Digital Commons Network^™

Development And Evaluation Of An Implementation Strategy To Increase Hpv Vaccination Among Underserved Youth Across Texas: A Protocol Paper, Paula M Cuccaro, Jihye Choi, Lara S Savas, Efrat K Gabay, Mayra Aguilar Mcbride, Amy Montelongo Eldridge, Timothy J Walker

Faculty, Staff and Student Publications

BACKGROUND: All for Them is a theory-based and evidence-informed multilevel, multicomponent program delivered through schools to increase HPV vaccination among medically underserved youth across Texas. Given the potential logistical challenges of program implementation, understanding how to best support the implementation and sustainment of the program is critical. The overall goals of this study are twofold: 1) develop a multifaceted implementation strategy, Implementing All for Them (IM-AFT); and 2) evaluate the impact of IM-AFT on implementation outcomes for schools and healthcare providers to successfully implement All for Them in their respective settings.

METHODS: This study is underpinned by a comprehensive and …

The Lived Experiences Of Black College Students And Counseling Based Upon Social Media Influences, Shamanda Burston

Walden Dissertations and Doctoral Studies

Despite social media's use as a tool for social influence and increase in mental health disclosures within Black communities, limited literature describes how Black college students, specifically, are utilizing social media related to mental health. This qualitative study includes a description of the influence of social media on the perception of counseling services for Black college students. Using interpretative phenomenological analysis (IPA) through the lens of Kelman's social influence theory, the influence of social media on Black college students' perception of counseling services was explored. Currently enrolled Black or African American college or university students within the United States, over …

Literature In The Evolutionary Framework: Darwin's Theory Of Evolution In English Literary Analysis, Rawitawan Sophonpanich

Journal of Letters

This article aims to examine the role of Charles Darwin's theory of evolution in literature, considering its influence on Victorian writers—particularly in the realist novels of Charles Dickens and George Eliot—and extending to the emergence of evolutionary literary theory in the 20th century. The author applies this theory to analyze John Milton's Sonnet 7. The analysis results demonstrate that Darwinian evolutionary literary theory has strengths in explaining character behavior through the lens of adaptation for survival but is limited by its neglect of historical and cultural contexts. The experimental reading of Milton's Sonnet 7 clearly reflects this limitation, as the …

Explainable Artifacts For Synthetic Western Blot Source Attribution, João Phillipe Cardenuto, Sara Mandelli, Daniel Moreira, Paolo Bestagini, Edward J. Delp, Anderson Rocha

Computer Science: Faculty Publications and Other Works

Recent advancements in artificial intelligence have enabled generative models to produce synthetic scientific images that are indistinguishable from pristine ones, posing a challenge even for expert scientists habituated to working with such content. When exploited by organizations known as paper mills, which systematically generate fraudulent articles, these technologies can significantly contribute to the spread of misinformation about ungrounded science, potentially undermining trust in scientific research. While previous studies have explored black-box solutions, such as Convolutional Neural Networks, for identifying synthetic content, only some have addressed the challenge of generalizing across different models and providing insight into the artifacts in synthetic …

U.S. Patented Medication Prices Too High To Warrant Affordable Costs By Patients, Kisa Mwenelupembe

Walden Dissertations and Doctoral Studies

Optimal pricing of patent medicines is needed to ensure profitability of pharmaceutical companies while managing ease of access to these medicines for patients. The general problem that necessitated this study was that the prices of most patent medications in the United States are too high to warrant affordable costs by patients while simultaneously fostering drug innovation. The purpose of this qualitative multiple case study was to explore the best practices for ensuring equal access to patent medicines while maintaining profitability of pharmaceutical companies to pursue needed innovation and development of new drugs. This study was underpinned by Bandura’s social cognitive …

Optimizing Ewing Sarcoma And Osteosarcoma Biopsy Acquisition: A Children's Oncology Group Bone Tumor Committee Consensus Statement, Matthew S Dietz, Alyaa Al-Ibraheemi, Jessica L Davis, C Matthew Hawkins, Brian T Craig, Roshni Dasgupta, David S Geller, David S Shulman, Sarah Cohen-Gogo, Ajay Gupta, Susan L Whiteway, Emily K Slotkin, Christine M Heske, Safia K Ahmed, Daniel J Indelicato, Catherine M Albert, Nicole Montgomery, Jesse K Sandberg, Holcombe E Grier, Mark Krailo, Michael S Isakoff, Elyssa Rubin, Elizabeth R Lawlor, Steven G Dubois, Leo Mascarenhas, Patrick J Grohar, Odion Binitie, Damon Reed, Katherine Janeway, Ryan D Roberts, Kelly M Bailey

