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11 records – page 1 of 2.

Human breast milk contamination with phthalates and alterations of endogenous reproductive hormones in infants three months of age.

https://arctichealth.org/en/permalink/ahliterature76061
Source
Environ Health Perspect. 2006 Feb;114(2):270-6
Publication Type
Article
Date
Feb-2006
Author
Katharina M Main
Gerda K Mortensen
Marko M Kaleva
Kirsten A Boisen
Ida N Damgaard
Marla Chellakooty
Ida M Schmidt
Anne-Maarit Suomi
Helena E Virtanen
Dajørgen Vid H Petersen
Anna-Maria Andersson
Jorma Toppari
Niels E Skakkebaek
Author Affiliation
University Department of Growth and Reproduction, Rigshospitalet, Copenhagen, Denmark. katharina.main@rh.hosp.dk
Source
Environ Health Perspect. 2006 Feb;114(2):270-6
Date
Feb-2006
Language
English
Publication Type
Article
Keywords
Adult
Cohort Studies
Cryptorchidism - chemically induced
Denmark
Female
Finland
Gonadal Steroid Hormones - blood
Humans
Infant, Newborn
Longitudinal Studies
Male
Milk, human - chemistry
Phthalic Acids - analysis - poisoning
Pregnancy
Prenatal Exposure Delayed Effects
Research Support, Non-U.S. Gov't
Abstract
Phthalates adversely affect the male reproductive system in animals. We investigated whether phthalate monoester contamination of human breast milk had any influence on the postnatal surge of reproductive hormones in newborn boys as a sign of testicular dysgenesis. DESIGN: We obtained biologic samples from a prospective Danish-Finnish cohort study on cryptorchidism from 1997 to 2001. We analyzed individual breast milk samples collected as additive aliquots 1-3 months postnatally (n = 130; 62 cryptorchid/68 healthy boys) for phthalate monoesters [mono-methyl phthalate (mMP), mono-ethyl phthalate (mEP), mono-n-butyl phthalate (mBP), mono-benzyl phthalate (mBzP), mono-2-ethylhexyl phthalate (mEHP), mono-isononyl phthalate (miNP)]. We analyzed serum samples (obtained in 74% of all boys) for gonadotropins, sex-hormone binding globulin (SHBG), testosterone, and inhibin B. RESULTS: All phthalate monoesters were found in breast milk with large variations [medians (minimum-maximum)]: mMP 0.10 (
PubMed ID
16451866 View in PubMed
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Is HEADS in our heads? Health risk behavior is not routinely discussed with young people with chronic conditions.

https://arctichealth.org/en/permalink/ahliterature282598
Source
Int J Adolesc Med Health. 2016 Nov 01;28(4):429-435
Publication Type
Article
Date
Nov-01-2016
Author
Kirsten A Boisen
Pernille Grarup Hertz
Charlotte Blix
Grete Teilmann
Source
Int J Adolesc Med Health. 2016 Nov 01;28(4):429-435
Date
Nov-01-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Health - statistics & numerical data
Adult
Attitude of Health Personnel
Chronic Disease - epidemiology - psychology - therapy
Community Participation - statistics & numerical data
Denmark - epidemiology
Female
Health Behavior
Health Promotion - methods - organization & administration - statistics & numerical data
Humans
Male
Professional-Patient Relations
Risk Reduction Behavior
Risk-Taking
Sexual Behavior
Surveys and Questionnaires
Abstract
Outpatient clinic visits are a window of opportunity to address health risk behaviors and promote a healthier lifestyle among young people. The HEADS (Home, Education, Eating, Activities, Drugs [i.e. substance use including tobacco, alcohol, and illegal drugs], Sexuality [including contraception], Safety, Self-harm) interview is a feasible way of exploring health risk behaviors and resilience.
The purpose of this study was to evaluate how often HEADS topics were addressed according to young patients and staff in pediatric and adult outpatient clinics.
We conducted a questionnaire survey among young patients and health care professionals at a tertiary university hospital. Young patients reported on their cumulative experience and staff reported on their usual practice.
A total of 290 young patients aged 12-22 years (78% having a chronic condition) and 97 health care professionals participated. We found only small reported differences between staff and young patients regarding whether home, education, and activity were addressed. However, staff reported twice the rate of addressing smoking, alcohol, illegal drugs, sexuality, and contraception compared to young patients. Young patients reported that smoking, alcohol, illegal drugs, sexuality, and contraception were addressed significantly more at adult clinics in comparison to pediatric clinics. After controlling for age, gender and duration of illness, according to young patients, adjusted odds ratios for addressing smoking at adult vs. pediatric clinics was 2.47 (95% confidence interval [CI]: 1.26-4.83), alcohol 2.84 (95% CI:1.45-5.57), illegal drugs 4.20 (95% CI:1.69-10.44), sexuality 3.54 (95% CI: 1.67-7.50), contraception 3.68 (95% CI:1.61-8.41), and any of the above 2.95 (95% CI: 1.47-5.91).
According to young patients, smoking, alcohol, illegal drugs, sexuality, and contraception were not routinely addressed at a tertiary hospital, and especially at paediatric clinics, these issues were seldom addressed.
PubMed ID
26360488 View in PubMed
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Larger Testes and Higher Inhibin B Levels in Finnish than in Danish Newborn Boys.

