Pediatric and adolescent gynecology for the primary care pediatrician.

Abstract:

:This review represents the author's personal style of practice in a new and evolving field, where the standard academic framework is still in its infancy. When there is no prior established practice to follow, good clinical care needs to come from listening very carefully to patients and empirically judging appropriate treatment by actual outcomes. The information provided here that is not cited represents 14 years of careful clinical listening and observation, as well as public health training in maternal and child care and epidemiology. Health care is more effective, thereby improving its quality, if the following principles are applied consistently to the pediatric or adolescent gynecologic patient. 1. The developmental stage of the patient dictates clinical practice. 2. Confidentiality is paramount in caring for adolescents and may necessitate referral. 3. Autonomy in medical choices leads to responsible self-care.

journal_name

Pediatr Clin North Am

authors

Craighill MC

doi

10.1016/s0031-3955(05)70107-3

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

1659-88

issue

6

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(05)70107-3

journal_volume

45

pub_type

杂志文章,评审
  • Retinoblastoma.

    abstract::Retinoblastoma is the most common neoplasm of the eye in childhood, and represents 3% of all childhood malignancies. Retinoblastoma is a cancer of the very young; two-thirds are diagnosed before 2 years of age and 95% before 5 years. Retinoblastoma presents in 2 distinct clinical forms: (1) a bilateral or multifocal, ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2014.09.014

    authors: Rodriguez-Galindo C,Orbach DB,VanderVeen D

    更新日期:2015-02-01 00:00:00

  • Human milk composition: nutrients and bioactive factors.

    abstract::This article provides an overview of the composition of human milk, its variation, and its clinical relevance. The composition of human milk is the biological norm for infant nutrition. Human milk also contains many hundreds to thousands of distinct bioactive molecules that protect against infection and inflammation a...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2012.10.002

    authors: Ballard O,Morrow AL

    更新日期:2013-02-01 00:00:00

  • The Child with Multiple Fractures, What Next?

    abstract::Fractures are common during childhood; however, they can also be the presenting symptom of primary or secondary causes of bone fragility. The challenge is to identify those children who warrant further investigation. In children who present with multiple fractures that are not commonly associated with mild to moderate...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2015.04.006

    authors: Harrington J,Sochett E

    更新日期:2015-08-01 00:00:00

  • Diabetic ketoacidosis.

    abstract::In the past decade, considerable advances have occurred in our understanding of the pathophysiology of this disorder, its metabolic sequelae, and its management, particularly with respect to continuous low-dose insulin infusion and the potential benefits of phosphate. This article reviews these advances as they pertai...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)34608-9

    authors: Sperling MA

    更新日期:1984-06-01 00:00:00

  • Neural tube defects: maternal serum screening and prenatal diagnosis.

    abstract::Neural tube defects represent some of the most common and serious of the congenital malformations. Although elevation of alpha-fetoprotein in amniotic fluid is not diagnostic, it does indicate an abnormality of the fetus in a very high proportion of cases. A normal level, however, does not exclude the possibility of a...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)33607-0

    authors: Crandall BF,Lebherz TB,Freihube R

    更新日期:1978-08-01 00:00:00

  • The economic impact of breastfeeding.

    abstract::Although breastfeeding is well accepted as the optimal method of infant feeding, the US failed to reach the goals set for the year 2000. Support from employers, health insurers, health providers, and society are required to reach the goals set forth in Healthy People 2010-75% of mothers initiate breastfeeding, 50% of ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(05)70298-4

    authors: Ball TM,Bennett DM

    更新日期:2001-02-01 00:00:00

  • Partnerships between pediatric palliative care and psychiatry.

    abstract::Children with life-threatening illnesses and their families may face physical, emotional, psychosocial, and spiritual challenges throughout the children's course of illness. Pediatric palliative care is designed to meet such challenges. Given the psychosocial and emotional needs of children and their families it is cl...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2011.06.003

    authors: Knapp C,Madden V,Button D,Brown R,Hastie B

    更新日期:2011-08-01 00:00:00

  • Trends in childhood cancer incidence: review of environmental linkages.

    abstract::Cancer in children is rare and accounts for about 1% of all malignancies. In the developed world, however, it is the commonest cause of disease-related deaths in childhood, carrying with it a great economic and emotional cost. Cancers are assumed to be multivariate, multifactorial diseases that occur when a complex an...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2006.11.010

    authors: Buka I,Koranteng S,Osornio Vargas AR

    更新日期:2007-02-01 00:00:00

  • Concepts of fluid therapy in diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic coma.

