This is a pioneering book and is the first book of its kind. The book offers guidance about the use of ECT in adolescents with up to date and concise information. The editors of the book are Neera Ghaziuddin MD, MRCPsych (University of Michigan, Ann Arbor, USA), and Garry Walter, MD, Ph.D. (University of Sydney, Australia) who spear-headed the re-introduction of ECT as a safe and an effective treatment option for a subgroup of adolescents with severe psychiatric disorders. This book offers a review of the existing literature, firsthand experience of the authors regarded as experts in their respective field and highly informative case descriptions. The book also offers a historical perspective, explaining the reasons why ECT fell out of favor, particularly among child and adolescent psychiatrists, and the resulting lost opportunity to train clinicians over many decades. Starting around the 1990's, there has been a revival of interest, probably due to the recognition of treatment resistance among some adolescents. The chapter about the mechanism of action ECT describes biological mechanisms that are known to underlie mental illness. Other chapters include a discussion about stigma associated with ECT, ethical and informed consent issues, a step-by-step guidance about using ECT, use of anesthesia during ECT and the interaction between ECT and medications. In addition, its use in youth with general medical and neurological disorders is described. The chapter detailing side effects of the treatment dispels misinformation and indicates that ECT is a safe, painless and a highly effective procedure which is not associated with any lasting side effects. The use of ECT in the treatment of specific disorders (mood and psychotic disorders, severe self-injury and catatonia) is described under respective chapters using case examples. Lay readers, families and patients considering this treatment will find the question and answer subsections at the end of each chapter useful. The experience of the editors gives a unique insight to ECT, dispelling myths and stigma and guides the reader about its proper use.

This book explains how studies in brain development and epigenetics-the inextricable interplay of genes and environments-have led to breakthroughs in the understanding of children's psychological disturbances and serve to discredit the scientifically unsupported "chemical imbalance theory" of mental illness. Intended for mental health practitioners, concerned parents, and child advocates alike, this book presents a powerful new paradigm for understanding the causes of children's psychological disturbances-and as a result, the proper treatment of these symptoms. Based in cutting-edge research on the developing brain and epigenetics, this important volume serves to inform readers about the latest scientific conclusions and clinical practices that need to supplant pervasive and often dangerous drug prescriptions to millions of children. Sharna Olfman, PhD, and contributors including leading researchers, clinicians, and childhood advocates present their research findings and explain the implications for treatment of a range of symptoms, including autism spectrum disorders, attention deficit hyperactivity disorder (ADHD), concussion syndromes, and mood disorders. The book definitively lays to rest the "chemical imbalance theory" of mental illness, a theory that has been roundly discredited by the scientific community but kept alive by the pharmaceutical industry. Chapters focus on the real science of epigenetics and the sensitivity of the developing brain to environmental influences such as trauma and chemical toxins-legitimate research findings that are largely ignored by mental health practitioners and rarely influence practice. Presents a new paradigm for understanding the cause and treatment of children's psychological disturbances based in cutting edge research on the developing brain and epigenetics Addresses the latest groundbreaking research on the treatment of concussion syndromes as well as on the cause and treatment of autism spectrum disorders Offers strategies that promote healthy brain development and protect against childhood psychological disturbances Explains how 21st-century parents' excessive use of cell phones and other mobile devices undermines the quality of attachment and places children at risk for compromised brain development and psychological disturbance

In this issue of Pediatric Clinics, guest editors Jonathan Martin brings his considerable expertise to the topic of Pediatric Neurosurgery in Primary Care. Provides in-depth, clinical reviews on Pediatric Neurosurgery in Primary Care, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

In the United States alone, burns are the third leading cause of death among children 0 to 14 years of age. In addition, each year greater than 125,000 children suffer serious burn injuries, with a disturbing percentage of those through abuse. Yet the number of specialized burn centers in the U.S. is not near enough to be in proximity or even accessible to the majority of these patients. The situation is even worse in most other regions of the world. Therefore, it is critical that the information in this book reaches as many caregivers as possible because treatment of burn injuries has undergone dramatic changes over time in every area, from surgical procedures to respiratory and fluid resuscitation and even nourishment and metabolic support. The ability to recognize and react appropriately to pediatric injury can greatly affect the outcome and prognosis, up to and including the patient's future quality of life. It is in this context that this comprehensive guide for the diagnosis, treatment and follow up of the burned child from Time Zero through Long-term Rehabilitation was put together. This book is essential for the medical professional involved in attaining the most positive outcome possible for their patients and their families.

