A Tribute to Steve Zelenski, DO, PhD

in Rick Rader MD, Articles

"Steve's beat involved people with syndromes. Collections of unique human proclivities when lumped together defined and described them.

The AADMD Bookshelf

in Rick Rader MD, Articles, Volume 3 Issue 1

The Trouble with Medical Journals

Richard Smith

ISBN 1-85315-673-6

Hepatitis B in the Intellectually Disabled: An Historical Prologue

in Ned Rapp MD, Articles

The purpose of this short commentary on the history of the Hepatitis B virus is to increase understanding of immunity to the virus and to present the fascinating story of how medical scientists approached the problem of detecting an unknown virus.

I-Clinical perspective

The 6th Annual AADMD Educational Conference at the Loews Royal Pacific Resort in Orlando Florida, May 9-12th. Register Now!

in Matt Holder MD MBA, Articles

The Developmental Disabilities Nurses Association (DDNA) and the American Academy of Developmental Medicine and Dentistry (AADMD) invite you to participate in their joint 2009 Annual Education Conference and Exhibition at Loews Royal Pacific Resort at Universal Orlando® on May 9th - May 12th, 2009. This is DDNA's 17th Annual Conference and AADMD's 6th Annual Conference.

Causes, Complications, and Consequences of Neurodevelopmental Disorders

in Andy Rodrigues Medical Student III UMDNJ, Articles, Education Articles

A neurodevelopmental disorder (NDD) is defined as a precise genetic or acquired biological brain disorder or condition that is responsible for childhood-onset brain dysfunction. If a neurodevelopmental disorder is severe enough, it may cause a “developmental disability” e.g. mental retardation, cerebral palsy, epilepsy, or autism.

The Role of Research

in Taylor Spencer, Articles, Education Articles

This issue of R&R explores the role of research in the lives of people with disabilities. Taylor Spencer offers four potential benefits of such efforts, and the discussion warrants serious deliberation despite the complex and controversial nature of the subject. Considering we now know—medically speaking—that children are not just little adults, that women are not like men, and that older people are not like middle-aged people, it is time to recognize that people with disabilities may not be like their age- and gender-matched peers.

The Role of the Gynecologic Exam

in David Shobin MD FACOG, Articles, Education Articles

In this issue of the “Reviews and Reports”, Dr. Shobin discusses the risk/benefit analysis that should be applied to the decision of whether annual PAP and pelvic exams are appropriate for all individuals with intellectual disabilities. This is a difficult topic as contending issues of discomfort and trauma of the exam must be balanced against general population recommendations and personalized care and, frequently, an unreliable sexual history.

Update on the Role of Environmental Toxins

in Steven Kouris DO MPH MS, Articles, Education Articles

In this issue of the Reviews & Reports, Dr. Kouris reports on a neurodevelopmental disorder known as “Toxic Brain Injury.” Dr Kouris discusses several toxins whichwhen exposed to in childhood can lead to childhood-onset brain dysfunction. Examples include lead, mercury, and polychlorinated biphenyls (PCB’s). Other important examples include alcohol, cocaine, and tobacco smoke. Regarding the latter, it is not generally appreciated that there is mounting evidence that fetal exposure to maternal tobacco smoke may contribute to mental retardation, cerebral palsy, epilepsy and autism.

Dental Evaluation and Treatment

in Andrew Dill DMD, Henry Hood DMD, Articles, Education Articles

In this issue of the “Reviews and Reports,” authors Hood and Dill introduce us to a hidden area of medical/dental care—the patient who is no longer a minor, is clearly incompetent to make medical decisions, but has not been adjudicated incompetent, has no guardian for medical care, but requires immediate, but not emergent care. This very real case also highlights several other issues important to advancing the care of people with neurodevelopmental/intellectual disabilities.

Gastrointestinal Disorder or Psychosis?

in Steven G. Zelenski DO PhD, Articles, Education Articles

In this issue of the AADMD Reviews & Reports, Dr Zelenski addresses the complex problem of destructive/maladaptive impulsive behaviors, which often occur in persons with severe cognitive dysfunction. Those of us who work with this patient population are intimately familiar with the various types of aggressive, self-injurious, or ritualistic-like behaviors that at times seem to “come-on-out-of-the-blue” with no obvious reason. Since it is “behavior,” it makes sense to consult with a psychologist or psychiatrist since “behavior management” is what they do; however, as Dr.

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