Diagnosing and managing paediatric concussion: Key recommendations for general paediatricians and family doctors

Abstract Concussion in children and adolescents is an important health concern. Most paediatric patients fully recover in 1 month or less following an acute concussion. However, some experience prolonged or persistent concussion symptoms for months. Those with prolonged post-concussion-related symptoms may have impaired quality of life, and limited involvement in social, academic, and physical activities with associated mental health implications. In this review, we share key updated clinical recommendations from the Living Guideline for Diagnosing and Managing Pediatric Concussion that will improve the way general paediatricians and family doctors diagnose and manage paediatric patients with suspected concussion.

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Impaired quality of life, disability and mental health in Takayasu’s arteritis

Rheumatology ◽

10.1093/rheumatology/ket238 ◽

2013 ◽

Vol 52 (10) ◽

pp. 1898-1904 ◽

Cited By ~ 37

Author(s):

Neslihan Yilmaz ◽

Meryem Can ◽

Fatma Alibaz Oner ◽

Melike Kalfa ◽

Hakan Emmungil ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Takayasu’S Arteritis ◽

Takayasu's Arteritis ◽

Impaired Quality

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Health-Related Quality of Life Domains and Household Preparedness for Public Health Emergencies: Behavioral Risk Factor Surveillance System, 2006-2010

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2013.23 ◽

2013 ◽

Vol 7 (2) ◽

pp. 191-200 ◽

Cited By ~ 9

Author(s):

Tara W. Strine ◽

Linda J. Neff ◽

Sara Crawford

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Life Satisfaction ◽

Emotional Support ◽

Disaster Preparedness ◽

Behavioral Risk ◽

Physical And Mental Health ◽

Social And Emotional ◽

Impaired Quality

AbstractBackgroundThis study examined the association between self-reported levels of household disaster preparedness and a range of physical and mental health quality of life outcomes.MethodsData collected from 14 states participating in a large state-based telephone survey were analyzed (n = 104 654). Household disaster-preparedness items included having a 3-day supply of food, water, and prescription medications; a working battery-powered radio and flashlight; an evacuation plan; and a willingness to evacuate when instructed to do so. Quality-of-life items were categorized into 2 domains: physical health (general health, unhealthy physical days, and activity-limited days) and mental health (unhealthy mental days, social and emotional support, and life satisfaction).ResultsPersons with self-reported impaired mental health were generally less likely to report being prepared for a disaster than those who did not report impairment in each domain. Persons with low life satisfaction were among the least likely to be prepared, followed by those with inadequate social and emotional support, and then by those with frequent mental distress. Persons reporting physical impairments also reported deficits in many of the preparedness items. However, after adjusting for sociodemographic characteristics, some of the associations were attenuated and no longer significant.ConclusionPersons reporting impaired quality of life are vulnerable to increased mental and physical distress during a disaster, and their vulnerability is compounded if they are ill-prepared. Therefore, persons reporting impaired quality of life should be included in the list of vulnerable populations that need disaster preparedness and response outreach.

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THU0613-HPR ADAPTATION AND VALIDATION OF THE MINI OSTEOARTHRITIS KNEE AND HIP QUALITY OF LIFE (MINI-OAKHQOL) QUESTIONNAIRE IN TURKISH POPULATION

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.3976 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 548.1-548

Author(s):

