scholarly journals Are There Resilient Children with ADHD?

2021 ◽  
pp. 108705472110256
Author(s):  
Elizabeth S.M. Chan ◽  
Nicole B. Groves ◽  
Carolyn L. Marsh ◽  
Caroline E. Miller ◽  
Kijana P. Richmond ◽  
...  
Keyword(s):  
Initial Step ◽  
Adverse Outcomes ◽  
Unanswered Question ◽  
Change Analysis ◽  
Reliable Change ◽  
Child Characteristics ◽  
Children With Adhd

Objective: The adverse outcomes associated with ADHD are well known, but less is known about the minority of children with ADHD who may be flourishing despite this neurodevelopmental risk. The present multi-informant study is an initial step in this direction with the basic but unanswered question: Are there resilient children with ADHD? Method: Reliable change analysis of the BASC-3 Resiliency subscale for a clinically evaluated sample of 206 children with and without ADHD (ages 8–13; 81 girls; 66.5% White/Non-Hispanic). Results Most children with ADHD are perceived by their parents and teachers as resilient (52.8%–59.2%), with rates that did not differ from the comorbidity-matched Non-ADHD sample. Conclusion Exploratory analyses highlighted the importance of identifying factors that promote resilience for children with ADHD specifically, such that some child characteristics were promotive (associated with resilience for both groups), some were protective (associated with resilience only for children with ADHD), and some were beneficial only for children without ADHD.

Comorbidity

2018 ◽  
Author(s):  
Cristal Oxley ◽  
Argyris Stringaris
Keyword(s):  
Emotional Disorders ◽  
Adverse Outcomes ◽  
Anxiety And Depression ◽  
Imaging Studies ◽  
Children With Adhd ◽  
Potential Association ◽  
Nosological Entity ◽  
Comorbid Adhd ◽  
Shared Risk

Anxiety and depression often co-occur in children with ADHD and this comorbidity can also occur across the lifespan. Such comorbidity is associated with adverse outcomes across several domains. The origin of the overlap between these disorders is discussed, including the role of shared risk factors such as common genes, environmental factors, potential association with a third disorder, or as a separate nosological entity. Abnormalities in neurochemistry and findings from imaging studies are discussed. Key components of clinical assessment are discussed together with differential diagnoses, including challenges that clinicians may encounter. Treatment approaches for comorbid ADHD with emotional disorders are outlined.

scholarly journals Documenting a Century of Coastline Change along Central California and Associated Challenges: From the Qualitative to the Quantitative

Water ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2648 ◽  
Author(s):  
Gary Griggs ◽  
Lida Davar ◽  
Borja G. Reguero
Keyword(s):  
Coastal Erosion ◽  
Shoreline Change ◽  
Initial Step ◽  
Sandy Beaches ◽  
Change Analysis ◽  
The West ◽  
Central California ◽  
Coastline Change ◽  
Coastal Cliffs ◽  
Cliff Retreat

Wave erosion has moved coastal cliffs and bluffs landward over the centuries. Now climate change-induced sea-level rise (SLR) and the changes in wave action are accelerating coastline retreat around the world. Documenting the erosion of cliffed coasts and projecting the rate of coastline retreat under future SLR scenarios are more challenging than historical and future shoreline change studies along low-lying sandy beaches. The objective of this research was to study coastal erosion of the West Cliff Drive area in Santa Cruz along the Central California Coast and identify the challenges in coastline change analysis. We investigated the geological history, geomorphic differences, and documented cliff retreat to assess coastal erosion qualitatively. We also conducted a quantitative assessment of cliff retreat through extracting and analyzing the coastline position at three different times (1953, 1975, and 2018). The results showed that the total retreat of the West Cliff Drive coastline over 65 years ranges from 0.3 to 32 m, and the maximum cliff retreat rate was 0.5 m/year. Geometric errors, the complex profiles of coastal cliffs, and irregularities in the processes of coastal erosion, including the undercutting of the base of the cliff and formation of caves, were some of the identified challenges in documenting historical coastline retreat. These can each increase the uncertainty of calculated retreat rates. Reducing the uncertainties in retreat rates is an essential initial step in projecting cliff and bluff retreat under future SLR more accurately and in developing a practical adaptive management plan to cope with the impacts of coastline change along this highly populated edge.

