Journal of pediatric and adolescent gynecology最新文献

{"title":"Why do I Attend the NASPAG Annual Clinical and Research Meeting (ACRM)?","authors":"Paula J. Adams Hillard MD (Pronouns: She, her, hers, JPAG Editor-in-Chief)","doi":"10.1016/j.jpag.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.04.002","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 3","pages":"Pages 309-310"},"PeriodicalIF":1.8,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Narrative Review of Depression and Suicide in Adolescent Females to Guide Assessment and Treatment Recommendations","authors":"","doi":"10.1016/j.jpag.2024.04.003","DOIUrl":"10.1016/j.jpag.2024.04.003","url":null,"abstract":"<div><h3>Study Objective</h3><p>Suicide is a leading cause of death for adolescents. Medical professionals are increasingly being asked to screen for depressive symptoms and suicidal ideation with little training. The purpose of this paper is to review factors related to suicidal thoughts and actions, assessment of symptoms, and initial suggestions for treatment for medical providers.</p></div><div><h3>Methods</h3><p>A literature review of risk and resilience factors, assessment measures, and treatment options for depression and suicidal ideation and behavior in adolescent females was conducted.</p></div><div><h3>Results</h3><p>Given the higher risk of suicidal thoughts and depressive symptoms in adolescent females, accurate and thorough assessment of symptoms is recommended.</p></div><div><h3>Conclusion</h3><p>Medical providers should be aware of symptoms related to depression and suicidal ideation in order to provide more effective assessments. Recommendations for brief assessment measures that can be used in the clinic and possible first line treatments are provided.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 460-464"},"PeriodicalIF":1.7,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1083318824002225/pdfft?md5=dc8809a1d87e9e6c759c95d9028d08e1&pid=1-s2.0-S1083318824002225-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicine for Adolescent and Young Adult Long-Acting Reversible Contraception Post-insertion Visits: Outcomes over 1 Year","authors":"","doi":"10.1016/j.jpag.2024.04.004","DOIUrl":"10.1016/j.jpag.2024.04.004","url":null,"abstract":"<div><h3>Study Objective</h3><p>Telemedicine for long-acting reversible contraception (LARC) care is understudied given the rapid implementation of these services in response to the COVID-19 pandemic. We compared outcomes over 1 year of adolescents and young adults (AYAs) attending a LARC post-insertion visit via telemedicine vs in person.</p></div><div><h3>Design</h3><p>Longitudinal cohort study.</p></div><div><h3>Setting</h3><p>Four academic adolescent medicine clinics in the United States.</p></div><div><h3>Participants</h3><p>AYAs (ages 13-26 years) who received LARC between 4/1/20 and 3/1/21 and attended a post-insertion visit within 12 weeks.</p></div><div><h3>Interventions</h3><p>none.</p></div><div><h3>Main outcome measures</h3><p>Outcomes over 1 year were compared between AYAs who completed this visit via telemedicine vs in person. We analyzed the data using descriptive statistics, bivariate analyses, and regression models.</p></div><div><h3>Results</h3><p>Of 194 AYAs (ages 13.9-25.7 years) attending a post-insertion visit, 40.2% utilized telemedicine. Menstrual management (odds ratio (OR) = 1.02; confidence interval (CI): 0.40-2.60), acne management (<em>P</em> = .28), number of visits attended (relative risk (RR) = 1.08; CI: 0.99-1.19), and LARC removal (<em>P</em> = .95) were similar between groups. AYAs attending via telemedicine were less likely than those attending in person to have STI testing (<em>P</em> = .001). Intrauterine device expulsion or malposition and arm symptoms with implant in situ were rare outcomes in both groups.</p></div><div><h3>Conclusion</h3><p>Roughly 40% of AYAs attended a post-insertion visit via telemedicine during the first year of the COVID-19 pandemic and had similar 1-year outcomes as those attending in person. The decreased likelihood of STI testing for those using telemedicine highlights the need to provide alternative options, when indicated, such as asynchronous or home testing. Our results support the use of telemedicine for AYA LARC post-insertion care and identify potential gaps in telemedicine care which can help improve clinic protocols.