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 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

Introduction to Podopaediatrics 2/e is a concise but comprehensive introduction to the effective care of foot problems in children. Including coverage of the general specialist and medical conditions which may influence the course of the podiatric treatment. Written by a multidisciplinary international team of contributors under the editorship of a UK practitioner and an American educator and practitioner both podiatrists.Little else on this topic is available Written by a leading transatlantic team of expertsAddresses a core part of the podiatrists case load Comprehensive and up-to-dateWritten at a level appealing to both students and practitioners Concise and well-illustrated

Childhood brain tumors are a diverse group of diseases characterized by the abnormal growth of tissue contained within the skull. Other than leukemia and lymphoma, brain tumors are the most common type of neoplasms that occur in children. The leading cause of death from childhood neoplasms among persons up to 19 years is brain tumors. As such, this book is a review of the most recent molecular biological research concerning brain tumors with references and comparisons to a variety of neoplastic disorders. The book then uses this information to foreshadow the direction that future anti-neoplastic therapies will take. Because of the wide spectrum of the objectives of the book, any individual involved in cancer research will greatly benefit from the work. Histopathologists, neuropathologists, clinical and research oncologists, and medical students will find this book to be an invaluable resource as a reference guide. Patients and their families will also find the book useful as it offers a comprehensive update on new, non-classical therapeutic modality options and contains a detailed description and analysis of brain tumors. Such an endeavor has yet to be undertaken by any other book and may prove to be the most comprehensive book on brain tumors thus far.

Provides vital information about key aspects of drug therapy and immunization in neonates, infants, and children, derived from various authoritative sources in a simple, easy to access and apply format. It covers treatment of a broad range of important pediatric disorders such as infections, asthma, epilepsy, congestive heart failure, diabetes, hereditary clotting disorders, blood component therapy, and management of emergencies such as shock, status asthmaticus, status epilepticus, diabetic ketoacidosis, anaphylaxis, hypertensive emergency, cardiac arrhythmias, and life support-requiring situations. The spectrum of effectiveness of various antibiotics and their rational use in treatment of different types of infections has been set out. The guidelines by Indian Academy of Pediatrics, World Health Organization (WHO), and other international authorities in respect of schedules of immunization, appropriate use of various vaccines, and measures for pre-and postexposure prophylaxis in children have been described. A separate section provides information about drugs used in children-their indications, dosage, modes of use, precautions, and side effects along with trade names of some standard proprietary products. A concise, wide-ranging, and up-to-date ready reference companion guide for pediatricians, residents, postgraduate (PG) and undergraduate (UG) students, and general practitioners. Provides standard guidelines for the management of a wide-range of pediatric disorders encountered in ones day-to-day practice in outdoor, indoor, as well as intensive care settings. The spectrum of effectiveness of various antibiotics and their rational use in management of different types of infections has been described. Current guidelines for immunization and pre- and postexposure prophylaxis in children have been discussed. The indications, dosage, precautions, contraindications, and side effects of various drugs used in neonates, infants, and children alongside names of some proprietary products have been detailed. An excellent index provides instant retrieval of the conditions being searched for, which enables prompt institution of appropriate therapy.

Now in its sixth edition, The Child Psychotherapy Treatment Planner is an essential reference used by clinicians around the country to clarify, simplify, and accelerate the patient treatmnet planning process. The book allows practitioners to spend less time on paperwork to satisfy the increasingly stringent demands of HMOs, managed care companies, third-party payors, and state and federal agencies, and more time treating patients face-to-face. The latest edition of this Treatment Planner offers accessible and easily navigable treatment plan components organized by behavioral problem and DSM-5 diagnosis. It also includes: Newly updated treatment objectives and interventions supported by the best available research New therapeutic games, workbooks, DVDs, toolkits, video, and audio to support treatment plans and improve patient outcomes Fully revised content on gender dysphoria consistent with the latest guidelines, as well as a new chapter on disruptive mood dysregulation disorder and Bullying Victim An invaluable resource for pracaticing social workers, therapists, psychologists, and other clinicians who frequently treat children, The Child Psychotherapy Treatment Planner, Sixth Edition, is a timesaving, easy-to-use reference perfectly suited for busy practitioners who want to spend more time focused on their patients and less time manually composing the over 1000 pre-written treatment goals, objectives, and interventions contained within.

