Where should a school shoe provide flexibility and support for the asymptomatic 6- to 10-year-olds and on what information is this based? A Delphi yielded consensus

2014 ◽  
Vol 39 (3) ◽  
pp. 213-218 ◽  
Author(s):  
Nina Davies ◽  
Helen Branthwaite ◽  
Nachiappan Chockalingam
Keyword(s):  
Clinical Intervention ◽  
Poor Agreement ◽  
Allied Health Professionals ◽  
Foot Health ◽  
Shoe Design ◽  
Personal Belief ◽  
Musculoskeletal Structure ◽  
Age Range ◽  
Footwear Design

Background: There is a paucity of evidence regarding the design of children’s footwear in relation to musculoskeletal structure. Objectives: The aim was to gain consensus regarding where flexibility and support should be given on a school shoe for the 6- to 10-year-olds. Study design: Delphi Questionnaire. Methods: Recruitment of 10 Allied Health Professionals yielded a consensus group. Those recruited had dedicated experience in paediatrics and foot health. Rounds of questions were delivered to investigate the basis of the opinions made by the group on the location of support and flexibility in a school shoe for the age range identified. Results: Six themes were generated. Four themes gained 100% consensus regarding footwear allowing normal foot movement, footwear allowing normal forefoot function, footwear providing a stable base and the foot being secure in the shoe. Fleiss’ kappa calculations revealed ‘poor agreement’ for the remaining two themes regarding clinical intervention and the purpose of footwear design in the midfoot in both the upper and sole of the shoe. Conclusion: The qualitative data generated through discussion have highlighted areas where more understanding and research are required, particularly in understanding how, in the long term, shoe design can affect the developing foot. Clinical relevance Children’s footwear advice is often delivered from experience and personal belief. This article questions current understanding and opinion from clinical experts in the field of paediatric footwear and highlights that there is a lack of knowledge and confidence into the effects of children’s footwear. There is a strong requirement for further empirical research to be completed on children’s footwear to allow clinicians to formulate relevant and appropriate footwear advice.

Foot health management

2019 ◽  
pp. 249-280
Author(s):  
Heidi Siddle ◽  
Gordon Hendry
Keyword(s):  
Health Management ◽  
Musculoskeletal Diseases ◽  
Connective Tissue Diseases ◽  
Clinical Intervention ◽  
Current Evidence ◽  
Clinical Expertise ◽  
Foot Health ◽  
Education Of Patients ◽  
Clinical Strategies

This chapter will provide the reader with current evidence and the clinical strategies to improve the foot health management of patients with rheumatic and musculoskeletal diseases. The education of patients and health professionals will be key to implementing self-management early in the disease, together with the recognition of problems that require clinical intervention to improve the patient’s long-term outcomes. Unfortunately, there is still a lack of evidence to support many specific interventions, particularly for patients with connective tissue diseases. However, we can utilize increased understanding of the effects that these diseases have on the foot, together with clinical expertise, to manage symptoms and prevent damage and deformity.

Barriers to Physical Activity in Adolescents

2015 ◽  
Vol 23 (2) ◽  
pp. 47-59 ◽  
Author(s):  
Nadine Langguth ◽  
Tanja Könen ◽  
Simone Matulis ◽  
Regina Steil ◽  
Caterina Gawrilow ◽  
...  
Keyword(s):  
Physical Activity ◽  
Leisure Activities ◽  
Outcome Expectations ◽  
Multidimensional Approach ◽  
Factor Analyses ◽  
Physical And Mental Health ◽  
Tailored Interventions ◽  
Long Term Consequences ◽  
Age Range

