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The Centers for Disease Control and Prevention (CDC) estimates that about 1 in 88 children has been identified with an autism spectrum disorder (ASD). CDC's estimate comes from the Autism and Developmental Disabilities Monitoring (ADDM) Network, which monitors the number of 8-year-old children with ASDs living in diverse communities throughout the United States. We know that some of the increase is probably due to the way children are identified and served in local communities, although exactly how much is due to these factors is unknown. To understand more, we need to keep accelerating our research. We recognize that people need answers now, and we hope these updated prevalence estimates will help communities to plan better for the supports and services that families need. We are working, together with our partners, on the search for risk factors and causes and to address the growing needs of individuals, families, and communities affected by ASDs. Here are the key findings from this report: More children were diagnosed at earlier ages-a growing number of them by 3 years of age. Still, most children were not diagnosed until after they were 4 years of age. On average, diagnosis was a bit earlier for children with autistic disorder (4 years) than for children with the more broadly defined autism spectrum diagnoses or pervasive developmental disorder not otherwise specified (4 years, 5 months), and diagnosis was much later for children with Asperger disorder (6 years, 3 months); As has been detailed in previous reports, we also found that almost five times as many boys were being identified with ASDs as girls (1 in 54 compared to 1 in 252). Research exploring why there are differences in the identified prevalence among males and females is ongoing and knowing that the conditions are more common among boys can help direct our search for causes; The largest increases over time were among Hispanic and Black children. We suspect that some of this was due to better screening and diagnosis. However, this finding explains only part of the increase over time, as more children were identified in all racial and ethnic groups.; The majority (62%) of children the ADDM Network identified as having ASDs did not have intellectual disability. The largest increases during 2002 to 2008 were among children without intellectual disability (those having IQ scores higher than 70), although there were increases in the identified prevalence of ASDs at all levels of intellectual ability. The ADDM Network prevalence reports help us understand the characteristics of children with ASDs and shed light on the very real impact of the conditions on families and communities living in several communities in the United States. While many studies of ASDs have focused on small groups of individuals, the ADDM Network monitors these conditions among thousands of children from diverse communities across the country. This ongoing, population-based approach allows the ADDM Network to monitor changes in the identification of ASDs and better describe the characteristics of children with these conditions, such as the average age of diagnosis and disparities in identification. These data help direct our research into potential risk factors and can help communities direct their outreach efforts to those who need it most. In summary: We are finding that more children than ever before are being diagnosed with ASDs and they are not being diagnosed as early as they could be. The emotional and financial tolls on families and communities are staggering and therapies can cost thousands of dollars. We recognize that families are frustrated and want answers now. We will continue working to provide essential data on ASDs, to understand the recent increase and why some children are more likely to be identified than others, and to improve early identification in hopes that all children have the opportunity to thrive.
This first-ever Surgeon General's Report on bone health and osteoporosis illustrates the large burden that bone disease places on our Nation and its citizens. Like other chronic diseases that disproportionately affect the elderly, the prevalence of bone disease and fractures is projected to increase markedly as the population ages. If these predictions come true, bone disease and fractures will have a tremendous negative impact on the future well-being of Americans. But as this report makes clear, they need not come true: by working together we can change the picture of aging in America. Osteoporosis, fractures, and other chronic diseases no longer should be thought of as an inevitable part of growing old. By focusing on prevention and lifestyle changes, including physical activity and nutrition, as well as early diagnosis and appropriate treatment, Americans can avoid much of the damaging impact of bone disease and other chronic diseases. In recognition of the importance of promoting bone health and preventing fractures, President George W. Bush has declared 2002-2011 as the Decade of the Bone and Joint. With this designation, the United States has joined with other nations throughout the world in committing resources to accelerate progress in a variety of areas related to the musculoskeletal system, including bone disease and arthritis. As a part of its Healthy People 2010 initiative, the U.S. Department of Health and Human Services (HHS) has developed an important goal for Americans-to increase the quality and years of healthy life. Our hope is that Americans can live long and live well. Unfortunately, fractures-the most common and devastating consequence of bone