CHARACTERIZATION OF CERVICAL SPINE IMPAIRMENTS IN CHILDREN AND ADOLESCENTS POST-CONCUSSION

2019 ◽  
Vol 14 (2) ◽  
pp. 282-295 ◽  
Author(s):  
Devashish Tiwari ◽  
Allon Goldberg ◽  
Amy Yorke ◽  
Gregory F. Marchetti ◽  
Bara Alsalaheen
Keyword(s):  
Cervical Spine ◽  
Children And Adolescents

scholarly journals Identity of care in a Psychosocial Care Center for Children and Adolescents who uses drugs

2014 ◽  
Vol 48 (spe2) ◽  
pp. 116-122 ◽  
Author(s):  
Isabella Teixeira Bastos ◽  
Vicente Sarubbi Jr. ◽  
Tatiane Guimaraes Pedroso de Oliveira ◽  
Patricia Santos de Souza Delfini ◽  
Camila Junqueira Muylaert ◽  
...  
Keyword(s):  
Drug Abuse ◽  
Focus Groups ◽  
Children And Adolescents ◽  
Care Center ◽  
Psychosocial Care ◽  
Process Tracing ◽  
Institutional Identity ◽  
The Everyday

Objective To associate the territory of identity with the production of care within a PCC focusing on children and adolescents with drug abuse and their institutional identity. Method We used the “ process tracing methodology” in four research categories: focus groups, characterization of professionals, observing the everyday and interviewing two members of emblematic cases of the service. Results territory of identity of the institution, which operates the production of care is crossed by the difficulty of dealing with the complexity brought by the users and the performance of the PCC network. This paper is also permeated by different conceptions of care and small problematization of these issues in collective spaces of service. Conclusion The discussion in focus groups and other devices can be powerful resources to reframe the meaning of care and identity of collective service.

scholarly journals Accuracy of shear wave elastography in characterization of thyroid nodules in children and adolescents

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Mohammed Hazem ◽  
Ossama M. Zakaria ◽  
Mohamed Yasser Ibrahim Daoud ◽  
Ibrahim Khalid Al Jabr ◽  
Abdulwahab A. AlYahya ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Shear Wave ◽  
Diagnostic Performance ◽  
Thyroid Nodules ◽  
Shear Wave Elastography ◽  
Invasive Technique ◽  
Predictive Values ◽  
Patients Âgés ◽  
Non Invasive

Abstract Background Thyroid nodules are an important health problem in children and adolescents. They possess a higher risk of malignancy in comparison to adults. This fact forms a great dilemma for clinicians. The aim of this study was to evaluate the reliability of shear wave elastography (SWE) as a non-invasive technique in the characterization of thyroid nodules in children and adolescents. Methods This prospective study included 56 patients with thyroid nodules. All the patients underwent clinical assessment, laboratory investigations, ultrasound, and Doppler examination, followed by an SWE assessment. Statistical analysis was performed and the best cut-off value to differentiate benign from malignant nodules was determined using the ROC curve and AUC. Results Seventy-two nodules were detected in the examined patients (ages ranged from 11 to 19 years, with mean age of 14.89 ± 2.3 years). Fifty-eight nodules (80.6%) were benign, and fourteen nodules (19.4%) were malignant (histopathologically proved). Highly suspicious criteria for prediction of malignancy by ultrasound and Doppler were hypoechoic echopattern, internal or internal and peripheral vascularity, microcalcifications, taller-than-wide dimensions, irregular outlines, and absence of halo (p < 0.05). The diagnostic performance for their summation was 70.69% sensitivity, 82.8% specificity, 80.45% accuracy, a 63.79% positive predictive value (PPV), and 87.9% negative predictive values (NPV). Regarding SWE, our results showed that 42.2 kPa was the best cut-off value, with AUC = 0.921 to differentiate malignant from benign nodules; the diagnostic performance was 85.71% sensitivity, 94.83% specificity, 93.06% accuracy, 76.9% PPV, and 93.2% NPV. Conclusion Shear wave elastography is a non-invasive technique that can assist in the diagnosis of malignant thyroid nodules among children and adolescents.

Characterization of American Football Injuries in Children and Adolescents

2018 ◽  
Vol 38 (2) ◽  
pp. e57-e60 ◽  
Author(s):  
Patrick J. Smith ◽  
Anthony M. Hollins ◽  
Jeffrey R. Sawyer ◽  
David D. Spence ◽  
Shane Outlaw ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
American Football
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