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 4","pages":"Pages 438-443"},"PeriodicalIF":1.7,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1083318824002237/pdfft?md5=7b4debba4dc5fbf7ba2da256bdcf47ac&pid=1-s2.0-S1083318824002237-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IUD Insertion Under Conscious Sedation: Patient Characteristics with Clinical Decisions","authors":"","doi":"10.1016/j.jpag.2024.04.001","DOIUrl":"10.1016/j.jpag.2024.04.001","url":null,"abstract":"<div><h3>Study Objective</h3><p>Uptake of intrauterine devices (IUDs) in the adolescent population may be limited by anxiety and pain anticipated during the insertion procedure. Our institution offers conscious sedation for IUD insertion to mitigate this concern. The objective of this study was to identify characteristics and outcomes of teens choosing between two types of conscious sedation for insertion of a levonorgestrel IUD.</p></div><div><h3>Methods</h3><p>This was a single-site, retrospective cohort study over a one year period, reviewing the electronic medical records of patients who had undergone an attempted IUD insertion using conscious sedation. Conscious sedation included nitrous gas (termed “light” sedation) or intravenous midazolam and fentanyl (termed “moderate” sedation). Patient demographic characteristics and medical and gynecological histories were analyzed.</p></div><div><h3>Results</h3><p>There were 69 attempted IUD insertions during the study period. Most patients (75.36%) were placed under light sedation, and 92.75% were successfully inserted. The only significant factor associated with choice in the type of conscious sedation was previous sexual activity, which increased the odds by 10.0 that the patient would choose light sedation (95% CI, 1.23-81.34; <em>P</em> = 0.031). Differences between other factors (age, history of sexual assault, tampon use, and gender identity) were not statistically significant between successful and failed insertions.</p></div><div><h3>Conclusion</h3><p>In conclusion, history of sexual activity significantly differed between patients in our cohort who selected light sedation over moderate sedation. No other factors influenced the choice in sedative or success of IUD insertion. Knowing the characteristics of patients who choose nitrous versus intravenous sedation, and how it relates to successful insertion, may help guide pre-procedural counseling for patients regarding sedation for IUD insertion.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 4","pages":"Pages 433-437"},"PeriodicalIF":1.7,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incorporating Cardiovascular Risk Assessment into Adolescent Reproductive Health and Primary Care Visits","authors":"","doi":"10.1016/j.jpag.2024.03.006","DOIUrl":"10.1016/j.jpag.2024.03.006","url":null,"abstract":"<div><h3>Study Objective</h3><p>This study aimed to evaluate the usability and feasibility of incorporating a cardiovascular risk assessment tool into adolescent reproductive health and primary care visits.</p></div><div><h3>Design, Setting, and Participants</h3><p>We recruited 60 young women ages 13-21 years to complete the HerHeart web-tool in 2 adolescent clinics in Atlanta, GA.<em>Main Outcome Measures:</em> Participants rated the tool's usability via the Website Analysis and Measurement Inventory (WAMMI, range 0-95) and their perceived 10-year and lifetime risk of cardiovascular disease (CVD) on a visual analog scale (range 0-10). Participants’ perceived risk, blood pressure, and body mass index were measured at baseline and 3 months after enrollment. Health care providers (HCP, <em>n</em> = 5) completed the WAMMI to determine the usability and feasibility of incorporating the HerHeart tool into clinical practice.</p></div><div><h3>Results</h3><p>Adolescent participants and HCPs rated the tool's usability highly on the WAMMI with a median of 79 (interquartile range [IQR] 65, 84) and 76 (IQR 71, 84). At the baseline visit, participants’ median perceived 10-year risk of a heart attack was 1 (IQR 0, 3), and perceived lifetime risk was 2 (IQR 0, 4). Immediately after engaging with the tool, participants’ median perceived 10-year risk was 2 (IQR 1, 4.3), and perceived lifetime risk was 3 (IQR 1.8, 6). Thirty-one participants chose to set a behavior change goal, and 12 participants returned for follow-up. Clinical metrics were similar at the baseline and follow-up visits.</p></div><div><h3>Conclusion</h3><p>HerHeart is acceptable to young women and demonstrates potential for changing risk perception and improving health habits to reduce risk of CVD. Future research should focus on improving retention in studies to promote cardiovascular health within reproductive health clinics.