scholarly journals Competitive Sport After Sars-Cov-2 Infection in Children

2021 ◽  
Author(s):  
Giulia Cafiero ◽  
Passi Falminia ◽  
Francesca Ippolita Calò Carducci ◽  
Gentili Federica ◽  
Giordano Ugo ◽  
...  
Keyword(s):  
Data Analysis ◽  
Children And Adolescents ◽  
Pediatric Population ◽  
Adult Population ◽  
Return To Play ◽  
Competitive Sport ◽  
Medium Term ◽  
Coronavirus Infection ◽  
Sports Activities ◽  
Practical Recommendations

Abstract Background With the gradual resumption of sports activities after the lock-down period, during coronavirus pandemic, a new problem is emerging: allow all athletes to be able to return to compete after SARS-CoV-2 infection in total safety. Several protocols have been proposed for healed athletes but all of them have been formulated for the adult population. Methods The aim of the present study is to evaluate the adequacy of Italian practical recommendations for return-to-paly, in order to exclude cardiorespiratory complications due to COVID-19 in children and adolescents. From September 2020 to February 2021, 45 children and adolescents (aged from 9 to 18 years) with previous SARS-CoV-2 infection were evaluated according to the protocols in force for adult. Results The data obtained showed that, in the pediatric population, mild coronavirus infection does not cause cardiorespiratory complications in the short and medium term. Conclusion Return to play after Coronavirus infection seems to be safe but it will be necessary to continue with the data analysis in order to modulate and optimize the protocols especially in the pediatric field.

scholarly journals Competitive sport after SARS-CoV-2 infection in children

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Giulia Cafiero ◽  
Flaminia Passi ◽  
Francesca Ippolita Calo’ Carducci ◽  
Federica Gentili ◽  
Ugo Giordano ◽  
...  
Keyword(s):  
Lung Function ◽  
Children And Adolescents ◽  
Pediatric Population ◽  
Adult Population ◽  
Blood Chemistry ◽  
Lung Function Test ◽  
Cardiopulmonary Exercise Test ◽  
Return To Play ◽  
Symptomatic Infection ◽  
Coronavirus Infection

Abstract Background With the gradual resumption of sports activities after the lock-down period for coronavirus pandemic, a new problem is emerging: Allow all athletes to be able to return to compete after SARS-CoV-2 infection in total safety. Several protocols have been proposed for healed athletes but all of them have been formulated for the adult population. The aim of the present study is to evaluate the adequacy of Italian practical recommendations for return-to-paly, in order to exclude cardiorespiratory complications due to COVID-19 in children and adolescents. Methods Between April 2020 and January 2021 the Italian Sports Medical Federation formulated cardiorespiratory protocols to be applied to athletes recovered from SARS-CoV-2 infection. The protocols take into account the severity of the infection. Protocols include lung function tests, cardiopulmonary exercise test, echocardiographic evaluation, blood chemistry tests. Results From September 2020 to February 2021, 45 children and adolescents (aged from 9 to 18 years; male = 26) with previous SARS-CoV-2 infection were evaluated according to the protocols in force for adult. 55.5% of the subjects (N = 25) reported an asymptomatic infection; 44.5% reported a mild symptomatic infection. Results of lung function test have exceeded the limit of 80% of the theoretical value in all patients. The cardiorespiratory capacity of all patients was within normal limits (average value of maximal oxigen uptake 41 ml/kg/min). No arrhythmic events or reduction in the ejection fraction were highlighted. Conclusion The data obtained showed that, in the pediatric population, mild coronavirus infection does not cause cardiorespiratory complications in the short and medium term. Return to play after Coronavirus infection seems to be safe but it will be necessary to continue with the data analysis in order to modulate and optimize the protocols especially in the pediatric field.

scholarly journals Low Serum Vitamin D Concentrations Are Associated with Insulin Resistance in Mexican Children and Adolescents