Pediatric Injury Biomechanics: Archive and Textbook consolidates and describes the current state of the art in pediatric injury biomechanics research in the automotive crash environment. Written by the most respected scientists in the field, the objective of this ground-breaking project is to provide a comprehensive archive and analysis of pediatric injury biomechanics research; to be the go-to reference for the epidemiology of motor vehicle related childhood injury data, pediatric anthropometry, pediatric biomechanical properties, tissue tolerance, and computational models. This book provides essential information needed by researchers working in the field of pediatric injury including those involved in rulemaking activities, injury criteria development, child dummy development, and child injury interventions development. In addition to the text, a companion archive will include valuable information and tools to assist in the identification of gaps in research and future research directions.This living document will be regularly updated with current research and advancements in pediatric injury biomechanics.

Over the past two decades, the assessment of Attention-Deficit/Hyperactivity Disorder (AD/HD) has evolved into a sophisticated balance of science and clinical judgement essential for arriving at reliable and valid diagnostic de- sions. Because of the precarious mix of clinical and empirical skill needed to evaluate children with this disorder, diagnostic practice in this area has been found wanting by many critics. In fact, a 1998 National Institutes of Health consensus panel concluded that "existing diagnostic treatment practices ... point to the need for improved awareness by the health service sector conce- ing an appropriate assessment, treatment, and follow-up. A more consistent set of diagnostic procedures and practice guidelines is of utmost importance" (p. 21). Drs. Arthur D. Anastopoulos and Terri L. Shelton have designed a book that addresses this need. A number of themes are highlighted throughout the text. Perhaps the most important is that the assessment guidelines set forth in this book represent a balance between science and practice. The authors account for the realities of clinical practice in an age of managed care while challenging clinicians to heed the lessons of empirical research. Although the use of empirically based asse- ment procedures may at times fly in the face of cost constraints (e. g. , systematic evaluation of medication effects), the authors present a strong argument for them. Further, they call upon their vast clinical experience to provide concrete suggestions for translating research findings into effective evaluations.

This excellent research based textbook addresses nursing care issues rather than disease processes and therefore looks at issues such as discharge planning, adolescents and cancer, coping strategies for family and staff. It concentrates on the psychological and social aspects of care and reflects the radical changes that have occurred in recent years in thisfield. These include better survival rates in childhood cancer, advanced therapies, the move to community based care and increasing awareness of the long term effects of treatment.All post-graduate nurses working with children with cancer, whether in a community or hospital setting will find this text invaluable. It will equally benefit post-graduate nurses studying professional and academic specialist courses such as the ENB 240 paediatric oncology course or those who are already qualified paediatric oncology nurses but who need to keep themselves updated or need a reference in this area.Expert contributors and editor in this field who will provide up-to- date and relevant analysis of the subject. Emphasises the partnership between nurse, child and family.Discusses the impact of treatment on the nursing team. This is an important chapter as there is a lack of knowledge regarding the emotional cost of caring for children with cancer.

This new edition provides paediatricians and trainees with a complete guide to the physical diagnosis of diseases and disorders in children. Divided into 39 sections, the book begins with an overview of paediatric history and examination, growth and development, neonatal medicine, genetics, and nutrition. Each of the following sections covers diagnosis of disorders in different sub-specialties. Each case is presented in a step by step format describing aetiology, pathology, clinical features and differential diagnosis in depth. The second edition has been fully revised and new chapters on podiatry, surgical urology and neurosurgery added. Edited by recognised Glasgow-based experts, this comprehensive atlas features more than 2000 clinical photographs, diagrams and tables across nearly 1000 pages. Key points Complete guide to diagnosis of paediatric diseases and disorders Fully revised second edition with new topics and more than 2000 images and illustrations Internationally recognised editor and author team Previous edition (9789351521525) published in 2014

Positron emission tomography (PET) has been at the forefront of fu- tional and molecular imaging for a number of years. The future of di- nostic imaging depends upon the ability to change from imaging anatomy to examining the processes at work in the body. The fact that there are now monographs examining particular aspects of PET, such as this book on the examination of children, speaks to the newly won maturity of PET. The authors are to be congratulated for the timely appearance of this volume. In recent years, PET has transformed the contributions of nuclear medicine to the diagnosis, staging, and follow-up of patients with cancer. Children with cancer deserve the very best and most comp- sionate care that society can provide. Ultimately the greatest comp- sion we can offer as physicians is to provide the best possible care. Those charged with creating public policy in the context of diagnostic medicine must make common cause with physicians and other sci- tists to ensure that that best possible care is realized at the bedside. All of the evidence suggests that PET is central to such optimal cancer care. In addition to the distinguished cast of physicians and researchers who contributed to this book, I welcome the contributions from te- nologists who are a key part of the interaction between the diagnostic process and the sick or potentially sick child. Good care is contingent upon putting parents and child at ease, and the technologist has a lead role in this.

