By S. Claire Selzer (auth.), Donald E. Greydanus, Mark L. Wolraich (eds.)
BEHAVIORAL PADIATRICS has been constructed to supply the primary-care doctor with a realistic consultant to early reputation of an intervention within the major difficulties more and more affecting the emotional health and wellbeing of our youngsters and children. the 1st a part of the amount introduces common innovations of ordinary improvement, overview, and therapy. half makes a speciality of particular behavioral pediatric issues, with specific realization to useful techniques to prognosis, administration, and referral.
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Menarche, the onset of the first menstrual period, usually occurs within 2 years of the breast budding (average age, 1213 years) and is often preceded by an asymptomatic clear vaginal discharge (physiologic leukorrhea). Initial menses are often irregular and vary considerably in amount and duration of flow due to their anovulatory nature. 16 The female is within about 2 inches of her adult height once menarche occurs. Reproductive capability depends on the production of ova (ovulation). This ability is quite variable, often taking months to years to occur.
Thus, for those youth who so want to experience "adult" sexuality, it is important that the careprovider both teach them of the negative consequences of early sexual behavior (psychologic rejection, pregnancy, and STDs, some of which are incurable, like herpes, and even fatal, like AIDS), and encourage them to postpone sexual involvement until late adolescence and/or that time in their life that is congruent with their value system, such as upon marriage. However, at whatever point teens choose to initiate intercourse, it is a medical obligation for clinicians either to provide direct- 28 Ronald M.
Luria AR. The Working Brain. New York: Basic Books; 1973. 38. Goldman PS. The role of experience in recovery of function following orbital prefrontal lesions in infant monkeys. Neuropsychologia. 1976; 14:401-411. 39. Greenough WT, Green EJ. Experience and the changing brain. In: McGaugh JL, March JG, Kiesler SB, eds. Aging, Biology, and Behavior. New York: Academic Press; 1981:71-91. 40. Rakic P, Bourgeois JP, Echenoff M, Zecevic N, Goldman-Rakic PS. Concurrent overproduction of synapses in diverse regions of the primate cerebral cortex.