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He is somewhat misty-eyed, also, in attributing to Europe's "pockets of slowness" the fact that ADHD is almost 50 times less common there than in America, though he ackowledges differences in diagnostic practice as well .Ritalin Nation" is frustrating.
The potential for marked changes in diagnostic practice is demonstrated in Fig. 2.
To assess changes in diagnostic practice and vaccine schedules for pertussis, we used culture-confirmation and clinical severity to compare pertussis cases at a single Australian tertiary pediatric hospital during relevant periods.
Recent increases in the number of reported cases may be due to changes in diagnostic practice.
The number of people diagnosed has been increasing dramatically since the 1980s, partly due to changes in diagnostic practice and government-subsidized financial incentives for named diagnoses; the question of whether actual rates have increased is unresolved.
Previously, we reported that the sudden increase in pertussis notifications in 1996 was largely due to a genuine increase in clinical pertussis cases and could only partly be explained by changes in diagnostic practice [2].
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Though the data on underlying causes of death are not comparable over long periods of time due to changes in the WHO's International Classification of Diseases (ICD) and to improvements in diagnostic practices, they do shed some light on time trends for the large ICD chapters of causes of death.
Our observation suggests that the discrepant literature findings about SES and BD may be better explained by the change in diagnostic practices: early studies describing a positive relationship included mostly classical manic-depressive disorder, while the patients in recent studies have been diagnosed according to much broader criteria, reflecting the era of bipolar spectrum disorder.
Underdiagnosis and overdiagnosis are problems in marginal cases, and much of the recent increase in the number of reported ASD cases is likely due to changes in diagnostic practices.
This increase is largely attributable to changes in diagnostic practices, referral patterns, availability of services, age at diagnosis, and public awareness, though unidentified environmental risk factors cannot be ruled out.
The dramatic increase in reported cases of autism during the 1990s and early 2000s is largely attributable to changes in diagnostic practices, referral patterns, availability of services, age at diagnosis, and public awareness, and it is unknown whether autism's true prevalence increased during the period.
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