Assistant Clinical Professor Research Articles

A Conversation With High-Resolution Anoscopists

Jeffrey Kwong, DNP, MPH, ANP-BC, ACRN, is a Clinical Assistant Professor, College of Nursing, Rutgers University, Newark, New Jersey, USA.

Hoarding Disorder Data Suggest It's Not OCD Subtype

Back to table of contents Previous article Next article Clinical & Research NewsFull AccessHoarding Disorder Data Suggest It's Not OCD SubtypeLeslie SinclairLeslie SinclairSearch for more papers by this authorPublished Online:21 Oct 2011https://doi.org/10.1176/pn.46.20.psychnews_46_20_18_2AbstractIs compulsive hoarding a component of obsessive-compulsive disorder (OCD) or something else entirely? That's one of the questions being considered by DSM-5 Task Force members as they move toward publication of the manual's next edition in May 2013. The DSM-5 Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic, and Dissociative Disorders Work Group conducted a focused review of the literature on compulsive hoarding (published in the June 2010 Depression and Anxiety) and recommended the classification of hoarding disorder (HD) as a separate entity, although the group is still examining the evidence as to whether inclusion is merited in the main manual or in the "Appendix for Further Research." Their publication includes working diagnostic criteria for compulsive hoarding and mentions several clinician and self-administered measures that have been developed to reflect these criteria and are widely used in the field. They include the Saving Inventory-Revised, the Hoarding Rating Scale, and the UCLA Hoarding Severity Scale. Randy Frost, Ph.D., a professor of psychology at Smith College in Northampton, Mass., and colleagues have recently characterized HD by examining comorbidities associated with the disorder, making HD appear even less as simply a subtype of OCD or even of obsessive-compulsive personality disorder. Researchers at Smith College in Northampton, Mass., said they are "experimenting with highly structured support groups for hoarding disorder, facilitated by peers, and having some success."Credit: Shadwwulf at en.wikipediaFrost and colleagues recruited participants with "a large amount of clutter, trouble using rooms in the home, or difficulty throwing things away" from health and mental health clinic settings, newspaper and information Web sites, and investigator media appearances. They then evaluated psychiatric comorbidity in a sample of 217 people who met the diagnostic criteria for HD outlined by the work group and compared that cohort with data for 96 participants meeting criteria for OCD without HD. Relatively few HD-diagnosed participants were diagnosed with OCD. Other disorders, including major depressive disorder (MDD), generalized anxiety disorder, and social phobia were more frequent among HD subjects than were OCD cases. MDD was the most frequent comorbid condition among HD patients, with more than half the sample receiving that diagnosis. Inattentive attention-deficit/hyperactivity disorder was significantly more frequent in HD than in OCD, evident in nearly 30 percent of HD participants. Doesn't Appear to Be OCD Subtype"This finding accords with recent research suggesting that hoarding is not a subtype of OCD, but instead a distinct condition related to a variety of disorders," Frost and colleagues wrote. Frost told Psychiatric News that these findings open the way for further research of HD: "We are working on a host of new studies, some having to do with the phenomenology of HD, and some having to do with interventions. For example, we are doing some basic research on the process of acquiring. How are decisions about acquiring being made, and what features are associated with those decisions? Exactly how does the process of discarding things go awry? Many people with hoarding disorder try to discard, but are unsuccessful. What gets in their way?" Animal Hoarding Also StudiedIn a separate report in the June 2010 Depression and Anxiety, Frost and Gary Patronek, V.M.D., Ph.D., a clinical assistant professor at the Cummings School of Veterinary Medicine at Tufts University, presented a comparison of object and animal hoarding. They examined the ways in which people who hoard animals differ from people who hoard objects. "Because of the dissimilarities, inclusion of a description of animal hoarding in the text accompanying the diagnostic criteria in DSM-5 may be needed to clarify whether it should be considered as a separate subtype or hoarding disorder," they noted. "Basic studies of animal hoarding, comorbidity, neural substrates, information-processing deficits, and family features are all sorely needed." Frost explained that a problem with studying animal hoarding is that few sufferers voluntarily seek treatment, and few volunteer to be study participants. "This is slowly changing as researchers learn how to find and successfully recruit these individuals for study," said Frost, who believes there will be many more researchers studying HD and animal hoarding once the DSM-5 is published. The research was funded by grants from the National Institute of Mental Health and research funding from Organon/Merck, Endo Pharmaceuticals, and Eli Lilly. An abstract of "Hoarding Disorder: A New Diagnosis forDSM-V?" is posted at <www.ncbi.nlm.nih.gov/pubmed/20336805>. An abstract of "Comorbidity in Hoarding Disorder" is posted at <www.ncbi.nlm.nih.gov/pubmed/21770000>. An abstract of "Comparison of Object and Animal Hoarding" is posted at <www.ncbi.nlm.nih.gov/pubmed/21608085>. ISSUES NewArchived

How Can We Ease the Social Isolation of Underrepresented Minority Students?

