Join us   Log in   redactiarmsu@gmail.com  


THE JOURNAL OF SCHOOL AND UNIVERSITY MEDICINE - Volume 5 Issue 3, July 2018

Pages: 25-31

Date of Publication: 30-Jul-2018


Print Article   Download XML  Download PDF

Physiological puberty and precocious puberty.

Particular aspects in school and student medical cabinet

Author: Dr. Pintea Ancuta

Category: Medical

Abstract:

Puberty is an important stage in children and adolescents development. It involves several somatic, hormonal and psycho-affective transformations. The physiological change must be carefully monitored in medical practice for an optimal management of this development.

The starting age of puberty with secondary sexual characteristics development in Caucasians is 11-12 years for girls and 12-13 years for boys. These values are modified compared with previous decades. There are no certain scientific explanations of this fact.

Precocious puberty involves the installation of secondary sexual characteristics before 8 years for girls and 9 years for boys, and needs a good collaboration between the medical doctors, parents and school psychologists.

Depending upon the involvement of the hypothalamic pituitary axis, the precocious puberty can be gonadotropin-dependent puberty (always isosexual) named also the real precocious puberty or gonadotropin-independent (isosexual or heterosexual) named also the false precocious puberty. By recognizing and implementing the right treatment, long-term effects of precocious puberty can be reduced

Keywords: puberty, precocious puberty, school medicine

References:

1. Ciofu E, Ciofu C. Esentialul in pediatrie, editia a II-a. Ed. Amaltea 1998

2. Grumbach MM, Styne DM. Puberty, ontology, neuroendocrinology, physiology and disorders. in Williams Texbook of Endocrinology 10th.ed. Saunders ed;115-1186

3. Duncescu C, Marazan M, Chirita-Emandi A. Dezvoltarea sexuala precoce. Revista Romana de Pediatrie 2011;LX(3)

4. Belgorosky A, Baquedano MS, Guercio G, Rivarola MA. Adrenarche: postnatal adrenal zonation and hormonal and metabolic regulation. Horm Res. 2008;70(5):257-67

5. Kaplowitz P. Clinical characteristics of 104 children referred for evaluation of precocious puberty. J Clin Endocrinol Metab 2004;89: 3644-3650

6. Himes JH. Examining the evidence for recent secular changes in the timing of puberty in US children in light of increases in the prevalence of obesity. Mol Cell Endocrinol. 2006;254-255:13-21

7. Dattani MT, Hindmarsch PC. Normal and abnormal puberty. Clinical pediatric endocrinology, 5 th edition, Blackwell publ. 2005;183-210

8. Tanner J.M. Growth at Adolescence. Springfi eld, IL: Charles C Thomas 1962

9. Garibaldi L. Physiology of Puberty, Disorders of Pubertal Development. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, PA Elsevier 2007;2308:2316

10.Kaplowitz PB. Reexamination of the Age limit for defining when puberty is precocious in girls in the United States: implications for evaluation and treatment. Pediatrics 1999;104: 936-941

11. Paul C, Velea I. Protocoale de diagnostic si tratament in Pediatrie. Endocrinologie. Timisoara 2012;236-242

12. Demian C. Vulnerabilitatea adolescentilor cu privire la riscul adictiilor. Revista de medicina Scolara si universitara. 2016;3(1): 41-43)

13. Neghirla A, Szalai M. Rolul familiei si contextul grupului in tentativele de suicid la adolescenti. Revista de Medicina Scolara si Universitara. 2015;2(1):14-16

14. www.umfcv /psihologia-dezvoltarii

15. http://www.medicinascolara.ro/2013/05/30/programul-national-de-evaluare-a-starii-de-sanatate/ ()

16. Dawshen S. Nemours Foundation.www.kidshealth.org 2005

17.Legea nr. 95/2006 privind reforma in domeniul sanatatii, cu modificarile si completarile ulterioare, si ale Legii invatamantului nr. 84/1995, republicata, cu modificarile si completarile ulterioare