by Haltigan, Leerkes, Supple, and Calkins (2014); (b) foster parents did not differ from community parents on either the dismissing or the preoccupied AAI dimension; and (c) both internationally adoptive and foster parents had lower scores on the preoccupied dimension than poverty/CPS-referred parents. Analyses using the traditional AAI categories provided convergent evidence that (a) internationally adoptive parents were more likely to be classified as having an autonomous state of mind than low-risk North American mothers based on Bakermans-Kranenburg and van IJzendoorn's (2009) meta-analytic estimates, (b) the rates of autonomous states of mind did not differ between foster and low-risk parents, and
[Mh] Termos MeSH primário: Adoção/psicologia
Cuidados no Lar de Adoção/psicologia
Internacionalidade
Apego ao Objeto
Transtorno Reativo de Vinculação na Infância/diagnóstico
Transtorno Reativo de Vinculação na Infância/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Serviços de Proteção Infantil
Pré-Escolar
Educação não Profissionalizante
Feminino
Seres Humanos
Entrevista Psicológica
Masculino
Meia-Idade
Relações Pais-Filho
Pobreza/psicologia
Fatores de Risco
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1017/S0954579417000049


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[PMID]:28374421
[Au] Autor:Volgsten H; Schmidt L
[Ad] Endereço:Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
[Ti] Título:Live birth outcome, spontaneous pregnancy and adoption up to five years after undergoing assisted reproductive technology treatment.
[So] Source:Acta Obstet Gynecol Scand;96(8):954-959, 2017 Aug.
[Is] ISSN:1600-0412
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: This study is part of a longitudinal cohort undertaken in both women and men to describe live birth outcome after undergoing assisted reproductive technology (ART) treatment in a clinical setting. Another objective was to follow women and men living with children from other alternatives after ART, such as adoption. MATERIAL AND METHODS: A total of 439 (80.5%) women and 423 (77.6%) men were included in the baseline cohort (2005-2007). Live birth rate after ART was 24.8% at baseline. Up to 5 years later (2010-2011) the same participants were sent individual postal questionnaires (n = 439). RESULTS: Overall, 278 (63.3%) women and 183 (41.7%) men filled in and returned the questionnaire at follow up. The majority of women (91.7%) and men (93.4%) were living with children. A total of 225 (80.9%) women had a live birth at follow up. Of these, almost three of four (71.6%) had a live birth after ART and more than one of four (28.0%) after spontaneous pregnancies or both. Of these, 52 (26.1%) women had a subsequent live birth after successful ART and 26 (32.9%) women after unsuccessful ART. Nineteen (6.8%) women and 13 (7.1%) men had a child after adoption. Almost one of five (19.1%) women had no live birth at follow up. CONCLUSION: The majority of women and men were living with children, resulting from a live birth after ART, spontaneous pregnancy and/or adoption up to 5 years later. However, almost one of five had no live birth at follow up.
[Mh] Termos MeSH primário: Adoção
Nascimento Vivo
Técnicas de Reprodução Assistida/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Gravidez
Resultado da Gravidez
Estudos Prospectivos
Sobreviventes
Suécia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170917
[Lr] Data última revisão:
170917
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1111/aogs.13139


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[PMID]:28366898
[Au] Autor:Sufian S
[Ti] Título:As Long as Parents Can Accept Them: Medical Disclosure, Risk, and Disability in Twentieth-Century American Adoption Practice.
[So] Source:Bull Hist Med;91(1):94-124, 2017.
[Is] ISSN:1086-3176
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article reviews adoption debates about the disclosure of children's medical history in the twentieth century, noting shifts in the prescription of how much and what to tell adoptive applicants. I look at how adoption professional debates throughout the twentieth century around the disclosure of a child's medical history reveal the ways in which these professionals tried to deal with issues of predictability, risk, adoptability, and acceptability when it came to the persistent question of disability in adoptive family making. I consider how this management is similar to and different from histories of reproduction. I argue that as child eligibility gradually expanded to include children labeled disabled, and as adoption moved from a being a parent-centered practice to a child-centered one, professionals more intensely negotiated the management and communication of disability risk as a way to both mitigate the possibility of a failed placement and to facilitate a successful one.
[Mh] Termos MeSH primário: Adoção
Comunicação
Revelação/história
Pais
[Mh] Termos MeSH secundário: Pessoas com Deficiência/história
História do Século XX
Seres Humanos
Risco
Estados Unidos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170518
[Lr] Data última revisão:
170518
[Sb] Subgrupo de revista:IM; QIS
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1353/bhm.2017.0004


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[PMID]:28362022
[Au] Autor:Schwekendiek DJ
[Ad] Endereço:600th Anniversary Building (Room 420), Sungkyunkwan University, 25-2 Sungkyunkwan-ro, Jongno-gu, Seoul 03063, Republic of Korea danjosch@skku.edu.
[Ti] Título:Growth status of Korean orphans raised in the affluent West: anthropometric trend, multivariate determinants, and descriptive comparison with their North and South Korean peers.
[So] Source:Anthropol Anz;74(1):57-63, 2017 Apr 01.
[Is] ISSN:0003-5548
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:ABSTRACT: This paper investigates the trend in height among adult Korean orphans who were adopted in early life into affluent Western nations. Final heights of 148 females were analyzed based on a Korean government survey conducted in 2008. Height of the orphans was descriptively compared against final heights of South and North Koreans. Furthermore, statistical determinants of orphan height were investigated in multivariate regressions. Mean height of Korean orphans was 160.44 cm (SD 5.89), which was higher than that of South Koreans at 158.83 cm (SD 5.01). Both Korean orphans and South Koreans were taller than North Koreans at 155.30 cm (SD 4.94). However, height of Korean orphans stagnated at around 160-161 cm while those of North and South Koreans improved over time. In the regression analysis, the socioeconomic status of the adoptive family was statistically significant in all models, while dummies for the adoptive nations and age at adoption were insignificant. This study shows that the mean final height of women experiencing extreme environmental improvements in early-life is capped at 160-161 cm, tentatively suggesting that social stress factors in the host nation or early-life factors in the birth nation might have offset some of the environmental enrichment effects achieved through intercountry adoption.
[Mh] Termos MeSH primário: Adoção/etnologia
Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos
Estatura/fisiologia
[Mh] Termos MeSH secundário: Adulto
Antropologia Física
Antropometria
Crianças Órfãs
República Democrática Popular da Coreia/epidemiologia
Feminino
Gráficos de Crescimento
Seres Humanos
República da Coreia/epidemiologia
Classe Social
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170401
[St] Status:MEDLINE
[do] DOI:10.1127/anthranz/2017/0678



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