Managing what you measure: Creating outcome-driven systems of care for youth with serious emotional disturbances

1998 ◽  
Vol 25 (2) ◽  
pp. 177-193 ◽  
Author(s):  
Abram Rosenblatt ◽  
Norman Wyman ◽  
Don Kingdon ◽  
Craig Ichinose
Keyword(s):  
Systems Of Care ◽  
Emotional Disturbances ◽  
Driven Systems ◽  
Serious Emotional Disturbances

Parent, teacher, and child ratings of problem behaviors of youngsters with serious emotional disturbances.

1994 ◽  
Vol 6 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Paul E. Greenbaum ◽  
Robert F. Decrick ◽  
Mark E. Prange ◽  
Robert M. Friedman
Keyword(s):  
Problem Behaviors ◽  
Emotional Disturbances ◽  
Serious Emotional Disturbances

scholarly journals The use of oxybutynin for treating facial hyperhidrosis

2011 ◽  
Vol 86 (3) ◽  
pp. 451-456 ◽  
Author(s):  
Nelson Wolosker ◽  
José Ribas Milanez de Campos ◽  
Paulo Kauffman ◽  
Marco Antonio Munia ◽  
Samantha Neves ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Good Alternative ◽  
Emotional Disturbances ◽  
Thoracic Ganglion ◽  
Compensatory Hyperhidrosis ◽  
Thoracic Sympathectomy ◽  
Serious Emotional Disturbances ◽  
Important Complication ◽  
Before And After

BACKGROUND: Facial hyperhidrosis is a disease that may lead patients to serious emotional disturbances. Video-assisted thoracic sympathectomy provides excellent resolution of facial hyperhidrosis, but is associated with certain complications. The most frequent and important complication is compensatory hyperhidrosis. Especially in patients who have undergone resection of the second thoracic ganglion, the risk of severe compensatory hyperhidrosis is higher, which may cause dissatisfaction with the procedure. OBJECTIVE: The aim of this study was to evaluate the efficacy of the use of low doses of oxybutynin in treating facial hyperhidrosis as well as the level of patient satisfaction with its use. METHODS: 25 patients with facial hyperhidrosis were treated with oxybutynin. The patients underwent 2 evaluations: before and after treatment. These evaluations were used to assess the patients' clinical improvement and quality of life. RESULTS: We observed that more than 75% of the patients evolved with an improvement in facial hyperhidrosis, and 52% of them presented a great improvement. CONCLUSION: Treatment of facial hyperhidrosis with oxybutynin is a good alternative to sympathectomy, since it presents good results and improves quality of life, in addition to not exposing patients to the risk of experiencing the side effects of sympathectomy

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