The MMR controversy has been characterized by two one-sided discourses. In the medical world, the weight of opinion is overwhelmingly in favour of MMR. In the public world, the anti-MMR campaign has a much greater influence, centred on the fears of parents that the triple vaccine may cause autism in their children. Both professionals and parents struggle to cope with the anxieties this creates, but find it difficult to find a balanced account of the issues.
In MMR and Autism Michael Fitzpatrick, a general practitioner who is also the parent of an autistic child, explains why he believes the anti-MMR campaign is misguided in a way that will reassure parents considering vaccination and also relieve the anxieties of parents of autistic children. At the same time, this informative book provides health care professionals and health studies students with an accessible overview of a contemporary health issue with significant policy implications.

Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. Professionals consulted by desperate parents often see the problems from their own angle only and diagnosis and intervention efforts wind up fragmented and ineffective. This book presents a model multidisciplinary approach to care, family-centered and collaborative, that has proven effective in practice. A pillar of the approach is recognition of the importance of performing culturally competent assessment and adjusting service delivery so that it is responsive to cultural differences. Detailed case stories illuminate the ways in which the approach can help children with different backgrounds and different disabilities. Most chapters include, besides references, study questions, lists of resources, and glossaries to facilitate easy comprehension by professionals with different backgrounds-in special education, communication sciences and disorders, clinical and counseling psychology, neuropsychology and psychiatry, social work, pediatrics-and program administrators as well as students, trainees and educated parents. Caring For Children With Neurodevelopmental Disabilities and Their Families constitutes a crucial new resource for all those professionally and personally concerned with these children. Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. This book presents a model multidisciplinary approach to care, family-centered and collaborative, that has proven effective in practice.

Contents:
1. Closure of Gastroschisis 2. Repair of Oesophageal Atresia and Tracheo-oesophageal Fistula 3. Pyloromyotomy 4. Herniotomy in the Ex-premature Infant 5. The Kasai Procedure 6. Cleft Palate 7. Muscle Biopsy in the 'Floppy Infant' 8. Intussusception in a Six Month Baby 9. Adenotonsilletcomy in a Patient with Total Cavopulmonary Circulation 10. Hypoplastic Left Heart Syndrome 11. An Adolescent with Chronic Knee Pain and Severe Disability 12. Management of Pain in a Sickle Cell Crisis 13. Laparoscopic Fundoplication in a Child with Cerebral Palsy 14. Craniotomy for Medulloblastoma 15. The Toddler with a Nephroblastoma 16. Laser Therapy for Laryngeal Papillomas 17. Apert Syndrome and Congenital Abnormality of the Hand 18. Multilevel Orthopaedic Surgery in a Child with Cerebral Palsy 19. Scoliosis Repair in a Child with Rett's Syndrome 20. MRO for Cystic Hygroma 21. Empyema 22. Day Case Anaesthesia for Orchidopexy in a 'Snotty' Child 23. Problems in the Recovery Room 24. The Screaming Child with a Perforating Eye Injury 25. Strabismus Surgery 26. Difficult Intubation 27. Bronchoscopy for an Inhaled Foreign Body 28. Consent in a Child of Jehovah's Witness Parents 29. Revision Ventriculoperitoneal Shunt in a Child with Spina Bifida and Latex Allergy 30. Adenotonsillectomy with OSA 31. Bronchospasm in an Asthmatic 32. Appendicectomy with Insulin Dependent Diabetes 33. Cholecystectomy with Sickle Cell Disease 34. Head Injury 35. Paediatric Transport: Retrieval of a Two Year Old Girl with Meningococcal Septicaemia