Invaluable to the practising pediatrician in solvinge common and not so common conditions and at the same time educating and placating parents' concerns and anxieties. Illustrative common to not-so-common clinical cases. Hundreds of clinically-useful pictures. Easy to comprehend interrogative format. Highly acclaimed authors. A handy tool for clinicians to tackle parents' queries.

The main demographic revoulution in modern history has been the increased survival of children - the gradual elimination of the biological waste linked to the high mortality of the past. This volume examines the trends of early-age mortality across time and space and the methodological and theoretical problems inherent in such studies. It widens the discussion beyond the standard European focus by including data from Asian and American sources, showing that they offer enormous potential for researchers. At the same time, it makes clear the need for cautious treatment of historical data and points towards the design of techniques for appraising their quality, correcting distortions, and filling gaps. The analysis demonstrates that levels of infant and child mortality are linked not only to material conditions of life but also to social and cultural factors. The authors argue that a better understanding of these interactions can only come from an interdisciplinary approach, where demography joins forces with biology, medicine, public health, and social and economic history.

This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.

This book is the proceedings of the Falk Symposium No. 127 on Autoimmune Diseases in Paediatric Gastroenterology' (IV International Falk Symposium on Paediatric Gastroenterology), held in Basel, Switzerland, on November 8-9, 2001. The symposium focused on the role of the immune system, both the acquired and the innate systems, in inflammatory bowel disease (IBD) in children and adolescents. The innate system has an important fundamental role in host defence by initiating immune responses against potentially deleterious matter. However, a mutation within the innate system may elicit an immune response against the host: hence, an autoimmune response.

Chronic autoimmune hepatitis occurs predominantly in young people, and especially in women. Immunological changes are conspicuous. Tissue antibodies are found in a large number of patients. This is a disease of disordered immunoregulation marked by a deficit in suppressor T cells causing the production of autoantibodies against specific hepatocyte surface antigen. Liver membrane protein is found in the sera of patients with autoimmune chronic acute hepatitis and with primary biliary cirrhosis (PBC). The latter condition of progressive granulomatous destruction of intrahepatic bile ducts is, in many respects, analogous to the graft-versus-host syndrome where the immune system has become sensitized to foreign HLA-molecules.

Primary sclerosing cholangitis (PSC) is another condition of unknown origin. All parts of the biliary tree can be involved in a chronic, fibrosing, inflammatory process that results in obliteration of the biliary tree and ultimately in biliary cirrhosis. About half of the patients also suffer from ulcerative colitis and rarely from Crohn's disease. Circulating antibodies to some antigens are found in obstructed portal tracts, as well as increased concentrations of biliary immune complexes in patients with PBC.
In all three previous Falk symposia on paediatric gastroenterology, attention was focused on the role of the innate immune system in the aetiology of IBD. It has become increasingly clear in recent years that the innate system has a much more important and fundamental role in host defence. The decision to initiate an immune response is one of the major roles of the innate system. Mutations within this system could transform it into becoming constitutively active, resulting in an inflammatory reaction and thus eliciting an autoimmune response.

Following an introduction to the basic phenomena of autoimmunity, the proceedings discuss clinical aspects of autoimmune diseases. In particular, current knowledge and the state of the art about the diagnosis and treatment of the autoimmune diseases of the gastrointestinal tract are described by world-renowned experts. The book also contains the short presentations on selected topics, as well as abstracts of the mini-posters read by title, which were included in the symposium.

"This is clearly the most authoritative and contemporary statement of current knowledge yet published."
from the Foreword by H. Sarnat

Tuberous sclerosis is the prototype of a category of malformations uniquely characterized by disturbances in cellular differentiation and growth. It presents with a complex association of different neurological phenotypes, including seizures, cognitive impairments and autism. It is important not only because it is a relatively common hereditary neurological disease with high morbidity, but because it has implications in other pathological processes, such as dysplasia and neoplasia, hamartoma formation and other disturbances in morphogenic processes.

This book correlates new genetic data and basic science, covers clinical presentation, reviews the historical background and current diagnostic criteria, and deals with the recent advances in neuropathology, molecular genetics and neurobiology which give a better understanding of the pathogenesis of the disease.

Paediatricians and child neurologists will find this book uniquely useful.

