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AbstractIn this commentary, we note the lack of using a dynamic systems perspective on the study of developmental coordination disorder even though the former has been used for the study of motor development. We suggest re considering this approach partly because it addresses both development and coordination under a unified framework. Specifically, we describe concepts that highlight the impor…
Abstract Background: Gastrointestinal (GI) disease is one of the leading aetiologies of chest pain in a primary care setting. The aims of the study are to describe clinical characteristics of GI disease causing chest pain and to provide criteria for clinical diagnosis. Methods: We included 1212 consecutive patients with chest pain aged 35 years and older attending 74 general practitioners (GP…
AbstractNatural health products (NHPs), including herbal medicines, are a modality of complementary and alternative medicine (CAM) commonly used by pediatric patients with attention-deficit hyperactivity disorder (ADHD). Most fami-lies of pediatric patients find NHP treatment to be beneficial; however, clinical evidence of efficacy remains weak or lack-ing. Evidence of herbal medicine safety is…
Abstract Background: Initial success of electrical cardioversion (ECV) of atrial fibrillation (AF) has been reported in several studies as 50%-90%, of which only 50% patients remain in sinus rhythm (SR) at the end of one year. We conducted this study to see if outcomes of other trials are applicable in managed care setting. Methods: We conducted a retrospective study in 370 consecutive patien…
AbstractThe paper reviews the literature on cognitive be-havioral therapy (CBT) across the lifespan. CBT has shown mixed results for children with ADHD. There is a dearth of literature on CBT for adolescents with ADHD with only a few available studies suggesting its usefulness. CBT, however, has proven to be most promising for adults with ADHD. Newer studies have used recent diagnostic classifi…
Abstract Background: The incidence of diaphragmatic hernias caused or exacerbated by diagnostic colonoscopy is not well elucidated at this time, and is believed to be very rare. Case Presentation: We present the case of a 57 year old man with remote history of traumatic injury who first presented with vague left shoulder pain for two weeks, mild anemia, and tested positive for fecal occult bl…
Abstract Comprehensive early intervention programs based on the principles of applied behaviour analysis can promote social communication development in children with autism spectrum disorder (ASD). However, it is not clear to what extent these positive results represent progress towards help-ing children achieve the ultimate goal of spontaneous, flexi-ble, directed and effective spoken langua…
Abstract Although acute pericarditis has charachteristic electrocardiographic (ECG) findings that differentiate it from acute ST segment elevation myocardial infarction (MI); in certain cases diagnosis is somewhat difficult especially when the ECG reveals focal instead of diffuse changes and moreover when pericarditis is associated with an underlying myocarditis causing elevation of the cardia…
Abstract Fetal alcohol spectrum disorders (FASD) are a sur-prisingly common, yet under-identified set of lifelong neurodevelopmental disabilities with substantial economic and social costs—and high rates of debilitating secondary conditions. An advance in the field of FASD is a proposed diagnostic category included in the 2013Diagnostic and Sta-tistical Manual for Mental Health Disorders (DSM…