Cancer is a very rare disease in children. There have been impressive gains in survival in recent years, and these have been achieved through the use of chemotherapy and national and international clinical trials. The diagnosis of cancer in a child imposes considerable stress on the whole family. In the immediate time after diagnosis, parents must learn about the disease and its treatment, explain what is happening to the child, and make arrangements for the care of other children in the family. For the child, treatment is associated with many side effects depending on the specific drugs used. In addition, the child is prone to infection and therefore is likely to miss a lot of school and other activities. For all these reasons, physicians and families have become aware that cancer has huge implications for the quality of the child's life. This book is an attempt to describe how quality of life is affected at different stages of the disease process. Comprehensive reviews are provided of the impact on the child's physical activity, social life, and school and educational achievements. Special consideration is given to children with leukemia (one of the more common cancers) and brain tumors. Cancer does not just affect the child but every member of the family. Consequently there is coverage of the effects on parents and also healthy brothers and sisters. To the extent that improvements in survival have been achieved by national and international collaboration between clinicians, it is concluded that efforts to improve the quality of these children's lives is dependent on collaboration between clinicians, nurses, and behavioral scientists at national and international levels. This book should provide an impetus for such collaboration.

This concise, portable manual provides practitioners and future practitioners with a basic guide to pediatric emergency ultrasound, enabling them to learn the fundamentals of bedside ultrasound and use these to refresh their skills prior to, or when, performing it on a patient.

The profession of child psychotherapy builds upon the writings and contributions of earlier writers, it is not only the latest research and theory that are important.

Key Papers from the Journal of Child Psychotherapy provides access to classic and important papers from this prestigious journal, spanning the whole period from the beginning of publication to the present. Papers previously not easily attainable are grouped thematically to cover the entire range of work represented in the journal, and presented in one volume accessible to students and professionals alike. This volume contains papers written by professionals at the forefront of their fields (past and present) including Frances Tustin, Anne Alvarez and Dilys Daws. Chapters include:

* Alvarez, A. (1983) Problems in the Use of the Countertransference

* Daws, D. (1985) Standing next to the weighing scales

* Rustin, M (1982) Finding a Way to the Child

Essential not only for those training and practising in child psychotherapy, Key Papers from the Journal of Child Psychotherapy will be of great benefit to all other professionals involved in direct work with children.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

Last year, the National Audit Office reported that levels of obesity in the UK have tripled over the last 20 years. This makes the British among the fattest nations in Europe and, if nothing is done to halt the epidemic, it is feared that levels will soon reach those in the US where one person in every four is obese. Every year tens of thousands of people in the western world are dying prematurely from heart disease, stroke and diabetes - all of them closely linked to obesity.
Obesity is a disease. It is the expression of a classic interaction between nature and nurture. What are the factors responsible for its development? Are we becoming more and more a nation of couch potatoes, or are we just eating too much? Do fat children become fat adults? Can anything be done to halt the obesity epidemic?
This collection of essays, based on presentations made at a national symposium on obesity, is aimed at the generalist with an interest in managing obesity and its outcomes, whether general practitioner, community nurse, dietician or hospital clinician. Its purpose is to highlight the causes and consequences of obesity and to bring modern understanding to the treatment of a problem that is still heavily stigmatised. The authors offer a wide-ranging perspective of obesity as a global problem and explore its devastating metabolic, social and political impact.
What is increasingly clear is that the seeds of many of these adult diseases are sown in childhood. The prevention of adult obesity has thus become a major challenge for the paediatrician.

Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood traumaincluding sexual abuseon sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of traumaincluding the sexual abuse of childrenfor more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselvesto deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way. The contributors to this well-referenced book combine their insight and expertise to address sensitive areas, including: the concepts of femininity and masculinityand how these personality styles are direct and indirect outcomes of trauma and reflective of dissociation treatment approaches for lesbian, gay, bisexual, and transgendered trauma survivors the need to address sexuality in treatmentand to always keep in mind that there are many different healthy expressions of sexuality and gender the relationship of dissociation to sexual addiction/compulsivity in survivors of childhood sexual abuse sexual behavior problems in children who have been abused, including sexually reactive behaviors, extensive but mutual sexual behaviors, and children who molestessential reading for anyone who doesn't want to see abused children mislabeled as sexual offenders! hyposexuality and hypersexuality as a result of childhood trauma the relationship between trauma history, trauma-related symptoms, and sexual risk behaviors that can lead to infection by HIV or other STDs as well as unplanned pregnancy

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

Co-ordination of movement plays a key role in human development and is an active area in sport and health sciences. This book looks in detail at how children develop basic skills, such as walking and reaching for objects, and more complex skills, such as throwing and catching a ball accurately or riding a bicycle.

