Juvenile

青少年
  • 文章类型: Journal Article
    背景:与其他社会问题相比,青少年犯罪似乎是最普遍的社会问题。社会因素和条件对犯罪率有重大影响。在18岁之前从事犯罪行为的个人通常被称为少年犯。这项研究的目的是全面阐明对未成年犯的研究和工作,特别关注社会因素在青少年犯罪各个方面所起的关键作用。此外,这项研究旨在调查导致青少年罪犯犯罪行为的社会根源和影响。
    方法:本文采用文献综述的方法对影响青少年犯罪的社会因素研究进行分析。它综合和评估先前的发现,以了解社会因素与年轻人参与犯罪行为之间的复杂相互作用。该研究分析了80篇来自知名在线数据库的文章,关注青少年犯罪,罪犯,犯罪,和社会因素。在80篇文章中,53人被引用,符合纳入标准,包括2000-2023年出版,严格的同行评审,和信誉良好的数据库索引。
    结果:根据研究结果,据观察,在表现出感情的家庭中长大的孩子,热情好客,和鼓励相对较不容易受到社会疾病的表现。经历过父母遗弃的儿童患不良行为的风险更高。
    结论:消极的家庭动态和与不良同伴的关联被广泛认为是药物滥用行为发展的重要因素。决策者和预防举措必须全面了解这种复杂的关系。因此,这篇文献综述对社会因素对印度少年犯的影响进行了清晰的概述。
    BACKGROUND: Juvenile delinquency appears to be the most widespread social issue in comparison to other social issues. Social factors and conditions have a significant impact on the prevalence of delinquency. Individuals who engage in criminal behavior before reaching the age of 18 are commonly referred to as juvenile offenders. The aim of this study is to comprehensively elucidate the research and work carried out on juvenile offenders, with a specific focus on the critical role played by social factors in all facets of juvenile delinquency. Additionally, this research seeks to investigate the social roots and influences that contribute to the criminal behavior of young offenders.
    METHODS: This article uses a literature review methodology to analyze research on social factors influencing juvenile delinquency. It synthesizes and evaluates prior findings to understand the complex interplay between social factors and young individuals\' involvement in delinquent behaviors. The study analyzed 80 articles from reputable online databases, focusing on juvenile delinquency, offenders, crime, and social factors. Out of the 80 articles, 53 were cited, meeting inclusion criteria, including publication within 2000-2023, rigorous peer-review, and reputable database indexing.
    RESULTS: As per the findings of the research, it has been observed that children who grow up in households that exhibit affection, hospitality, and encouragement are comparatively less susceptible to the manifestation of societal maladies. Children who have experienced parental abandonment are at heightened risk of developing delinquent behaviors.
    CONCLUSIONS: The presence of negative family dynamics and associations with delinquent peers are widely recognized as significant contributors to the development of drug abuse behavior. It is imperative for policymakers and preventive initiatives to have a comprehensive understanding of this complex relationship. Therefore, this literature review presented a distinct overview of the influence of social factors on juvenile offenders in India.
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  • 文章类型: Systematic Review
    多系统疗法(MST)是一种激烈的,以家庭为中心,为有犯罪行为的青少年设计的基于社区的治疗。关于其在青少年性犯罪者(JSO)中的有用性的文献仍然有限。我们对已发表的评估MST在JSO中有效性的研究进行了系统回顾。全面搜索已发表的研究,使用系统审查和荟萃分析(PRISMA)指南的首选报告项目,是使用多个数据库进行的。搜索术语包括“多系统治疗”或“多系统家庭治疗”。“最初搜索共获得542篇文章。排除重复项之后,297篇文章被纳入进一步分析,产生了48篇文章用于全文分析。六项MST随机对照试验,包括231名青少年性犯罪者,被评估为最终审查。MST相对于青少年性犯罪者的替代疗法表现良好,同时也证明了对持续随访的持久治疗效果。
    Multisystemic therapy (MST) is an intense, family-focused, community-based treatment designed for youth with criminal behaviors. Literature on its usefulness among juvenile sexual offenders (JSOs) remains limited. We conducted a systematic review of published studies assessing effectiveness of MST among JSOs. A comprehensive search of published studies, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was undertaken using multiple databases. Search terms included \"multisystemic therapy\" or \"multisystemic family therapy.\" A total of 542 articles were obtained on initial search. After excluding duplicates, 297 articles were included in further analysis that yielded 48 articles for full-text analysis. Six randomized controlled trials of MST, comprising 231 juvenile sex-offenders, were assessed for final review. MST performed favorably relative to alternative treatments among juvenile sex offenders while also demonstrating lasting treatment effect on sustained follow-up.
