COVID-19 vaccine uptake and its determinants among teenagers and their parents in Zhejiang, China: An online cross-sectional study

Objective:To examine COVID-19 vaccine uptake and its determinants among teenagers and their parents in Zhejiang,China.Methods:An online cross-sectional study was conducted among parents of teenagers in Zhejiang,China from May 1 to 31,2022.Data were interpreted via univariate and multivariate analyses using the statistical package for the social sciences(SPSS)program.Results:A total of 11115(96.11%)participants and 11449(99.00%)of their children in Zhejiang,China had been vaccinated against COVID-19.Children whose parents did not receive COVID-19 vaccination were 19 times(aOR 18.96,95%CI 12.36-29.08)more likely to be unvaccinated than their counterparts.In addition,children with no previous influenza vaccination,those whose parents doubted the COVID-19 vaccine’s safety or effectiveness,were 6.11 times(aOR 6.11,95%CI 2.80-13.34),8.27 times(aOR 8.27,95%CI 5.33-12.83),and 2.69 times(aOR 2.69,95%CI 1.11-6.50)more likely to be unvaccinated than their counterparts,respectively.COVID-19 vaccine uptake varied between different sociodemographic groups.However,the odds of receiving the COVID-19 vaccine decreased as age and education level increased.The main refusal reasons claimed by participants were that they had medical conditions that may not qualify them for vaccination(53.78%),followed by safety concerns about the vaccine(13.56%),not knowing where to get vaccinated(6.44%),and concerns about fertility issues(5.56%).Conclusions:Despite a highly encouraging level of COVID-19 vaccine uptake in Zhejiang,China,the elderly and highly educated people had lower COVID-19 vaccine uptake.It is suggested that tailored health education strategies should be taken to increase the COVID-19 vaccine uptake in such groups.Furthermore,with vaccination rates at such a high level,the pandemic is still ongoing,and public confidence in vaccines may decline.Thus,sufficient evidence-based information regarding COVID-19 vaccines should be provided to the public.

Subacute osteomyelitis due to Staphylococcus caprae in a teenager:A case report and review of the literature

BACKGROUND Staphylococcus caprae(S.caprae)is a human commensal bacterium which can be detected in the nose,nails,and skin.It can be responsible for heterogeneous infections such as bacteremia,endocarditis,pneumonia,acute otitis externa,peritonitis,and urinary tract infections.Bone and joint infections due to S.caprae have also been reported,but most of them resulted from the infection of orthopedic devices,especially joint prostheses and internal osteosynthesis devices.Rare cases of primary osteoarticular infections caused by S.caprae have been described,including osteitis,arthritis,or spondylodiscitis.CASE SUMMARY We report an unusual case of subacute osteomyelitis in a toe phalanx caused by S.caprae in a 14.5-year-old girl.CONCLUSION Subacute S.caprae osteomyelitis is a little-known and probably underestimated community-acquired infectious disease.This microorganism’s pathogenicity should be seen as more than a classic nosocomial orthopedic device infection.

Implications of The Gift of the Magi for Moral Education of Teenagers From the Perspective of Interaction Ritual Chains

Adolescence is a pivotal moment in shaping one’s character and holds great implications for one’s values and personal growth.The Gift of the Magi by O.Henry portrays how an ordinary young couple in difficult financial circumstances managed to show their love for each other,eulogizing truth,goodness,and beauty in humanity.We conducted a thorough examination of the significance of moral values conveyed in The Gift of the Magi for teenager education using the“situation-emotion-symbol”model that is based on Randall Collins’theory of interaction ritual chains in order to establish an interaction ritual chain model for moral education of teenagers.Our study reveals that situated cognition is useful in constructing the focus of attention for the moral education of teenagers;that shared emotion is the driving force for achieving moral education of teenagers;and that symbolic connections help teenagers put the virtues they’ve learned from The Gift of the Magi into action and provides effective measures that can significantly contribute to the cultivation and implementation of moral education among teenagers.

