Completing the picture: adolescents talk about what's missing in sexual health services.

This qualitative study was conducted to learn adolescents' opinions about sexual health services and strategies to improve their delivery. Sixteen 1.5-hour, same-sex focus groups were conducted in one rural and one urban high school in each of two Ontario regions. In total, 83 students (49 females and 34 males) participated in the study. Topics were: sources and quality of sexual health information, knowledge and use of sexual health services, gender differences, factors that influence sexual behaviour, and suggestions for improving sexual health services. The adolescents reported that sex education focussed too much on "plumbing" and was often provided by teachers with whom they felt uncomfortable discussing sexual issues. Peers and media were their main sources of information although they acknowledged that these were not always accurate. The participants had limited knowledge of the services available. Many of their comments reflected traditional gender differences. Peers, and for females, partners and parents influenced sexual decision-making. The participants made numerous suggestions for improving sexual health services.

Common peroneal neuropathy secondary to squatting during childbirth.

BACKGROUND: Common peroneal neuropathy occurs fairly frequently in the adult population; however, very few cases of peroneal neuropathy after prolonged squatting have been reported. CASE: A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15-30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common peroneal neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function. CONCLUSION: Prolonged squatting should be minimized or avoided. A high index of suspicion for peroneal neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.