[Teaching and healthcare in adolescence: reality and perspectives]
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Biomedical subjects
Publications and source records attributed to R B Feijó.
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OBJECTIVE: The present article reviews the methods and criteria used to assess risk behavior in adolescents. METHODS: Non-systematic review of scientific literature, as well as the assessment of the clinical and research experience accumulated by the Adolescent Outpatient Clinic of the Hospital de Clínicas de Porto Alegre. RESULTS: Physicians can apply a comprehensive healthcare model by using a psychosocial approach, trying to understand the influence the media exerts on adolescents, and trying to establish a confidentiality relationship with them. The major factors that should be evaluated regarding risk behavior among adolescents include clinical and nutritional aspects, as well as sexuality, violence, mental health and alcohol and drug use issues. CONCLUSIONS: Health care providers should use their sensitivity and expertise, in addition to establishing ethically clear approaches to evaluate risk factors. The authors suggest a route of investigation of risk behavior that should be used in routine consultation.
PURPOSE: To evaluate the frequency of symptoms of depression, suicidal ideation, suicide behavior, and hopelessness among adolescents in southern Brazil. METHODS: The Self-Report Questionnaire (SRQ) was administered to a random sample of 126 community youngsters to screen for mental problems, the Montgomery-Asberg Depression Rating scale for signs and symptoms of depression, an adapted version of DIS (Diagnostic Interview Schedule) for suicidal ideation and behavior, and the Back's Hopelessness scale (adapted version). Social class, cognitive performance, age, and sex were also analyzed. RESULTS: Levels of symptoms of depression, suicidal ideation and behavior, and hopelessness were higher among those who were SRQ positive (8%). Female youngsters presented higher SRQ scores and on the Montgomery-Asberg scale. Cognitive performance was similar among all groups. Differences were not found according to social classes. The 15-17 year-old individuals (middle stage) presented higher hopelessness than the other stages of adolescence. CONCLUSIONS: The present findings suggest that screening for mental health conditions by self-report questionnaires may be of value of identify groups at major risk for violent, self-destructive behavior among community adolescents.
The Morgagni hernia occurs behind the sternum and is a rare diaphragmatic defect although the late diagnosis may result in important clinic symptoms and poor prognosis. The authors present a case report of a child with 11 months and respiratory symptoms with chronic pulmonary infections and several hospitalizations without etiologic diagnosis. The conclusion was for the early Morgagni hernia diagnosis and the prevention of chronic complications.