Faculty, Staff and Students Publications

Trends in diagnostic biopsy sample collection approaches for primary bone sarcomas have shifted in the past 2 decades. Although open/incisional biopsies used to be the predominant approach to obtain diagnostic material for Ewing sarcoma and osteosarcoma, image-guided core needle biopsies have increased in frequency and are safe for patients. These procedures are less invasive and reduce recovery times but have potential limitations. The quantity and quality of tissue obtained through these procedures vary between institutions. Acquired viable tissue volumes can be low, limiting the conduct of downstream expanded clinical workup, molecular analyses, and research. Patients with advanced Ewing sarcoma and …

Prolonged Cardiopulmonary Bypass Time-Induced Endothelial Dysfunction Via Glypican-1 Shedding, Inflammation, And Matrix Metalloproteinase 9 In Patients Undergoing Cardiac Surgery, Shiyi Li, Katherine V Nordick, Iván Murrieta-Álvarez, Randall P Kirby, Rishav Bhattacharya, Ismael Garcia, Camila Hochman-Mendez, Todd K Rosengart, Kenneth K Liao, Nandan K Mondal

Faculty, Staff and Students Publications

OBJECTIVES: A prolonged cardiopulmonary bypass (CPB) time of over 180 min is linked to poorer outcomes and higher mortality in cardiac surgery. This study examines how glypican-1 shedding, matrix metallopeptidase 9 (MMP9), and the pro-inflammatory cytokine IL-1β may contribute to endothelial dysfunction in patients undergoing on-pump surgery with an extended CPB.

METHODS: Fifty-one patients undergoing cardiac surgical procedures were divided into two groups based on the intraoperative CPB duration: (i) normal CPB (<180 >min,

RESULTS: Before surgery, the plasma levels of glypican-1, MMP9, and IL-1β were comparable between the normal CPB and the prolonged CPB groups. However, after the end …

High-Intensity Focused Ultrasound Ablation For Primary Or Salvage Prostate Cancer Therapy: Initial Outcomes In The Veteran Healthcare Setting, Sagar Patel, Ali Antar, Aly Alrabaa, Gal Saffati, Broderick Fleming, Neel Srikishen, Jeremy Slawin, Jennifer Taylor, Jeffrey Jones

Faculty, Staff and Students Publications

High-Intensity Focused Ultrasound (HIFU) provides comparable oncologic, erectile, and urinary outcomes to standard-of-care options for localized prostate cancer. This study reports the largest United States series of HIFU in veterans for both primary and salvage therapies. We retrospectively analyzed the outcomes of 43 veterans treated at the Michael E. DeBakey Veterans Affairs Medical Center from 2018 to 2022. Primary endpoints included prostate-specific antigen (PSA) reduction and local recurrence rates. Secondary endpoints included 30-day complications, Sexual Health Inventory for Men (SHIM), and American Urological Association Symptom Score (AUASS). In our study, 31 veterans (72.1%) received primary treatment and 12 (27.9%) received …

Evaluating The Potential Of Herbal Extracts As Treatment In Immune Thrombocytopenia: A Review Of Evidence And Limitations, Russel Wiggins, Jihoo Woo, John Nicholas Cauba, Shizue Mito

School of Medicine Publications

Immune thrombocytopenia, formerly idiopathic thrombocytopenia purpura (ITP), is an autoimmune disease characterized by the depletion of platelets below 100,000/µL when other causes of thrombocytopenia have been ruled out. It is associated with several infectious pathologies, disease states, and as a known side effect and complication of several drugs and chemotherapies. Standard treatment calls for glucocorticoid-mediated immunosuppression, intravenous immunoglobin transfusion, platelet stimulation, platelet transfusion, and splenectomy in instances of chronic and severe disease. While standard treatments are often effective, some cases prove resistant, and more commonly, some patients are unable to tolerate standard treatment protocols or opt out of surgical intervention. …

