The right to effective treatment for people with developmental disabilities and severe problem behaviors.

Infantile hemangiomas are common benign vascular tumors but are rarely found in an intracranial location. Our literature review identified 41 reported cases. There is no general consensus on management of these rare lesions and until recently, treatment was limited to surgery or pharmacological management with steroids or interferon. Although beta-blockers have been widely prescribed in the treatment of cutaneous infantile hemangiomas since 2008, their use in the treatment of intracranial infantile hemangiomas has been minimal. We present a case of infantile hemangioma affecting the right orbit, associated with intracranial extension, causing intermittent right facial nerve palsy. The patient achieved an excellent outcome following combined treatment with oral propranolol and topical timolol maleate 0.5%, with complete regression of the lesion by 4 months. We conclude that beta-blockers are a safe and effective treatment of intracranial infantile hemangiomas and can be employed as first-line management of these lesions.

Download Full-text

Positive Behavioral Support: New Foci in the Management of Challenging Behaviors

Journal of Visual Impairment & Blindness ◽

10.1177/0145482x9208600807 ◽

1992 ◽

Vol 86 (8) ◽

pp. 364-369 ◽

Cited By ~ 3

Author(s):

L.A. Sisson

Keyword(s):

Problem Behaviors ◽

Behavioral Control ◽

Challenging Behaviors ◽

Community Settings ◽

Severe Problem ◽

New Approach ◽

Positive Behavioral Support ◽

Life Styles ◽

Functional Assessments ◽

Positive Intervention

Individuals with visual impairments and multiple disabilities often exhibit severe problem behaviors that interfere with their acquisition of skills, limit access to integrated community settings, and cause harm to themselves or others. This article describes a new approach to behavioral control that uses positive intervention strategies, bases treatment on functional assessments of challenging responses, and emphasizes broad changes in the life-styles of individuals.

Download Full-text

US-guided percutaneous microwave ablation (MWA) of submandibular gland: A new minimal invasive and effective treatment for refractory sialorrhea and treatment response evaluation with contrast-enhanced imaging techniques

Clinical Hemorheology and Microcirculation ◽

10.3233/ch-211115 ◽

2021 ◽

pp. 1-12

Author(s):

Hui-Li Zhang ◽

Jing-E Zhu ◽

Jia-Xin Li ◽

Xiao-Long Li ◽

Li-Ping Sun ◽

...

Keyword(s):

Effective Treatment ◽

Submandibular Gland ◽

Microwave Ablation ◽

Imaging Techniques ◽

Symptom Relief ◽

Minimal Invasive ◽

Whole Saliva ◽

Patient Reported ◽

The Right ◽

Percutaneous Microwave Ablation

A 33 years’ old male complained of excessive salivation with frequent swallowing and spitting, which resulted in communication disturbance, reduced quality of life, and social embarrassment for 19 years. He had been diagnosed as sialorrhea and submandibular gland hyperfunction by stomatologist, then had unilateral submandibular gland resection 13 years ago, but the symptom relief was not satisfactory. After that, he had been treated with glycopyrrolate for less than a year, which was withdrawn because of the short duration of symptomatic control after each tablet take-in and intolerable side effects. With the wish to receive a new treatment with long term effectiveness, low re-operation risk and normal preserved saliva secretion function, the patient was subject to MWA for the right submandibular gland. After systematic clinical evaluation, US-guided percutaneous MWA was successfully performed with an uneventful post-operative course. The volume of the right submandibular gland and ablated area were measured precisely by an ablation planning software system with automatic volume measurement function based on three-dimensional reconstruction of the pre-operative and post-operative enhanced magnetic resonance imaging (MRI) raw data. Finally, the ablated volume was calculated as 62.2% of the whole right submandibular gland. The patient was discharged 1 day after the operation, with symptoms relieved significantly, the mean value of whole saliva flow rate (SFR) decreased from 11 ml to 7.5 ml per 15 minutes. During the follow up by phone three months after operation, the patient reported that the treatment effect was satisfactory, whereas the SFR value became stable as 7 ml per 15 minutes, drooling frequency and drooling severity (DFDS) score decreased from 6 to 5, drooling impact scale (DIS) score decreased from 43 to 26. US-guided percutaneous MWA of submandibular gland seems to be an alternative, minimal invasive, and effective treatment for refractory sialorrhea. We described a patient with refractory sialorrhea treated successfully with ultrasound (US) guided percutaneous microwave ablation (MWA).

