Abstract：
PURPOSE:To assess resident physicians' clinical recognition skills in Pediatric and Adolescent Gynecology. MATERIALS:1) A questionnaire to identify demographic data and self-assessment as to the ability to perform a gynecologic evaluation of children. 2) Twenty color photographs of normal genitalia and common gynecologic problems in children. PARTICIPANTS:Sixty-one University of Tennessee resident physicians; 51 from the Memphis campus--20 obstetrics-gynecology (Ob-Gyn) residents, 20 pediatrics residents, and 11 family practice residents--and 10 Ob-Gyn residents from the Chattanooga campus. MAIN OUTCOME MEASURES:Ability to identify normal features of the prepubertal genitalia and to diagnose common gynecologic disorders. RESULTS:Ob-Gyn residents from the University of Tennessee, Memphis scored significantly better (58.1% correct) than did the other three groups; 38.8, 36.9, and 39.1%, respectively (p = .009). Mean performance score increased with higher pediatric gynecology PGY levels. PGY-4s performed best, whereas PGY-1s scored the lowest, with mean scores of 57.5% and 35.3%, respectively (p = .021). Residents who reported having a well-defined program in pediatric gynecology scored significantly better than those who did not have such a program, 55.3% and 39.5%, respectively (p < .001). CONCLUSIONS:A well-defined program in pediatric gynecology enhances resident education and provides them with better tools to perform gynecologic evaluations of children and adolescents.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Muram D,Jones CE,Hostetler BR,Crisler CLdoi
10.1016/s1083-3188(96)70004-9subject
Has Abstractpub_date
1996-02-01 00:00:00pages
12-5issue
1eissn
1083-3188issn
1873-4332pii
S1083-3188(96)70004-9journal_volume
9pub_type
杂志文章abstract：BACKGROUND:Juvenile cystic adenomyomas (JCAs) are rare uterine lesions. Differential diagnosis might be difficult. We present the case of an adolescent who was diagnosed with JCA and was managed with laparoscopic excision. CASE:A 14-year-old patient with complaint of menarche with excruciating dysmenorrhea, was diagno...
journal_title：Journal of pediatric and adolescent gynecology
pub_type：
doi：10.1016/j.jpag.2020.08.010
更新日期：2020-12-01 00:00:00
abstract：STUDY OBJECTIVE:Accurate interpretation of anogenital examination findings in the context of suspected child and adolescent sexual abuse/assault is essential, because misinterpretation has significant child protection and criminal justice implications. A consensus approach to the interpretation of anogenital examinatio...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.10.006
更新日期：2018-04-01 00:00:00
abstract：STUDY OBJECTIVE:Mycoplasma genitalium (MG) is a sexually transmitted pathogen linked to female morbidity, but testing for MG is not standardized. We aimed to determine which point-of-care (POC) vaginal tests could predict MG infection. DESIGN, SETTING, PARTICIPANTS:A cross sectional study recruited sexually active ado...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.09.005
更新日期：2013-02-01 00:00:00
abstract：STUDY OBJECTIVE:The diagnostic and treatment tools used in breast centers are largely geared to adults, and there is little consideration of the unique characteristics of breast diseases in younger age groups. Herein we report on the preliminary experience of a specialized breast clinic for children and adolescents. D...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2019.08.010
更新日期：2020-02-01 00:00:00
abstract：:Background: To date, few studies have used a longitudinal approach in examining risk factors for STD acquisition in teenage girls. In the present study, we examined risk of STD acquisition in adolescent girls over a three-year period using longitudinal analyses.Methods: One hundred and seventy-four girls between the a...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(00)00013-9
更新日期：2000-05-01 00:00:00
abstract：STUDY OBJECTIVE:Evidence suggests that vaccine-type human papillomavirus (HPV) prevalence may decrease in unvaccinated women after HPV vaccine introduction, indicating herd protection. The aim of this study was to determine factors associated with vaccine-type HPV (i.e. absence of herd protection) after vaccine introdu...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.09.008
更新日期：2018-04-01 00:00:00
abstract：UNLABELLED:STUDY OBJECTIVES AND DESIGN: This descriptive study assessed background characteristics and attitudes about pregnancy held by adolescent girls presenting for pregnancy tests and receiving negative results. An additional aim was to determine types of health care services that would be of perceived benefit to ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2005.05.005
