Ritalin and Liver cancer

"LadyLollipop" wrote in message
news:mmpge.74270$WI3.66141@attbi_s71...

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:4Kbge.69305$r53.42743@attbi_s21...

"Mark Probert" Mark wrote in message
...
The CSPI monograph on AD/HD refers to several of these studies. The
model
used was double blind, cross-over challenge. For one thing, sugar
having
a
role was soundly debunked.

While that is true, sugar certain does make kids hyper!!!!!

Not necessarily

YES ALWAYS!!!!!!!!!!!

Forget any crossover study, ask any teacher!!!!!!!!

I have. They agree with me. There are MANY factors that will affect what I
like to call situational hyperactivity. Example:

A child attends a day camp which has several activity periods.

First period: Playground
Second period: Free swimming
Third period: Free play
Fourth period: Arts & Crafts.

A&C teacher tells parents kid is hyperactive after kid has had three periods
of unstructured activity.



LL/Jan


. In the crossover challenge studies, kids whose parents
"absolutely knew when they had consumed sugar" were given either a
placebo
or sugar, and then switched. The parents were not able to accurately
select
those times when the kids got sugar.



LL/Jan


"Beth Kevles" wrote in message
...

Hi --

I'd be curious to know about the studies that 00doc cites, about the
parents who couldn't tell if their kids had been given "trigger"
foods.
Do you have the cites available?

By the way, I'll strongly second the notion of having some sort of a
double-blind test of trigger foods before accepting a diagnosis of
food
intolerance.

--Beth Kevles

http://web.mit.edu/kevles/www/nomilk.html -- a page for the
milk-allergic
Disclaimer: Nothing in this message should be construed as
medical
advice. Please consult with your own medical practicioner.

NOTE: No email is read at my MIT address. Use the AOL one if you
would
like me to reply.

"LadyLollipop" wrote in message
news:Cppge.74272$WI3.38713@attbi_s71...

"Mark Probert" Mark wrote in message
...

"Brad_Chad" wrote in message
oups.com...
I think the U.S. Government spent about $7 million on food allergy
research in 2001. When you consider all the medical conditions that it
is implicated in, the government doesn't spend nearly enough.


OK, so you do not want to read about studies that have been done.

Like. Mark who just read and didn't see the words NIH
mentioned,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,

Brad Chad did not mention the NIH in this thread. I regularly review their
website and read what is relevant. I am aware of their position on food
allergies, and I agree that food allergies should be ruled out before
diagnosing AD/HD.

If a child is found to have food allergies that cause their behavior
problems, that is a GOOD THING, as it can be addressed with the appropriate
treatment. If food allergies are ruled out, then the child must have their
problems addressed by a different appropriate treatment.

This has been my position all along, it is nothing new.

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:ugpge.74265$WI3.24692@attbi_s71...

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:gBbge.70031$NU4.55318@attbi_s22...

"Mark Probert" Mark wrote in message
...

"Brad_Chad" wrote in message
oups.com...
By definition? The medical community can't even agree on a
definition
of ADD. Some doctors say that it doesn't even exist. Get a clue.

The DSM IV clearly delineates the diagnostic criteria for AD/HD. The
AAP
has
published diagnostic and treatment protocols.

However, there is no doubt that the diagnosis and treatment remain
in
the
forefront of discussion amongst professionals, and this is a good
thing,
not
bad as you seem to imply. Refining, learning, studying is good.

You can do your homework and learn more about AD/HD by visiting the
appropriate websites.


Those websites you posted do not provide factual information. I suggest
the
American Academy of Pediatrics and the National Institutes of Health.


__________________________________________________ __________________________
____________________

(that's the line in which I restrained myself after taking a five minute
break)

Your break should have been longer.

Sometimes it is better to keep quiet and have others suspect that you are a
fool than to open your mouth and remove all doubt".

Dr. DuBose Ravenel,
a nationally-known developmental/behavioral *******pediatrician********
who
serves as one
of my consultants on medical matters.

Nationally known? One reference on Medline for a letter he wrote.

Medline isn't the only source of information.

