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[PMID]:29040043
[Au] Autor:Law WC; McClanahan R; Weismuller PC
[Ti] Título:Depression Screening in the School Setting: Identification of the Depressed Adolescent.
[So] Source:NASN Sch Nurse;32(6):364-370, 2017 Nov.
[Is] ISSN:1942-6038
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Adolescent depression is a silent epidemic in this country. Untreated depression has detrimental effects on physical health, psychosocial well-being, and academic productivity. It is important for school nurses to be able to recognize depression and refer students promptly for treatment. This article and its associated learning module will provide school nurses with updated information on adolescent depression, discuss barriers in depression screening, use of the PHQ-9 (Patient Health Questionaire-9 Item) as an evidence-based depression screening tool in the educational setting, and the important role of school nurses in depression screening. It is anticipated that by increasing awareness and knowledge about adolescent depression and providing training in the use of an evidence-based screening tool, school nurses will have greater confidence in identifying and referring students in need. (A free online depression screening education module developed by the lead author is available at https://sites.google.com/view/depressionscreeningtraining .).
[Mh] Termos MeSH primário: Transtorno Depressivo/diagnóstico
Processo de Enfermagem
Estudantes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente
Criança
Transtorno Depressivo/enfermagem
Transtorno Depressivo/psicologia
Seres Humanos
Encaminhamento e Consulta
Serviços de Saúde Escolar
Serviços de Enfermagem Escolar
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171018
[St] Status:MEDLINE
[do] DOI:10.1177/1942602X17726095


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[PMID]:28885425
[Au] Autor:Akers AY; Steinway C; Sonalkar S; Perriera LK; Schreiber C; Harding J; Garcia-Espana JF
[Ad] Endereço:Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Children's Hospital of Philadelphia Research Institute, PolicyLab, Roberts Center for Pediatric Research, the Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, and the Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, Pennsylvania.
[Ti] Título:Reducing Pain During Intrauterine Device Insertion: A Randomized Controlled Trial in Adolescents and Young Women.
[So] Source:Obstet Gynecol;130(4):795-802, 2017 Oct.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To estimate the effect of a 1% lidocaine paracervical nerve block on pain during intrauterine device (IUD) insertion compared with a sham block in adolescents and young women. METHODS: We conducted a multisite, single-blind, sham-controlled randomized trial in adolescents and young women having a 13.5-mg levonorgestrel IUD inserted. Enrollment occurred at three family planning clinics in Philadelphia, Pennsylvania. Eligible adolescents and young women were aged 14-22 years, nulliparous, not currently or recently pregnant, and English-speaking. Participants were randomized using computer-generated allocation in block sizes of four to receive a 10-mL 1% lidocaine paracervical block or a sham block (1 cm depression of the vaginal epithelium at paracervical block sites with a wooden cotton-tipped applicator). Only patients were blinded. The primary outcome was pain after IUD insertion measured with a 100-mm visual analog scale. Using a two-sided t test and assuming a 20-mm difference in visual analog scale scores, a SD of 28 mm, an α of 0.05, and 90% power, a sample of 43 participants per group was estimated. RESULTS: Between March 2015 and July 2016, 95 participants enrolled (47 lidocaine block group; 48 sham block group). All were included in the analysis. Forty-four percent were white, 36% black, 65% privately insured, and 79% previously used contraception. The median visual analog scale score after IUD insertion was 30.0 (95% CI 20.0-58.0) in the lidocaine block group and 71.5 (95% CI 66.0-82.0) in the sham block (P<.001). CONCLUSION: A 10-mL 1% lidocaine paracervical nerve block reduces pain during IUD insertion in adolescents and young women compared with a sham block with pressure on the vaginal epithelium. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT02352714.
[Mh] Termos MeSH primário: Anestésicos Locais/administração & dosagem
Dispositivos Intrauterinos Medicados/efeitos adversos
Lidocaína/administração & dosagem
Dor Pélvica/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente
Feminino
Seres Humanos
Injeções
Medição da Dor
Dor Pélvica/etiologia
Philadelphia
Método Simples-Cego
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anesthetics, Local); 98PI200987 (Lidocaine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002242