Enhancing Social Skills of Young Children With ADHD: Effects of a Sibling-Mediated Intervention

2019 ◽  
Vol 44 (5) ◽  
pp. 698-726
Author(s):  
Molly S. Daffner ◽  
George J. DuPaul ◽  
Lee Kern ◽  
Christine L. Cole ◽  
Courtney L. Cleminshaw
Keyword(s):  
Social Skills ◽  
Adverse Outcomes ◽  
Social Intervention ◽  
Multiple Baseline ◽  
Children With Adhd ◽  
Implementation Integrity ◽  
Research And Practice ◽  
Hyperactivity Disorder ◽  
Social Impairments ◽  
Limited Success

Children with attention deficit/hyperactivity disorder (ADHD) are at risk for experiencing problems with social functioning that are associated with adverse outcomes in adolescence and adulthood. To date, the most common ADHD treatments for children, psychostimulants and adult-mediated interventions, have had limited success reducing social impairments associated with ADHD. Using a non-concurrent multiple baseline across participants design, we examined the efficacy of a sibling-mediated social intervention for reducing negative and increasing positive social behaviors of three children with ADHD. We also assessed implementation integrity by the siblings, and acceptability from the perspective of the participant with ADHD, the siblings, and the parents. Results indicated that siblings learned and used specific social skills strategies with their siblings with ADHD that lead to increases in sharing, helping, and compromising behaviors for children with ADHD compared with baseline (Tau- U = 0.9531, p < .001). Summary of findings, study limitations, implications for research, and practice are discussed.

scholarly journals Healthcare Utilization and Morbidity among Adolescents with ADHD in Children Aged 11-17 Years, NHIS, 2017

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
R. Constance Wiener ◽  
Christopher Waters ◽  
Ruchi Bhandari ◽  
Alcinda K. Trickett Shockey
Keyword(s):  
Emergency Department ◽  
Logistic Regression ◽  
Secondary Data ◽  
Adverse Outcomes ◽  
Emergency Department Visits ◽  
Emergency Department Utilization ◽  
Chi Square ◽  
Cross Sectional ◽  
Children With Adhd ◽  
Medical Visits

Purpose. Children with ADHD have known behaviors of hyperactivity and impulsivity which may result in adverse outcomes. The purpose of this study is to examine the association of serious adverse outcomes (emergency department visits within the previous year) in preadolescents and adolescents with ADHD as compared with preadolescents and adolescents without ADHD. Method. The researchers conducted a cross-sectional, secondary data analysis of National Health Interview Survey (NHIS) 2017 data concerning 2,965 children (>11 to 17 years). The NHIS data resulted from face-to-face interviews of a household member selected from a multistage area probability design representing households in the US. Data analyses for this study included Chi-square bivariate analyses and logistic regression analyses. Results. There were 13.2% of children in the sample who had ADHD. Children with ADHD were more likely to be male and non-Hispanic white. They were also more likely to have one or more additional disease or condition excluding ADHD. In adjusted logistic regression analysis on emergency department utilization by ADHD status, the adjusted odds ratio was 1.93 (95%CI: 1.35, 2.74; p = 0.0003) for preadolescents and adolescents with ADHD as compared with preadolescents and adolescents without ADHD. Conclusion. Children with ADHD were more likely to have emergency department utilization than children without ADHD. Preventive medical visits were similar between preadolescent and adolescent children with and without ADHD. Characteristics associated with ADHD may explain the increased need for emergent care. Developing interventions for children with ADHD may decrease emergency department utilization.