Visualizing Parcel-Level Lead Risk Using An Exterior Housing-Based Index., Neal J. Wilson, Ryan Allenbrand, Elizabeth Friedman, Kevin Kennedy, Amy Roberts, Stephen Simon

Manuscripts, Articles, Book Chapters and Other Papers

Pediatric lead poisoning remains a persistent public health problem. Children in the US spend the preponderance of their time at home; thus, housing is an important social determinant of health. Improving health outcomes derived from housing-based sources involves differentiating the risks posed by the existing housing stock. In this paper, we developed a parcel-level lead risk index (LRI) based on external housing conditions and the year of home construction. The purpose of this study was to introduce a housing-based lead risk index (LRI), developed using retrospective data, to estimate parcel-by-parcel variation in housing-based lead risk. We described how the LRI …

Redo Minimally Invasive Right Atrial Mass Removal After Surgical Atrial Septal Defect Closure, Chirag Doshi, Pratyaksha Rana, Vidur Bansal, Megha M Sheth, Dinesh Patel

Journal of the Saudi Heart Association

Atrial septal defects are among the most prevalent congenital anomalies necessitating surgical intervention. Thrombus formation is a recognized complication that is typically characterized by an embolic event following patch-based repair. However, thromboembolic complications following primary repair of atrial septal defects are exceedingly uncommon.

Minimally invasive surgery is a suitable alternative to redo sternotomy. We present a 46-year-old man who was diagnosed with a right atrial mass eight years following the patch repair of an atrial septal defect and underwent a successful minimally invasive redo surgery.

Zilebesiran And Hypertension: A Systematic Review And Meta-Analysis, Mohamed Lemine, Saif Almuzainy, Rayan Aljubeh, Ahmad Alilo

Journal of the Saudi Heart Association

Abstract: Objectives: Zilebesiran is an investigational RNA interference therapeutic designed to lower blood pressure by targeting the hepatic production of angiotensinogen, the most upstream precursor of the renin–angiotensin–aldosterone system. This approach aims to offer long-lasting blood pressure control with potentially fewer doses compared to traditional antihypertensive medications. The objective of this systematic review and meta-analysis was to assess the antihypertensive efficacy of zilebesiran in patients with hypertension. Methods: We conducted a search across PubMed, Cochrane Library, Ovid, EBSCO, up until July 2024. The eligible studies included randomized controlled trials that examined Zilebesiran versus placebo in hypertensive patients. These studies …

Antifungal Effects Of Cinnamon And Clove Essential Oils On Oral Candida Albicans: In Vitro Comparative Study, Ghada Bouslama, Haifa Boudegga, Nour Sayda Ben Messaoud, Lamia Ouala, Souha Ben Youssef

The Thai Journal of Pharmaceutical Sciences

Background: Candida albicans is a common fungal pathogen responsible for oral infections, especially in immunocompromised individuals. Essential oils, derived from plants such as cinnamon and cloves, have been reported to have antifungal properties. This study aimed to compare the antifungal activity of cinnamon and cloves essential oils against oral C. albicans while determining the minimum fungicidal concentration for each extract. Materials and Methods: In this comparative in vitro study, four different volumes (0.25 μL, 0.5 μL, 1 μL, and 2 μL) of cinnamon and cloves essential oils were tested for their antifungal activity against C. albicans isolated …

Molecular Docking, Molecular Dynamics Simulation, And In Vitro Evaluation Of Hydroxythioxanthone Derivatives As Antimalarial Agents, Faris Hermawan, Jumina Jumina, Teni Ernawati, Puji Budi Setia Asih, Ismail Ekoprayitno Rozi, Elisabeth Farah Novita Coutrier, Din Syafruddin

The Thai Journal of Pharmaceutical Sciences

Background: In 2022, there were 247 million malaria cases spread across 84 malaria-endemic countries. One of the biggest obstacles to controlling malaria is the disease due to drug resistance. Objectives: In this study, we evaluated the antimalarial activity of hydroxythioxanthone derivatives based on the molecular docking study, and molecular dynamics (MD) simulation outcome with in vitro antimalarial evaluation. Materials and Methods: The molecular docking and MD were performed to assess the inhibition activity of hydroxythioxanthone derivatives toward Plasmodium falciparum dihydroorotate dehydrogenase (PfDHODH). Afterward, those compounds were evaluated the antimalarial activity against P. falciparum 3D7. Results: The docking result showed …