Development of Movement Co-ordination in Children is informed by five major theoretical perspectives - neural maturation, information-processing, direct perception, dynamic systems and constraint theory - and these theories are explained in an introductory chapter.

The international contributions are then brought together under the headings of ergonomics, health sciences and sport. Focusing on practical applications, individual chapters cover many different aspects of movement behaviour and development, ranging from children's overestimation of their physical abilities and the links to injury proneness to the co-ordination of kicking techniques. Both normal and abnormal development is considered.

Development of Movement Co-ordination in Children will be of considerable interest to students, teachers and professionals in the fields of sport science, kinesiology, physical education, ergonomics and developmental psychology.

Cerebral visual disorders have far-reaching consequences for child development. These have profound adverse effects on children's education and success in school and also in later life, but, unfortunately, cerebral visual disorders often remain undiagnosed and untreated in the pediatric population. This book provides a state-of-the-art account of what is known about the development and disorders of visual perception in children. It covers the development and disorders of visual perception in children, their assessment, early intervention and management in an interdisciplinary context, both from a scientific as well as clinical perspective. Case studies illustrate the recommended assessment and rehabilitation procedures; synopses, boxes and check-lists complement the presentation of our recommendations for clinical practice.

Designed for today's busy family physicians, Dermatology for the Primary Care Provider is an easy-to-use reference covering the diagnosis and management of commonly seen dermatologic conditions. It provides practical, everyday guidance for quick reference at the point of care, including management pitfalls, clinical warning signs, specific treatment recommendations, and much more. Packed with need-to-know information, this unique resource is invaluable both when you are confident in your diagnosis and need guidance on next steps, or when you need step-by-step assistance on initial management in the absence of a definitive diagnosis. Highlights common management pitfalls, how to rule out acutely dangerous entities, and clinical warning signs requiring urgent referral. Provides specific treatment recommendations including which level of therapy is necessary, clear instructions on how to prescribe, and what to watch for. Includes numerous treatment algorithms throughout, as well as a differential diagnosis overview list in every chapter with cross-references to the corresponding page. Contains helpful information on patient education as well as answers to commonly asked patient questions. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

The standard-setting text in oncology for 40 years, DeVita, Hellman and Rosenberg's Cancer: Principles and Practice of Oncology, 12th Edition, provides authoritative guidance and strategies for managing every type of cancer by stage and presentation. Drs. Vincent T. DeVita, Jr., Theodore S. Lawrence, and Steven A. Rosenberg oversee an outstanding team of expert contributing authors who keep you up to date and fully informed in this fast-changing field. This award-winning reference is also continually updated on Health Library and VitalSource platforms for the life of the edition. Integrates basic science into individual cancer chapters for more efficient reference Features quarterly updates that include late-breaking developments in oncology such as new drugs and clinical trials, as well as new case studies and interactive algorithms Offers balanced, multidisciplinary advice from a surgeon, a medical oncologist, and a radiation oncologist Provides updated content on immunotherapy and genetics throughout Includes important related topics such as cancer screening and prevention, palliative care, supportive oncology, and quality of life issues Now available in a convenient single volume, or a seven-multivolume option for portability and ease of use Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

This book provides comprehensive coverage of the anatomical and physiological aspects of complex colorectal and pelvic malformations. Also described are the surgical protocols for this specialized field within pediatric surgery. The benefits of high-level collaboration between surgical services when treating these anomalies are explained, as are treatment algorithms and care of complications. Includes evaluation and management of the newborn Describes surgical interventions of the newborn, and when a primary repair versus a staged approach is required Explains the value of laparoscopy and deciding in which cases to use it Looks at the importance of a transition program to adulthood Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.

