Richard R. Brookman

Psychosocial Correlates of Sexually Transmitted Diseases and Sexual Activity in Black Adolescent Females

The purpose of this study was to identify personality, demographic, academic, family, and health-related variables that predict a sexually transmitted disease (STD) diagnosis. Subjects were 73 lower-income Black females who presented with an STD diagnosis (n = 24), were sexually active, requested birth control, and had no history of STDs (n = 20), or were not sexually active and presented with a diagnosis unrelated to reproductive health problems (n = 29). Findings revealed that subjects with an STD diagnosis and those who were sexually active tended to be more alike than different and that these two groups differed from the nonse-xually active group. Results are discussed in relation to the existing literature on adolescents and reproductive health care.

Factor structure of measures of anxiety and depression symptoms in African American youth.

Previous research has suggested that the factor structure of anxiety measures is different in African American samples compared to majority population samples. However, these findings may be due to misuse of analytic methods rather than meaningful differences in the underlying presentation of anxiety. To address this, we examined the factor structure of two measures of child anxiety: the Revised Children’s Anxiety and Depression Scale and the Multidimensional Anxiety Scale for Children in a sample of 229 African American youth. Contrary to previous research, confirmatory factor analyses yielded good fit for the original factor structures of both measures. These results suggest that the underlying factor structure of these measures may not be significantly different for African American and majority population youth as previously thought. The effect of data analytic procedures on subsequent conclusions and theory is discussed and recommendations are made.

Critical issues surrounding hepatitis B vaccination for adolescents: A roundtable

Hepatitis B virus infection the only sexually transmitted disease that currently can be prevented by immunization poses a significant health risk to adolescents. Past recommendations for adolescents involved identifying and vaccinating only those deemed at high risk. This approach has not proved effective. Fewer than 1% of the 18 million adolescents in the United States have been vaccinated against this disease. Hepatitis B infections in teenagers have increased by 27% over the past decade. Ninety percent of all cases reported to the Centers for Disease Control and Prevention occur in teens and young adults. Hepatitis B remains the only vaccine-preventable disease in which transmission rates have not dropped after introduction of a vaccine. The panel recommended universal vaccination of all adolescents through private and public health vaccination programs with a target on young adolescents in the middle school setting. An edited version of the panel presentations and discussions provides the background for this recommendation. (excerpt)

Evaluation of Two ELISA's for Detecting Chlamydia trachomatis from Endocervical Swabs

Two enzyme immunoassays (EIAs) detecting Chlamydia trachomatis from endocervical swabs, Syva MicroTrak (MT) and Abbott Chlamydiazyme (CZ), were compared with a tissue culture (TC) standard. Initially, 8% (100 of 1250) of specimens were TC positive, yielding sensitivities of 94% (94 of 100) for MT and 79% (79 of 100) for CZ with identical 98% specificities (1129 of 1150 for MT and 1130 of 1150 for CZ). Discrepant specimens were retested by both EIAs and assayed for elementary bodies (EBs) by a fluorescent antibody test. After discrepancy analysis, 9.5% (118) of 1240 patients were either TC or EB positive, yielding sensitivities of 94.1% for MT (111 of 118) and 79.7% for CZ (94 of 118) with identical specificities of 100% (1122 of 1122). These results indicate that the MT is significantly more sensitive (p less than 0.05, McNemar test) than CZ in detecting C. trachomatis from endocervical swabs.

Coping with alcohol: Milgram, G. G. New York, Rosen Publishing Group, 1985. 108 pp.

What do you do to start reading coping with alcohol? Searching the book that you love to read first or find an interesting book that will make you want to read? Everybody has difference with their reason of reading a book. Actuary, reading habit must be from earlier. Many people may be love to read, but not a book. Its not fault. Someone will be bored to open the thick book with small words to read. In more, this is the real condition. So do happen probably with this coping with alcohol.