In Reply: We agree with Dr. Boateng and Dr. Thomas that social isolation is an important barrier to success among underrepresented minority students (URMs), and we feel for their frustration at the complexity and slow progress on this important issue. Cultural distance for URM students is likely greater than for non-URM students and can affect socialization and interpersonal skills that are valued during medical school such as networking, self-promotion, and reflection. Curricula that foster cultural competency, explore issues of diversity, and promote professionalism are essential to prepare students to care for patients of all backgrounds and circumstances. However, students' problems with interprofessional behavior, social norms, and support mechanisms cannot be fully modified through curricular changes. Nor can medical school curricula overcome, or be responsible to teach methods to overcome, cultural and social barriers due to socioeconomic status, cultural distance, and social norms. These complex barriers make themselves known through negative social and psychological experiences that students have encountered throughout their lives. Strategies to deal with these barriers are much more specific to the individuals involved and cannot be addressed through melding and generalizing students' experiences in a structured manner. But there are ways that medical schools can help. For example, schools can offer support through increasing the number of URM students, having student activities about diversity, and providing social and cultural outlets. Also, having a place where students feel comfortable discussing their experiences of cultural and social barriers is critically important. And helping students address frustrations with poor clinical evaluations and learn concrete approaches to improve the evaluations is also essential. Other approaches include having well-staffed offices for diversity, having student societies, and encouraging students to use their external support systems, including family and religion. We encourage medical schools to simultaneously focus on curriculum and “downstream” social factors important for URM students' success. Medical schools are optimally positioned to partner on a long-term basis with local pipeline institutions and form new models for the future. We should not be discouraged and should continue to improve student1 and faculty diversity2 and seek innovative strategies to ensure academic success for URM students. Kara Odom Walker, MD, MPH, MSHS Assistant clinical professor, Department of Family and Community Medicine, University of California, San Francisco, School of Medicine, San Francisco, California; [email protected]. Gerardo Moreno, MD, MSHS Assistant clinical professor, Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.

Should Expired Medications and Supplies Be Donated to Resource-poor Countries?

Brooke Y. Patterson, PharmD, BCPS, AAHIVE, is a clinical assistant professor of pharmacy practice at the University of Missouri–Kansas City School of Pharmacy and an adjunct professor at Research College of Nursing. She is a clinical pharmacist, American Academy of HIV Medicine specialist, and board-certified pharmacotherapy specialist whose practice at the Kansas City Free Health Clinic currently focuses on HIV primary care, sexually transmitted disease testing, and chronic disease management. Additionally, she leads international medical programs for UMKC pharmacy and nursing students in Central America.

