Concussion in sports in children and adolescents – to play or not to play?

2017 ◽  
Vol 65 (3) ◽  
Keyword(s):  
Gender Differences ◽  
Children And Adolescents ◽  
Return To Sport ◽  
Consensus Conference ◽  
Return To School ◽  
The Novel ◽  
International Consensus ◽  
Persistent Symptoms ◽  
New Findings

A lot has been published on the topic concussion in sports during the last years, conscience was sharpened, much was structured and defined more precisely, help tools were developed and rules changed. This article summarizes the fifth edition of the recently published guidelines of the “International Consensus Conference on Concussion in Sport”. In addition, new findings regarding gender differences and recovery will be presented, as well as the modified “return-to-sport” and the novel “return-to-school” protocols. Despite increased knowledge many questions remain such as the therapy of persistent symptoms or long-term sequelae of recurrent concussions.

Long COVID—The New “Invisible” Illness: How School Nurses Can Support the Nursing and Educational Teams for Student Success

2021 ◽  
pp. 1942602X2110594
Author(s):  
Megan Roesler ◽  
Patricia Fato ◽  
Barbara Obst
Keyword(s):  
School Nurses ◽  
School Age Children ◽  
Return To School ◽  
School Age ◽  
Long Term Effects ◽  
Persistent Symptoms ◽  
School Based ◽  
School Based Interventions ◽  
The Waves

School-age children are not immune to COVID-19 or the pronounced and persistent symptoms associated with a long-COVID diagnosis. Students may present with a variety of symptoms affecting their physical, cognitive, and mental health. The school community should be educated on the school-based interventions and recommendations for creating an individualized safe and successful return to school plan. As we await approval for vaccinations in school-age children younger than 12 years and continue to reposition ourselves to the waves of this pandemic and new variants of the virus, understanding the medical and educational long-term effects on our students may be a long-term need.

Joint ultrasound baseline abnormalities predict a specific long-term clinical outcome in systemic lupus erythematosus patients

Lupus ◽  
2016 ◽  
Vol 26 (7) ◽  
pp. 729-733 ◽  
Author(s):  
P Corzo ◽  
T C Salman-Monte ◽  
V Torrente-Segarra ◽  
L Polino ◽  
S Mojal ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Activity Index ◽  
Consensus Conference ◽  
Clinical Activity ◽  
Systemic Lupus ◽  
International Consensus ◽  
Musculoskeletal Involvement

Objective To describe long-term clinical and serological outcome in all systemic lupus erythematosus (SLE) domains in SLE patients with hand arthralgia (HA) and joint ultrasound (JUS) inflammatory abnormalities, and to compare them with asymptomatic SLE patients with normal JUS. Methods SLE patients with HA who presented JUS inflammatory abnormalities (‘cases’) and SLE patients without HA who did not exhibit JUS abnormalities at baseline (‘controls’) were included. All SLE clinical and serological domain involvement data were collected. End follow-up clinical activity and damage scores (systemic lupus erythematosus disease activity index (SLEDAI), Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR)) were recorded. JUS inflammatory abnormalities were defined based on the Proceedings of the Seventh International Consensus Conference on Outcome Measures in Rheumatology Clinical Trials (OMERACT-7) definitions. Statistical analyses were carried out to compare ‘cases’ and ‘controls’. Results A total of 35 patients were recruited. The ‘cases’, n = 18/35, had a higher incidence of musculoskeletal involvement (arthralgia and/or arthritis) through the follow-up period (38.9% vs 0%, p = 0.008) and received more hydroxychloroquine (61.1% vs 25.0%, p = 0.034) and methotrexate (27.8% vs 0%, p = 0.046) compared to ‘controls’, n = 17/35. Other comparisons did not reveal any statistical differences. Conclusions We found SLE patients with arthralgia who presented JUS inflammatory abnormalities received more hydroxychloroquine and methotrexate, mainly due to persistent musculoskeletal involvement over time. JUS appears to be a useful technique for predicting worse musculoskeletal outcome in SLE patients.

scholarly journals More complaints than findings - Long-term pulmonary function in children and adolescents after COVID-19

2021 ◽  
Author(s):  
Leona Knoke ◽  
Anne Schlegtendal ◽  
Christoph Maier ◽  
Lynn Eitner ◽  
Thomas Luecke ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Children And Adolescents ◽  
Respiratory Symptoms ◽  
Severe Infection ◽  
Preliminary Evidence ◽  
Long Term Effects ◽  
Diffusion Capacity ◽  
Persistent Symptoms ◽  
Abnormal Pulmonary Function