Assessing Dietary Supplement Misinformation On Popular Thai E-Marketplaces: A Cross-Sectional Content Analysis, Chawalin Inthong, Sanguan Lerkiatbundit, Sakorn Mekruksavanich, Piya Hanvoravongchai

The Thai Journal of Pharmaceutical Sciences

Background: The use of dietary supplements (DS) has risen over the past decade, supported by the growth of e-marketplace (EM) platforms as a primary source of product information and purchases. However, these platforms have experienced a surge in health and nutritional misinformation, leading to negative health effects. Objectives: This study explored the characteristics and estimated the prevalence of misinformation on web pages selling DSs on popular Thai EM platforms. Materials and Methods: The prevalence of misinformation was assessed based on Thai regulatory criteria by analyzing DS web pages from two popular Thai EM platforms. In December 2022, 332 …

Escaping The Pedagogical Cabin In The Woods, Tony Kemerly, Davis Ritenour

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

The American educational system, because of its seemingly innocuous yet ubiquitous nature, has become, to borrow a term from Roland Barthes, naturalized. By being naturalized, it has become a system that has somehow slipped beneath the radar of the American populace and operates on an autopilot of sorts that allows it to employ practices that don’t necessarily have the best interests of its constituents at heart. Murray Rothbard (1979) argued that compulsory schooling is not guided by altruism, but rather a desire to coerce the population into a mold that is desired by those possessing power in society. This need …

Fandoms, Postfandoms In The Convergence Of Digital Media: A Case Study Of Youth Cultures From Two Afro-Boricua Musical Genres, Mariely Rivera-Hernández

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

The purpose of this work is to analyze the relation between media convergence and a series of habitual activities of youth groups belonging to fandoms. We have established two pedagogical objectives: on the one hand, to analyze the link between media convergence and the participatory culture of fandoms and postfandoms and, on the other, to learn about the cultural consumption of youth cultures in social media and digital platforms. The activity generated in digital communities by several sectors related to the Afro-Boricua musical genres of bomba and plena have led us to the work of cultural ambassadors who circulate and …

Seeing The Strange: Science Fiction, Critical Pedagogy, And Future Teachers, Jeremy Delamarter

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

Critical pedagogy, which is the branch of critical theory devoted to uncovering hidden power differentials in educational settings, is too often taught in abstract terms, and future educators fail to understand its relevance to praxis in their future classrooms. As a genre, science fiction is particularly adept at helping students consider the power structures and dynamics occasioned by scientific advances. Even more specifically, science-fiction is a powerful tool for teaching future educators the fundamentals of critical pedagogy. This article provides a philosophical exploration of why science fiction is such a useful tool for teaching critical pedagogy and uses the specific …

The Giant Omphalocele Contenting A Surprised Congenital Segmental Intestinal Dilatation, A Case Report And Review Literature., Sirima Liukitithara

Chulalongkorn Medical Journal

This report described the characteristics and management of a rare condition, a segmental dilated small intestine, which has a mimic-liver appearance in giant omphalocele. After the dilated intestine was resected and end-to-end anastomosis was performed, the abdomen could be closed simultaneously without immediate complications. We reviewed the literature on congenital segmental intestinal dilatation. Although the nature of this condition is still unknown, all reports showed the same excellent operative outcome. Finally, awareness of congenital segmental intestinal dilatation in giant omphalocele leads to proper management.

Treatment Gaps In Preventive Treatment-Eligible Migraine Patients: A Hospital-Based Study In Thailand, Thanin Asawavichienjinda

Chulalongkorn Medical Journal

Background: Preventive treatment of migraine is necessary for patients with frequent migraine attacks to avoid migraine progression and medication overuse. In the literature, there have been a few studies, and all of them have demonstrated the low prevalence of preventive-eligible migraine patients having received migraine preventive treatments.

Objective: This study aimed to investigate the prevalence of using preventive migraine treatments in treatment-eligible migraine patients in Thailand[HI1] .