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  • 文章类型: Systematic Review
    背景:排球是世界上五大最受欢迎的运动之一。无论水平和年龄,排球运动员进行快速的高冲击动作,如跳跃,登陆,和方向的改变,要求运动和感官技能,以避免伤害。现有的科学文献提供了有关排球受伤发生率的信息,但是年轻排球运动员(12-18岁)受伤的证据并不明确。因此,进行了系统评价,以调查年轻排球运动员受伤的发生率和患病率。
    方法:该系统综述是根据PRISMA建议进行的,并在PROSPERO(ID:CRD42022344623)中进行了前瞻性注册。在以下数据库中进行了电子搜索:WebofScience,PubMed,和SportDiscuss在2022年8月和2023年3月通过EBSCO进行。纳入标准遵循PICOS的缩写:(P)青年排球运动员;(I)排球;(C)无;(O)伤害的发生率和/或患病率;(S)队列研究。使用适应的STROBE仪器分析偏倚风险。
    结果:5项研究纳入了定性分析。在改良的STROBE量表上,他们的平均方法学质量为6(范围4-8)。伤害发生率以不同的方式呈现,范围从1.51受伤/1000小时到12.4受伤/10,000名运动员暴露(AE)。患病率为1.6±1.7/100AE。共发现3698名青年排球运动员,主要是女性。受伤率最高的身体部位是脚踝,上肢(手腕/手/手指)和膝盖的远端部分,分别。
    结论:研究之间的损伤率和表现形式存在显著差异。此外,与高中其他运动相比,初中排球运动员的受伤率较低,年龄较大的运动员受伤率较高。
    BACKGROUND: Volleyball is among the five most popular sports in the world. Regardless of level and age, volleyball athletes perform fast high-impact movements such as jumps, landings, and changes in direction, demanding motor and sensory skills to avoid injuries. The available scientific literature provides information regarding the incidence of injuries in volleyball, but the evidence of injuries in young volleyball athletes (12-18 years old) is not well defined. Therefore, a systematic review was conducted to investigate the incidence and prevalence of injuries in young volleyball players.
    METHODS: This systematic review was conducted according to the PRISMA recommendations and prospectively registered in PROSPERO (ID: CRD42022344623). An electronic search was conducted in the following databases: Web of Science, PubMed, and SportDiscuss via EBSCO in August 2022 and March 2023. Inclusion criteria followed the PICOS acronym: (P) youth volleyball players; (I) volleyball; (C) none; (O) incidence and/or prevalence of injury; and (S) cohort studies. The risk of bias was analysed using the adapted STROBE instrument.
    RESULTS: Five studies were included in the qualitative analysis. They had a mean methodological quality of 6 (range 4-8) on the modified STROBE scale. Injury incidence was presented in varying ways, ranging from 1.51 injuries/1000 player hours to 12.4 injuries/10,000 athlete exposures (AEs). The prevalence was 1.6 ± 1.7 per 100 AEs. A total sample of 3698 youth volleyball athletes predominantly females was found. The body sites with the highest rate of injuries were the ankle, the distal portion of the upper limbs (wrist/hand/fingers) and the knee, respectively.
    CONCLUSIONS: There was remarkable variability in the rate of injuries and the form of presentation between the studies. In addition, junior volleyball athletes had lower injury rates compared to other sports practised in high school, and older athletes had higher injury rates.
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  • 文章类型: Journal Article
    反应性关节炎是一种急性炎症性无菌性关节炎,在遗传易感个体中发生感染过程。它与胃肠道或泌尿生殖道感染有关。反应性关节炎在儿童中很少见。在这次审查中,我们介绍了两个需要生物治疗的指标病例,然后对儿童和青少年的反应性关节炎进行了全面审查,并提出了治疗方法.
    Reactive arthritis is an acute inflammatory aseptic arthritis that is preceded by an infectious process in genetically predisposed individuals. It has been associated with gastrointestinal or genitourinary infection. Reactive arthritis is rare in children. In this review, we present two index cases that need biologic treatment followed by a thorough review of reactive arthritis in children and adolescents with proposed treatment algorithm.