The bottom line: As concerns the diagnosis and treatment of ADD/ADHD
(attention
deficit disorder/attention deficit hyperactivity disorder), let the buyer
beware. No other contemporary "medical" issue is full of more myth, hype,
and
dubious advertising as this.


In 1998, an overwhelming majority of experts attending the

********* National
Institutes of Health *********

Consensus Conference, after days of reviewing all of the available
evidence, agreed there is no compelling evidence to the effect that
ADD/ADHD
is caused by or significantly and reliably associated with physical or
biochemical
"irregularities" (e.g., deficiencies in the left temporal lobe,
biochemical
imbalances) in the brain. They furthermore agreed that no objective test
or
set
of criteria exists with which to accurately diagnose ADD.

Yes, in *1998* there was no evidence that there were any structural or
chemical differences. However, if the "nationally known" doctor had done
some homework, and it is obvious that he has not, he would have found
copious documentation in the form of studies reported where there were
clear
structural differences found in the ADHD brain. He could do a simple
search
on Nora Volkow's work. She is now the head of the National Institute of
Drug
Abuse, and is an expert on the imaging of the brain with various types of
scanners, etc. Dr. Volkow is cited on Medline 323 times.

A 2002 book,
"Attention Deficit Hyperactivity Disorder-State of the Science," written
by
a number of recognized authorities in the field, reported that the 1998
Consensus Conference findings remained unchanged.
The American Psychiatric Association recognizes ADD as a mental
disorder-the exact cause is unknown; there is no medical test for it;
therefore, the
diagnosis is based on observations of children's behavior

In 1998, a

******U.S. National Institutes of Health ********

Conference of the world's
leading ADHD experts, was forced to conclude that there is no data
confirming it as a brain dysfunction.

The

******National Institute of Health (NIH)*******

reported, "We do not have an independent
valid test for ADHD, and there are no data to indicate that ADHD is
due to brain malfunction. Further research to establish the validity
of the disorder continues to be a problem." The

****NIH******

also reported that
Ritalin and other stimulant drugs result in "little improvement in
academic or social skills," and they recommend research into
alternatives such as change in diet or biofeedback.

The medical community has expressed alarm over the widespread use of
psychotropic drugs for children. Dr. Fred Baughman Jr.,

*******pediatric
neurologist,********

said of psychiatrists, "They have proven several times
over that chronic Ritalin/amphetamine exposure they advocate for
millions of children causes brain atrophy (shrinkage)."

In the area of AD/HD research, citing a book, etc. written 1998 is the
equivalent of citing King Tut.

Sometimes it is better to keep quiet and have others suspect that you are a
fool than to open your mouth and remove all doubt".

A 2002 book,
"Attention Deficit Hyperactivity Disorder-State of the Science," written
by
a number of recognized authorities in the field,

"LadyLollipop" wrote in message
news:s3wge.72386$NU4.1341@attbi_s22...


Sometimes it is better to keep quiet and have others suspect that you are
a fool than to open your mouth and remove all doubt".

Sometimes it is better to keep quiet and have others suspect that you are
a fool than to open your mouth and remove all doubt".


LiarLollipop is plagiarizing again. These unattributed words were stolen
from Mark Twain. Twice.

--Rich

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:mmpge.74270$WI3.66141@attbi_s71...

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:4Kbge.69305$r53.42743@attbi_s21...

"Mark Probert" Mark wrote in message
...
The CSPI monograph on AD/HD refers to several of these studies. The
model
used was double blind, cross-over challenge. For one thing, sugar
having
a
role was soundly debunked.

While that is true, sugar certain does make kids hyper!!!!!

Not necessarily

YES ALWAYS!!!!!!!!!!!

Forget any crossover study, ask any teacher!!!!!!!!

I have. They agree with me. There are MANY factors that will affect what I
like to call situational hyperactivity. Example:

A child attends a day camp which has several activity periods.

First period: Playground
Second period: Free swimming
Third period: Free play
Fourth period: Arts & Crafts.

A&C teacher tells parents kid is hyperactive after kid has had three
periods
of unstructured activity.

Camp is a bit different than daycare.

For example a Halloween Party.

On a rainy day.

LL/Jan


. In the crossover challenge studies, kids whose parents
"absolutely knew when they had consumed sugar" were given either a
placebo
or sugar, and then switched. The parents were not able to accurately
select
those times when the kids got sugar.