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2109 ◽  
Author(s):  
Edgar Denova-Gutiérrez ◽  
Paloma Muñoz-Aguirre ◽  
Desiree López ◽  
Mario Flores ◽  
Mara Medeiros ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Vitamin D ◽  
Body Composition ◽  
Children And Adolescents ◽  
Pediatric Population ◽  
Adult Population ◽  
Serum Vitamin ◽  
Serum Vitamin D ◽  
Vitamin D Levels ◽  
Low Serum

Previous studies in the Mexican adult population have suggested a relationship between low levels of serum concentrations of serum vitamin D with impaired glucose tolerance, metabolic syndrome, and diabetes, regardless of the presence of obesity. The aim of this study is to investigate the relationship between serum vitamin D levels and the factors linked to insulin resistance. A total of 533 children and adolescents from the “Reference Values of Body Composition in the Pediatric Population of Mexico City” study are assessed. Body composition, dietary, and lifestyle data are obtained. Serum vitamin D, insulin, and glucose are also measured. Associations are tested using multiple linear and logistic regression models. Approximately 90% of children and adolescents in this study have sub-optimal vitamin D levels (<30 ng/mL). An inverse relationship between insulin resistance and serum vitamin D is observed (OR (odds ratios) = 2.9; 95% CI (95% confidence intervals): 1.1, 7.2; p-trend 0.03). Low serum vitamin D levels are associated with insulin resistance in the pediatric population. The present study provides additional evidence for the role of vitamin D in insulin resistance. Our findings suggest the supplementation of vitamin D may be helpful in preventing insulin resistance and subsequent diabetes.

scholarly journals COVID-19 em pediatria: sugestões para o manejo nutricional

2020 ◽  
Vol 2 (35) ◽  
pp. 107-113
Author(s):  
Bianca Stachissini Manzoli ◽  
Patricia Zamberlan ◽  
Analisa Gabriela Zuchi Leite ◽  
Ana Paula Alves Reis
Keyword(s):  
Immune System ◽  
Children And Adolescents ◽  
Pediatric Population ◽  
Adult Population ◽  
Physiological Characteristics ◽  
Practical Approach ◽  
Age Group ◽  
Younger Age ◽  
Few Data ◽  
The Impact

Few data show the impact of the disease caused by the SARS-CoV-2 virus (called COVID-19) on the pediatric population. However, it is known that children, especially those of a younger age, are a group susceptible to infections, due to some particularities such as immaturity of the immune system, and therefore need special attention during the pandemic. Newborns, infants, children and adolescents hospitalized with suspected or confirmed COVID-19 should receive adequate nutritional assistance. Based on information from the small number of pediatric cases of COVID-19 (compared to the adult population), on the knowledge of the physiological characteristics of this age group and on the epidemiological understanding of SARS-CoV-2, suggestions for a practical approach to care for these patients in units hospitals were developed.

scholarly journals RESEARCH ON THE INCIDENCE OF MALIGNANT TESTICULAR TUMORS IN UKRAINE AND SUMY REGION

2020 ◽  
Vol 8 (2) ◽  
pp. 145-152
Author(s):  
D. Brusovtsov ◽  
M. Lуndіn ◽  
V. Sikora ◽  
N. Hyriavenko ◽  
A. Romaniuk
Keyword(s):  
Data Analysis ◽  
Testicular Cancer ◽  
Statistical Data ◽  
Malignant Tumors ◽  
Pediatric Population ◽  
Adult Population ◽  
Testicular Tumor ◽  
Common Type ◽  
Statistical Data Analysis ◽  
Male Population

