Over the past 20 years, diagnostic tests for pediatric pulmonologists have revolutionized care of children afflicted with respiratory disorders. These tests have been used to not only help in diagnosis, but also in the management and treatment of these children. Bronchoscopic, imaging and physiologic advances have improved clinical care of these children and have been used as outcome measures in research trials. Diagnostic Tests in Pediatric Pulmonology: Applications and Interpretation describes the various diagnostic modalities (especially the newer ones) that are available for the evaluation of pediatric respiratory disorders. It also provides an understanding of the advantages and limitations of each test so that the clinician may choose the most appropriate ones. An internationally renowned group of authors describe how best to interpret the key findings in a variety of tests as well as the possible pitfalls in incorrect interpretation. This volume focuses on the main diagnostic modalities used in the evaluation of pediatric patients with respiratory disorders and presents up-to-date information on the advantages and limitations of each test for a variety of conditions encountered in the practice of pediatric pulmonology. Clinical utility of these tests is also highlighted. This valuable resource is well suited to practicing clinicians, including pediatric pulmonologists, pediatricians and primary care practitioners, as well as trainees, respiratory therapists and clinical researchers.

Developing the basic principles of her model of playtherapy, Sue Jennings has written a stimulating book that will provide inspiration for those new to the discipline, whilst providing a fresh and exciting approach for established practitioners. In Introduction to Developmental Playtherapy, Jennings argues that creative play is essential for children's health. Drawing on examples from her own professional experience, she discusses how play can help resolve issues by allowing possible solutions to be explored safely, thus encouraging flexibility of response. She explores the cultural background and theory of using play as a therapeutic tool with children and how play can communicate to the therapist what the child needs to tell. Innovative and accessible, her book breaks fertile new ground for playtherapy.

The first edition of Color Atlas of Fetal and Neonatal Histology was an important step in updating the histology texts available to practicing pathologists and pathology trainees who perform fetal autopsy and/or participate in research involving fetal tissues. It was a well-received volume that filled a major gap in pathology references related to normal histology and provided a comprehensive, state-of-the art review of fetal and neonatal histology. While the basics of fetal histology have changed little in the intervening years since publication of the first edition, this successor edition provides new insights and a fresh perspective. This book contains six new chapters including: blood vessels and lymphatics, external genitalia, eye, ear, skin, and maceration changes. Many existing chapters have also been expanded to address a greater breadth of fetal and neonatal histology such as postnatal testis development and the cardiac conduction system. The "Special Considerations" sections were also expanded in many chapters to address particularly problematic issues within individual organ systems. The book reviews the histology of the major organ systems in the fetus and neonate and provides detailed images, up-to-date references, and practical guidelines for identifying tissues across all gestational ages of development. The second edition of Color Atlas of Fetal and Neonatal Histology serves as the ultimate go-to resource for pathologists and researchers dealing with, and interested in, fetal and neonatal histology. It provides a comprehensive summary of the current status of the field with excellent and extensive illustrative examples that help guide the clinical study of fetal and neonatal histology and stimulate investigative efforts with fetal tissue.

This book gathers the research efforts of the last quarter century in pediatric epidemiology under a single cover for the first time. It draws on the experience of an international group of pediatric epidemiologists, all of whom are world authorities in their fields. In a consistent format they discuss biological considerations, patterns of occurrence, risk factors, and the impact of interventions for each type of disorder. The disorders reviewed include not only the old morbidity of childhood such as infections, birth defects, asthma, and cerebral palsy, but also the new morbidity: emotional problems, intentional and non-intentional injuries, and suicide. These reviews are grouped in five parts: perinatal disorders, infectious disorders, mental and behavioral disorders, injuries and violence, and chronic disorders. This book is aimed at a wide audience: pediatricians, epidemiologists, nurses, physical and occupational therapists, health administrators, and those in maternal and child health care. One reason it succeeds is that the contributors have the personal expertise and background to enable them to cross the disciplinary lines between pediatrics and epidemiology.