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[PMID]:28832485
[Au] Autor:Committee on Adolescent Health Care
[Ti] Título:Committee Opinion No. 714: Obesity in Adolescents.
[So] Source:Obstet Gynecol;130(3):e127-e140, 2017 09.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rates of obesity among adolescents in the United States have increased at a dramatic rate along with the prevalence of weight-related diseases. Between the 1980s and 2014, the prevalence of obesity among adolescent females in the United States increased from approximately 10% to 21%. Although the steep increase in the prevalence of obesity in children (2-11 years) has slowed, the prevalence of obesity in adolescents (12-19 years) continues to increase. Because the obese female adolescent faces medical, psychologic, and reproductive health challenges, early intervention is imperative in preventing short-term and long-term morbidity. The obstetrician-gynecologist who is knowledgeable about the behavioral and environmental factors that influence obesity may be better able to educate parents, guardians, and adolescents and advocate for programs that increase physical activity and improve nutrition. The obstetrician-gynecologist should be able to identify obese adolescents, particularly those at risk of comorbid conditions. They may have the opportunity to initiate behavioral counseling, participate in multidisciplinary teams that care for overweight and obese adolescents, and advocate for community programs to prevent obesity.
[Mh] Termos MeSH primário: Aconselhamento
Obesidade Pediátrica/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente
Ginecologia
Seres Humanos
Obstetrícia
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002297


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[PMID]:28832476
[Ti] Título:Committee Opinion No. 714 Summary: Obesity in Adolescents.
[So] Source:Obstet Gynecol;130(3):660-661, 2017 Sep.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rates of obesity among adolescents in the United States have increased at a dramatic rate along with the prevalence of weight-related diseases. Between the 1980s and 2014, the prevalence of obesity among adolescent females in the United States increased from approximately 10% to 21%. Although the steep increase in the prevalence of obesity in children (2-11 years) has slowed, the prevalence of obesity in adolescents (12-19 years) continues to increase. Because the obese female adolescent faces medical, psychologic, and reproductive health challenges, early intervention is imperative in preventing short-term and long-term morbidity. The obstetrician-gynecologist who is knowledgeable about the behavioral and environmental factors that influence obesity may be better able to educate parents, guardians, and adolescents and advocate for programs that increase physical activity and improve nutrition. The obstetrician-gynecologist should be able to identify obese adolescents, particularly those at risk of comorbid conditions. They may have the opportunity to initiate behavioral counseling, participate in multidisciplinary teams that care for overweight and obese adolescents, and advocate for community programs to prevent obesity.
[Mh] Termos MeSH primário: Aconselhamento
Obesidade Pediátrica/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente
Ginecologia
Seres Humanos
Obstetrícia
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002287


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[PMID]:28691618
[Ti] Título:Improvements needed in mental health care for young people.
[So] Source:Nurs Child Young People;29(6):12, 2017 Jul 10.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A study of child and adolescent mental health services (CAMHS) in all 28 countries of the EU, including legal aspects of adolescent care, has found provision needs to be improved.
[Mh] Termos MeSH primário: Serviços de Saúde Mental
Saúde Mental
[Mh] Termos MeSH secundário: Serviços de Saúde do Adolescente
Seres Humanos
Transtornos Mentais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.7748/ncyp.29.6.12.s13


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[PMID]:28671516
[Au] Autor:Weesner T
[Ad] Endereço:Assistant Director of Athletic Training, Iowa State University, Ames, IA.
[Ti] Título:Skin Infections: Which Student-Athletes Are at Greatest Risk?
[So] Source:NASN Sch Nurse;32(4):235-237, 2017 Jul.
[Is] ISSN:1942-6038
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Skin infections are a common ailment that affect all students, with increased risk to those students participating in sport and specifically contact sports. The types of skin infections that students are likely to encounter are categorized into three types: (a) bacterial, (b) viral, and (c) fungal. All three types of infection can appear benign at onset but can grow into serious disease and illness if not correctly identified and treated in a timely manner. A strong prevention program should be in place at all schools with appropriate resources in place (human and financial) to carry out proper cleaning of facilities, on-site examination by the school nurse or athletic trainer, and sufficient education of coaches, athletes, parents and administrators.
[Mh] Termos MeSH primário: Dermatopatias Infecciosas/prevenção & controle
Esportes
Infecções Cutâneas Estafilocócicas/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente
Criança
Serviços de Saúde da Criança
Seres Humanos
Fatores de Risco
Serviços de Enfermagem Escolar
Dermatopatias Infecciosas/enfermagem
Infecções Cutâneas Estafilocócicas/enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE
[do] DOI:10.1177/1942602X17700649