Background: The frequency of persistent symptoms after coronavirus disease 2019 (COVID-19) in adults varies from 4.5% to 87%. Pulmonary function can also show long-term impairment in adults: 10% of hospitalised adults had reduced spirometry values, and 24% had decreased diffusion capacity. To date, only preliminary evidence is available on persistent respiratory sequelae in children and adolescents, therefore our objective was to examine the long-term effects of COVID-19 on pulmonary function in this age group. Methods: Multiple-breath washout, body plethysmography, and diffusion capacity testing were performed after an average of 2.6 months (range 0.4-6.0) following COVID-19 in 73 children and adolescents (age 5-18 years) with different disease severity. Cases were compared to 45 controls with and without infection within six months prior to assessment after exclusion of severe acute respiratory coronavirus-2 infection (SARS-CoV-2). Results: Of the 19 patients (27.1%) who complained about persistent or newly emerged symptoms since COVID-19, 8 (11.4%) reported respiratory symptoms. Comparing patients with COVID-19 to controls, no significant differences were detected in frequency of abnormal pulmonary function (COVID-19: 12, 16.4%; controls: 12, 27.7%; OR 0.54, 95% CI 0.22-1.34). Only two patients with persistent respiratory symptoms showed abnormal pulmonary function. Multivariate analysis revealed reduced forced vital capacity (p=0.045) in patients with severe infection regardless of SARS-CoV-2 infection. Discussion: Pulmonary function is rarely impaired in children and adolescents after COVID-19, except of those with severe infection. The discrepancy between persistent respiratory symptoms and normal pulmonary function suggests a different underlying pathology such as dysfunctional breathing.

scholarly journals Hygiene practices in children and adolescents to prevent COVID-19 transmission (Literature review)

2021 ◽  
Author(s):  
VP Krylov
Keyword(s):  
Children And Adolescents ◽  
The Novel ◽  
Negative Consequences ◽  
Way Of Life ◽  
Hygiene Practices ◽  
Hygienic Measures ◽  
Novel Coronavirus ◽  
Remote Learning

Socio-economic outcome of long-term SARS-CoV-2 pandemic poses a major health risk to children. A high number of neurological disturbances and nutrition-associated problems are reported. Hygiene is one of the most important measures to avoid the novel coronavirus infection. Children and adolescents commonly constitute a special population, as disease severity in this group significantly differs from that in middle-aged and senior groups. Lockdown and transition to remote learning result in numerous reasons for emotional stress such as a dramatically altered way of life and education, and an important reduction of physical activity. The basic hygienic measures for children and adolescents included lockdown and transition to remote learning. An altered way of life caused strong emotions and poor academic achievements. As time passes, based on numerous statistical data, we can conclude that the role of children in the infection transmission and spread is insignificant. In spite of doubtful effectiveness of transition to online learning and an abundance of negative consequences for children’s mental health, some authors report that closure of schools resulted in a reduced number of those affected and decreased mortality rate. Hand hygiene is a very important way to prevent the spread of infections. Hygiene promotion aimed at children and adolescents is lacking during the pandemic, as explanatory talks are mainly given by parents.

scholarly journals Society of Critical Care Medicine’s International Consensus Conference on Prediction and Identification of Long-Term Impairments After Critical Illness

2020 ◽  
Vol 48 (11) ◽  
pp. 1670-1679 ◽  
Author(s):  
Mark E. Mikkelsen ◽  
Mary Still ◽  
Brian J. Anderson ◽  
O. Joseph Bienvenu ◽  
Martin B. Brodsky ◽  
...  
Keyword(s):  
Critical Care ◽  
Critical Illness ◽  
Consensus Conference ◽  
International Consensus

Sentinel node biopsy in breast cancer

2004 ◽  
Vol 43 (01) ◽  
pp. 4-9 ◽  
Author(s):  
A. Bembenek ◽  
H. Büchels ◽  
T. Decker ◽  
J. Dunst ◽  
U. Müllerleile ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Sentinel Node ◽  
Sentinel Node Biopsy ◽  
German Society ◽  
Consensus Conference ◽  
Consensus Meeting ◽  
Axillary Staging ◽  
International Consensus ◽  
Node Biopsy ◽  
Complete Lymph Node Dissection

SummaryThe international consensus conference from St. Gallen concerning the treatment of early breast cancer concluded in 2003, that sentinel node biopsy was now accepted as method allowing axillary staging in breast cancer. This procedure may avoid complete lymph node dissection in appropriate cases. Since numerous questions associated with the technique are still not defined and the procedure itself is not yet standardized, the German Society of Senology defined the conditions for the routine clinical use of sentinel node biopsy in an interdisciplinary consensus meeting.

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