Research into child language development is being conducted more extensively, by more people, and in more countries throughout the world than at any point in the past. We now know more than we ever did before about the linguistic, cognitive, neurobio logical, and social capacities that children bring to their language learning task, as well as the ways in which these capacities interact with a whole range of factors present in the child's environment throughout the learning process, not least the particular character istics of the language or languages to which the child is exposed. Far from inducing a sense of complacency, this new knowledge seems instead to create an even stronger impetus to know more. This is partly because of the new and unforeseen questions it raises and partly because of competition between different theories to provide the best explanation of the phenomenon, and which in turn engender different methods of enquiry. This volume addresses many of the key issues which are currently exercising the minds of child language researchers, and which are likely to motivate research for some years to come. The chapters included here-all previously unpublished-present a great deal of new data and address a range of theoretical issues from a variety of perspectives."

Melanoma is one of the most types of cancer. When melanoma is detected at an early stage, treatment is highly successful, but outcomes can be poor when the disease is advanced. There has been significant progress in our understanding of the molecular biology, genetics, and immunology of melanoma over the past decade. This has been accompanied by rapid advances in therapeutic strategies for patients with melanoma. This book provides the clinician and the researcher with a broad understanding of the molecular and cellular pathogenesis of melanoma, explores the clinical characteristics and criteria for clinical and pathological staging of the disease, and provides an overview of current and evolving treatment strategies in the adjuvant, metastatic, and preventive settings. The treatment of special populations and rare variants of melanoma that often present particular clinical challenges is also covered. Authored by international experts in melanoma biology and clinical management, this volume concisely explains how to diagnose, treat, and prevent melanoma while reviewing advances in basic science and providing an overview of innovative approaches still under development.

Movement Disorders in Childhood, Third Edition provides the most up-to-date information on the diseases and disorders that affect motor control, an important area of specialization within child neurology. In this new edition, each chapter has been fully revised to include all of the latest scientific and therapeutic advances. Updates include new insights in motor development, control, goal-directed and habitual behaviors, classifications of movements and their complex and integrated circuitry. The authors also discuss developments in pathophysiologic mechanisms, immunology and metabolic disorders. New chapters include coverage of genetics of movement disorders and movement disorders in psychiatric conditions. Appendices include an updated and revised drug index and genetic search strategy. An updated Companion website hosts selected educational videos to help diagnose movement disorders.

Pain is a complex, multidimensional phenomenon, with physiological, behav ioral, emotional, cognitive, and developmental aspects (Zeltzer, Barr, McGrath, & Schechter, 1992). To effectively evaluate and manage pain in children, the clini cian must be able to assess the unique ways these complex dimensions interact for the individual child and integrate these dimensions into a treatment plan. This can be a daunting task. The purpose of this book is to provide a framework for conceptualizing pain problems in children that can guide the practitioner in developing an evaluation and treatment plan that is optimal for the individual child. This book is not in tended to be a comprehensive, exhaustive review of the literature on pain manage ment in children. There are several excellent books of this nature (e.g., Bush & Harkins, 1991: McGrath, 1990; Ross & Ross, 1988). Instead, this book is an at tempt to outline an hypothesis testing process of case conceptualizing and treat ment planning that can help structure the task of sorting through the complex interrelationships that determine children's pain."

Inspired by the work of Herbert C. Quay, this book builds on recent theory and research to explore the psychopathology of child and adolescent disruptive behavior disorders. The wide-ranging chapters cover oppositional defiant disorder, attention-deficit hyperactivity disorder, conduct disorder, and other subjects. The work provides a rich sample of the sort of scientific activity Dr. Quay encourged, and will encourage researchers to further pursue issues in this fascinating field.

This book presents pulmonary outcomes of prematurity, from their emergence in infancy through to their consequences in adulthood. With an increasing number of preterm births and more infants surviving, there is now a larger population of adults with lung disease originating in infancy requiring specialized care. Looking at the whole group of preterm infants, not just those with bronchopulmonary dysplasia, this text covers a wide spectrum of pulmonary outcomes, including: pulmonary hypertension, wheezing, and alterations in sleep. The chapter authors focus on critically appraising what is and is not known about each outcome and suggest key questions that still need to be answered. Respiratory Outcomes in Preterm Infants: Sequelae from Infancy through Adulthood is an ideal reference for the multidisciplinary group that cares for these preterm infants and the adults they become, including: neonatologists, pediatric pulmonologists, pediatricians, adult pulmonologists, primary care physicians, nurses, and fellows.

Reoperative surgery is a problem that is confronted by every surgeon and this book offers up-to-date information and techniques for critical cases in all of the pediatric surgical specialties. The book is comprehensive, covering the full spectrum of pediatric reoperation, and it addresses the complications of common pediatric surgeries. This book is an essential resource for both surgeons and non-surgeons involved in the care of pediatric patients.