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[PMID]:28668449
[Au] Autor:Gabriel P; McManus M; Rogers K; White P
[Ad] Endereço:The National Alliance to Advance Adolescent Health, Washington, DC; Rutgers New Jersey Medical School, Newark, NJ.
[Ti] Título:Outcome Evidence for Structured Pediatric to Adult Health Care Transition Interventions: A Systematic Review.
[So] Source:J Pediatr;188:263-269.e15, 2017 Sep.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify statistically significant positive outcomes in pediatric-to-adult transition studies using the triple aim framework of population health, consumer experience, and utilization and costs of care. STUDY DESIGN: Studies published between January 1995 and April 2016 were identified using the CINAHL, Ovid MEDLINE, PubMed, Scopus, and Web of Science databases. Included studies evaluated pre-evaluation and postevaluation data, intervention and comparison groups, and randomized clinic trials. The methodological strength of each study was assessed using the Effective Public Health Practice Project Quality Assessment Tool. RESULTS: Out of a total of 3844 articles, 43 met our inclusion criteria. Statistically significant positive outcomes were found in 28 studies, most often related to population health (20 studies), followed by consumer experience (8 studies), and service utilization (9 studies). Among studies with moderate to strong quality assessment ratings, the most common positive outcomes were adherence to care and utilization of ambulatory care in adult settings. CONCLUSIONS: Structured transition interventions often resulted in positive outcomes. Future evaluations should consider aligning with professional transition guidance; incorporating detailed intervention descriptions about transition planning, transfer, and integration into adult care; and measuring the triple aims of population health, experience, and costs of care.
[Mh] Termos MeSH primário: Avaliação de Processos e Resultados (Cuidados de Saúde)
Transição para Assistência do Adulto
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente/organização & administração
Adulto
Pesquisa sobre Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170703
[St] Status:MEDLINE


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[PMID]:28644337
[Au] Autor:Committee on Adolescent Health Care
[Ti] Título:Committee Opinion No. 705: Mental Health Disorders in Adolescents.
[So] Source:Obstet Gynecol;130(1):e32-e41, 2017 07.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mental health disorders in adolescence are a significant problem, relatively common, and amenable to treatment or intervention. Obstetrician-gynecologists who see adolescent patients are highly likely to see adolescents and young women who have one or more mental health disorders. Some of these disorders may interfere with a patient's ability to understand or articulate her health concerns and appropriately adhere to recommended treatment. Some disorders or their treatments will affect the hypothalamic-pituitary-gonadal axis, causing anovulatory cycles and various menstrual disturbances. Adolescents with psychiatric disorders may be taking psychopharmacologic agents that can cause menstrual dysfunction and galactorrhea. Adolescents with mental illness often engage in acting-out behavior or substance use, which increases their risk of unsafe sexual behavior that may result in pregnancy or sexually transmitted infections. Pregnant adolescents who take psychopharmacologic agents present a special challenge in balancing the potential risks of fetal harm with the risks of inadequate treatment. Whether providing preventive women's health care or specific obstetric or gynecologic treatment, the obstetrician-gynecologist has the opportunity to reduce morbidity and mortality from mental health disorders in adolescents by early identification, appropriate and timely referral, and care coordination. Although mental health disorders should be managed by mental health care professionals or appropriately trained primary care providers, the obstetrician-gynecologist can assist by managing the gynecologic adverse effects of psychiatric medications and providing effective contraception and regular screening for sexually transmitted infections. This Committee Opinion will provide basic information about common adolescent mental health disorders, focusing on specific implications for gynecologic and obstetric practice.
[Mh] Termos MeSH primário: Transtornos Mentais/psicologia
Padrões de Prática Médica
[Mh] Termos MeSH secundário: Adolescente
Serviços de Saúde do Adolescente/normas
Criança
Feminino
Ginecologia
Seres Humanos
Transtornos Mentais/diagnóstico
Obstetrícia
Escalas de Graduação Psiquiátrica
Psiquiatria
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002160


