This issue of Pediatric Clinics, guest edited by Drs. Leonard Feld and Shabnam Jain, reviews the topic of Pediatric Quality. The issue opens by examining the case for quality improvement in pediatrics. Approaches to improve pediatric health care, driving children's healthcare initiatives, and the future of quality on pediatric practice are examined.

Topics include: Normal Sleep and Neurobehavioral Development in Children and Adolescents, The Neurocognitive Effects of Sleep Disruption in Children and Adolescents, Evaluation of Sleep Disorders in Children and Adolescents, Epidemiology and Classification of Childhood Sleep Disorders, Family and Cultural Influences on Sleep Development, Sleep Characteristics in Children and Adolescents with Attention Deficit-Hyperactivity Disorder (ADHD), Sleep Disturbances in Children and Adolescents with Anxiety Disorders, Post-Traumatic Stress, and a History of Abuse, Sleep and Mood Disorders in Children and Adolescents, Sleep Patterns in Autism Spectrum Disorders (ASD), Sleep and Substance Use and Abuse, Parasomnias in Children and Adolescents with Psychiatric Disorders, Hypersomnias in Children and Adolescents: Interface with Psychiatric Disorders, Pediatric Insomnia: From Infancy to Adolescence, Medical-Legal Aspects of Pediatric Sleep Medicine

This book on evidence-based practice with children and adolescents focuses on best evidence regarding assessment, diagnosis, and treatment of children and adolescents with a range of emotional problems including ADHD; Bi-Polar Disorder; anxiety and depression; eating disorders; Autism; Asperger s Syndrome; substance abuse; loneliness and social isolation; school related problems including underachievement; sexual acting out; Oppositional Defiant and Conduct Disorders; Childhood Schizophrenia; gender issues; prolonged grief; school violence; cyber bullying; gang involvement, and a number of other problems experienced by children and adolescents.

The psychosocial interventions discussed in the book provide practitioners and educators with a range of effective treatments that serve as an alternative to the use of unproven medications with unknown but potentially harmful side effects. Interesting case studies demonstrating the use of evidence-based practice with a number of common childhood disorders and integrative questions at the end of each chapter make this book uniquely helpful to graduate and undergraduate courses in social work, counseling, psychology, guidance, behavioral classroom teaching, and psychiatric nursing.
Fully covers assessment, diagnosis & treatment of children and adolescents, focusing on evidence-based practicesOffers detailed how-to explanation of practical evidence-based treatment techniquesCites numerous case studies and provides integrative questions at the end of each chapterMaterial related to diversity (including race, ethnicity, gender and social class) integrated into each chapter"

The long-awaited revision of the only book on game play available for mental health professionals

Not only is play a pleasurable, naturally occurring behavior found in humans, it is also a driving force in our development. As opposed to the unstructured play often utilized in psychotherapy, game playing invokes more goal-directed behavior, carries the benefits of interpersonal interaction, and can perform a significant role in the adaptation to one’s environment.

This landmark, updated edition of Game Play explores the advantages of using games in clinical- and school-based therapeutic interventions with children and adolescents. This unique book shows how playing games can promote socialization, encourage the development of identity and self-esteem, and help individuals master anxiety–while setting the stage for deeper therapeutic intervention in subsequent sessions.

Game Play
Therapeutic Use of Childhood Games
Second Edition

Features:

• New chapters on games in family therapy and games for specific disorders
• Techniques and strategies for using game play to enhance communication, guidance, and relationships with clients
• The different types of therapeutic games, elaborating on their various clinical applications

This two-part issue of the Endocrinology and Metabolism Clinics of North America brings the practicing endocrinologist up to date on the most important topics in pediatric endocrinology. Part I covers genomics: genetic disorders and new techniques; newborn screening; hormones in the premature infant; congenital disorders of the thyroid: hyper/hypo; glucose in the PIC setting; diabetes prevention; obesity: etiology, prevention, and treatment; metabolic syndrome in pediatrics; complementary and alternative medicine in pediatric endocrinology; imaging in pediatric endocrine dosoirders; U/S gonads; and global epidemiology of Type 1 diabetes.