During adolescence, physical activity (PA) decreases with potentially serious, long-term consequences for physical and mental health. Although barriers have been identified as an important PA correlate in adults, research on adolescents’ PA barriers is lacking. Thus reliable, valid scales to measure adolescents’ PA barriers are needed. We present two studies describing a broad range of PA barriers relevant to adolescents with a multidimensional approach. In Study 1, 124 adolescents (age range = 12 – 24 years) reported their most important PA barriers. Two independent coders categorized those barriers. The most frequent PA barriers were incorporated in a multidimensional questionnaire. In Study 2, 598 adolescents (age range = 13 – 21 years) completed this questionnaire and reported their current PA, intention, self-efficacy, and negative outcome expectations. Seven PA barrier dimensions (leisure activities, lack of motivation, screen-based sedentary behavior, depressed mood, physical health, school workload, and preconditions) were confirmed in factor analyses. A multidimensional approach to measuring PA barriers in adolescents is reliable and valid. The current studies provide the basis for developing individually tailored interventions to increase PA in adolescents.

Primary Calvarial Ewing Sarcoma: A Case Series

2021 ◽  
Author(s):  
Sandeep Mohindra ◽  
Manjul Tripathi ◽  
Aman Batish ◽  
Ankur Kapoor ◽  
Ninad Ramesh Patil ◽  
...  
Keyword(s):  
Ewing Sarcoma ◽  
Tumor Resection ◽  
Case Series ◽  
Radical Excision ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Intradural Tumor ◽  
Age Range

Abstract Background Calvarial Ewing tumor is a relatively rare differential among bony neoplasms. We present our experience of managing primary calvarial Ewing sarcoma (EWS), highlighting their clinical and radiological findings. Method In a retrospective analysis, we evaluated our 12-year database for pathologically proven EWS. A literature search was conducted for the comparative presentation and update on the management and outcome. Result From January 2008 to December 2020, we managed eight patients (male:female = 5:3; age range 6 months to 19 years, mean 11.5 years) harboring primary calvarial EWS. All cases underwent wide local excision; two patients required intradural tumor resection, while one required rotation flap for scalp reconstruction. Mean hospital stay was 8 days. All patients received adjuvant chemo- and radiotherapy. Three patients remained asymptomatic at 5 years of follow-up, while two patients died. Conclusion Primary calvarial EWS is a rare entity. It usually affects patients in the first two decades of life. These tumors can be purely intracranial, causing raised intracranial pressure symptoms, which may exhibit rapidly enlarging subgaleal tumors with only cosmetic deformities or symptoms of both. Radical excision followed by adjuvant therapy may offer a favorable long-term outcome.

Evaluation attempt of own body sensing amongst persons with and without scoliosis

2021 ◽  
pp. 1-6
Author(s):  
Elżbieta Szczygieł ◽  
Agata Gigoń ◽  
Izabela Cebula Chudyba ◽  
Golec Joanna ◽  
Golec Edward
Keyword(s):  
Idiopathic Scoliosis ◽  
Sensory Integration ◽  
Head Position ◽  
Clinical Test ◽  
Spine Deformity ◽  
Functional Tests ◽  
Body Proportion ◽  
Average Value ◽  
Age Range

BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a common structural spine deformity affecting 2%–4% of adolescents. Due to the unknown cause of idiopathic scoliosis, its therapy is a long-term and often unsatisfactory process. In the literature, it is often suggested that problems related to the feeling of one’s own body are caused by AIS. OBJECTIVE: The aim of this study was to assess the feeling of one’s own body among children with and without scoliosis on the example of feeling the head position, pelvis shape and balance. METHOD: The research included 62 children: 30 with scoliosis and 25 without diagnosed scoliosis with an age range between 11 to 19 years. The minimum scoliosis value was 7∘ and the maximum was 53∘. The average value was 25∘. During the study, three functional tests were used: Cervical Joint Position Error Test (CJPET), Clinical Test of Sensory Integration on Balance (CTSIB) and Body proportion demonstration test (BPDT). RESULTS: The results of the tests showed statistically significant differences (CJPET p= 3.54* 10-14, CTSIB p= 0.0376, BPDT p= 0.0127). However, none of the studies showed a correlation between the results of people with scoliosis and the value of their Cobb angles.

scholarly journals Sustainable healthcare – Time for ‘Green Podiatry’

