La Cocina’s Post

Farmacoterapia del trastorno por déficit de atención con hiperactividad (TDAH) y mortalidad en personas con TDAH: Entre las personas diagnosticadas con TDAH, el inicio de la medicación se asoció con una mortalidad por todas las causas significativamente menor, particularmente por muerte por causas no naturales. Importancia: El trastorno por déficit de atención con hiperactividad (TDAH) se asocia con mayores riesgos de resultados adversos para la salud, incluida la muerte prematura, pero no está claro si la farmacoterapia para el TDAH influye en el riesgo de mortalidad. Objetivo: Investigar si el inicio de la farmacoterapia para el TDAH se asoció con una reducción del riesgo de mortalidad en personas con TDAH. Diseño, entorno y participantes: En un estudio de cohorte observacional a nivel nacional en Suecia que aplicó el marco de emulación de prueba objetivo, identificamos personas de 6 a 64 años con un diagnóstico incidente de TDAH entre 2007 y 2018 y sin dispensación de medicamentos para el TDAH antes del diagnóstico. El seguimiento comenzó desde el diagnóstico de TDAH hasta la muerte, emigración, 2 años después del diagnóstico de TDAH o el 31 de diciembre de 2020, lo que ocurra primero. Exposiciones: El inicio de la medicación para el TDAH se definió como la dispensación de la medicación dentro de los 3 meses posteriores al diagnóstico. Principales resultados y medidas: Evaluamos la mortalidad por todas las causas dentro de los 2 años posteriores al diagnóstico de TDAH, así como la mortalidad por causas naturales (p. ej., condiciones físicas) y no naturales (p. ej., lesiones no intencionales, suicidio e intoxicaciones accidentales). Resultados: De 148.578 personas con TDAH (61.356 mujeres [41,3%]), 84.204 (56,7%) iniciaron medicación para el TDAH. La mediana de edad al diagnóstico fue de 17,4 años (RIC, 11,6-29,1 años). El riesgo de mortalidad a 2 años fue menor en el grupo con estrategia de inicio de tratamiento (39,1 por 10.000 personas) que en el grupo con estrategia de no inicio de tratamiento (48,1 por 10.000 personas), con una diferencia de riesgo de -8,9 por 10.000 personas (95% IC: −17,3 a −0,6). El inicio de la medicación para el TDAH se asoció con una tasa significativamente menor de mortalidad por todas las causas (índice de riesgo [HR], 0,79; IC del 95 %, 0,70 a 0,88) y mortalidad por causas no naturales (riesgo de mortalidad a 2 años, 25,9 por 10.000 personas frente a 33,3). por 10.000 personas; diferencia de riesgo, −7,4 por 10.000 personas; IC del 95 %, −14,2 a −0,5; HR, 0,75; IC del 95 %, 0,66 a 0,86), pero no mortalidad por causa natural (riesgo de mortalidad a 2 años , 13,1 por 10.000 personas frente a 14,7 .../... https://lnkd.in/dPCTNrSV

Workplace bullying isn't just a buzzword—it's a harsh reality for many in the medical field. In our latest blog post, we dive into the impact of bullying on physician well-being and patient care, sharing stories and insights that hit close to home. From the silent suffering of victims to the ripple effects on mental health and job satisfaction, it's time to break the silence and foster a culture of kindness and respect. Read the full blog here: https://buff.ly/3PtCURZ. #APIM #IntegrativeMedicine #Pediatrics #Pediatrician #HealthCareProfessionals #HealthCareInnovation #Bullying #Mindfulness