M. T. Duruöz ◽

S. Acer Kasman ◽

H. H. Gezer

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Disease Duration ◽

Hip Osteoarthritis ◽

Physical Activities ◽

Health Profile ◽

Turkish Version ◽

Sf 36 ◽

The Mean

Background:The 20-item Mini-OAKHQOL was derived from the 40-item OAKHQOL questionnaire which was developed to assess the quality of life in subjects with osteoarthritis of the lower limbs. It has 5 subscales containing physical activities, mental health, pain, social support, social functioning; and two independent items addressing sex life and professional life (1). The Mini-OAKHQOL’s good psychometric properties have recently been shown and validation studies have been done in several populations (1,2).Objectives:We aimed to investigate the validity and reliability of the Turkish version of the Mini-OAKHQOL in patients with knee and hip osteoarthritis.Methods:Patients diagnosed with knee or hip osteoarthritis clinically and radiologically were included in the study. Demographic data were noted. The French version of Mini-OAKHQOL was used for translation and adaptation. Translation-back translation methodology was applied and cross-cultural adaptation of the Mini-OAKHQOL into Turkish was done. Face and content validities were evaluated by cognitive information interviews with patients and expert committee. Internal consistency of the scale was made with Cronbach alpha coefficient. Convergent validity was evaluated by the correlations of Mini-OAKHQOL with Nothingam Health Profile (NHP), subscales of Short form 36 (SF-36), and VAS of the quality of life. The relations of the Mini-OAKHQOL with age, BMI, disease duration, VAS of the pain, WOMAC, and Lequesne Index were assessed for divergent validity. P <0.05 was considered significant.Results:Seventy-three patients (63 female, 10 male) with the mean age of 57.22 (SD: 9.91) years were recruited. The main site of the symptomatic lower limb osteoarthritis was knee in 44, hip in 25, and both in 4 patients. The mean BMI was 31.69 (SD: 11.06) and the median disease duration was 36 months (IQR: 12–72). Turkish version of Mini- OAKHQOL had a good face and content validity. Cronbach’s alpha coefficients of the subscales for internal consistency were 0.927, 0.841, 0.867, 0.771, and 0.677. Physical activities, mental health, pain dimensions of Mini-OAKHQOL had moderate to high correlations with Nottingham Health Profile and the physical functioning, physical role limitations, energy/fatigue, social functioning, pain, and general health subscales of SF-36 (rho between 0.484-0.748). The social function subscale of Mini-OAKHQOL had mild significant correlations with emotional well-being (rho: 0.239) and general health (rho: 0.315) subscales of SF36. The subscales of Mini-OAKHQOL had no correlation with disease duration, BMI, and age; and had generally moderate correlations with VAS-pain, Lequesne Index, and the WOMAC subscales. These data show good convergent and divergent validities of Mini-OAKHQOL.Conclusion:The Turkish version of the Mini-OAKHQOL is a valid and reliable instrument to assess the quality of life in patients with knee/hip osteoarthritis. In addition, it is a simple, accurate, disease-specific, and not time-consuming self-report instrument.References:[1]Guillemin F, Rat AC, Goetz C, Spitz E, Pouchot J, Coste J. The Mini-OAKHQOL for knee and hip osteoarthritis quality of life was obtained following recent shortening guidelines. J Clin Epidemiol. 2016;[2]Gonzalez Sáenz de Tejada M, Bilbao A, Herrera C, García L, Sarasqueta C, Escobar A. Validation of the Mini-OAKHQOL for use in patients with osteoarthritis in Spain. Clin Rheumatol. 2017;Disclosure of Interests:None declared

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Social Isolation in Older Women during the COVID-19 Pandemic: The impact on Quality of Life and Mental health

Innovation in Aging ◽

10.1093/geroni/igab046.2746 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 745-745

Author(s):

Victoria Marshall ◽

Robina Sandhu ◽

Kathryn Kanzler ◽

Sara Espinoza ◽

Pamela Keel ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Older Adults ◽

Binge Eating ◽

Older Women ◽

Social Isolation ◽

Health Concern ◽

Sf 36 ◽

The Impact

Abstract To mitigate the spread of COVID-19, countries worldwide enacted quarantines, particularly for older adults, as mortality from COVID-19 is inequitably distributed among this group. Notably, social isolation in older adults is associated with a heightened risk of cardiovascular, autoimmune, and mental health problems (e.g., depression, anxiety). Furthermore, the mental health of women in particular has been greatly impacted by the pandemic. Although previous research indicates that social isolation among older adults is a “serious public health concern”, less is known about the extent to which the COVID-19 pandemic has exacerbated this issue. The primary objective is to investigate the effects of social isolation on mental health indices and health-related quality of life (HRQOL) in older women in the context of the COVID-19 pandemic. Participants include 77 postmenopausal women (aged 60+) who completed self-report measures online during the COVID-19 pandemic. Controlling for education and annual household income in all analyses, we used linear regression models to investigate the effects of social isolation on depression, anxiety, alcohol use, binge eating, and the 8 domains of the SF-36. Results indicate that, when controlling for education and income, social isolation significantly predicted depression, binge eating, and poorer HRQOL in all 8 domains of the SF-36 (all p’s < .01) Social isolation did not predict anxiety and alcohol consumption when controlling for these sociodemographic variables. Enrollment is ongoing; this poster will report updated results. Results indicate the continued need for creative avenues to improve social connectedness during the COVID-19 pandemic.

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Quality of Life Among Multiple Sclerosis Patients in Terms of Mental Health

Asian Social Science ◽

10.5539/ass.v17n5p62 ◽

2021 ◽

Vol 17 (5) ◽

pp. 62

Author(s):