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 4","pages":"Pages 426-432"},"PeriodicalIF":1.7,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"97. Pain Interference in Adolescents and Adults with Chronic Pelvic Pain Due to Endometriosis","authors":"Emma Draisin, Catherine Stamoulis, Jenny Gallagher, Sinah Esther Kim, Marc Laufer, Amy DiVasta","doi":"10.1016/j.jpag.2024.01.104","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.01.104","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"6 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140827765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"1. Adverse Obstetrical Outcomes are Increased in Adolescent Pregnancy","authors":"Anna Scipioni, Holly VanDeman, Jean Paul Tanner, Jason Salemi, Jose Duncan","doi":"10.1016/j.jpag.2024.01.143","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.01.143","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"99 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140827945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"133. Vulvar Psoriasis in a Young Renal Transplant Recipient","authors":"Joanne Chan, Olga Kciuk, Nichole Tyson","doi":"10.1016/j.jpag.2024.01.140","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.01.140","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"241 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"101. Pelvic ultrasound in girls with central precocious puberty","authors":"Liliane Herter, Francine Silva, Francine Bertoncello, Mariane Beust, Noadja França, Cristiane Kopacek","doi":"10.1016/j.jpag.2024.01.108","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.01.108","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"28 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140827933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"10. Period Poverty Among Adolescent Girls In Miami, Florida","authors":"Emma Marquez ,&nbsp;Judith Simms-Cendan ,&nbsp;Lisa Gwynn ,&nbsp;Renee Morgan ,&nbsp;Margia Ambroise ,&nbsp;Donna Maturo","doi":"10.1016/j.jpag.2024.01.155","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.01.155","url":null,"abstract":"<div><h3>Background</h3><p>Inadequate access to menstrual hygiene supplies, termed “period poverty,” has been documented in low-resource settings globally. However, there is little data on period poverty among American adolescents, with no data available on immigrants or non-English speaking adolescents. The objective of this study is to quantify period poverty among a diverse population of adolescent girls in Miami, Florida. This study determines where adolescents obtain menstrual products, how they cope with inadequate supplies and the effect of period poverty on education.</p></div><div><h3>Methods</h3><p>Adolescent girls attending public schools served by University of Miami school-based clinics were surveyed upon presentation to the clinic. Students were given menstrual pads with an attached QR code that linked to an anonymous, online survey. Convenience sampling was used. Funding was provided by the NASPAG Young Investigators grant.</p></div><div><h3>Results</h3><p>73 students completed the survey. 63 surveys were in English, 7 in Spanish and 3 in Haitian-Creole. This is the first study that includes adolescents speaking Spanish and Haitian-Creole. The average age was 15. 60% were born in the United States, 29% in Haiti, 11% in Latin America. 58% of adolescents did not have enough menstrual products available at home in the past year. Every month or almost every month, girls asked family and friends (37%) and/or went to the school clinic (37%). 53% of girls soaked through their clothes with their periods. 41% missed school because of their periods and 14% of girls missed school because of period poverty. Among girls who stated that it was “easy” to manage their periods, 29% missed school because of their periods; among girls who said it was “difficult” to manage their periods, 65% of girls missed school because of their periods. 39% reported getting into trouble at school because of their periods.</p></div><div><h3>Conclusions</h3><p>Our study represents the most ethnically diverse study population on American adolescents and period poverty available in the literature. The majority of adolescents in our study did not have adequate access to menstrual supplies and school participation was negatively impacted as a result. This study highlights the importance of providing period products in schools and the need that school-based clinics fill by providing menstrual products to vulnerable adolescents. Increasing access to period supplies should be a priority for adolescent health care providers. Health care providers should ask adolescents if they have access to sufficient menstrual products, legislation to provide funding for free menstrual products in schools should be passed, and “banks” of menstrual supplies should be made available in low-resource areas.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 2","pages":"Pages 226-227"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140338796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}