This document provides an overview of child psychiatry and several childhood disorders, including autism spectrum disorder, attention deficit hyperactivity disorder, learning disorders, oppositional defiant disorder, and conduct disorder. It discusses the symptoms, diagnosis, causes, treatment and management of these conditions. Key topics covered include early intervention strategies for autism, characteristics of specific learning disorders like dyslexia, symptoms and treatments for ADHD and externalizing disorders, as well as factors influencing conduct disorders.
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Examines codependency in terms of its function to help the codependent survive, identifies common cognitive pitfalls and proposes some basic interventions to get people started addressing their codependency issues.
Define what constitutes a “personality disorder”.
Explore the Five Factor Model (FFM) of personality.
Review the three (3) major personality “clusters”.
Look at the ten (10) individual personality disorders.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox
Pinterest: drsnipes
Examines codependency in terms of its function to help the codependent survive, identifies common cognitive pitfalls and proposes some basic interventions to get people started addressing their codependency issues.
Define what constitutes a “personality disorder”.
Explore the Five Factor Model (FFM) of personality.
Review the three (3) major personality “clusters”.
Look at the ten (10) individual personality disorders.
This is a fascinating and informative introduction to the causes, consequences, diagnosis and treatment of ADHD. It is appropriate for parents, teachers, undergraduate and graduate students.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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4. HISTORY
• Dr. Leo Kanner introduced the label- early
infantile autism – in 1943.
• Hans Asperger was a pediatrician treating and
researching autism. Asperger syndrome is
named after him.
5. TRIAD OF IMPAIRMENTS IN
AUTISM
• SOCIAL RELATEDNESS
• LANGUAGE AND COMMUNICATION
• REPERTOIRE OF INTERESTS
7. INCLUDED UNDER ASD
ARE:
• Autistic disorder
• Asperger’s disorder
• Pervasive developmental disorder (PDD) older
nomenclature as per DSM IV TR
8. ASSOCIATION WITH
FRAGILE-X SYNDROME
• Between 2% and 6% of all children diagnosed
with autism, the cause is the Fragile X gene
mutation.
• Approximately one-third of all children diagnosed
with fragile X syndrome also have some degree of
autism.
• Fragile X syndrome is the most common known
single gene cause of autism.
9. AREAS OF IMPAIRMENT
• Communication
• Socialization
• Ritualistic and repetitive behaviour
10. FEATURES OF
DEVELOPMENTAL
DISORDERS
• Its neurodevelopmental disorder
• Can be recognized early in Life
• Has its impact across the Life-Span of the
affected Individual
• On a continuum of mild , moderate and severe
• No cure for core features
• Will improve with training
• Early intervention helps
• Comorbid conditions present
• Tends to run in families
11. PROCESS OF EVALUATION
• Exhaustive history including family history,
developmental history, temperament, medical
history and the progress of core symptoms
• Physical examination
• Assessment of current behavior and functioning
• Assessment of comorbid conditions
• MR, ADHD, epilepsy, mood and anxiety disorders
12. SPECIFIC TOOLS
• Checklist for Autism in Toddlers (CHAT)
• Childhood Autism Rating Scale (CARS)
• Autism Diagnostic Observation Schedule (ADOS)
• Autsim Diagnostic Interview –Revised (ADI-R)
13. HIGH FUNCTIONING
AUTISM
• About 20% of all children with PDD
• Many terminologies used
• HFA, Mild Autism, Autistic Like, PDD NOS, Atypical
PDD, Aspergers Syndrome
• Savant ability
• Average or above IQ
• Superior vocabulary skills
• Higher rate of unusual obsessions
• Motor deficits (clumsiness)
• Speech less commonly delayed
14. TREATMENT
• There are as yet no medications to treat the core
features of ASD
• Need for non- pharmacological interventions
along with pharmacological if needed. The
proportion of time and effort and economic inputs
for both.
15. MOST EFFECTIVE
STRATEGY
• Early intervention studies
• combined developmental +educational + behavioral
approach.
• May be school or home based or both.
• Special schooling / Autism Intervention Centres
• Parental counseling
• Role of Occupational Therapy – Sensory
Integration
16. EARLY INTERVENTION
• Most beneficial
• Begun between ages 2 – 4 years
• Intensive, 15-40 or more hours per week
• Needs to have a schedule through the day
• One to one or low child:adult ratio
• Over 1-2 years or more
• Available evidence suggests that it is the most
effective intervention.
17. WHAT TO TEACH
• Attending skills
• Imitation skills
• Communication skills
• Pre-academic skills
• Self help skills
18. MEDICATIONS
• Risperidone for aggression and irritability in
ASD is approved by FDA.
• Small doses for three to six months.
• Start low go slow.
• With trial discontinuations after 3-4months.
• Medication must be used along with other
psychosocial methods. Medication cannot be a
stand alone treatment.