LL/Jan


"Beth Kevles" wrote in message
...

Hi --

I'd be curious to know about the studies that 00doc cites, about
the
parents who couldn't tell if their kids had been given "trigger"
foods.
Do you have the cites available?

By the way, I'll strongly second the notion of having some sort of
a
double-blind test of trigger foods before accepting a diagnosis of
food
intolerance.

--Beth Kevles

http://web.mit.edu/kevles/www/nomilk.html -- a page for the
milk-allergic
Disclaimer: Nothing in this message should be construed as
medical
advice. Please consult with your own medical practicioner.

NOTE: No email is read at my MIT address. Use the AOL one if you
would
like me to reply.

"LadyLollipop" wrote in message
news:s3wge.72386$NU4.1341@attbi_s22...

"Mark Probert" Mark wrote in message

(...)

In the area of AD/HD research, citing a book, etc. written 1998 is the
equivalent of citing King Tut.

Mark is correct that the info in a book from about 8 years ago (a book is
typically about a year out of date when it is published) is old.

In addition, there was a lot of information that indicated that ADHD was a
real problem involving the biochemistry of the brain, even back in 1997.

Sometimes it is better to keep quiet and have others suspect that you are
a fool than to open your mouth and remove all doubt".

Then LadyLollipop had better learn to keep quiet.

...

Jeff

"Rich" wrote in message
...

"LadyLollipop" wrote in message
news:s3wge.72386$NU4.1341@attbi_s22...


Sometimes it is better to keep quiet and have others suspect that you are
a fool than to open your mouth and remove all doubt".

Sometimes it is better to keep quiet and have others suspect that you are
a fool than to open your mouth and remove all doubt".


LiarLollipop is plagiarizing again. These unattributed words were stolen
from Mark Twain. Twice.

--Rich

A shame she doesn't take her own advice.

"Jeff" wrote in message
nk.net...

"LadyLollipop" wrote in message
news:s3wge.72386$NU4.1341@attbi_s22...

"Mark Probert" Mark wrote in message

(...)

In the area of AD/HD research, citing a book, etc. written 1998 is the
equivalent of citing King Tut.

Mark is correct that the info in a book from about 8 years ago (a book is
typically about a year out of date when it is published) is old.

Mark diverted from the subject.


In addition, there was a lot of information that indicated that ADHD was a
real problem involving the biochemistry of the brain, even back in 1997.

What Mark stated was:The DSM IV clearly delineates the diagnostic criteria
for AD/HD. The

AAP
has published diagnostic and treatment protocols.
However, there is no doubt that the diagnosis and treatment remain in
the
forefront of discussion amongst professionals, and this is a good
thing, not
bad as you seem to imply. Refining, learning, studying is good.
You can do your homework and learn more about AD/HD by visiting the
appropriate websites.

I did just that, and you can note it isn't any different that what I posted.
Mark just want to argue, and so do all the *gang*.

http://www.adhdinfo.com/hcp/about/hc...osing_adhd.jsp

Although there is no single medical test that can accurately diagnose ADHD,
clinical diagnostic criteria have been developed and refined.
There are a number of assessment scales used to diagnose ADHD and measure
the effectiveness of ADHD therapies. Some of the more popular assessment
tools include the Diagnostic and Statistical Manual of Mental Disorders, 4th
Edition (DSM-IV) ADHD criteria, the Conner's/CADS Scale, the SKAMP, and
CGI-I scales.

The American Academy of Pediatrics guidelines for diagnosing ADHD include:1
Evaluate any child 6 to 12 years of age who shows signs of school
difficulties, academic underachievement, troublesome relationships with
teachers, family members, peers, and other behavioral problems.
Use DSM-IV criteria; these require that ADHD symptoms be present in 2
or more of a child's settings, and that the symptoms adversely affect the
child's academic or social functioning for at least 6 months.
Requires information from parents or caregivers and a teacher or other
school professional regarding core symptoms of ADHD in various settings, age
of onset, duration of symptoms, and degree of impairment.
Assessment for co-existing conditions: learning and language problems,
aggression, disruptive behavior, depression or anxiety.