Preparation of Electron Transparent Metal-Matrix Composites

1968 ◽  
Vol 26 ◽  
pp. 334-335 ◽  
Author(s):  
M. R. Pinnel ◽  
A. Lawley
Keyword(s):  
Stainless Steel ◽  
Load Transfer ◽  
Volume Fraction ◽  
Steel Wire ◽  
Initial Step ◽  
Interfacial Region ◽  
Matrix Composites ◽  
Specific Test ◽  
The Matrix ◽  
The One

Numerous phenomenological descriptions of the mechanical behavior of composite materials have been developed. There is now an urgent need to study and interpret deformation behavior, load transfer, and strain distribution, in terms of micromechanisms at the atomic level. One approach is to characterize dislocation substructure resulting from specific test conditions by the various techniques of transmission electron microscopy. The present paper describes a technique for the preparation of electron transparent composites of aluminum-stainless steel, such that examination of the matrix-fiber (wire), or interfacial region is possible. Dislocation substructures are currently under examination following tensile, compressive, and creep loading. The technique complements and extends the one other study in this area by Hancock.The composite examined was hot-pressed (argon atmosphere) 99.99% aluminum reinforced with 15% volume fraction stainless steel wire (0.006″ dia.).Foils were prepared so that the stainless steel wires run longitudinally in the plane of the specimen i.e. the electron beam is perpendicular to the axes of the wires. The initial step involves cutting slices ∼0.040″ in thickness on a diamond slitting wheel.

The Advantages of Cryotechniques: Application To Bioluminescent Cells

1990 ◽  
Vol 48 (1) ◽  
pp. 486-487
Author(s):  
Gisèle Nicolas ◽  
Jean-Marie Bassot ◽  
Marie-Thérèse Nicolas
Keyword(s):  
Endoplasmic Reticulum ◽  
Striated Muscle ◽  
Light Emission ◽  
Stable State ◽  
Freeze Substitution ◽  
Initial Step ◽  
Point Of Interest ◽  
Cell Components ◽  
Excellent Preservation ◽  
External Water

The use of fast-freeze fixation (FFF) followed by freeze-substitution (FS) brings substantial advantages which are due to the extreme rapidity of this fixation compared to the conventional one. The initial step, FFF, physically immobilizes most molecules and therefore arrests the biological reactions in a matter of milliseconds. The second step, FS, slowly removes the water content still in solid state and, at the same time, chemically fixes the other cell components in absence of external water. This procedure results in an excellent preservation of the ultrastructure, avoids osmotic artifacts,maintains in situ most soluble substances and keeps up a number of cell activities including antigenicities. Another point of interest is that the rapidity of the initial immobilization enables the capture of unstable structures which, otherwise, would slip towards a more stable state. When combined with electrophysiology, this technique arrests the ultrastructural modifications at a well defined state, allowing a precise timing of the events.We studied the epithelium of the elytra of the scale-worm, Harmothoe lunulata which has excitable, conductible and bioluminescent properties. The intracellular sites of the light emission are paracrystals of endoplasmic reticulum (PER), named photosomes (Fig.1). They are able to flash only when they are coupled with plasma membrane infoldings by dyadic or triadic junctions (Fig.2) basically similar to those of the striated muscle fibers. We have studied them before, during and after stimulation. FFF-FS showed that these complexes are labile structures able to diffentiate and dedifferentiate within milliseconds. Moreover, a transient network of endoplasmic reticulum was captured which we have named intermediate endoplasmic reticulum (IER) surrounding the PER (Fig.1). Numerous gap junctions are found in the membranous infoldings of the junctional complexes (Fig.3). When cryofractured, they cleave unusually (Fig.4-5). It is tempting to suggest that they play an important role in the conduction of the excitation.

Research Consumerism 101: Evaluating External Evidence of Treatment Effectiveness

2008 ◽  
Vol 17 (2) ◽  
pp. 43-49
Author(s):  
James L. Coyle
Keyword(s):  
Treatment Effectiveness ◽  
Code Of Ethics ◽  
Oropharyngeal Dysphagia ◽  
Clinical Importance ◽  
Professional Services ◽  
Adverse Outcomes ◽  
Professional Judgment ◽  
Evidence Based ◽  
Intervention Selection ◽  
Published Research

