Pediatric Renal Trauma

2018 ◽  
Author(s):  
Douglas A Husmann
Keyword(s):  
Physical Activity ◽  
False Aneurysm ◽  
Renal Hypertension ◽  
Therapeutic Embolization ◽  
Traumatic Shock ◽  
Renal Trauma ◽  
Traumatic Loss ◽  
Traumatic Injuries ◽  
Surgical Exploration ◽  
Adults And Children

This review addresses the new staging criteria applied to classify renal trauma accurately. We discuss the unique differences in the etiology and management of renal trauma between adults and children. The commentary defines the differences in managing low-, medium-, and high-velocity traumatic injuries compared with blunt renal trauma, and the criteria and methods used to screen for these injuries in children are provided. Absolute and relative indications for surgical exploration of traumatic renal injuries are examined. Management of the complications of acute and delayed renal hemorrhage, asymptomatic and symptomatic urinomas, chronic pain, and hypertension is discussed. Recommendations for physical activity following the traumatic loss of a kidney are reviewed. This review contains 10 figures, 7 tables and 49 references  Key words: false aneurysm, hematuria, kidney, nonpenetrating wounds, penetrating wounds, renal hypertension, renal trauma, therapeutic embolization, traumatic shock, urinoma

Pediatric Renal Trauma

2018 ◽  
Author(s):  
Douglas A Husmann
Keyword(s):  
Physical Activity ◽  
False Aneurysm ◽  
Renal Hypertension ◽  
Therapeutic Embolization ◽  
Traumatic Shock ◽  
Renal Trauma ◽  
Traumatic Loss ◽  
Traumatic Injuries ◽  
Surgical Exploration ◽  
Adults And Children

This review addresses the new staging criteria applied to classify renal trauma accurately. We discuss the unique differences in the etiology and management of renal trauma between adults and children. The commentary defines the differences in managing low-, medium-, and high-velocity traumatic injuries compared with blunt renal trauma, and the criteria and methods used to screen for these injuries in children are provided. Absolute and relative indications for surgical exploration of traumatic renal injuries are examined. Management of the complications of acute and delayed renal hemorrhage, asymptomatic and symptomatic urinomas, chronic pain, and hypertension is discussed. Recommendations for physical activity following the traumatic loss of a kidney are reviewed. This review contains 10 figures, 7 tables and 49 references  Key words: false aneurysm, hematuria, kidney, nonpenetrating wounds, penetrating wounds, renal hypertension, renal trauma, therapeutic embolization, traumatic shock, urinoma

Buddy Up for Exergames

2016 ◽  
pp. 222-244
Author(s):  
Alison Ede ◽  
Samuel Thomas Forlenza ◽  
Deborah L. Feltz
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Health Outcomes ◽  
Group Dynamics ◽  
Health And Human Services ◽  
Department Of Health ◽  
Adults And Children ◽  
Task Structures ◽  
Motivation Gain ◽  
The U.S

Many adults and children in the U.S. are not active enough to meet the U.S. Department of Health and Human Services guidelines for physical activity to maintain health and reduce the risk of chronic disease. Exergames (exercise video games) have the potential to promote physical activity, and researchers have examined ways for improving motivation to exercise for longer and at higher intensities with these types of games. This chapter considers group dynamics principles as one way to influence motivation within exergames to help realize better health outcomes. We illustrate how group dynamics principles can be applied to exergames and how different task structures within groups (e.g., conjunctive, additive, and coactive tasks) can influence motivation. One group dynamic principle, the Köhler motivation gain effect, has been the basis of a series of research studies that we have conducted within exergames. We summarize this research, discuss the issues, controversies, and problems with using group dynamics in exergames, and provide possible solutions and recommendations.

