health 58

In a study to be presented at a national meeting Oct. 4, researchers at Cincinnati Children's Hospital Medical Center have found no increased risk for death or changes in cardiac vital signs, such as blood pressure or heart rate, even for children with ADHD and severe heart conditions. They also found that when treated with stimulant medications , patients had significant improvements in ADHD symptoms as measured by standardized rating scales. "Children with congenital heart disease are at high risk for ADHD, but fears about cardiovascular side effects, including sudden death, limit the use of stimulant medications," says Julia Anixt, MD, a developmental and behavioral pediatrician at Cincinnati Children's and senior author of the study. "This study indicates that stimulants are both effective and safe when prescribed with appropriate monitoring and in collaboration with the patient's cardiologist." The study will be presented by Pon Trairatvoraku...

Every state in the U.S. has passed legislation pertaining to sport-related concussion. In general, the laws mandate that injured student athletes be evaluated by a qualified health care professional before they can return to participating in sports. Decisions about returning to activity are based on symptom reporting. Grant L. Iverson, Ph.D., of Harvard Medical School, Boston, and coauthors sought to clarify factors associated with concussion-like symptoms in uninjured adolescents using data from more than 30,000 student athletes. It is important for clinicians to understand factors that may be associated with baseline symptom reporting so they can properly make decisions about when athletes may return to activity. The authors found symptom reporting . was more common in girls than boys and that in the absence of a recent concussion, 19 percent of boys and 28 percent of girls reported a group of symptoms similar to postconcussional syndrome. Preexisting psychiatric, development...

Researchers at the Centers for Disease Control and Prevention (CDC) examined 2011 Medicaid outpatient and prescription drug claims from multiple states across the United States. Among their key findings: More than 1 in 4 children between the ages of 2 and 17 who were in foster care had received an ADHD diagnosis, compared to about 1 in 14 of all other children in Medicaid. Children with ADHD who were in foster care were also more likely to have another disorder, with roughly half also diagnosed with conditions such as oppositional defiant disorder, depression, or anxiety. This is compared to about 1 in 3 children with ADHD in Medicaid who were not in foster care. Among children with an ADHD diagnosis, those in foster care were as likely as others to be treated with ADHD medication but were more likely to have received psychological services; About 3 out of 4 of the children with ADHD in foster care received some psychological care in 2011. Lead author Melissa Danielson, MSPH,...