The Influence of Watching TV Talent Show on Teenagers Socialization From Marcuse’s Thought of“One Dimensional Person”

Based on Marcuse’s thought of“one-dimensional person”,this paper discusses the influence of TV talent show on teenagers’socialization.By analyzing the characteristics of TV talent shows that emphasize individual competition and success,appearance and image,and instant satisfaction,it is pointed out that these characteristics are easy for teenagers to produce the mentality of pursuing fame and fortune,appearance,and instant satisfaction,ignoring the development of other important values and qualities.Therefore,we need to guide teenagers to maintain a critical attitude toward TV talent shows,and pay attention to cultivating their independent thinking and all-round development.

Violence in Online Games:How Does It Affect Teenagers in China?

Nowadays many teenagers play online games.Too much violence in online games deeply affects the teenagers' life,makes them act in a violent manner.Actions should be brought for change to protest.

Should Teenagers Do Housework?

Recently I’ve had a discussion with my classmates about whether teenagers should do housework. Some students say that many parents don’t let their daughters or sons do anything, because they hope that their children have more time for lessons so that they can go to university and then have good jobs. Some of us think that it’s a waste of time. Some think that they are too young not to①do anything. They think that the housework should be done by their parents. I don’t agree with it.

Knowledge, Attitudes and Perceptions of Secondary School Teenagers towards HIV Transmission and Prevention in Rural and Urban Areas of Central Uganda

HIV/AIDS has remained a challenge in Uganda among adolescent despite the ABC strategy used globally to prevent HIV infection. The study assessed the knowledge, attitudes and perceptions of secondary school teenagers towards HIV transmission and prevention in rural and urban schools of central Uganda. A cross sectional study using self-administered questionnaires and structured interviews was used to collect data from adolescents in secondary schools in Kampala and Buikwe districts. Eight schools were randomly selected with 4 schools in each district. A total of 245 students from schools were recruited in the study with 120 and 125 students from urban Kampala and rural Buikwe district schools respectively. Data were analyzed using SPSS version 11. The results were expressed as percentages in a 2 × 2 tables. The mean age of the participants was 15.9 ± 2.5 years. Results showed that 95.1% participants had knowledge on HIV/AIDS in both urban and rural schools and 27.4% knew all the modes of HIV transmission. About 83.7% knew the ABC strategy for HIV prevention and 37.6% would talk about HIV/AIDS mainly with friends. For HIV cure, 62.0% of study participants reported non-cure and 24.9% were not sure. The remaining 13.1% of the study participants in both urban and rural schools reported that HIV can be cured. And the modes of curing HIV that were mentioned by participants included spiritual healing, transmitting it to others through sexual intercourse and that antiretroviral (ARVs) drugs can cure it as well as that it can be cured abroad. About 65.7% of participants reported recognition of one with HIV/ AIDS and by having red lips, being sickly;weight loss, skin rash and being very rich were mentioned. About 39.2% of the study participants mentioned that they cannot get infected with HIV and can’t contract HIV at all and 18.4% believed that chances of getting HIV infection were high. On perception and attitude on condoms and their use, participants reported that it is a sign of mistrust, reduces sexual pleasures and they are embarrassing to buy. Majority of the participants in both urban and rural schools had some knowledge on HIV/AIDS and the ABC strategy for HIV prevention. However, there was a knowledge gap on the various modes of HIV transmission and prevention. There was misconception of the participants on HIV/AIDS cure, condom use and on the chances of contracting HIV. About the source of HIV/AIDS information, majority of the participants were getting information on HIV/AIDS from friends of which some information was misleading. This false information could be the reason for the increased HIV prevalence reported among the adolescents in the schools. Generally, participants had some knowledge on HIV/AIDS though they had knowledge gap on HIV transmission and prevention.

Implementing and Popularizing Health Clinics and Educational Programs in NJ School Areas for Supporting NJ Pregnant Teenagers