disease-frequently make it difficult and sometimes impossible for people to realize this goal. HHS is committed to developing a wide array of creative and innovative approaches that can help make the goal of living long and living well a reality for Americans. Several programs of particular relevance to bone health include: The National Institutes of Health's Osteoporosis and Related Bone Diseases - National Resource Center. The National Resource Center provides timely information for health professionals, patients, and the public on osteoporosis, Paget's disease of bone, osteogenesis imperfecta, and other metabolic bone diseases; The National Bone Health Campaign. Targeted at 9- to 12-year-old girls and their parents, this campaign uses Web sites and other activities to promote nutritional choices and physical activities that benefit bone health; Steps to a HealthierUS Initiative. HHS launched this initiative in 2003 to advance the President's goal of helping Americans live longer, better, and healthier lives. At the heart of this program lies both personal responsibility for the choices Americans make and social responsibility to ensure that policymakers support programs that foster healthy behaviors and prevent disease. VERBTM. It's what you do. This national, multicultural, social marketing campaign encourages young people ages 9-13 to be physically active every day as a means of promoting overall health, including bone health. This Surgeon General's Report brings together for the first time the scientific evidence related to the prevention, assessment, diagnosis, and treatment of bone disease. More importantly, it provides a framework for moving forward. The report will be another effective tool in educating Americans about how they can promote bone health throughout their lives.
The National Institutes of Health Publication 07-4051, Guidelines for the Diagnosis and Management of Asthma, The EPR--3 Summary Report 2007, provides key information from the full report on the diagnosis and management of asthma. Summary information is provided on measures of assessment and monitoring, education for a partnership in asthma care, control of environmental factors and comorbid conditions that affect asthma, and medications. Key tables and figures from the full report are included for easy reference. Asthma is a chronic inflammatory disease of the airways. In the United States, asthma affects more than 22 million persons. It is one of the most common chronic diseases of childhood, affecting more than 6 million children (current asthma prevalence, National Health Interview Survey (NHIS), National Center for Health Statistics, Centers for Disease Control and Prevention, 2005) (NHIS 2005). There have been important gains since the release of the first National Asthma Education and Prevention Program (NAEPP) clinical practice guidelines in 1991. For example, the number of deaths due to asthma has declined, even in the face of an increasing prevalence of the disease (NHIS 2005); fewer patients who have asthma report limitations to activities; and an increasing proportion of people who have asthma receive formal patient education (Department of Health and Human Services, Healthy People 2010 midcourse review). Hospitalization rates have remained relatively stable over the last decade, with lower rates in some age groups but higher rates among young children 0-4 years of age. There is some indication that improved recognition of asthma among young children contributes to these rates. However, the burden of avoidable hospitalizations remains. Collectively, people who have asthma have more than 497,000 hospitalizations annually (NHIS 2005). Furthermore, ethnic and racial disparities in asthma burden persist, with significant impact on African American and Puerto Rican populations. The challenge remains to help all people who have asthma, particularly those at high risk, receive quality asthma care. Advances in science have led to an increased understanding of asthma and its mechanisms as well as improved treatment approaches. To help health care professionals bridge the gap between current knowledge and practice, the NAEPP of the National Heart, Lung, and Blood Institute (NHLBI) has previously convened three Expert Panels to prepare guidelines for the diagnosis and management of asthma. The NAEPP Coordinating Committee (CC), under the leadership of Claude Lenfant, M.D., Director of the NHLBI, convened the first Expert Panel in 1989. The charge to that Panel was to develop a report that would provide a general approach to diagnosing and managing asthma based on current science. Published in 1991, the "Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma" (EPR 1991) organized the recommendations for the treatment of asthma around four components of effective asthma management: Use of objective measures of lung function to assess the severity of asthma and to monitor the course of therapy; Environmental control measures to avoid or eliminate factors that precipitate asthma symptoms or exacerbations; Patient education that fosters a partnership among the patient, his or her family, and clinicians; Comprehensive pharmacologic therapy for long-term management designed to reverse and prevent the airway inflammation characteristic of asthma as well as pharmacologic therapy to manage asthma exacerbations. The NAEPP recognizes that the value of clinical practice guidelines lies in their presentation of the best and most current evidence available. This report presents recommendations for the diagnosis and management of asthma that will help clinicians and patients make appropriate decisions about asthma care.