Primary symptoms of ADHD include hyperactivity, inattention, and
impulsivity. Children with ADHD may demonstrate 1, 2, or all 3 of these core
symptoms, as outlined in the DSM-IV. Behavioral examples of these core
symptoms include2:

1. Hyperactivity
Roaming around a room
Talking incessantly
Inability to sit through a lesson

2. Inattention
Difficulty in filtering out unnecessary distractions
Being distracted or sidetracked by the movement of people or of
objects

3. Impulsivity
Acting before thinking
Demonstrating a very short temper
Behavior that includes yelling or hitting


While children without ADHD may also occasionally demonstrate some of these
symptoms, those with ADHD exhibit them across multiple settings, thus
impairing the child's ability to function academically or socially on a
daily basis.

ADHD contains subtypes with predominant traits. Therefore, a child without
hyperactivity can still be affected by the disorder. The subtypes include:

An inattentive subtype
A hyperactive-impulsive subtype
A combined subtype

Although boys are about 2 to 4 times as likely as girls to have ADHD,3,4
girls are frequently diagnosed with the predominantly inattentive subtype5.

Children with ADHD often suffer from co-existing conditions, such as:

Conduct disorders, described by the DSM-IV as "repetitive and
persistent pattern(s) of behavior in which the basic rights of others or
major age-appropriate societal norms or rules are violated (30%-50%)6
Oppositional defiant disorder, defined by the DSM-IV as "a recurrent of
negativistic, defiant, disobedient, and hostile behavior toward authority
figures that persists for at least 6 months" (up to 40%)7
Mood disorders (15%-20%)8
Anxiety disorders (20%-25%)9

References

1.. American Academy of Pediatrics. Diagnosis and evaluation of the child
with attention-deficit/hyperactivity disorder. Pediatrics.
2000;105:1158-1170.
2.. American Psychiatric Association. Diagnostic and Statistical Manual of
Mental Disorders. DSM-IV-TR. In: Disorders Usually First Diagnosed in
Infancy, Childhood, or Adolescence: Diagnostic Criteria for
Attention-Deficit/Hyperactivity Disorder. Washington, DC: American
Psychiatric Association; 1994:92-93.
3.. National Institute of Mental Health. National Institutes of Health.
Attention deficit hyperactivity disorder. Available at:
http://www.nimh.nih.gov/publicat/helpchild.cfm. Accessed April 19, 2002.
4.. U.S. Department of Health and Human Services. Mental Health: A Report
of the Surgeon General. Available at:
http://www.surgeongeneral.gov/librar...ter3/sec4.html.
Accessed April 19, 2002.
5.. Dulcan M. Practice parameters for the assessment and treatment of
children, adolescents, and adults with attention-deficit/hyperactivity
disorder. J Am Acad Child Adolesc Psychiatry. 1997;369(suppl):855-1215.
6.. American Psychiatric Association. Diagnostic and Statistical Manual of
Mental Disorders. DSM-IV-TR. In: Disorders Usually First Diagnosed in
Infancy, Childhood, or Adolescence: Diagnostic Criteria for
Attention-Deficit/Hyperactivity Disorder. Washington, DC: American
Psychiatric Association; 1994:92-93.
7.. American Psychiatric Association. Diagnostic and Statistical Manual of
Mental Disorders. DSM-IV-TR. In: Disorders Usually First Diagnosed in
Infancy, Childhood, or Adolescence: Diagnostic Criteria for
Attention-Deficit/Hyperactivity Disorder. Washington, DC: American
Psychiatric Association; 1994:92-93.
8.. National Institute of Mental Health. National Institutes of Health.
Attention deficit hyperactivity disorder-questions and answers. Available
at: http://www.nimh.nih.gov/publicat/adhdqa.cfm. Accessed April 19, 2002.
9.. National Institute of Mental Health. National Institutes of Health.
Attention deficit hyperactivity disorder-questions and answers. Available
at: http://www.nimh.nih.gov/publicat/adhdqa.cfm. Accessed April 19,
==========

What I posted says much the same thing:
===
Article Last Updated: Sunday, April 04, 2004 - 9:13:03 AM PST


Study reviews medicated kids
By Rebecca Vesely, STAFF WRITER


An unusual study is under way at the University of California, Berkeley,
that
could help parents, doctors, teachers and lawmakers better grasp the
economic
and social reasons why some kids are receiving drug therapy for attention
deficit hyperactivity disorder, or ADHD.