The oncological incidence of testicular cancer is the current medical and social problem in Ukraine and in the world. Despite the relatively low incidence rate for this pathology, it is of fundamental importance for clinicians, since it is the most common type of malignant tumors in young men of working age (15–45 years). In particular, the incidence of testicular cancer in the Sumy region slightly differs from the national average. That is why the objective of our study was to analyze the level of testicular neoplasia among the population of the Sumy region and Ukraine in 2011–2019, as well as to compare them. Based on the obtained data, the Sumy region is included in the group of regions of Ukraine with an over-threshold incidence of testicular cancer. Statistical data analysis showed a tendency to decrease of the overall incidence of testicular cancer among the adult population in Ukraine during the study period (on average, 2.55 per 100,000 population). At the same time, in the Sumy region, there was a gradual increase in the frequency of cases of this sociopathology in men with the highest indicators reached in 2017 (4.33 per 100,000 population). Consequently, in Ukraine, this pathology affected men mainly at the age of 35–39. However, it is should be noted that the age range of morbidity in the Sumy region was somewhat broader and mainly affected the population aged 30–39, and, in some years –men at the age of 20–29. It was established that testicular cancer affects the pediatric population, although it is extremely rare. Considering that seminoma is the most common type of testicular tumor, we focused on an in-depth study of its morphological features. Statistical data analysis revealed a link between the incidence of testicular cancer and the age of the male population. An important element of the research is the study of etiopathological factors that affect the growth of the degree of involvement, caused by this pathology.

Market of Insurance in Russia: Major Tendencies and Problems of Development

2006 ◽  
pp. 115-127
Author(s):  
T Natkhov
Keyword(s):  
Data Analysis ◽  
Statistical Data ◽  
Statistical Data Analysis ◽  
Medium Term ◽  
Insurance Sector ◽  
Different Types ◽  
Basic Characteristics

The article considers recent tendencies in the development of the market of insurance in Russia. On the basis of statistical data analysis the most urgent problems of the insurance sector are formulated. Basic characteristics of different types of insurance are revealed, and measures on perfection of the insurance institution in the medium term are proposed.

Strength training in children and adolescents: science, effects and recommandations

2017 ◽  
Vol 65 (3) ◽  
Keyword(s):  
Strength Training ◽  
Children And Adolescents ◽  
International Health ◽  
Well Being ◽  
Review Article ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Strengthening Exercises ◽  
Methodological Aspects ◽  
Practical Recommendations

During the last years, muscle strengthening exercises have been included as an essential part in youth physical activity guidelines of national and international health organisations. It is well-documented that strength training is effective in improving physical fitness and promoting health and psycho-social well-being. Therefore, the purpose of this review article is to present empirical evidence on the effectiveness of strength training in children and adolescents. Additionally, and with reference to an established youth physical development model, conceptual and methodological aspects of safe and effective strength training in youth will be discussed and specific practical recommendations will be presented.

Information about Sports Related Concussion and Return to Play Rules in Youth Soccer, Rugby and Handball on Websites of German Sports Clubs (Preprint)

2020 ◽  
Author(s):  
Laura Rihani ◽  
Jennifer Usinger ◽  
Nicola Jungbäck ◽  
Gabriele Stumm ◽  
Thorsten Schulz ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Return To Play ◽  
Online Information ◽  
Lower Saxony ◽  
Systematic Analysis ◽  
Youth Soccer ◽  
Sports Clubs ◽  
Sport Concussion ◽  
The Usa ◽  
Sports Activities

BACKGROUND Sports-related mild traumatic brain injuries (sports related concussion, SRC) have received increasing attention since neurodegenerative processes have been linked to repetitive SRCs. Return-to-Play (RTP) rules have been established for medical advised return into sports activities after concussion, but it is not clear if these rules also reach the sports clubs and its young athletes. OBJECTIVE In youth sports, athletes and their parents search the internet for advice after SRC. We therefore investigated which websites of German sports associations and clubs in football (soccer), handball and rugby offer information on SRC and RTP rules. METHODS The systematic analysis included websites of local football, handball and rugby clubs in two comparable regions in Southern Bavaria and Lower Saxony. The websites of the regional and the German umbrella associations were also included into the study. Eight criteria of the revised Sport Concussion Consensus Statement served as standard for the evaluation according to the protocol published by Swallow et al. (J Neurosurg Pediatr, 2018). RESULTS No information on RTP rules or the topic “sports-related brain injuries” could be found on any of the clubs’ websites. Only the Bavarian Football Association and the Rugby Association sporadically provided information on the topic. The German umbrella associations in football and rugby take up international documents and regulations of the European and the world associations. No information could be found at the German Handball Association. CONCLUSIONS The topics of sports-related brain injuries and RTP rules are mostly neglected on the analysed Websites. This is remarkable, as there are clearly defined consensus guidelines which are widely accepted in international comparison. Especially in the USA, online information on this topic has become standard.

