Search

OBJECTIVE: This study examined psychometric properties, parent-youth agreement, and factors associated with agreement on the 12-item and 36-item versions of the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. METHODS: Data come from a clinical sample of 56 youth, aged 14–17 years, receiving mental health care at a pediatric hospital. Correlations between the WHODAS 2.0, KIDSCREEN-27, and demographic variables were used to assess validity. Internal consistency was measured using ordinal alpha. The Bland-Altman method and intraclass correlation coefficients (ICC) were used to assess parent-youth agreement. Logistic regression examined factors associated with disagreement > 0.5 standard deviation. RESULTS: For both parent and youth, correlations were low to moderate in exploring convergent (τ= −0.42 to 0.01) and divergent validity (τ/r = −0.12 to 0.32). Internal consistency was adequate (α > 0.7). Parent WHODAS 2.0 scores were significantly lower than youth scores and Bland-Altman plots revealed poor parent-youth agreement (ICC = −0.04 to 0.33). Lower household income was associated with lower odds of disagreement on the 35-item WHODAS 2.0 (OR= 0.28, 95% CI= 0.08–0.99), and older youth age was associated with lower odds of disagreement on the 12-item WHODAS 2.0 (OR= 0.40, 95% CI= 0.19–0.84). CONCLUSION: The psychometric properties of both WHODAS 2.0 versions were similar, so the abbreviated version may be sufficient to measure functional impairment in a clinical context. Additional research is needed to better understand the factors that influence discrepancies between informants and the implications for care. However, reports from both youth and parents appear valuable in understanding functional impairment.

The 4m DAG telescope is under construction at East Anatolia Observatory in Turkey. DIRAC, the " DAG InfraRed Adaptive optics Camera", is one of the facility instruments. This paper describes the design of the camera to meet the performance specifications. Adaptive and auxiliary optics relay the telescope F/14 input 1:1 into DIRAC. The camera has an all refractive design for the wavelength range 0.9 - 2.4 micron. Lenses reimage the telescope focal plane 33 x 33 as (9 x 9 mm) on a 1k x 1k focal plane array. With magnification of 2x, the plate scale on the detector is 33 mas/pixel. There are 4 standard filters (Y, J, H, K) and 4 narrowband continuum filters. A 12 position filter wheel allows installation of 2 extra customer filters for specific needs; the filter wheel also deploys a pupil viewer lens. Optical tolerancing is carried out to deliver the required image quality at polychromatic Strehl ratio of 90% with focus compensator. This reveals some challenges in the precision assembly of optics for cryogenic environments. We require cells capable of maintaining precision alignment and keeping lenses stress free. The goal is achieved by a combination of flexures with special bonding epoxy matching closely the CTE of the lens cells and crystalline materials. The camera design is very compact with object to image distance

The pediatric emergency department (PED) is open 24 hours a day, 7 days a week and is designed to provide care to children who cannot wait to receive care in another location (such as a family physicians office, urgent care, or a walk-in clinic). The accessibility of the PED makes it a convenient option for any child who requires care. Use of the PED for health concerns that are not emergent may make it difficult for the PED to operate the way it was designed to. This can impact everyone as the PED may not be able to care for children in the most efficient way. To address this some researchers have created programs that may reduce the impact of visits to the PED for non-urgent concerns. These programs are diverse, and it is not yet clear what programs work and what should be further studied. Our review will find and summarize what has been done to reduce the impact of non-emergent visits by children to the PED, and if these strategies are helpful. Objectives: The primary objective of this study is to list and describe initiatives to reduce the impact of non-emergent presentations to the pediatric ED. The secondary objective of this study is to, when available, meta-analyze the efficacy of these initiatives.

Multiple informants are often used in the assessment of child psychopathology; however, parent-child agreement is low in child psychiatry. The objective of this exploratory study was to assess informant agreement on the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) in a clinical sample of children with mental disorders and their parents, and to examine health and demographic factors associated with agreement.MINI-KID results were analyzed for 88 parent-child dyads. Children were between 8-17 years old and were receiving in- or outpatient services for at least one mental disorder at a pediatric hospital. Kappas were calculated to assess parent-child agreement and logistic regression models were used to identify factors associated with agreement.Agreement was low to moderate (κ=0.19-0.41) across the MINI-KID modules. Household income was associated with agreement for major depression, generalized anxiety, and attention-deficit hyperactivity disorder. Recruitment setting and parent psychological distress were associated with agreement for generalized anxiety and separation anxiety, respectively. Age, sex, and child disability/impairment were not associated with agreement.Parent-child agreement on the MINI-KID was low to moderate, and few factors were associated with agreement. These initial findings reaffirm the need for multiple informants when assessing psychopathology in children and can be used by health professionals to facilitate parent-child discussions in clinical settings in child psychiatry.De multiples informateurs sont souvent utilisés pour évaluer la psychopathologie de l’enfant; cependant, l’entente parent-enfant est faible en psychiatrie de l’enfant. L’objectif de la présente étude exploratoire était d’évaluer l’entente des informateurs à l’égard du mini-entretien neuropsychiatrique international pour enfants et adolescents (MINI-KID) dans un échantillon clinique d’enfants souffrant de troubles mentaux et de leurs parents, et d’examiner les facteurs de santé et démographiques associés à l’entente.Le résultats du MINI-KID ont été analysés pour 88 dyades parent-enfant. Les enfants avaient entre 8 et 17 ans et recevaient des services ambulatoires ou hospitalisés pour au moins un trouble mental dans un hôpital psychiatrique. Les kappas ont été calculés pour évaluer l’entente parent-enfant et des modèles de régression logistique ont servi à identifier les facteurs associés à l’entente.L’entente était de faible à modérée (κ = 0,19–0,41) dans tous les modules du MINI-KID. Le revenu du ménage était associé à l’entente pour la dépression majeure, l’anxiété généralisée, et le trouble de déficit de l’attention avec hyperactivité. Les paramètres du recrutement et la détresse psychologique parentale étaient associés à l’entente pour l’anxiété généralisée et l’angoisse de séparation respectivement. L’âge, le sexe et la déficience/incapacité de l’enfant n’étaient pas associés à l’entente.L’entente parent-enfant au MINI-KID était faible à modérée, et peu de facteurs étaient associés à l’entente. Ces premiers résultats réaffirment le besoin de multiples informateurs pour évaluer la psychopathologie des enfants et peuvent être utilisés par les professionnels de la santé pour animer les discussions parent-enfant dans les milieux cliniques de psychiatrie de l’enfant.