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  • 文章类型: Meta-Analysis
    目的:探索现有的唾液,龈沟液(GCF),血,在系统健康的儿童和年轻人中,与C级磨牙切牙模式(C/MIP)牙周炎相关的血清生物标志物。
    方法:横截面,病例控制,和关于III期C级牙周炎或先前等效诊断的队列研究,并分析唾液中的分子生物标志物,GCF,血,或从6个数据库中检索血清,并根据入选标准进行筛选.评估纳入研究的偏倚风险。计划对至少两篇论文中使用相同的检测方法和样品类型评估的生物标志物进行荟萃分析。
    结果:在初步筛选时确定的5621项研究中,28篇论文被纳入定性分析,其中2篇有资格进行血清样品中IgG的荟萃分析。评估了87种生物标志物,其中大多数在病例中高于对照组。只有具有低异质性值的总血清IgG的荟萃分析显示,与对照组相比,其C/MIP水平显着增加(标准化平均差异:1.08;95%CI:0.76,1.40)。
    结论:关于与磨牙切牙型牙周炎相关的生物标志物的数据很少。虽然血清IgG水平升高,唾液中其他更具体的生物标志物,GCF,和血液/血清可能是有希望的,但需要进一步调查。
    OBJECTIVE: To explore the existing salivary, gingival crevicular fluid (GCF), blood, and serum biomarkers associated with grade C molar-incisor pattern (C/MIP) periodontitis in systemically healthy children and young adults.
    METHODS: Cross-sectional, case-control, and cohort studies on stage III grade C periodontitis or former equivalent diagnosis with analysis of molecular biomarkers in saliva, GCF, blood, or serum were retrieved from six databases and screened based on the eligibility criteria. The risk of bias in included studies was evaluated. Meta-analysis was planned for biomarkers assessed using the same detection methods and sample type in at least two papers.
    RESULTS: Out of 5621 studies identified at initial screening, 28 papers were included in the qualitative analysis of which 2 were eligible for meta-analysis for IgG in serum samples. Eighty-seven biomarkers were assessed with the majority being higher in cases than in controls. Only the meta-analysis of total serum IgG with low heterogeneity value revealed a significant increase in its levels in C/MIPs compared to controls (standardised mean difference: 1.08; 95% CI: 0.76, 1.40).
    CONCLUSIONS: There is a paucity of data on biomarkers associated with molar-incisor pattern periodontitis. Although serum IgG levels are raised, other more specific biomarkers in saliva, GCF, and blood/serum may be promising but require further investigation.
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  • 文章类型: Journal Article
    背景:呼吸道乳头状瘤是气道常见的良性病变之一,通常难以治疗且发病率高。贝伐单抗是一种作用于血管内皮生长因子受体的单克隆抗体,已知对呼吸道乳头状瘤病具有作用。本研究旨在系统回顾关于贝伐单抗在青少年性呼吸道乳头状瘤病中的疗效的文献。材料和方法。对各种数据库中的文献进行了系统的检索。搜索仅限于英语,然而,12月31日的出版日期没有限制,2020年为最后发布日期。我们严格遵守PRISMA准则。结果。在分析的145篇文章中,仅3例入选合格,共评估21例.随着手术次数的减少,开始病灶内Bevacizumb后,解剖Derkay评分有所改善。据报道,与语音相关的功能结果也得到了改善.没有报告与药物相关的不良反应。结论:皮损内贝伐单抗可能是一种有前途的有效药物,和JORRP管理中的安全佐剂。未来还需要精心设计的研究来证明其相对于其他可用佐剂的功效和安全性。
    Background: Respiratory papillomatosis is one of the common benign lesions of the airway that is often difficult to treat and carries significant morbidity. Bevacizumab is a monoclonal antibody that acts upon vascular endothelial growth factor receptor and is known to have an effect in respiratory papillomatosis. This study aims to systematically review the literature on efficacy of intralesional Bevacizumab in juvenile onset respiratory papillomatosis. Materials and methods. A systematic search of literature in various databases was conducted. The search was restricted to the English language, however, no restrictions were made regarding the date of publication keeping December 31st, 2020 as the last date of publication. We strictly complied with the PRISMA guidelines. Results. Of 145 articles analyzed, only 3 were selected as eligible and a total of twenty-one cases were evaluated. There was improvement in anatomic Derkay score after initiating intralesional Bevacizumb with reduction in the number of surgeries. Where reported, voice related functional outcomes also were also improved. No adverse effect related to the drug was reported. Conclusion: Intralesional Bevacizumab can be a promising efficacious, and safe adjuvant in the management of JORRP. Well-designed studies are further required in the future to prove its efficacy and safety over other adjuvants available.