This book provides a comprehensive overview of exercise physiology in patients with congenital heart disease and other pediatric cardiopulmonary disorders. It begins with an in-depth but pragmatic discussion of exercise physiology and the cardiopulmonary adaptations to physical activity, followed by a review of the conduct and interpretation of cardiopulmonary exercise tests. Subsequent chapters discuss exercise physiology and testing in patients with a variety of congenital heart diseases, including tetralogy of Fallot, Fontan physiology, transposition of the great arteries, aortic valve disease, and coarctation of the aorta. Additional chapters analyze other conditions commonly encountered by pediatric and congenital cardiologists such as pulmonary vascular disease, cardiomyopathies, heart transplants, and metabolic disorders. The book also examines the role of exercise testing in patients with electrophysiologic issues such as Wolff-Parkinson-White Syndrome, long QT syndrome, atrioventricular node dysfunction, and pacemakers. The presentations are enhanced by data from Boston Children's Hospital's vast experience with clinical exercise testing. The textbook concludes with a series of interesting and illustrative cases that build on the earlier chapters, present some fascinating physiology, and provide real-world examples of how exercise testing can inform clinical decision making. Exercise Physiology for the Pediatric and Congenital Cardiologist is a detailed, practical reference for clinicians and other health care providers engaged in exercise testing for children and adults with congenital heart disease and other conditions that may be encountered by the pediatric and congenital cardiologist. It is an essential resource for physicians, medical students, and exercise physiologists as well as researchers in cardiology, pediatrics, and cardiopulmonary fitness..

"Silenced Angels: The Medical, Legal and Social Aspects of Shaken Baby Syndrome" delves into the realms of child abuse that has never been explored before in such detail. The book examines how the physical assault of violent shaking on a young body can lead to a lifetime of despair or even death. Every important detail of this tragic form of child abuse is analyzed, providing the reader a more definitive understanding of the condition known as SBS. This is the first book written exclusively about SBS, which is 100% preventable. SBS cases can be frequently misdiagnosed and are more frequently under-investigated and poorly prosecuted, leading to a sense of injustice among families and child abuse prevention advocates.

The author breaks through the barriers of miscomprehension, misdiagnosis, and misrepresentation that typically lead to further tragedy and injustice in SBS-related cases. Advocates for child abuse prevention will gain greater information about SBS to further their cause of establishing hospital and community-based prevention and education programs. Parents and family members of SBS victims will find this book indispensable when seeking medical and legal assistance with their cases.

The value of Winnicott's work has become more and more widely recognized not only among psycho-analysts but also psychologists, educators, social workers, and men and women in every branch of medicine; indeed, all whose work or practice involves the care of children in health or sickness.An important part of the value of these writings lies in the uniquely binocular view with which the author regards the subjects of his investigation. With him, pediatrics informs psycho-analysis; psycho-analysis illuminates pediatrics. This book is not concerned with innovation in basic psychoanalytic concepts or techniques, but with the formulation and testing-out of ideas whose origin was in the challenge of day-to-day clinical work that was the staple of Winnocott's medical experience throughout his professional life. This book is arranged in three sections. The first represents Winnicott's attitudes as a pediatrician prior to training in psycho-analysis, and demonstrates the degree to which a purely formal pediatric approach requires as an effective complement a deeper understanding of the emotional problems of child development.

Innovative Psychotherapy Techniques in Child and Adolescent Therapy, Second Edition.

Therapists who treat children and adolescents are confronted with unique problems that often challenge traditional methods of intervention. This Second Edition is an indispensable resource, revised and updated to provide therapists with a wide variety of valuable treatment and nontraditional intervention techniques, such as expressive arts, relaxation, deep pressure/touch, confrontational, stress-challenge, nature-oriented, and modeling therapy. The Second Edition provides important, clinically proven techniques, including:

• Wilderness/Challenge programs for youth
• The use of dance movement therapy with troubled youth
• Musical interaction therapy for autistic children
• Pet therapy
• The video playback technique with children
• Hypnotic techniques for children with anxiety problems
• Touch therapy for infants, children, and adolescents
• Therapeutic use of computers with children
• Biofeedback with children and adolescents
• Programmed distance writing for acting out adolescents
• Guided imagery with children and adolescents
• Bibliotherapy for children and teens
• Focusing as a therapeutic technique with children and adolescents.

These techniques cut across diagnostic categories and theoretical orientations and can be integrated within all therapeutic styles.

A perfect primer for all parents who are interested inlearning about, and supporting, their children's digestive health.

