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https://www.readbyqxmd.com/read/27876688/online-concerns-of-parents-suspecting-autism-spectrum-disorder-in-their-child-content-analysis-of-signs-and-automated-prediction-of-risk
#1
Ayelet Ben-Sasson, Elad Yom-Tov
BACKGROUND: Online communities are used as platforms by parents to verify developmental and health concerns related to their child. The increasing public awareness of autism spectrum disorders (ASD) leads more parents to suspect ASD in their child. Early identification of ASD is important for early intervention. OBJECTIVE: To characterize the symptoms mentioned in online queries posed by parents who suspect that their child might have ASD and determine whether they are age-specific...
November 22, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27737474/pharmacotherapy-in-psychiatric-disorders-of-children-current-evidence-and-trends
#2
M Kölch, P L Plener
Pharmacotherapeutic interventions are available for most psychiatric disorders in children. Evidence for these interventions varies, depending on the targeted disorders. For attention-deficit/hyperactivity disorder, a sound database on efficacy and safety of medication exists. For other common disorders or psychopathological phenomena like disruptive behavior, anxiety disorders, depressive disorders, or autism, data on efficacy and safety are much scarcer. This selective review aims to provide an overview about current psychopharmacological interventions in child and adolescent psychiatry...
October 13, 2016: Pharmacopsychiatry
https://www.readbyqxmd.com/read/27274747/whole-genome-sequencing-as-a-genetic-test-for-autism-spectrum-disorder-from-bench-to-bedside-and-then-back-again
#3
Michael J Szego, Ma'n H Zawati
Autism spectrum disorder (ASD) is characterized by repetitive patterns of behaviour and impairments in social interactions and communication abilities. Although ASD is a heterogeneous disorder, it is a highly genetic condition for which genetic testing is routinely performed. Microarray analysis is currently the standard of care genetic test for ASD, however whole genome sequencing offers several key advantages and will likely replace microarrays as a frontline genetic test in the near future. The 2nd Consultation on Translation of Genomic Advances into Health Applications took place in the spring of 2014 to broadly explore the current and potential impacts of genomic advances in supporting personalized and family-centered care for autism and related developmental conditions...
2016: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/27169714/echo-autism-a-new-model-for-training-primary-care-providers-in-best-practice-care-for-children-with-autism
#4
Micah O Mazurek, Rachel Brown, Alicia Curran, Kristin Sohl
Children with autism spectrum disorder (ASD) have complex medical problems, yet they are at high risk for unmet health care needs. Primary care providers are perfectly positioned to meet these needs; however, they often lack training in ASD. This pilot project developed and tested a new model for training primary care providers in best-practice care for ASD using the Extension for Community Healthcare Outcomes (ECHO) framework. The 6-month ECHO Autism pilot project consisted of 12 biweekly clinics focused on screening and identification of ASD symptoms and management of medical and psychiatric comorbidities...
May 11, 2016: Clinical Pediatrics
https://www.readbyqxmd.com/read/27011004/perioperative-and-anesthesia-guidelines-for-children-with-autism-a-nationwide-survey-from-sweden
#5
Ingalill Gimbler Berglund, Karina Huus, Karin Enskär, Maria Faresjö, Berit Björkman
OBJECTIVE: The overall aim of this study was to describe the current set of guidelines for the preparation and care for children with autism spectrum disorder (ASD) in the perioperative setting across Sweden and explore the content of these guidelines in detail. METHOD: An online questionnaire was distributed to the chairpersons of all anesthesia departments (n = 68) and pediatric departments (n = 38) throughout Sweden. Follow-up phone calls were made to those departments that did not return the questionnaire...
