scholarly journals Norwegian children and adolescents in blended families are at risk of larger one‐year BMI increments

2019 ◽  
Vol 109 (3) ◽  
pp. 587-594
Author(s):  
Hege Kristiansen ◽  
Mathieu Roelants ◽  
Robert Bjerknes ◽  
Petur B. Juliusson
Keyword(s):  
At Risk ◽  
Children And Adolescents ◽  
Blended Families ◽  
One Year

A surveillance clinic for children and adolescents with, or at risk of, hereditary cancer predisposition syndromes

2021 ◽  
Vol 214 (7) ◽  
pp. 335
Author(s):  
Nicholas Leedman ◽  
Murray Princehorn ◽  
Nicholas Gottardo ◽  
Claire Franklin ◽  
Rebecca D'Souza ◽  
...  
Keyword(s):  
At Risk ◽  
Children And Adolescents ◽  
Hereditary Cancer ◽  
Cancer Predisposition ◽  
Hereditary Cancer Predisposition

scholarly journals Treatment of children and adolescents with hemangioma using propranolol: preliminary results from a retrospective study

2014 ◽  
Vol 132 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Juliana Costa Albuquerque ◽  
Rosane Aline Magalhaes ◽  
Jamille Araujo Felix ◽  
Maria Vilani Rodrigues Bastos ◽  
Juvenia Bezerra Fontenele ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Children And Adolescents ◽  
Previous Treatment ◽  
Capillary Hemangioma ◽  
Response To Treatment ◽  
Vascular Tumors ◽  
Lesion Volume ◽  
Chi Square ◽  
One Year ◽  
Almost All

CONTEXT AND OBJECTIVE: Hemangiomas are the commonest vascular tumors during childhood. In 2008, the effect of propranolol for treating capillary hemangiomas was demonstrated. Other similar results followed, showing that it rapidly reduces lesion volume. The objective here was to evaluate children and adolescents with hemangiomas that were treated with propranolol. DESIGN AND SETTING: Retrospective study, conducted in a children's hospital. METHODS : Patients aged 0-19 years with or without previous treatment, who were treated between January 2009 and December 2010, were included. The response was assessed by comparing the lesion appearance between the start of treatment and the last consultation. We considered partial or complete responses as the response to treatment. RESULTS : Sixty-nine patients with a median follow-up of 11 months (mean age: 31 months) were included. Of these, 58 patients were recently diagnosed and 11 had had previous treatment. A response (partial or complete) was seen in 60 patients (87%). Among the capillary hemangioma cases, responses were seen in 50 out of 53 (94%), while in other lesion types, it was 10 out of 16 (63%) (P = 0.3; chi-square). Responses in patients less than one year of age were seen in 37 out of 38 (97%), whereas in those over one year of age, in 23 out of 31 (74%) (P = 0.4; chi-square). Side effects were uncommon and mild. CONCLUSIONS: Propranolol seemed to be effective for treatment of hemangiomas in children and adolescents, and not just in the proliferative stage, with responses in almost all the patients.

Parent-Mediated Intervention for One-Year-Olds Screened as At-Risk for Autism Spectrum Disorder: A Randomized Controlled Trial

2017 ◽  
Vol 47 (11) ◽  
pp. 3520-3540 ◽  
Author(s):  
Linda R. Watson ◽  
Elizabeth R. Crais ◽  
Grace T. Baranek ◽  
Lauren Turner-Brown ◽  
John Sideris ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
At Risk ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Randomized Controlled ◽  
One Year

scholarly journals Explaining the association between urbanicity and psychotic-like experiences in adolescence: The indirect effect of urban exposures

2021 ◽  
Author(s):  
Abhishek Saxena ◽  
David Dodell-Feder
Keyword(s):  
At Risk ◽  
Indirect Effect ◽  
Public Health Intervention ◽  
The United States ◽  
Urban Environments ◽  
Income Disparity ◽  
Lead Paint ◽  
Increased Risk ◽  
Worldwide Phenomenon ◽  
One Year

Urban living is a growing worldwide phenomenon with more than two-thirds of people expected to live in cities by 2050. Although there are many benefits to living in an urban environment, urbanicity has also been associated with deleterious health outcomes, including increased risk for psychotic outcomes particularly when the urban exposure occurs in adolescence. However, the mechanisms underlying this association is unclear. Here, we utilize one-year follow-up data from a large (N=7,979), nationwide study of adolescence in the United States to clarify why urbanicity might impact psychotic-like experiences (PLE) by looking at the indirect effect of eight candidate urbanicity-related physical (e.g., pollution) and social (e.g., poverty) exposures. Consistent with other work, we find that of the evaluated exposures related to urbanicity, several were also related to increased number of PLE and associated distress: PM2.5, proximity to roads, census-level homes at-risk for exposure to lead paint, census-level poverty, and census-level income-disparity. Mediation analysis revealed that a substantial proportion the urbanicity-PLE association could be explained by PM2.5 (23% of the urbanicity-PLE number association), families in poverty (57-67% of the urbanicity-PLE number and distress association), and income disparity (55-66% of the urbanicity-PLE number and distress association). Together, these findings suggest that specific urban-related exposures might help to explain why those in urban environments are disproportionately at-risk for psychosis and point towards areas for public health intervention.