Motivation-Based Interventions for Obesity in Serious Mental Illness

People with serious mental illnesses die an average of 25 years earlier than people in the general population.1 An estimated 60% of this excess mortality is attributed to common preventable and treatable medical conditions, including heart disease, stroke, and diabetes. This has moved providers toward making the delivery of primary care an integral part of behavioral health services — treating people holistically rather than only “from the neck up.”2 People with serious mental illness (SMI) have a higher prevalence of cardiometabolic risk factors, including rates of obesity almost twice that of the general population3,4 The interactions between genotype and environment are complex and poorly understood. Dysfunctional mesolimbic reward patterns may lead to unhealthy food choices.5 These are often in tandem with financial constraints on patients, including living in neighborhoods where fresh fruits and vegetables are difficult to obtain. Symptoms of mental illness, including low energy and anhedonia, may lead to decreased physical activity. Lack of access to Jeanie Tse, MD, FRCPC, is Director of Integrated Health, Institute for Community Living (ICL); and Clinical Assistant Professor of Psychiatry, NYU School of Medicine. Elisa Chow, PhD, is Director of Outcomes Evaluation, ICL. Rosemarie SultanaCordero, MA, LMHC, is Clinical Coordinator, Integrated Health, ICL. Marcia Titus-Prescott, RN, is Associate Director of Integrated Health and Nursing, ICL. Ruth Chiles, RD, is Director of Nutrition, ICL. Andrew Cleek, PsyD, is Director, Urban Institute for Behavioral Health. Elizabeth Cleek, PsyD, is Vice President, Program Design, Evaluation and Systems Implementation, ICL. This work was supported by the New York State Health Foundation; the United Hospitals Fund; the New York Community Trust; and the Brooklyn Community Foundation. The authors acknowledge the contributions of Peter Campanelli, PsyD; Stella Pappas; Cynthia Williams; Shivonne Blake; Le-Nise Watson-Hudson; Drew LaStella, PhD; and Matt Wofsy, as well as numerous staff and consumers at ICL and multiple provider agencies, especially The Bridge; F.E.G.S.; and William F. Ryan Community Health Center. Address correspondence to: Jeanie Tse, MD, FRCPC, Institute for Community Living, Inc., 40 Rector St., New York, NY 10006; phone: 212-3853030; fax: 212-385-2380; email: jtse@iclinc.net. Dr. Tse, Dr. Chow, Ms. Sultana-Cordero, Ms. Titus-Prescott, Ms. Chiles, Mr. Cleek, and Ms. Cleek have disclosed no relevant fi nancial relationships. doi: 10.3928/00485713-20110921-05 Jeanie Tse, MD, FRCPC; Elisa Chow, PhD; Rosemarie Sultana-Cordero, MA, LMHC; Marcia Titus-Prescott, RN; Ruth Chiles, RD; Andrew Cleek, PsyD; and Elizabeth Cleek, PsyD

Visually Guided Male Urinary Catheterization: A Feasibility Study

Ten percent to 15% of urinary catheterizations involve complications. New techniques to reduce risks and pain are indicated. This study examines the feasibility and safety of male urinary catheterization by nursing personnel using a visually guided device in a clinical setting. The device, a 0.6-mm fiber-optic bundle inside a 14F triple-lumen flexible urinary catheter with a lubricious coating, irrigation port, and angled tip, connects to a camera, allowing real-time viewing of progress on a color monitor. Two emergency nurses were trained to use the device. Male patients 18 years or older presenting to the emergency department with an indication for urinary catheterization using a standard Foley or Coudé catheter were eligible to participate in the study. Exclusion criteria were a current suprapubic tube or gross hematuria prior to the procedure. Twenty-five patients were enrolled. Data collected included success of placement, total procedure time, pre-procedure pain and maximum pain during the procedure, gross hematuria, abnormalities or injuries identified if catheterization failed, occurrence of and reason for equipment failures, and number of passes required for placement. All catheters were successfully placed. The median number of passes required was 1. For all but one patient, procedure time was ≤ 17 minutes. A median increase in pain scores of 1 point from baseline to the maximum was reported. Gross hematuria was observed in 2 patients. The success rate for placement of a Foley catheter with the visually guided device was 100%, indicating its safety, accuracy, and feasibility in a clinical setting. Minimal pain was associated with the procedure.

The development of the Coalition for Oral Health for the Aging

Special Care in DentistryVolume 31, Issue 5 p. 147-149 EDITORIAL The development of the Coalition for Oral Health for the Aging Elisa M. Ghezzi DDS, PhD, Corresponding Author Elisa M. Ghezzi DDS, PhD Consultant, Michigan Geriatric Dentistry Network; Provider, Generations Portable Dentistry; Chair, Coalition for Oral Health for the Aging (http://www.micoha.org) Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan. Corresponding author e-mail: eghezzi@umich.eduSearch for more papers by this author Elisa M. Ghezzi DDS, PhD, Corresponding Author Elisa M. Ghezzi DDS, PhD Consultant, Michigan Geriatric Dentistry Network; Provider, Generations Portable Dentistry; Chair, Coalition for Oral Health for the Aging (http://www.micoha.org) Adjunct Clinical Assistant Professor, University of Michigan School of Dentistry, Ann Arbor, Michigan. Corresponding author e-mail: eghezzi@umich.eduSearch for more papers by this author First published: 23 September 2011 https://doi.org/10.1111/j.1754-4505.2011.00206.xCitations: 2 Spec Care Dentist 31(5): 147-149, 2011 Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume31, Issue5September/October 2011Pages 147-149 RelatedInformation

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Experiences with children in lower Manhattan in the wake of 9/11: A professional and personal narrative.

