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2201. Family Report Compared to Clinician-Documented Diagnoses for Psychiatric Conditions Among Hospitalized Children. (Full text)

each method, and estimated FR--CD agreement in identifying psychiatric comorbidity in hospitalized children.Of 119 study patients, 26 (22%; 95% confidence interval [CI], 14%-29%) had a psychiatric comorbidity identified by FR, 30 (25%; 95% CI, 17%-34%) had it identified by CD, and 37 (23%-40%) had it identified by FR or CD. Agreement between FR and CD was low overall (κ = .46; 95% CI, .27-.66), highest for attention-deficit/hyperactivity disorder (κ = .78; 95% CI, .59-.97), and lowest for anxiety (...) disorders (κ = .11; 95% CI, -.16 to .56).Current methods may underestimate the prevalence of psychiatric conditions in hospitalized children. Information from multiple sources may be needed to develop accurate estimates of the scope of the population in need of services so that mental health resources can be appropriately allocated. Journal of Hospital Medicine 2017;12.© 2017 Society of Hospital Medicine

2017 Journal of Hospital Medicine PubMed abstract

2202. Alcohol-use disorders: prevention

Alcohol-use disorders: prevention Alcohol-use disorders: pre Alcohol-use disorders: prev vention ention Public health guideline Published: 2 June 2010 nice.org.uk/guidance/ph24 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Alcohol-use disorders: prevention (PH24) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 90Contents Contents Overview 6 Who is it for? 6 Introduction 7 1 Recommendations 8 Population versus

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

2203. Looked-after children and young people

; it highlights key messages and fills some gaps. The guideline is aimed at a broad, cross-agency professional audience and the recommendations should act as levers for good practice and service improvement. The PDG took the view that when difficult decisions are made about budgets and resources, looked-after children and young people should be a priority, as one of the most vulnerable and disadvantaged groups in our society. Our aspirations should be high and not be compromised. Looked-after children (...) and wellbeing, the local pledge to children in care, national indicators and local targets. Build communication networks with key partner organisations and publish, publicise and update regularly a local map that identifies all agencies that are involved with looked-after children and young people. Publish and update regularly a directory of resources for looked-after children and young people to aid social workers, and a resource guide for looked-after children and young people and care leavers. Ensure

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

2204. Unintentional injuries: prevention strategies for under 15s

15, their parents and carers (some of the recommendations may also benefit the wider population). Recommendation 7 Establishing a national injuries surv Recommendation 7 Establishing a national injuries surveillance resource eillance resource Who should tak Who should take action? e action? Association of Public Health Observatories. College of Emergency Medicine. Government departments including Department of Health and its Public Health Service, Department for Education, Department (...) for Transport, Department for Communities and Local Government and the Home Office. Office for National Statistics. The Information Centre for Health and Social Care. What action could be tak What action could be taken? en? Establish a national injuries surveillance resource covering all populations and injuries to help monitor injury risks and the effects of preventive measures. It could be provided by a network of agencies but there should be a single point of contact or a coordinating agency

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

2205. Patient Dignity (Formerly:Patient Modesty): Volume 97

and she told me she was unaware of her head movement while posing a "yes" or "no" direct question and no prior supervising physician had brought this to her attention but was thankful I did since she didn't intend or want to bias a response by the patient. Anyway, this is a minor (but could have been major) example of the role of monitoring the behavior and actions of resident physicians in their direct interaction with their patients. ..Maurice. At , said... In keeping with our current topic (...) the material culture (e.g., technology). The theory is that societies and their constituent parts experience disruption due to cultural lag. The nature of society is to gradually accommodate to the lag until, in a sense, the non-material culture catches up to the material culture. Disruption can take the form of increasing deviant behavior as we may now be experiencing in its many forms in healthcare. -- Ray At , JF said... JR I have so many doubts that our victory over our issue will come from anybody law

2019 Bioethics Discussion Blog

2206. Preserving Patient Dignity (Formerly: Patient Modesty):Volume 104

or in fact represent totally unethical behavior? Write about them here.. and I will too! ..Maurice (DoktorMo@aol.com) REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY. TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC (...) PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS Saturday, August 24, 2019 Preserving Patient Dignity (Formerly: Patient Modesty):Volume 104 What emotional reaction to the behavior of the medical profession in the examination