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  • 文章类型: Journal Article
    距骨的骨软骨损伤(OLTs)是发生在physis闭合之前的病变,通常与急性踝关节创伤有关。由于最初损伤后出现的肿胀和炎症,这些病变通常难以诊断。越来越多的文献评估了OLT在成年人口中的影响。然而,在青少年人群中研究这些病变的文献很少。这次审查的目的是提供对OLT的透彻了解,特别关注青少年人口。我们评估了有关各种手术治疗结果的最新文献;儿科患者的方式。虽然小儿OLT手术治疗后的结果通常是有利的,这一人口统计调查的缺乏令人震惊。需要进一步的研究,以更好地告知从业者和家庭关于这些结果,因为治疗计划高度依赖于所讨论的个体患者。
    Osteochondral lesions of the talus (OLTs) are lesions that occur before the physis closes and are frequently associated with acute ankle trauma. These lesions are often difficult to diagnose due to swelling and inflammation that are present after the initial injury. A growing body of literature has assessed the effects of OLTs in the adult population. However, the literature examining these lesions in the juvenile population is sparse. The purpose of this review is to provide a thorough understanding of OLTs, with a specific focus on the juvenile population. We evaluate the recent literature regarding the outcomes of various surgical treatment; modalities in the pediatric patient. While the outcomes after surgical treatment of pediatric OLTs are generally favorable, the paucity of investigation in this demographic is alarming. Further research is needed to better inform practitioners and families regarding these outcomes, as treatment plans are highly dependent on the individual patient in question.
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  • 文章类型: Journal Article
    局部硬皮病是引起皮肤硬化的炎性疾病。局限性硬皮病的病因和发病机制尚不清楚。局限性硬皮病被认为是遗传驱动的疾病。尚不清楚遗传因素或环境暴露是否单独导致其发展,或者是否需要它们的相互作用来引发疾病。一些作者假设家族聚集是遗传性疾病的证据。家族性局限性硬皮病鲜有报道,值得研究。我们对这一主题的文献进行了综述,其中又有3例家族性局限性硬皮病伴儿科发作。
    Localized scleroderma is an inflammatory disease causing sclerosis of the skin. The aetiology and pathogenesis of localized scleroderma remain unclear. Localized scleroderma is considered a genetically driven disease. It is not well understood if genetic factors or environmental exposure individually can cause its development or if their interaction is needed to trigger the disease. Some authors postulate that familial clustering is evidence of a hereditary disease. Familial localized scleroderma has been rarely reported and is a case worth studying. We present the review of literature on this subject with 3 additional cases of familial localized scleroderma with paediatric onset.
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  • 文章类型: Case Reports
    原发性皮肤B细胞淋巴瘤(PCBCLs)在儿童和青少年年龄组中非常罕见,尤其是原发性皮肤滤泡中心淋巴瘤(PCFCL),被认为是发生最少的主要亚型。这里,我们描述了一个16岁的女孩,她的前臂上出现了一个缓慢增长的孤立的坚硬光滑表面红斑结节。组织病理学检查显示真皮致密结节,附件周围和血管周围淋巴浸润,延伸至皮下组织。免疫组织化学染色显示B细胞群具有CD20阳性、BCL6和CD10可变染色和BCL2独特染色。尽管考虑了原发性皮肤边缘区淋巴瘤(PCMZL),但滤泡间BCL6和CD10阳性的存在确立了PCFCL的诊断。据我们所知,文献中仅描述了12例儿童和青少年PCFCL.
    Primary cutaneous B-cell lymphomas (PCBCLs) are very rare to be seen in pediatric and adolescent age group, especially primary cutaneous follicle center lymphoma (PCFCL) which is considered the least occurring main subtype. Here, we describe a 16-year-old girl who developed a slowly growing solitary firm smooth surfaced erythematous nodule over her forearm. Histopathological examination showed a dense dermal nodular, periadnexal and perivascular lymphoid infiltrate extending deep to the subcutis. Immunohistochemical staining showed a B-cell population with positivity for CD20, variable staining for BCL6 and CD10 and uniquely staining for BCL2. Although a primary cutaneous marginal zone lymphoma (PCMZL) was considered but the presences of interfollicular BCL6 and CD10 positivity established the diagnosis of PCFCL. To our knowledge, only 12 cases of pediatric and adolescent PCFCL have been described in the literature.
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  • 文章类型: Systematic Review
    UNASSIGNED:美国风湿病学会(ACR)1997,系统性狼疮国际合作诊所(SLICC)2012和欧洲抗风湿病联盟(EULAR)/ACR2019SLE标准通常用于对成人发作和儿童发作系统性红斑狼疮(SLE)患者进行分类,因为目前尚无SLE的诊断标准。然而,关于哪种标准最适合诊断成年型和儿童期型SLE患者的证据很少.