https://arctichealth.org/en/permalink/ahliterature16377
Source
J Clin Endocrinol Metab. 2006 Apr 4;
Publication Type
Article
Date
Apr-4-2006
Author
Katharina M Main
Jorma Toppari
Anne-Maarit Suomi
Marko Kaleva
Marla Chellakooty
Ida M Schmidt
Helena E Virtanen
Kirsten A Boisen
Claudia M Kai
Ida N Damgaard
Niels E Skakkebæk
Author Affiliation
University Department of Growth and Reproduction, Rigshospitalet, Copenhagen, Denmark; Departments of Physiology and Paediatrics, University of Turku, Finland.
Source
J Clin Endocrinol Metab. 2006 Apr 4;
Date
Apr-4-2006
Language
English
Publication Type
Article
Abstract
Context: Recent studies showed that male reproductive health problems like cryptorchidism, hypospadias, testicular cancer and low sperm quality are more prevalent in Denmark than in Finland. Objectives: We hypothesized that if fetal testicular dysgenesis contributed to these observations, differences in gonadal development and the hypothalamus-pituitary-testis axis would already be detectable perinatally. Thus, we investigated healthy newborn boys in both countries. Design: Prospective, longitudinal population-based study. Setting: Two primary obstetric centers at the University Hospitals of Copenhagen, Denmark, and Turku, Finland Participants: 633 Danish / 1044 Finnish boys, born at term with appropriate weight for gestational age Interventions: ultrasound determination of testis size at 0-3-18 months and blood sampling (n = 727) at 3 months Main outcome measures: testicular volume, reproductive hormones Results: Testis volume was significantly higher at all ages in Finnish than in Danish boys (medians: 98 vs. 95 mm(3), 185 vs. 119 mm(3) and 188 vs. 136 mm(3), respectively, P
PubMed ID
16595596 View in PubMed
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More than a break: the impact of a social-pedagogical intervention during young persons' long-term hospital admission--a qualitative study.

https://arctichealth.org/en/permalink/ahliterature275984
Source
Int J Adolesc Med Health. 2015 Feb;27(1):19-24
Publication Type
Article
Date
Feb-2015
Author
Katrine Weiersoe Villadsen
Charlotte Blix
Kirsten A Boisen
Source
Int J Adolesc Med Health. 2015 Feb;27(1):19-24
Date
Feb-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior - psychology
Adolescent Development
Adult
Decision Making
Denmark
Female
Hospitalization
Humans
Interpersonal Relations
Interviews as Topic
Length of Stay
Male
Motivation
Motor Activity
Psychology, Adolescent
Qualitative Research
Recreation - psychology
Social Isolation - psychology
Social Support
Social Work - methods
Young Adult
Abstract
Critical illness and long-term or repeated hospitalization can affect normal adolescent development. As a result, adolescents may feel isolated and "misplaced" on both pediatric and adult departments. The mission of the Center of Adolescent Medicine is to improve conditions for adolescent patients. To achieve this, the social educator offers an individualized social-pedagogical intervention for young people during long-term or repeated hospitalization.
The aim of this study was to identify the impact of the social-pedagogical intervention using a qualitative approach.
A trained anthropologist interviewed seven adolescents who had individual sessions with a social educator during their hospital stay. The interviews were recorded and transcribed verbatim, and the transcripts were coded and thematized continuously.
Through qualitative analysis, the following themes emerged: Recreation; Structure, participation, and motivation; and Friends and social network. The social-pedagogical approach is a combination of interpersonal relationships and individually tailored recreational activities. Even small entertaining activities changed the focus from patient identity and contributed to the feeling of being "normal." All young patients reported that the increased opportunities for decision-making and influence on the daily structure supported the feeling of being recognized and respected as an individual person as well as increased their motivation to go through their treatment. The interviewees emphasized the importance of experiencing something that was worth telling their friends about to help them stay in touch.
Although the young patients emphasized the recreational aspects, the time spent with the social educator facilitated training in social competencies as well as conversations about emotional and sensitive topics.
PubMed ID
24810557 View in PubMed
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[Multiple mini interviews before the occupation of main training posts in paediatrics].

