The Comprehensive Physicians' Guide to the Management of PANS and PANDAS

The Comprehensive Physicians' Guide to the Management of PANS and PANDAS PDF Author: Scott Antoine
Publisher: Simon and Schuster
ISBN: 1637632703
Category : Medical
Languages : en
Pages : 346

Get Book Here

Book Description
An evidence-based guide for doctors diagnosing, testing, and treating children with PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep infections). In the early 1990s, a group of researchers at the National Institute of Mental Health began collecting data on children who had developed neuropsychiatric disorders (OCD and tics) following infections. They found evidence that antineuronal antibodies had developed in some of these children which attacked the basal ganglia region of the brain. MRI and PET scans in these children demonstrated inflammatory changes in the basal ganglia as well. In 1997, the researchers published the first article to describe this syndrome that they named PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep infections). In PANDAS, an autoimmune attack on the brain occurs following a Strep infection. PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) is a broader term that also includes cases following exposure to other infections, toxins, and even stress. Clinicians treating children with PANS and PANDAS have found that antibiotics targeted at the offending organisms, steroids, and IVIG results in marked improvement and occasionally complete remission of the neuropsychiatric symptoms. Disturbing symptoms consistent with many DSM-5 psychiatric disorders manifest in patients with PANS and PANDAS—yet we know that there is a biologic basis for the changes in these children. As a result, these disorders require us, as physicians, to view mental illness in an entirely new way. Resistance to this change in paradigm has made PANS and PANDAS difficult for clinicians to diagnose, unbearable for parents to endure, and controversial for scholars to accept. As such, there is no recognized standard of care. We have written this work in an effort to change that. This is a textbook by physicians for physicians. It was written to bring back some of the art of medicine to physicians caring for a group of children and families who really need it. PANS and PANDAS are complex disorders that demand a rich, multifaceted response with novel treatment approaches. The material in this book is assembled from the peer-reviewed medical literature, in combination with over thirty years of clinical experience caring for the sickest patients, both in and out of the hospital. Here you will find conclusive evidence for the existence and pathophysiology of PANS and PANDAS, alongside testing and treatment interventions the author has successfully used in his own practice with hundreds of children. The book concludes with rich appendices including commonly used labs, doses of medications and supplements, a sample flare protocol, extensive support for parents, sample IVIG orders, and much more. We hope this resource allows you, the physician, to help these suffering families heal.

The Comprehensive Physicians' Guide to the Management of PANS and PANDAS

The Comprehensive Physicians' Guide to the Management of PANS and PANDAS PDF Author: Scott Antoine
Publisher: Simon and Schuster
ISBN: 1637632703
Category : Medical
Languages : en
Pages : 346

Get Book Here

Book Description
An evidence-based guide for doctors diagnosing, testing, and treating children with PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep infections). In the early 1990s, a group of researchers at the National Institute of Mental Health began collecting data on children who had developed neuropsychiatric disorders (OCD and tics) following infections. They found evidence that antineuronal antibodies had developed in some of these children which attacked the basal ganglia region of the brain. MRI and PET scans in these children demonstrated inflammatory changes in the basal ganglia as well. In 1997, the researchers published the first article to describe this syndrome that they named PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep infections). In PANDAS, an autoimmune attack on the brain occurs following a Strep infection. PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) is a broader term that also includes cases following exposure to other infections, toxins, and even stress. Clinicians treating children with PANS and PANDAS have found that antibiotics targeted at the offending organisms, steroids, and IVIG results in marked improvement and occasionally complete remission of the neuropsychiatric symptoms. Disturbing symptoms consistent with many DSM-5 psychiatric disorders manifest in patients with PANS and PANDAS—yet we know that there is a biologic basis for the changes in these children. As a result, these disorders require us, as physicians, to view mental illness in an entirely new way. Resistance to this change in paradigm has made PANS and PANDAS difficult for clinicians to diagnose, unbearable for parents to endure, and controversial for scholars to accept. As such, there is no recognized standard of care. We have written this work in an effort to change that. This is a textbook by physicians for physicians. It was written to bring back some of the art of medicine to physicians caring for a group of children and families who really need it. PANS and PANDAS are complex disorders that demand a rich, multifaceted response with novel treatment approaches. The material in this book is assembled from the peer-reviewed medical literature, in combination with over thirty years of clinical experience caring for the sickest patients, both in and out of the hospital. Here you will find conclusive evidence for the existence and pathophysiology of PANS and PANDAS, alongside testing and treatment interventions the author has successfully used in his own practice with hundreds of children. The book concludes with rich appendices including commonly used labs, doses of medications and supplements, a sample flare protocol, extensive support for parents, sample IVIG orders, and much more. We hope this resource allows you, the physician, to help these suffering families heal.