Download Full-text

Building Functional Curricula for Students With Severe Intellectual Disabilities and Severe Problem Behaviors

Behavior Analysis and Treatment ◽

10.1007/978-1-4757-9374-1_3 ◽

1993 ◽

pp. 47-71 ◽

Cited By ~ 11

Author(s):

Robert H. Horner ◽

Jeffery R. Sprague ◽

K. Brigid Flannery

Keyword(s):

Intellectual Disabilities ◽

Problem Behaviors ◽

Severe Problem ◽

Severe Intellectual Disabilities

Download Full-text

IDIOPATHIC SCOLIOSIS. /LECTURE, PART I. «PARADOXES»/

Pediatric Traumatology Orthopaedics and Reconstructive Surgery ◽

10.17816/ptors1161-65 ◽

2013 ◽

Vol 1 (1) ◽

pp. 61-65

Author(s):

Michael G. Dudin ◽

Dmitry Yu. Pinchuk

Keyword(s):

Idiopathic Scoliosis ◽

Children And Adolescents ◽

Effective Treatment ◽

Vertebral Column ◽

Plane Deformation ◽

Homo Erectus ◽

Point Of View ◽

History Of ◽

The Right ◽

Statistical Indicators

In the paper we discussed and analyzed the issues that confront practicing orthopedists with the most mysterious and at the same time the most studied vertebral column lesion in children and adolescents - idiopathic scoliosis. Nowadays a great amount of information on its various aspects has been already accumulated, but a practical output in the form of a system of effective treatment has not been yet found and (we can’t even speak about) there is no speech at all about the prevention (prophylactic) of the disease (scoliosis). On the basis of the own many year’s experience with this category of patients and the results of a comprehensive multi-faceted survey, the authors acquired the right to form their own point of view on the etiology and pathogenesis of the three-plane deformation in orthograde human (homo erectus). In this paper, the authors present their reflections on the history of the study of scoliosis, the terminology, statistical indicators and the existing views on its origins. Concerning argumentation on the own findings (conclusions) and views on the disease the authors plan to tell in the following sections.

Download Full-text

Latina Mothers' Attributions, Emotions, and Reactions to the Problem Behaviors of their Children with Developmental Disabilities

Journal of Child Psychology and Psychiatry ◽

10.1111/1469-7610.00605 ◽

2000 ◽

Vol 41 (2) ◽

pp. 245-252 ◽

Cited By ~ 6

Author(s):

Victor Chavira ◽

Steven R. Lopez ◽

Jan Blacher ◽

Johanna Shapiro

Keyword(s):

Developmental Disabilities ◽

Problem Behaviors ◽

Latina Mothers ◽

Children With Developmental Disabilities

Download Full-text

Optic nerve glioma treatment with fractionated stereotactic radiotherapy

Journal of Neurosurgery Pediatrics ◽

10.3171/2013.2.peds11435 ◽

2013 ◽

Vol 11 (5) ◽

pp. 596-599 ◽

Cited By ~ 3

Author(s):

Nuri Uslu ◽

Ebru Karakaya ◽

Aysen Dizman ◽

Dincer Yegen ◽

Yildiz Guney

Keyword(s):

Optic Nerve ◽

Effective Treatment ◽

Stereotactic Radiotherapy ◽

Fractionated Stereotactic Radiotherapy ◽

Severe Toxicity ◽

Optic Nerve Glioma ◽

The Right ◽

Current Report

In the current report, the authors present a case of optic nerve glioma treated with fractionated stereotactic radiotherapy (FSRT). An 11-year-old girl was referred to our clinic with increasing proptosis over a 1-year period. At that time orbital MRI revealed a 20 × 17–mm mass in the right retroorbital lipomatous tissue, and FSRT was delivered to the tumor using the CyberKnife. During the 1.5-year follow-up, ophthalmological examinations did not indicate any treatment-related severe toxicity, and posttreatment MRI demonstrated marked regression of the lesion to 13 × 10 mm. Given the scarcity of reports on this subject, the authors support more extended studies of the CyberKnife for the effective treatment of this relatively common childhood tumor.

Download Full-text