The leading resource on identifying children’s problems through play therapy—completely revised The first edition of Play Diagnosis and Assessment was the first volume of its kind to provide a comprehensive overview of the diagnosis and assessment of children through play. Over the past several years, numerous changes within the field have encouraged the development of improved techniques that surpass traditional assessment protocols and methods, such as new scales, more focused procedures, and instruments with higher levels of reliability and validity than have been previously established. Now, this classic book has been updated to address and reflect these ongoing changes. Focusing on the needs of the clinician, this new edition presents empirically tested diagnostic tools and describes improvements to existing play therapy assessment instruments, such as new testing instruments for time-limited therapy and early intervention assessment tools for young children. The book is divided into six sections:

• Developmental Play Assessments
• Diagnostic Play Assessments
• Parent-Child Interaction Play Assessments
• Family Play Assessments
• Peer Interaction Play Assessments
• Projective Play Assessments

First, Infant Development is discussed. Then there are two articles on assessment in early childhood psychiatry: Psychiatric assessment, and Assessment of the caregiver-child relationship in early childhood psychiatry. Early Childhood Mental Health Problems are discussed next, such as Internalizing, Trauma and PTSD, Preschool Disruptive Behavior and ADHD (as viewed through a developmental lens), Pervasive Developmental Disorders, and Parental Psychopathology. In the next section, Early Childhood Specific Treatment Modalities are reviewed: Interventions for Behavioral Problems, Interventions for trauma--exposed dyads: Infant - Parent Psychotherapy and Child - Parent Psychotherapy, Video feedback in parent-infant treatment, Psychosocial interventions with biological effects: Bucharest Early Intervention Project, and Psychopharmacological interventions in preschoolers. Finally, Models of Care are proposed.

In this first compendium in the growing literature of behavioral teratology, readers will discover an easy-to-access, concise presentation that covers a huge range of subjects. The book synthesizes important findings that help explain why prenatal events may result in abnormal behavior and learning disabilities later in life. It goes further to examine the role of prenatal perturbations in conditions as varied as dyslexia, schizophrenia, fetal alcohol syndrome, and autism.

Topics include: MR Imaging of the Pediatric Bone Marrow; The growing skeleton: MR appearances of developing cartilage; Infectious and Inflammatory Disorders; MRI of Pediatric Trauma; MRI of Pediatric Arthritis; MR Imaging of Primary Bone Tumors and Tumor-like Conditions in Children; MR Imaging of soft tissue masses in children; The hip: MR imaging of uniquely pediatric disorders; The knee: MR imaging of uniquely pediatric disorders; The foot and ankle: MR imaging of uniquely pediatric disorders; MRI in Congenital and Acquired Disorders of the Pediatric Upper Extremity.

This issue of Clinics in Perinatology, guest edited by Dr. Hanmin Lee, examines the topic of Fetal Surgery. The issue begins with an overview, including the history of fetal surgery, ethical implications, and maternal management and outcome. Imaging (including Ultrasound, MRI, and Echocardiology) and Specific Diseases (including Congenital Diaphragmatic Hernia, Fetal Lung Lesions, Obstructive Uropathy, TTTS, MMC, TRAP and other discordant twins, and Congenital Cardiac Anomalies) are also examines. The issue concludes with a look at research and future directions, including Stem Cell Transplant/Gene Therapy, Consortiums/Registries, and Fetal Tissue Engineering.

An intensely moving, frequently shocking account of a child's life in an adult mental hospital.

Child Abuse and Neglect is reviewed in this issue of Pediatric Clinics, guest edited by Dr. Andrew Sirotnak. Authorities in the field have come together to pen articles on physical abuse (including abusive head trauma, retinal hemorrhages, and fractures), neglect (including drug exposed children, what has changed, what is reported, cultural aspects, system response, and outcomes), systems (including foster care, home visitation models, child abuse prevention education, implications for child advocacy efforts, mental health care for the abused child and the offending family, challenges in access to care, public policy, child fatality review teams, the growth of systematic review, changes in definitions of SIDS, SUDS, and domestic violence prevention) and the future of the child abuse field (including education and subspecialty certification, the role of the primary care provider, the medical legal interface, and old and new national and international challenges).