Dr. Richard Scheffler, a UC Berkeley professor of health economics and
public
policy, and Dr. Stephen Hinshaw, a psychology professor and leading expert
on
ADHD, last month received a $900,000 grant from the National Institutes of
Mental Health for the three-year project.


Unlike most studies that look at the effects of psychostimulant drugs --
such
as Ritalin -- on kids diagnosed with ADHD, researchers aim to uncover the
economic and policy issues behind prescription trends.


"There's enormous variation in the use of these drugs across state lines and
communities," Scheffler said.


ADHD is the most commonly diagnosed behavioral disorder in children. In the
decade leading up to 2001, the number of people -- mostly children --
diagnosed
with ADHD grew fivefold, from 900,000 to 4.5 million, according to the
National
Centers for Disease Control and Prevention. That rise coincided with
national
policy changes that allowed children with ADHD to receive special
accommodations at school.


Ritalin on the rise


At the same time, the number of prescriptions for Ritalin, Adderall and
other
psychostimulants to treat ADHD rose by about 50 percent over the past
decade.


Using data from the U.S. Drug Enforcement Agency, researchers will track
shipments of these drugs to the pharmacies dispensing them to see which
communities are heavy prescribers.


In addition, they will drill down into those communities and examine
underlying
policy decisions, teacher influence and health care issues, such as access
to
child psychiatrists.


Clinical research isn't telling the whole story, Hinshaw said. "All this
research is taking place against a backdrop of quickly changing market
forces
and treatment practices," he said.


Some states have enacted legislation that limits school influence in drug
treatment of ADHD. In Connecticut, it's illegal for school staff members to
discuss ADHD treatment with parents.


To get a better picture of treatment and diagnosis, UC Berkeley researchers
will have access to the medical records of 14,000 children enrolled with
Kaiser
Permanente Northern California.


This piece of the puzzle is key, the researchers said, because the patient
records will include information about race, ethnicity, family history, area
of
residence and compliance in drug therapy.


"Are poorer kids being underdiagnosed and rich kids being overmedicated? We
hope to get a sense of that," Scheffler said.


The study is the first of its kind -- and atypical of what the National
Institutes of Mental Health usually funds, a spokesman for the federal
grant-making and research institute said, because of the focus on sociology
and
economics of drug therapy.


Testing for ADHD


Skepticism about drug treatment for ADHD relates to the ambiguous nature of
diagnosis and stigma surrounding mental illness, Hinshaw said.


There is no test for ADHD. Rather, diagnosis is based on observed behavior
and
family and medical history.


When left untreated, ADHD can have a significant affect on a child's growth
and
development. Studies have shown that untreated children with ADHD have
higher
rates of school failure, underemployment, illicit drug and alcohol use and
accidental injuries.


"The problem is many practitioners don't follow well-established guidelines
for
diagnosis and treatment," Hinshaw said. "There's a brief pediatric visit and
sporadic follow-up and monitoring. Some kids are diagnosed too quickly and
some, such as girls or inner city children, may get ignored and
underdiagnosed.
You need an accurate diagnosis first."



Sometimes it is better to keep quiet and have others suspect that you are
a fool than to open your mouth and remove all doubt".

Then LadyLollipop had better learn to keep quiet.

...

Jeff

Uh huh. Perhaps, it is the *gang* who just got exposed.

LL/Jan

"LadyLollipop" wrote in message
news:TUzge.75012$c24.55108@attbi_s72...

"Jeff" wrote in message
nk.net...

"LadyLollipop" wrote in message
news:s3wge.72386$NU4.1341@attbi_s22...

"Mark Probert" Mark wrote in message

(...)

In the area of AD/HD research, citing a book, etc. written 1998 is the
equivalent of citing King Tut.

Mark is correct that the info in a book from about 8 years ago (a book
is
typically about a year out of date when it is published) is old.

Mark diverted from the subject.

