Search

Your search keyword '"Carl, Rebecca L."' showing total 109 results
Start Over Author "Carl, Rebecca L."
109 results on '"Carl, Rebecca L."'

3. Assessment of post-concussion emotional symptom load using PCSS and PROMIS instruments in pediatric patients.

Author

Johnson, Gina M., Wild, Jacob T., Burgess, Jamie K., McCracken, Kristi, Malekian, Sina, Turner, Jacqueline A., King, Kiana, Kwon, Soyang, Carl, Rebecca L., and LaBella, Cynthia R.

Abstract

The purpose of this study is to evaluate the utility of the Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety and depressive symptom domains in conjunction with the Post-Concussion Symptom Scale (PCSS)for identifying pediatric patients with emotional symptoms following a concussion, and to identify predictors of higher emotional symptom loads. We recruited English-speaking patients aged 8–17 years presenting to a tertiary-care concussion clinic from 2014 to 2018 (n = 458). Demographics and clinical data including PCSS, injury date, previous history of anxiety/depression, and Vestibular/Ocular-Motor Screen (VOMS) were collected from patients' electronic medical records. Participants completed surveys in the PROMISTM Pediatric Item Bank v1.1-Anxiety and Depressive Symptoms domains at their initial clinic visit. Multivariable linear regression identified predictors of higher emotional symptom loads. Overall, 425 (92.8%) reported ≥1 emotional symptom on either PROMIS or PCSS. Predictors of higher emotional symptom loads were abnormal VOMS, female sex, history of anxiety or depression, and longer time since injury. Our results suggest that adding PROMIS anxiety and depressive symptom surveys to pediatric concussion evaluations may identify more children with emotional symptoms, allowing clinicians to better direct post-concussion treatment and incorporate psychological support for patients if necessary. Future studies should examine whether earlier identification of emotional symptoms with these tools facilitates recovery and improves short- and/or long-term psychological outcomes in pediatric concussion. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

10. The female athlete triad in adolescents

Author

Logan, Kelsey and Carl, Rebecca L.

Subjects
Company business management, Teenage athletes -- Health aspects, Women athletes -- Health aspects, Eating disorders -- Demographic aspects, Eating disorders -- Care and treatment, Amenorrhea -- Care and treatment, Amenorrhea -- Demographic aspects, Bones -- Density, Bones -- Demographic aspects, Bones -- Management
Published
2010

11. Growing Pains

Author

Lehman, Patrick J. and Carl, Rebecca L.

Subjects
Diagnosis, Differential, Focus Topic: Injury Prevention, pediatrics, Lower Extremity, Musculoskeletal Pain, growing pains, Humans, Child, Medical History Taking, Physical Examination
Abstract

Context: The term growing pains describes a common, benign syndrome of recurrent discomfort that occurs in young children. First described in the 1800s, the etiology of this condition remains unclear. The peak incidence does not correspond to a time of rapid growth. Children typically report bilateral pain in the lower extremities that occurs late in the day or at night. Evidence Acquisition: The PubMed database was searched using the keywords growing pains, benign nocturnal limb pains of childhood, recurrent limb pain of childhood, and limb pain in childhood. Articles were also found by reviewing references from the initial PubMed search. Only English-language articles published from 1900 through 2016 were included in the review. Study Design: Clinical review. Level of Evidence: Level 3. Results: When a patient’s history is classic for growing pains and physical examination is normal, laboratory and radiographic evaluation are not needed to make the diagnosis. Findings typical for growing pains include bilateral lower extremity pain usually experienced in the early evening or at night. The pain is not caused by activity and will not cause a limp. Conclusion: Additional workup is warranted for children with an atypical history, systemic symptoms, or for those individuals with physical examination abnormalities such as allodynia, focal tenderness, joint swelling, or decreased joint range of motion. Management of growing pains generally consists of symptomatic care with massage and over-the-counter analgesics, as well as reassurance to children and parents about the benign, self-limited nature of this condition. This review article summarizes data on the epidemiology, etiology, and management of growing pains and provides a framework for distinguishing this entity from other causes of extremity pain.

Published
2017

13. Promotion of Healthy Weight-Control Practices in Young Athletes.

Author

Carl, Rebecca L., Johnson, Miriam D., and Martin, Thomas J.

Subjects
*AGE distribution, *ATHLETES, *REGULATION of body weight
Abstract

Children and adolescents may participate in sports that favor a particular body type. Some sports, such as gymnastics, dance, and distance running, emphasize a slim or lean physique for aesthetic or performance reasons. Participants in weight-class sports, such as wrestling and martial arts, may attempt weight loss so they can compete at a lower weight class. Other sports, such as football and bodybuilding, highlight a muscular physique; young athletes engaged in these sports may desire to gain weight and muscle mass. This clinical report describes unhealthy methods of weight loss and gain as well as policies and approaches used to curb these practices. The report also reviews healthy strategies for weight loss and weight gain and provides recommendations for pediatricians on how to promote healthy weight control in young athletes. [ABSTRACT FROM AUTHOR]

Published
2017
Full Text
View/download PDF

16. Growing Pains: When to Be Concerned

Author

Lehman, Patrick J. and Carl, Rebecca L.

Abstract

Context: The term growing painsdescribes a common, benign syndrome of recurrent discomfort that occurs in young children. First described in the 1800s, the etiology of this condition remains unclear. The peak incidence does not correspond to a time of rapid growth. Children typically report bilateral pain in the lower extremities that occurs late in the day or at night.Evidence Acquisition: The PubMed database was searched using the keywords growing pains, benign nocturnal limb pains of childhood, recurrent limb pain of childhood, and limb pain in childhood. Articles were also found by reviewing references from the initial PubMed search. Only English-language articles published from 1900 through 2016 were included in the review.Study Design: Clinical review.Level of Evidence: Level 3.Results: When a patient’s history is classic for growing pains and physical examination is normal, laboratory and radiographic evaluation are not needed to make the diagnosis. Findings typical for growing pains include bilateral lower extremity pain usually experienced in the early evening or at night. The pain is not caused by activity and will not cause a limp.Conclusion: Additional workup is warranted for children with an atypical history, systemic symptoms, or for those individuals with physical examination abnormalities such as allodynia, focal tenderness, joint swelling, or decreased joint range of motion. Management of growing pains generally consists of symptomatic care with massage and over-the-counter analgesics, as well as reassurance to children and parents about the benign, self-limited nature of this condition. This review article summarizes data on the epidemiology, etiology, and management of growing pains and provides a framework for distinguishing this entity from other causes of extremity pain.

Published
2017
Full Text
View/download PDF

20. Myotonic Dystrophy

Author

Dubon, Mary E., Martin, Elizabeth N., Paulson, Andrea, Sarwark, John F., editor, and Carl, Rebecca L., editor

Published
2023
Full Text
View/download PDF

32. Down Syndrome

Author

Dubon, Mary E., Paulson, Andrea, Chandan, Priya, Sarwark, John F., editor, and Carl, Rebecca L., editor

Published
2023
Full Text
View/download PDF

35. Diabetes in Pregnancy

Author

Baskind, Melanie, DiMeglio, Linda A., Cabana, Michael D., Sarwark, John F., editor, and Carl, Rebecca L., editor

Published
2023
Full Text
View/download PDF

45. Birth Fractures

Author

Sagan, Michelle L., Juan, Angielyn San, Sarwark, John F., editor, and Carl, Rebecca L., editor

Published
2023
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results