Paternal Alienation, Paternal Strain, Generativity, Adjustment, and Resilience (P-APGAR): A Conceptual Framework for Fathers' Perinatal Psychosocial Adjustment.

La baja talla por Deficiencia de Hormona de Crecimiento es una de las causas endocrinas más frecuentes. El tratamiento se realiza con hormona de crecimiento recombinante (rhgh) durante un período habitualmente de larga duración. Existe un grupo de pacientes que su tratamiento con hormona de crecimiento no concluye en la adultez y debe ser tratado también en ese periodo de la vida. El tema de las transferencias se planteó por primera vez en Estados Unidos en 1984, como consecuencia del importante aumento de supervivencia durante los años setenta y ochenta de niños con patología crónica y discapacitante. Se entiende por transición a una etapa de cambios físicos y psicológicos que, de forma arbitraria, se extiende desde el final de la pubertad hasta que la maduración adulta se completa. Es preciso reevaluar los pacientes con deficiencia de hormona de crecimiento tras alcanzar la talla adulta y definir el estado de la secreción de GH para valorar la conti el periodo de transición y en la adultez.

Assessing birth experience in fathers as an important aspect of clinical obstetrics: How applicable is Salmon׳s Item List for men?

A systematic review of patient-reported outcome measurement (PROM) and provider assessment in mental health: goals, implementation, setting, measurement characteristics and barriers.

Mental health in female breast cancer survivors post-mastectomy: A structural model based on Roy's adaptation model

Secukinumab, a fully human anti-interleukin-17A monoclonal antibody, has demonstrated efficacy and safety in patients with moderate-to-severe psoriasis. Trial protocols specify transition periods and prohibit concomitant psoriasis medication. Data are therefore needed on secukinumab effectiveness and safety in routine clinical practice. The PROSPECT study assesses prior and concomitant psoriasis treatments and transition periods in subjects receiving secukinumab. Here, we report interim effectiveness and safety data for secukinumab in the context of prior and concomitant treatments. PROSPECT is an ongoing 24-week, single-cohort, non-interventional study. Subjects with moderate-to-severe psoriasis with a decision to receive secukinumab 300mg were included. Of 1988 subjects, 1238/1988 (62.4%) were male, and mean age was 48.1±13.7years. Mean baseline Psoriasis Area and Severity Index (PASI) score was 17.7±12.5. 90.9% of subjects had prior systemic treatment. Concomitant treatment was recorded in 44.3% of subjects. Median duration of transition period was 14.0, 30.0 and 44.5days from prior topical, conventional systemic and biologic treatments. At Week 24, PASI75/90/100 was reached by 86.1%, 68.5% and 39.7% of subjects who started secukinumab treatment at baseline. No unexpected safety signals were observed. PROSPECT provides a large prospective real-world analysis of secukinumab treatment and includes prior and concomitant use of psoriasis treatments in subjects receiving secukinumab in a real-world setting. Secukinumab effectiveness and safety were comparable to that seen in the phase 2/3 secukinumab clinical trial programme.

Secukinumab, a fully human anti-interleukin-17A monoclonal antibody, has demonstrated efficacy and safety in patients with moderate to severe psoriasis. However, as per study protocols, transition periods from prior psoriasis treatments of a defined minimal length were required and use of concomitant psoriasis medication was prohibited. There is therefore a lack of data on the effect of shorter transition periods and concomitant psoriasis treatment with other pharmacologically active substances on the effectiveness and safety of secukinumab in routine clinical practice. The PROSPECT study was designed to assess prior and concomitant use of psoriasis treatments in subjects receiving secukinumab and the duration of transition periods from prior treatments to secukinumab. Here, we report the baseline characteristics and the duration of transition period in an interim analysis of the first 805 subjects. PROSPECT is an ongoing 24-week, single-cohort, non-interventional study. Subjects with moderate to severe psoriasis with a decision to receive secukinumab were included. The majority of subjects were male (491/796, 61.7%), with a mean age of 47.7 years (SD 13.7). The baseline Psoriasis Area and Severity Index (PASI) was available for 92.4% (744/805) of subjects, and mean baseline PASI was 17.5 (SD 13.1); 93.4% (752/805) of subjects had signs of high disease severity. Use of concomitant treatment increased with the number of signs. Within the last 12 months prior to inclusion, 10%, 40%, and 28% of subjects had received topical, conventional systemic, or biologic treatments as their last prior psoriasis therapy, respectively, and 22% of subjects had not received any psoriasis therapy. Discontinuation of prior treatment due to adverse events was high in subjects with conventional systemic treatment (93/413, 22.5%) compared to biologic treatment (5/210, 2.4%). The median duration of the transition period was 14.0, 30.5, and 38.0 days for prior topical, conventional systemic, and biologic treatments, respectively. PROSPECT is the first study to investigate prior and concomitant use of psoriasis treatments in subjects receiving secukinumab in a real-world setting. The majority of the subjects had a high disease burden and use of concomitant treatment increased with disease severity. The duration of the transition period depended on prior treatment.

