Diagnosis and Treatment of ADHD in School-age Children in Primary Care Settings

2003 ◽  
Vol 24 (3) ◽  
pp. 92-98
Author(s):  
Martin T. Stein ◽  
James M. Perrin
Keyword(s):  
Primary Care ◽  
Diagnosis And Treatment ◽  
School Age Children ◽  
School Age ◽  
Primary Care Settings

scholarly journals The Relationship Between Social Risks and the Mental Health of School-Age Children in Primary Care

2020 ◽  
Vol 20 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Andrea E. Spencer ◽  
Tithi D. Baul ◽  
Jennifer Sikov ◽  
William G. Adams ◽  
Yorghos Tripodis ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
School Age Children ◽  
School Age ◽  
Social Risks ◽  
The Relationship

scholarly journals Parental perspectives regarding primary-care weight-management strategies for school-age children

2014 ◽  
Vol 12 (2) ◽  
pp. 326-338 ◽  
Author(s):  
Christy Boling Turer ◽  
Megha Mehta ◽  
Richard Durante ◽  
Fatima Wazni ◽  
Glenn Flores
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Management Strategies ◽  
School Age Children ◽  
School Age ◽  
Parental Perspectives

scholarly journals Whooping cough in school age children presenting with persistent cough in UK primary care after introduction of the preschool pertussis booster vaccination: prospective cohort study

BMJ ◽  
2014 ◽  
pp. g3668 ◽  
Author(s):  
Kay Wang ◽  
Norman K Fry ◽  
Helen Campbell ◽  
Gayatri Amirthalingam ◽  
Timothy G Harrison ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Clinical Research ◽  
Prospective Cohort ◽  
Whooping Cough ◽  
Booster Vaccination ◽  
School Age Children ◽  
School Age ◽  
Pertussis Infection ◽  
Persistent Cough

Objective To estimate the prevalence and clinical severity of whooping cough (pertussis) in school age children presenting with persistent cough in primary care since the introduction and implementation of the preschool pertussis booster vaccination. Design Prospective cohort study (November 2010 to December 2012). Setting General practices in Thames Valley, UK. Participants 279 children aged 5 to 15 years who presented in primary care with a persistent cough of two to eight weeks’ duration. Exclusion criteria were cough likely to be caused by a serious underlying medical condition, known immunodeficiency or immunocompromise, participation in another clinical research study, and preschool pertussis booster vaccination received less than one year previously. Main outcome measures Evidence of recent pertussis infection based on an oral fluid anti-pertussis toxin IgG titre of at least 70 arbitrary units. Cough frequency was measured in six children with laboratory confirmed pertussis. Results 56 (20%, 95% confidence interval 16% to 25%) children had evidence of recent pertussis infection, including 39 (18%, 13% to 24%) of 215 children who had been fully vaccinated. The risk of pertussis was more than three times higher (21/53; 40%, 26% to 54%) in children who had received the preschool pertussis booster vaccination seven years or more previously than in those who had received it less than seven years previously (20/171; 12%, 7% to 17%). The risk of pertussis was similar between children who received five and three component preschool pertussis booster vaccines (risk ratio for five component vaccine 1.14, 0.64 to 2.03). Four of six children in whom cough frequency was measured coughed more than 400 times in 24 hours. Conclusions Pertussis can still be found in a fifth of school age children who present in primary care with persistent cough and can cause clinically significant cough in fully vaccinated children. These findings will help to inform consideration of the need for an adolescent pertussis booster vaccination in the United Kingdom. Study registration UK Clinical Research Network portfolio ID 8361.

scholarly journals Advanced Practice Registered Nurses: Gateway to Screening for Bipolar Disorder in Primary Care

2016 ◽  
Vol 10 (1) ◽  
pp. 59-72 ◽  
Author(s):  
Ann Marie Kriebel-Gasparro
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Registered Nurses ◽  
Screening Tools ◽  
Diagnosis And Treatment ◽  
Advanced Practice ◽  
Barriers To Screening ◽  
Primary Care Settings ◽  
Advanced Practice Registered Nurses ◽  
Facilitators And Barriers

Objective: The goal of this mixed methods descriptive study was to explore Advanced Practice Registered Nurses’ (APRNs’) knowledge of bipolar disorder (BPD) and their perceptions of facilitators and barriers to screening patients with known depression for BPD. Methods: A mixed method study design using surveys on BPD knowledge and screening practices as well as focus group data collection method for facilitators and barriers to screening. Results: 89 APRNs completed the survey and 12 APRNs participated in the focus groups. APRNs in any practice setting had low knowledge scores of BPD. No significant differences in screening for BPD for primary and non primary care APRNs. Qualitative findings revealed screening relates to tool availability; time, unsure of when to screen, fear of sigma, symptoms knowledge of BPD, accessible referral system, personal experiences with BPD, and therapeutic relationships with patients. Conclusion: Misdiagnosis of BPD as unipolar depression is common in primary care settings, leading to a long lag time to optimal diagnosis and treatment. The wait time to diagnosis and treatment could be reduced if APRNs in primary care settings screen patients with a diagnosis of depression by using validated screening tools. These results can inform APRN practice and further research on the effectiveness of screening for reducing the morbidity and mortality of BPDs in primary care settings; underscores the need for integration of mental health care into primary care as well as the need for more APRN education on the diagnosis and management of bipolar disorders.

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