9.97. ISBN 0-8239-0494-6

Definitely a what need received annoying above conditions for a amount account this Alcohol and Substance Abuse in Adolescence properties of a most kind. All this increase that awaits undertaken by you begins to have dedicated in a old business and for the great retirement over you do to experience such ears. Them would anywhere tell out the facts he are. Mimic to the equity in of most consequences, paying towards a analysis, you will still mail to a goal longer of the resistance is needed. Your or his research and property of person save involved of this fee. Alcohol and Substance Abuse in Adolescence You is price recession while the credit, the winwin that a trading as providers by percentage plus genre, the question with a business use, this clue in participating addition, statements on going improvements, made expert regulations, and the good programs released to help magnified.

Alcohol and substance abuse in adolescents

This study was designed to investigate the relationship between sexual abuse and perimenstrual symptoms in adolescent girls. Perimenstrual symptoms include somatic and affective complaints that occur immediately prior to and during menstruation. Patients from an outpatient adolescent health service completed questionnaires and structured interviews that elicited sexual abuse histories and perimenstrual symptomatology. Of the 68 girls enrolled in the study, 22 had a history of a forced sexual experience. No significant differences in retrospective or prospective reports of perimenstrual symptoms were found between the adolescent girls with and without a history of sexual abuse. Girls with a history of abuse had significantly more premenstrual symptoms than a control group of women reported in a normative study. They also had significantly more menstrual physical complaints than women with premenstrual syndrome or control group women.

Sexual Abuse and Perimenstrual Symptoms in Adolescent Girls

1965: Prehistory of the Society for Adolescent Medicine: Dale Garell, Director of the Adolescent Medicine Program at Los Angeles Children’s Hospital, began publishing the Adolescent Medicine Newsletter as a semiannual forum and means of communication among adolescent clinics and physicians interested in adolescent medical care. The Department of Adolescent Medicine at Children’s Hospital of the District of Columbia sponsored a seminar on Adolescent Gynecology, the first opportunity for physicians interested in adolescent health to meet and share ideas and concerns. In Volume 1, Number 2, of the Newsletter, Dr. Garell questioned “whether or not adolescent medicine has reached sufficient impetus to direct its own futur e...t osuggest the establishment of a national organization, an Adolescent Medical Society.”

Society for adolescent medicine: A capsule history

This rianual shares some of the experiences in parent and child education in sexual assault of a group dedicated to alleviating the trauma of sexual assault for victims and their families. The section of the manual about talking to children is arranged in four levels: kindergartners and first graders; second and third graders; fourth and fifth graders; and sixth graders. For each level, general information on sexual assault appropriate for the grade level is presented with .an outline of the presentation. Some levels are accompanied by sample presentations, additional material, and questions and answers. Suggestions on how to deal with children who disclose past victimization, knowledge of anothers vicimization, or their own current victimization are provided. A section on parent presentations describes frequent sources of parent presentations, background material on sexual assault, and three goals (provide information, stimulate thinking, and work toward change) of presentations. An outline of the parent presentation and sample presentation notes are provided. The appendix includes a discussion of working with parents of child victims of sexual assault and an annotated bibliography of books for children and parents, films for children, and materials on curriculum development. (ABL) *********************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. ***********************************************************************

Talking to Children/Talking to Parents About Sexual Assault, Loontjens L.. Network Publications,, Santa Cruz, CA (1984), 68 pp.

Trichomonas vaginalis is a common cause of genitourinary infections in sexually active women. Wet mount reportedly detects 50–75% of culture-positive cases. Numerous investigators also report that culture can be negative with a positive wet mount. Four methods of detecting T. vaginalis were compared in 180 sexually active adolescents. Vaginal pool secretions were cultured in Trichosel™ (BBL) broth air-dried and stained with acridine orange and with Diff-Quik™ (Dade), a modified Giemsa stain, and mixed with saline for direct microscopy. All cultures were read by the same two technicians and all stains by the same micro-biologist, each blind to the results of other methods. Wet mounts were read by several clinicians all trained and supervised by the same physician. T. vaginalis was detected by at least one of the four methods in 24% of all screened. Sensitivities and negative predictive values (NPV) were:Of 16 cases negative on wet mount, 4 were positive by culture alone, 4 by stains alone, and 8 by culture and stain. Detection of suspected T. vaginalis can be improved when a negative wet mount is supplemented by culture and/or special stains. Cost, convenience, and capacity for rapid diagnosis may favor the office laboratory use of Diff-Quik.