On September 11, 2001, the author, a clinical assistant professor of child and adolescent psychiatry at New York University Medical Center, worked as a psychologist in private practice in close proximity to New York University and the twin towers. She and her young children directly witnessed the attack. She was actively involved in postattack responding to children's and their parents' needs through private practice and disaster relief work. The essay is a narrative that describes her experience of the attacks, professionally and personally, and lessons learned as a result. Language: en

How Critical Is Mental Health in Transplant Decisions?

Back to table of contents Previous article Next article Professional NewsFull AccessHow Critical Is Mental Health in Transplant Decisions?Leslie SinclairLeslie SinclairSearch for more papers by this authorPublished Online:5 Aug 2011https://doi.org/10.1176/pn.46.15.psychnews_46_15_10_1AbstractThe major motivation for transplanting a kidney from a healthy donor to a patient in kidney failure is to improve the patient's well-being. But does simply transplanting the organ necessarily achieve that end point? Researchers at the Ohio State University Medical Center and at Ashland University in Ohio believe too little attention has been paid to other factors, particularly the mental health of transplant recipients. Kristin Kuntz, Ph.D., notes that the transplantation process can be an emotional roller coaster. Moreover, patients often don't volunteer information about their emotional struggles to their care providers.Credit: Ohio State University"Despite the fact that kidney transplants have been performed for over 40 years, the study of psychosocial factors in transplantation has only really been examined over the past 15 to 20 years by a small number of researchers," said Kristin Kuntz, Ph.D., a clinical assistant professor of psychiatry and the transplant psychologist for the Ohio State University Comprehensive Transplant Center. "For years, the medical community has focused on medical and surgical barriers to transplant, and they have maybe dismissed depression and anxiety as a byproduct of living with a chronic illness. Of course, some patients may meet criteria for an adjustment disorder, and their symptoms may resolve once they feel better physically. But for those who have a longstanding history of psychological distress, continued distress after transplant can lead to poorer medical outcomes," she told Psychiatric News. Kuntz and co-researcher Diane Bonfiglio, in a report published in the online Journal of Clinical Psychology in Medical Settings in June, examined rates of psychological distress experienced by renal-transplant candidates using the Patient Health Questionnaire (PHQ) in a sample of 518 end-stage renal-disease patients at the point of first contact with the transplant center. In this sample, 15.1 percent of patients indicated symptoms consistent with a depressive condition, and 7.6 percent had symptoms consistent with an anxiety disorder. "Patients present to the transplant clinic in many cases after years of living with kidney disease and facing the challenges of chronic illness, which can lead to poor quality of life and depression. Transplantation may feel to them like their only hope of having an improved quality of life (and longer life), so anxiety about whether they will be approved for transplant often ensues," said Kuntz. The researchers expressed concern that the rates of psychiatric illness symptoms they detected were lower than expected. They cited a less distressed sample, selection biases, or underreporting of symptoms due to patients' motivation to present themselves positively as possible causes for the underreporting. They also noted that the PHQ was developed for use in medical settings and is less likely than other assessment methods to confound psychological diagnosis with unrelated somatic complaints, such as symptoms of uremia—anorexia, lethargy, trouble sleeping, and decreased mental acuity—that kidney-failure patients can experience. "This quality of the PHQ may make it more likely to estimate psychological distress in a more conservative manner," they noted. Kuntz explained why detecting mental health concerns in transplant candidates is so crucial: "In the early stages of evaluation, depression and anxiety can lead to problems with patients not showing up to appointments or not completing them in a timely manner. When psychological distress is identified early, we can help patients get the proper treatment to help them in coping successfully throughout the transplant process." Kidney transplant recipient Michelle Buonfiglio agreed: "Identifying mental health issues in renal-disease patients might help with medication compliance, will possibly have a positive effect on the overall health of the patient, and might increase patient 'mental readiness' at the time of the transplant, leading to more successful posttransplant compliance and success," she told Psychiatric News (see From Disease to Transplant: a Very Personal Travelogue). "I think patients also have to be taught skills to cope with issues that will develop posttransplant, to help them overcome setbacks and obstacles more quickly as they heal." The researchers offered advice to practitioners working with this patient population. "Patients should be informed that it is to their benefit to be honest about how they are coping during what can be a difficult time psychologically so they can be referred for appropriate treatment. Given that patients listed for kidney transplant may wait several years before receiving a transplant, there is time for them to pursue psychiatric treatment." An abstract of "Psychological Distress in Patients Presenting for Initial Renal Transplant Evaluation" is posted at <www.ncbi.nlm.nih.gov/pubmed/21630000>. ISSUES NewArchived