2019 Bioethics Discussion Blog

2207. Patient Dignity (Formerly:Patient Modesty):Volume 101

to decide that for anyone else though. JF At , said... PT, it was "bully"..the exact word I was trying to express in the animated file of a nurse. "Bullying" is both a physical appearance and can also represent forms of unprofessional behavior. Our thoughts of nurses in the past was that of the lower graphic (from Wikipedia) who shows off her tools and an attentive stance but not an aggressive, "me" behavior as shown in the animated picture. Isn't that the kind of nurse we all would desire? The patient (...) have a way of hiding their faults in order to secure employment. Totally revamp healthcare and there will still be bad apples. The larger problem is that the self-governing healthcare industry generally looks the other way when they see bad behavior. When sexual misconduct is specifically brought to their attention, they still tend to err on the side of not removing the bad ones. Twana Sparks & her OR team, the Denver 5, and now the Olympia Pranksters to name a few egregious sexual misconduct

2019 Bioethics Discussion Blog

2208. Patient Dignity (Formerly: Patient Modesty): Volume 95

totally unethical behavior? Write about them here.. and I will too! ..Maurice (DoktorMo@aol.com) REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY. TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD (...) accepting the direct link displayed by Misty because the resource described is unique and strictly pertinent to the privacy concerns expressed on this blog thread. As a physician, I think it is important to emphasize what caution was written in the advertisement: "...Medical garments must be brought to your medical or surgical procedure in its original, unopened packaging. Do not try them on at home prior to your procedure." ..Maurice. At , said... Dr. Bernstein, thank you for posting the link

2019 Bioethics Discussion Blog

2209. Patient Dignity (Formerly:Patient Modesty):Volume 100

totally unethical behavior? Write about them here.. and I will too! ..Maurice (DoktorMo@aol.com) REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY. TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD (...) physicians except by one or two which includes one with whom most of you are familiar, . With no major contradictory viewpoints, this blog thread is hardly a research tool. That is why it is necessary for some in the "elevator" to move out the door and "take a walk" and together to work to have changes made in the medical system. Look at the "elevator" as a resource but not a "cure" for this "personal-social" problem. I think I have sufficiently explained this "elevator" analogy unless others have more

2019 Bioethics Discussion Blog

2210. Poor functional outcomes in pediatric chronic pain – what’s catastrophizing got to do with it?

disorders: a review of selected key constructs. Depress and Anxiety 2006; 23 :51-61. [31] Sullivan MJ. Toward a biopsychomotor conceptualization of pain: implications for research and intervention. Clin J Pain 2008;24:281-290. [32] Sullivan MJ, Thibault P, Savard A, Catchlove R, Kozey J, Stanish WD. The influence of communication goals and physical demands on different dimensions of pain behavior. Pain 2006;125:270-277. [33] Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL™* 4.0 as a pediatric (...) called for interventions to reduce catastrophizing in children with chronic pain with the hope of improving outcomes [1,16,36]. However, important unanswered questions remain such as: How strong and how consistent are the associations between catastrophizing, pain, and various functional outcomes? Finding answers to these questions may provide critical information that will optimize the distribution of limited clinical and financial resources to those likely to benefit. We sought answers

2019 Body in Mind blog

2211. Here’s why pediatricians ask about trauma and violence

, are not a diagnosis. They are symptoms of something else. For example: Just because a kiddo is not completing homework or cannot pay attention does not automatically mean the child has ADHD. This is what makes behavior and mental health in children so challenging. There is no blood test or rapid swab test to perform that tells you with 100 percent certainty that a child has a specific behavioral/mental health diagnosis. And while some of these behaviors can run in families (such as ADHD, anxiety), we must always (...) Here’s why pediatricians ask about trauma and violence Here’s why pediatricians ask about trauma and violence Here’s why pediatricians ask about trauma and violence | | February 28, 2019 363 Shares As a behavioral pediatrician, I see children with behavior problems. Kids with aggression, kids who have been kicked out of multiple daycares or schools and kids who are not doing well at home or school. One of the things I always look for are clues as to why. Behaviors, while stressful