Trauma to the urinary tract and other urological emergencies

2019 ◽  
pp. 515-554
Author(s):  
John Reynard ◽  
Simon F Brewster ◽  
Suzanne Biers ◽  
Naomi Laura Neal
Keyword(s):  
Urinary Tract ◽  
Renal Artery ◽  
Renal Trauma ◽  
Artery Embolization ◽  
Surgical Exploration ◽  
The Third ◽  
Renal Artery Embolization ◽  
Urological Emergencies

Management of urological trauma remains much as it was at the time of the third edition of this handbook, though selective renal artery embolization is increasingly used when compared with surgical exploration for renal trauma with persistent bleeding.

scholarly journals Get A Move On: Using intelligent personal systems to promote behaviour change within the home setting – A process evaluation

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Caomhan Logue ◽  
Jonathan Flynn ◽  
Alison Gallagher ◽  
Marie Murphy ◽  
Angela Carlin
Keyword(s):  
Physical Activity ◽  
Process Evaluation ◽  
Behaviour Change ◽  
Feasibility Study ◽  
Dietary Habits ◽  
Secondary Outcome ◽  
Health Promotion Programme ◽  
Home Setting ◽  
Adults And Children ◽  
Recommended Level

AbstractApproximately one quarter of children living in Northern Ireland are overweight or obese. Intelligent personal systems (IPS) such as Amazon Echo and Google Home have become increasingly integrated into the home setting and therefore, may facilitate behaviour change via novel interactions or as an adjunct to conventional interventions. However, little is currently known about their potential role in this context; therefore, the aim of this feasibility study is to assess the effect of a home-based technology intervention (delivered using Amazon Echo) on physical activity (PA) and dietary habits in families attending the Safe Wellbeing Eating & Exercise Together (SWEET) project, a community-based health promotion programme. Recruitment to the study is ongoing with the aim of recruiting up to 16 families. Families are randomly assigned to receive an IPS (n = 8) or assigned to control (n = 8) i.e. attend the SWEET project as usual, for 12 weeks. Individualised prompts and reminders, aligned with the content of the SWEET project, are regularly delivered to families via the IPS and normal interaction with the device is also encouraged. The primary outcome measure is PA, which will be objectively measured using an Actigraph accelerometer, and secondary outcome measures include body mass index (BMI) and family eating and activity habits. Process evaluation data from focus groups and device interaction will be used to determine the feasibility of using IPS to promote healthy behaviours within the home setting. To date, 11 families have been recruited (11 adults, 90.9% F; 16 children, 56.3% F), mean age 40.4 ± 5.5 years and BMI 34.9 ± 6.7 kg/m2 for adults and 8.9 ± 2.1 years and BMI z-score 2.61 ± 1.23 for children. Average moderate-to-vigorous intensity physical activity (MVPA) was dichotomised to determine the percentage of adults and children meeting the UK (2011) PA guidelines for health. In total, 62.5% of adults reached the recommended level of 150 minutes MVPA per week before the intervention (n = 8;191.50 ± 81.10 minutes), with 40% of children reaching the recommended level of 60 minutes MVPA each day of the week (n = 10; M = 52.83 ± 31.07 minutes). Follow-up measurements will be taken at the end of the intervention and acceptability and usability of such devices within the context of promoting healthy behaviours will be assessed. The findings from this feasibility study will demonstrate whether the use of IPS can increase PA in adults and children, as well as provide novel insights into the feasibility of using these devices to facilitate behaviour change.

scholarly journals Diet and physical activity as determinants of weight gain, overweight and obesity: The WCRF/AICR evidence and policy implications

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Isobel Bandurek ◽  
Emily Almond ◽  
Susannah Brown ◽  
Giota Mitrou ◽  
Ifigeneia Bourgiezi ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Health Policy ◽  
Weight Gain ◽  
Public Health Policy ◽  
Screen Time ◽  
Overweight And Obesity ◽  
Evidence Based ◽  
Diet And Physical Activity ◽  
Adults And Children