Going into a hospital for any reason can be a very stressful and
sometimes frightening experience. Not only do patients have to deal
with the illness or injury that brought them there, but they also
have to face a tremendous variety of complex, unusual and sometimes
downright strange machinery that will be used in the course of
their treatment.
Medical practitioners of the sixteenth century had their own body of special terms, just like the doctors of this century. McConchie examines medical terminology used in a selection of thirteen medical works published between 1547 and 1612, and compares it with treatment of these words in the Oxford English Dictionary and other dictionaries of today, showing how well - or ill - the specialist terminology of sixteenth-century medical practitioners has been recorded. He compiles a corpus of new data from a selection of medical texts ranging from scholarly tomes to homely handbooks. The study of this corpus reveals errors, omissions, and biases which raise questions for lexicographical tools in general. Are existing dictionaries adequate in their investigation of Renaissance English? Has current understanding been more biased and more deficient than we thought? If so, how are we to redress the problem? This book uses a specialist semantic domain to raise important issues for lexicographers, and historians of early modern English and medicine.
This book originates from an international workshop on personal information held at the Isaac Newton Institute for Mathematical Sciences in Cambridge, UK, in June 1996. The workshop was organized under the joint sponsorship of the British Medical Association and the Isaac Newton Institute in the context of a six-month research program in computer security, cryptology, and coding theory.The revised workshop papers appearing in this volume reflect a lively interdisciplinary exchange of views and ideas between doctors, lawyers, privacy activists, and the computer security community. The volume gives a representative snapshot not merely of the state of the art of the medical computer security art in various countries, but of the complex interplay between human, political, and technical aspects.
Changes in temperature, either hot or cold, is sensed through direct activation of members of the temperature-sensitive transient release potential (TRP) ion channel superfamily, the so-called "thermoTRPs". Of the 28 TRP channels discovered today, seven sense hot or warm temperatures whereas two are activated by cold. Together, these channels cover a wide temperature range with extremes that fall between 10 C and 53 C. This new and unique book reviews research on TRP channels and their relation to health and disease.
Alphabetical listing of all drugs; prescription, over the counter, brand names and generics. Second half of the book allows reference to drugs used for 36 different medical listings.
Straightforward and to the point, The Easy Way to Pass Step 2 CS: A Practical Guide to Prepare for US Clinical Skills Assessment by award-winning clinical instructor CSA Tutor is the affordable, convenient, and trouble-free way to make the grade. In eleven chapters with titles like, "General Physical Examination," "Central Nervous system," "Musculoskeletal examination," and "Typical Step 2 CS Review Cases," the author wastes no time in directing readers on exactly what they need to know to pass the portion of the US Medical Licensing Examination that assesses a physician's ability to apply their medical knowledge, skills, and understanding of clinical science. With countless images and surefire pointers, readers will feel as if they have a personal tutor and for those physicians, who want to ensure success, CSA Tutor offers a flawless technique. It is a technique that has helped over two thousand students sail through the Step 2 CS exam with flying colors.
This innovative book concentrates on the important distinction between philosophy of medicine and medical philosophy, by expanding the focus from knowing that of the first term to the knowing how of the latter. Thus, the idea of patient and provider self-discovery becomes integral part, method, and strategy at the basis of therapeutic treatment. Among the most important contributions of this volume, the definition of Central Medicine, overcoming the dichotomy Western-Eastern medicine and Traditional-Integrative approaches, is presented under the lenses of hermeneutics, with particular regards to neurosciences, psychiatry, and psychology. Evidence-Based and Patient-Centred Medicine are analysed within the debate on placebo and non-specific effects. Furthermore, the clinical research presented in the appendix investigates the patient-doctor relationship, and the interactive nature of human relationships in general, including environment, personal beliefs, and perspectives on lifes meaning and purpose. Tomasis research covers neuroscience, psychology, philosophy, and medicine. In this book, a wide array of questions and answers pertaining to these areas is presented in a clear, readable, and detailed way, satisfying the needs of professionals, students, and anyone who enjoys the exploration of the complexity of human mind, brain, and heart.