https://arctichealth.org/en/permalink/ahliterature107416
Source
Ugeskr Laeger. 2013 Sep 9;175(37):2108-11
Publication Type
Article
Date
Sep-9-2013
Author
Niels Thomas Hertel
Mia Bjerager
Malene Boas
Kirsten A Boisen
Klaus Børch
Marianne Sjølin Frederiksen
Kirsten Holm
Anette Grum-Nymann
Martin M Johnsen
Stine Whitehouse
Thomas Balslev
Author Affiliation
H.C. Andersen Børnehospital, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C. thomas.hertel@rsyd.dk.
Source
Ugeskr Laeger. 2013 Sep 9;175(37):2108-11
Date
Sep-9-2013
Language
Danish
Publication Type
Article
Keywords
Denmark
Humans
Internship and Residency - manpower - standards
Interviews as Topic - methods
Pediatrics - education - manpower
Personnel Selection - methods - standards
Questionnaires
Reproducibility of Results
Abstract
Interviews are mandatory in Denmark when selecting doctors for training positions. We used multiple mini interviews (MMI) at four recruitment rounds for the main training posts in paediatrics. In total, 125 candidates were evaluated and assessed by CV and MMI (4-5 stations). Reliability for individual stations in MMI assessed by Cronbach's alpha was adequate (0.63-0.92). The overall reliability assessed by G-theory was lower, suggesting that different skills were tested. The acceptability was high. Our experiences with MMI suggest good feasibility and reliability. An increasing number of stations may improve the overall reliability.
PubMed ID
24011206 View in PubMed
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"Perhaps I will die young." Fears and worries regarding disease and death among Danish adolescents and young adults with cancer. A mixed method study.

https://arctichealth.org/en/permalink/ahliterature286348
Source
Support Care Cancer. 2016 Nov;24(11):4727-37
Publication Type
Article
Date
Nov-2016
Author
Bibi Hølge-Hazelton
Helle U Timm
Christian Graugaard
Kirsten A Boisen
Cecilie Dyg Sperling
Source
Support Care Cancer. 2016 Nov;24(11):4727-37
Date
Nov-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Anxiety - psychology
Cross-Sectional Studies
Death
Fear - psychology
Female
Humans
Male
Neoplasms - mortality - psychology
Surveys and Questionnaires
Survival Rate
Sweden
Young Adult
Abstract
A cross-sectional national study was initiated in order to evaluate healthcare services and survivorship from the perspective of Danish adolescents and young adults (AYAs) with cancer. The purpose of the paper was to examine (Q1) to what extend Danish AYAs experienced fears and worries about dying; (Q2) with whom, if anyone, they had shared those worries; and finally, (Q3) how fears and worries influenced their daily life. The emphasis will be on Q3.
A 151-item questionnaire (including two closed- and one open-ended questions about fears of death and dying) was distributed among all 15-29-year-old Danes registered with a cancer diagnosis from 2009 to 2013. A total study population of 822 persons participated. Data was analyzed using a mixed design of descriptive statistics and qualitative content analysis.
Q1: Almost 80 % of AYAs with cancer expressed some worries about death; hereof, more than half of them expressed quite a bit or very much. The analysis showed significant gender differences, whereas age and duration of disease did not have any significant impact on such thoughts. Q2: One third had not talked to anybody about his or her worries. Q3: The analysis resulted in three overall categories: fear of disease and death having little or no influence (n = 100), fear influencing in various ways (n = 215), and fear of disease and death having a substantial influence (n = 75).
The majority of AYAs had experienced fears and worries about dying, but one third of them had not talked to anybody about those thoughts. It is an important clinical point that young age does not preclude fears and worries about dying in AYAs with cancer.
PubMed ID
27352837 View in PubMed
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Postnatal penile length and growth rate correlate to serum testosterone levels: a longitudinal study of 1962 normal boys.

