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      <JournalTitle>The Journal of School and University Medicine</JournalTitle>
      <Volume-Issue>Volume 5 Issue 3</Volume-Issue>
      <Season>July 2018</Season>
      <ArticleTitle>Physiological puberty and precocious puberty. Particular aspects in school and student medical cabinet</ArticleTitle>
          <FirstName>Dr. Pintea</FirstName>
      <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.&#13;
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.&#13;
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.&#13;
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</Abstract>
      <Keywords>puberty,  precocious puberty, school medicine</Keywords>
        <Abstract>https://www.revista-medicina-scolara.ro/ubijournal-v1copy/journals/abstract.php?article_id=9286&amp;title=Physiological puberty and precocious puberty. &#13;
Particular aspects in school and student medical cabinet</Abstract>
        <References>1. Ciofu E, Ciofu C. Esentialul in pediatrie, editia a II-a.  Ed. Amaltea 1998 &#13;
2. Grumbach MM, Styne DM.  Puberty, ontology, neuroendocrinology, physiology and disorders. in Williams Texbook of Endocrinology 10th.ed. Saunders ed;115-1186&#13;
3. Duncescu C, Marazan M, Chirita-Emandi A.  Dezvoltarea sexuala precoce. Revista Romana de Pediatrie  2011;LX(3)&#13;
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&#13;
5. Kaplowitz P.  Clinical characteristics of 104 children referred for evaluation of precocious puberty. J Clin Endocrinol Metab 2004;89: 3644-3650&#13;
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&#13;
7. Dattani MT, Hindmarsch PC.  Normal and abnormal puberty. Clinical pediatric endocrinology, 5 th edition,  Blackwell publ. 2005;183-210&#13;
8. Tanner J.M.  Growth at Adolescence. Springfi eld, IL: Charles C Thomas 1962&#13;
9. Garibaldi L.  Physiology of Puberty, Disorders of Pubertal Development.  Nelson Textbook of Pediatrics. 18th ed. Philadelphia, PA Elsevier 2007;2308:2316&#13;
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&#13;
11. Paul C, Velea I. Protocoale de diagnostic si tratament in Pediatrie.  Endocrinologie. Timisoara  2012;236-242&#13;
12. Demian C.  Vulnerabilitatea adolescentilor cu privire la riscul adictiilor. Revista de medicina Scolara  si universitara.  2016;3(1): 41-43)&#13;
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 &#13;
14. www.umfcv /psihologia-dezvoltarii&#13;
15. http://www.medicinascolara.ro/2013/05/30/programul-national-de-evaluare-a-starii-de-sanatate/ ()&#13;
16. Dawshen S.  Nemours Foundation.www.kidshealth.org 2005&#13;
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</References>