    abstract::Despite many advances in the overall treatment of type I diabetes mellitus during the last few years, no major advance has been made in decreasing the mortality rate of diabetic ketoacidosis or hyperosmolar hyperglycemic nonketotic coma. A major concern in both of these disease states is the development of cerebral ed...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36870-5

    authors: Ellis EN

    更新日期:1990-04-01 00:00:00

  • The Pediatric Knee and Proximal Tibia.

    abstract::Pediatric knee disorders are various and range from trauma and sports injuries to chronic overuse injuries. Because pediatric patients are different from adults, management of pediatric injuries and general knee disorders is also often different. Primary treatment regimen goals focus on a return to the previous level ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2019.09.012

    authors: Woernle M,Fechisin JP

    更新日期:2020-02-01 00:00:00

  • Balloon dilation catheters.

    abstract::Catheter therapy has gained an important role in the treatment of congenital heart disease. The cumulative experience with vascular and valvular balloon dilations has demonstrated low mortality and morbidity with short-term results similar to surgery. Currently, balloon dilation is an accepted treatment for valvular p...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36840-7

    authors: Radtke W,Lock J

    更新日期:1990-02-01 00:00:00

  • Modern assessment of tonsils and adenoids.

    abstract::Modern assessment of the tonsils and adenoids is based on an appreciation of new concepts pertaining to the pathogenesis of tonsil and adenoid disease. Recognition of the emergence of beta-lactamase-producing and encapsulated anaerobic bacteria in the tonsils and adenoids should lead to a reconsideration of present th...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36806-7

    authors: Brodsky L

    更新日期:1989-12-01 00:00:00

  • Neonatal and Perinatal Infections.

    abstract::Lack of success in achieving considerable reductions in neonatal mortality is a contributory factor in failing to achieve Millennium Development Goal 4.2.6 million neonates still die each year, with preterm birth and infections the two leading causes. Maternal infections and environmental and infant factors influence ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2017.03.008

    authors: Khan AM,Morris SK,Bhutta ZA

    更新日期:2017-08-01 00:00:00

  • Herpesviridae infections in newborns: varicella zoster virus, herpes simplex virus, and cytomegalovirus.

    abstract::Varicella zoster virus (VZV), herpes simplex virus (HSV) and cytomegalovirus (CMV) are all members of the Herpesviridae family.Humans are the only source of infection for these double stranded DNA viruses. Infants may acquire these infections in utero, peripartum, or postnatally, resulting in a variety of clinical syn...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2004.03.005

    authors: Enright AM,Prober CG

    更新日期:2004-08-01 00:00:00

  • The National Spina Bifida Program transition initiative: the people, the plan, and the process.

    abstract::This article outlines and summarizes the rationale and the working process that was undertaken by the National Spina Bifida Program to address the issues of transitioning throughout the life course for persons growing up with spina bifida. Their challenges include achieving independent living, vocational independence,...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2010.07.010

    authors: Thibadeau JK,Alriksson-Schmidt AI,Zabel TA

    更新日期:2010-08-01 00:00:00

  • Quality improvement, clinical research, and quality improvement research--opportunities for integration.

    abstract::The opportunity to mobilize linkages between quality improvement (QI) and research is at an early stage. This article describes some of the opportunities for and challenges of integrating QI and more traditional forms of clinical research to achieve broad improvements in medical care. The authors suggest that such int...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2009.05.008

    authors: Margolis P,Provost LP,Schoettker PJ,Britto MT

    更新日期:2009-08-01 00:00:00

  • Sudden death in sports.

    abstract::I have stressed the known medical and environmental factors associated with unexpected, sudden death in sports in children, and I have recommended restrictions or environmental alterations to prevent sudden death associated with an individual sport. Medical problems such as cardiomyopathies, posterior mitral valve lea...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)34285-7

    authors: Luckstead EF

    更新日期:1982-12-01 00:00:00

  • Recognizing the impact of marital discord and parental depression on children. A family-centered approach.

    abstract::The American family is changing. Pediatricians are increasingly aware of treating children within a family systems context. Patients present with a variety of biopsychosocial problems, and pediatrics must continue to adjust to fit the changing needs of children and their families. Pediatricians must view themselves as...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38916-7

    authors: Richman JM,Chapman MV,Bowen GL

    更新日期:1995-02-01 00:00:00

  • Understanding and helping families with neurodevelopmental and neuropsychiatric special needs.

    abstract::Children with persistent neurodevelopmental and neuropsychiatric problems have extensive treatment, care, and community service needs. The child's disabilities can create new responsibilities, emotions, roles, and goals for the family. This article provides a framework for identifying and categorizing children with sp...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38914-3

    authors: Taylor EH

    更新日期:1995-02-01 00:00:00

  • Atypical Hemolytic Uremic Syndrome.