2019 KevinMD blog

2212. Patient Dignity (Formerly: Patient Modesty): Volume 95

totally unethical behavior? Write about them here.. and I will too! ..Maurice (DoktorMo@aol.com) REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY. TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD (...) a liar. Not exactly, though. He did claim that the nurses at his hospital were all professional and treated patients with dignity and compassion. When I hear such malarkey, I run as fast in the other direction as I do when I find out that a car salesperson names himself "Honest . -- Ray At , said... As Moderator, I want to state that though I don't accept advertisements anywhere on my blog, I am accepting the direct link displayed by Misty because the resource described is unique and strictly

2019 Bioethics Discussion Blog

2213. Tinnitus in Children and Teenagers

. ADHD Attention De?cit Hyperactivity Disorder APD Auditory Processing Disorder ASD Autistic Spectrum Disorder AVM Audiovestibular Medicine AVP Audiovestibular Physician BSA British Society of Audiology BTA British Tinnitus Association CBT Cognitive Behavioural Therapy ENT Ear, Nose and Throat GP General Practitioner IEP Individual Educational Plan IHP Individual Hearing Pro?le LDLs Loudness Discomfort Levels PTA Pure Tone Audiogram/Audiometry SENCO Special Educational Needs Co-ordinator VAS Visual (...) or ear pain. Some children describe dif?culties with listening and attention in class when their tinnitus is intrusive. They may miss information given by the teacher, and being told off by their teacher for not paying attention is a particular worry for them. These tinnitus related dif?culties may compound other attention and listening dif?culties caused by hearing loss, APD, ADHD, or speech and language dif?culties. Generally speaking, children aged 6 or 7 years and upwards can reliably use

2014 British Society of Audiology

2214. Management of Thyroid Cancer

Cathy Sturgeon for her contribution on calcitonin, Dr Alan Dodd for his contribution in grading some of the evidence and the patient leaders who worked on the patient information lea? ets: Judith Tay- lor (British Thyroid Foundation), Kate Farnell (Butter? y Thyroid Cancer Trust), Liz Glenister (Hypopara UK), Jo Grey (Association for Multiple Endocrine Neoplasia Disorders – AMEND), Janis Hickey (British Thyroid Foundation) and Helen Hobrough (Thyroid Cancer Support Group – Wales). The authors also (...) ) FRCR MD Consultant Clinical Oncologist Royal Marsden, London (British Association of Head and Neck Oncologists and The Royal College of Radiologists representative). Mrs Judith Taylor, BA (patient representative) Lead, thyroid cancer patient group, British Thyroid Foundation, Harrogate and Secretary, Thyroid Cancer Alliance (Association for Multiple Endocrine Neoplasia Disorders, British Thyroid Foundation, Butter? y Thyroid Cancer Trust, Hypopara UK, Thyroid Cancer Support Group Wales

2014 British Association of Endocrine and Thyroid Surgeons

2215. Bipolar disorder and disruptive mood dysregulation in children and adolescents: assessment, diagnosis and treatment (Full text)

. During these episodes, patients experience symptoms such as grandiosity, distractibility, decreased need for sleep, pressure of speech, an increase in activity, flight of ideas and psychomotor agitation. These episodes are required to last by at least 4 days to diagnose hypomania or at least 7 days to diagnose mania. The insistence on episodic mood changes is crucial and prevents clinicians from rating symptoms such as the chronic concentration problems of a child with attention deficit hyperactivity (...) Bipolar disorder and disruptive mood dysregulation in children and adolescents: assessment, diagnosis and treatment Bipolar disorder and disruptive mood dysregulation in children and adolescents: assessment, diagnosis and treatment | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your

2013 Evidence-Based Mental Health PubMed abstract

2216. Langerhans Cell Histiocytosis Treatment (PDQ®): Health Professional Version

[Internet]. Bethesda (MD): ; 2002-. Search term Langerhans Cell Histiocytosis Treatment (PDQ®) Health Professional Version PDQ Pediatric Treatment Editorial Board . Published online: December 19, 2019. Created: April 14, 2009 . This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the treatment of childhood and adult Langerhans cell histiocytosis. It is intended as a resource to inform and assist clinicians who care (...) ) The histiocytic diseases in children and adults are caused by an abnormal accumulation of cells of the mononuclear phagocytic system. Only Langerhans cell histiocytosis (LCH), a myeloid-derived dendritic cell disorder, is discussed in detail in this summary. The histiocytic diseases have been reclassified into five categories, and LCH is in the L group.[ ] LCH results from the clonal proliferation of immunophenotypically and functionally immature, morphologically rounded LCH cells along with eosinophils

