scholarly journals Child and adolescent musculoskeletal pain (CAM-Pain) feasibility study: testing a method of identifying, recruiting and collecting data from children and adolescents who consult about a musculoskeletal condition in UK general practice

BMJ Open ◽  
2018 ◽  
Vol 8 (6) ◽  
pp. e021116 ◽  
Author(s):  
Zoe A Michaleff ◽  
Paul Campbell ◽  
Alastair D Hay ◽  
Louise Warburton ◽  
Kate M Dunn
Keyword(s):  
General Practice ◽  
Children And Adolescents ◽  
Musculoskeletal Pain ◽  
Feasibility Study ◽  
Child And Adolescent ◽  
Musculoskeletal Condition

scholarly journals One Hundred Children and Adolescents Consulting General Practice With Musculoskeletal Pain.

2021 ◽  
Author(s):  
Negar Pourbordbari ◽  
Martin Bach Jensen ◽  
Jens Lykkegaard Olesen ◽  
Sinead Holden ◽  
Michael Skovdal Rathleff
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Children And Adolescents ◽  
Musculoskeletal Pain ◽  
Social Impact ◽  
Child And Adolescent ◽  
Cross Sectional Study ◽  
Care Seeking ◽  
Cross Sectional ◽  
Sport Activities

Abstract BackgroundEach year, 8% of all child and adolescent consultations in general practice are due to musculoskeletal conditions, with pain as the most frequent symptom. Despite the commonality of musculoskeletal pain, limited knowledge exists about care-seeking children and adolescents with musculoskeletal pain. The purpose of this study was to describe characteristics of children and adolescents consulting their general practitioner with musculoskeletal pain.MethodsThis is a cross-sectional study based on the baseline data from the child and adolescent musculoskeletal (ChiBPS) pain cohort study, carried out in 17 Danish general practice clinics. Patients aged 8-19 years with musculoskeletal pain complaints when consulting their GP completed a questionnaire on demographics, physical activity, pain impact, psychosocial factors, and expectations of their general practitioner. Descriptive statistics were used to summarize data. Normally distributed continuous data are described using mean and standard deviations while non-normally data are described using median and interquartile range. ResultsWe included 100 participants (54% female, median age 13 [12-16] years). The most frequent activity limiting pain regions were knee (56%), back (20%), ankle (19%), and neck (13%). The majority (63%) consulted their general practitioner because they were not able to use their body as usual due to pain. At time of consultation the median pain duration was 5 months [3 weeks-1 year]. Above a third were often or sometimes nervous (34%), worried or anxious (33%), and took pain medication when in pain (33%). Pain made it difficult to participate in sport activities at school (79%) and disturbed spare time activities (88%). Pain made it difficult to concentrate (58%) and to fall asleep (38%) and only 38% expected a pain free long-term future.ConclusionThis study demonstrates the bio-psycho-social impact of musculoskeletal pain in care-seeking children and adolescents. Demographics, pain characteristics, psychosocial characteristics, and physical characteristics should be included in addressing children and adolescents with musculoskeletal pain.Trial registrationThe ChiBPS study where the participants in this study are from, was pre-registered before recruitment (ClinicalTrials.gov Identifier: NCT03678922) date: 09.20.18.

scholarly journals Informative value of referral letters from general practice for child and adolescent mental healthcare

2021 ◽  
Author(s):  
S. Aydin ◽  
M. R. Crone ◽  
B. M. Siebelink ◽  
M. E. Numans ◽  
R. R. J. M. Vermeiren ◽  
...  
Keyword(s):  
General Practice ◽  
Nodal Point ◽  
Mental Healthcare ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Discriminative Ability ◽  
Replication Studies ◽  
Attention Deficit Hyperactivity Disorders ◽  
Referral Letters ◽  
Made In