In this issue of Pediatric Clinics, Guest Editors Roger W. Apple, Cheryl A. Dickson, and Maria Demma Cabral bring their considerable expertise to the topic of Integrated Behavioral Health in Pediatric Practice. Top experts in the field cover key topics such as the need for IBH in pediatric primary care, IBH in pediatric residency clinics, the past and current role of pediatric psychologists in IBH within medical subspecialties, and more. Provides concise and comprehensive coverage of the issues physicians face every day. Presents the latest information on a timely, focused topic under the leadership of experienced editors in the field. Contains 15 relevant, practice-oriented topics including definitions and contexts; history of pediatrics and the development of IBH; common behavioral concerns; BHC roles and responsibilities; and more.

In collaboration with Consulting Editor, Dr. Bonita Stanton, Guest Editor Dr. Nelson L. Turcios has created a comprehensive issue on the multiple pulmonary symptoms associated with pediatric disease. In this issue of Pediatric Clinics of North America, expert authors have contributed clinical review articles that are current and timely. Articles are devoted to the following topics: Pulmonary Manifestations of Genetic Disorders in Children; Pulmonary Manifestations of Congenital Heart Disease in Children; Pulmonary Manifestations of Gastrointestinal, Pancreatic & Liver Diseases in Children; Pulmonary Manifestations of Hematologic and Oncologic Diseases in Children; Pulmonary Manifestations of Endocrine and Metabolic Diseases in Children; Pulmonary Manifestations of Immunosuppressive Diseases Other than HIV in Children; Pulmonary Manifestations of Human Immunodeficiency Virus (HIV) Infection in Children; Pulmonary Manifestations of Rheumatoid Diseases in Children; Pulmonary Manifestations of Systemic Vasculitis in Children; Pulmonary Manifestations of Neuromuscular Diseases in Children; Pulmonary Manifestations of Renal Disorders in Children; Pulmonary Manifestations of Parasitic Diseases in Children; Pulmonary Manifestations of Skin Disorders in Children; Adverse Environmental Exposure and Childhood Respiratory Health in Children; Functional Respiratory Disorders in Children; and Healthcare Inequalities in Pediatric Respiratory Diseases in Children. Pediatricians will come away with the clinical information they need to treat pulmonary conditions and manage outcomes in children with pediatric diseases.

Together with Consulting Editor Dr. Bonita Stanton, Guest Editors Dr. Max Coppes and Leontein Kremer have put together a comprehensive monograph that updates pediatricians on pediatric cancer survivorship. They have selected worldwide experts who have contributed the most current clinical reviews to provide the information you need for care of the pediatric cancer patient. Articles are devoted specifically to the following topics: Stories from survivors and introduction to survivorship; What we know about survivors and how we know this: Early studies, early cohorts, registries and current cohorts of survivors; Radiotherapy and late effects; Guidelines for survivorship care after childhood cancer; Lifestyle, fatigue, social integration in survivors; Psychological & neurocognitive health; Second cancer risk: Risk, exposures, genetics; Cardiovascular (including genetics ) and pulmonary disease; Fertility and reproductive complications; Endocrine health conditions, including thyroid, growth, bone, and metabolic syndrome; Renal and hepatic health after childhood cancer; Hearing and other neurologic problems; and The future of survivorship (future challenges and research) including new agents. Pediatricians will come away with the information they need to improve patient outcomes.

Developmental and behavioural paediatrics is the assessment of children to ascertain their developmental status. This includes speech and language delay, learning difficulties, Attention Deficit Hyperactivity Disorder (ADHD), and social communication disorders, including Asperger's Syndrome and Autism. Accurate diagnosis means that children, and their parents, can be given the appropriate support and advice required to ensure the best possible therapy and support (BMI Healthcare). This book is a comprehensive guide to the diagnosis and management of developmental and behavioural disorders in children. Beginning with an introduction to normal development and behaviour, the text then discusses surveillance and screening processes. Each of the following chapters covers a different disorder or syndrome, from Down's syndrome, neuroregressive disorders and ADHD, to cerebral palsy, selective mutism, visual and hearing impairments, and many more. The final sections discuss therapeutic techniques including pharmacotherapy, counselling, and complementary and alternative medicine. Key points Comprehensive guide to diagnosis and management of developmental and behavioural disorders in children Covers many different disorders and syndromes Includes discussion on medicolegal aspects Features illustrations and figures to enhance learning

