18 research outputs found
Obere Altersgrenze für Kinderkliniken in der Schweiz
Kinderkliniken in der Schweiz sollen die ambulante und stationäre Behandlung für alle Jugendlichen bis mindestens 18 Jahre anbieten.
Der Transitionsprozess von Jugendlichen von der Pädiatrie in die Erwachsenenmedizin soll frühzeitig geplant werden. Der allein vom chronologischen Alter abhängige Transfer von Jugendlichen in die Erwachsenenmedizin soll aufgegeben werden. Stattdessen sollen Selbst-Management-Fähigkeiten des jugendlichen Patienten sowie seine Kompetenz in der Interessenwahrnehmung gegenüber dem Behandlungsteam ausschlaggebend sein für die Beurteilung der Bereitschaft für einen Transfer.
Fachpersonen der Erwachsenenmedizin, welche über wenig Erfahrung in der Behandlung von jugendlichen Patienten verfügen, sollen in ihren Bemühungen unterstützt werden, Jugendliche und junge Erwachsene altersangemessen und umfassend unter Berücksichtigung biopsychosozialer Entwicklungsaspekte zu betreuen.
Gewisse Patienten mit angeborenen seltenen Krankheiten benötigen unter Umständen eine Langzeit-Zusammenarbeit zwischen den pädiatrischen Spezialisten und dem erwachsenen- medizinischen Behandlungsteam bis weit über 18 Lebensjahre hinaus
A school-based program implemented by community providers previously trained for the prevention of eating and weight-related problems in secondary-school adolescents : the MABIC study protocol
Background: The prevention of eating disorders and disordered eating are increasingly recognized as public health priorities. Challenges in this field included moving from efficacy to effectiveness and developing an integrated approach to the prevention of a broad spectrum of eating and weight-related problems. A previous efficacy trial indicated that a universal disordered eating prevention program, based on the social cognitive model, media literacy educational approach and cognitive dissonance theory, reduced risk factors for disordered eating, but it is unclear whether this program has effects under more real-world conditions. The main aim of this effectiveness trial protocol is to test whether this program has effects when incorporating an integrated approach to prevention and when previously-trained community providers implement the intervention. Methods/design: The research design involved a multi-center non-randomized controlled trial with baseline, post and 1-year follow-up measures. Six schools from the city of Sabadell (close to Barcelona) participated in the intervention group, and eleven schools from four towns neighboring Sabadell participated in the control group. A total of 174 girls and 180 boys in the intervention group, and 484 girls and 490 boys in the control group were registered in class lists prior to baseline. A total of 18 community providers, secondary-school class tutors, nurses from the Catalan Government's Health and School Program, and health promotion technicians from Sabadell City Council were trained and delivered the program. Shared risk factors of eating and weight-related problems were assessed as main measures. Discussion: It will be vital for progress in disordered eating prevention to conduct effectiveness trials, which test whether interventions are effective when delivered by community providers under ecologically valid conditions, as opposed to tightly controlled research trials. The MABIC project will provide new contributions in this transition from efficacy to effectiveness and new data about progress in the integrated approach to prevention. Pending the results, the effectiveness trial meets the effectiveness standards set down by the Society for Prevention Research. This study will provide new evidence to improve and enhance disordered eating prevention programs
Partial eating disorders among adolescents: a review.
PURPOSE: Many adolescents do not fulfill all the DSM-IV criteria's for anorexia nervosa and bulimia, but do nevertheless suffer from partial eating disorders (EDs). This review focuses on the definition, epidemiology and clinical aspects of these disorders.
METHODS: Search on Medline & PsycINFO, review of websites, screening of bibliographies of articles and book chapters.
RESULTS: There is still no consensus on the definition of these disorders, which cover a wide range of severity. Affected adolescents often suffer from physical and psychological problems owing to co-morbidity or as a consequence of their eating patterns: chronic constipation, dyspeptic symptoms, nausea, abdominal pain, fatigue, headaches, hypotension, menstrual dysfunction as well as dysthymia, depressive and anxiety disorders, or substance misuse and abuse. In comparison with those who are unaffected, adolescents with partial ED are at higher risk of evolving into full ED. However, most of them evolve into spontaneous remission. Adolescents with partial ED engaged, over a period of several months, in potentially unhealthy weight-control practices, suffering from intense fear of gaining weight and a disturbed body weight/image should be offered therapeutic support.