Abstract The modern clinician is a research consumer. Rehabilitation of oropharyngeal impairments, and prevention of the adverse outcomes of dysphagia, requires the clinician to select interventions for which evidence of a reasonable likelihood of a successful, important outcome exists. The purpose of this paper is to provide strategies for evaluation of published research regarding treatment of oropharyngeal dysphagia. This article utilizes tutorial and examples to inform and educate practitioners in methods of appraising published research. It provides and encourages the use of methods of efficiently evaluating the validity and clinical importance of published research. Additionally, it discusses the importance of the ethical obligation we, as practitioners, have to use evidence-based treatment selection methods and measurement of patient performance during therapy. The reader is provided with tactics for evaluating treatment studies to establish a study's validity and, thereby, objectively select interventions. The importance of avoiding subjective or unsubstantiated claims and using objective methods of generating empirical clinical evidence is emphasized. The ability to evaluate the quality of research provides clinicians with objective intervention selection as an important, essential component of evidence-based clinical practice. ASHA Code of Ethics (2003): Principle I, Rule F: “Individuals shall fully inform the persons they serve of the nature and possible effects of services rendered and products dispensed…” (p. 2) Principle I, Rule G: “Individuals shall evaluate the effectiveness of services rendered and of products dispensed and shall provide services or dispense products only when benefit can reasonably be expected.” (p. 2) Principle IV, Rule G: “Individuals shall not provide professional services without exercising independent professional judgment, regardless of referral source or prescription.” (p. 4)

Corpus callosum may be similar in children with ADHD and siblings of children with ADHD

2000 ◽  
Vol 42 (01) ◽  
pp. 8 ◽  
Author(s):  
S Overmeyer ◽  
A Simmons ◽  
J Santosh ◽  
C Andrew ◽  
S C R Williams ◽  
...  
Keyword(s):  
Corpus Callosum ◽  
Children With Adhd

Die Wirksamkeit eines Frühinterventionsprogramms für Jugendliche mit Computerspiel- und Internetabhängigkeit: Mittelfristige Effekte der PROTECT+ Studie

2020 ◽  
Vol 48 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Carolin Szász-Janocha ◽  
Eva Vonderlin ◽  
Katajun Lindenberg
Keyword(s):  
Internet Use ◽  
Health Problems ◽  
Reliable Change Index ◽  
Gaming Disorder ◽  
Statistical Classification ◽  
Reliable Change ◽  
Classification Of Diseases ◽  
International Statistical Classification

Zusammenfassung. Fragestellung: Das junge Störungsbild der Computerspiel- und Internetabhängigkeit hat in den vergangenen Jahren in der Forschung zunehmend an Aufmerksamkeit gewonnen. Durch die Aufnahme der „Gaming Disorder“ in die ICD-11 (International Statistical Classification of Diseases and Related Health Problems) wurde die Notwendigkeit von evidenzbasierten und wirksamen Interventionen avanciert. PROTECT+ ist ein kognitiv-verhaltenstherapeutisches Gruppentherapieprogramm für Jugendliche mit Symptomen der Computerspiel- und Internetabhängigkeit. Die vorliegende Studie zielt auf die Evaluation der mittelfristigen Effekte nach 4 Monaten ab. Methodik: N = 54 Patientinnen und Patienten im Alter von 9 bis 19 Jahren (M = 13.48; SD = 1.72) nahmen an der Frühinterventionsstudie zwischen April 2016 und Dezember 2017 in Heidelberg teil. Die Symptomschwere wurde zu Beginn, zum Abschluss der Gruppentherapie sowie nach 4 Monaten anhand von standardisierten Diagnostikinstrumenten erfasst. Ergebnisse: Mehrebenenanalysen zeigten eine signifikante Reduktion der Symptomschwere anhand der Computerspielabhängigkeitsskala (CSAS) nach 4 Monaten. Im Selbstbeurteilungsbogen zeigte sich ein kleiner Effekt (d = 0.35), im Elternurteil ein mittlerer Effekt (d = 0.77). Der Reliable Change Index, der anhand der Compulsive Internet Use Scale (CIUS) berechnet wurde, deutete auf eine starke Heterogenität im individuellen Symptomverlauf hin. Die Patientinnen und Patienten bewerteten das Programm zu beiden Follow-Up-Messzeitpunkten mit einer hohen Zufriedenheit. Schlussfolgerungen: Die vorliegende Arbeit stellt international eine der wenigen Studien dar, die eine Reduktion der Symptome von Computerspiel- und Internetabhängigkeit im Jugendalter über 4 Monate belegen konnte.

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