This proposal focuses on the prevalence of teenage pregnancy issue in NJ and illustrates the benefits of school-based health clinics and educational programs which should be implemented for teenage pregnancy and childbearing.Without the early intervention of educational programs and preventive medical services which should be implemented in school areas,teen pregnancy and childbearing can have physical and emotional health influences on teen mothers,their babies and other family members,and the worst consequence should be abortion.What’s more,teenage pregnancy and childbearing have substantial economic consequence for state.The annual estimated cost associated with teen childbearing (teens 19 and younger) in NJ to taxpayers is at least $167 million in 2004 (24% federal costs and 76% state and local costs).Studies demonstrated that a much larger amount of money is spent on the consequences of teenage pregnancy than on prevention.NJ has an opportunity to invest in prevention and reduce not only the monetary but also the societal costs to our youth burdened by the often overwhelming responsibilities of teenage pregnancy and parenting.According to the 15 years follow-up research and data analyzing,two models of success which specifically implemented in South Carolina high schools and Chicago public schools have been proved to effectively reduce incidence of repeat pregnancy and emergency room visits,reduce incidence of teen mothers smoking during pregnancy,improve emotional outcomes among teen mothers,decrease incidence of teen mothers drug impairment,arrest,conviction,or jail time and reduce use of food stamps and other public assistances,which can consequently increase the state public health costs.In order to support teen mothers’ academic,physical,emotional and social needs in a stable and consistent school environment,the plan which titled "Physical and Mental Health Promotion for NJ Teen Mothers" is effective and practical enough to arouse the attention of some relevant departments.It’s worth patron to fund the plan because supporting teenage pregnancy at early stage can subsequently benefit the national and state economy and teen mothers.

A Study on the Influence of Family Upbringing Style on Teenagers' Mental Health

With the frequent occurrence of adolescents'psychological problems,it is of great practical significance to study the mental health of adolescents.Because the family environment of different teenagers is different,the education method and educational environment of each family may have a huge impact on the mental health of teenagers.The article will study the impact of family parenting on the mental health of adolescents based on the comparative method and the literature research method.

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing. Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years. Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teena-gers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8 ±5.2 mmHg, P< 0.01; 12.2% ±12.0% vs. 2.5% ±4.4%, P< 0.001, respectively). There was a similar trend for diastolic blood pressure (8.4 ±6.4 mmHg vs. 3.7 ±6.4 mmHg, P= 0.052; 13.2% ±10.6 % vs. 6.8% ±10.1%, P= 0.053, respectively). Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.

Supervision Matters： Teenagers＇ Perception of Parents＇ Involvement in Their Internet Use

With the growing popularity of digital devices, lntemet has become an integral part of teenagers＇ daily life. As teenagers are in a complicated period of development, parents struggle in supervising their use of the intemet. This study takes the teenagers＇ standpoint and explores how the teenagers perceive their parents＇ involvement in their Internet use. Survey was conducted towards teenagers in the UAE, which has the highest penetration of digital devices in the Gulf region as well as one of the highest in the world. The results showed that girls usually receive more supervision fi＇om parents than boys. The older the teenagers are and the more they depend on the Internet, the more they perceive parents＇ supervision to be beneficial. However, not enough supervision has been given to those who access the Internet more frequently. The findings indicate more parents＇ supervision is needed from the teenagers＇ point of view. Discussions are made from psychological and socio-cultural perspectives and suggestions for future research are presented.

Emergency Cesarean Section for Teenagers at Yalgado Ouedraogo Teaching Hospital (YOTH), Ouagadougou, Burkina Faso: Frequency, Indications, Maternal and Perinatal Prognosis

Objective: To study emergency cesarean section in teenagers with the goal of reducing morbidity and maternal-fetal mortality. Methods: This was a descriptive cross-sectional study with prospective collection of data on 248 cases collected from July 1st to December 31st, 2016. Results: The incidence of cesarean section in teenagers was 56.4%. The average age was 18 ± 0.4 years old. The vast majority were primiparous (92.7%). The main indications for emergency Caesarean section were: pre-eclampsia and its complications (20.2%), acute fetal distress (18.5), pre-rupture syndrome (14.1%) and bone dystocia (11.7%). The maternal mortality rate was 1.6% and perinatal mortality was 134 per 1000 live births. Conclusion: The rate of caesarean section is high at Yalgado OUéDRAOGO Teaching Hospital of Ouagadougou. Postoperative complications are sometimes serious and compromise the maternal and fetal outcome. There is a need for increased surveillance of all pregnant and recently delivered women to reduce maternal and perinatal mortality in teenagers.