In a word, bull****. YOU posted the crap from this so-called "nationally
known" expert whose sole contribution to medical knowledge is a letter
written to one medical journal. I was addressing the crap that YOU quoted.

For YOU to say that I was the person who diverted is an outright lie.

In addition, there was a lot of information that indicated that ADHD was
a
real problem involving the biochemistry of the brain, even back in 1997.

What Mark stated was:The DSM IV clearly delineates the diagnostic criteria
for AD/HD. The

The DSM IV surely does this. If you disagree, then explain why I am wrong.
The criteria are listed and the AAP provides separate published diagnostic
and treatment protocols. Those are facts.

AAP
has published diagnostic and treatment protocols.
However, there is no doubt that the diagnosis and treatment remain
in
the
forefront of discussion amongst professionals, and this is a good
thing, not
bad as you seem to imply. Refining, learning, studying is good.
You can do your homework and learn more about AD/HD by visiting the
appropriate websites.

I did just that, and you can note it isn't any different that what I
posted.
Mark just want to argue, and so do all the *gang*.

http://www.adhdinfo.com/hcp/about/hc...osing_adhd.jsp

No, I do not just want to argue, I want to post precise information. While
that website is better than most, it is not as clear and specific as taking
the DSM IV, and the two protocols published by the AAP.

Although there is no single medical test that can accurately diagnose
ADHD,
clinical diagnostic criteria have been developed and refined.
There are a number of assessment scales used to diagnose ADHD and measure
the effectiveness of ADHD therapies. Some of the more popular assessment
tools include the Diagnostic and Statistical Manual of Mental Disorders,
4th
Edition (DSM-IV) ADHD criteria, the Conner's/CADS Scale, the SKAMP, and
CGI-I scales.

The American Academy of Pediatrics guidelines for diagnosing ADHD
include:1
Evaluate any child 6 to 12 years of age who shows signs of school
difficulties, academic underachievement, troublesome relationships with
teachers, family members, peers, and other behavioral problems.
Use DSM-IV criteria; these require that ADHD symptoms be present in 2
or more of a child's settings, and that the symptoms adversely affect the
child's academic or social functioning for at least 6 months.
Requires information from parents or caregivers and a teacher or
other
school professional regarding core symptoms of ADHD in various settings,
age
of onset, duration of symptoms, and degree of impairment.
Assessment for co-existing conditions: learning and language
problems,
aggression, disruptive behavior, depression or anxiety.


Primary symptoms of ADHD include hyperactivity, inattention, and
impulsivity. Children with ADHD may demonstrate 1, 2, or all 3 of these
core
symptoms, as outlined in the DSM-IV. Behavioral examples of these core
symptoms include2:

1. Hyperactivity
Roaming around a room
Talking incessantly
Inability to sit through a lesson

2. Inattention
Difficulty in filtering out unnecessary distractions
Being distracted or sidetracked by the movement of people or of
objects

3. Impulsivity
Acting before thinking
Demonstrating a very short temper
Behavior that includes yelling or hitting


While children without ADHD may also occasionally demonstrate some of
these
symptoms, those with ADHD exhibit them across multiple settings, thus
impairing the child's ability to function academically or socially on a
daily basis.

ADHD contains subtypes with predominant traits. Therefore, a child without
hyperactivity can still be affected by the disorder. The subtypes include:

An inattentive subtype
A hyperactive-impulsive subtype
A combined subtype

Although boys are about 2 to 4 times as likely as girls to have ADHD,3,4
girls are frequently diagnosed with the predominantly inattentive
subtype5.

Children with ADHD often suffer from co-existing conditions, such as:

Conduct disorders, described by the DSM-IV as "repetitive and
persistent pattern(s) of behavior in which the basic rights of others or
major age-appropriate societal norms or rules are violated (30%-50%)6
Oppositional defiant disorder, defined by the DSM-IV as "a recurrent
of
negativistic, defiant, disobedient, and hostile behavior toward authority
figures that persists for at least 6 months" (up to 40%)7
Mood disorders (15%-20%)8
Anxiety disorders (20%-25%)9