更新日期：2005-08-01 00:00:00
abstract：STUDY OBJECTIVE:We assessed factors that might affect perinatal outcomes in second pregnancies in adolescents. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, MAIN OUTCOME MEASURES: This longitudinal retrospective study was carried out on 66 adolescents who experienced 2 deliveries during their adolescence. Data were col...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2015.05.002
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Sarcoma botryoides of the female genital tract is a rare malignancy. For many years, treatment consisted of radical procedures involving removal of the vagina, cervix, and uterus. Reconstructive surgery is essential for these patients, in order to achieve vaginal penetrative sexual intercourse. CASE:A 17-ye...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2013.12.004
更新日期：2014-08-01 00:00:00
abstract：STUDY OBJECTIVE:To document an unusual presentation of a pure Sertoli Cell tumor. DESIGN:Case report. RESULTS:We present a 10-year-old female who presented with abdominal pain and diarrhea with no symptoms of puberty. Surgical exploration revealed a metastatic pure Sertoli Cell tumor, which was treated with resection...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2007.04.009
更新日期：2007-08-01 00:00:00
abstract：STUDY OBJECTIVE:Congenital uterine anomalies are common, although the majority are asymptomatic. When an obstructed system exists, women may present with abdominal pain, or dysmenorrhea. Removal of the obstructed horn may be required in the symptomatic patient. In the past, surgical treatment necessitated a laparotomy....
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2006.08.003
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:Fibroepithelial polyps (FEPs) are benign tumors, of possibly hormone-dependent nature, found in the vulvovaginal region of women of reproductive age. CASE:A 15-year-old adolescent girl, receiving hormonal contraceptive therapy, who presented with multiple vulvar masses with histopathology consistent with FE...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.04.004
更新日期：2017-10-01 00:00:00
abstract：STUDY OBJECTIVE:To investigate the impact of operating surgeon specialty on rates of ovarian preservation, and to explore differences in surgical management when malignant lesions are identified. DESIGN:Retrospective study. SETTING:Education and research hospitals. PARTICIPANTS:Between January 1, 2003 and January 1,...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2011.03.012
更新日期：2011-10-01 00:00:00
abstract：STUDY OBJECTIVE:To investigate the clinical and computed tomography (CT) characteristics of ovarian lesions in infants, children, and adolescents. DESIGN, SETTING, AND PARTICIPANTS:A retrospective analysis of the clinical and CT data was performed in 222 patients who were 20 years or younger with ovarian lesions. Pati...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2020.10.007
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:Giant paratubal cysts are rare lesions that can present management challenges due to their enormous size. We present a modified minimally invasive approach for effective surgical management of giant paratubal cysts. CASE:A 19-year-old adolescent with worsening abdominal distention and metrorrhagia was diagn...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2014.11.002
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Recurrent, prepubertal, vaginal infections are an uncommon, troublesome problem for the patient and her family. Failure of initial therapy to alleviate vulvovaginitis may be related to vulvar skin disease, foreign body, sexual abuse, pinworms, reactions to medications, anatomic anomalies, or allergies. This ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2006.12.001
更新日期：2007-10-01 00:00:00
abstract：:A 13-year-old female adolescent presented with pelvic pain localized in the right lower abdominal quadrant with diffusion to the groin and internal thigh and worsened by marked leg abduction. No symptoms were detected on physical or sonography examination. The patient reported pain for a further 4 months with no moder...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(98)70141-x
更新日期：1998-11-01 00:00:00
abstract：STUDY OBJECTIVE:The purpose of this study was to: 1) describe parental sources of information about human papillomavirus (HPV) vaccination for adolescents, 2) understand how parental sources of information about HPV vaccine are associated with adolescent HPV vaccine uptake, and 3) understand if the relationship between...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jpag.2016.05.003
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE:This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.06.009