High-Resolution Esophageal Manometry in Teenagers with Esophageal Atresia

Introduction: Children with surgically repaired esophageal atresia (EA) show esophageal dysmotility. Due to the performance of high-resolution manometry (HRM), three motility alteration patterns have been described, which allowed to know the segmental alterations. Objective: To describe the esophageal motility patterns found through HRM in teenagers with EA and to relate these with the associated esophageal pathology and its severity. Materials and Method: Ten teenagers were included with no history of esophageal blockage or dilations in the last six months, who were orally fed and asymptomatic. Through performance of HRM, we found surgical and endoscopic history, as well as of esophageal biopsies and pH monitoring. Results: We found the following patterns: aperistalsis, pressurization and distal contraction. 70% showed distal contraction, and 100% of esophageal endoscopies and biopsies were normal. 57% of the esophageal pH monitoring analyzed was pathologic. In the pressurization and aperistalsis groups, we observed severe esophagitis and requirement of Nissen antireflux procedure in 100% of the cases. Esophageal pH monitoring analyzed was 100% pathologic. Conclusion: We described the esophageal segmental alterations in teenagers with atresia by means of HRM. The distal contraction group showed better development, without severe esophagitis or requirement of antireflux procedure. Therefore, by performing an HRM in teenagers with EA, we could predict the future esophageal behavior, according to the peristaltic pattern, since there are significant differences among the groups in study.

Television Programs for Teenagers and the Use of Multimodality in Knowledge Popularization

The aim of this work is to study the interaction of spoken words and images that are used within programs targeted to popularize knowledge among teenagers. We will look into the program Bit@bit developed by Television de Catalunya, which is intended to disseminate computer concepts, tools and procedures. In this kind of program, one can find spoken language （on/off screen voices, interviews, etc.）, other oral material （sounds, music, songs）, written language （descriptions, title sequences, inserts and Uniform Resource Locator, or electronic addresses）, and other visual material （film cut images, advertising, other TV programs, cartoons, films, both location or studio images, depicting reality, or computer screens, or logotypes）. The profusion of multimodal elements used in this program helps to keep the young audience＇s attention. The use of references to their world or knowledge, as a target group, is based on interplay among different semiotic strategies. At the same time, the entire program＇s multi-segmentation into short video clips, combined with a fast paced sound track helps its audience to understand the specialized explanations presented. Of all the multimodal wealth that the program presents, we will concentrate only on the relationship between the words and the images （leaving other secondary semiotics to one side）, the main strategy for achieving the objective of transmitting knowledge and winning adolescent audiences.

Lifestyle Characterization in Mexican Teenagers: Healthy Weight against Overweight and Obesity

Objective: Currently Mexico is one of the 1st places in overweight and obesity in teenagers;the health and nutrition national survey in 2018, expresses a 41.1% of women in teenager’s population and a 35.8% in men. To analyze teenagers’ lifestyles with healthy weight against overweight and obesity. Method: Descriptive, transverse, analytic and comparative, a non-probabilistic sampling distributed up to convenience in 2 groups of cases and controls, with 50 teenagers diagnosed with overweight and obesity and 50 teenagers with healthy weight, in a 12 to 15 years old age range;for previous informed consent, the survey Health-Promoting Lifestyle Profile II was applied to measure the lifestyles in 6 dimensions. The analysis got a standard deviation and the association of variables U of Mann-Whitney for independent samples. Results: In both teenagers’ groups male gender prevailed with a 76%, the result in teenagers’ group was identified, an average lifestyle with the dimensions of: interpersonal relationships, feeding, physical activity, stress management and spiritual growth and a low level in the dimension of health responsibility. There is a meaningful difference in the variables association in the spiritual growth lifestyle. Conclusions: The evaluation of both groups is similar to an average score;this shows that there is a risk to unleash overweight, obesity and complications in the adult age of the teenager.