References

1.. American Academy of Pediatrics. Diagnosis and evaluation of the
child
with attention-deficit/hyperactivity disorder. Pediatrics.
2000;105:1158-1170.
2.. American Psychiatric Association. Diagnostic and Statistical Manual
of
Mental Disorders. DSM-IV-TR. In: Disorders Usually First Diagnosed in
Infancy, Childhood, or Adolescence: Diagnostic Criteria for
Attention-Deficit/Hyperactivity Disorder. Washington, DC: American
Psychiatric Association; 1994:92-93.
3.. National Institute of Mental Health. National Institutes of Health.
Attention deficit hyperactivity disorder. Available at:
http://www.nimh.nih.gov/publicat/helpchild.cfm. Accessed April 19, 2002.
4.. U.S. Department of Health and Human Services. Mental Health: A
Report
of the Surgeon General. Available at:
http://www.surgeongeneral.gov/librar...ter3/sec4.html.
Accessed April 19, 2002.
5.. Dulcan M. Practice parameters for the assessment and treatment of
children, adolescents, and adults with attention-deficit/hyperactivity
disorder. J Am Acad Child Adolesc Psychiatry. 1997;369(suppl):855-1215.
6.. American Psychiatric Association. Diagnostic and Statistical Manual
of
Mental Disorders. DSM-IV-TR. In: Disorders Usually First Diagnosed in
Infancy, Childhood, or Adolescence: Diagnostic Criteria for
Attention-Deficit/Hyperactivity Disorder. Washington, DC: American
Psychiatric Association; 1994:92-93.
7.. American Psychiatric Association. Diagnostic and Statistical Manual
of
Mental Disorders. DSM-IV-TR. In: Disorders Usually First Diagnosed in
Infancy, Childhood, or Adolescence: Diagnostic Criteria for
Attention-Deficit/Hyperactivity Disorder. Washington, DC: American
Psychiatric Association; 1994:92-93.
8.. National Institute of Mental Health. National Institutes of Health.
Attention deficit hyperactivity disorder-questions and answers. Available
at: http://www.nimh.nih.gov/publicat/adhdqa.cfm. Accessed April 19, 2002.
9.. National Institute of Mental Health. National Institutes of Health.
Attention deficit hyperactivity disorder-questions and answers. Available
at: http://www.nimh.nih.gov/publicat/adhdqa.cfm. Accessed April 19,
==========

What I posted says much the same thing:
===
Article Last Updated: Sunday, April 04, 2004 - 9:13:03 AM PST

"Much the same thing" is NOT the same thing as the actual criteria and
treatment protocols.



Study reviews medicated kids
By Rebecca Vesely, STAFF WRITER


An unusual study is under way at the University of California, Berkeley,
that
could help parents, doctors, teachers and lawmakers better grasp the
economic
and social reasons why some kids are receiving drug therapy for attention
deficit hyperactivity disorder, or ADHD.


Dr. Richard Scheffler, a UC Berkeley professor of health economics and
public
policy, and Dr. Stephen Hinshaw, a psychology professor and leading expert
on
ADHD, last month received a $900,000 grant from the National Institutes of
Mental Health for the three-year project.


Unlike most studies that look at the effects of psychostimulant drugs --
such
as Ritalin -- on kids diagnosed with ADHD, researchers aim to uncover the
economic and policy issues behind prescription trends.


"There's enormous variation in the use of these drugs across state lines
and
communities," Scheffler said.


ADHD is the most commonly diagnosed behavioral disorder in children. In
the
decade leading up to 2001, the number of people -- mostly children --
diagnosed
with ADHD grew fivefold, from 900,000 to 4.5 million, according to the
National
Centers for Disease Control and Prevention. That rise coincided with
national
policy changes that allowed children with ADHD to receive special
accommodations at school.


Ritalin on the rise


At the same time, the number of prescriptions for Ritalin, Adderall and
other
psychostimulants to treat ADHD rose by about 50 percent over the past
decade.


Using data from the U.S. Drug Enforcement Agency, researchers will track
shipments of these drugs to the pharmacies dispensing them to see which
communities are heavy prescribers.


In addition, they will drill down into those communities and examine
underlying
policy decisions, teacher influence and health care issues, such as access
to
child psychiatrists.