2016 PDQ - NCI's Comprehensive Cancer Database

2217. Unusual Cancers of Childhood Treatment (PDQ®): Health Professional Version

[Internet]. Bethesda (MD): ; 2002-. Search term Unusual Cancers of Childhood Treatment (PDQ®) Health Professional Version PDQ Pediatric Treatment Editorial Board . Published online: December 23, 2019. This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the treatment of unusual cancers of childhood. It is intended as a resource to inform and assist clinicians who care for cancer patients. It does not provide formal (...) with Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphomas, or Histiocytic Disorders) : NCI-COG Pediatric Molecular Analysis for Therapeutic Choice (MATCH), referred to as Pediatric MATCH, will match targeted agents with specific molecular changes identified using a next-generation sequencing targeted assay of more than 4,000 different mutations across more than 160 genes in refractory and recurrent solid tumors. Children and adolescents aged 1 to 21 years are eligible for the trial. Tumor

2016 PDQ - NCI's Comprehensive Cancer Database

2218. Childhood Cancer Genomics (PDQ®): Health Professional Version

alterations that characterize each subtype at diagnosis or relapse, and the therapeutic and prognostic significance of the genomic alterations. The genomic alterations associated with brain tumors, kidney tumors, leukemias, lymphomas, sarcomas, and other cancers are discussed. This summary is intended as a resource to inform and assist clinicians who care for cancer patients. It does not provide formal guidelines or recommendations for making health care decisions. This summary is reviewed regularly (...) Elsevier. The genomic landscape of B-ALL is typified by a range of genomic alterations that disrupt normal B-cell development and, in some cases, by mutations in genes that provide a proliferation signal (e.g., activating mutations in RAS family genes or mutations/translocations leading to kinase pathway signaling). Genomic alterations leading to blockage of B-cell development include translocations (e.g., TCF3-PBX1 and ETV6-RUNX1 ), point mutations (e.g., IKZF1 and PAX5 ), and intragenic/intergenic

2016 PDQ - NCI's Comprehensive Cancer Database

2219. Family Practice Notebook Updates 2017

not decrease resource use, admissions (surgery, gi) before Abdominal MRI in children is preferred first strategy is faster and more cost-effective, despite being inconclusive in 25% of cases (psych, exam, er) Head imaging is not required for new onset without focal neurologic deficit (expert opinion) Acute psychiatric symptoms in alert adults do not mandate routine lab testing No risk assessment tool can identify those safe for discharge (neuro, cv) Consider even in minor NIH stroke scores <5 Large vessel (...) , hip, ) Traction splint does not appear to offer benefit in in reduced blood loss (may offer comfort) Consider traction for associated acute neurovascular compromise (to temporize until definitive management) (psych, behavior) Categorize s as cooperative, disruptive without danger and Treat cooperative patients with non-medication therapy (calming measures) Sedate disruptive without danger patients with or B52 ( , 5, 2) Sedate patients with to gain , then s for sedation (cv, htn, ob) Do not forget

2018 FP Notebook

2220. Circadian Rhythm Sleep Disorder

-24-hour -Wake Syndrome Consistent circadian cycle of longer than a 24 hour day Results in gradually advancing sleep and wake times that progress each day For example, bedtimes advances from 10 pm to 11 to 12 to 1... until over a 3 week period, they return to a 10 pm bedtime IV. Resources Wikipedia - Circadian Rhythm Sleep Disorder V. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Circadian Rhythm Sleep Disorder (...) , slaapritme afwijking , stoornissen in het ritme van de slaapfase French Perturbations du rythme de la phase sommeil , Trouble du rythme des phases de sommeil , Troubles du sommeil liés au rythme circadien German Stoerung des Schlafphasenrhythmus , Stoerungen der Schlafphasenrhythmen , Stoerungen des Schlafphasenrhythmus Derived from the NIH UMLS ( ) Ontology: Sleep Disorders, Circadian Rhythm (C0877792) Definition (NCI) A sleep disorder characterized by persistent sleep disruption (excessive sleepiness

2018 FP Notebook

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