There are growing questions regarding the safety, quality, risk management, and costs of PCC teams, their training and preparedness, and their implications on the welfare of patients and families. This innovative book, authored by an international authorship, will highlight the best practices in improving survival while paving a roadmap for the expected changes in the next 10 years as healthcare undergoes major transformation and reform. An invited group of experts in the field will participate in this project to provide the timeliest and informative approaches to how to deal with this global health challenge. The book will be indispensable to all who treat pediatric cardiac disease and will provide important information about managing the risk of patients with pediatric and congenital cardiac disease in the three domains of: the analysis of outcomes, the improvement of quality, and the safety of patients.

This innovative book discusses current findings on regulatory disorders in infants and offers practical guidelines for diagnosis and intervention. Focusing on core infant and toddler concerns including crying, sleeping, feeding, clinginess, and aggression, it presents a developmental continuum from normal to disturbed behavior regulation and examines science-based strategies for halting this trajectory. Case examples and widely used tools illustrate diverse approaches to assessment and diagnosis, emphasizing nuances of parent-infant interactions and parents' reactions that may fail to answer, or may even exacerbate, the child's distress. And chapters outline counseling and therapy options for infants and parents, so that persistent problems do not become entrenched in children's future behavior or lead to long-term family dysfunction. Among the topics covered: Approaches to diagnosing regulatory disorders in infants. Feeding disorders in infants and young children. Developmentally appropriate vs. persistent defiant and aggressive behavior. Treatment approaches for regulatory disorders. Video and video feedback in counseling and therapy. Regulatory Disorders in Infants is an essential resource for clinicians and practitioners as well as researchers and graduate students in clinical child and school psychology, pediatrics, social work, psychiatry, and family studies.

This book is a complete guide to neonatal care, covering preventive medicine, and the diagnosis and management of a variety of disorders. Divided into ten sections, the text begins with an introduction to newborn medicine and the delivery of healthcare services. The following sections cover normal newborn care, perinatal problems, metabolism and cardiorespiratory disorders, foetal and neonatal brain development, growth and nutrition, and pain, medication and addiction. The book concludes with a selection of miscellaneous topics including neonatal skin disorders, orthopaedic problems, oxygenation, gastrointestinal disease, and nephrology. Authored by a highly experienced group of experts led by West Virginia-based Balaji Govindaswami, the comprehensive text is further enhanced by clinical illustrations and figures. Key points Comprehensive guide to prevention and management of neonatal disorders Includes discussion on the impact of addiction on foetal and infant brain structure and function Highly experienced author team led by West Virginia-based expert Features illustrations and figures to further enhance text

Presenting a multidisciplinary approach to the prevention and management of injuries to young tennis players, this unique book considers multiple factors contributing to the increasing numbers of such sports-related injuries, such as increased young athlete participation in tennis, the pre-professionalization of younger players and misconceptions surrounding treating children in the same manner as adults. Beginning with the essentials for developing tennis players and their physical and mental growth with the sport, the text then turns to prevention and management techniques and strategies covering the upper and lower extremities, shoulder and elbow, hip and knee, and spine, as well as other acute medical conditions. Further consideration is given to proper nutrition, strength and conditioning, and rehabilitation and return to play. Edited by clinicians directly involved in the care of young tennis players and including contributions from physical therapists, nutritionists, sports psychologists, and physicians, it is an invaluable and comprehensive resource for any professional seeing and treating young tennis players.

Starting with historical, epidemiological and sociocultural issues, this book presents clinical and molecular biological aspects of pediatric infectious diseases. The text offers new insights into the pathogenesis of infection, and updates on diagnostics, prevention and treatment of pediatric viral, fungal and bacterial diseases, as well as emerging new pathogens. The book will interest an interdisciplinary audience of clinicians and non-clinicians: pediatricians, infectious disease researchers, virologists, microbiologists and more.

This book focuses on children and the impact of neurotoxins on the developing brain to guide the practice of psychologists working with children in clinical and school settings. Each chapter covers a distinct neurotoxin or group of neurotoxins, with particular emphasis on the impact of the neurotoxin exposure on the developing brain and long-term cognitive and psychosocial outcomes. This is more complex than studying neurotoxins with adults because of the rapid development occurring in the child's brain. Further, children are more susceptible than adults to the effects of neurotoxins due to their developmental status. Many of the effects discussed in this volume occur in utero, thus setting the stage for an altered developmental trajectory.

