Patricia Ryan-Krause

Attention Deficit Hyperactivity Disorder: Part I

This article is the first of a two-part clinical practice guideline on attention deficit hyperactivity disorder (ADHD). It provides practical information for pediatric primary care providers dealing with children from preschool through adolescence who may have ADHD.

Identify and manage Marfan syndrome in children

Marfan syndrome can reduce life expectancy and quality of life because of cardiac, orthopedic, ocular, and other system impairments. This article describes the syndrome from infancy through adolescence and our role in its identification and management.

Attention Deficit Hyperactivity Disorder: Part III

This article is the final section of a three-part clinical practice guideline on attention deficit hyperactivity disorder (ADHD). Part 1 (Ryan-Krause, 2010a) defined the disorder, reviewed common co-morbidities, and described etiologies including genetics, environmental, health, and other influences. Part 2 (Ryan-Krause, 2010b) provided concrete approaches to the assessment of this complex and heterogeneous disorder. Assessment tools and interview techniques were presented. Part 3 addresses ADHDmanagement including

Bicycle Attachments for Children: Bicycle Seats, Trail-a-bikes, and Trailers

62 Volume 23 Number 1 Bicycling is a very popular recreational sport, with approximately 85 million bicycle riders in the United States (Bicycle Helmet Safety Institute, 2004). Many of these riders include families who enjoy cycling together. As a result, many cycling products have been developed to help incorporate young children into family bicycling outings. Products marketed toward children and families include bicycle seats, trail-a-bikes, and bicycle trailers. This article will describe these three products, highlight the advantages and disadvantages of using these attachments, explain the safety implications, and discuss the role of the nurse practitioner (NP). With this information, NPs will be able to counsel families regarding bicycle attachment products, discuss safety and accident prevention, and help families continue cycling recreationally.

Attention deficit hyperactivity disorder: Part II.

Examples of recurrent themes are disorganization, risk-taking behavior, poor This article is the second section of a three-part clinical guideline on attention deficit hyperactivity disorder (ADHD). Part II provides concrete approaches to the assessment of this complex and heterogeneous disorder, while Part III will address its management, including behavioral, educational, and pharmacologic interventions. In 2000 the American Academy of