management of breast cancer in children and adolescents
Management of breast cancer in women: A national clinical guideline ppt
... from seeing a professional to treatment.21 2.3 2++ INVESTIGATION of symptomatic breast cancer Methods of assessment of a breast abnormality include clinical examination, imaging and sampling the ... following breast conserving surgery (BCS) in reducing the risk of invasive and non-invasive breast recurrence in the ipsilateral breast The trials reported an increased risk of developing contralateral ... Levine, M Steering Committee on Clinical Practice Guidelines for the care and treatment of breast cancer Clinical practice guidelines for the care and treatment of breast cancer: 14 The role of...
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New ESPGHAN guidelines for the diagnosis of Coeliac Disease in Children and Adolescents pptx
... gluten and related prolamines in genetically (mainly HLA) susceptible individuals characterized by a combination of: • gluten dependent clinical manifestations • anti-tissue transglutaminase ... levels Conclusions The new guidelines will offer the option of omitting biopsies in selected cases with symptoms suggestive of CD without increasing the risk of misclassification Preconditions ... Agenda • • • • Change in clinical paradigm Definitions of coeliac disease New diagnostic guidelines Algorithms Interlaken ESPGHAN criteria (1979) Small intestinal biopsy: villous atrophy...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 1 ppsx
... awards and has received international recognition as a clinical investigator Dr Findling is the principal investigator of a National Institute of Child Health and Human Development contract examining ... of children and adolescents with bipolar disorder In particular, the number of controlled treatment studies of mania in children and adolescents is rapidly increasing, thereby greatly improving ... lithium in the treatment of pediatric mania and also the principal investigator of a National Institue of Mental Health study assessing the longitudinal course of children with symptoms of mania...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 2 pps
... absence of older adolescents In the second study, Geller and Fetner (1989) examined the utility of using the nomogram of Cooper, Bergner, and Simpson (1973) in predicting initial lithium dosing in children ... during lithium therapy in children and adolescents is not known However, in our clinical experience of pediatric patients taking lithium, an increase in thyrotropin levels (thyroidstimulating ... initially and then periodically measuring creatinine and blood urea nitrogen (BUN) and obtaining routine urinalyses to assess the presence of protienuria Strategies to manage polyuria–polydypsia include...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 4 pdf
... M (1993) Valproic acid pharmacokinetics in children: IV Effects of age and antiepileptic drugs on protein binding and intrinsic clearance Clinical Pharmacology and Therapeutics, 53(1), 22–29 Cueva, ... rapid-cycling bipolar disorder were maintained on lithium and other medications Choline bitartrate capsules were added, starting at 2–4 grams of free choline daily and increasing to 3–8 grams as maintenance ... massage, and acupuncture) and energy (biofeedback and magnetic) therapies In addition, there are a variety of mind–body interventions that include prayer, meditation, mental healing, and energy and...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 5 ppsx
... Feelings and triggers, tool kit, taking charge of mad, sad, bad feelings Negative family cycles; thinking, feeling, doing Thinking, feeling, doing Problem solving for parents Problem-solving ... anxiety and depressive symptoms, particularly in response to the pressures of returning to school He continued to engage in biweekly individual therapy and was learning coping strategies, including ... the role of psychosocial stressors—both intrafamilial and extrafamilial in eliciting episodes of pediatric mania or depression The kindling model offers a framework for understanding the interface...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 6 pps
... reporting of SUD was not undertaken, and CD in youths was defined, in part, by the presence of SUD, confounding the role of juvenile CD in predicting later SUD In contrast, our finding of an ... cognitive and neuropsychological functioning in adults (Block, 1996), although the extent of these findings in youths remains unclear Given the increasingly growing concern with neuropsychological and ... Unfortunately, the role and interaction between bipolar disorder and CD in the context of SUD in youths remains relatively understudied Studies involving children with bipolar disorder and CD have documented...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 7 docx
... of mania in families of probands with OCD and in families of probands with bipolar disorder Similarly, an increased incidence of obsessional traits has been reported in the offspring of probands ... circumstances and/ or points in time) for the parent to intervene using particular skills and desired goals (i.e., increasing or decreasing duration and/ or intensity of emotion) of treatment In this vein, ... pharmacokinetic study by Findling et al (2006) examined quetiapine in 6- to 12-year-olds with the primary diagnosis of CD The outcome measures included the Rating of Aggression Against People and/ or...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 8 docx
... Definition of disinhibition TABLE 16.4 Disinhibition in Children and Adolescents with Antidepressants Paroxetine vs placebo children 8.7% vs adolescents 1.7% vs total 3.7% vs children 6.5% vs adolescents ... Attention and Treatment of Children and Adolescents at High Risk 303 memory biases in the offspring of parents with bipolar disorder: Indications from a pilot study Journal of Child Psychology and ... tool 8-week, randomized, double-blind, placebo controlled 8-week, randomized, single-blind Randomized, doubleblind, placebo controlled Randomized, singleblind Randomized, doubleblind, placebo...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 9 doc
... peripheral insulin sensitivity and, consequently, hyperinsulinemia were pivotal to the pathogenesis of PCOS Hopkinson hypothesized that insulin acts in the liver to inhibit the production of insulin-like ... (IGF-1) binding protein and SHBG, with the latter leading to an increase in free testosterone Therefore, according to Hopkinson, insulin resistance not only increases the secretion of ovarian androgen ... development of PCOS include an increased LH/FSH ratio and increased insulin and androgen concentrations Increased levels of 17-hydroxyprogesterone levels in thecal cells have also been implicated in playing...