It is a special challenge to treat children with osteopathy. You can find everything you need to know about it in this detailed and practice oriented manual. Written by an experienced, international team of authors, it covers the whole spectrum of paediatric osteopathy- from new born to teenager. Part 1 - Treatment of the mother before and after birth - Information about potentially formative pre- and perinatal experiences of the child - Osteopathic fundamentals of a gentle and respectful treatment of all body systems- with emphasis on the treatment principles of Dr. Sutherland. All techniques are clarified by photos - Osteopathic case history taking, examination procedures, differential diagnosis - Nutritional advice - Information and considerations on managing a paediatric osteopathic practice Part 2 - Osteopathic and allopathic pathophysiology, diagnosis and treatment approaches of the most common childhood pathologies - Consideration of logopedics, orthodontics and vaccination in separate chapters

This book is a comprehensive guide to the diagnosis and management of commonly encountered infectious diseases in children. Divided into 25 sections, each chapter covers a different condition with emphasis on assessment and treatment. Each topic begins with a clinical case followed by step by step instruction on history taking, examination and investigation, diagnosis, and management. Key points of the topic are summarised to assist learning. The thorough text is further enhanced by clinical photographs, illustrations and tables. Key points Comprehensive guide to diagnosis and management of commonly encountered infectious diseases in children Presented as selection of clinical cases with step by step guidance on treatment Emphasis on assessment and therapeutic options Highly illustrated with clinical photographs, diagrams and tables

Typhoid is a bacterial infection caused by a specific type of Salmonella that causes mild to severe symptoms such as fever, headache, confusion, abdominal pain and constipation. The infection can spread throughout the body affecting many organs, and without prompt treatment, can cause serious complications and may also be fatal. Part of the Clinic Consult series, this book is a concise guide to the diagnosis and treatment of typhoid in children. Divided into eight sections, the text provides step by step guidance through epidemiology, pathogenesis, clinical features, complications, investigations, treatment, prevention, and vaccines. This practical manual places emphasis on diagnostic modalities and includes discussion on the treatment of drug resistant typhoid fever. Key points Practical guide to diagnosis and management of typhoid in children Emphasis on diagnostic modalities Includes discussion on treatment of drug resistant typhoid fever Part of Clinic Consult series

Accurate diagnosis of paediatric illness is, at times, more challenging than diagnosis of adult illness because children, especially those of a very young age, are often unable to describe or illustrate their symptoms. This book is a practical guide to clinical examination of children for diagnosis of diseases and disorders. Beginning with an introduction to communication skills with both children and their parents, the next chapters discuss the importance of history taking and offer guidance on general physical examination techniques. The following sections cover more specific examination for each system of the body – respiratory, nervous, gastrointestinal, musculoskeletal, eyes, skin and more. The book concludes with discussion on ethical and legal matters, diagnosis of death, and common procedures in paediatrics. Clinical photographs, illustrations and tables for quick and easy reference, further enhance the comprehensive text. Key points Comprehensive guide to paediatric clinical examination techniques Emphasis on importance of communication skills and accurate history taking Covers all systems of the body Highly illustrated with clinical photographs, diagrams and tables

This manual is a comprehensive guide to radiological imaging for the diagnosis of diseases and disorders in children. The fourth edition has been fully revised and features many new topics, providing the latest advances in the field. Divided into 35 chapters, the book covers all the main imaging modalities - CT, MRI, ultrasound and digital radiography, and their use in the diagnosis of disorders in different body systems. Numerous radiological images, tables and boxes further enhance the extensive text. Key points Comprehensive guide to radiological imaging in children Fully revised, fourth edition, featuring many new topics and latest advances Covers all the main imaging modalities accompanied by radiological photographs, tables and boxes Previous edition (9789350252055) published in 2011

This comprehensive volume provides current state of the art of the use of corticosteroids in the pediatric patient. It consists of 14 chapters written by leading authors from different countries. The first chapters cover historical notes, general concepts on treatment with corticosteroids with regard to indications and side effects, and basic pharmacologic properties of these compounds. The rest of the book is devoted to the specific use of steroids in the different pediatric subspecialties. Despite advances with newer effective immunosuppressive and anti-inflammatory drugs, corticosteroids still remain the mainstay of therapy for many disorders. Leading authors in their field have summarized these concepts to provide an authoritative, comprehensive guide to help clinicians safely and effectively use corticosteroids in their pediatric patients.