Challenges in Mental Health Recruitment: Horizon Health's Struggle to Fill Psychiatry and Psychology Vacancies The recent spotlight on Horizon Health Network 's interim CEO, Margaret Melanson, underscores the ongoing battle to address mental health staffing shortages in New Brunswick, Canada. Melanson candidly acknowledges the arduous task of filling vacancies in psychology and psychiatry, shedding light on the systemic hurdles faced by healthcare authorities. The urgency of this issue became glaringly apparent during the Lexi Daken coroner's inquest in early November. The tragic death of the 16-year-old, who sought help at Dr. Dr. Everett Chalmers Regional Hospital's emergency room before succumbing to suicide, amplifies the pressing need for timely access to mental health services. Melanson acknowledges the Herculean efforts invested in tackling this crisis over the past year. However, she candidly admits the uphill battle in recruiting specialized mental health professionals. Psychiatry, in particular, emerges as a field marred by a significant number of vacancies, posing a formidable challenge in delivering comprehensive mental healthcare. The sentiment is echoed by psychologist Mary Ann Campbell , who points to a myriad of factors exacerbating recruitment woes. A dearth of internships within New Brunswick, coupled with insufficient post-secondary resources for training psychologists, compounds the shortage. Moreover, disparities in salaries between provinces like New Brunswick and Nova Scotia further exacerbate the problem, with professionals often seeking greener pastures elsewhere. The disparity in compensation is starkly evident in job postings, with a notable difference of about $10 per hour between the two provinces. While some positions require a PhD, others accept a master's degree, showcasing the complexity of entry requirements in the field. Campbell emphasizes ongoing dialogues with the government to address the shortage, emphasizing the need for a robust recruitment strategy. However, bureaucratic inertia coupled with the relentless demand for mental health services paints a bleak picture for timely interventions. As frontline professionals grapple with burgeoning caseloads and dwindling resources, the urgency of addressing mental health workforce shortages cannot be overstated. The stakes are high, with lives hanging in the balance as individuals navigate lengthy waitlists and limited access to care. In the face of adversity, concerted efforts must be made to prioritize mental health recruitment, ensuring that vulnerable individuals receive the support and treatment they desperately need. The time for action is now, lest we risk further tragedies like the heartbreaking loss of Lexi Daken. https://lnkd.in/efCPmAui #mentalhealth #psychiatry #psychiatrist #newbrunswick #canada

Criterios diagnósticos y características que apoyan al diagnóstico Descubre cómo diferenciar las características de apoyo del diagnóstico del TDAH y evalúa el componente cognitivo, social y afectivo del niño. Aprende a utilizar el ABAS y escalas de inteligencia para un diagnóstico preciso. #diagnostico #evaluacionpsicologica #psicologia #testpsicologico #psicometria #ABAS #PEDICAT #tdah #perfilpsicologico #autism #adhd #brain #neurodivergente #neurociencia #neuropsicologia #neurodesarrollo #disorder #dsm

#Researchers #uncover #link #between #maternalsensitivity and #infantbrainresponses to #happyfaces #DevelopmentalPsychology ------ https://lnkd.in/g-3MK57g ------ A recent study published in the journal Developmental Science reveals that babies whose mothers engage more sensitively with them during play tend to have heightened brain activity when they encounter happy faces. This response is particularly notable in the dorsolateralprefrontalcortex. The findings shed new light on the link between early caregiving experiences and later emotional and social competencies. Research consistently shows that early experiences with caregivers are fundamental to brain development and future emotional health. While many studies have focused on the adverse effects of negative caregiving, like neglect or abuse,understanding the impacts of positive maternal behaviors is equally important. The researchers aimed to explore how these positive interactions, specifically maternal sensitivity during infancy,influence the brain’s response to emotional cues. “We know that harsh parenting experiences can have long-term impacts on children’s brain development. But we wanted to see whether the positive aspects of parenting—like responding sensitively to an infant’s needs—might be related to how the brain functions in the first months of life,” said study author Jessie Stern, a research scientist at the University of Virginia For their study, the researchers collected data from a sample of 95 mother-infant pairs at two key developmental stages—when the infants were 5 months and 7 months old. The participants were recruited from a hospital in the mid-Atlantic region of the United States Mothers and infants were invited to a laboratory setting where the mothers were asked to engage in a free-play session with their infants. During this session,the mothers interacted with their infants as they normally would, using a set of standardized toys and books provided by the researchers. The interactions were recorded via two cameras, focusing on the infant and the mother,to later analyze the mother’s responsiveness and supportiveness during play. Maternal sensitivity was evaluated based on the mothers’ responsiveness to their infants’ cues and their ability to support the infants’ activities without undue interference. These behaviors were scored using Ainsworth’s Sensitivity Scales, which are established measures in developmental psychology. Coders trained in these scales watched the video recordings of the free-play sessions and assigned scores reflecting each mother’s sensitivity and cooperation with her infant. To measure how infants’ brains respond to emotional stimuli, the researchers utilized functional near-infrared spectroscopy (fNIRS). This non-invasive technique measures brain activity by detecting changes in blood flow in the cortex, which reflects neuronal activity.