July 2016: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/26908476/toward-practice-advancement-in-emergency-care-for-children-with-autism-spectrum-disorder
#6
David B Nicholas, Lonnie Zwaigenbaum, Barbara Muskat, William R Craig, Amanda S Newton, Justine Cohen-Silver, Raphael F Sharon, Andrea Greenblatt, Christopher Kilmer
BACKGROUND AND OBJECTIVE: There is increasing recognition that children with autism spectrum disorder (ASD) experience challenges in busy clinical environments such as the emergency department (ED). ASD may heighten adverse responses to sensory input or transitions, which can impose greater difficulty for a child to cope with situational demands. These problems can be amplified in the ED because of its busy and unpredictable nature, wait times, and bodily care. There is little literature documenting ED-based needs of children with ASD to inform clinical guidelines...
February 2016: Pediatrics
https://www.readbyqxmd.com/read/26448791/computer-decision-support-changes-physician-practice-but-not-knowledge-regarding-autism-spectrum-disorders
#7
RANDOMIZED CONTROLLED TRIAL
N S Bauer, A E Carroll, C Saha, S M Downs
OBJECTIVE: To examine whether adding an autism module promoting adherence to clinical guidelines to an existing computer decision support system (CDSS) changed physician knowledge and self-reported clinical practice. METHODS: The CHICA (Child Health Improvement through Computer Automation) system, a CDSS, was enhanced with a module to improve management of autism in 2 of the 4 community pediatric clinics using the system. We examined the knowledge and beliefs of pediatric users using cross-sectional surveys administered at 3 time points (baseline, 12 months and 24 months post-implementation) between November 2010 and January 2013...
2015: Applied Clinical Informatics
https://www.readbyqxmd.com/read/26066358/parents-perceptions-of-the-usefulness-of-chromosomal-microarray-analysis-for-children-with-autism-spectrum-disorders
#8
Marian Reiff, Ellen Giarelli, Barbara A Bernhardt, Ebony Easley, Nancy B Spinner, Pamela L Sankar, Surabhi Mulchandani
Clinical guidelines recommend chromosomal microarray analysis (CMA) for all children with autism spectrum disorders (ASDs). We explored the test's perceived usefulness among parents of children with ASD who had undergone CMA, and received a result categorized as pathogenic, variant of uncertain significance, or negative. Fifty-seven parents participated in a semi-structured telephone interview, and 50 also completed a survey. Most parents reported that CMA was helpful for their child and family. Major themes regarding perceived usefulness were: medical care, educational and behavioral interventions, causal explanation, information for family members, and advancing knowledge...
October 2015: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/25971758/approach-to-autism-spectrum-disorder-using-the-new-dsm-v-diagnostic-criteria-and-the-canmeds-fm-framework
#9
REVIEW
Patrick F Lee, Roger E Thomas, Patricia A Lee
OBJECTIVE: To review the diagnostic criteria for autism spectrum disorder (ASD) from the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), and to develop an approach to managing ASD using the CanMEDS- Family Medicine (CanMEDS-FM) framework. SOURCES OF INFORMATION: The DSM-V from the American Psychiatric Association, published in May 2013, provides new diagnostic criteria for ASD. The College of Family Physicians of Canada's CanMEDS-FM framework provides a blueprint that can guide the complex management of ASD...
May 2015: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/25745696/promoting-routine-use-of-developmental-and-autism-specific-screening-tools-by-pediatric-primary-care-clinicians
#10
Arianna Keil, Christine Breunig, Sharon Fleischfresser, Elizabeth Oftedahl
INTRODUCTION: In 2006, the American Academy of Pediatrics published a policy statement recommending routine developmental screening for all children. Most clinicians at that time were using informal methods to monitor child development. METHODS: Outreach to Wisconsin primary care clinicians designed to promote use of validated developmental screening tools began in 2006. A survey of 157 Wisconsin primary care clinicians was conducted in late 2012 to assess routine use of developmental and autism-specific tools...
December 2014: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/25737343/implementation-of-an-academic-adult-primary-care-clinic-for-adolescents-and-young-adults-with-complex-chronic-childhood-conditions
#11
John C Berens, Cynthia Peacock
PURPOSE: For the growing population of adolescents and young adults with chronic childhood conditions (AYACCC), the transition from pediatric to adult health care contains many barriers and appropriate adult-based health care options are few. In 2005, the Transition Medicine Clinic (TMC), affiliated with Baylor College of Medicine, was established in Houston, Texas. It is one of the first clinics of its kind and serves AYACCC by providing a medical home in the adult health care system...