Child trauma and violence is not an issue that is constrained to one nationality or one ethnicity. A staggering number of children around the world are subjected to violence and abuse, both domestic and political. The current volume examines the issue of developmental trauma from a variety of viewpoints, including sociological, epidemiological, genetic, and psychiatric. The chapters contained within are broken into the following sections: Child neglect and violence from an international perspective The effects of war and armed conflict on children's health and development The impact of childhood trauma on mental and physical health into adulthood Case studies of interventions that provide possibilities for treatment in a variety of different contexts Written by a researcher from Harvard Medical School and Children's Hospital (Boston), this book provides an important resource for understanding violence as an almost ubiquitous presence in children's lives around the world, as well as offering directions for treatment and interventions. This book is an important resource for researchers, counselors, psychologists, child advocates, and anyone who seeks to understand how adversity in childhood affects a person's entire life.

This title includes a number of Open Access chapters. The research contained in this valuable compendium offers a much-needed perspective on one of the most dangerous health crises our world faces today: obesity. Obesity has become an epidemic, a fact frequently discussed in the media, with many references to both childhood and adult obesity. These discussions, however, overlook an important demographic: the adolescent who is obese or overweight. The authors offer critical insights into the forces and factors that result in the numerous metabolic and psychological consequences of adolescent obesity. The book delves into the prevalence, causes and correlates, and implications and consequences of adolescent obesity, and goes on to present considerations for future action. The research covers many of the causes of adolescent obesity, including increased consumption of high carbohydrate snacks; eating too much, too fast, and too frequently; eating high-fat, cheap, convenient, and readily assessable foods; increased sedentary activities, such as TV watching and video games, accompanied by decreased physical activity; parents' and schools' lack of nutrition vigilance; and the commercial incentives to sell calorie-dense foods aggressively and relentlessly. Edited by an eminent doctor and professor, The Complexity of Adolescent Obesity is an easily accessible and well-organized volume that offers vital research context for policymakers, educators, medical providers, and families.

Arguing that death is the central force shaping our social life and order, Michael Kearl draws on anthropology, religion, politics, philosophy, the natural sciences, economics, and psychology to provide a broad sociological perspective on the interrelationships of life and death, showing how death contributes to social change and how the meanings of death are generated to serve social functions. Working from a social as well as a psychological perspective, Kearl analyzes traditional topics, including aging, suicide, grief, and medical ethics while also examining current issues such as the impact of the AIDS epidemic on social trust, governments' use of death symbolism, the business of death and dying, the political economy of doomsday weaponry, and death in popular culture. Incisive and original, this book maps the separate contributions of various social institutions to American attitudes toward death, observing the influence of each upon the broader cultural outlook on life.

Continuous improvement, in the quality and effectiveness of therapy, is demanded by managers of health care, by patients and by therapists themselves. The audit and evaluation of therapy is an essential step in this improvement, but the demands of ongoing clinical practice are difficult to reconcile with those of traditional scientific evaluation. This book is meant to help the busy practitioner, and student in training, to evaluate their approach or treatment formulation, as well as their process of treatment, and key outcomes. The authors provide detailed guidelines on how to record diagnostic and treatment data from single-case work and how to analyse that data, including the use of computer processing. The focus on single-case study evaluation reflects the reality of clinical work for the individual practitioner; it helps to relate to the needs of individual patients, and helps therapists to make explicit the working theory of treatment which guides their planning of therapy.

This book offers a theory-based framework to controlled practice, a collaborative approach which involves therapists and patients as partners in a continuous optimization of psychotherapy. The authors present here the concepts, tools and detailed documentation for a practice-based approach to quality improvement in psychotherapy, which features

• a method of relating the therapist's working theory or conceptual approach to the needs of a specific patient
• well-tried and practical documentation for problem analysis and treatment planning
• a step-by-step guide to single-case analysis
• a documentation system for reviewing and improving therapy, that is, controlled practice.