20. • A disorder in one or more of basic psychological
processes involved in understanding or in using
language, spoken or written, that may manifest
itself in imperfect ability to listen, think, speak,
read, write, spell, or to do mathematical
calculations, including conditions such as
perceptual disabilities, brain injury, minimal
brain dysfunction, dyslexia, and developmental
aphasia.
21. TYPES OF LEARNING DISORDERS
• Dyslexia
• A language and reading disability
• Dyscalculia
• Problems with arithmetic and math concepts
• Dysgraphia
• A writing disorder resulting in illegibility
• Dyspraxia (Sensory Integration
Disorder)
• Problems with motor coordination
22. SPECIFIC LEARNING DISORDER
• Neurodevelopmental disorder produced by the
interactions of heritable and environmental
factors that influence the brain’s ability to
efficiently perceive or process verbal and
nonverbal information.
• Persistent difficulty learning academic skills in
reading, written expression, or mathematics,
beginning in early childhood, that is inconsistent
with the overall intellectual ability of a child.
23. • Specific learning disorder in reading, spelling,
and mathematics appears to aggregate in
families.
• Increased risk of four to eight times in first-
degree relatives for reading deficits, and about
five to ten times for mathematics deficits,
compared to the general population.
• two to three times more often in males than in females.
25. TREATMENT
• Remediation strategies focus on direct
instruction that leads a child’s attention to the
connections between speech sounds and spelling.
• Teaching the child to make accurate associations
between letters and sounds.
• Remediation can target larger components of
reading such as syllables and words.
• Positive coping strategies include small,
structured reading groups that offer individual
attention and make it easier for a child to ask for
help.
30. SYMPTOMS OF ADHD
• Poor attention / concentration
• Leaving tasks unfinished; Poor capacity for sustained
goal-directed attention
• Distractibility, ‘daydreaming’, tends to lose or spoil
things, ‘forgetful’, ‘careless’
• Hyperactivity
• Restlessness, doesn’t sit in a place, on the move,
fidgetiness, excessive talking,
31. SYMPTOMS OF ADHD
• Impulsivity
• Acting before thinking, risky behaviors, accident-
proneness, intrusiveness, unpredictable, impatient, can’t
wait for his turn
• Other symptoms
• Erratic sleep and appetite, excitable, quick mood
changes…
• Impairments: peer, school, academic, personal
32. TREATMENT OF ADHD
• Medications –
Methylphenidate, Atomoxetine, Clonidine, Bupropion, low dose
APD
Play Therapy
Occupational Therapy
Parental counselling
Coordinating with school teachers
34. SYMPTOMS OF CD
• Aggression / destructiveness
• Persons, property
• Antisocial / dissocial behaviors
• Lying, stealing, truancy, burglary, vandalism, staying
away overnight without parents’ knowledge, running
away from home, sexual offences
• Other forms of rule-breaking
37. CHILD FACTORS
• Social / emotional / cognitive processing
• Pro-social skills, social skill deficits, social information
processing
• Co-morbidity
• SLD
• depression, anxiety, OCD
• Substance abuse, affective disorders
• Low self-esteem
38. SOCIAL INFORMATION
PROCESSING PROBLEMS
• Attributional bias – hostile intent to neutral
social cues
• Poor anger regulation
• Low flexibility
• Language / communication deficits
• Choosing aggressive responses to solve problems
39. FAMILY FACTORS
• Dysfunction / Discord / disorder
• Parenting practices
• Inconsistent discipline, overindulgence, polarization of
rearing functions, importance of special position of the
child
• Parent child interactions / relationships
• Lack of warmth
• Disturbed communication patterns
• Rejection / hostility
40. SOCIAL / ENVIRONMENTAL
FACTORS
• Disorganized neighborhood
• Deviant peer group
• Lack of basic living conditions
• Film / Media exposure
41. CLINICAL EVALUATION-
OVERVIEW
• History from multiple sources
• Over many sessions
• School report
• Child interview
• Physical examination
• Rating scales / checklists
• Psychological testing
• Period of ward observation
42. MANAGEMENT
APPROACHES
• Child therapy
• Parent management training
• Family therapy
• Academic / school based interventions
• Pharmacotherapy
• Inpatient management
43. PHARMACOTHERAPY
IN ODD / CD
• Has a limited role in ODD /CD per se
• Co-morbid conditions may need medication
• Severe persistent aggression may need short-
term medication – lithium, neuroleptics,
clonidine, SSRI’s
• Emergencies involving aggression may need
parenteral medication such as intravenous
lorazepam
44. IN CONCLUSION..
• Externalizing disorders need careful, multi-
dimensional evaluation
• Factors contributing to the problem in a given
child need to be identified
• Important to make a multi-axial diagnosis
• Management needs to be individualized
• Adverse outcomes can be minimized by an
appropriate, intensive, intervention