Nocturnal Enuresis: Evidenced-Based Perspectives in Etiology, Assessment and Treatment

Author(s):  
Michael W. Mellon ◽  
Arthur C. Houts
2018 ◽  
Vol 35 (3) ◽  
pp. 169-172
Author(s):  
B. Gavin ◽  
F. McNicholas

We are delighted to dedicate an edition of the Irish Journal of Psychological Medicine to the topic of attention-deficit hyperactivity disorder (ADHD). ADHD accounts for the majority of clinical presentations to Child and Adolescent Mental Health Services, both in terms of new assessments and ongoing attendances. Papers presented in this edition reflect on the evolving construct of ADHD, drawing from science, clinical practice and public opinion. Current and evidenced-based assessment and treatment practice guidelines are reviewed. International longitudinal studies allow us to understand the personal and societal cost, which can persist for many years post-diagnosis. Despite continuation to adulthood in many young people, follow on adult services are lacking. It is fitting that submissions, by way of personal reflections and opinion pieces, are also included from adult colleagues as they reflect on their experiences in this area. Given the recent development of a national clinical programme in ADHD in Ireland, coupled with a growing evidence for effective interventions, it is hoped that this special edition will highlight the need for appropriate and accessible ADHD treatments across the lifespan.


2014 ◽  
Vol 35 (8) ◽  
pp. 327-335 ◽  
Author(s):  
A. P. Bayne ◽  
S. J. Skoog

Author(s):  
Diana Joyce-Beaulieu ◽  
Brian Zaboski

Thousands of students in the United States suffer from anxiety and depressive disorders, many of which may be ameliorated with early intervention and evidenced-based treatment. At the same time, complete student wellness requires a consideration of both pathology and well-being. Using a dual-factor model, this chapter reviews the symptoms, resilience factors, and functional impairments associated with anxiety and depression. Recommendations for early identification, assessment, and treatment—including psychoeducation, mindfulness, and behavioral techniques—are discussed within a multitiered system of supports. Special consideration is provided to address suicide prevention and intervention. Practical recommendations and techniques for school-based practitioners are offered, in addition to assessment measures and technology resources.


2021 ◽  
pp. 1-12
Author(s):  
Ben G.L. Vanneste ◽  
Evert J. Van Limbergen ◽  
Tom A. Marcelissen ◽  
Joep G.H. van Roermund ◽  
Ludy C. Lutgens ◽  
...  

<b><i>Objective:</i></b> The purpose of this review was to summarize the current literature on the assessment and treatment of radiation urethritis and cystitis (RUC) for the development of an evidenced-based management algorithm. <b><i>Material and Methods:</i></b> The PubMed/MEDLINE database was searched by a multidisciplinary group of experts in January 2021. <b><i>Results:</i></b> In total, 48 publications were identified. Three different types of RUC can be observed in clinical practice: inflammation-predominant, bleeding-predominant, and the combination of inflammation- and bleeding-RUC. There is no consensus on the optimal treatment of RUC. Inflammation-predominant RUC should be treated symptomatically based on the existence of bothersome storage or voiding lower urinary tract symptom as well as on pain. When bleeding-predominant RUC has occurred, hydration and hyperbaric oxygen therapy (HOT) should be used first and, if HOT is not available, oral drugs instead (sodium pentosane polysulfate, aminocaproic acid, immunokine WF 10, conjugated estrogene, or pentoxifylline + vitamin E). If local bleeding persists, focal therapy of bleeding vessels with a laser or electrocoagulation is indicated. In case of generalized bleeding, intravesical installation should be initiated (formalin, aluminium salts, and hyaluronic acid/chondroitin). Vessel embolization is a less invasive treatment with potentially less complications and good clinical outcomes. Open- or robot-assisted surgery is indicated in patients with permanent, life-threatening bleeding, or fistulae. <b><i>Conclusions:</i></b> Treatment of RUC, if not self-limiting, should be done according to the type of RUC and in a stepwise approach. Conservative/medical treatment (oral and topic agents) should primarily be used before invasive (transurethral) treatments.


2014 ◽  
Vol 35 (8) ◽  
pp. 327-335 ◽  
Author(s):  
Aaron P. Bayne ◽  
Steven J. Skoog

1992 ◽  
Vol 23 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Alan G. Kamhi

My response to Fey’s article (1985; reprinted 1992, this issue) focuses on the confusion caused by the application of simplistic phonological definitions and models to the assessment and treatment of children with speech delays. In addition to having no explanatory adequacy, such definitions/models lead either to assessment and treatment procedures that are similarly focused or to procedures that have no clear logical ties to the models with which they supposedly are linked. Narrowly focused models and definitions also usually include no mention of speech production processes. Bemoaning this state of affairs, I attempt to show why it is important for clinicians to embrace broad-based models of phonological disorders that have some explanatory value. Such models are consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motoric, aspects of speech.


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