The Osteopathic Approach to Treating Depression in Children and Adolescents

2021 ◽  
pp. 19-26
Author(s):  
Ravi Chinsky ◽  
Thomas Chan
Keyword(s):  
Children And Adolescents ◽  
Effective Treatment ◽  
Current Treatment ◽  
Osteopathic Medicine ◽  
Physical And Mental Health ◽  
Treatment Protocols ◽  
Holistic View ◽  
Diagnostic And Statistical Manual ◽  
Psychological Dysfunction ◽  
Epidemiology Of Depression

Evidence confirms that children and adolescents can experience the whole spectrum of mood disorders and suffer from the significant morbidity and mortality associated with them. Effective treatment often relies on physicians developing advanced communication skills with their patients. Enhanced communication will help decipher the etiology of the patient’s depression and, in addition to serotonin-regulating medications, will optimize treatment. Osteopathic medicine offers an effective treatment model through osteopathic manipulative treatment (OMT) because of the inseparability of physical and mental health. Osteopathic medicine takes a holistic view in which somatic, visceral and psychological dysfunction are united. Thus, physicians who incorporate OMT into their practice will help treat psychopathologies, such as depression and its accompanying somatic dysfunctions. This paper discusses the epidemiology of depression, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) depression criteria, screening algorithms, current treatment protocols, osteopathic considerations to treating depression, and lastly, OMT and its role in treatment.

Puberty: An approach to diagnosis and management with an osteopathic component

2020 ◽  
pp. 21-30
Author(s):  
Ravi Chinsky ◽  
Shehtaaj Lilaporia ◽  
To Shan Li ◽  
Thomas Chan
Keyword(s):  
Reproductive Organs ◽  
Progressive Increase ◽  
Growth Spurt ◽  
Delayed Puberty ◽  
Osteopathic Medicine ◽  
Physical And Mental Health ◽  
Current Management ◽  
Holistic View ◽  
Physical Maturation ◽  
Psychological Dysfunction

Puberty is generally known as the emotional and physical maturation of a child to adulthood. This allows for sexual maturation and the means to reproduce. Children will undergo a pubertal growth spurt, as well as changes to the reproductive organs. While puberty is mostly associated with changes in reproduction and endocrine systems, it is multifaceted and affects the musculoskeletal, behavioral and vascular systems. Puberty occurs due to activation of the hypothalamic-pituitary-gonadal (HPG) axis and a progressive increase in the amount of gonadotropin-releasing hormone (GnRH) released. The average age of puberty is 13 years old in girls and 14 years old in boys. Associated pubertal diseases are usually split into two categories, based on whether the physical indicators appear earlier or later than expected. When these indicators occur at two standard deviations (SD) early, it is known as precocious puberty, and when they are 2–2.5 SDs late, it is known as delayed puberty. Because of the inseparability of physical and mental health, osteopathic medicine offers a practical approach for treatment of pubertal conditions using osteopathic manipulative treatment (OMT). Osteopathic medicine takes a holistic view of the person in which somatic, visceral and psychological dysfunction are united. Thus, physicians who incorporate OMT into their practice will be able to aid in promoting proper development during puberty as well as addressing accompanying somatic dysfunctions. In this paper, we will discuss the physiology of puberty, pubertal disorders, the epidemiology of puberty, current management protocols, osteopathic considerations in puberty and OMT’s role in treatment.

Chemotherapy-sparing treatment of haemophagocytic lymphohistiocytosis with intravenous immunoglobulins and corticosteroids

2020 ◽  
Vol 13 (5) ◽  
pp. e234490
Author(s):  
Evan C Chen ◽  
Jonathan A Stefely ◽  
Bimalangshu R Dey ◽  
Walter H Dzik
Keyword(s):  
Effective Treatment ◽  
Disease Severity ◽  
Critically Ill ◽  
Intravenous Immunoglobulins ◽  
Current Treatment ◽  
Haemophagocytic Lymphohistiocytosis ◽  
Tailored Therapy ◽  
Fatal Disease ◽  
Therapeutic Challenge

Haemophagocytic lymphohistiocytosis (HLH) can be a rapidly fatal disease. Current treatment in adults is extrapolated from the HLH-2004 protocol that specifies a regimen of etoposide, dexamethasone and cyclosporine. However, HLH presents as a spectrum of disease severity. A therapeutic challenge arises for milder cases where the harms of potent chemotherapy such as etoposide may outweigh its benefit. We present a case of an adult with HLH who developed significant pancytopenia but was otherwise not critically ill and who responded to treatment with a chemotherapy-sparing approach consisting of intravenous immunoglobulins and corticosteroids alone. The case illustrates that tailored therapy may allow effective treatment of the disorder while minimising therapy-related toxicities.

The plague in Moscow in 1771 and a new coronavirus infection: what they have in common

2021 ◽  
pp. 62-77
Author(s):  
Leonid Anatolievich Denisov ◽  
Mikhail Sergeevich Pakhomov
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Effective Treatment ◽  
Medical Science ◽  
Historical Event ◽  
Prevention Measures ◽  
Physical And Mental Health ◽  
Coronavirus Infection ◽  
The City

The article is devoted to a historical event that occurred 250 years ago in Moscow. The authors draw analogies between the plague epidemic and the current situation associated with a new coronavirus infection, and note what unites these events. It shows the dedicated work of doctors in the conditions of complete ambiguity of the causes and spread of these infections, in the absence of effective treatment methods, what was the behavior of the population, how prevention measures were developed, and what is the role of the authorities of Moscow and St. Petersburg in the fight. How the state of medical science and the level of health care, referred to by economists as the non — material sphere, can affect the physical and mental health of the population and the economic situation of the city, country and the whole World.

