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  • Title: Puberty-timing is everything!
    Author: Pinyerd B, Zipf WB.
    Journal: J Pediatr Nurs; 2005 Apr; 20(2):75-82. PubMed ID: 15815567.
    Abstract:
    Puberty is a dynamic period of physical growth, sexual maturation, and psychosocial achievement that generally begins between age 8 and 14 years. The age of onset varies as a function of sex, ethnicity, health status, genetics, nutrition, and activity level. Puberty is initiated by hormonal changes triggered by the hypothalamus. Children with variants of normal pubertal development--both early and late puberty--are common in pediatric practice. Recognizing when variations are normal and when referral for further evaluation is indicated is an important skill.
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