Undiagnosed attention deficit/hyperactivity disorder (ADHD) among unionized drivers in Ghana: Public health and policy implications

2018 ◽  
Vol 114 ◽  
pp. 12-16 ◽  
Author(s):  
Thaddeus P. Ulzen ◽  
John C. Higginbotham ◽  
Gordon Donnir ◽  
Laurence Jerome ◽  
Al Segal
2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Felipe Salles Neves Machado ◽  
Sheila Cavalcante Caetano ◽  
Ana Gabriela Hounie ◽  
Sandra Scivoletto ◽  
Mauro Muszkat ◽  
...  

A Brazilian Health Technology Assessment Bulletin (BRATS) article regarding scientific evidence of the efficacy and safety of methylphenidate for treating attention deficit hyperactivity disorder (ADHD) has caused much controversy about its methods. Considering the relevance of BRATS for public health in Brazil, we critically reviewed this article by remaking the BRATS search and discussing its methods and results. Two questions were answered: did BRATS include all references available in the literature? Do the conclusions reflect the reviewed articles? The results indicate that BRATS did not include all the references from the literature on this subject and also that the proposed conclusions are different from the results of the articles chosen by the BRATS authors themselves. The articles selected by the BRATS authors showed that using methylphenidate is safe and effective. However, the BRATS final conclusion does not reflect the aforementioned and should not be used to support decisions on the use of methylphenidate.


2004 ◽  
Vol 38 (1-2) ◽  
pp. 10-19
Author(s):  
Max Yeh ◽  
Katherine I. Morley ◽  
Wayne D. Hall

Objective To review the policy and ethical implications of recent research on the molecular genetics of attention deficit hyperactivity disorder (ADHD). Method MEDLINE and psyclNFO database searches were used to identify studies on the genetics of ADHD. The implications of replicated candidate genes are discussed. Results The findings for most genes have been inconsistent but several studies have implicated the genes in the dopaminergic pathway in the aetiology of ADHD. Conclusions The current evidence on the genetics of ADHD is insufficient to justify genetic screening tests but it will provide important clues as to the aetiology of ADHD. Genetic information on susceptibility to ADHD has the potential to be abused and to stigmatize individuals. Researchers and clinicians need to be mindful of these issues in interpreting and disseminating the results of genetic studies of ADHD. Key words: ADHD, ethics, genetics, policy implications.


Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 659
Author(s):  
Stacy Lu ◽  
Leanna Perez ◽  
Abby Leslein ◽  
Irene Hatsu

Food insecurity is a major public health concern characterized by an individual or household lacking access to adequate food to support a healthy lifestyle. Food insecurity has been associated with predisposing or exacerbating mental health symptoms in children. However, the evidence is scarce with regards to Attention-Deficit Hyperactivity Disorder (ADHD) symptoms in children. The purpose of this review is to summarize and identify gaps in the existing literature, as well as to explore associations between food insecurity and symptoms of childhood ADHD. Literature for this review was pulled from Ovid MEDLINE and PubMed library databases, with a focus on food insecurity, food insufficiency, hunger, and ADHD symptoms such as inattention, hyperactivity, and impulsivity in children. The limited evidence to date shows a predictive and inverse relationship between childhood experience of food insecurity and symptoms of ADHD, with lasting impacts into adulthood. Evidence exists to hypothesize that childhood food insecurity is associated with predisposing or exacerbating ADHD symptoms in children, yet the literature needed to confirm this relationship is scarce and utilizes inconsistent methodology. Future research is needed to further characterize this complex relationship and inspire community or public health interventions addressing food insecurity in children with ADHD. Additionally, it may be clinically useful to routinely screen for food insecurity when assessing pediatric ADHD symptoms.


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