https://arctichealth.org/en/permalink/ahliterature29290
Source
Eur J Endocrinol. 2006 Jan;154(1):125-9
Publication Type
Article
Date
Jan-2006
Author
Malene Boas
Kirsten A Boisen
Helena E Virtanen
Marko Kaleva
Anne-Maarit Suomi
Ida M Schmidt
Ida N Damgaard
Claudia M Kai
Marla Chellakooty
Niels E Skakkebaek
Jorma Toppari
Katharina M Main
Author Affiliation
University Department of Growth and Reproduction Section 5064, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.
Source
Eur J Endocrinol. 2006 Jan;154(1):125-9
Date
Jan-2006
Language
English
Publication Type
Article
Keywords
Aging
Child, Preschool
Denmark
Finland
Humans
Infant
Infant, Newborn
Longitudinal Studies
Male
Penis - anatomy & histology - growth & development
Reference Values
Research Support, Non-U.S. Gov't
Testosterone - blood
Abstract
OBJECTIVE: Infant boys show a brief activation of their hypothalamic-pituitary-gonadal axis shortly after birth, the physiological significance of which is poorly understood. The objective of the study was to investigate the correlation between endogenous testosterone levels and penile size and growth. DESIGN: Prospective, longitudinal population-based study taking place at two large primary obstetric centres at the University Hospitals of Copenhagen, Denmark, and Turku, Finland. METHODS: Infant boys, 728 Danish and 1234 Finnish, underwent clinical examinations at 0, 3, 18 and 36 months in Denmark and at 0, 3 and 18 months in Finland with blood samples taken at 3 months (n = 630). Penile length and growth were registered and reproductive hormones (testosterone, sex hormone binding globulin, oestradiol) were analysed. RESULTS: Penile length increased from birth (3.49+/-0.4 cm) to 3 years of age (4.53+/-0.51 cm) with the highest growth velocity from birth to 3 months (1.0 mm/month). Penile length and growth were significantly, positively correlated to serum testosterone (r = 0.31 and 0.076, P = 0.006 and 0.001 respectively) and to free testosterone index (r = 0.385 and 0.094, P = 0.0001 and 0.0001 respectively). CONCLUSIONS: We found that endogenous testosterone was significantly associated with penile size and growth rate in infant boys. Thus, the postnatal surge in reproductive hormones appears to be important for genital growth. Our data may serve as an updated reference for normal penile length in Caucasian boys up to 3 years of age.
PubMed ID
16382001 View in PubMed
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[Sexual knowledge, attitudes and behavior among young Danes. A questionnaire study]

https://arctichealth.org/en/permalink/ahliterature7351
Source
Ugeskr Laeger. 2002 Oct 7;164(41):4810-4
Publication Type
Article
Date
Oct-7-2002
Author
Christian L Graugaard
Bjarne Rasmussen
Kirsten A Boisen
Author Affiliation
Afdeling for Medicinhistorie, Medicinsk-Historisk Museum, Bredgade 62, DK-1260 København K.
Source
Ugeskr Laeger. 2002 Oct 7;164(41):4810-4
Date
Oct-7-2002
Language
Danish
Publication Type
Article
Keywords
Abortion, Induced
Adolescent
Adult
Contraception Behavior
Denmark
English Abstract
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Pregnancy
Pregnancy in adolescence
Questionnaires
Safe Sex
Sex Education
Sexual Behavior
Sexuality
Abstract
INTRODUCTION: The aim of this study was to present selected key figures concerning the sexual knowledge, attitudes, and behaviour among Danish teenagers. MATERIAL AND METHODS: 7355 Danish adolescents (aged 13-25) participated in a comprehensive questionnaire survey concerning sexual knowledge, attitudes, and behaviour. RESULTS: The median age at coital debut was 16.8 and in all age groups > 13, girls were more experienced and active than boys. The coital frequency was increased by age, as was girls' experience with orgasm in the years following their debut. The prevalence of same-gender sex appeared to be modest, and anal sex was reported by less than 10 per cent. A significant and increasing amount of youngsters did not discuss sexual matters at home, whereas the vast majority had received sexual education in school. One fourth of the girls regarded doctors as desired sexual interlocutors. Almost one fourth of the youngsters did not use contraception at their sexual debut, and 7 per cent of the sexually experienced girls had had an induced abortion. 9 per cent of the girls and 5 per cent of the boys had been infected with chlamydia, and 17 per cent of those sexually active had taken at least one HIV test. DISCUSSION: The age at coital debut seems to be stable, whereas the prevalences of unsafe sex and STDs are still high. New didactic methods are incessantly needed, just as supplementary empirical studies are encouraged.
PubMed ID
12407891 View in PubMed
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Source
Ugeskr Laeger. 2011 Mar 7;173(10):725
Publication Type
Article
Date
Mar-7-2011
Author
Kirsten A Boisen
Grete Teilmann
Author Affiliation
Ungdomsmedicinsk Videnscenter Afsnit 4101, Rigshospitalet, 2100 København Ø, Denmark. kirsten.boisen@rh.regionh.dk
Source
Ugeskr Laeger. 2011 Mar 7;173(10):725
Date
Mar-7-2011
Language
Danish
Publication Type
Article
Keywords
Adolescent
Adolescent Health Services
Adolescent Medicine
Denmark
Humans
Patient transfer
Young Adult
PubMed ID
21375984 View in PubMed
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11 records – page 1 of 2.