    UNASSIGNED:我们在Medline和Scopus数据库中搜索了从成立到2021年10月的英文文章。数据由两名独立审稿人从所包括的出版物中提取。我们使用随机效应模型进行了双变量荟萃分析,以汇集诊断参数。进行Meta回归和亚组分析以探索异质性来源。我们使用网络荟萃分析来比较三个标准之间的诊断性能,并按降序排列它们。使用Deeks漏斗图评估发表偏倚。
    UASSIGNED:我们纳入了29项研究进行系统评价和荟萃分析。其中,18项研究涉及成人发作性SLE,11项研究涉及儿童发作性SLE。SLICC2012和EULAR/ACR2019之间诊断成人发作性SLE的三种标准的合并敏感性相当[95.86,95%置信区间(CI)92.28-97.81vs.94.79,95%CI92.03-96.63];合并特异性在ACR1997中最高(92.24,95%CI87.06-95.46)。在儿童发作的SLE中,2012年SLICC的合并敏感性最高(93.76,95%CI89.45-96.39),在ACR1997中,合并特异性最高(95.89,95%CI91.73-98.00)。在网络荟萃分析中,在成人发作性SLE中,EULAR/ACR2019的汇总诊断比值比最高(131.570,95%CI61.50-281.47),在儿童发作性SLE中,SLICC2012的汇总诊断比值比最高(191.07,95%CI76.06-480.01).Deeks漏斗图没有发表偏倚。
    未经评估:我们发现ACR1997、SLICC2012和EULAR/ACR2019标准的诊断性能在成人发作和儿童发作SLE之间存在差异。在SLE患者分类方面,EULAR/ACR2019对成人发作的SLE表现最佳,SLICC2012对儿童发作的SLE表现最佳。
    未经批准:[www.ClinicalTrials.gov],标识符[CRD42021281586]。
    UNASSIGNED: The American College of Rheumatology (ACR) 1997, Systemic Lupus International Collaborating Clinics (SLICC) 2012, and European League Against Rheumatism (EULAR)/ACR 2019 SLE criteria are often used to classify patients with adult-onset and childhood-onset systemic lupus erythematosus (SLE) in clinical practice because there are currently no diagnostic criteria for SLE. However, there is scarce evidence regarding which criteria are best for diagnosing patients with adult-onset and childhood-onset SLE.
    UNASSIGNED: We searched Medline and Scopus databases for English-language articles from inception through October 2021. Data were extracted from the included publications by two independent reviewers. We performed bivariate meta-analysis with a random-effects model to pool diagnostic parameters. Meta-regression and subgroup analyses were performed to explore heterogeneity sources. We used network meta-analysis to compare diagnosis performance among the three criteria and ranked them in descending order. Publication bias was assessed using Deeks\' funnel plot.
    UNASSIGNED: We included 29 studies for systematic review and meta-analysis. Of these, 18 studies involved adult-onset SLE and 11 studies involved childhood-onset SLE. The pooled sensitivities of the three criteria for diagnosis of adult-onset SLE were comparable between SLICC 2012 and EULAR/ACR 2019 [95.86, 95% confidence interval (CI) 92.28-97.81 vs. 94.79, 95% CI 92.03-96.63]; pooled specificity was highest in ACR 1997 (92.24, 95% CI 87.06-95.46). In childhood-onset SLE, pooled sensitivity was highest in SLICC 2012 (93.76, 95% CI 89.45-96.39), and pooled specificity was highest in ACR 1997 (95.89, 95% CI 91.73-98.00). In network meta-analysis, the pooled diagnostic odds ratio ranked highest for EULAR/ACR 2019 (131.570, 95% CI 61.50-281.47) in adult-onset SLE and ranked highest for SLICC 2012 (191.07, 95% CI 76.06-480.01) in childhood-onset SLE. Deeks\' funnel plot showed no publication bias.
    UNASSIGNED: We found that the diagnostic performance of the ACR 1997, SLICC 2012, and EULAR/ACR 2019 criteria differed between adult-onset and childhood-onset SLE. EULAR/ACR 2019 performed best for adult-onset SLE and SLICC 2012 was best for childhood-onset SLE in classifying patients with SLE.
    UNASSIGNED: [www.ClinicalTrials.gov], identifier [CRD420 21281586].
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