Ovarian Reserve Screening

Dr. Maseelall is Clinical Assistant Professor, Department of Obstetrics and Gynecology, Northeastern Ohio Universities College of Medicine, 95 Arch Street, Suite 250, Akron, OH 44304; E-mail: [email protected]. The author and all staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interests in, any commercial organizations pertaining to this educational activity. Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This activity expires on August 30, 2012.

A Dictionary of Hallucinations

Jan Dirk Blom, author of A Dictionary of Hallucinations, is a clinical psychiatrist and assistant professor of psychiatry in the Netherlands who holds a doctorate in philosophy. The Dictionary incorporates both of his domains of study as he explores his topic in this focused work of historical inquiry that “aims to reappraise the concepts of hallucinations, illusions, and sensory distortions developed during the era of classic psychiatry and advocates to incorporate them into our current scientific discourse” (p. vi). However, the relatively large scope of the book and an obvious, if not entirely misplaced, allegiance to the liberal arts, while making it fascinating, obscure Blom's goal. The book consists of alphabetical entries divided into fairly distinct categories: definitions of hallucinatory symptoms, medical conditions and substances associated with the mediation of hallucinations, definitions of the terms “hallucination” and “illusion” by important historical authors, historical figures who are known to have experienced hallucinations, and miscellaneous issues. Each definition includes a meaning, and where possible, etymological origin and date of introduction, reference to the authors who introduced the term, etiology and pathophysiology of the symptom, related terms, and relevant bibliographic references. Moreover, cross-references abound, allowing for multiple access points for the reader. Blom attempts to create a much-needed baseline of definitional standardization in an effort to control the terminology relating to hallucinations, which is a necessity if Blom wishes to be successful in his reconciliation of classical psychiatry with contemporary clinical and research science. Lexical shifts can too easily mark a break in the history of a contemporary concept. While A Dictionary of Hallucinations is recommended for large academic libraries, especially those with a medical history collection, it is problematic for clinical or research-oriented organizations. Much of the book's fascinating elements serve to make it cumbersome for the practitioner. It is curious that, given Blom's desire to be relevant to scientists, two of categories that he included are definitions of the terms “hallucination” and “illusion” by historical figures and biographies of those known (or believed) to have had hallucinations, neither of which category is particularly germane to contemporary scientific inquiry. Additionally, the book contains “other misperceptions,” such as multiple entries on the various kinds of color blindness. These inclusions, while not uninteresting in the abstract, stand in the way of quick consultation. The most useful entries are likely those that include etiology and pathophysiology of a symptom. For instance, knowing that “bagel vision” is indicative of migraine is more clinically valuable than knowing that William Blake may have suffered from bipolar disorder or temporal lobe epilepsy. Again, while interesting, this added information complicates clinical use. There are other inclusions that, while not detrimental to the goals of the book, do not really benefit the intended audiences: researchers, clinicians, and historians, alike. For instance, the book has over 100 illustrations, images taken mostly from the public domain (except for a few photos from the 1960s and some author-created images), but the illustrations do not substantially increase the overall value of the work. The inclusion of engravings from the nineteenth century adds to the historic flavor of the entries—after all, many are drawn from that rich period of psycho-neurological inquiry—but the handful of entries named for Bohemian physiologist Johannes Evangelista Purkyně (Purkinje afterimage, Purkinje effect, Purkinje figure, etc.) are not significantly enriched by a drawing of Purkyně done in the early 1800s. Additionally, each of the many entries describing a psychoactive substance ends with the statement, “A person intentionally employing [substance] for the purpose of exploring the psyche may be called a psychonaut.” While this may be a fact, it is a fact inessential to the definition, and the decision to include it so often hints at an unrevealed authorial agenda. A Dictionary of Hallucinations is highly researched, thoughtfully and logically constructed, and, except for some minor quibbles, makes sense as a whole. Even the entries on color blindness, while not clinically useful, belong in an academic discussion of misperception that places color blindness in the same general area as hallucination. The citations at the end of each entry can be very useful for the researcher looking for a starting point. But the book is a hybrid of historical research and clinically useful information, and that might make it a difficult fit in some collections where money and space must be spent on only the most clinically expedient volumes.

