Articles: adolescent.
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Several studies examined stress factors in both adult and pediatric patients with migraine, but few of them have analyzed coping strategies adopted to deal with stressful events in pediatric age. In particular, some of these studies have focused on specific migraine populations or have not employed standardized instruments. Our study used a standardized tool to investigate the coping strategies adopted by patients with primary migraine in dealing with stressful events. We aimed at exploring: 1) Coping responses to stressful events and their possible association with migraine characteristics such as headache frequency, pain intensity and use of prophylactic treatment; (2) Potential differences in anxiety and depression symptoms based on migraine characteristics, and (3) Association between migraine characteristics, coping strategies, and psychological aspects. ⋯ Adolescents with a more disabling migraine pattern tend to employ maladaptive coping strategies focused on active behavioral responses to the stressful events.
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Neurodiversity refers to the variation in human cognitive, sensory, and communication experiences and reframes deficits as differences. Rates and duration of hospitalisation in neurodiverse children are higher compared to their neurotypical peers. Despite increased admissions, paediatric medical hospitals are poorly equipped to adequately support their unique cognitive, sensory, behavioural, and communication needs, which can have negative impacts on the experiences of patients, families, and staff. The literature supports several innovative and inclusive strategies, which present exciting opportunities for Ireland's new National Children's Hospital (NCH) to become a 'neurodiversity-friendly paediatric hospital'.
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Patient to staff ratios vary across US dialysis facilities and have been associated with patient outcomes in older adults. ⋯ Adolescents and young adults receiving care at dialysis facilities with higher patient to staff ratios had reduced access to waitlisting and transplant, particularly if they were younger than 22 years of age at dialysis initiation.
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This study aims to examine whether having a sibling and/or a parent on active duty in the military is associated with suicidality-think about death, better off dead, think about suicide, plan suicide, and attempt suicide-among 12- to 17-year-old adolescent girls and boys in the United States. ⋯ Those working clinically with military families should be mindful of the association between suicidality and sibling military service, as well as parental military service. Programs aiming to reduce the negative impact of sibling deployment need to be developed and tested empirically. The current findings suggest the need for targeted family-centered approaches to suicide prevention among youth with siblings, parents, and potentially other relatives currently serving in the armed forces.