scholarly journals IS PERCUTANEOUS MEDIAL COLLATERAL LIGAMENT (MCL) RELAXATION DURING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION A SAFE OPTION FOR GAINING ACCESS TO THE MEDIAL KNEE COMPARTMENT IN CHILDREN?

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0004
Author(s):  
John A. Schlechter ◽  
Tanner Harrah ◽  
Bryn Gornick ◽  
Benjamin Sherman
Keyword(s):  
Anterior Cruciate Ligament ◽  
Children And Adolescents ◽  
Medial Collateral Ligament ◽  
Cruciate Ligament ◽  
Adult Population ◽  
Deep Infection ◽  
Patient Reported Outcome ◽  
Collateral Ligament ◽  
Patient Reported ◽  
Anterior Cruciate

Introduction: With participation in youth sports anterior cruciate ligament (ACL) injuries are a common occurrence. Nearly 70% of ACL tears in children and adolescents have an associated meniscus tear. Percutaneous medial collateral ligament (MCL) relaxation has been described as utilitarian in accessing the medial meniscus for diagnostic assessment and treatment in the adult population to increase medial compartment working space in arthroscopic surgery. The technique has not been evaluated in the pediatric population. The purpose of this study was to compare the outcomes of children and adolescents that underwent anterior cruciate ligament reconstruction (ACLR) with and without percutaneous relaxation of the medial collateral ligament (MCL) for meniscal tear management. Methods: A retrospective review was performed of patients aged 8 to 19 years old that had undergone knee arthroscopy for an (ACLR) with meniscus pathology. Those that underwent MCL relaxation were grouped together and compared to a matched cohort that did not have MCL relaxation performed. Preoperative, operative and postoperative data was analyzed. The primary measurement was obtained using a validated patient reported outcome score (Pedi-IKDC), secondary outcome measures were defined as superficial or deep infection, saphenous nerve dysesthesias, ACL graft failure and return to the operating room. Statistical analysis of the two cohorts was performed. Results: Fifty-four patients were included in the study (27 in each group) with average age 15 years (range 10-19). Average follow-up for the MCL relaxation group was 22.4 months versus 58 months for the non-MCL relaxation group. The average Pedi-IKDC score was 93.3 for the MCL relaxation group and 91.4 for the non-MCL relaxation group (p=0.34). There was no difference in patient demographics, return to the operating room (p=0.49), saphenous nerve dysesthesia (p=0.49), superficial or deep infection (p=0.32). Conclusion: ACL reconstruction in children and adolescents with MCL relaxation for the management of medial meniscal tears appears to be a safe option. Equivocal patient reported outcome scores as compared to the control group were found with no increase in post-operative complications. In children with ACL tears, appropriate diagnosis and management of medial meniscal pathology is important to maintain secondary restraint to anterior tibial translation and prevent premature graft failure. Pediatric knees can have tight medial compartments, making access difficult, potentially leading to poor visualization and iatrogenic chondral damage. Percutaneous medial collateral ligament (MCL) relaxation has been described in the adult population to increase medial compartment working space without long term sequela. We report similar findings in an all pediatric cohort.

scholarly journals Kaposiform Hemangioendothelioma: clinicopathological characteristics of 8 cases of a rare vascular tumor and review of literature