scholarly journals Physical activity versus metformin for increasing insulin sensitivity in children and adolescents at-risk for type 2 diabetes

2016 ◽  
Vol 85 (2) ◽  
pp. 26-28
Author(s):  
Andrew D Hanna ◽  
Natalie V Scime
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
At Risk ◽  
Insulin Sensitivity ◽  
Children And Adolescents ◽  
Pediatric Population ◽  
Current Evidence ◽  
Beneficial Effects ◽  
Pediatric Populations

Global rates of type 2 diabetes (T2D) among children and adolescents are steadily rising. As such, an increasing amount of attention and research has begun to focus on strategies to prevent this chronic and burdensome disease in pediatric populations. The purpose of this article is to briefly review current evidence pertaining to the effectiveness of physical activity versus metformin in improving insulin sensitivity of children at-risk (ie, obese and/or insulin resistant) for developing T2D. Potential barriers to each preventative intervention will also be discussed. Physical activity, both aerobic and resistance, has demonstrated effectiveness in a moderate number of demographically diverse pediatric studies. However, the pediatric population is already alarmingly sedentary with barriers such as lack of motivation, social stigma and discomfort presenting a challenge. A small number of studies have demonstrated the beneficial effects of metformin in children and adolescents for improved insulin sensitivity. However, longer and larger studies are required to confirm these findings and elucidate upon the long-term safety and efficacy of this pharmaceutical in pediatric populations. While no head-to-head studies examining physical activity and metformin exist in pediatric populations and more research is needed, current evidence seems to favour the use of physical activity given the larger quantity of studies and generalizability of its beneficial effects. Thus, physical activity should be emphasized in clinical and public health practice when targeting at-risk children and adolescents to prevent a T2D diagnosis.

scholarly journals VIEWING HABITS AND IDENTIFICATION WITH TELEVISION CHARACTERS AMONG AT-RISK AND NORMATIVE CHILDREN AND ADOLESCENTS

2018 ◽  
Vol 9 (3) ◽  
pp. 47
Author(s):  
Gila Cohen Zilka ◽  
Shlomo Romi
Keyword(s):  
At Risk ◽  
Children And Adolescents ◽  
Positive Identification ◽  
Self Image ◽  
Violent Behaviors ◽  
At Risk Children ◽  
Viewing Habits ◽  
Television Characters ◽  
The Relationship ◽  
Physical Reaction

This study examined the relationship between participants’ negative or positive identification with television characters and their behavior, and how their reactions in times of anger — whether simply negative or physically violent — varied between at-risk participants and normative ones. Participants were 86 children and adolescents from Israel who filled in four questionnaires on the topics of viewing habits, attitudes, self-image, and aggression. The findings revealed that at-risk children and adolescents reacted with more anger than did their normative counterparts, and that their reaction became stronger when they identified with a character’s negative behavior. It was further revealed that the more they watched, the higher their identification with the character and the greater their negative reaction during anger. A violent physical reaction in times of anger is more strongly associated with viewing alone than with viewing with friends. The findings also revealed that identification with the character is a mediating variable between the amount and type (solitary or with friends) of viewing and negative and violent reactions. At-risk children and adolescents tend to choose programs that show violent behaviors, and such programs could ultimately lead them to exhibit violent reactions. The question is how can the amount of children and adolescents’ viewing be limited while avoiding arguments and punishment? The key to success is finding a solution that will be formulated with the children and adolescents’ full cooperation.

Introduction

2016 ◽  
Author(s):  
Phillip Kleespies
Keyword(s):  
At Risk ◽  
Children And Adolescents ◽  
Crisis Intervention ◽  
Suicide Risk ◽  
The Elderly ◽  
Integrative Approach ◽  
Emergency Intervention ◽  
Interpersonal Victimization ◽  
Behavioral Emergencies ◽  
Psychological Risks

This book is about behavioral emergencies and the association between interpersonal victimization and subsequent suicidality and/or risk for violence toward others. Section I focuses on the differences between behavioral crises and behavioral emergencies and presents an integrative approach to crisis intervention and emergency intervention. Section II discusses the evaluation of suicide risk, risk of violence, and risk of interpersonal victimization in children and adolescents. Sections III and IV explore behavioral emergencies with adults and the elderly, while Section V deals with certain conditions or behaviors that may either need to be differentiated from a behavioral emergency, or understood as relevant to possibly heightening risk. Section VI describes treatments for patients with recurrent or ongoing risks, and Section VII is devoted to legal, ethical, and psychological risks faced by clinicians who work with patients who might be at risk to themselves or others.

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