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Are you overdosing your child? (VIDEO/AUDIO)




CLEVELAND -- A new study suggests more than two-thirds of parents give their children the wrong amount of medication and most give too much. The research appears in the October 2016 issue of Pediatrics and found 68 percent of parents made a mistake when measuring out liquid medications for their children and a majority of those mistakes were measuring out too much.

"You have to be very careful about overdosing children because it's very easy to do,"  says Lolita McDavid, MD, Medical Director of Child Advocacy and Protection at University Hospitals Rainbow Babies & Children's Hospital.

She says inexact measuring devices are a common cause of the overdosing.


"When we say 'a teaspoon,' we don't mean a kitchen teaspoon, it's not the one you have in your drawer," says Dr. McDavid. "It's five MLs."

Dr. McDavid suggests using a measuring cup to accurately pour out the correct dose and then pulling it into a syringe to ensure parents don't give too much. She says pharmacies should give a syringe with liquid medication and, if not, parents should ask for one, a 5 or 6 milliliter syringe for older children and a 1 milliliter syringe for young ones.

Overdosing sedating or pain medication has ramifications ranging from diarrhea to far worse. She recommends checking with a doctor if the parent is unsure.

"There are a lot of medications we don't even know what the correct dose is for kids," says Dr. McDavid. "Those are the ones that will tell the parent on the bottle, 'consult your doctor.' We know how to decide how much you should give because we have our own guides for that."


Interview on Child Overtaxing




CLEVELAND -- Felipe Amunategui, PhD, child psychologist at University Hospitals Rainbow Babies & Children's Hospital, discusses how much is too much when it comes to keeping your child active.


MRI for Prostate Cancer Making Breakthroughs in Screening (VIDEO/AUDIO)




CLEVELAND –
As medicine becomes increasingly more precise, prostate cancer remains a stubborn outlier: screening methods are bogged down in controversy due to varying recommendations and, for many doctors, diagnosing the condition can almost feel like a shot in the dark.
 
A team of physicians at University Hospitals Seidman Cancer Center are working to alter that reality – using Magnetic Resonance Imaging (MRI) for patients who would have ordinarily gone straight to non-targeted biopsy. The goal of using MRI is to reduce uncertainty and unnecessary biopsies, procedures and treatments against low-risk cancer.
 
“We think that the MRI in many ways may be able to be equivalent to the colonoscopy for colon cancer, where patients may need a colonoscopy and depending on the results, they may no longer need further follow-up for several years,” says Lee Ponsky, MD, Urologic Oncologist at UH Seidman Cancer Center.
 
Prostate cancer is one of the most common types of cancer among American men and the risk goes up as men age. “The prostate is truly the last organ in the body that we are biopsying without hitting a visualized target,” says Dr. Ponsky. “There have been some advances in how we treat certain cases, but prostate cancer has been relatively stagnant over the past 20 years.”

In the past, doctors treated any prostate cancer patient, regardless of risk level, with surgery, radiation and/or medication. Over the last five years, researchers discovered low-risk prostate cancer patients can be successfully put under active surveillance (where doctors carefully monitor the patient for signs of disease progression), sparing them from unnecessary treatment after diagnosis. With the help of MRI, doctors can now better determine whether the individual has a low-risk or high-risk cancer. Additionally, for men with an elevated prostate-specific antigen (PSA) or family history, MRI can more clearly identify exactly where the cancer is located for a more precise and targeted biopsy.
 
Dr. Ponsky says the development and understanding of the MRI and how it can be used in the evaluation and management of prostate cancer is one of the greatest developments doctors have seen in the last several years. 


Serial Killers: Who They Are, Who They Aren't (VIDEO/AUDIO)




CLEVELAND -- A 911 call from an abducted woman in Ashland County took police to 40-year-old Shawn Grate, who investigators have now linked to the murder of five women in three Ohio counties and led to characterizations of Grate as a serial killer.

But what do we know about serial killers? Are there characteristics that link them?

"Generally, serial killers remain to themselves," says Sara West, MD, forensic psychiatrist at University Hospitals Cleveland Medical Center. "There's a lot that has to be done secretively and letting people close to them or into their lives makes it difficult for them to do these things."

West says many serial killers have been physically and/or sexually abused as children, seeing violence first-hand and also share enjoyment from setting fires and animal cruelty.

Antisocial Personality Disorder is also common among serial killers, a condition that leads to a lack of remorse for their actions but it also helps them commit their crimes.

"There is a certain charm that comes from Antisocial Personality Disorder," says Dr. West. "That makes them even more successful because they are able to charm or attract victims." She notes John Wayne Gacy, Chicago's Killer Clown in the 1970s, was well-liked in his neighborhood, while many young female victims found Ted Bundy handsome and charismatic during a spree that led to his confession of killing 30 women in seven states between 1974 and 1978.

Serial killing, according to Dr. West, is defined as killing followed by a "cooling off" period where there is no killing. But she stresses there is one characteristic not associated with serial killers.

"This is not indicative of severe mental illness," says Dr. West. "People who suffer from severe mental illnesses like schizophrenia often are far too disorganized to carry on serial killings in this fashion."




 


Sara West on Serial Killers




CLEVELAND
-- Sara West, MD, forensic psychiatrist at University Hospitals Cleveland Medical Center, talks about serial killers.



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