"Many patients, particularly those referred from outside of Shanghai, only came to the clinic for a single visit in order to establish (or confirm) the diagnosis. Among patients who receive treatment at the clinic, the vast majority receive medications, primarily with the central nervous system stimulants that have been proven effective in the treatment of ADHD both in China and in other countries.,, In recent years there has been increased use of non-pharmacological interventions (e.g., behavior therapy) that achieve their effects by changing the behavior and familial relationships of children with ADHD. "
[Show abstract][Hide abstract] ABSTRACT: Attention-Deficit/Hyperactivity Disorder (ADHD) is the most common diagnosis among children treated in outpatient psychiatric clinics in China, accounting for up to 50% of all patients.
Shanghai Archives of Psychiatry 08/2013; 25(4):236-42. DOI:10.3969/j.issn.1002-0829.2013.04.005
[Show abstract][Hide abstract] ABSTRACT: Acute kidney injury develops in up to 30% of patients who undergo cardiac surgery, with up to 3% of patients requiring dialysis. The requirement for dialysis after cardiac surgery is associated with an increased risk of infection, prolonged stay in critical care units and long-term need for dialysis. The development of acute kidney injury is independently associated with substantial short- and long-term morbidity and mortality. Its pathogenesis involves multiple pathways. Haemodynamic, inflammatory, metabolic and nephrotoxic factors are involved and overlap each other leading to kidney injury. Clinical studies have identified predictors for cardiac surgery-associated acute kidney injury that can be used effectively to determine the risk for acute kidney injury in patients undergoing cardiac surgery. High-risk patients can be targeted for renal protective strategies. Nonetheless, there is little compelling evidence from randomized trials supporting specific interventions to protect or prevent acute kidney injury in cardiac surgery patients. Several strategies have shown some promise, including less invasive procedures in those at greatest risk, natriuretic peptide, fenoldopam, preoperative hydration, preoperative optimization of anaemia and postoperative early use of renal replacement therapy. The efficacy of larger-scale trials remains to be confirmed.
Interactive Cardiovascular and Thoracic Surgery 02/2014; 18(5). DOI:10.1093/icvts/ivu014 · 1.16 Impact Factor
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