Methods: A hospital registry-based cross-sectional study was conducted in migraine patients between January 2007 and June 2022 at the Chulalongkorn Comprehensive Headache Center, King Chulalongkorn Memorial Hospital, Thailand. Data collected at the …

Association Of Socio-Demographic Profile And The Underlying Risk Factors Of Hypertension Among The Locals Of Prosperidad, Agusan Del Sur, Philippines, Florence Jhun F. Almadin

Chulalongkorn Medical Journal

Background: Hypertension is a leading risk factor for cardiovascular diseases, including heart disease and stroke, which are significant causes of morbidity and mortality worldwide. Its prevalence varies across regions and is influenced by genetic, environmental, and lifestyle factors.

Objectives: This study aimed to determine the socio-demographic profile, the prevalence of hypertension, and the risk factors and associate these with the prevalence of hypertension in Prosperidad, Agusan del Sur.

Methods: Data was gathered via a survey of respondents aged 25-75 from November 2022. Multivariate logistic regression was used to determine the association between the sociodemographic profile and the risk factors for …

Relationship Between Parathyroid Hormone Level And Parathyroid Gland Size And Numbers In Renal Hyperparathyroidism, Thanattha Intrarak, Netsiri Damrongpisutikul, Tunchanok Paprad

Chulalongkorn Medical Journal

Background: Serum parathyroid hormone (PTH) is the gold standard for the diagnosis of renal hyperparathyroidism. Persistent hyperparathyroidism in chronic kidney disease patients results in hyperplasia of the parathyroid glands. Therefore, parathyroid gland size may be an alternative marker to assess the severity of hyperparathyroidism.

Objective: The aim of our study is to investigate the relationship between serum PTH levels and the size and number of parathyroid glands in patients with renal hyperparathyroidism.

Methods: We retrospectively identified patients with renal hyperparathyroidism who underwent focused ultrasound of the parathyroid glands at our institution between August 1st, 2010, and June 30th, 2019. The …

Reliability And Validation Of Thai Version Of Cosmetic Procedure Screening (Cops) Questionnaire In Thai Women, Suvit Bunyavejchevin, Thanawat Sangnucktham, Purim Ruanphoo

Chulalongkorn Medical Journal

Background: Body dysmorphic syndrome is the psychiatric disorder that can be dissatisfied with the cosmetic surgery outcome and disapproval.

Objectives: The aim of this study was to study the reliability and validate the Thai version COPS questionnaire.

Materials and methods: Fifty six Thai women attending the gynecologic outpatient clinic at King Chulalongkorn Memorial hospital were recruited between July 2017 to June 2018 in this study. Four participants dropped out because they did not answer the second questionnaire. The original English-version of COPS was translated into Thai version and backward translated by another linguist. Then the content of questionnaire …

Comparison Of Efficacy Between Thai-Made Replacement Parts (Smart Litho Plus) And Standard Electromagnetic Shock Wave Systems For Renal Stone Treatment, Supoj Ratchanon, Patranuch Noppakulsati

Chulalongkorn Medical Journal

Abstract

Background: Urinary stones are one of the most common urological problems in Thailand. Extracorporeal shock wave lithotripsy (ESWL) is one of the most frequently used treatments due to its noninvasive nature and widespread availability. However, the effectiveness of lithotripters with power sources produced in Thailand (Smart Litho Plus) compared with that of standard machines is poorly established. Therefore, we aim to compare the efficacy of Thai-made replacement parts with that of standard electromagnetic shock wave systems for the treatment of renal stones.

Methods: We conducted a multicenter retrospective cohort study involving 121 patients with renal stones across three sites …

Effects Of Progressive Neuromuscular Control Training On Functional Mobility In Stroke With Bilateral Oa Knee, Sachi Rajeev Jain, Sandeep Shinde "Dr.", Shamika Shamsundar Baraskar

Chulalongkorn Medical Journal

Introduction- A cerebrovascular accident or stroke is the fourth major cause of mortality and the fifth major condition leading to disability in India [1]. Musculoskeletal disabilities such as osteoarthritis limit functional mobility and interfere with rehabilitation. While conventional exercises do not target improving neuromuscular or sensorimotor function, research on neuromuscular exercises in patients with degenerative pathology of the knee has been done; however, research on the effects of these exercises in stroke survivors with osteoarthritis of the both knees have not been done.