A Practical Guide to Comprehensive Stroke Care

A Practical Guide to Comprehensive Stroke Care PDF Author: Lalit Kalra
Publisher: World Scientific
ISBN: 9814299510
Category : Medical
Languages : en
Pages : 421

Get Book Here

Book Description
Written for health professionals and managers involved in the planning or provision of stroke care, this book provides a comprehensive, state-of-the-art overview of the evidence and practices that underpin high quality stroke care. It sets the scene by describing the epidemiology, trends and needs of stroke patients, followed by chapters on the prevention of stroke, investigation and management of TIAs (transient ischaemic attack), early management and thrombolysis, clinical management of acute stroke patients and rehabilitation. Each chapter is thematically-linked and provides a complete, up-to-date review of evidence, its implications for clinical practice, proven multidisciplinary models of delivering high quality care, organisation of services for greatest impact within cost constraints and emerging areas for future management of stroke patients. This book is unique as it covers areas such as palliative and end-of-life care for stroke patients, planning and provision of stroke services, benchmarking for quality of services and management of stroke patients in community settings. It will be a unique resource for anyone caring for stroke patients, regardless of discipline or level of expertise, and provides a quick and friendly compendium of evidence, good practice and practical hints on organising care.

Saving Sammy

Saving Sammy PDF Author: Beth Alison Maloney
Publisher: Crown
ISBN: 030746184X
Category : Biography & Autobiography
Languages : en
Pages : 274

Get Book Here

Book Description
The story of one mother’s fight against the medical establishment to prove the link between infection-triggered PANDAS and her son’s sudden-onset OCD and Tourette syndrome. The summer before entering sixth grade, Sammy, a bright and charming boy who lived on the coast of Maine, suddenly began to exhibit disturbing behavior. He walked and ate with his eyes shut, refused to bathe, burst into fits of rage, slithered against walls, and used his limbs instead of his hands to touch light switches, doorknobs, and faucets. Sammy’s mother, Beth, already coping with the overwhelming responsibility of raising three sons alone, watched helplessly as her middle child descended into madness. Sammy was soon diagnosed with obsessive-compulsive disorder (OCD) and later with Tourette syndrome. Unwilling to accept the doctors’ prognoses for lifelong mental illness and repeated hospitalizations, Beth fought to uncover what was causing this decline. Beth’s quest took her to the center of the medical community’s raging debate about whether OCD and Tourette syndrome can be caused by PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). With the battle lines firmly drawn, Beth searched until she found two cutting-edge doctors who answered that question with a definitive yes. Together, they cured Sammy. Five years later, he remains symptom free.

Veterinary Practice Management

Veterinary Practice Management PDF Author: Maggie Shilcock
Publisher: Elsevier Health Sciences
ISBN: 0702029203
Category : Medical
Languages : en
Pages : 248

Get Book Here

Book Description
A practical, user-friendly guide to veterinary practice management, this text presents administrative and financial aspects in an understandable format. It also provides all that is needed to be known to run an efficient veterinary practice.

