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Vivax malaria is in general described and considered as benign as it less likely causes severe illness, compared to malaria caused by Plasmodium falciparum (P.falciparum)species. Of late, there have been increasing evidences of Plasmodium Vivax (P.vivax) too causing severe disease and leading to poor outcomes.. We report a case of severe P vivax malaria in a 12 year old child complicated by Acute respiratory distress syndrome(ARDS)
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@#Introduction: Many underweight males take commercial protein supplements to increase their body weight and build muscle. Nonetheless, commercial protein supplements may cause adverse effects. This study aimed to determine the effects of resistance training exercise combined with a high protein diet on body weight and muscle mass in underweight adolescent males. Methods: A repeated measures design study was conducted on nine males aged 12-15 years with low body weight. Energy and protein requirements were calculated, and energy and protein consumptions were measured for each meal during the high protein diet without exercise (HP) period and the high protein diet with resistance exercise (HPE) period. Subjects engaged in three resistance training sessions each week during HP-E period, for eight weeks. Dietary intake, body composition, blood biochemistry, physical fitness, and self-esteem were assessed. Results: In HP-E period, resistance training exercise combined with a high protein intake (2.14 g/kg/d) increased body weight and lean tissue mass (LTM) by 0.5 kg and 0.5 kg, respectively. Resistance training during HP-E period increased arm, leg, and trunk muscle strength by 20.2%, 7.2%, and 14.5%, respectively, more than high protein diet alone during HP period. High protein intake in HP-E period did not affect blood urea nitrogen (BUN) and creatinine levels (11.0 mg/dL and 0.70 mg/dL, respectively). Conclusion: Eight weeks of resistance training combined with a high protein diet increased body weight and LTM without adverse effects. In particular, resistance exercise predominantly increased muscle strength. Kidney function was not affected by high protein consumption throughout this study.
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Background: There is a higher prevalence of eating disorders (ED) among adolescent females. These are less common in men and there are clinical differences between genders. Aim: To describe the clinical features of adolescent males with ED. Material and Methods: Review of 38 medical records of male patients with ED seen in an ED Unit in Chile, between 2001 and 2009. Results: Mean age at first medical visit was 14.4 ± 2.2 years. Symptoms appeared 9.5 ± 8.9 months prior to the first visit. Anorexia Nervosa (AN) of the restricting type was diagnosed in 21 patients (55.2 percent), with a mean weight loss of 11.2 kg ± 9.4 kg. In 37 percent of patients, there was a past medical history of overweight. All patients either increased or maintained weight during follow up. Sixty three percent had a psychiatric co-morbidity at first visit. After 3 months of treatment, 82 percent of patients remained in the program. Conclusions: There was a delay in diagnosis of ED in men. The high prevalence of AN found in this group is characteristic of patients recently diagnosed with ED. Overweight could be a precipitating factor. Nearly two thirds of male ED patients had a psychiatric comorbidity. This high prevalence may suggest a susceptibility to develop ED in males.
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Adolescent , Child , Humans , Male , Feeding and Eating Disorders/diagnosis , Antipsychotic Agents/therapeutic use , Benzodiazepines/therapeutic use , Body Mass Index , Chile , Delayed Diagnosis , Feeding and Eating Disorders/drug therapy , Retrospective Studies , Selective Serotonin Reuptake Inhibitors/therapeutic use , Sex FactorsABSTRACT
La paternidad en adolescentes se ha convertido en un problema de profunda relevancia pública. La actitud con la que el varón adolescente implicado en la paternidad enfrenta la vida, resulta de la influencia cotidiana del ambiente familiar o grupo social en que se desarrollan él y su pareja. Buscar la perspectiva social del varón adolescente ante la paternidad. Contempla un enfoque cuantitativo y cualitativo, utilizando la entrevista abierta. El análisis descriptivo fue procesado mediante el SPSS versión 10.0 y el componente ATLAS/ti, para la cualidad de la expresión del padre adolescente. Se estudiaron 96 padres, 54% tenía 19 años. El 67% están activos en el sistema educativo y de éstos 31% trabaja. El 54% comparten la vivienda de la familia de origen con hijo (a) y pareja. El 33% no estudia y todos trabajan, 63% son obreros. Factores Sociales: Estructura familiar: ambos padres: 67%. El 46% pertenece al Graffar IV. Estabilidad laboral de la familia del adolescente: 33% trabaja el padre y ambos 29%. El padre del adolescente culminó la educación básica en 33% y el 54% de las madres son bachilleres. La paternidad en el adolescente refleja en la mayoría una reacción positiva como factor social de apoyo. La cualidad de la expresión ante el embarazo y nacimiento del hijo, se visualiza por la actitud ante situaciones nuevas para él, a través de las categorías generadas.
