Abnormal Cerebral Blood Flow in Childhood Autism

J Gordon Millichap
2000 Pediatric Neurology Briefs  
methylphenidate in 63% of students, family practitioners in 17%, psychiatrists, 11%, and nurse practitioners in 3%. When drugs other than methylphenidate were prescribed, the psychiatrist's role was increased to 29%. (Safer DJ, Malever M. Stimulant treatment in Maryland Public Schools. Pediatrics September 2000;106:533-539). (Reprints: Daniel J Safer MD, 7702 Dunmanway, Baltimore, MD 21222). COMMENT. In the authors' summary of their findings, the rate of medication, mainly methylphenidate,
more » ... thylphenidate, administered to students during school hours for ADHD in Maryland public schools was found to vary with several factors: 4-fold by gender (male:female ratio); 2-fold by ethnicity/race (white vs minority); 3-fold by school level (elementary vs high school); 6-fold by educational category (special vs regular); and 5-fold by school district (highest vs lowest rate). Surveys of the prevalence of stimulant use in school age children must necessarily include all these variables. In addition, the specialty of the practitioner treating these patients must be considered, since the majority were supervised by pediatricians. The absence of the pediatric neurologist as a specialist for the treatment of ADHD in Maryland was disappointing.
doi:10.15844/pedneurbriefs-14-9-14 fatcat:u7ontqvegjeovjb4mn6yxpo6pq