Motor skills in children with ADHD: overlap with developmental coordination disorder.

Individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) often have overlooked motor difficulties which can be at least partially attributed to co-occurring conditions such as Developmental Coordination Disorder (DCD). Understanding the influence of DCD and motor difficulties is important to detect in children for early support. Accordingly, the present study examined the prevalence of DCD diagnoses, cases of probable DCD, and related impairments among German-speaking parents of children with ADHD.

Safe and simple emergency department discharge therapy for patients with type 2 diabetes mellitus and severe hyperglycemia.

Objective: To investigate the safety and effectiveness of 2 simple discharge regimens for use in patients with type 2 diabetes mellitus (DM2) and severe hyperglycemia, who present to the emergency department (ED) and do not need to be admitted.

Methods: We conducted an 8-week, open-label, randomized controlled trial in 77 adult patients with DM2 and blood glucose levels of 300 to 700 mg/dL seen in a public hospital ED. Patients were randomly assigned to receive glipizide XL, 10 mg orally daily (G group), versus glipizide XL, 10 mg orally daily, plus insulin glargine, 10 U daily (G+G group).

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.

Study Objective: We describe cases referred for physician review because of concern about quality of patient care and identify factors that contributed to patient care management problems.

Methods: We performed a retrospective review of 636 cases investigated by an emergency department physician review committee at an urban public teaching hospital over a 15-year period. At referral, cases were initially investigated and analyzed, and specific patient care management problems were noted.

Elevation of blood lead levels in emergency department patients with extra-articular retained missiles.

Background: Patients who survive gunshot wounds often have retained missiles. Unlike intra-articular retained missiles, extra-articular retained missiles (EARMs) are not routinely removed. Cases of lead toxicity from EARMs have been described.

Impact of a clinical decision rule on hospital triage of patients with suspected acute cardiac ischemia in the emergency department.

Context: Emergency department (ED) physicians often are uncertain about where in the hospital to triage patients with suspected acute cardiac ischemia. Many patients are triaged unnecessarily to intensive or intermediate cardiac care units.

Objective: To determine whether use of a clinical decision rule improves physicians' hospital triage decisions for patients with suspected acute cardiac ischemia.