Articles: adolescent.
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Oregon introduced a state policy, HB 3090, on October 6, 2017, which increased requirements on emergency departments (EDs) to improve transitions to outpatient mental health care. The objective of this study was to examine the policy's impact among low-income adolescent patients who face severe barriers to follow-up. ⋯ There was a small increase in short-term outpatient mental health visits after the policy, but the association weakened over time, and other key outcomes did not change. Putting pressure on EDs to perform better in this area is likely to be a minimally effective strategy without accompanying strengthening of mental health resources.
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Retrospective review of a prospectively collected single-center adolescent idiopathic scoliosis (AIS) database. ⋯ The mean lumbar Cobb angle (19°) and percentage of patients with a lumbar Cobb angle > 35° (10%) were similar for CSing and CBil groups at the latest follow-up. Thus, performing a bilateral VBT did not significantly improve the postoperative lumbar curve magnitude compared with thoracic-only VBT (CSing) in our cohort. There was a non-significant difference in revision rates for A/B vs. C groups (18% vs. 28%), and CSing vs. CBil (20% vs. 40%). Revision rates were threefold higher in all patients with preoperative open TRC.
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Disease-a-month : DM · Jan 2025
Opioid use and abuse in adolescents and young adults; dealing with science, laws and ethics: Charming the COBRAS.
The subject of substance use disorders in the pediatric population remains a disturbing conundrum for clinicians, researchers and society in general. Many of our youth are at risk of being damaged and even killed by drug addictions that result from the collision of rapidly developing as well as vulnerable central nervous systems encountering the current global drug addiction crisis. A major motif of this chemical calamity is opioid use disorder in adolescents and young adults that was stimulated by the 19th century identification of such highly addictive drugs as morphine, heroin and a non-opiate, cocaine. ⋯ Themes covered in this article include the history of addictive drugs in humans, diagnostic terms in use, the role of neurobiology in drug addiction, and current psychopharmacologic approaches to opioid overdose as well as addiction. Our youth are continuously confronted by dangers of high-risk behaviors including death and injury from opioid use disorders due to their central nervous system neuroplasticity as well as the widespread availability of these harmful chemicals. Healthcare professionals should actively assist our youth who unknowingly and even innocently encounter this deadly menace in the 21st century.
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Critical care medicine · Jan 2025
Significant Disparities in Adolescents With Severe Traumatic Brain Injury Across Trauma Center Types: Wide Variation of Tracheostomy and Gastrostomy.
To explore practice variations in the rate and timing of tracheostomy and gastrostomy for adolescent with severe traumatic brain injury (TBI) across trauma center types. ⋯ Our results offer insights into the existing current practice variations between ATC, MTC, and PTC in tracheostomy and gastrostomy placement for adolescent with severe TBI. Further research is warranted to examine the impact of these observed disparities on short- and long-term outcomes and to standardize the care process for adolescent patients.