AbstractAlthough referral letters (RLs) form a nodal point in a patient’s care journey, little is known about their informative value in child and adolescent mental healthcare. To determine the informative value of RLs to child and adolescent psychiatry, we conducted a chart review in medical records of minors registered at specialized mental healthcare between January 2015 and December 2017 (The Netherlands). Symptoms indicated in RLs originating from general practice (N = 723) were coded and cross-tabulated with the best estimate clinical classifications made in psychiatry. Results revealed that over half of the minors in the sample were classified in concordance with at least one reason for referral. We found fair to excellent discriminative ability for indications made in RLs concerning the most common psychiatric classifications (95% CI AUC: 60.9–70.6 for anxiety disorders to 90.5–100.0 for eating disorders). Logistic regression analyses suggested no statistically significant effects of gender, age, severity or mental healthcare history, with the exception of age and attention deficit hyperactivity disorders (ADHD), as RLs better predicted ADHD with increasing age (OR = 1.14, 95% CI 1.03–1.27). Contextual problems, such as difficulties studying, problems with parents or being bullied were indicated frequently and associated with classifications in various disorder groups. To conclude, general practitioners’ RLs showed informative value, contrary to common beliefs. Replication studies are needed to reliably incorporate RLs into the diagnostic work-up.

scholarly journals The Impact of COVID-19 School Closure on Child and Adolescent Health: A Rapid Systematic Review

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 415
Author(s):  
Sonia Chaabane ◽  
Sathyanarayanan Doraiswamy ◽  
Karima Chaabna ◽  
Ravinder Mamtani ◽  
Sohaila Cheema
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Adolescent Health ◽  
Children With Disabilities ◽  
Child And Adolescent ◽  
Emergency Department Visits ◽  
School Closure ◽  
School Closures ◽  
Child And Adolescent Health ◽  
The Impact

School closures during pandemics raise important concerns for children and adolescents. Our aim is synthesizing available data on the impact of school closure during the coronavirus disease 2019 (COVID-19) pandemic on child and adolescent health globally. We conducted a rapid systematic review by searching PubMed, Embase, and Google Scholar for any study published between January and September 2020. We included a total of ten primary studies. COVID-19-related school closure was associated with a significant decline in the number of hospital admissions and pediatric emergency department visits. However, a number of children and adolescents lost access to school-based healthcare services, special services for children with disabilities, and nutrition programs. A greater risk of widening educational disparities due to lack of support and resources for remote learning were also reported among poorer families and children with disabilities. School closure also contributed to increased anxiety and loneliness in young people and child stress, sadness, frustration, indiscipline, and hyperactivity. The longer the duration of school closure and reduction of daily physical activity, the higher was the predicted increase of Body Mass Index and childhood obesity prevalence. There is a need to identify children and adolescents at higher risk of learning and mental health impairments and support them during school closures.

Approaches to Delivering Child and Adolescent Mental Health Services: The South Australian Experience

1995 ◽  
Vol 29 (2) ◽  
pp. 230-237 ◽  
Author(s):  
Michael Gifford Sawyer ◽  
Robert John Kosky
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
South Australia ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The South ◽  
Number Of Children

Approximately 10% of children and adolescents experience mental health problems, however only a small proportion receive specialised help. Identifying approaches which can provide a balanced and effective service for the large number of children and adolescents with problems is currently a major challenge for child and adolescent mental health services in Australia. In South Australia, following a review in 1983, child and adolescent services were reorganised into two separate but closely related services. This paper draws on experience in South Australia over the last decade to identify approaches which can be employed in six key areas that significantly influence the effectiveness of child and adolescent mental health services. The paper also describes the specific features which were included in the South Australian child and adolescent mental health service to address these issues.

scholarly journals Research protocol: general practice organ donation intervention—a feasibility study (GPOD)

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Catrin Pedder Jones ◽  
Chris Papadopoulos ◽  
Gurch Randhawa ◽  
Zeeshan Asghar
Keyword(s):  
General Practice ◽  
Organ Donation ◽  
Feasibility Study ◽  
Research Protocol

scholarly journals Affectivity and physical habits in adolescents: A systematic review

2021 ◽  
Vol 24 (1) ◽  
pp. 65-75
Author(s):  
Álvaro Cristian Huerta-Ojeda ◽  
Gerardo Riquelme-Vera ◽  
María Mercedes Yeomans-Cabrera
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Web Of Science ◽  
Adult Life ◽  
Child And Adolescent ◽  
School Systems ◽  
Educational Systems ◽  
Training Process ◽  
Electronic Search ◽  
Published Research

