{"title":"The editor's workshop: The American health security act of 1993—From the pediatric and adolescent gynecology perspective","authors":"J. Sanfilippo","doi":"10.1016/S0932-8610(12)80169-1","DOIUrl":"https://doi.org/10.1016/S0932-8610(12)80169-1","url":null,"abstract":"","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(12)80169-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56818113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subject index to volume 7","authors":"","doi":"10.1016/S0932-8610(19)80186-X","DOIUrl":"https://doi.org/10.1016/S0932-8610(19)80186-X","url":null,"abstract":"","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Page 233"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80186-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136585081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"M. Sugar M.D. (Clinical Professor of Psychiatry)","doi":"10.1016/S0932-8610(19)80182-2","DOIUrl":"10.1016/S0932-8610(19)80182-2","url":null,"abstract":"","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Page 226"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80182-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"105570151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternity homes for adolescents: A national portrait","authors":"E.E. Yordan M.D. , R.A. Yordan M.D.","doi":"10.1016/S0932-8610(19)80177-9","DOIUrl":"10.1016/S0932-8610(19)80177-9","url":null,"abstract":"<div><p><em>Study Objective:</em> The extent to which maternity homes across our nation provide services for homeless, pregnant girls is unknown. We initiated the first investigation to identify and describe all of the group residential facilities in the United States for pregnant adolescents under the age of 18 years.</p><p><em>Design:</em> We created a national list of maternity homes on a state-by-state basis through information gathered from local human services departments, local WIC offices, and from maternity homes that were aware of others in their region. We contacted an official at each maternity home by telephone to confirm the nature of the facility and to seek their participation in the project by answering a 28-item questionnaire to be sent by mail. Unreturned questionnaires were followed by a reminder letter and a duplicate questionnaire. The collected data were then organized and tabulated.</p><p><em>Results:</em> From all 50 states, we found and contacted by telephone 215 maternity homes admitting girls under the age of 18 years (the number of homes ranged from 19 in California, to 0 in Wyoming) and a total of 174 (81%) completed and returned our postal questionnaire. Of responding homes, 10% had been in operation 100 years or more, 29% admitted girls dependent on illicit drugs or alcohol, 59% functioned as part of a larger organization, 20% were unlicensed, 89% received private donations, 23% received federal funds, and 42% offered private rooms. The most frequent maternal bed capacity was eight. Typically they had from two to four full-time employees. Benefits provided included childbirth classes (84%), social services (90%), dietary counseling (49%), accredited, on-site schooling (35%), and vocational training (54%). Prenatal care was mostly provided through private physicians (63%) and hospital-based prenatal clinics (59%), with 99% of deliveries in hospitals. The most frequent age of residents was 16 years, staying an average of 4.7 months antepartum and 2.4 months postpartum. The most frequent maximum allowed length of stay was up to 9 months. The mean number of babies bora per responding home in 1991 was 29.4.</p><p><em>Conclusion:</em> In the United States, maternity homes for adolescents are an important source of services for approximately 6,000 pregnant teens each year.</p></div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Pages 214-219"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80177-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56830002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Female adolescents and health status perceptions: Clinical relevance to the primary care gynecologist","authors":"V.I. Rickert Psy.D., K.J. Kozlowski M.D., J.M. Watkins M.D., S.K. Pope M.P.H.","doi":"10.1016/S0932-8610(19)80174-3","DOIUrl":"10.1016/S0932-8610(19)80174-3","url":null,"abstract":"<div><p><em>Study Objective:</em> The purpose was to examine the relationship between the perceptions of health status and related biobehavioral variables of female youth attending an outpatient adolescent gynecology clinic.</p><p><em>Background:</em> Inquiry into a female patient's perception of personal health is important, especially when providing health services because females experience more days of restricted activity than males.</p><p><em>Design:</em> A cross-sectional survey was employed using standardized measures of mental health and health status. The health status measure assesses the perception of the female's physical functioning or functional status, well-being, and general health. Self-report questionnaires were also completed on sexual behaviors and menstrual pain. Data were obtained from 160 females aged 12–21 years with a mean age of 16.8 years.</p><p><em>Results:</em> Multiple regression analyses conducted on each of the three health status indices revealed that the endorsement of many symptoms of depression explained 26% of the variance in perceptions of functional status scores; symptoms of anxiety and depression as well as third party coverage accounted for 47% of the variance in perceptions of well-being scores; and symptoms of depression were responsible for explaining almost 30% of their general health perception.</p><p><em>Conclusions:</em> The strength of the relationship between health status and related biobehavioral variables indicates that primary care OB/GYN would benefit from conducting some type of health status examination. Assessment of mental health status, especially characteristics or symptoms of depression, would inform health care practitioners, as these features may have a negative impact on the patient's health perceptions.</p></div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Pages 199-204"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80174-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56829256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fine-needle aspiration and nipple discharge cytology in the diagnosis of breast lesions in adolescent and young women: Cytologic findings as compared with those obtained in older women","authors":"M. Marković-Glamočak, M. Sučić, D. Boban","doi":"10.1016/S0932-8610(19)80175-5","DOIUrl":"10.1016/S0932-8610(19)80175-5","url":null,"abstract":"<div><p><em>Study Objective:</em> To analyze fine needle biopsy of the breast and nipple discharge cytology in young women (aged ≤30), and compare it to the findings obtained in a group of older women (aged ≥31).</p><p><em>Design:</em> From January 1989 through December 1990, 258 adolescent and young women (aged ≤30) were examined for breast disease by fine needle aspiration (FNA) and nipple discharge cytology. Results were compared with those obtained from a group of 3,063 older women (aged ≥31).</p><p><em>Results:</em> Of the 137 nipple discharge smears from young women, foam cells were found in 97% of the samples. Suspect or malignant cells were only found in nipple discharge from older women. FN As of the breast from young women were compared with the findings from the older group. Fibroadenoma was found to be more frequent (<em>p</em> < 0.01), atypical epithelial proliferation was not observed, and carcinoma was rare (1.5%) in the group of young women. Fibrocystic changes with epithelial proliferation without atypia were found in the same proportion in both age groups.</p><p><em>Conclusion:</em> Criteria for biopsy of all epithelial proliferation should be very carefully considered in young women.</p></div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Pages 205-209"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80175-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56829710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Author index to volume 7","authors":"","doi":"10.1016/S0932-8610(19)80185-8","DOIUrl":"https://doi.org/10.1016/S0932-8610(19)80185-8","url":null,"abstract":"","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Pages 231-232"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80185-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136585080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}