Management of Children With Autism Spectrum Disorders
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TLDR
Important issues, such as management of associated medical problems, pharmacologic and nonpharmacologic intervention for challenging behaviors or coexisting mental health conditions, and use of complementary and alternative medical treatments, are also addressed.Abstract:
Pediatricians have an important role not only in early recognition and evaluation of autism spectrum disorders but also in chronic management of these disorders. The primary goals of treatment are to maximize the child's ultimate functional independence and quality of life by minimizing the core autism spectrum disorder features, facilitating development and learning, promoting socialization, reducing maladaptive behaviors, and educating and supporting families. To assist pediatricians in educating families and guiding them toward empirically supported interventions for their children, this report reviews the educational strategies and associated therapies that are the primary treatments for children with autism spectrum disorders. Optimization of health care is likely to have a positive effect on habilitative progress, functional outcome, and quality of life; therefore, important issues, such as management of associated medical problems, pharmacologic and nonpharmacologic intervention for challenging behaviors or coexisting mental health conditions, and use of complementary and alternative medical treatments, are also addressed.read more
Citations
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Can state early intervention programs meet the increased demand of children suspected of having autism spectrum disorders
TL;DR: Many Early Intervention programs may not have the capability to address the expected increase in demand for ASD services, and will likely need enhanced resources to provide all children with suspected ASD with appropriate evaluations and services.
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Celiac Disease Presenting as Autism
TL;DR: It is recommended that all children with neurodevelopmental problems be assessed for nutritional deficiency and malabsorption syndromes and it is suggested that in some contexts, nutritional deficiency may be a determinant of developmental delay.
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Goldenhar syndrome: current perspectives
TL;DR: The phenotype of presentation of GS, ethiopathogenesis, genetic counselling and treatment with particular emphasis on surgery correction of hemifacial microsomia are discussed, which implies an individual approach to each single patient and involvement a team of specialists in treatment planning.
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ECHO Autism A New Model for Training Primary Care Providers in Best-Practice Care for Children With Autism
TL;DR: A new model for training primary care providers in best-practice care for ASD is developed and tested using the Extension for Community Healthcare Outcomes (ECHO) framework and statistically significant improvements were observed in self-efficacy, in adherence to ASD screening guidelines, and in use of ASD-specific resources.
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Autism as a disorder of deficiency of brain-derived neurotrophic factor and altered metabolism of polyunsaturated fatty acids
TL;DR: It is proposed that selective delivery of BDNF and methods designed to augment the production of anti-inflammatory cytokines and eicosanoids and PUFAs may prevent, arrest, or reverse the autism disease process.
References
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Journal Article
[Affective disorders in the fourth edition of the classification of mental disorders prepared by the American Psychiatric Association -- diagnostic and statistical manual of mental disorders].
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Behavioral treatment and normal educational and intellectual functioning in young autistic children.
TL;DR: The results of behavior modification treatment for two groups of similarly constituted, young autistic children showed that 47% achieved normal intellectual and educational functioning, with normal-range IQ scores and successful first grade performance in public schools.
Book
Handbook of Autism and Pervasive Developmental Disorders
TL;DR: In this article, a sibling's perspective on the diagnosis of Rett's syndrome is presented. But the authors focus on the development and social development of individuals with autism and do not address the social aspects of the disorder.
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Identification and Evaluation of Children With Autism Spectrum Disorders
TL;DR: This report addresses background information, including definition, history, epidemiology, diagnostic criteria, early signs, neuropathologic aspects, and etiologic possibilities in autism spectrum disorders, and provides an algorithm to help the pediatrician develop a strategy for early identification of children with autism Spectrum disorders.
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Adult outcome for children with autism
TL;DR: Although outcome for adults with autism has improved over recent years, many remain highly dependent on others for support and more fine-grained research is needed into the childhood variables that are associated with good or poor outcome.