Method- 100 participants, aged 45 to 75, were distributed equally for this case control study: …

Proactive Use Of Perturbation Training On Balance And Posture Control In Geriatric Rehabilitation- An Experimental Study, Reema Joshi, Kinjal Shah

Chulalongkorn Medical Journal

Background:

Ageing is a complex process involving a range of variables that interact to cause deterioration of various physiological functions.

Objectives:

Study attempts to find effect of Perturbation training on postural control upon Centre of Gravity (COG) sway velocity in older individuals using modified-Clinical Test of Sensory Integration on Balance (mCTSIB) component on NeuroCom Balance master® and Timed up and go(TUG) test.

Methods:

An experimental study, employing a pre-post intervention model, involved 30 individuals aged 65-85 years with mild to moderate fall risk was conducted at Tertiary Hospital, Pune from August 2022 to January 2023. Perturbation Training was given …

Platelet-To-White Blood Cell Ratio (Pwr) : A Novel Prognostic Biomarker For Spontaneous Reperfusion After Primary Percutaneous Coronary Intervention., Gökhan Alıcı, Tayfur Erdoğdu, Arafat Yıldırım, Özge Özcan Abacıoğlu, Ömer Genç, Ceyhun Yücel, Örsan Deniz Urgun, Abdullah Yıldırım, Şerafettin Demir

Journal of the Saudi Heart Association

Background: Spontaneous reperfusion (SR) occurring before primary percutaneous coronary intervention (PPCI) can offer additional clinical benefits to patients with ST-segment elevation myocardial infarction (STEMI). The Platelet-to-White Blood Cell Ratio (PWR) has been recognized as a prognostic indicator in various diseases. We aimed to explore the relationship between PWR and SR in patients with STEMI undergoing PPCI.

Methods: We conducted a retrospective analysis involving 995 patients diagnosed with STEMI who underwent PPCI in a single-center setting. Demographic, clinical, laboratory, and angiographic data were extracted from the hospital database, and PWR was calculated by dividing serum platelet levels by white blood cell …

A Saudi Heart Association Position Statement On Cardiovascular Diseases And Diabetes Mellitus, Waleed Alhabeeb, Abdelfatah Elasfar, Abdulhalim Kinsara, Ahmed Aljizeeri, Ibrahim Jelaidan, Kamal Alghalayini, Mohammed F. Alkheraiji., Mousa Akbar, Sameh Lawand, Sarah M. Alyousif, Saud Alsifri, Taher Hassan

Journal of the Saudi Heart Association

Background: Cardiovascular disease (CVD) and diabetes mellitus are prominent public health concerns in Saudi Arabia owing to their increasingly high prevalence and burden. Based on this, the Saudi Heart Association (SHA) set out to develop an official position statement on CVD and diabetes mellitus, with a focus on the prevention and management of these conditions and relevant special populations in the context of Saudi Arabia.

Methods: A multidisciplinary panel of experts met under the auspices of the SHA in a series of meetings to review and discuss available evidence on the prevention and management of comorbid CVD and diabetes mellitus. …

Assessment Of Coronary Collaterals Among Patients With St-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention And Its Impact On In-Hospital And 30-Day Mortality: A Prospective Observational Study, Zafar Iqbal, Muhammad Naeem Mengal, Tariq Ashraf, Bashir Ahmed Salongi, Rajesh Kumar, Khalid Iqbal Bhatti, Bilal Ahmed, Abdul Samad Achakzai, Tahir Saghir

Journal of the Saudi Heart Association

Objectives: This study aimed to determine the distribution of coronary collaterals (CC) as per the Rentrop Collateral Score (RCS) among patients with ST-segment elevation myocardial infarction (STEMI) and its impact on in-hospital and 30-day mortality after primary percutaneous coronary intervention (PCI).

Methods: In this study, a selected sample of consecutive STEMI patients was assessed for the development of CC as per the RCS classification. An RCS grade of 2 or 3 was taken as the presence of CC with either partial or complete filling of the infarct-related artery (IRA). Patients were followed during the hospital stay and up to 30 …

Developmental And Behavioral Updates, Trisha Williams, Tobie O'Brien, Jamie Neal Lewis

Advanced Practice Perspectives Podcast: For Nursing Contact Hours

In this episode, pediatric expert Jamie Neal Lewis discusses the core symptoms of ADHD and shares strategies for evaluation and care, ensuring you have the tools needed to help your child succeed.

Click here to stream the podcast episode.