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[PMID]:28644330
[Ti] Título:Committee Opinion No 705 Summary: Mental Health Disorders In Adolescents.
[So] Source:Obstet Gynecol;130(1):247-248, 2017 Jul.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mental health disorders in adolescence are a significant problem, relatively common, and amenable to treatment or intervention. Obstetrician-gynecologists who see adolescent patients are highly likely to see adolescents and young women who have one or more mental health disorders. Some of these disorders may interfere with a patient's ability to understand or articulate her health concerns and appropriately adhere to recommended treatment. Some disorders or their treatments will affect the hypothalamic-pituitary-gonadal axis, causing anovulatory cycles and various menstrual disturbances. Adolescents with psychiatric disorders may be taking psychopharmacologic agents that can cause menstrual dysfunction and galactorrhea. Adolescents with mental illness often engage in acting-out behavior or substance use, which increases their risk of unsafe sexual behavior that may result in pregnancy or sexually transmitted infections. Pregnant adolescents who take psychopharmacologic agents present a special challenge in balancing the potential risks of fetal harm with the risks of inadequate treatment. Whether providing preventive women's health care or specific obstetric or gynecologic treatment, the obstetrician-gynecologist has the opportunity to reduce morbidity and mortality from mental health disorders in adolescents by early identification, appropriate and timely referral, and care coordination. Although mental health disorders should be managed by mental health care professionals or appropriately trained primary care providers, the obstetrician-gynecologist can assist by managing the gynecologic adverse effects of psychiatric medications and providing effective contraception and regular screening for sexually transmitted infections. This Committee Opinion will provide basic information about common adolescent mental health disorders, focusing on specific implications for gynecologic and obstetric practice.
[Mh] Termos MeSH primário: Serviços de Saúde do Adolescente/normas
Transtornos Mentais/psicologia
Padrões de Prática Médica/normas
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Ginecologia
Seres Humanos
Transtornos Mentais/diagnóstico
Obstetrícia
Escalas de Graduação Psiquiátrica
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002153


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[PMID]:28604214
[Au] Autor:Sfar-Gandoura H; Ryan GS; Melvin G
[Ad] Endereço:Leicestershire Partnership NHS Trust, Leicester, England.
[Ti] Título:Evaluation of a drop-in clinic for young people with attention deficit hyperactivity disorder.
[So] Source:Nurs Child Young People;29(5):24-32, 2017 Jun 12.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Aims To implement and evaluate a nurse-led, multi-agency drop-in clinic for young people with attention deficit hyperactivity disorder (ADHD). Method A repeated measures observational study over 12 months exploring clinic attendance and user satisfaction, crisis management and did not attend (DNA) rates, consultant time spent with patients, benefits to quality of care, and service flexibility. Results A total of 62 service users participated. A significant improvement in service user experience was observed (P=0.001). Crisis management attendances significantly increased (P=0.005). DNA rates did not reduce significantly (P=0.057). Service users attended for their medication review before or on their due date (P=0.011). Those who needed to were able to spend more time with the staff (P=0.001). Conclusion The clinic improved service accessibility and flexibility. It allowed adherence to clinical guidance, including uptake of psychosocial interventions. There was an overwhelmingly positive improvement in service user experience. Importantly, as contact with the ADHD nurse specialists increased, this significantly reduced the amount of time consultant community paediatricians spent with service users. Further research should examine the cost-effectiveness and longitudinal effect of the drop-in model.
[Mh] Termos MeSH primário: Serviços de Saúde do Adolescente/organização & administração
Transtorno do Deficit de Atenção com Hiperatividade/enfermagem
Serviços de Saúde da Criança/organização & administração
Serviços de Saúde Mental/organização & administração
Padrões de Prática em Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Adolescente
Criança
Estudos Cross-Over
Feminino
Seres Humanos
Masculino
Satisfação do Paciente
Medicina Estatal
Inquéritos e Questionários
Fatores de Tempo
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.7748/ncyp.2017.e808



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