2015: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/24354947/explain-fragile-x-an-explorative-longitudinal-study-on-the-characterization-treatment-pathways-and-patient-related-outcomes-of-fragile-x-syndrome
#12
Frank Haessler, Franziska Gaese, Michael Colla, Michael Huss, Christoph Kretschmar, Marc Brinkman, Heike Schieb, Helmut Peters, Samuel Elstner, David Pittrow
BACKGROUND: Fragile X syndrome (FXS), caused by a mutation of the FMR1 gene on the X chromosome, is the most common inherited form of intellectual disability and autism spectrum disorders. Comprehensive data are lacking, however, on the characteristics and management patients with FXS in Germany. METHODS/DESIGN: EXPLAIN is a prospective, observational, longitudinal registry with a non-probability sampling approach. It collects data on patient characteristics, therapeutic interventions, psychosocial parameters (including those of family members and caregivers), quality of life of caregiver and patient, caregiver burden, and health economic parameters, such as hospitalisation time...
December 19, 2013: BMC Psychiatry
https://www.readbyqxmd.com/read/24290364/the-investigation-and-differential-diagnosis-of-asperger-syndrome-in-adults
#13
REVIEW
Fritz-Georg Lehnhardt, Astrid Gawronski, Kathleen Pfeiffer, Hanna Kockler, Leonhard Schilbach, Kai Vogeley
BACKGROUND: As a result of the increased public interest in autism spectrum disorders (ASD), certain core manifestations of ASD--impaired social interaction and communication, bizarre interests--are now commonly recognized as being typical of autism, not only in children, but in adults as well. More often than before, general practitioners, neurologists, and psychiatrists find themselves being asked whether a patient is suffering from previously unrecognized Asperger syndrome (AS). The prevalence of ASD is estimated at 1%, and the ratio of diagnosed to undiagnosed cases at about 3:2...
November 8, 2013: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/24129911/-do-it-yourself-in-the-parent-professional-partnership-for-the-assessment-and-diagnosis-of-children-with-autism-spectrum-conditions-in-hong-kong-a-qualitative-study
#14
Hilda Sw Ho, Huso Yi, Sian Griffiths, Dorothy Fy Chan, Stuart Murray
Timely and appropriate care for children with autism spectrum conditions is affected by the interaction between healthcare professionals and parents. Despite the importance of the parent-professional partnership, there is a dearth of cultural-specific data on parent-professional partnership in the Chinese context. We conducted 10 in-depth life-history interviews with parents of children with autism spectrum conditions in Hong Kong who were diagnosed during preschool years. Using an interpretative phenomenological analytic method, five themes were constructed to represent the context of parent-professional partnership in Hong Kong along the pathway of seeking a diagnosis: (a) access to the assessment and diagnosis of autism spectrum conditions, (b) multiple procedures of assessment, (c) consultation prior to diagnosis and assessment, (d) communication of diagnosis and assessment result and (e) post-assessment isolation...
October 2014: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/24050743/non-pharmacological-treatments-in-autism-spectrum-disorders-an-overview-on-early-interventions-for-pre-schoolers
#15
REVIEW
Antonio Narzisi, Colombi Costanza, Balottin Umberto, Muratori Filippo
This paper evaluates the current literature on non-pharmacological early interventions (behavior behavioral, developmental and educational approaches) for pre-schoolers (aged 24-71 months) with autism spectrum disorders. Although there lies a significant heterogeneity among the available studies, the present review emphasizes the importance of considering the wide range of interventions through behavioral (behavioral or developmental interventions) and educational continuum according to the suggestions of the recent literature in this field...