Clinical research isn't telling the whole story, Hinshaw said. "All this
research is taking place against a backdrop of quickly changing market
forces
and treatment practices," he said.


Some states have enacted legislation that limits school influence in drug
treatment of ADHD. In Connecticut, it's illegal for school staff members
to
discuss ADHD treatment with parents.


To get a better picture of treatment and diagnosis, UC Berkeley
researchers
will have access to the medical records of 14,000 children enrolled with
Kaiser
Permanente Northern California.


This piece of the puzzle is key, the researchers said, because the patient
records will include information about race, ethnicity, family history,
area
of
residence and compliance in drug therapy.


"Are poorer kids being underdiagnosed and rich kids being overmedicated?
We
hope to get a sense of that," Scheffler said.


The study is the first of its kind -- and atypical of what the National
Institutes of Mental Health usually funds, a spokesman for the federal
grant-making and research institute said, because of the focus on
sociology
and
economics of drug therapy.


Testing for ADHD


Skepticism about drug treatment for ADHD relates to the ambiguous nature
of
diagnosis and stigma surrounding mental illness, Hinshaw said.


There is no test for ADHD. Rather, diagnosis is based on observed behavior
and
family and medical history.


When left untreated, ADHD can have a significant affect on a child's
growth
and
development. Studies have shown that untreated children with ADHD have
higher
rates of school failure, underemployment, illicit drug and alcohol use and
accidental injuries.


"The problem is many practitioners don't follow well-established
guidelines
for
diagnosis and treatment," Hinshaw said. "There's a brief pediatric visit
and
sporadic follow-up and monitoring. Some kids are diagnosed too quickly and
some, such as girls or inner city children, may get ignored and
underdiagnosed.
You need an accurate diagnosis first."



Sometimes it is better to keep quiet and have others suspect that you
are
a fool than to open your mouth and remove all doubt".

Then LadyLollipop had better learn to keep quiet.

...

Jeff

Uh huh. Perhaps, it is the *gang* who just got exposed.

No one got exposed. The study you referenced above is interesting, and,
unlike you, I do not draw any conclusions prior to the findings being
reported.

"LadyLollipop" wrote in message
news:hBwge.71615$r53.16627@attbi_s21...

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:mmpge.74270$WI3.66141@attbi_s71...

"Mark Probert" Mark wrote in message
...

"LadyLollipop" wrote in message
news:4Kbge.69305$r53.42743@attbi_s21...

"Mark Probert" Mark wrote in message
...
The CSPI monograph on AD/HD refers to several of these studies.
The
model
used was double blind, cross-over challenge. For one thing, sugar
having
a
role was soundly debunked.

While that is true, sugar certain does make kids hyper!!!!!

Not necessarily

YES ALWAYS!!!!!!!!!!!

Forget any crossover study, ask any teacher!!!!!!!!

I have. They agree with me. There are MANY factors that will affect what
I
like to call situational hyperactivity. Example:

A child attends a day camp which has several activity periods.

First period: Playground
Second period: Free swimming
Third period: Free play
Fourth period: Arts & Crafts.

A&C teacher tells parents kid is hyperactive after kid has had three
periods
of unstructured activity.

Camp is a bit different than daycare.

For example a Halloween Party.

On a rainy day.

So, the kiddies were confined and could not burn off their excess energy by
playing outside.


LL/Jan


. In the crossover challenge studies, kids whose parents
"absolutely knew when they had consumed sugar" were given either a
placebo
or sugar, and then switched. The parents were not able to accurately
select
those times when the kids got sugar.



LL/Jan


"Beth Kevles" wrote in message
...

Hi --

I'd be curious to know about the studies that 00doc cites, about
the
parents who couldn't tell if their kids had been given "trigger"
foods.
Do you have the cites available?

By the way, I'll strongly second the notion of having some sort
of
a
double-blind test of trigger foods before accepting a diagnosis
of
food
intolerance.

--Beth Kevles

http://web.mit.edu/kevles/www/nomilk.html -- a page for the
milk-allergic
Disclaimer: Nothing in this message should be construed as
medical
advice. Please consult with your own medical practicioner.

NOTE: No email is read at my MIT address. Use the AOL one if
you
would
like me to reply.