    abstract::Atypical hemolytic uremic syndrome is a rare life-threatening disease of unregulated complement activation. Untreated, the prognosis is generally poor; more than one-half of patients die or develop end-stage renal disease within 1 year. Atypical hemolytic uremic syndrome is characterized by thrombotic microangiopathy ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2018.02.003

    authors: Dixon BP,Gruppo RA

    更新日期:2018-06-01 00:00:00

  • Disorders of the hair and scalp in children.

    abstract::A wide variety of disorders involving the scalp and hair exist that may be encountered in the pediatric and adolescent population. An approach to the differential diagnosis of many of these conditions can be considered once the patient is found to have either alopecia, scaling, or tumors of the scalp. Certainly other ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38159-7

    authors: Levy ML

    更新日期:1991-08-01 00:00:00

  • Violence against children and adolescents. International perspectives.

    abstract::Selected topics of violence against children and adolescents that occur in countries outside of the United States are discussed. Focus is given to middle-income and low-income countries and emphasis is placed on the epidemiology of this pressing public health problem, particularly on conditions that are peculiar to ch...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70016-x

    authors: Forjuoh SN,Zwi AB

    更新日期:1998-04-01 00:00:00

  • Renovascular hypertension in children.

    abstract::Renal arteriography remains the only study to identify and define correctly both location and extent of renal artery stenosis. Because other studies do not adequately identify all children who have renal artery disease, it is reasonable to perform renal arteriography in those children with severe hypertension who do n...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38485-1

    authors: Hiner LB,Falkner B

    更新日期:1993-02-01 00:00:00

  • Addressing Childhood Obesity: Opportunities for Prevention.

    abstract::The overweight and obesity epidemic among children and adolescents in the United States continues to worsen, with notable racial, ethnic, and socioeconomic disparities. Risk factors for pediatric obesity include genetics; environmental and neighborhood factors; increased intake of sugar-sweetened beverages (SSBs), fas...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2015.05.013

    authors: Brown CL,Halvorson EE,Cohen GM,Lazorick S,Skelton JA

    更新日期:2015-10-01 00:00:00

  • Pediatric maxillofacial trauma.

    abstract::The accurate diagnosis and timely, appropriate treatment of soft-tissue and bony maxillofacial injuries in children are of critical importance due to the potential adverse impact of maxillofacial trauma on subsequent facial growth and development. Guidelines are provided to assist the pediatrician in the evaluation an...

    journal_title:Pediatric clinics of North America

    pub_type: 指南,杂志文章,评审

    doi:10.1016/s0031-3955(16)38410-3

    authors: Hunter JG

    更新日期:1992-10-01 00:00:00

  • Developmental and psychological factors in children's pain.

    abstract::It is clear that previously we were ill-informed and misinformed about children's pain. Recent investigations have led not only to a burgeoning of understanding of pediatric pain, but also an increase in our ability to appropriately measure and treat children's pain. Both pharmaceutical and nonpharmaceutical treatment...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36723-2

    authors: McGrath PJ,Craig KD

    更新日期:1989-08-01 00:00:00

  • Newborn Screening: History, Current Status, and Future Directions.

    abstract::Newborn screening programs aim to achieve presymptomatic diagnosis of treatable disorders allowing for early initiation of medical care to prevent or reduce significant morbidity and mortality. Many of the conditions included in the newborn screening panels are inborn errors of metabolism; however, screening for endoc...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2017.11.013

    authors: El-Hattab AW,Almannai M,Sutton VR

    更新日期:2018-04-01 00:00:00

  • Temperament issues in the school-aged child.

    abstract::Children's temperament continues to make a significant contribution to their physical health, development, and behavior as they progress into later childhood and adolescence. The definition of temperament as behavioral style remains the same, although the relative importance of the several dimensions shifts, factors a...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38345-6

    authors: Carey WB

    更新日期:1992-06-01 00:00:00

  • Substance abuse and child maltreatment.

    abstract::Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. M...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2009.01.006

    authors: Wells K

    更新日期:2009-04-01 00:00:00

  • Tolerance: is it achievable in pediatric solid organ transplantation?

    abstract::Significant advances have been made in the understanding of allograft rejection. There is growing awareness that allograft acceptance, or tolerance, is also an active process rather than a passive absence of rejection. Mechanistic awareness of this process has spawned many preclinical strategies for the prevention of ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(03)00120-2

    authors: Pearl JP,Preston E,Kirk AD

    更新日期:2003-12-01 00:00:00