The new edition of Manual of Pediatric Anesthesia, by Drs. Lerman, Cote & Steward, summarizes the principles of pediatric anesthesia and details important management considerations for a wide variety of conditions. Thoroughly updated and expanded, it reflects the latest research on new drugs and techniques to keep you absolutely up to date. Covering everything from chronic and acute pain through the pathophysiology of surgical disease to endoscopic procedures, you'll find exactly what you need to safely and effective administer anesthesia to your pediatric patients. Also, it's handy, pocket size is perfect for quick reference and review. . Discusses anesthetics and procedures outside of the operating room. . Explores the issue of anxiety and the parent/child/anesthesiologist relationship. . Provides more tables and algorithms for at-a-glance guidance. . Presents an index of syndromes and conditions and their implications for the anesthesiologist. . Includes appendices on drug dosages and growth curves. . Uses a consistent format throughout that makes reference easy. . Includes the latest information on recently introduced drugs used in pediatric anesthesia to keep you up to date on dosing and adverse reactions. . Features new chapters on Anesthetic Implications of Syndromes and Unusual Disorders and Cardiopulmonary and Neonatal Resuscitation to help you prepare for the challenges you face. . Presents expanded coverage of complex surgical conditions, including minimally invasive techniques. . Covers today's advances in sedation and intraoperative and postoperative pain management for the latest perspectives on the controversial topic of pediatric pain management.

In collaboration with Consulting Editor Dr. Bonita Stanton, the Guest Editors of this issue of Pediatric Clinics of North America have comprehensively review the current and future opportunities for implementing telehealth into pediatric practice. Expert authors have written review articles that provide information based on current knowledge of implementation of technologies but also ask questions about how to implement and what potential challenges there will be. Articles are specifically devoted to: Overview of Telehealth for Pediatricians; Role of Doctor-Patient Relationship in Telehealth; Design Purpose and Design Thinking for Telehealth; How to Implement Telehealth in Pediatrics; Issues Related to Adoption of Health Apps and Telemedicine Programs; Workforce Trends and Business Model for Telehealth; Moral, Political and Economic and Social Dilemmas of Telehealth; Automated Digital Health with Big Data, Predictive Analytics and AI; Tele-rounds and Cased-Based Training; Role of Text-messaging and Messaging apps in telehealth; High-Quality Telehealth Training Programs; Technical and Regulatory Issues of Telehealth Medicine; and Global Health Perspective on Telehealth. Pediatricians will come away with the information they need to employ telemedicine in their clinical practice

The most comprehensive and practical guide available for caregivers of children who have seizures and epilepsy, now completely updated. For more than 30 years, parents, caregivers, and health care providers have trusted Seizures and Epilepsy in Children to provide comprehensive, science-based information and practical answers to the most common questions about these conditions. In this new edition, completely revised and updated, a team of experts from Johns Hopkins Medicine offers guidance on: * diagnostic testing and the latest treatments * recommendations for the best devices, apps, and websites * driving, health insurance, and playing sports * navigating school and other environments * mental health issues and counseling * coping with disability * side effects from medications This new edition also features dedicated chapters on diet, complementary and alternative medicine, and rescue medicines. Seizures and Epilepsy in Children is the go-to resource for caregivers and families with children who have epilepsy and seizures.

Whilst Carreiro's other title, An Osteopathic Approach to Children, covers the theory on pediatric medicine from an osteopathic perspective exploring conditions and diseases of childhood, and the rational for osteopathic treatment, this new book deals with the practical methods to treating children and infants with osteopathic techniques. She includes background on NMT for children and infants. The text refers to all areas including fascias, ligaments, muscles and bones covering all techniques with regard to osteopathic treatment, including techniques such as BLT, a ligamentous technique, counterstrain using muscles, myofascial trigger points,myofascial realease, myofascial unwinding, etc. Covers practical methods to treating children and infants with osteopatic techniques. Includes NMT for children and infants. Comprehensive, referring to all areas, including the fascia. Elaborately illustrated with many drawings and photographs. Includes dissections showing anatomical changes during growth. Treatment covers different age groups. The perfect companion to Carreiro's first book: An Osteopathic Approach to Children.