Adolescence is a period of transition or transition from childhood to adulthood marked by physical, psychological and psychosocial changes. According to the World Health Organization (WHO) the age group for adolescents is 12-24 years old. Fulfillment of nutritional needs during adolescence can maximize the work of the reproductive organs which will continue on to the products of conception. The Balanced Nutrition Guidelines aim to provide guidelines for daily food consumption and healthy behavior based on the principles of consuming a variety of foods, clean living habits, physical activity, and regular monitoring of body weight in order to maintain normal body weight. Diet is the most important behavior that can affect nutritional status. This is because the quantity and quality of food and drink consumed will affect nutritional intake so that it will affect the health of individuals and society. In order to keep the body healthy and avoid various chronic diseases or non-communicable diseases related to nutrition, people's diet needs to be improved towards balanced nutrition consumption. Good nutritional status can improve individual and community health.

Menopause, in many parts of the world, is considered as an important issue in a woman's life. It begins with the permanent cessation of menstruation and is a period of transition and adaptation to a new condition characterized by lack of estrogen and loss of reproductive capacity of the woman. The transition to this new reality is accompanied by a series of biological and psychosocial changes with a variety of physical and emotional symptoms. As every woman is different, so the experience of menopause varies. According to the literature, although the emergence of symptoms is a global phenomenon, women from different cultural backgrounds report different symptoms. The same applies to perceptions about the meaning of menopause. The aim of the present paper was to investigate, through recent literature data, these different perceptions and symptoms that women of different cultures attribute to menopause. The review showed important differences between women of different countries but also between women living in the same country.

Previous research has shown attachment avoidance in adulthood to be a strongnegative predictor of desire to have children, bonding in pregnancy, and abilityto relate to children after birth (Rholes, Simpson, & Blakely, 1995; Rholes,Simpson, Blakely, Lanigan, & Allen, 1997). Other research has shown that relationships between adult attachment and prenatal bonding and parenting style are sometimes mediated by caregiving style (Walsh et al., 2011; Millings, Walsh, & O’Brien, 2008). The two studies presented here explore the roles of attachment and caregiving in how individuals without children think about their intentions to become a parent and their expectations of what future parenting will be like. Study 1 demonstrated that, in accordance with other literature, attachment avoidance was a good negative predictor of desire to have children, but that caregiving style did not mediate this relationship. There appeared to be different predictors for young men and young women such that attachment avoidance predicted desire to have children for women, but caregiving responsiveness to partner predicted desire to have children for men. The second study sought to replicate and extend these results by examining attachment, caregiving, and relationship influences on expectations of future parenting. This research adds to our understanding of the correlates and predictors of parenting intentions and expectations, and the relative importance of relationship and individual processes.

Infants exposed prenatally to drugs and alcohol tend to enter the child welfare system at a younger age than many other foster children and often directly from the hospital following birth. This article examines three concepts from the postpartum family adaptation literature: transition to parenthood, maternal and paternal role identities, and attachment. It applies these concepts to the experiences of foster parents who care for infants with prenatal drug and alcohol exposure. Also reviewed are recommended strategies to promote development of the foster parent-infant relationship and to increase parental knowledge within the NICU setting and during the period of transition from hospital to home. Nurses within the NICU have a unique knowledge and experience of caring for infants in withdrawal. This knowledge needs to be shared beyond the hospital with community professionals, who may have limited training in infant health, mental health, or development.

adolescence is a transition period from childhood to adulthood, marked by significant physical, psychological, cultural, and psychosocial changes. This research investigates the impact of gadget addiction on a sixth-grade child (S) who uses gadgets for more than 2 hours daily. The study found that while gadgets can positively facilitate learning and communication with peers, they negatively affect psychological development, particularly emotional growth and moral development. Children using gadgets excessively become irritable and display reduced discipline, often neglecting studies in favor of watching TikTok and YouTube. The study highlights the critical role of parents in mitigating these negative effects by engaging children in activities aligned with their interests, thereby effectively reducing gadget usage.