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TREATMENT OF BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS - PART 10 pps
... Mexican-American children and adolescents Journal of Pediatrics, 145, 439–444 Findling, R L (2005) Update on the treatment of bipolar disorder in children and adolescents Euopean Psychiatry, 20, 87–91 Findling, ... valproate and, 111–112 Lamotrigine adults and, 315 children and adolescents and, 327 contraindications, 117 dosing regimen, 116 drug interactions, 117 myo-inositol and, 30 N-acetyl aspartate and, ... system and, 28 choline and, 30–31 conduct disorder and, 247 creatine/creatine phosphate and, 32 discovery and use of, 43 divalproex sodium and, 54, 55–56 dosing studies of, 48–49 effects of, on...
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Báo cáo y học: "The evidence base for chiropractic treatment of musculoskeletal conditions in children and adolescents: The emperor''''s new suit" pdf
... problems originate early in life with up to 50% of children and adolescents experiencing low back pain within the course of a year and a third of these will experience recurrent pain [10-12] Even more ... disorders in children and/ or adolescents Therefore, we excluded reviews, case reports/series, letters, editorials, guidelines and comments Type of participants Children and adolescents (2-18 years of ... to look at the effectiveness of joint manipulation for children or adolescents with spinal problems, and none of these was a randomized controlled clinical trial In other words, there is no first...
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Báo cáo y học: "Global impression of perceived difficulties in children and adolescents with attention-deficit/hyperactivity disorder: Reliability and validity of a new instrument assessing perceived difficulties from a patient, parent and physician persp
... seven point single-item rating scale of the clinician's assessment of the severity of ADHD symptoms [28,29] The WREMB-R-Inv scale is based on the Daily Parent Rating of Evening and Morning Behavior ... healthrelated quality of life in children and adolescents with ADHD [25] However, since the introduction of various long-acting ADHD medications, interest in duration of action of these medications ... Missing values For patients, missing values were between and 0.38% for items 1, 4, and 5, and between 0.24% and 1.61% for items and For parents, missing values for the morning and evening ratings...
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Báo cáo y học: "hiropractic diagnosis and management of non-musculoskeletal conditions in children and adolescents" doc
... chronic disease of childhood, affecting more than six million children in the United States, 13% of children in the United Kingdom, and 20% of children in Australia [34-36] It is defined as an obstructive ... high-pitched at any time of Many episodes and long bouts of crying, day Often triggered by positioning child out peaking during the day; high intensity, of position of comfort priercing cries common ... presenting to a chiropractic teaching clinic [19] Hayden and Mullinger in an osteopathic study used an uncommon definition of colic crying of only 1.5 hours per day (colic is usually defined as crying...
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báo cáo hóa học: " Effect on Health-related Quality of Life of changes in mental health in children and adolescents" pot
... quality of life of children and adolescents with mental disorders J Am Acad Child Adoles Psychiatry 2002, 41:530-537 Bastiaansen D, Koot HM, Ferdinand RF: Determinants of quality of life in children ... competing interests Authors' contributions LR, JMV, ME and JA participated in the conception and design of the study LR, JAPV, and EVO analyzed the data MH and LR participated in the drafting of ... of life events with health-related quality of life in children and adolescents in the Spanish KIDSCREEN follow-up study XIV Anual Scientific Meeting of the International Society for Quality of...
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báo cáo hóa học: " Initial validation of the Argentinean Spanish version of the PedsQL™ 4.0 Generic Core Scales in children and adolescents with chronic diseases: acceptability and comprehensibility in low-income settings" pdf
... Cardiopathies 6Poverty line is calculated according to total income, and number and age of people in the household, as per National Institute of Statistics and Census (INDEC) guidelines ical and psychosocial ... (81% of children and 91% of parents), and most said the paper format was friendly (91% of children and 98% of parents) Scores Distribution In Table 4, average summary and scales scores, standard ... running" instead of "running" and "never was a problem" instead of "never") to increase comprehensibility The second wave of cognitive interviews was carried out in 30 children and parents and confirmed...
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báo cáo hóa học:" The European DISABKIDS project: development of seven condition-specific modules to measure health related quality of life in children and adolescents" potx
... examined for distribution of responses, frequency of nonresponse, ceiling and floor effects Children and adolescents between and 16 years of age and their parents were asked to participate in ... opinion gained from the relevant consultants participating in the project, cognitive interview feedback from the children and adolescents, and the investigator's judgement of the quality of the ... added to a domain if it correlated with a domain, it loaded only on one domain, and it generally made sense to include the item in the domain [29] The reliability of the domain, including the added...
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Báo cáo y học: " Comparative efficacy and acceptability of methylphenidate and atomoxetine in treatment of attention deficit hyperactivity disorder in children and adolescents: a meta-analysis" pdf
... acceptability in treatment of ADHD in children and adolescents It also suggests that OROS methylphenidate is more effective and may be considered as first line treatment in treatment of ADHD in children and ... established that both methylphenidate and atomoxetine are effective in treatment of ADHD in children and adolescents [15,31,32] This meta-analysis shows that in children and adolescents with ADHD, although ... cross-over trial Results Study characteristics Nine randomized trials comparing methylphenidate and atomoxetine in the treatment of ADHD in children and adolescents were identified (total participants...
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Tài liệu Seropositivity for celiac disease in children and adolescents with short stature doc
... Signs and symptoms Occasional abdominal pain, difficulty gaining weight and height Prior history of anemia Difficulty gaining weight and height Prior history of anemia Frequent abdominal pain, ... villi in the small intestine, causing an inadequate absorption of nutrients The disease has a varied spectrum of presentations, ranging from the classic form (chronic diarrhea, abdominal pain and ... in provincial parts of the state of Pernambuco Among the patients included, 72% came from families with a monthly income of two times the minimum monthly wage or less, and approximately 63% of...
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