"This book will be an invaluable source of inspiration and practical guidance for the clinician seeking to improve the quality of psychotherapy with individual patients, through evaluation and controlled practice using single-case studies. Such approaches are now increasingly recognised as valid scientific tools, within research and evidence-based practice. This book helps to bridge the gap between the demands of scientists and practitioners." - Michael Bruch, Director of Cognitive Behavioural Psychotherapy Unit, University College London, UK

Play is one of the most creative opportunities open to a child, and is becoming of increasing interest to therapists and others in the caring professions. This book examines how children develop skills in play as a way of being creative, and how they can use play as a therapeutic process by mirroring their own life experiences in their games. Ann Cattanach outlines the theoretical basis and provides guidelines for work in this area. She examines the role of the therapist, and the different methods involved in therapy, such as creative free play and task-based play. Also covered is the use of play therapy in different work settings, such as the education service, the social services, and hospitals. She discusses the needs of the therapist, including the importance of supervision. The book contains case studies and ideas for working with emotionally disturbed children, abused children, and children facing death. Also included are notes and stories for the refreshment of the therapist.

In the decade since its publication, Handbook of Play Therapy has attained the status of a classic in the field. Writing in the most glowing terms, enthusiastic reviewers in North America and abroad hailed that book as "an excellent resource for workers in all disciplines concerned with children's mental health" (Contemporary Psychology).

Now, in this companion volume, editors Kevin O'Connor and Charles Schaefer continue the important work they began in their 1984 classic, bringing readers an in-depth look at state-of-the-art play therapy practices and principles. While it updates readers on significant advances in sand play diagnosis, theraplay, group play, and other well-known approaches, Volume Two also covers important adaptations of play therapy to client populations such as the elderly, and new applications of play therapeutic methods such as in the assessment of sexually abused children.

Featuring contributions by twenty leading authorities from psychology, social work, psychiatry, psychoanalysis, and other related disciplines, Handbook of Play Therapy, Volume two draws on clinical and research material previously scattered throughout the professional literature and organizes it into four main sections for easy reference:

• Theoretical approaches— including Adlerian, cognitive, behavioral, gestalt, and control theory approaches as well as family, ecosystem, and others
• Developmental adaptations— covers ground-breaking new adaptations for adolescents, adults, and the elderly
• Methods and techniques— explores advances in traditional techniques such as sand play, Jungian play therapy, and art therapy, and examines other new, high-tech play therapies
• Applications— reports on therapeutic applications for psychic trauma, sex abuse, cancer patients, psychotics, and many others

The companion volume to the celebrated classic in the field, Handbook of Play Therapy, Volume Two is an indispensable resource for play therapists, child psychologists and psychiatrists, school counselors and psychologists, and all mental health professionals.

HANDBOOK OF PLAY THERAPY Edited by Charles E. Schaefer and Kevin J. O'Connor

". . . an excellent primary text for upper level students, and a valuable resource for practitioners in the field of child psychotherapy."— American Journal of Mental Deficiency

". . . a thorough, thoughtful, and theoretically sound compilation of much of the accumulated knowledge. . . . Like a well-executed stained-glass window that yields beauty and many shades of light through an integrated whole, so too this book synthesizes and reveals many creative facets of this important area of practice."— Social Work in Education 1983 (0-471-09462-5) 489 pp.

THE PLAY THERAPY PRIMER Kevin J. O'Connor

The Play Therapy Primer covers the impact of personal values and beliefs on therapeutic work, and provides a detailed description of the process preceding the beginning of therapy. It then offers guidelines and strategies for developing treatment plans respective of the various phases of therapy, including specific in-session techniques, modifications for different ages, transference considerations, and the termination and follow-up of clinical cases. 1991 (0-471-52543-X) 371 pp.

PLAY DIAGNOSIS AND ASSESSMENT Edited by Charles E. Schaefer, Karen Gitlin, and Alice Sandgrund

The first and only book to fully explore the assessment potential of play evaluation, this book offers an impressive array of papers by nearly fifty authorities in the field. Following a logical progression, it is divided into six parts covering the full range of practical and theoretical concerns, including developmental play scales for normal children from preschool to adolescence; diagnostic play scales including those for the evaluation of children with a variety of cognitive, behavioral, and/or emotional disorders; parent/child interaction play scales; projective play techniques; and scales for assessing a child's behavior during play therapy. 1991 (0-471-62166-8) 718 pp.

GAME PLAY Edited by Charles E. Schaefer and Steven E. Reid

This important work highlights the psychological significance of using games to assess and treat various childhood disorders. In chapters written by leading authorities, it examines the content of various types of games and provides theoretical approaches, techniques, and practical guidelines for applying games to play therapy with children. Case histories demonstrate the use of game play with childhood problems ranging from hyperactivity to divorce counseling and juvenile delinquency. 1986 (0-471-81972-7) 349 pp.

