| 1. |
- Davidson, C., et al.
(författare)
-
Using the live assessment to discriminate between Autism Spectrum Disorder and Disinhibited Social Engagement Disorder
- 2023
-
Ingår i: Seminars in Colon and Rectal Surgery. - : Elsevier BV. - 1043-1489. ; 34:2
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Children with Autism Spectrum Disorder (ASD) and children with Disinhibited Social Engagement Disorder (DSED) may present with similar social problems, despite differing aeti-ologies, resulting in diagnostic conundrums. Methods: Thirty children: 10 with ASD, no maltreatment history, 10 with DSED and 10 typically developing children were assessed via 'gold standard' ASD assessments, including the Autism Diagnostic Observational Schedule (ADOS) and a unique unstructured observation known as the Live assessment. Live utilises a triadic interaction (2 assessors and child), playful teasing and social 'stress' scenarios to increase the social challenge. Results: The ADOS supported discrimination of DSED from ASD to a degree. Where additional neurodevelopmental problems created ambiguity, the Live assessment was more supportive than the ADOS for unpicking the underlying nature of the social problems. Conclusion: Live supported differentiation between ASD, DSED and other neurodevelopmental problems. The greater social challenge presented by Live exacerbated core problems of ASD and, in DSED, core social skills stood out.
|
|
| 2. |
- Levin, Anna, et al.
(författare)
-
The changing landscape of surgery for Crohns disease
- 2020
-
Ingår i: SEMINARS IN COLON AND RECTAL SURGERY. - : W B SAUNDERS CO-ELSEVIER INC. - 1043-1489. ; 31:2
-
Tidskriftsartikel (refereegranskat)abstract
- The incidence of Crohns disease is increasing world-wide and the disease location and behavior is changing towards more colonic as well as inflammatory behavior. As previous data have spoken towards ileal disease and structuring and penetrating disease to be the indications most in need of surgery, one could expect the surgical load to decrease. As these changes are relative, the absolute numbers of surgical interventions are less affected. There are also data showing an increasing complexity among patients at time of surgery. Finally, a new role for surgery as initial therapy to induce remission instead of biologic therapy in ileal or ileocaecal disease has been suggested. In order to improve the care for patients with Crohns disease in general, and the peri-operative phase in particular, the use of multidisciplinary team discussions is essential. In conclusion, the role of surgery is changing. Fewer patients need surgery, but when they do they have more complex disease. In the future, ileocaecal resection may be used increasingly as initial therapy to induce remission in a true top-down approach. (C) 2020 Elsevier Inc. All rights reserved.
|
|