Introduction: Affectivity has a fundamental role in educational systems' training process. However, there are no updated studies that show the different socio-affective agents used in the creation of physical habits in the child and adolescent population in school systems. Objective: To review and analyze previously published research that studied the influence of affectivity on children and adolescents' physical habits in school systems. Materials and methods: A systematic review was conducted with articles published between 2010 and 2020, which connected affectivity and physical habits. The electronic search was performed through Web of Science, Scopus, and Scielo databases. All articles that studied the influence of affectivity on the population's physical habits were included. Results: Three studies that analyzed the influence of affectivity on children and adolescents' physical habits were found. Conclusions: At the end of the systematic review, it was demonstrated that there is a significant relationship between affectivity and the physical habits in child and adolescent populations. It was also possible to observe that this influence, positive or negative, determines the child and adolescent population's interest in physical activity and sports in adult life.

scholarly journals A proposta educativa de Dom Bosco centrada na proteção integral eno cuidado especial com a criança e o adolescente

1969 ◽  
Author(s):  
Maria Aparecida Alkimin
Keyword(s):  
Children And Adolescents ◽  
Educational System ◽  
Child And Adolescent ◽  
Special Care ◽  
Educational Approach ◽  
Rights Of The Child ◽  
Legislative Regulation ◽  
El Sistema ◽  
Full Protection

O presente trabalho busca investigar e demonstrar que a proposta de Dom Bosco, por meio de seu sistema educativo e preventive, vivenciados no Oratório de Valdocco, Itália, está centrada na proteção integral e cuidados especiais com a criança e o adolescente. Nesse sentido, pode-se afirmar que o método educativo assistencial e o sistema preventivo de Dom Bosco estão presentes na regulação legislativa do Sistema de Proteção e de Garantias previstos na Convenção sobre os Direitos da Criança e no Estatuto da Criança e do Adolescente (ECA), que consagram o princípio-valor da proteção integral e o cuidado especial com a população infanto-juvenil.AbstractThe educational approach of Don Bosco centered on full protection and special care with children and adolescentsThe aim of this paper is to investigate and demonstrate that Don Bosco ́s proposal, through its educational system and preventive experienced in Valdocco Oratory, Italy, focuses on full protection and care to children and adolescents. In this sense, one can say that the method of education, care and preventive system of Don Bosco are present in the legislative regulation of the System of Warranties and Protection under the Convention on the Rights of the Child and the Child and Adolescent Statute (ECA), which uphold the principle-value of integral protection and special care of the juvenile population.ResumenEl enfoque educativo de Don Bosco se centró en la protección plena y especial cuidado con los niños, niñas y adolescentesEste estudio tiene como objetivo investigar y demostrar que el proyecto de Don Bosco, a través de su sistema preventivo y educativo, con experiencia en Oratorio de Valdocco, Italia, se centra en la protección plena y especial de cuidados con los niños y adolescentes. En este sentido, se puede afirmar que el método educativo de atención plena y el sistema preventivo de Don Bosco están presentes en la regulación legislativa de la protección y garantías previstas en la Convención sobre los Derechos del Niño y del Estatuto de los Niños y Adolescentes (ECA), los cuales consagran el valor-principio de la protección integral y la atención especial de la población juvenil.Revisor do inglês: Prof. Tadeu GiattiRevisor do espanhol: Prof. Lilian de Souza

scholarly journals How many lived to maturity?

1993 ◽  
pp. 16-24
Author(s):  
Eino Jutikkala
Keyword(s):  
Children And Adolescents ◽  
Social Groups ◽  
Child And Adolescent ◽  
Reconstruction Method ◽  
Family Reconstruction ◽  
The Family ◽  
The Common

Calculations have been made of the total child and adolescent mortality in Finland in the 1700s and 1800s and the beginning of the 1900s. The author examines the cohort mortality of children and adolescents in different periods, regions and social groups. He does this by using the family reconstruction method with the aid of genealogical tables. The study focuses on five populations. In these cases the common allegation that during preindustrial period half the children died before reaching maturity is somewhat exaggerated.

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