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Angela Margaret Evans
Keyword(s):  
Climate Change ◽  
Carbon Dioxide ◽  
Greenhouse Gases ◽  
Health Professionals ◽  
Carbon Dioxide Emissions ◽  
Allied Health ◽  
World Health ◽  
Main Body ◽  
Allied Health Professionals ◽  
Foot Health

Abstract Background Healthcare aims to promote good health and yet demonstrably contributes to climate change, which is purported to be ‘the biggest global health threat of the 21st century’. This is happening now, with healthcare as an industry representing 4.4% of global carbon dioxide emissions. Main body Climate change promotes health deficits from many angles; however, primarily it is the use of fossil fuels which increases atmospheric carbon dioxide (also nitrous oxide, and methane). These greenhouse gases prevent the earth from cooling, resulting in the higher temperatures and rising sea levels, which then cause ‘wild weather’ patterns, including floods, storms, and droughts. Particular vulnerability is afforded to those already health compromised (older people, pregnant women, children, wider health co-morbidities) as well as populations closer to equatorial zones, which encompasses many low-and-middle-income-countries. The paradox here, is that poorer nations by spending less on healthcare, have lower carbon emissions from health-related activity, and yet will suffer most from global warming effects, with scant resources to off-set the increasing health care needs. Global recognition has forged the Paris agreement, the United Nations sustainable developments goals, and the World Health Organisation climate change action plan. It is agreed that most healthcare impact comes from consumption of energy and resources, and the production of greenhouse gases into the environment. Many professional associations of medicine and allied health professionals are advocating for their members to lead on environmental sustainability; the Australian Podiatry Association is incorporating climate change into its strategic direction. Conclusion Podiatrists, as allied health professionals, have wide community engagement, and hence, can model positive environmental practices, which may be effective in changing wider community behaviours, as occurred last century when doctors stopped smoking. As foot health consumers, our patients are increasingly likely to expect more sustainable practices and products, including ‘green footwear’ options. Green Podiatry, as a part of sustainable healthcare, directs us to be responsible energy and product consumers, and reduce our workplace emissions.

An evaluation of opioid use during acute hospital admissions

2022 ◽  
Vol 4 (1) ◽  
pp. 24-31
Author(s):  
Alison Blackburn
Keyword(s):  
Acute Pain ◽  
Hospital Admissions ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Opioid Use ◽  
Opioid Medication ◽  
Age Range ◽  
The Impact ◽  
Acute Hospital Setting

Long-term opioid use can begin with the treatment of acute pain. However, there is little evidence concerning the impact that better opioid awareness in the acute phase may have on reducing the use of opioids in the long term. This project explored which opioids are routinely prescribed within an acute hospital setting and how these opioids were used over the course of the hospital stay. Codeine and morphine remain the most commonly prescribed opioids. Opioids were prescribed and given to people across the age range, from 16 to 98 years. The project found that 19% of patients were admitted with a pre-existing opioid. Up to 66% of patients were discharged with opioid medication, with almost 20% leaving with more than one opioid. Regular opioid use routinely exposes patients to long-term opioid use and those patients initiated onto opioid medication during admission should have the benefit of planned de-escalation before discharge.

scholarly journals Evidence for current recommendations concerning the management of foot health for people with chronic long-term conditions: a systematic review

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Katherine Edwards ◽  
Alan Borthwick ◽  
Louise McCulloch ◽  
Anthony Redmond ◽  
Rafael Pinedo-Villanueva ◽  
...  
Keyword(s):  
Systematic Review ◽  
Long Term Conditions ◽  
Foot Health

scholarly journals Paleoclimatic Implications of Radiocarbon Dating Of Speleothems from the Cracow-Wieluń Upland, Southern Poland

Radiocarbon ◽  
1995 ◽  
Vol 37 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Anna Pazdur ◽  
Mieczysław F. Pazdur ◽  
Jacek Pawlyta ◽  
Andrzej Górny ◽  
Michał Olszewski
Keyword(s):  
Systematic Study ◽  
Radiocarbon Dating ◽  
Karst Region ◽  
Radiocarbon Dates ◽  
Preliminary Results ◽  
Last Glaciation ◽  
Geological Museum ◽  
Paleoclimatic Records ◽  
Age Range

