Childhood obesity diagnosis and management remains a challenge despite the use of electronic health records: A retrospective study.

Background: The use of electronic health records (EHR) has revolutionized medical practice by improving the quality of care. Childhood obesity (CO) increases the risk of developing other chronic diseases and has a serious psychosocial impact on children. Using EHR may improve this clinical condition since early diagnosis is a crucial means of preventing its negative impacts.

Management of antipsychotic-induced weight gain: prospective naturalistic study of the effectiveness of a supervised exercise programme.

Objective: To determine the potential effectiveness of a behavioural weight control programme including physical exercise in the prevention of antipsychotic-induced weight gain and associated comorbid conditions in outpatients with schizophrenia and mood disorders.

Methods: A prospective, comparative, open and naturalistic study was carried out for a total of 110 patients with schizophrenia, schizoaffective or bipolar disorders (DSM-IV), on treatment with atypical antipsychotics. Of these, 59 patients participated in an 18 month weight control programme that included an educational activity about dietary and physical activity counselling as well as a structured, supervised, facility-based exercise programme.

Clinical and methodological factors related to reliability of the best-estimate diagnostic procedure.

Objective: The reliability and accuracy of the best-estimate diagnostic procedure were examined, and factors associated with reliability were determined.

Method: The subjects were 134 members of large multigenerational pedigrees densely affected by bipolar disorders or schizophrenia. Three best-estimate diagnoses were derived: first, by a research psychiatrist and research assistant unblind to the relatives' diagnoses; second, by two blind independent psychiatrists; third, by a panel of four blind psychiatrists.

[Failure in sclerotherapy: interpretation and management].

In the following summary, we give the definition and interpretation of sclerotherapeutic failure, and the procedure to be observed in such cases. Failure will appear either as postsclerotic relapse, phlebitis at the site of injection, or absence of sclerosis after adequate dosing of sclerosants. In such cases, there are three possibilities: 1.

[Early diagnosis of saphenous insufficiency].

For an adequate treatment of varicose veins of the lower limbs, it is essential to detect underlying saphenous insufficiency as soon as possible. Clinical examination alone will permit us to diagnose saphenous insufficiency right at the earliest moment. This can be classified into three categories, according to the degree of development: definite (saphenous vein tortuous and very dilated); probable (saphenous vein linear and slightly dilated); possible (saphenous vein appears normal).