...this is an excellent book, giving good advice on how to become a skilled, thoughtful and knowledgeable physician and hence how to become a MRCP (UK)Journal of the Royal College of PhysiciansThe case-by-case approach is useful in preparing for Medicine finals. Together with the examination routines, the book becomes a kind of alternative textbook to conventional clinical examination books such as McCleods. 2nd Opinion, The Magazine of the Scottish Medical Schools ...an invaluable companion to undergraduates in medical finals.
Clinical Neuropsychology Study Guide and Board Review, Second Edition provides an easy to study volume with sample questions and recommended readings that are specifically designed to help individuals prepare for the ABCN written examination. In addition, this book can be used as a teaching tool for graduate students and trainees at various levels. The book is divided into three sections: Section 1: Foundations of Clinical Neuropsychology; Section II: Fundamentals of Assessment; and Section III: Disorders and Conditions. The format is geared toward exam preparation and is much less dense than a typical textbook. Information is provided in a concise, outlined manner, with liberal use of bullets, boxes, illustrations, and tables that allow readers to easily review and integrate information into their already established knowledge base. To augment the study guide, a recommended readings list at the end of each chapter provides references to more comprehensive materials considered important or seminal in each topic area. Additionally, the book contains four 125-question mock exams designed to help readers study and prepare for the written exam. The answers to all questions are explained along with appropriate and supportive references. Features: Detailed charts and summary tables that facilitate conceptual learning Concise coverage of pediatric, adult, and geriatric issues and conditions Emphasis on critical teaching points relevant to current neuropsychological practice Mock exam questions with answers and references at the end of every chapter relevant to the content Four separate 125-question full-length mock exams with answers and references
Baby and Child Care offers authoritative and invaluable information and sound practical advice on child care from conception to adolescence. It is a comprehensive guide for parents and parents-to-be on, among other things, how to have a healthy, normal baby, appropriate care of a newborn, handling children with learning, speech and behavioural problems, and common childhood diseases.
The healer introduced to readers in Andrew Weil's landmark bestseller "Spontaneous Healing", 91-year-old Dr. Robert Fulford has spent over 50 years successfully treating patients failed by conventional medicine. In this information-packed volume, he delineates the healing principles of osteopathy, shares compelling case histories, and offers advice on integrating natural healing methods with modern health care.
Sozialmedizinische Kenntnisse und Fragen gewinnen an Relevanz - und das nicht nur fur Mediziner. Vor dem Hintergrund der Zunahme chronischer Krankheiten, einer gesteigerten Bedeutung von Pravention, Qualitatssicherung und -management, aber auch der aktuellen Gesundheitspolitik ist der einfache Zugang zu sozialmedizinischen Informationen von immer groesserem Interesse. In Zusammenarbeit mit der Deutschen Rentenversicherung ist der neue Pschyrembel (R) Sozialmedizin entstanden: ein verlassliches und kompaktes Nachschlagewerk mit rund 5000 Stichwoertern. Das Woerterbuch verzeichnet alle relevanten und sozialen Aspekte der Medizin und bietet klar strukturierte Informationen zu: Sozial- und Gesundheitssystem Rehabilitation Pravention Gesundheitsoekonomie Public Health Pravention und Gesundheitsfoerderung Gesundheitsoekonomie Qualitatssicherung und Qualitatsmanagement Sozialrecht Epidemiologie Umwelt- und Arbeitsmedizin Statistik Erganzend werden kontextbezogene Gesichtspunkte der Soziologie Psychologie Ernahrungswissenschaften Pharmakologie Stadt- und Umweltplanung Ethik Arbeitsrecht sowie zur Geschichte der Sozialmedizin und zu wesentlichen Berufsbildern dargestellt. Der Pschyrembel (R) Sozialmedizin ist unentbehrlich in der gutachterlichen und arztlichen Praxis, in Rehabilitationseinrichtungen, in Studium und Ausbildung sowie in der sozialmedizinischen Beratung. Auch als Erganzung zum Pschyrembel Klinisches Woerterbuch bietet es dem niedergelassenen und klinisch tatigen Arzt als erstem Ansprechpartner bei sozialmedizinischen Fragestellungen eine verlassliche Orientierung. Facharzte fur Arbeitsmedizin, OEffentliches Gesundheitswesen, Hygiene, Physikalische und Rehabilitative Medizin profitieren von der umfassenden Verbindung von Eintragen und Fachgebieten. Zusatzlich stellt das Nachschlagewerk fur Juristen, Absolventen von Fachstudiengangen wie Sozialarbeit, Sozialpadagogik, Heilpadagogik und Public Health sowie fur Mitarbeiter von Krankenversicherungen, Rentenversicherungstragern, Arbeitsagenturen, Sozialstationen und Pflegediensten einen wichtigen und hilfreichen Wegweiser im komplexen Schnittstellenbereich zwischen Medizin, Gesundheitspolitik und Gesellschaft dar.