We report preliminary results of a long-term systematic study intended to gather paleoclimatic records from precisely dated speleothems. The research project is limited to speleothems deposited in caves of the Cracow-Wieluń Upland, the largest and best-explored karst region in Poland, covering ca. 2900 km2 with >1000 caves. Speleothem samples were selected from collections of the Geological Museum of the Academy of Mining and Metallurgy in Cracow. Radiocarbon dates of these samples from ca. 45–20 ka bp almost exactly coincide with age range of the Interplenivistulian. A break in speleothem formation between ca. 20 and 10 ka bp may be interpreted as a result of serious climatic deterioration associated with the maximum extent of the last glaciation. We observed differences among 14C, U/Th and AAR dating results. Changes of δ13C and δ18O in speleothems that grew between ca. 30 and 20 ka bp may be interpreted as changes of paleoclimatic conditions.

scholarly journals Face to face with the suicidal

1998 ◽  
Vol 4 (4) ◽  
pp. 188-196 ◽  
Author(s):  
Gethin Morgan ◽  
Carole Buckley ◽  
Mike Nowers
Keyword(s):  
Clinical Assessment ◽  
Suicide Risk ◽  
Clinical Intervention ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Face To Face ◽  
The Individual ◽  
Near Future

The clinical assessment and management of suicide risk depends primarily on face to face contact with the individual who presents the risk, and aims to predict behaviour in the very near future. Whether or not clinical intervention prevents suicide depends a great deal on the clinician's skill in reaching out to the individual patient. This poses a dilemma, because much of what has been written about predicting suicide has been based on averaged data concerning long-term outcome in large cohorts of patients.

scholarly journals Future Directions in Reducing Gastrointestinal Disorders in Children With ASD Using Fecal Microbiota Transplantation

2021 ◽  
Vol 11 ◽  
Author(s):  
Paulina Żebrowska ◽  
Izabela Łaczmańska ◽  
Łukasz Łaczmański
Keyword(s):  
Pediatric Patients ◽  
Fecal Microbiota Transplantation ◽  
Neurodevelopmental Disorder ◽  
Fecal Microbiota ◽  
Autism Spectrum ◽  
Long Term Effects ◽  
Gi Symptoms ◽  
Inflammatory Bowel ◽  
Age Range

Research on the use of fecal microbiota transplantation (FMT) in the treatment of disorders related to digestive system ailments in children with autism spectrum disorders (ASDs) is a new attempt in a therapeutic approach. There are very little scientific evidences available on this emerging alternative method. However, it appears to be interesting not only because of its primary outcome, relieving the gastrointestinal (GI) symptoms, but also secondary therapeutic effect of alleviating autistic behavioral symptoms. FMT seems to be also promising method in the treatment of another group of pediatric patients, children with inflammatory bowel disease (IBD). The aim of this study is to discuss the potential use of FMT and modified protocols (MTT, microbiota transfer therapy) in the treatment of GI disorders in ASD children supported by reports on another disease, IBD concerning pediatric patients. Due to the few reports of the use of FMT in the treatment of children, these two patients groups were selected, although suffering from distant health conditions: neurodevelopmental disorder and gastrointestinal tract diseases, because of the the fact that they seem related in aspects of the presence of GI symptoms, disturbed intestinal microbiota, unexplained etiology of the condition and age range of patients. Although the outcomes for all are promising, this type of therapy is still an under-researched topic, studies in the group of pediatric patients are sparse, also there is a high risk of transmission of infectious and noninfectious elements during the procedure and no long-term effects on global health are known. For those reasons all obtained results should be taken with a great caution. However, in the context of future therapeutic directions for GI observed in neurodevelopmental disorders and neurodegenerative diseases, the topic seems worthy of attention.

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