CONCLUSION: Future research should focus on the exact delineation of various subtypes of clinical presentations in partial ED and on evidence-based treatment and follow-up of these various situations
Approche interdisciplinaire des troubles de la conduite alimentaire = [Multidisciplinary approach of eating disorders]
Les troubles de la conduite alimentaire (TCA), anorexie mentale, boulimie, frénésies alimentaires et leurs variantes, apparaissent le plus souvent à l'adolescence. Environ 3% des jeunes femmes en sont atteintes, et probablement le double présentent des variantes cliniques. Il s'agit de troubles psychiques complexes avec un retentissement somatique plus ou moins marqué puisque le pronostic vital peut être mis en cause. Mais le danger est surtout celui du passage à la chronicité et à l'organisation durable de la personnalité de ces jeunes filles autour de ces conduites. Anorexie et boulimie sont donc des manifestations très sérieuses qui nécessitent une réponse spécialisée associant soins psychiques et somatiques bien coordonnés. [Auteurs] [Abstract] Eating disorders like anorexia, bulimia nervosa and binge eating, as well as analogous behaviour begin or occur most of the time during adolescence. Around three percents of adolescent females suffer from an eating disorder, while twice as many exhibit deviant behaviour in the field of nutrition (atypical eating disorders). These conducts, who have a strong psychiatric origin, can bring severe somatic dysfunction and even death. But the main risk is that these situations can become chronic, with devastating psycho-social and somatic consequences. It is thus of utmost importance to set-up appropriate somatic and psychiatric care of these patient, which ideally should be co-ordinated and conducted by a multidisciplinary team. [Authors]]]>
Adolescent ; Eating Disorders ; Anorexia ; Bulimia
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oai:serval.unil.ch:BIB_F518454E2C19
2022-02-19T02:33:51Z
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https://serval.unil.ch/notice/serval:BIB_F518454E2C19
Can HIV be eradicated?
info:eu-repo/semantics/altIdentifier/pmid/9633000
Pantaleo, G.
Perrin, L.
info:eu-repo/semantics/review
article
1998
AIDS, vol. 12 Suppl A, pp. S175-80
info:eu-repo/semantics/altIdentifier/pissn/0269-9370
Anti-HIV Agents/*therapeutic use
CD4-Positive T-Lymphocytes
HIV/*drug effects/physiology
HIV Infections/*drug therapy/physiopathology
Humans
Lymphoid Tissue/immunology/virology
Viral Load
Virion
Virus Replication/drug effects
oai:serval.unil.ch:BIB_F519CF5D68CB
2022-02-19T02:33:51Z
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https://serval.unil.ch/notice/serval:BIB_F519CF5D68CB
History of cholelithiasis and cancer risk in a network of case-control studies.
info:doi:10.1093/annonc/mdr581
info:eu-repo/semantics/altIdentifier/doi/10.1093/annonc/mdr581
info:eu-repo/semantics/altIdentifier/pmid/22231026
Tavani, Alessandra
Rosato, Valentina
Di Palma, F.
Bosetti, Cristina
Talamini, Renato
Dal Maso, Luigino
Zucchetto, Antonella
Levi, Fabio
Montella, Maurizio
Negri, Eva
Franceschi, Silvia
La Vecchia, Carlo
info:eu-repo/semantics/article
article
2012
Annals of Oncology, vol. 23, no. 8, pp. 2173-2178
info:eu-repo/semantics/altIdentifier/eissn/1569-8041
urn:issn:0923-7534
<![CDATA[Background We analyzed the relationship between cholelithiasis and cancer risk in a network of case-control studies conducted in Italy and Switzerland in 1982-2009. Methods The analyses included 1997 oropharyngeal, 917 esophageal, 999 gastric, 23 small intestinal, 3726 colorectal, 684 liver, 688 pancreatic, 1240 laryngeal, 6447 breast, 1458 endometrial, 2002 ovarian, 1582 prostate, 1125 renal cell, 741 bladder cancers, and 21 284 controls. The odds ratios (ORs) were estimated by multiple logistic regression models. Results The ORs for subjects with history of cholelithiasis compared with those without were significantly elevated for small intestinal (OR = 3.96), prostate (OR = 1.36), and kidney cancers (OR = 1.57). These positive associations were observed ≥10 years after diagnosis of cholelithiasis and were consistent across strata of age, sex, and body mass index. No relation was found with the other selected cancers. A meta-analysis including this and three other studies on the relation of cholelithiasis with small intestinal cancer gave a pooled relative risk of 2.35 [95% confidence interval (CI) 1.82-3.03]. Conclusion In subjects with cholelithiasis, we showed an appreciably increased risk of small intestinal cancer and suggested a moderate increased risk of prostate and kidney cancers. We found no material association with the other cancers considered
The Eating Attitudes Test-26 Revisited using Exploratory Structural Equation Modeling
Most previous studies have failed to replicate the original factor structure of the 26-item version of the Eating Attitudes Test (EAT-26) among community samples of adolescents. The main objective of the present series of four studies (n = 2178) was to revisit the factor structure of this instrument among mixed gender community samples of adolescents using both exploratory structural equation modeling (ESEM) and confirmatory factor analysis (CFA). First, results from the ESEM analyses provided satisfactory goodness-of-fit statistics and reliability coefficients for a six-factor model of the EAT with 18 items (EAT-18) closely corresponding to the original seven-factor structure proposed for the 40-item version of the EAT. Second, these analyses were satisfactorily replicated among a new sample of community adolescents using CFA. The results confirmed the factor loading and intercept invariance of this model across gender and age groups (i.e.; early and late adolescence), as well as the complete invariance of the EAT-18 measurement model between ethnicities (i.e.; European versus African origins) and across weight categories (i.e.; underweight, normal weight and overweight). Finally, the last study provided support for convergent validity of the EAT-18 with the Eating Disorder Inventory and with instruments measuring global self-esteem, physical appearance, social physique anxiety and fear of negative appearance evaluation