February 2014: Current Clinical Pharmacology
https://www.readbyqxmd.com/read/24005531/psychopharmacological-prescriptions-for-people-with-autism-spectrum-disorder-asd-a-multinational-study
#16
Yingfen Hsia, Angel Y S Wong, Declan G M Murphy, Emily Simonoff, Jan K Buitelaar, Ian C K Wong
RATIONALE: Previous studies on psychotropic drugs prescribing in autism spectrum disorder (ASD) were from the USA or the UK. However, these studies may not be generalizable to other countries. There is a need to understand the extent of psychopharmacological prescribing for ASD treatment at a multinational level to identify areas of prescribing which lack evidence. METHODS: We used the IMS Prescribing Insights database to investigate psychotropic drugs prescribing patterns for ASD treatment in children and adults in 2010-2012...
March 2014: Psychopharmacology
https://www.readbyqxmd.com/read/23986012/management-of-children-with-autism-spectrum-disorder-in-the-dental-setting-concerns-behavioural-approaches-and-recommendations
#17
REVIEW
Konstantina Delli, Peter A Reichart, Michael M Bornstein, Christos Livas
OBJECTIVES: This article reviews the present literature on the issues encountered while coping with children with autistic spectrum disorder from the dental perspective. The autistic patient profile and external factors affecting the oral health status of this patient population are discussed upon the existing body of evidence. MATERIAL AND METHODS: The MEDLINE database was searched using the terms 'Autistic Disorder', 'Behaviour Control/methods', 'Child', 'Dental care for disabled', 'Education', 'Oral Health', and 'Pediatric Dentistry' to locate related articles published up to January 2013...
November 2013: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/23958770/pediatrician-identification-of-latino-children-at-risk-for-autism-spectrum-disorder
#18
COMPARATIVE STUDY
Katharine E Zuckerman, Kimber Mattox, Karen Donelan, Oyundari Batbayar, Anita Baghaee, Christina Bethell
BACKGROUND AND OBJECTIVES: Latino-white disparities in age at autism spectrum disorder (ASD) diagnosis may be modified by primary care pediatrician (PCP) practices and beliefs. The objectives of this study were to assess ASD and developmental screening practices, attitudes toward ASD identification in Latino children, and barriers to ASD identification for Latino children, in a sample of 267 California PCPs. METHODS: In mail-based PCP survey, we assessed rates of bilingual general developmental and ASD screening, perceptions of parent ASD knowledge in Latino and white families, reports of difficulty assessing for ASDs in Latino and white children, and perceptions of barriers to early ASD identification for Latinos...
September 2013: Pediatrics
https://www.readbyqxmd.com/read/23949101/screening-for-substance-use-disorders-in-neurodevelopmental-disorders-a-clinical-routine
#19
Margita Palmqvist, Gunnar Edman, Sven Bölte
Evidence suggests that substance use disorders (SUD) tend to be underdiagnosed in psychiatry. The objective of this study was to investigate whether drug and alcohol screening is a clinical routine in the assessment of two prominent neurodevelopmental disorders, namely ADHD and autism spectrum disorder (ASD). We surveyed drug and alcohol screening routines in 34 general child and adolescent (only practice for adolescents, not children, was assessed) and 29 adult psychiatric outpatient departments in Stockholm County, Sweden...
May 2014: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/23479074/measurement-tools-and-target-symptoms-skills-used-to-assess-treatment-response-for-individuals-with-autism-spectrum-disorder
#20
Erin Elizabeth Bolte, Joshua John Diehl
This study examined the measurement tools and target symptoms/skills used to assess treatment response during Autism Spectrum Disorder (ASD) intervention trials from 2001 through 2010. Data from 195 prospective trials were analyzed. There were 289 unique measurement tools, of which 61.6 % were used only once, and 20.8 % were investigator-designed. Only three tools were used in more than 2 % of the studies, and none were used in more than 7 % of studies. Studies investigated an average of 11.4 tool-symptom combinations per trial, with as many as 45 in one study...
November 2013: Journal of Autism and Developmental Disorders
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