AbstractIntroductionGlobally, over 1.97 billion adults and 338 million children and adolescents are living with overweight and obesity, increasing the risk of numerous co-morbidities, including at least 12 cancers(1). WCRF/AICR conducted a literature review of diet and physical activity as determinants of weight gain, overweight and obesity in adults and children. We also introduce a novel evidence-based policy framework for promoting physical activity, and linked database, currently in development as part of the EU-funded CO-CREATE project on child and adolescent obesity prevention.Materials and MethodsEvidence on diet and physical activity as determinants and risk of weight gain, overweight and obesity was systematically extracted from existing reviews and a systematic search for recent meta-analyses, then collated and analysed. The WCRF Continuous Update Project Expert Panel drew conclusions about which exposures influence risk of weight gain, overweight and obesity, using pre-defined criteria that included evidence of biological plausibility.ResultsThe Panel identified strong evidence that several diet and physical activity related exposures influence the risk of weight gain, overweight and obesity in adults and children (see table 1). Separate conclusions were drawn for adults and children in relation to screen time, considered a marker of sedentary time.However, the Panel noted that as exposures tend to cluster, physiologically interact and share common biological mechanisms, they should not be regarded as absolutely ‘singular'but an integrated concept of interrelated exposures within a pattern of lifestyle. Table 1.Risk of weight gain, overweight and obesitySTRONG EVIDENCEDECREASES RISKINCREASES RISKCONVINCINGWalkingScreen time (children)Sugar sweetened drinksPROBABLEAerobic physical activityFoods containing dietary fibre‘Mediterranean type’ dietary patternHaving been breastfedScreen time (adults)‘Fast foods’‘Western type’ dietFor full list of footnotes, see Energy Balance and Body Fatness report(1).DiscussionHealthy dietary patterns help prevent excess weight gain. Achieving such patterns requires attention to the broader economic, environmental and social factors that influence and constrain people's behaviour. The findings of this report support the need for evidence-based public health policy to help create health-enabling environments, particularly for children and adolescents. The WCRF International MOVING framework(2) presents a package of policies to promote physical activity, which alongside wider public health policy can help address the multiple drivers of overweight and obesity.

scholarly journals Overweight in Indonesia: an observational study of trends and risk factors among adults and children

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031198 ◽  
Author(s):  
Vanessa M Oddo ◽  
Masumi Maehara ◽  
Jee Hyun Rah
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Observational Study ◽  
Urban Areas ◽  
Smoking Status ◽  
Processed Foods ◽  
Z Score ◽  
Adults And Children ◽  
Overweight Prevalence ◽  
Over Time

ObjectiveTo conduct a secondary data analysis detailing overweight prevalence and associations between key hypothesised determinants and overweight.DesignThis observational study used publicly available data from the Indonesian Family Life Survey (IFLS) (1993–2014). The IFLS is a home-based survey of adults and children that collected data on household characteristics (size, physical infrastructure, assets, food expenditures), as well as on individual-level educational attainment, occupation type, smoking status and marital status. These analyses used data on the self-reported consumption of ultra-processed foods and physical activity. Anthropometrics were measured.SettingIndonesia.Primary outcome measuresWe described the distribution of overweight by gender among adults (body mass index (BMI) ≥25 kg/m2) and by age among children, over time. Overweight was defined as weight-for-height z-score >2 among children aged 0–5 years and as BMI-for-age z-score >1 among children aged 6–18 years. We also described individuals who were overweight by selected characteristics over time. Finally, we employed multivariable logistic regression models to investigate risk factors in relation to overweight in 2014.ResultsOne-third of adults were overweight in 2014. Between 1993 and 2014, the prevalence of overweight among adults doubled from 17.1% to 33.0%. The prevalence of overweight among children under 5 years increased from 4.2% to 9.4% between 1993 and 2007, but then remained relatively stagnant between 2007 and 2014. Among children aged 6–12 years and 13–18 years, the prevalence of overweight increased from 5.1% to 15.6% and from 7.1% to 14.1% between 1993 and 2014, respectively. Although overweight prevalence remains higher in urban areas, the increase in overweight prevalence was larger among rural (vs urban) residents, and by 2014, the proportions of overweight adults were evenly distributed in each wealth quintile. Data suggest that the consumption of ultra-processed foods was common and levels of physical activity have decreased over the last decade. In multivariable models, urban area residence, higher wealth, higher education and consumption of ultra-processed foods were associated with higher odds of overweight among most adults and children.ConclusionUrgent programme and policy action is needed to reduce and prevent overweight among all ages.