Fully prepare yourself for your written exam with this detailed study guide. Suitable for the Level 3 Technical Certificate/Diploma/Advanced Diploma in Animal Management, this study guide fully covers all of the learning outcomes for the mandatory unit Biological Systems of Animals. Written for level 3 students, using clear language and straightforward explanations, this colourful study guide will help you work your way through the units and then prepare for your exam. Fully explains anatomical and physiological systems using understandable language. Includes clearly labelled diagrams, so you can understand the structure and function of each system. Check your knowledge and understanding with questions at the end of each topic. Includes opportunities to practice labelling of diagrams. Answers to all questions are available online.
Over time, horses (like people) acquire postural habits, compensate for soreness and injury, and develop poor movement patterns. This limits performance ability, causes unsoundness and health issues, and ultimately undermines the horse's overall well-being. Jec Aristotle Ballou has made a name for herself advocating for the horse and providing sensible instruction in his schooling, conditioning, and care. Her bestselling books and popular clinics are designed to enable any horse person to correctly apply proven principles that bring measurable progress while avoiding boredom and confusion. In her latest collection of mounted and unmounted corrective exercises, Ballou demonstrates how we can actively work to improve the horse's posture and movement, whether he is an active performance or pleasure mount, an aging or older horse that benefits from gentle exercise, or one being rehabilitated following injury, illness, or lack of conditioning. Ballou's positive cross-training techniques are free of shortcuts, and her guidelines for analyzing the horse's posture and way of going help readers gain a new awareness of the equine body. Applicable for all disciplines, this is an integral collection that optimizes how the horse uses his body and helps ensure he stays sounder and healthier for more years of his life.
Catafalque offers a revolutionary new reading of the great psychologist Carl Jung as mystic, gnostic and prophet for our time. This book is the first major re-imagining of both Jung and his work since the publication of the Red Book in 2009 -- and is the only serious assessment of them written by a classical scholar who understands the ancient Gnostic, Hermetic and alchemical foundations of his thought as well as Jung himself did. At the same time it skillfully tells the forgotten story of Jung's relationship with the great Sufi scholar, Henry Corbin, and with Persian Sufi tradition. The strange reality of the Red Book, or "New Book" as Carl Jung called it, lies close to the heart of Catafalque. In meticulous detail Peter Kingsley uncovers its great secret, hidden in plain sight and still -- as if by magic -- unrecognized by all those who have been unable to understand this mysterious, incantatory text. But the hard truth of who Jung was and what he did is only a small part of what this book uncovers. It also exposes the full extent of that great river of esoteric tradition that stretches all the way back to the beginnings of our civilization. It unveils the surprising realities behind western philosophy, literature, poetry, prophecy -- both ancient and modern. In short, Peter Kingsley shows us not only who Carl Jung was but who we in the West are as well. Much more than a brilliant spiritual biography, Catafalque holds the key to understanding why our western culture is dying. And, an incantatory text in its own right, it shows the way to discovering what we in these times of great crisis must do. |
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