Im internationalen Vergleich ist die deutsche Perinatalmedizin stark fragmentiert. Der Autor unternimmt eine vergleichende Qualitatsbeurteilung dieses Leistungsbereiches. Struktur- und Prozessspezifika einzelner Krankenhauser dienen dabei als unabhangige Variablen, Ergebnisqualitatsindikatoren als abhangige Variablen. Als Datengrundlage nutzt der Autor deutsche Krankenhausqualitatsberichte, die sich als kaum konsistent erweisen. Es zeigt sich, dass Unterschiede in den Strategien der Anbieter bestehen. Im Leistungsbereich Neonatologie ist von einem Volume-Outcome-Effekt auszugehen. Auch fur Geburten mit niedrigem Risikoprofil liegen in der Gesamtschau Hinweise darauf vor, dass eine weitere Konzentration des Leistungsgeschehens die Qualitat insgesamt erhoehen koennte.

Renowned philosophers and medical ethicists debate and discuss the profoundly important concepts of disease and health. Christopher Boorse begins with an extensive reexamination of his seminal definition of disease as a value-free scientific concept. In responding to all those who criticized this view, which came to be called "naturalism" or "neutralism," Boorse clarifies and updates his landmark ideas on this crucial question. Other distinguished thinkers analyze, develop, and oftentimes defend competing, nonnaturalistic theories of disease. Their combined thoughts review and update an issue of central importance in bioethics today.

This resource has been designed to support practitioners and caregivers with practical and creative ideas on how to use illustrated storybooks therapeutically with children. Whilst this book is also available to purchase as part of a set, with three therapeutic fairy tales, all the content, worksheets and activities can be used with any illustrated story. Exercises have been created to encourage imagination and free play, develop confidence and emotional literacy as well as deepen engagement and understanding of stories. It is a book that can be returned to again and again to inspire creative engagement with stories with individuals or groups. Key features include: An exploration of the importance of stories to modern life, and their use as a creative and therapeutic tool Guidance for working with stories and their illustrations, including conversation starters, prompts and worksheets for process-orientated creative activities Accompanying online activities designed for specific use with the storybooks in the Therapeutic Fairy Tales series This is an invaluable resource for all professionals looking to work therapeutically with stories and images. It will be particularly valuable to those working in child and family mental and emotional health, social and youth care, community and participatory arts, school and education, and specialised health and hospital environments.

JIMD Reports publishes case and short research reports in the area of inherited metabolic disorders. Case reports highlight some unusual or previously unrecorded feature relevant to the disorder, or serve as an important reminder of clinical or biochemical features of a Mendelian disorder.

Surgery of the Liver, Bile Ducts and Pancreas in Children, Third Edition describes the modern approach to the diagnosis, management and surgery of childhood conditions of the liver and associated structures. The first edition was recognized worldwide as a landmark publication and helped to establish pediatric hepatobiliary surgery as a discrete subspecialty; the second was expanded to include pancreatic diseases, transplantation and trauma. This third edition is overseen by a new editorial team from two world-leading centers for children's liver surgery: King's College Hospital in London, and Lurie Children's Hospital in Chicago. The book has been further expanded and updated by a team of international experts to take account of the very latest advances in research and practice.

The management of diabetes in children and young people continues to develop in important areas, including self-monitoring, insulin delivery, dietary prescription, concept of control and the early identification of complications. Meanwhile responsibility for care has become a partnership between patients, parents and a multi-disciplinary team of health professionals. Key features of Childhood and Adolescent Diabetes include:

• Stand-alone chapters offering practical solutions to problems confronting children, young people and their parents
• Rational advice on monitoring and managing diabetic complications
• Guidance on the involvement of families, schools and teachers
• Discussion of the psychological aspects
• Recommendations on setting standards of care, audit, data-handling and registration
• Suggestions for setting up and running activities beyond the clinic

JIMD Reports publishes case and short research reports in the area of inherited metabolic disorders. Case reports highlight some unusual or previously unrecorded feature relevant to the disorder, or serve as an important reminder of clinical or biochemical features of a Mendelian disorder.