Reviews of: Evaluation for Guardianship and Evaluation for Risk of Violence in Juveniles

Journal of Forensic SciencesVolume 56, Issue 4 p. 1085-1085 BOOK REVIEW Reviews of: Evaluation for Guardianship and Evaluation for Risk of Violence in Juveniles Daniel A. Martell Ph.D., Daniel A. Martell Ph.D. Clinical Assistant Professor of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at U.C.L.A., Los Angeles, CA. Mailing address: c/o Park Dietz & Associates, Inc., 2906 Lafayette, Newport Beach, CA 92003.Search for more papers by this author Daniel A. Martell Ph.D., Daniel A. Martell Ph.D. Clinical Assistant Professor of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at U.C.L.A., Los Angeles, CA. Mailing address: c/o Park Dietz & Associates, Inc., 2906 Lafayette, Newport Beach, CA 92003.Search for more papers by this author First published: 05 July 2011 https://doi.org/10.1111/j.1556-4029.2011.01824.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume56, Issue4July 2011Pages 1085-1085 RelatedInformation

Viewpoint: Ultrasound Use Still Lags — to EMʼs Detriment

Viewpoint: Ultrasound Use Still Lags — to EMʼs Detriment

Considering a Doctorate? 10 Things You Need to Know

Considering a Doctorate? 10 Things You Need to Know

Journal Scan: Benzodiazepines Reduce Ketamine-Related Emergence Reactions in Adults

Journal Scan: Benzodiazepines Reduce Ketamine-Related Emergence Reactions in Adults

Supporting Students with Attention-Deficit/Hyperactivity Disorder within a Response to Intervention Framework

Free AccessSupporting Students with Attention-Deficit/Hyperactivity Disorder within a Response to Intervention FrameworkRebecca K. Vujnovic and Gregory A. FabianoRebecca K. VujnovicSearch for more papers by this author and Gregory A. Fabiano1 Clinical Assistant Professor in the Department of Counseling, School, and Educational Psychology, University at Buffalo, SUNY. 333 Diefendorf Hall, Buffalo NY 14214; e-mail: [email protected].2 Associate Professor in the same department and on the Advisory Board of The ADHD Report.Search for more papers by this authorPublished Online:June 2011https://doi.org/10.1521/adhd.2011.19.3.1PDFPDF PLUS ShareShare onFacebookTwitterLinkedInRedditEmail ToolsAdd to favoritesDownload CitationsTrack Citations About Next article FiguresReferencesRelatedDetails Volume 19Issue 3Jun 2011 Information© 2011 The Guilford PressPDF download

A Technical Note on Submuscular Plate Removal for Symptomatic Children and Youth

Clinical Assistant Professor Department of Surgery University of Calgary Alberta Children's Hospital No financial gain is expected as a product of this commentary study. The author declares no conflicts of interest.

Is Nursing Education Considered an Advanced Practice Role?

Emerson Ea, DNP, APRN, BC, CEN, is a clinical assistant professor at New York University College of Nursing. He is a board-certified adult nurse practitioner by the American Nurses Credentialing Center and is a medical-surgical and emergency room nurse. He obtained his BSN from University of St. La Salle, Bacolod City, Philippines, his MS specializing in adult health from Long Island University–Brooklyn Campus, and his DNP from Case Western Reserve University.

Nights Grow Longer

About the Author Dr. Ibitayo is Clinical Assistant Professor, The University of Texas at Arlington, College of Nursing, Arlington, Texas. Address correspondence to Kristina Ibitayo, PhD, RN, Clinical Assistant Professor, The University of Texas at Arlington, College of Nursing, 411 S. Nedderman Drive, Box 19407, Arlington, TX 76019; e-mail: ibitayo@uta.edu. Received: October 18, 2010 Accepted: November 12, 2010 Posted: April 13, 2011 doi:10.3928/00989134-20110329-08