The paternity in adolescents has become a problem of profound public relevance. The attitude, with which the male adolescent father faces life, derives from the influence of the familiar atmosphere or social group in which he and his partner develop. To look at the social perspective of the adolescent male previous to his paternity. It contemplates a quantitative and qualitative approach by means of an open interview. The descriptive analysis was processed by the software SPSS 10.0 and the quality of the expression of the adolescent father was assesses with the ATLAS/ti component. 96 adolescent fathers were studied. 54% were 19 years old. 67% were active in the educative system and of these, 31% also worked. 54% shared the house of the original family with their partner and child. 33% did not study but all of these worked, 63% as part of the working class. Social factors: Familiar structure: 67% had both parents, 46% belonged to the social stratus Graffar IV. Labor stability of the family of the adolescent: in 33% of the cases, the father worked and in 29%, both parents worked. 33% of the fathers of the adolescent finished grammar school and 54% of the mother had finished high school. The adolescent paternity reflects a positive feedback of the family as a social factor of support. The quality of the expression facing pregnancy and childbirth is visualized by the attitude before new situations through the generated categories.
Subject(s)
Humans , Male , Adolescent , Father-Child Relations , Psychology, Adolescent , Social Class , Family Development Planning , PaternityABSTRACT
This study was done to investigate the effect of adolescent smoking on dietary intakes and nutritional status of serum lipids and antioxidant vitamins. Subjects were 82 somkers whose average pack-year was 0.73, and 85 nonsmokers of male technical high school students in Seoul. Anthropometric measurement was performed and % body fat was also analyzed by Bioelectrical Impedance Fatness Analyzer(GIF-891). Dietary intakes and habits were examined through questionnaires and nutrient intakes were analyzed by Computer Aided Nutritional (CAN) analysis programs. Serum TG and total cholesterol levels were measured by Spotchem sp-4410 and serum HDL-cholesterol levels were measured by test kit. serum vitamin C level was measured by 2,4-dinitrophenylhydrazine method and serum levels of vitamin A and vitamin E were measured by HPLC. All data were statistically analyzed by SAS PC package program. There was a significant difference in body fat percentage and systolic blood pressure while other anthropometric measurements were not different between smokers and monsmokers. Caloric intakes(2335 kcal) in adolescent smokers tended to be higher than that of nonsmokers (2,175 kcal) but the difference was not statistically significant. Intakes of protein(76.67g) and niacin(16.49 mg) in adolescent male smokers were significantly higher(P<0.05) than those of nonsmokers although other nutrient intakes were not significantly different. Analysis of serum lipids showed that serum HDL-cholesterol level of smokers was significantly different. Analysis of serum lipids showed that serum HDL-cholesterol level of smokers was significantly lower(p<0.05) than that of nonsmokers, whereas other lipid levels were not significantly different. Serum vitamin C level was also significantly lower(p<0.05) in adolescent smokers than in nonsmokers. In addition, serum vitamin E level, which was 7.85 mg/1 in smokers, was lower than that of 9.20 mg/1 in nonsmokers(p<0.05) while serum vitamin A level was not significantly different between the two groups. These results indicate that cigarette smoking in adolescence decreases serum levels of HDL-cholesterol, vitamin C and vitamin E even thoughth their smoking history is very short.