Dima Ibrahim Abu Maloh ◽

Hazem Nouri AlNahar ◽

Haya Ibrahim Abu Maloh

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Multiple Sclerosis ◽

Outcome Measurement ◽

Demographic Data ◽

Physical Activities ◽

Data Form ◽

Significant Difference ◽

Multiple Sclerosis Patients

This study aimed to identify the mental health quality of life among patients with multiple sclerosis in Jordan. Thus, a descriptive quantitative design was used on a total of (N=100) Multiple Sclerosis patients that were randomly selected by using convenience sampling from the Health Insurance Center in the capital Amman, Jordan. Outcome measurement tools were the demographic data form and the Multiple Sclerosis Quality of Life-54 (MSQOL-54) Scale. The demographic data form consisted of questions about: age in years, gender, stage of multiple scleroses, and physical activities. The Multiple Sclerosis Quality of Life-54 (MSQOL-54) consisted of two domains the physical health composite and the mental health composite. In this study the mental health composite were used by the participants. The results revealed that the QOL- Mental Health Composite among patients with multiple sclerosis was 33.9 + 33.6. Moreover, there was no significant difference in score for male and females p=.874. In addition, there was no significant difference in QOL mental health scores for the age groups p=.165. Finally, there was a significant difference in scores for participants and non-participants in physical activity p=.000. Accordingly, this research concluded that Multiple sclerosis patients’ have a low quality of life in terms of mental health. In addition, practicing physical activities have a positive effect on the quality of mental health among multiple sclerosis patients.

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Application of an Online Combination Exercise Intervention to Improve Physical and Mental Health in Obese Children: A Single Arm Longitudinal Study

Frontiers in Psychology ◽

10.3389/fpsyg.2021.638618 ◽

2021 ◽

Vol 12 ◽

Author(s):

Meng Ding ◽

Xiangren Yi ◽

Peisai Yan ◽

Daniel J. McDonough ◽

Zan Gao ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Exercise Intervention ◽

The Body ◽

Health Concern ◽

Physical And Mental Health ◽

Obese Children ◽

Dimension Score

Introduction: Childhood obesity has become a global public health concern in the past decade. The purpose of this study was to explore the effectiveness of an online combination exercise intervention in improving the physical and mental health of obese children.Methods: This study adopted a one-group pre-test and post-test research design. A total of 28 obese children from 6 elementary schools in Heze City, Shandong Province, China, were recruited. All participants received an 8-week online combination exercise intervention and were tested at a three-month follow-up. Participants were tested and surveyed regarding their demographic, feasibility, and obesity indicators using mental health and quality of life questionnaires. The data were statistically analyzed using a one-way analysis of variance with repeated measures.Results: A total of 26 obese children (Meanage = 10.15 years) completed the study. The retention rate was 92.9% for the entire trial (two obese children withdrew due to their inability to exercise) and no adverse events were reported. In addition, the obese children completed 25/32 (78.1%) of the online courses. After 8 weeks of the intervention, the changes in the body fat percentage of the obese children [mean difference (MD) = –3.126, p < 0.001, Cohen’s d = –1.777], thinking dimension score (MD = 1.654, p < 0.001, Cohen’s d = 0.603), total quality of life score (MD = 6.385, p < 0.05, Cohen’s d = 0.610), and work attitude dimension score (MD = 1.346, p < 0.001, Cohen’s d = 0.744) showed significant differences compared to the baseline. However, no significant differences were identified between the post-intervention and three-month follow-up measurements (p > 0.05), and we assumed that the intervention effect was maintained three months after the intervention.Conclusion: An online combination exercise intervention is a safe and feasible option to improve the mental health and quality of life of obese children and may have long-term health benefits.

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A Study on the Physical Activities, Mental Health, and Health-Related Quality of Life of Osteoarthritis Patients

Osong Public Health and Research Perspectives ◽

10.24171/j.phrp.2019.10.6.07 ◽

2019 ◽

Vol 10 (6) ◽

pp. 368-375 ◽

Cited By ~ 1

Author(s):

Deok-Ju Kim

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Physical Activities ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Vulnerability and health promotion of Haitian immigrants: reflections based on Paulo Freire's dialogic práxis

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2020011403728 ◽

2021 ◽

Vol 55 ◽

Author(s):

Jeane Barros de Souza ◽

Ivonete Teresinha Schulter Buss Heidemann ◽

Fernanda Walker ◽

Maira Lidia Schleicher ◽

Angélica Zanettini Konrad ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Promotion ◽

Social Groups ◽

Public University ◽

Physical Activities ◽

Participatory Action ◽

Haitian Immigrants ◽

The Face

ABSTRACT Objective: To understand the perceptions of Haitian immigrants about the possibilities to promote health, in the face of the vulnerabilities they experience. Method: This is a qualitative, participatory action study, based on Paulo Freire's Research Itinerary, which has three phases: thematic investigation; encoding and decoding; critical unveiling. Ten Haitian immigrants, students of a public university in Brazil, participated in the Culture Circle. Results: In the face of vulnerabilities, Haitian immigrants expressed the need to participate in university social groups, to have moments of integration with Brazilians, to know their rights, to master the Portuguese language, to adapt socially and culturally and to the food, to engage in the promotion of mental health and quality of life through physical activities and leisure. Conclusion: The discussions led to a process of action-reflection-action, in which immigrants reframed their reality, looking for strategies to promote health and empowering themselves in the search for a healthier life.

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