Childbirth in Teenagers at the Centre Hospitalier Universitaire Communautaire de Bangui

Introduction: The teenager is the one whose chronological age is between 10 and 19 years according to the World Health Organization. Pregnancy dur-ing teenage age, whether desired or not, presents serious obstetric risks. The purpose of this study was to assess risk factors associated with childbirth in teenagers. Patients and Methods: This was an analytical cross-sectional study (witness case) conducted over the period from April 1st to September 30th, 2019 (6 months) in the maternity ward of the Centre Hospitalier Uni-versitaire. It was included in the study all the parturients who were presented according to the place where the pregnancy was monitored. Results: A total of 510 childbirths were recorded during the study period, we identified 157 childbirth aged under 20 (teenager), and 353 controls. The frequency of childbirth for teenage girls was 30.7%. The average age of teenage girls was 15 years with extremes of 13-19 years old. Risk factors were represented by preeclampsia, episiotomy. The low birth weight and premature birth are the most significant fetal morbidity. Conclusion: The pregnancy in teenagers is a public health issue.

Level of Cytokines at Teenagers against the Background of Lambliasis Invasia

The cytokines’ levels of pro-inflammatory and anti-inflammatory activity, levels of lactoferrin, of the circulating immune complexes and the level of antibodies to antigens of the native deoxyribonucleic acid (DNA) are investigated. The purpose of investigation was to study the pathogenic features of clinical course of chronic lambliasis invasia at teenagers. The statistically significant hypercitokinemia owing to the pro-inflammatory and anti-inflammatory cytokines with the highest concentration of IL-1β, IL-4, the high level of lactoferrin-protein of acute phase, the occurrence of markers of cellular damage, the high level of immune complexes and the stimulation of humoral link of immune system, the high level of antibodies to the antigen of native DNA, are registered. The obtained data may be used as additional diagnostic criteria of lambliasis invasia at teenagers.

The Impact of Cannabis Legitimation on Teenagers——Set the US as an Example

Nowadays, cannabis has become the most prevalent using drug in most Western countries. With Canada become the second country following Uruguay to legalize recreational cannabis using, cannabis legalization is likely to become the trend in Western world. Though both Uruguay and Canada, as well as the states in the U.S. that legalized recreational cannabis using have the age restriction, a recent research indicated that cannabis using is spread among teenagers. With regard to the widespread use of cannabis and the legalization of recreational cannabis using in Canada and some states of the U.S., this study focuses on the effects of the legalization of cannabis using among teenagers to explore the reasons why teenagers use cannabis, why cannabis can be legalized, and what effects the legalization of cannabis may have on teenagers.

The Lifeline for Suicide Prevention of Children and Teenagers in Bucharest, Romania

Suicide is one of the leading causes of teenagers＇ deaths. Even whether it is preventable, most of the time, there are still very few projects or actions of the local authorities and/or organisations in Romania, due to the lack of information and resources. The suicide prevention line for children and teenagers in Bucharest is presented and evaluated after five years of activity. It may be considered as one example of good practice, since it managed to put together local knowledge, human resources, and social actors. The suicide prevention line for children and teenagers in Bucharest has been established in 2009 by the General Directorate of Social Welfare of Bucharest Municipality, in partnership with the Psychiatric Hospital ＂Prof. dr. Alexandru Obregia＂. The finances are provided by the Welfare Department, the location belongs to the Psychiatric Hospital, and the mental health services are coordinated by a neuro-psychiatrist. There are about 30 volunteers taking the phone calls 24/7. Since 2011, they established the Association of Suicidology.

A Cumulative Proportional Odds Model to Analyze the Influence of Mass Media on Teenagers in Messina

The media are constantly evolving at a breakneck pace and mainly young people, with their flexibility of mind and their continuous curiosity, can better understand the characteristics and potential of such advances. The aim of this paper is to analyze the relationship between teenagers and media, in order to try to better understand the habits and to conduct analysis on social interactions with young people. In order to evaluate the influence of mass media in the life of the young people, the Statisticians of Messina University decided to perform a statistical survey to evaluate the influence of the media in the life of Messina＇s teenagers. A questionnaire entitled ＂Perceptions of the influence exerted by mass media＂ was administered in some schools. From the methodological point of view, three statistical models were estimated in order to formalize the dependence of the mass media influence by the kind of TV programs, the time spent on TV viewing and computer use and the kind of most used social networks. Since the mass media influence is an ordinal variable expressed by four ordered categories （1 = nothing; 2 = low; 3 = average; 4 = high） we used the Cumulative Proportional Odds Model to formalize the dependence by the potential predictors.