Installation of Bicycle Lanes and Increased Ridership in an Urban, Mixed-Income Setting in New Orleans, Louisiana

2011 ◽  
Vol 8 (s1) ◽  
pp. S98-S102 ◽  
Author(s):  
Kathryn M. Parker ◽  
Jeanette Gustat ◽  
Janet C. Rice
Keyword(s):  
Physical Activity ◽  
New Orleans ◽  
Adult Female ◽  
Physical Environment ◽  
Positive Impact ◽  
Future Research ◽  
Physically Active ◽  
Adults And Children ◽  
Correct Direction ◽  
Trained Observers

Background:People are more physically active in neighborhoods that are well designed for walking and bicycling. Building infrastructure for safer cycling is one way to promote physical activity. On-road bike lanes are one type of infrastructure hypothesized to positively impact levels of cycling. The first on-street bike lane was painted in New Orleans, LA during the spring of 2008.Methods:In November of 2007 and again in November 2008, trained observers conducted manual counts of cyclists riding on St. Claude Avenue in New Orleans, LA. The data collected included the number of men, women, adults, and children riding a bicycle with traffic, against traffic, and on sidewalks.Results:Data showed a 57% increase in the average number of riders per day (P < .001). There was a 133% increase among adult female riders (P < .001) and a 44% increase among adult male riders (P < .001). The percentage of cyclists riding in the correct direction, with the flow of traffic, increased from 73% to 82% (P < .001).Conclusions:Bike lanes can have a positive impact in creating a healthy physical environment. Future research should include other streets for comparison purposes and surveys to determine whether riders are substituting biking for nonactive forms of transportation.

scholarly journals Serum Concentrations of Vitamin D, Calcium, Phosphorus and Trace Minerals in Adults and Children with Haemophilia A: Association with Disease Severity, Quality of Life, Joint Health and Functional Status

2020 ◽  
Author(s):  
Amir Abbasnezhad ◽  
Mehdi Habibi ◽  
Babak Abdolkarimi ◽  
Soodabeh Zare ◽  
Ezatollah Fazeli Moghadam ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Vitamin D ◽  
Serum Levels ◽  
Haemophilia A ◽  
Serum Concentrations ◽  
Joint Health ◽  
Adults And Children ◽  
Lower Physical Activity

Background: To investigate the serum levels of 25(OH)D and minerals in adults and children with haemophilia A, and the possible association of these factors with Pediatric Haemophilia/Haemophilia Activities List (PedHAL/HAL), Haemophilia Joint Health Score (HJHS) and Haemophilia-specific quality of life (QoL) index this case-control study was conducted. Materials and Methods: Eighty five haemophilia A patients (HP) registered in Hemophilia Society of Lorestan province were recruited. Along with HP, sex and age matched healthy controls (HCs) were recruited. Linear regression was used to evaluate the possible relation between biochemical factors and other variables. One-way analysis of variance (ANOVA) was used to compare the biochemical factors between three or more independent groups. Results: Results indicated that serum zinc, phosphorus and magnesium were significantly lower, whereas, serum level of alkaline phosphatase (ALP) was statistically higher in HP compared with HCs. Other biochemical factors including calcium and parathyroid hormone (PTH) were not different between groups. Serum 25(OH) D was lower only in children with haemophilia and not in adults. Percentage of subjects who were vitamin D deficient was higher in HP vs. HCs (57.6% vs. 35.3%), and also this rate was higher in children with haemophilia vs. adults (77.8% vs. 48.3%). Lower serum concentrations of assessed minerals and vitamin D were associated with lower physical activity, poor QoL and worst joint health, and these associations were stronger in children. Conclusion: Present study indicated that serum levels of vitamin D and minerals were low in HP, and these low levels were associated with poor QoL, lower physical activity and worst joint health.

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