Measuring physical status and timing in early adolescence: A developmental perspective

Recently, the timing-of-events model typically used for exploring adult development has been proposed for studying early adolescence and the pubertal processes occurring then. As a consequence, new interest has been generated about the psychological effects of being early, on time, or late in sexual maturation during early adolescence. A major issue has to do with the choice of maturational events to study, since puberty is a process involving numerous events, all of which have a different developmental course. This paper reviews some of the maturational events that are applicable in studying psychological effects of pubertal status and timing. Nine changes are reviewed (bone, height, weight, body fat, breast, body hair, penile, testicular, and menarcheal changes) in terms of measurement techniques, psychometric properties, and intercorrelations with other pubertal events. In addition, the usefulness of each measure for psychological research on maturational timing and status is discussed. Finally, how pubertal measures may be incorporated into a developmental perspective is considered, especially with regard to rate, duration, and asynchrony of pubertal changes.Research Interests: Girl's psychological adaptation to pubertal change, biosocial aspects of female reproductive events, development of biological and socially at risk children and adolescents.Research Interests: Reproductive endocrinology, anorexia nervosa, neuroendocrinology, adolescence.     

Fatal postpartum spontaneous liver rupture: case report and literature review

Maternal hepatic rupture is a rare complication of pregnancy that can be fatal to both mother and child. This phenomenon is most often associated with preeclampsia/eclampsia and/or HELLP syndrome, which is defined by a collection of clinical features including hemolysis (H), elevated liver enzymes (EL), and a low platelet count (LP). These disease processes are typically identified and treated during pregnancy, often in the last trimester. The described case is unusual in that the decedent had no known history of preeclampsia/eclampsia or HELLP syndrome during this pregnancy, and she died suddenly several days postpartum of liver rupture with massive intraperitoneal hemorrhage following a routine cesarean section delivery and an uneventful hospital course. Similar cases are infrequent in the literature, which is reviewed in this report.