In consultation with Dr. Lucky Jain, Consulting Editor, Drs. Dempsey and EL-Khuffash have chosen a wide range of topics in cardiovascular issues that cover new diagnostic techniques and important areas of management, including the role of volume administration, inotropes, and corticosteroids in the setting of cardiovascular instability. These remain critical questions in neonatal care, and authors were selected based on their expertise and ability to provide the reader with the most recent up-to-date evidence upon which to direct intervention. The clinical review articles in this issue will address the relationship between intervention and outcome in preterm hypotension, the management of cardiovascular instability in the setting of pulmonary hypertension and therapeutic hypothermia, and finally ask if it's time for a definitive trial in the management of PDA. The final article in the issue highlights the clinical trials to date, what trials are currently ongoing, and what the future holds in cardiovascular support for the preterm infant. The reader will come away with the most current information on this topic from international experts including Europe, Canada, USA, and Australia.

In the fall of 2009, Amy Lutz and her husband, Andy, struggled with one of the worst decisions parents could possibly face: whether they could safely keep their autistic ten-year-old son, Jonah, at home any longer. Multiple medication trials, a long procession of behavior modification strategies, and even an almost year-long hospitalization had all failed to control his violent rages. Desperate to stop the attacks that endangered family members, caregivers, and even Jonah himself, Amy and Andy decided to try the controversial procedure of electroconvulsive therapy or ECT. Over the last three years, Jonah has received 136 treatments. His aggression has greatly diminished, and for the first time Jonah, now fourteen, is moving to a less restricted school.

"Each Day I Like It Better" recounts the journeys of Jonah and seven other children and their families (interviewed by the author) in their quests for appropriate educational placements and therapeutic interventions. The author describes their varied, but mostly successful, experiences with ECT.

A survey of research on pediatric ECT is incorporated into the narrative, and a foreword by child psychiatrist Dirk Dhossche and ECT researcher and practitioner Charles Kellner explains how ECT works, the side effects patients may experience, and its current use in the treatment of autism, catatonia, and violent behavior in children.

Together with Consulting Editor, Dr. Bonita Stanton, the Guest editors of this issue, from the University of Colorado School of Medicine, have secured expert authors to provide updated clinical review articles in the area of pediatric cardiology. Specific topics include: Evaluation of Cardiac Murmur and chest pain; Palpitations and Syncope; Update on Management of Kawasaki Disease; Rheumatic Heart Disease; Myocarditis/Pericarditis; Update on Infective Endocarditis; Update on Pediatric Heart Failure; Update on Pediatric Pulmonary Hypertension; Update on Preventative Cardiology; Common Left to Right Shunt Lesions; Outcomes in Hypoplastic Left Heart Syndrome; Outcomes in Adult Congenital Heart Disease (Neurocognitive Issues and Transition); Innovations in Pediatric Cardiology; The Next Frontier in Pediatric Cardiology: Artificial Intelligence. Readers will come away with the latest clinical coverage of diagnosis and treatment for pediatric cardiology issues.

A game-changing resource for parents caught in the labyrinth of the promoted treatments heralding help for troubled children and their families, this book provides readers invaluable guidance in seeking accurate diagnosis and scientifically verified treatment options. Attention Deficit Hyperactivity Disorder (ADHD) in children is real and can be severely disabling. However, most causes of children's attention problems are unrelated to ADHD and are not resolvable by drugging the child. Treating symptoms is simply not adequate; a completely different approach to the diagnoses and treatment of attention problems in children is necessary. This book identifies the many neurological patterns associated with children's attention challenges, explains the many psychological and physical factors that can affect attention, and describes how to determine if your child needs not medication but other approaches-such as psychological guidance, diet changes, or simply time to develop past childhood-to solve the problem. Paul G. Swingle, PhD, RPsych, provides millions of parents who are desperate for scientifically sound information about how to help their children with conditions that are negatively impacting their learning, development, and happiness with a resource that is precise, definitive, and easy to read. Illustrated with examples from across his 30 years of practice, Swingle's book informs readers about the many factors that can affect children's attention and can often be treated with drugless approaches and therapy for success. Parents will understand how intolerance of what constitutes normal children's behavior and the failure to recognize the emotional challenges that many children have in our culture today constitute causative factors in the misdiagnosis of attention deficit disorders. Provides parents and teachers with critical information that identifies the questions they should ask and points the way to finding a correct diagnosis and curative understanding of treatments Explains why the error rate for diagnoses of ADHS and many other conditions affecting children's ability to thrive in school is so high Authored by a highly respected expert on child psychology, neurotherapy, and psychophysiology who is a fellow of the Canadian Psychological Association and has been a lecturer at Harvard