La conexión entre padres e hijos es fundamental en el desarrollo emocional y psicológico de los niños. Según un estudio clínico publicado en el Journal of Child Psychology and Psychiatry, la calidad de la relación familiar influye en la autoestima, la resiliencia y el bienestar general de los niños. ¡Invierte tiempo en fortalecer esos lazos familiares y verás cómo florecen vínculos más sólidos y amorosos! 💖 📱 52 5636220048 📧 contactanos@tutordoctor.com.mx #VínculoFamiliar #AmorIncondicional #TutorDoctorMX #clasesparticulares #clasesenlinea #tutorias #aprendizaje #educacion #tutoresespecializados #aprenderidiomas #ingles #español #frances #primaria #secundaria #preparatoria #universidad #excelenciaacademica #refuerzoescolar #educacionenlinea #educacioncontinua #regularizacionacademica #recuperacionacademica #exitoacademico #asesoriasacademicas

¡Nuevos hallazgos sobre el TDAH en un reciente estudio! 🧠 La estimulación transcraneal por corriente continua (tDCS) sobre la corteza prefrontal derecha podría ser la clave para mejorar la actividad dopaminérgica y, en consecuencia, el rendimiento. 👦👧 En el estudio, los niños con TDAH realizaron una tarea de aversión al esfuerzo tanto durante como después de la tDCS/placebo sobre la corteza prefrontal derecha, mostrando un aumento en el mantenimiento del esfuerzo. ¡Estos resultados abren nuevas vías para tratar el TDAH! #TDAH #Ciencia #SaludMental #Neurociencia #Investigación #SaludInfantil #tDCS #Dopamina 🔗 https://lnkd.in/diVZ8-Ts

The story of a pretest, post test, and follow-up after 1 year ! It was between 2007 and 2013. Lots of parents were calling our clinic in distress. They were in a panic.They got advice from the school to take their wards to mental health experts to get assessed. Problem behaviours or scholastic backwardness were the main reasons for such referrals from the school. The department of behavioural sciences in our hospital thought of an initiative. We decided to start a project, CARE( Child & Adolescent Resource Enhancement Programme). There were multiple layers for this project. As a pilot project, we selected one school. A team was formed to implement this project under the leadership of the department of behavioural sciences. We included psychiatrists, psychologists, ENT specialists , ophthalmologists , paediatricians, and dentists in the team. The idea was to provide a comprehensive assessment on factors that can lead to poor scholastic performance and problem behaviours. We prepared a screening questionnaire and sent the same to teachers and parents. This was on common problems seen among children that can affect their behaviour & studies. Based on the results from the screening questionnaires, we made a list of students to be assessed.We visited the school as a team and assessed them. They had hearing impairments, problems with their vision , chronic dental issues, paediatric issues and a lot of them had a variety of behavioural issues. Based on the findings, we have decided to give training to teachers to sensitize them for early identification of cases. The reasons for selecting teachers were 3. 1,They are the ones who spend maximum time with students. 2,They have studied psychology as part of teachers' training. 3,They are the ones who regularly liaise with parents. We discussed conducting a 7 day programme ( on 7 weekends ) for all the teachers of that particular school. As part of the program, we conducted a pre-test on these teachers to find out their understanding regarding different common behavioural issues in children. The test results were miserable. We have given them training for 7 days.The teachers were very enthusiastic.Post-tests were excellent towards the end of 7 days of training. In the following months, we were getting referrals for genuine cases from the school. Children & parents were primed with the right information, and they were convinced about the need to take help from behavioural experts. One year down the line again, we again started seeing panicking parents who were confused about their children, sent from the school, having no idea what's happening with their children, what to do with them , where to go and what to start. Pre-test, post-test, and years down the line..... What, Where & Who went wrong ? What are your views ? Do the teachers need proper grooming / training for early identification and to liaise between parents and mental health professionals?

It’s time to shift our thinking on school behavior and learn how to help struggling or resistant learners shine. All it takes is an understanding of the interconnectedness of our biology and our actions, an open mind to doing things differently, and a toolbox of strategies that work for kids who struggle at school. The FREE School Struggles Summit merges the expertise of 24 speakers to help you and your struggling learner(s). Join us FREE Sept 28-30. Grab your spot at https://esautter—https://lnkd.in/gvDcChAB #adhd #adhdtips #adhdparenting #adhdsupport #adhdbrain #adhdkids #autism #autismparents #neurodiversity #neurodivergent #neuroscience #challengingbehaviour #behavioriscommunication #behaviorrevolution #compassionateparenting #decodingbehavior

Gracias a esta publicación por mostrar las diferentes comorbilidades existentes entre TEA, TDAH, AACC, etc. Es importante tener en cuenta los rasgos comunes que existen entre ellos y entre otros para poder entender y atender de una forma más adaptada y adecuada a la sociedad. Seguir indagando en estas coincidencias es clave para amparar y entender cómo funcionamos como seres humanos. #psicologia #trastornos #infancia