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  Aug 11, 2017 to Aug 18, 2017
 

Excerpts

Asthma

Asthma


Asthma is the most common chronic disease in children, affecting nearly 7 million (9.3% of) U.S. children. It is characterized by chronic inflammation of the airways, which contributes to airway hyperreactivity, and by episodic or in more severe cases, persistent airway obstruction and respiratory symptoms. It is believed that the majority of children with asthma exhibit EIB, which may affect exercise tolerance as well as participation in physical activity. As reviewed by Welsh et al., studies ...

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Case Presentation

Case Presentation


Rebecca is a 17-year-old varsity cross country runner whom you have followed in your pediatric practice since she was a young child. She presents to you today with complaints of multiple episodes of dizziness with exertion, the first event having started approximately 1 yr ago. She describes the dizziness as "spinning," and it occurs not during running but just after she has finished. It usually occurs after running at a high-tempo pace for several miles and usually in the summer months. She ...

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Clinical Exercise Testing

Clinical Exercise Testing


Exercise stress testing in adults, eventually supplemented by radionuclide angiography and postexercise echocardiography, rapidly became accepted as a standard component of the diagnostic armamentarium, not only for coronary artery disease but also for an assortment of other clinical issues surrounding dysrhythmias, hypertension, and cardiac function. Karlman Wasserman and coworkers at UCLA demonstrated, too, how the acquisition of gas exchange variables measured during exercise could further ...

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Determining Functional Capacity

Determining Functional Capacity


In summary, our quest is to determine children’s functional capacity so they can engage in physical activity for all of the benefits exercise provides. We want to be safe and prudent in our recommendation for increasing activity, certainly when a child has a condition that may limit the level of exercise. Exercise testing is essential to achieve this goal. Simple measurement of workload on a cycle ergometer will provide information on how close we are to "normal." Peak workload on a cycle ...

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Knowledge of Students to Inform Teaching

Knowledge of Students to Inform Teaching


To ensure student learning, you must not only know your content and its related objectives and pedagogy, but also have knowledge of the students to whom you wish to teach that content. This understanding was missing in earlier times, before the realization that students in kindergarten through grade 12 learn best through active engagement in their individual ways. This awareness is sometimes referred to as knowledge of students to inform teaching, and many early childhood professionals have ...

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Strong Bones

Strong Bones


National Standards Addressed

  • Standard 1. The physically literate individual demonstrates competency in a variety of motor skills and movement patterns.
  • Standard 2. The physically literate individual applies knowledge of concepts, principles, strategies and tactics related to movement and performance.


Instructional Materials/Props

Picture or plastic skeleton of the body (optional)


Central Focus

To isolate and name different body parts that can serve as specified targets in a vigorous ...

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Toy Store

Toy Store


National Standards Addressed

Standard 1. The physically literate individual demonstrates competency in a variety of motor skills and movement patterns.


Instructional Materials/Props

Pictures of or actual play objects found in the toy store (optional)


Central Focus

To imagine their bodies have become their favorite playthings.


Objectives

  • Cognitive: The child will acquire information regarding classic toys and playthings and participate in the actions associated with these objects.
...
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Unique Features of Exercise Testing in Children

Unique Features of Exercise Testing in Children


The approach to clinical exercise testing of children and adolescents differs from that of the laboratory dedicated to testing adults. One need only consider the various approaches needed to perform a satisfactory exercise test first in a 15-year-old cross country runner who experienced precordial chest pain in her last race, followed by a test looking for heart rate response in a 5-year-old youngster with complete heart block, and then a 12-year-old obese boy with a dilated cardiomyopathy and ...

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