Comprehensive Vascular and Endovascular Surgery

Comprehensive Vascular and Endovascular Surgery PDF Author: John W. Hallett Jr.
Publisher: Elsevier Health Sciences
ISBN: 0323074766
Category : Medical
Languages : en
Pages : 934

Get Book Here

Book Description
Comprehensive Vascular and Endovascular Surgery, 2nd Edition, edited by John W. Hallett, Jr., MD, FACS, Joseph L. Mills, MD, Jonothan Earnshaw, DM, FRCS, Jim A. Reekers, MD, PhD, and Thom Rooke, MD delivers in-depth, clinically focused coverage of all aspects of vascular surgery in an exceptionally well-designed single reference. Each disease chapter follows the same consistent format, for quick consultation and better comprehension. The revised 2nd Edition features several new chapters, increased endovascular treatment coverage, and updated data from the latest trials...bringing you the newest advances from the field. More than 1,000 photographs, line drawings and tables-including many revised illustrations now in color-depict key concepts and procedures. With its practical user friendly approach-and online access through Expert Consult functionality-this resource offers convenient access to complete guidance. Presents the work of a team of nearly 80 internationally respected vascular surgeons and interventional radiologists who focus on the issues and challenges you face in everyday practice. Uses a highly structured, templated format in each chapter to quickly and consistently deliver information on basic science, clinical presentation, non-invasive testing, medical management, surgical management, complications, outcome, and follow up-making information easy to access and understand. Includes Key Points boxes in every chapter that allow for quick reference and efficient study. Features over 1,000 photographs, line drawings, charts and tables that make important information easy to comprehend. Integrates clinical information with basic science making the material relevant to everyday practice. Covers treatment and interventions from an evidence-based perspective, whenever possible. Provides short, clinical vignettes in the same style as those found on oral exams. Provides online access to the text via expertconsult.com where you can perform quick searches of the complete contents, download all of the images, further your study with bonus review and self assessment questions, and follow links to PubMed abstracts for convenient consultation whwere and when you need it most. Offers new chapters on vascular diagnosis, graft infections, aortic dissection, and visceral aneurysms for greater coverage of the field. Includes a significant increase in endovascular treatment coverage in many of the chapters, reflecting the growing need for experience in these procedures. Presents current data from DREAM and EVAR 1 and 2 trials. Features a revised artwork program-including many revised illustrations and former black and white images now in color-for an enhanced visual understanding of concepts. Includes bonus review and self assessment questions accompany the online version.

Interpersonal Psychotherapy for Depressed Adolescents

Interpersonal Psychotherapy for Depressed Adolescents PDF Author:
Publisher: Guilford Press
ISBN: 160918226X
Category : Psychology
Languages : en
Pages : 337

Get Book Here

Book Description
Grounded in extensive research and clinical experience, this manual provides a complete guide to interpersonal psychotherapy for depressed adolescents (IPT-A). IPT-A is an evidence-based brief intervention designed to meet the specific developmental needs of teenagers. Clinicians learn how to educate adolescents and their families about depression, work with associated relationship difficulties, and help clients manage their symptoms while developing more effective communication and interpersonal problem-solving skills. The book includes illustrative clinical vignettes, an extended case example, and information on the model's conceptual and empirical underpinnings. Helpful session checklists and sample assessment tools are featured in the appendices.

PANDAS and PANS in School Settings

PANDAS and PANS in School Settings PDF Author: Patricia Rice Doran
Publisher: Jessica Kingsley Publishers
ISBN: 1784501662
Category : Education
Languages : en
Pages : 266

Get Book Here

Book Description
PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep) and PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome) occur when an abnormal immune response produces brain inflammation, leading to unusual psychological symptoms in children. Symptoms can include OCD, tics, ADHD, anxiety disorders, sensory issues and marked personality changes. This practical handbook explains how educators can distinguish between these symptoms and pre-existing conditions, and offers strategies for supporting students with PANDAS and PANS in school settings. Contributions from experts provide educators with the understanding needed to be able to collaboratively identify PANDAS and PANS, and carry out effective interventions. As the rate of incidence of PANDAS and PANS increases, this book will be an essential resource for school staff in getting to grips with these complex disorders and overcoming the challenges they present.