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

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.

scholarly journals Review: Psychological & Behavioural Treatments of Nonepileptic Seizures in Children and Adolescents

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S299-S299
Author(s):  
Hemma Velani ◽  
Julia Gledhill
Keyword(s):  
Young People ◽  
Children And Adolescents ◽  
Epileptic Seizures ◽  
Individual Therapy ◽  
Treatment Modalities ◽  
Future Research ◽  
Control Group ◽  
Physical And Mental Health ◽  
Retrospective Case ◽  
High Level

AimsTo systematically review Psychological and Behavioural treatments on NES in children and adolescents by reviewing the current literature.BackgroundNon-epileptic seizures (NES) are associated with a high level of functional impairment for young people and their families. However, there are no UK guidelines for the management of NES in children and adolescents or adults. Though information from the limited studies in adults may be useful, the findings may not be generalizable to children and adolescents. To date, we are unaware of any published systematic review on this topic in children and adolescents.MethodA systematic search of relevant electronic databases was conducted. Any study investigating the effectiveness of psychological and behavioural treatments on NES, in Children and Adolescents was included.ResultFifteen studies were identified, but only six studies had the primary aim of evaluating an intervention, and only one used a control group. The rest were observational studies that examined retrospective case notes.CBT and psychoeducation were identified as the most common interventions. Eleven out of the fifteen studies used multiple treatments, four looked at one treatment only, three of these CBT and one was a natural history study.Where individual therapy was provided, a common focus was management of anxiety, usually delivered in a flexible way, adapted to individual needs. Despite being identified as important in the literature, only one study demonstrated care that involved collaboration between physical and mental health teams.ConclusionIt's difficult to conclude from this review that one treatment approach is superior to another. The findings of this review offer some insight into current practise and may help to inform future research in this area. CBT and psychoeducation with a focus on anxiety are frequently included in interventions for NES in young people, and further evaluation of these treatment modalities could be a helpful next step.

scholarly journals Reliability and validity of the Peer Relation Questionnaire in a sample of Greek school children and adolescents

2021 ◽  
Vol 26 (1) ◽  
pp. e974
Author(s):  
Marilena Panagiotou ◽  
Maria Charalampopoulou ◽  
Flora Bacopoulou ◽  
Ioanna Maria Velegraki ◽  
Ioulia Kokka ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Short Form ◽  
Reliability And Validity ◽  
Principal Component ◽  
Criterion Validity ◽  
Greek Language ◽  
Physical And Mental Health ◽  
Public And Private ◽  
Peer Relation ◽  
Public And Private Sector

Bullying among children and adolescents can have detrimental effects on their physical and mental health. The first step in the identification of bullying is the detection of relevant signs and behaviours, with the use of appropriate instruments. The widely used Peer Relation Questionnaire (PRQ)has been developed to measure bullying behaviour in children and adolescents. The aim of this study was to translate and validate this instrument in the Greek language in a school sample of children and adolescents. Α sample of 193 students (mean age ± SD 11.44 ± 1.26 years, girls 49.7%), was recruited from elementary and junior high schools of the public and private sector, in the capital of Athens, Greece. Along with the Peer Relation Questionnaire, the Stress in Children questionnaire and a structured inquiry regarding satisfaction from various aspects of life were used to assess the criterion validity of the Peer Relation Questionnaire. Results revealed good psychometric properties of the questionnaire in the Greek language. The principal component analysis resulted in two subscales that demonstrated an adequate internal consistency and a significant correlation with stress and satisfaction parameters, suggesting satisfying criterion validity. Meaningful associations between demographic characteristics and the subscales were also found. The Greek version of the Peer Relation Questionnaire-short form can be used as a valid tool to measure bullying behaviour in children and adolescents.

Calcaneal Osteomyelitis: Current Treatment Concepts

2019 ◽  
Vol 19 (3) ◽  
pp. 230-235 ◽  
Author(s):  
Michael J. McCann ◽  
Ashleigh Wells
Keyword(s):  
Prognostic Factors ◽  
Literature Review ◽  
Medical Management ◽  
Current Treatment ◽  
Proper Treatment ◽  
Treatment Protocols ◽  
Clinical Diagnostic ◽  
Treatment Concepts

Calcaneal osteomyelitis can be a debilitating disease if proper treatment protocols are not initiated. This literature review details the epidemiology, clinical, diagnostic, and prognostic factors, and medical management in those who developed this disease.

Immigration Brings New Pathology with No Standardized Treatment Protocol

2018 ◽  
Vol 108 (6) ◽  
pp. 517-522
Author(s):  
Tara L. Harrington ◽  
Denten Eldredge ◽  
Erica K. Benson
Keyword(s):  
Opportunistic Infections ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Current Treatment ◽  
Foot And Ankle ◽  
Treatment Protocols ◽  
Clinical Presentations ◽  
Standardized Treatment ◽  
Madura Foot ◽  
Antimicrobial Interventions

Madura foot is an uncommon invasive soft-tissue infection that foot and ankle specialists encounter. We present two rare cases of Phialemonium and Phaeoacremonium fungi infections of the foot diagnosed in northern California to inform physicians on the presentation and current treatment options for this unique pathology. The two cases presented outline the clinical presentations, diagnostic data, and surgical and antimicrobial interventions. There is a concentration on the antimicrobial options depending on which of the over 20 species is encountered. The pertinent literature and supporting data are reviewed to create an outline for discussion of treatment protocols when faced with these emerging opportunistic infections.

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