Download PDF by Ashaunta T. Anderson: 50 studies every pediatrician should know

By Ashaunta T. Anderson

ISBN-10: 0190204036

ISBN-13: 9780190204037

50 reviews each Pediatrician may still comprehend presents key reports that experience formed the present scientific perform of pediatrics. chosen utilizing a rigorous method, the experiences conceal themes together with: hypersensitive reaction immunology, behavioral, cardiology, dermatology, endocrinology, ENT, common pediatrics, hematology, infectious ailment, neonatology, nephrology, neurology, oncology, ophthalmology, orthopedics, and pulmonary. for every research, a concise precis is gifted with an emphasis at the effects and barriers of the research, and its implications for perform. An illustrative scientific case concludes each one overview, by means of short details on different appropriate reviews. this can be one of many simply books of its type to offer a set of the main influential medical trials in pediatrics which are specific sufficient for use on rounds, yet nonetheless simply digestible.

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62). 6% of total) attempted suicide to draw definitive comparisons; 4 of these were in the fluoxetine and CBT group, 2 in the fluoxetine alone group, and 1 in CBT alone. No patients committed suicide. 58). 8% (26%–​4 4%) Criticisms and Limitations: The study was composed solely of English-​ speaking patients, limiting application in other demographic populations. By excluding those with recent hospitalization, suicide attempt, or suicidal ideation without a safe family monitoring environment, the authors potentially biased their findings away from those at highest need for depression treatment, but these patients were deemed too unsafe to be randomized to a placebo group.

Children who did not respond adequately were given alternative medications such as dextroamphetamine. Subsequently, children met monthly with a pharmacotherapist who adjusted the medications using a standardized protocol based on input from parents and teachers. ” The parent training consisted of 27 group and 8 individual sessions per family led by a doctoral-​level psychotherapist. The sessions initially occurred weekly, but were tapered over time. The child-​focused treatment consisted of an 8-​week full-​t ime summer program that promoted the development of social skills and appropriate classroom behavior, and involved group activities.

Suggested Answer: The TADS group found that SSRIs (fluoxetine) in combination with CBT were the most effective treatment for adolescent depression, with over two-​thirds of patients demonstrating a clinical response by 12 weeks of treatment. For this reason an SSRI and CBT are both recommended for moderate to severe depression in adolescents. Patients and families may prefer to start with one or the other treatment, but both modalities should be explained. In addition to discussing the most common side effects of SSRIs (headache, gastrointestinal effects, insomnia), it is also prudent to discuss the increased risk of suicidality in those taking SSRIs, relative to CBT alone.

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50 studies every pediatrician should know by Ashaunta T. Anderson


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