Prevalence of Psychiatric Diagnoses in Pediatric Chiari Malformation Type 1

This cross-sectional study investigates the prevalence and risks for psychiatric diagnoses in a large cohort of children with Chiari malformation type 1 (CM1) presenting for neurosurgical evaluation. Children between the ages of 6 and 17 years who were evaluated and diagnosed with CM1 at a neurosurgery clinic were identified. Eighty-six participants were recruited for this study with an average age of 11 years. Parents of participants completed a pediatric medical history questionnaire and a semistructured interview regarding the child ’s psychiatric, developmental, medical, and family history. A review of medical records was completed to complement interview data. Elevated rates of psychiatric diagnoses, including attention deficit hyperactivity disorder (ADHD) (22.1%), anxiety (12.8%), and depression (10.5%), were identified i n the study population when compared to published norms in the general population documented by the American Psychiatric Association in 2013. In addition, elevated rates of psychiatric diagnoses in first-degree relatives of study participants were also identified. A 2-step binary logistic regression analysis revealed that maternal complications during pregnancy (Wald = 6.52,p = 0.01) increased the risk of a psychiatric diagnosis 9-fold. Premature birth (Wald = 6.79,p = 0.01) also significantly predicted a psychiatric diagnosis amongst participants. The current findings suggest a high prevalence of psychiatric illness in children with CM1. Pregna...
Source: Pediatric Neurosurgery - Category: Neurosurgery Source Type: research

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CONCLUSIONS: Gaps in memory and various memory types were common after ICU admission, whose prevalence waned over time. Compared with nightmares and fearful memories, gaps in memories were most strongly associated with poor mental health and quality of life. Identifying patients with gaps in memories might be an objective way of planning interventions to improve their long-term outcomes.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
CONCLUSIONS: Several anatomical, epidemiologic, and physiologic risk factors for clinically relevant paroxysmal sympathetic hyperactivity can be identified on ICU admission. These features help characterize paroxysmal sympathetic hyperactivity as a clinical-pathophysiologic phenotype associated with worse outcomes after traumatic brain injury.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
Hello, I usually dislike these posts, but I am having a huge amount fo anxiety regarding this and want to talk more about it with people who might have some honest input. I am an American Med student interested in general surgery (but also very open to OBGYN yet general surgery comes first). I have done great in my preclinicals and then life happened: 1) I really did not do well on my step 1 (literally barely passed so keep that in mind). 2) I failed my Family med shelf. Otherwise I am... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Medical Students (MD) Source Type: forums
Pioneering psychiatrist and psychoanalyst who specialised in studying the effects of stillbirth on women ’s mental healthThe psychiatrist and psychoanalyst Stanford Bourne, who has died aged 92 of congestive cardiac failure, broke the silence in the 1960s surrounding the anguish of stillbirth. His work opened up discussion, addressed medical bias, and guided doctors and midwives towards a more compassionate approach.In the 60s, 18,000 women a year had a stillborn baby, but it was cloaked in secrecy. Well-meaning staff quickly removed babies before parents could see, name or hold them, and they were “disposed of...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Psychiatry Medical research Pregnancy Mental health Doctors London Books Source Type: news
AbstractSeries of grafting functionalization on silica microspheres were achieved to mono and bi-functionalized polymers for uranium recovery. Bi-functionalization sorbent is the most effective through improving the sorption capacity and other physico-chemical properties. Completed sorption time reached within 25  min for PAO-MAc/SiO2 at pH 4 with loading capacity 0.98  mmol U g−1, while the PFORE and Langmuir fitting the kinetics and isotherm plateaus respectively with completely desorption through 15  min using 0.5 M HCl. The sorbent shows high stability in sorption and desorption through minimu...
Source: Journal of Radioanalytical and Nuclear Chemistry - Category: Nuclear Medicine Source Type: research
The new law prohibits abortions after about six weeks, a very early stage of pregnancy. Many women are now traveling out of state for...
Source: Reuters: Health - Category: Consumer Health News Source Type: news
We investigated the relationships between individual and occupational demographic variables, professional quality of life (i.e., compassion satisfaction, burnout, and secondary traumatic stress), and affective distress (i.e., depression, anxiety, and stress) in a sample of 524 prelicensed counselors. Using structural equation analysis, we found statistically significant relationships between the professional quality of life and affective distress latent variables. Implications for supporting the needs of prelicensed counselors in supervision are discussed. Study limitations and suggestions for future research are offered.
Source: Journal of Counseling and Development - Category: Psychiatry & Psychology Authors: Tags: Research Source Type: research
Photo credit Aaron Andrew Dear Carol: My dad has dementia, probably Alzheimer’s, and I’m struggling with how to help him. He fights everything that I tell him would make his life easier. I know that assisted living is in his future but I’m trying to care for him in his home for now. How do I convince him that I ​just​ want to help him​ stay safe and his being mad at me for everything I do​ is making this impossible? - SL Continue reading on Inforum for some tips that may help SL manage her dad's care better at home and even in memory care: Minding Our Elders: Caregivers Share Their Personal Storie...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
This study seeks to identify the shared genes and biological pathways between MDD and insomnia based on their shared genetic variants. First, we performed a meta-analysis based on the GWAS summary statistics of MDD and insomnia obtained from Psychiatric Genomics Consortium and UK Biobank, respectively. Next, we associated shared genetic variants to genes using two gene mapping strategies: (a) positional mapping based on genomic proximity and (b) expression quantitative trait loci (eQTL) mapping based on gene expression linkage across multiple tissues. As a result, a total of 719 shared genes were identified. Over half (51%...
Source: Genes - Category: Genetics & Stem Cells Authors: Tags: Article Source Type: research
Beate Ritz Acetaminophen is the most common over-the-counter pain and fever medication used by pregnant women. While European studies suggest acetaminophen exposure in pregnancy could affect childhood asthma development, findings are less consistent in other populations. We evaluated whether maternal prenatal acetaminophen use is associated with childhood asthmatic symptoms (asthma diagnosis, wheeze, dry cough) in a Los Angeles cohort of 1201 singleton births. We estimated risk ratio (RR) and 95% confidence interval (CI) for childhood asthmatic outcomes according to prenatal acetaminophen exposure. Effect modificati...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
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