Menopause is a transitional period that woman goes through if she lives beyond the age of 55 years. Menopause is characterized by physiologic and psychosocial changes in a woman's life. Though many depressive symptoms are seen during menopausal transition, the relation of depression with menopausal status is controversial. OBJECTIVES: To compare the depression among postmenopausal women and women who has not attained menopause in the age group of 43 to 55 years in a rural area in Kerala using Beck’s Depression Inventory. To find out whether depression is associated with climacteric symptoms among rural women in the age group of 43 to 55 years.

Introduction: Adolescence is characterized as a transition period between childhood and adult life that imposes great physical, cognitive and psychosocial changes. During that period, the adolescent is exposed and vulnerable to the consumption of alcohol and drugs, and has been an scenery where nurses who works in the School Health Programs (SHP) interact with them. In this sense, the interaction between education and health can influence adolescents to become questioners of the risks they are exposed and look together for better options to improve their quality of life. Objective: To analyse the perception and health practices of Nurses working in the School Health Programs of prevention of alcohol and drugs during adolescence. Method: This is a descriptive and qualitative study carried out in the city of Juazeiro do Norte, Ceará, Brazil, with 18 nurses participating in the SHP, who implement actions with adolescents in schools. The data collection took place through a semi structured interview and their organization through thematic analysis. Results: The participants affirmed that the importance of their actions and work is directed to prevent the use of alcohol and drugs among adolescents, excluding the precepts of health promotion. They pointed out that the interaction between education and health is characterized as an effective strategy in the prevention of damages caused by the use of alcohol and drugs, emphasizing the participation of family members during the process of elaboration, application and continuity. It was also evidenced that the educational practices are performed mostly through lectures, characterizing a work centred on clinical, individual and curative practice. Conclusion: Nurses understand that the interaction between health and education is an effective strategy to prevent the use of alcohol and drugs in adolescents, emphasizing the importance of family participation in the process of construction and support of this context. However, it is possible to identify that the actions developed by these professionals are still restricted to modify some behaviours such as to improve their willing of sharing new knowledge.

Background: Adolescence is a transitional period from childhood to adulthood that is associated with various changes, including physical changes, cognitive changes, and psychosocial changes. In Bojonegoro Regency, the high rate of child marriage is caused by several factors, including economic factors, parental matchmaking, marriage by accident (pregnancy outside of marriage), educational factors, environment, and peers Method: This community service activity was carried out in several stages, including: preparation, implementation, namely the implementation of Comprehensive Sexuality Education, as well as evaluation and assessment of the results of the activity. Result: After carrying out this community service activity, it was shown that the level of understanding of adolescents regarding Comprehensive Sexual Education (CSE) was almost half of the adolescents had a poor level of understanding, namely 14 people (46.6%), whereas after carrying out the implementation of Comprehensive Sexual Education (CSE) activities, the level of understanding of adolescents increased, namely 18 people had a good understanding (60%). Conclusion : After carrying out this community service activity, it was shown that the level of understanding of adolescents regarding Comprehensive Sexual Education (CSE) was almost half of the adolescents had a poor level of understanding, namely 14 people (46.6%), whereas after carrying out the implementation of Comprehensive Sexual Education (CSE) activities, the level of understanding of adolescents increased, namely 18 people had a good understanding (60%).

Adolescent is a transition period or transition from childhood to adulthood marked by physical, psychological and psychosocial changes. The type of this study used method of Analytic Survey with Cross Sectional design was to determine relationship between risk factors with effects, by way of approach, observation or data collection at once at a time or at the same time Data collection in this studyused primary data by looking at distributing questionnaires to students who were sampled. Data analysis was done by univariate and bivariate analysis. The results of this study were: 34 respondents (49.3%) of respondents had bad pre-marital sex behavior, 39 respondents (56.5%) of respondents had less knowledge, 47 respondents (68.1%) had unfovaroble attitude, 43 respondents (62,3%) of respondents have an unfavorable environment, there was a relationship between adolescent knowledge withpre-marriage sexual behavior (strong category, there was a relationship between adolescent attitudes with pre-marriage sex behavior (medium category). and there was relationship between adolescent environment with pre-marriage sex behavior in SMAN 7 South Bengkulu Regency. The results of this study were expected to provide an overview of factors that affect pre-marriage sex behavior in adolescents in high school. Keywords : Attitude, environment, knowledge, pre-marriage sex behavior