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Qurratulain Chundriger ◽  
Muhammad Usman Tariq ◽  
Jamshid Abdul-Ghafar ◽  
Arsalan Ahmed ◽  
Nasir Ud Din
Keyword(s):  
Pediatric Population ◽  
Adult Population ◽  
Correct Diagnosis ◽  
Kaposi Sarcoma ◽  
Minor Component ◽  
Vascular Tumor ◽  
Giant Cells ◽  
Clinicopathological Characteristics ◽  
Multinucleated Giant Cells ◽  
Kaposiform Hemangioendothelioma

Abstract Background Kaposiform Hemangioendothelioma (KHE) is a rare vascular tumor of intermediate malignant potential which shows locally aggressive growth but only rarely metastasizes. It is mostly considered to be a tumor of pediatric population but its occurrence in the adults is not uncommon as once considered. Histologically, KHE can mimic other soft tissue neoplasms of different behaviors (e.g. Kaposi Sarcoma, hemangioma) and establishing the correct diagnosis is important for appropriate treatment. Herein, we describe the clinicopathological features of 8 cases of KHE which will be helpful in making their diagnosis. Methods We reviewed pathology reports, microscopy glass slides and obtained follow up information about 8 cases of KHE which were diagnosed at our institution from January 2008 till June 2020. Immunohistochemical stain for HHV8 was also performed. Results Age ranged from 7 months to 25 years. Seven patients were less than 20 years of age and one patient was 25 years old. Equal gender distribution was observed. Extremities were the most common sites of involvement, followed by head and neck, pancreas and ischiorectal region. 2 cases were resection specimen and all others were incisional biopsies. The largest tumor size was 5.5 cm in one of the resections. The incisional/fragmented tissues were all less than 5 cm in aggregate. Most cases showed predominance of nodular growth and a minor component of spindle cell population along with lymphangiomatosis like vascular channels, with evidence of microthrombi in 2 cases. Few multinucleated giant cells were observed in 2 cases. None of the cases exhibited significant nuclear atypia or mitotic activity. One of the cases arising in dermis showed underlying bone involvement. HHV8 was negative in 7/7 cases. Conclusions KHE can also involve adult population and it should always be considered in the differential diagnoses of a vascular lesion. Presence of multinucleated giant cells is a rare finding. Knowledge about histological features and potential mimics is helpful in avoiding misdiagnosis.

Pediatric Lung Transplantation: Perspectives for the Pathologist

2008 ◽  
Vol 11 (2) ◽  
pp. 85-105 ◽  
Author(s):  
Megan K. Dishop ◽  
George B. Mallory ◽  
Frances V. White
Keyword(s):  
Lung Transplantation ◽  
Pediatric Population ◽  
Adult Population ◽  
Bronchiolitis Obliterans Syndrome ◽  
Pulmonary Vascular Disease ◽  
Pathologic Evaluation ◽  
Routine Surveillance ◽  
Pediatric Pathologist ◽  
Future Challenges ◽  
Cellular Rejection

Lung transplantation offers life-saving and life-extending treatment for children and adolescents with congenital and acquired forms of pulmonary and pulmonary vascular disease, for whom medical therapy is ineffective or insufficient for sustained response. This review summarizes the pathology related to lung transplantation for the practicing pediatric pathologist and also highlights aspects of lung transplantation unique to the pediatric population. Clinical issues related to availability of organs, candidate eligibility, surgical technique, and postoperative monitoring are discussed. Pathologic evaluation of routine surveillance transbronchial biopsies requires attention to acute cellular rejection, opportunistic infection, and other forms of acute and resolving lung injury. These findings are correlated in some cases with endobronchial biopsies and bronchoalveolar lavage as adjunctive tools in surveillance. Open or thoracoscopic biopsies also have diagnostic utility in cases with acute or chronic graft deterioration of uncertain etiology. Future challenges in pediatric lung transplantation are similar to those in the adult population, with continued efforts focused on prolonging graft survival, prevention of bronchiolitis obliterans syndrome due to chronic cellular rejection, and evaluation of humoral rejection.

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