Software Process Improvement and Management: Approaches and Tools for Practical Development

Software Process Improvement and Management: Approaches and Tools for Practical Development PDF Author: Fauzi, Shukor Sanim Mohd
Publisher: IGI Global
ISBN: 1613501420
Category : Computers
Languages : en
Pages : 284

Get Book Here

Book Description
Over the past decade, there has been an increase in attention and focus on the discipline of software engineering. Software engineering tools and techniques have been developed to gain more predictable quality improvement results. Process standards such as Capability Maturity Model Integration (CMMI), ISO 9000, Software Process Improvement and Capability dEtermination (SPICE), Agile Methodologies, and others have been proposed to assist organizations to achieve more predictable results by incorporating these proven standards and procedures into their software process. Software Process Improvement and Management: Approaches and Tools for Practical Development offers the latest research and case studies on software engineering and development. The production of new process standards assist organizations and software engineers in adding a measure of predictability to the software process. Companies can gain a decisive competitive advantage by applying these new and theoretical methodologies in real-world scenarios. Researchers, scholars, practitioners, students, and anyone interested in the field of software development and design should access this book as a major compendium of the latest research in the field.

Biomedicine and Alternative Healing Systems in America

Biomedicine and Alternative Healing Systems in America PDF Author: Hans A. Baer
Publisher: Univ of Wisconsin Press
ISBN: 9780299166946
Category : Alternative medicine
Languages : en
Pages : 238

Get Book Here

Book Description
Examining medical pluralism in the United States from the Revolutionary War period through the end of the twentieth century, Hans Baer brings together in one convenient reference a vast array of information on healing systems as diverse as Christian Science, osteopathy, acupuncture, Santeria, southern Appalachian herbalism, evangelical faith healing, and Navajo healing. In a country where the dominant paradigm of biomedicine (medical schools, research hospitals, clinics staffed by M.D.s and R.N.s) has been long established and supported by laws and regulations, the continuing appeal of other medical systems and subsystems bears careful consideration. Distinctions of class, Baer emphasizes, as well as differences in race, ethnicity, and gender, are fundamental to the diversity of beliefs, techniques, and social organizations represented in the phenomenon of medical pluralism. Baer traces the simultaneous emergence in the nineteenth century of formalized biomedicine and of homeopathy, botanic medicine, hydropathy, Christian Science, osteopathy, and chiropractic. He examines present-day osteopathic medicine as a system parallel to biomedicine with an emphasis on primary care; chiropractic, naturopathy, and acupuncture as professionalized heterodox medical systems; homeopathy, herbalism, bodywork, and lay midwifery in the context of the holistic health movement; Anglo-American religious healing; and folk medical systems, particularly among racial and ethnic minorities. In closing he focuses on the persistence of folk medical systems among working-class Americans and considers the growing interest of biomedical physicians, pharmaceutical and healthcare corporations, and government in the holistic health movement

Freeing Your Child from Obsessive Compulsive Disorder

Freeing Your Child from Obsessive Compulsive Disorder PDF Author: Tamar E. Chansky, Ph.D.
Publisher: Harmony
ISBN: 0812931173
Category : Psychology
Languages : en
Pages : 370

Get Book Here

Book Description
An empowering guide to helping children with OCD thrive and find relief from their most distressing symptoms, for kids as young as age four to teens “Dr. Chansky has accomplished a tour de force, which is certain to offer much-needed assistance both to children with OCD-related problems and to their families.”—Jeffrey M. Schwartz, MD, author of Brain Lock Parents of children with obsessive-compulsive disorder know firsthand how confusing and even frightening the symptoms of OCD can be. They have questions about how this condition works and how they can best help their kids: Which behaviors are part of ordinary childhood, and which are symptoms of OCD? How can they help their child take back control of their lives from disruptive thoughts and debilitating rituals? What should they do if their child experiences a relapse in symptoms? In Freeing Your Child from Obsessive-Compulsive Disorder, child psychologist and OCD expert Dr. Tamar E. Chansky helps parents make sense of a child’s experience with this very confusing but highly treatable disorder. She shares intuitive, easy-to-implement strategies for helping kids and teens confidently outsmart the “brain tricks and traps” of OCD, alongside scripts for explaining symptoms to children of all ages and targeted advice for navigating a wide range of OCD themes. Dr. Chansky also advises parents on how they can tailor treatment to their child’s needs with fully updated information on diagnostic criteria, medication, effective therapy modalities, and treatment outcomes, as well as the most recent findings on PANS and PANDAS, the sudden appearance of OCD symptoms after a strep or viral infection. With its research-backed and reassuring guidance, Freeing Your Child from Obsessive-Compulsive Disorder spells out exactly what parents can say and do to help their children reclaim their lives.