Publications by authors named "Amanda V French"

Background: Patients with intellectual and developmental disabilities (IDD) experience greater unmet medical service needs and decreased care satisfaction compared to those without these diagnoses. There are no evidence-based resources widely available to prepare children with IDD for menarche.

Methods: This IRB approved embedded mixed methods study investigated the efficacy of "period kits" for patients with IDD to ease anxiety and improve preparedness for menarche.

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The objective of this document is to provide guidance on the recognition, diagnosis and management of non-sexually acquired genital ulcers in the pediatric and adolescent patient. Commonly known as genital or vulvar aphthous ulcers, lesions are typically seen in the peri‑menarchal population, are exquisitely painful, generally self-limited and managed with supportive care. Details of ulcer physical appearance, proposed etiology and options for management are provided to familiarize clinicians with this entity, which can be alarming for patients and families.

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Article Synopsis
  • - The case report focuses on a 10-year-old girl with Ollier disease, which is marked by bone deformities due to multiple enchondromas, who also presented with an ovarian mass.
  • - Upon evaluation, the tumor was identified as a mixed sex-cord stromal tumor containing both juvenile granulosa and Sertoli-Leydig cell components, and genetic testing revealed an IDH1 mutation.
  • - This case is significant as it links Ollier disease, which has not been associated with mixed sex-cord stromal tumors before, thereby broadening the known syndromic relationships for this tumor type and influencing future tumor screening practices.
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Exposure to pediatric and adolescent gynecology (PAG) varies across residency programs in obstetrics and gynecology, family medicine, and pediatrics, as well as both adolescent medicine and PAG fellowship programs. Nevertheless, these programs are responsible for training residents and fellows and providing opportunities to fulfill PAG learning objectives. To that end, the North American Society for Pediatric and Adolescent Gynecology has taken a leadership role in PAG trainee education by creating and maintaining this Short Curriculum.

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Pediatric and adolescent gynecology (PAG) is a unique subspecialty for which accessible educational resources and clinical exposure have historically been limited; surveys show that trainees in both obstetrics and gynecology and pediatrics agree. In 2014, the North American Society for Pediatric and Adolescent Gynecology (NASPAG) introduced PAG WebEd, an original and interactive online case-based curriculum designed to bridge this learning gap. As of 2023, there are 35 published PAG WebEd clinical cases with key learning points that present, test, and discuss a variety of current PAG topics.

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In 2015, the Resident Education Committee of the North American Society for Pediatric and Adolescent Gynecology published the Long Curriculum in Resident Education to provide educators with a comprehensive document to be used in postgraduate medical education. The original curriculum was designed to meet the resident learning objectives for the Council on Resident Education in Obstetrics and Gynecology, the American Board of Pediatrics, and the Royal College of Physicians and Surgeons of Canada and to provide a more intensive, broader learning experience. The curriculum was updated in 2018.

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Background: Ovarian teratomas are common, as is use of topical hemostatic agents in ovarian surgery.

Case: Following laparoscopic right ovarian cystectomy, a flowable hemostatic agent was placed in the ovarian bed. Postoperative ultrasound demonstrated an enlarged heterogeneous right ovary with solid and cystic components interpreted as residual or recurrent teratoma.

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Article Synopsis
  • Pediatric gynecologic malignancies are rare and can be linked to genetic syndromes, including DICER1, which is associated with hereditary tumor predisposition.
  • Studies have shown that gynecologic issues related to DICER1 syndrome are often documented in individual or small case reports, exhibiting varied pathologic findings.
  • It is crucial for patients with a relevant personal or family history to undergo genetic testing for DICER1 mutations, as this information influences their treatment and ongoing health monitoring.
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