Search results for "Specialist"
showing 10 items of 798 documents
Intellectual disabilitiy in developmental age
2015
Intellectual disability (ID) is a neurodevelopmental dis- order characterized by deficits in intellectual and adap- tive functioning that present before 18 years of age [1]. ID is heterogeneous in etiology and encompasses a broad spectrum of functioning, disability, needs and strengths. Originally formulated in strictly psychometric terms as performance greater than 2.5 SDs below the mean on intelligence testing, the conceptualisation of ID has been extended to include defects in adaptive beha- viours [2]. The term-global developmental delay-(GDD) is usually used to describe children younger than 5-years of age who fail to meet expected developmental milestones in multiple areas of intellec…
Validity and repeatability of the Pediatric Allergy Questionnaire for Athletes (AQUAped) for the screening of atopy.
2020
BACKGROUND High atopy prevalence has been reported in athletes. Having an age-specific questionnaire for predicting atopy is important for an optimal management of young athletes. The study objectives were as follows: (i) developing a scoring system for the Pediatric Allergy Questionnaire for Athletes (AQUAped); (ii) identifying the optimal age target within the range 7-14 years; (iii) assessing AQUAped validity and repeatability in the identified target population. METHODS A total of 133 young athletes (age 7-14 years) were recruited. Following a screening visit, the participants filled AQUAped at baseline (T0) and after 7 days (T1), concomitantly undergoing skin prick testing. Using atopy…
Asiantuntijat uusien toimintamallien oppijoina
2003
Työ muuttuu ja sitä kautta myös työssä tarvittavien toimintatapojen pitäisi muuttua. Ajattelumallien tai toimintatapojen muuttaminen ei ole aina helppoa, sillä käytössä olevat mallit rutinoituvat nopeasti. Ihmisillä ei ole kykyä, halua tai aikaa tarkastella omaa työtään uusien silmälasien läpi, arvioida tapojensa toimivuutta tai jopa kokonaan kyseenalaistaa niiden järkevyyttä. Mielenkiintoisen ratkaisun etsiä uusia toimintamalleja ennakkoluulottomasti edustaa seuraava esimerkki Englannista. – Artikkelissa kuvataan brittiläisessä sairaalassa toteutettua kehittämisprosessia, jossa lääkärien visuaalisen hahmottamisen apuna on käytetty taiteilijoita.
Biogeographic patterns of base-rich fen vegetation across Europe
2014
International audience; Questions: What is the distribution of base-rich fen vegetation and the specia- list species along European biogeographic regions? How do the gradients in spe- cies composition correlate to geography and climate at continental scale? What are the implications of such patterns for the classification of these habitats?Location: Fifteen countries of Central, Western and Northern Europe.Methods: We compiled a vegetation plot database of base-rich fens and related communities including vascular plants and bryophytes. The initial data set with 6943 plots was filtered according to the presence of specialists using discriminant analysis. We used DCA to analyse the correlatio…
A controlled trial of intra-articular corticosteroids with or without methotrexate in oligoarticular juvenile idiopathic arthritis
2014
In contrast with the numerous controlled trials conducted in polyarticular or systemic juvenile idiopathic arthritis (JIA), little evidence-based information is available for oligoarticular JIA. As a result, the management of children with this subtype, which is the most prevalent in Western countries, is largely empiric. Intra-articular corticosteroid (IAC) injection is the therapy of first choice for oligoarthritis in many pediatric rheumatology centers. However, although IAC injections are usually highly efficacious, relapses of synovitis are common and sometimes occur only a few months after the procedure. It is still unclear whether concomitant administration of methotrexate (MTX) may …
Intra-articular corticosteroids versus intra-articular corticosteroids plus methotrexate in oligoarticular juvenile idiopathic arthritis: a multicent…
2017
Summary Background Little evidence-based information is available to guide the treatment of oligoarticular juvenile idiopathic arthritis. We aimed to investigate whether oral methotrexate increases the efficacy of intra-articular corticosteroid therapy. Methods We did this prospective, open-label, randomised trial at ten hospitals in Italy. Using a concealed computer-generated list, children younger than 18 years with oligoarticular-onset disease were randomly assigned (1:1) to intra-articular corticosteroids alone or in combination with oral methotrexate (15 mg/m 2 ; maximum 20 mg). Corticosteroids used were triamcinolone hexacetonide (shoulder, elbow, wrist, knee, and tibiotalar joints) o…