Childhood Psychosis is a well-structured and informative study that explores childhood psychosis and its different manifestations in depth, with special emphasis on the relation between psychosis and autism. Tendlarz uses clinical cases to illustrate different aspects of psychoanalytic theories and treatments.

This thought-provoking volume defines child abuse and neglect as a public health crisis, both in terms of injuries and mental health problems and as a link to poverty and other negative social outcomes. The author identifies key factors contributing to this situation-in particular juvenile ageism, the pervasive othering of children and youth-coupled with the assumption of parental competence until severe abuse or neglect proves otherwise. The book's practical answers to these complex issues involve recognizing and balancing the rights of parents and children, and responding to the diverse needs of new, competent, and dysfunctional families. To this end, a comprehensive prevention model is outlined, featuring primary, secondary, and tertiary interventions. Included in the coverage: * Child abuse and neglect in the United States * The impact of juvenile ageism on individuals * The devaluation of parenthood * The rights and needs of newborn babies and young children * Overcoming our crisis-recoil response * Barriers to change and hope for the future Dealing with Child Abuse and Neglect as Public Health Problems should engage professionals in the public health, healthcare, and social services sectors. It should also attract parents in struggling families as well as other laypersons, such as policymakers and child advocates, interested in improving current social conditions.

Currently, it is common practice among the child psychiatric establishment to prescribe powerful and potentially addictive drugs to children who have emotional or behavioural problems. Pathological Child Psychiatry and the Medicalization of Childhood is a strong challenge to this way of thinking.
Sami Timimi uses a wide variety of sources that shape our understanding including his personal experiences to highlight the role of culture, beliefs, science, social hierarchy and power, in shaping our understanding of childhood problems and how to deal with them. He urges professionals who work with children to question their assumptions in a manner that will enable them to access a greater variety of potentially helpful therapeutic frameworks.
Since the 1960s, psychiatry has had to learn to accommodate critical analysis of its beliefs and methods. The legitimacy of its core assumptions continues to be questioned. Now child psychiatry too must engage with such a debate, if it wishes to develop into a genuinely democratic and inclusive profession. Pathological Child Psychiatry and the Medicalization of Childhood will be of great interest to professionals and trainees in psychiatry and child psychiatry, social work, family therapy and other psychotherapies for children and adolescents.

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This book introduces, explores and clearly explains acupuncture and related techniques used in the treatment of children. The author is a practicing pediatrician with many years' experience in both working with children and as an acupuncture practitioner. The book introduces important concepts of childhood development that integrate conventional theories with the Traditional Chinese Medicine theories presented in the classic texts. It covers a variety of acupuncture techniques, including non-invasive approaches (such as electrical stimulation, laser and magnet therapy) which are particularly helpful with children. Full treatment protocols are given for 22 common pediatric conditions, with a particular emphasis on treatments which are safe, simple and readily accepted by children. In addition, issues of diet and immunization are explored by the author. A clear and realistic description is provided for the appropriate use of acupuncture in the treatment of children. Conventional child development theories are integrated with the TCM paradigms to help devise more appropriate and effective treatment plans. Non-invasive acupuncture-related techniques are offered to assist in treating children who have a fear of needles. Treatment plans are provided for 22 common childhood conditions - including asthma and eczema. Concerns and issues related to diet and immunization in childhood are explored. The author is a practicing pediatrician with many years experience in both working with children and as an acupuncture practitioner.

This is a comprehensive guide to the clinical management of the pediatric upper limb, with special emphasis on the hand. A special feature is the general discussion of some clinical cases by various contributors.

