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EN
Pseudocyesis is a rare condition in the pediatric population characterized by all signs and symptoms of pregnancy except the existence of a fetus [1]. In some patients it is associated with organic etiology, in others with mental disorders, also occurs in those without disorders in their medical history. Pseudocyesis occurs in both sexes, but more frequently in women. An effective treatment is a combination of psychotherapy and pharmacotherapy with antidepressants and antipsychotics [2]. We present a 15,9-year old girl with pseudocyesis as a cause of abdomen enlargement, who comes from an ordinary family with a negative history of psychiatric illness. The organic etiology of her condition was excluded, and therefore she was treated with antidepressants which contributed to the resolution of her case.
Open Medicine
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2012
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vol. 7
|
issue 4
444-449
EN
This study investigates whether daily Internet use time is related to the school performance of Korean adolescents. We therefore analyzed raw data from the 2009 Korea Youth Risk Behavior Web-based Survey-V (KYRBWS-V), in which 75,066 students from the middle-school first grade to the high-school third grade participated. We assessed the association between daily Internet use time and school performance by using multivariate logistic regression analysis adjusted for age, body mass index, education level of parents, and economic status of the family. For boys, the odds ratio (OR) [95% confidence interval (CI)] for recording ≥ average school performance and daily time spent on Internet use was 1.876 (1.752–2.008, p < 0.001) for ≤1 hour, 1.564 (1.467–1.667, p < 0.001) for >1–≤2 hours, 1.158 (1.079–1.242, p < 0.001) for >2–≤3 hours, and 0.759 (0.695–0.828, p < 0.001) for over 4 hours, when compared to those who never used the Internet. For girls, the OR (95% CI) for recording ≥ average school performance and daily Internet use time was 1.729 (1.607–1.860, p < 0.001) for ≤1 hour, 1.503 (1.399–1.616, p < 0.001) for >1–≤2 hours, 1.193 (1.100–1.293, p < 0.001) for >2–≤3 hours, and 0.809 (0.725–0.903, p < 0.001) for over 4 hours, when compared to those who never used the Internet. It was concluded that Korean adolescents who spend ≤3 hours per day on the Internet are predisposed to an increase in performance levels at school, whereas those who spend over 4 hours per day on the Internet are predisposed to a decrease in school performance levels.
Open Medicine
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2012
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vol. 7
|
issue 2
224-229
EN
The purpose of this study was to investigate the relationship between weight status and recreational drug use in Korean adolescents. A total of 72,399 adolescent students (38,152 boys and 34,247 girls) from the middle first to high third grade participated in the 5th Korea Youth Risk Behaviour Web-based Survey (KYRBWS-V) project in 2009. They were assessed for body mass index (BMI) and recreational drug abuse. The associations between BMI and recreational drug use were examined using multivariable logistic regression analysis after adjusting for the covariate variables of age, smoking frequency and cigarette consumption, frequency of alcohol consumption and severe alcohol intoxication, amount of alcohol consumed, parents’ education level, economic status, sedentary activities during the week, mental stress, sleep duration, frequency of vigorous and moderate physical activities, and muscular strength exercises during the week. For boys, the odds ratio (OR) (95% confidence interval [CI]) between overweight and drug use were 0.990 (0.723–1.356; p = 0.950) for almost none, 0.939 (0.521–1.693; p = 0.834) for past use, and 0.791 (0.385–1.624; p = 0.523) for present use. The OR (95% CI) between obesity and drug use was 0.731(0.508–1.052; p = 0.091) for almost none, 0.755 (0.389–1.465; p = 0.407) for past use, and 0.701 (0.314–1.565; p = 0.386) for present use. For girls, the OR (95% CI) between overweight and drug use was 1.112 (0.702–1.763; p = 0.650) for almost none, 1.103 (0.464–2.619; p = 0.825) for past use, and 0.927 (0.267–3.218; p = 0.905) for present use. The OR (95% CI) between obesity and drug abuse was 0.594 (0.261–1.352; p = 0.215) for almost none, 1.318 (0.462–3.764; p = 606) for past use, and <0.001(<0.001–<0.001; p = 0.998) for present use. We concluded that recreational drug use had no correlation with overweight and obesity in Korean adolescents.