更新日期：2012-12-01 00:00:00
abstract：STUDY OBJECTIVE:To assess the association between medroxyprogesterone acetate exposure and bone mineral density (BMD) loss and weight change in adolescents. DESIGN:Forty-eight-week prospective, randomized trial conducted May 2012-April 2014. SETTING:Recruitment occurred in the general community and outpatient clinics...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jpag.2016.10.011
更新日期：2017-04-01 00:00:00
abstract：STUDY OBJECTIVE:To document physical and symptomatic changes in adolescent females using depot medroxyprogesterone acetate (DMPA) for contraception. DESIGN:A 30-month prospective experimental study using a convenience sample of subjects. SETTING:A pediatric primary care clinic in Milwaukee, Wisconsin that serves an u...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(97)70039-1
更新日期：1997-02-01 00:00:00
abstract：:The clinical setting of pediatric and adolescent gynecology poses complex tasks for the physician with its numerous procedures and the communication demands of interacting with an adolescent and/or guardian. Needless to say, teaching within this setting is highly demanding. Regardless of the level of learner or the pr...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2013.09.013
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Neisseria gonorrhoeae is one of the most common organisms associated with pelvic disease in a woman of reproductive age. CASE:We present an unusual case of cerebrospinal fluid infection with N. gonorrhoeae in a woman with a ventriculoperitoneal shunt who complained of abdominal pain. Her shunt was removed a...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(97)70059-7
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVE:To compare clinical approaches to assessment and treatment of female adolescents with genitourinary symptoms among primary care and emergency department (ED) physicians. DESIGN:A chart review was performed of the evaluation and treatment of 472 patients presenting between July 1, 2005, and June 30, 2006. SE...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jpag.2009.05.010
更新日期：2010-04-01 00:00:00
abstract：:This article reviews typical symptoms of depression presented by adolescents in the reproductive care practice setting, provides an overview of the assessment process, and offers options for referral and/or treatment of this common, yet often unrecognized, mood disorder. Because females have a two-fold higher prevalen...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2007.04.010
更新日期：2007-12-01 00:00:00
abstract：STUDY OBJECTIVE:Education materials detailing fertility preservation options geared towards pediatric oncology patients are inadequately available, particularly materials that are culturally tailored. An English language pediatric fertility preservation brochure was developed in 2011, and given the significance of fami...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2013.10.004
更新日期：2014-08-01 00:00:00
abstract：STUDY OBJECTIVE:We evaluated factors associated with physicians' intentions to perform Pap smears in human papillomavirus-vaccinated women. DESIGN:Physicians were mailed a survey asking about intentions to change cervical cancer screening based on patients' human papillomavirus vaccination status. PARTICIPANTS:A nati...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.07.004
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Absence of the lower vagina occurs from abnormal development of the sinovaginal bulbs and vaginal plate. CASE:We present a case of an adolescent girl, with a history of VACTERL and VATER status post flap vaginoplasty at 8 m of age and correction of vaginal-urethral fistula, with primary amenorrhea and cycli...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.10.007
更新日期：2013-02-01 00:00:00
abstract：:The objective of the study was to determine if any anthropometric measurements, including weight, height, and upper arm circumference, or the calculated body mass index observed at the time of menarche may be used as a threshold for menarche. The sample was randomly selected from 1133 girls aged 10-18 years from two g...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(96)70024-4
更新日期：1996-08-01 00:00:00
abstract：:The low rates of actual contraceptive failure and high rates of contraceptive use among young women highlights that choice of contraceptive method and patterns of contraceptive use greatly influence unintended pregnancy risk. Promoting contraceptive use among adolescent and young adult women requires supportive health...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2020.12.008
更新日期：2020-12-14 00:00:00