This book focuses on predictive, preventative and personalized medicine (PPPM) and how it is related to the healthcare of rare diseases. Readers will discover how advanced rare diseases healthcare provides an excellent proof-of-principles for the personalisation of healthcare systems on a global scale. These chapters look at national plans on rare diseases, at biobanking, gene identification in rare diseases, mitochondrial diseases, rare cancers and virus gene therapy, amongst other topics. There is a chapter dedicated to personalized medicine for hereditary deafness and another exploring the complexity of genotype-phenotype correlations. Specific diseases such as Fabry's, Gauchers and mitochondrial cytopathies are highlighted and we look at enzyme replacement therapy in lysosomal storage diseases. This work is part of a series, produced with the involvement of the European Association for Predictive, Preventive and Personalised Medicine. The series focusses on the concept of an integrative medical approach by PPPM. This volume is dedicated to all aspects related to the prediction, prevention and personalised treatments of rare diseases, and in doing so it explores developments relevant to all medical branches. The authors cover ethical considerations, the creation of a robust platform for professional communication, synergies with patient organisations, doctor-patient collaboration and a new philosophy of integrative medicine by PPPM. This volume serves as a reference source for scientific and medical centres in the field and can be used both at medical curricula and graduate level in the life sciences. Those who place a special emphasis on healthcare promotion and innovations intended to combat rare diseases, save the affected lives and enhance life quality will all find this book of great value."

Recognition and diagnosis of child abuse and neglect creates an important foundation for the protection of children. Physicians and other healthcare providers have a fundamental role in this process, and need to be confident that they can identify correctly the signs and symptoms that provide clues to non-accidental injuries resulting from child maltreatment. Diagnosis of Non-accidental Injury: Illustrated Clinical Cases is an invaluable tool to aid prompt and appropriate diagnosis, presenting various types of findings and challenging the reader with both common and not-so-common manifestations that may result from - or be confused with - child abuse and neglect. The book describes various clinical scenarios through a brief clinical history accompanied by high-quality clinical images. Questions focus on the important concepts to be learned from each case. The answers are revealed after a turn of the page, sometimes with additional images to explain critical aspects, and feature a diagnosis, the 'ruling out' of abuse or neglect, further diagnostic options where relevant, and helpful treatments.

This is a comprehensive and practical guide to all aspects of breastfeeding babies with special care needs. The language is clear and direct and the references up to date. The author covers the basics of breastfeeding and lactation, positioning and attachment, milk supply, the impact of common drugs, as well as breast conditions and problems and their resolution. Particular attention is paid to feeding the vulnerable baby and to alternative methods of feeding.Crystal clear and practical in writing and approach Full coverage of a topic which is poorly covered elsewhere Simple and explanatory with helpful up-to-date drawings, tables and photographs New material and expanded/updated current chapters Tackles issues which all midwives and neonatal intensive care nurses have to face at some point This revised edition includes new material on:the instinctive nature of breastfeeding at birth skin-to-skin contact and care many new concepts relating to positioning and attachment how long it takes to acquire these skills non-nutritive sucking breast conditions, especially sore and cracked nipples areolar massage breastfeeeding and HIV

How can we measure the quality of life in children and adolescents with chronic disease?
Major progress in the diagnosis and treatment of severe and chronic disease has led to an increased number of children and their families having to adapt and cope with the impact of disease, survival, and the cost of treatment. Health professionals have responded to this by developing a diversity of instruments for measuring quality of life for use in paediatrics, psychology and public health. This book introduces the reader to the emerging field of quality of life assessment and provides a comprehensive overview of the conceptual and methodological issues concerning quality of life in child and adolescent illness. Particular emphasis is provided on current efforts to measure the impact of specific chronic conditions on different domains of child functioning. Future directions are outlined for the development of appropriate instruments for measuring quality of life in children and adolescents.
Quality of Life in Child and Adolescent Illness is intended for psychologists, paediatricians, paediatric nurses, child psychiatrists, public health professionals, researchers and other interested readers from the undergraduate to the working professional.

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