EN
Aim: 1. Evaluation of health–related quality of life (HRQOL) in adolescents with cystic fibrosis (CF). 2. Evaluation of HRQOL in children with CF from the parents’ perspective. 3. Evaluation of the relationship between HRQOL and both medical and psychosocial factors. Material and methods: Health-related quality of life was measured with the Cystic Fibrosis Questionnaire − Revised. Seventy patients with cystic fibrosis, aged 14-18 years completed the version for adolescents and adults (CFQ-R 14+) and 70 parents of children aged 6-13 years filled out the version for parents (CFQ-R 6-13). Scores ranged from 0 to 100, with higher scores indicating a better quality of life. Disease severity was assessed by lung function test, nutritional status, chronic Pseudomonas aeruginosa infection and type of CFTR gene mutation. Social indices i.e. the patient’s school attendance and the parent’s work status were collected. Results: In the adolescents’ opinion, Eating problems and Digestive functioning got the highest rate, whereas Vitality, Treatment burden, Health perceptions and Weight got the lowest. Boys estimated their Physical functioning significantly higher than girls. When evaluating their children’s quality of life, parents granted the highest score to Physical, Respiratory and Digestive functioning and the lowest results were attributed to Treatment burden. Nutritional status and lung function impairment turned out to be predictors of some other domains but not psychosocial ones. The chronic Pseudomonas aeruginosa infection had an influence on several quality of life areas from the parents’ perspective. School attendance had a significant impact on many aspects of the adolescents’ functioning. Conclusions: 1. The study revealed that the health-related quality of life of CF children and adolescents is moderately good. 2. Digestive functioning was one of the highest scored domains, while Treatment burden was one of the lowest, according to both the adolescents’ and the parents’ perception. 3. The potential impact of disease severity was clearly marked in the group of younger children, whose healthrelated quality of life was assessed by the parents. Self-evaluation conducted by adolescents was more subjective. 4. School attendace was an important factor of the quality of life. Further research is required in order to find other psychosocial indices.
PL
Cel: 1. Ocena jakości życia związanej ze zdrowiem wśród nastolatków z mukowiscydozą. 2. Ocena jakości życia związanej ze zdrowiem dzieci z mukowiscydozą z perspektywy rodzica. 3. Ocena związku pomiędzy jakością życia związaną ze zdrowiem i medycznymi oraz społecznymi czynnikami. Materiał i metody: Jakość życia związana ze zdrowiem była mierzona Kwestionariuszem Jakości Życia w Mukowiscydozie. Siedemdziesięciu pacjentów z mukowiscydozą, w wieku 14-18 lat wypełniło wersję przeznaczoną dla adolescentów i dorosłych (CFQ-R 14+) oraz 70 rodziców dzieci w wieku 6-13 lat wypełniło wersję dla rodziców (CFQ-R 6-13). Zakres możliwych punktów wahał się od 0 do 100, przy czym wyższy wynik świadczy o lepszej jakości życia. Stopień zaawansowania choroby określony był za pomocą testu wydolności płuc, stanu odżywienia, przewlekłego zakażenia Pseudomonas aeruginosa oraz typu mutacji genu CFTR. Zebrano również informacje dotyczące formy nauczania, z jakiej korzysta dziecko (uczęszcza do szkoły vs nauczanie indywidualne w warunkach domowych) oraz statusu zawodowego rodzica. Wyniki: W ocenie nastolatków, Zachowania związane z jedzeniem i Funkcjonowanie układu oddechowego uzyskały najwyższe wyniki, podczas gdy Witalność, Ograniczenia związane z leczeniem oraz Masa ciała uzyskały najniższe. Chłopcy istotnie wyżej niż dziewczynki ocenili swoje Funkcjonowanie fizyczne. Z perspektywy rodzica, jakość życia ich dzieci jest najwyższa w obszarach: Funkcjonowanie fizyczne, Funkcjonowanie układu oddechowego i pokarmowego, a najniższe dotyczy Ograniczeń związanych z leczeniem. Stan odżywienia oraz funkcja płuc ujawniły się, jako predyktory części mierzonych obszarów, ale nie psychospołecznych aspektów. Przewlekłe zakażenia Pseudomonas aeruginosa wykazało istotny wpływ na większość obszarów jakości życia z perspektywy rodzica. Uczęszczanie do szkoły miało istotny wpływ na wiele aspektów funkcjonowania adolescentów. Wnioski: 1. Badanie wykazało umiarkowanie dobrą jakość życia związaną ze zdrowiem dzieci i młodzieży z mukowiscydozą. 2. Funkcjonowanie układu pokarmowego było najwyżej ocenianym obszarem, podczas gdy Ograniczenia związane z leczeniem oceniono najniżej zarówno w grupie nastolatków, jak irodziców. 3. Potencjalny wpływ stopnia zaawansowania choroby wyraźniej zaznaczył się w grupie młodszych dzieci, których jakość życia związana ze zdrowiam oceniana była przez rodziców. Samoocena dokonana przez nastolatków była bardziej subiektywna. 4. Zaobserwowano, że uczęszczanie do szkoły było istotnym czynnikiem wpływającym na jakość życia. W celu ustalenia innych czynników psychospołecznych konieczne są dalsze badania.
EN
Study aim: The purpose of this study was to determine if high school physical education seniors’ health-related fitness knowledge is related to their aerobic capacity and body composition. Material and methods: The FitSmart test assessed students (n = 171) health-related fitness knowledge. Aerobic capacity was calculated based on the students PACER score. Body Composition was measured using the Tanita TBF 300A body composition analyzer. Results: Aerobic fitness was a statistically significant predictor of exam score (β = 0.563, p < 0.001), but percent body fat was not (β = 0.185, p =0.074). Comparing the health-related fitness exam scores by the FITNESSGRAM classification system, students who were classified as Very Lean and High Risk for body composition had lower exam scores than those classified in the healthy fitness zone. Conclusions: The results confirmed previous findings that students have inadequate health-related fitness knowledge. Furthermore, the study extends these findings by identifying some associations of percent body fat and estimated VO2max to health-related fitness knowledge.
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