En Estados Unidos, cada ano, aproximadamente 1,6 millones de pacientes pediatricos se transportan en ambulancia al departamento de emergencias y se atiende a millones mas en todo el mundo. Dado que la atencion pediatrica prehospitalaria se considera una atencion de baja frecuencia y alta gravedad, es fundamental que los profesionales renueven y actualicen sus conocimientos clinicos, practiquen habilidades psicomotoras y apliquen pensamiento critico a los posibles casos de los pacientes para garantizar que puedan poner en practica estas habilidades cuando se reciba una llamada pediatrica. La cuarta edicion de Atencion pediatrica de emergencia es el siguiente paso en la evolucion de este curso critico de capacitacion continua. Este manual es un recurso interesante que se puede consultar despues del curso para ayudar a los profesionales a proporcionar la mejor atencion a sus pacientes jovenes. Un enfoque de la atencion pediatrica centrado en la familia El programa de Atencion pediatrica de emergencia de la Asociacion Nacional de Tecnicos en Emergencias Medicas (National Association of Emergency Medical Technicians, NAEMT) asiste a los pacientes pediatricos a traves de la educacion global de profesionales de la atencion prehospitalaria de todos los niveles. El programa de Atencion pediatrica de emergencia promueve la excelencia en el tratamiento de pacientes pediatricos por parte de todos los profesionales involucrados en la atencion prehospitalaria. El objetivo principal del curso de Atencion pediatrica de emergencia no es unicamente garantizar que los profesionales de servicios medicos de emergencia puedan atender mejor a los ninos enfermos y lesionados; tambien reconoce que casi todas las llamadas pediatricas giran en torno a las necesidades no solo del nino, sino tambien de sus cuidadores. Este manual del curso incluye capitulos sobre lo siguiente: * Desarrollo y evaluacion pediatrica * Emergencias respiratorias * Traumatismos * Shock y circulacion * Emergencias medicas pediatricas * Eventos cardiacos pediatricos * Urgencias toxicologicas * Maltrato infantil * Atencion obstetrica/de recien nacidos y anomalias congenitas * Menores con necesidades especiales de cuidado de la salud * Crisis de salud mental en pediatria

A practical guide to play therapy with children. This book covers aspects of treatment including the selection of appropriate patients, choice of toys, setting limits, and working with parents. The capabilities of group therapy to foster social interaction and psychological development are shown.

Inspired by the increasing need to consider developmental factors in understanding the etiology and treatment of mental diseases, The Oxford Handbook of Child and Adolescent Eating Disorders: Developmental Perspectives takes an innovative approach to topics surrounding eating disorders in children and early adolescents.
Acknowledging the distinct differences in the development and treatment of eating disorders across age ranges, this volume addresses developmental factors in clinical presentation, diagnosis, and treatment response in eating disorders.
With sections devoted to feeding disorders of infancy and younger children, eating problems of early childhood and the middle-school age period, early childhood and adolescent 'triggers' such as media exposure and family evolution, and future directions in developmental research for eating disorders, The Oxford Handbook of Child and Adolescent Eating Disorders: Developmental Perspectives is an authoritative work for the next decade of developmental research.

This is a comprehensive yet concise review textbook and examination guide covering the entire spectrum of paediatric surgery. The 460 questions and associated explorations are structured such that the complete curriculum is addressed in a systematic manner simply by solving the EMQs and reading the subsequent discussions. Each chapter provides relevant information and evidence-based facts and figures on a specific area, alongside practical discussions from the expert panel of internationally acclaimed authors. It further acts as a compendium of current research by compiling salient details from other texts. Succeeding in Paediatric Surgery Examinations Volume 2 is highly recommended for candidates of postgraduate paediatric examinations. It is an excellent overview that will also be of great benefit to practicing paediatric surgeons and urologists, paediatricians, urologists, general surgeons and orthopaedic surgeons.

This comprehensive text follows an evidence-based approach to thoroughly discuss Atrial septal defects. Since this congenital heart disease mostly presents in adulthood, it becomes imperative to understand the embryology, pathophysiology and anatomy in detail, for effective management of these patients. This book has strong clinical focus on anatomy, natural history, indications, imaging methods and practical aspects of disease management, which inculcates best practice in the day to day management techniques employed by cardiologists, trainees and professionals. Key Features Covers all aspects of atrial septal defects with a logical flow of topics. Serves as a useful guide to clinical cardiologists aiming to specialize in atrial septal defects and professionals entering the field. Explores future directions in diagnosis and treatment, elaborating on the use of 3D echocardiography and Intracardiac echocardiography.

This comprehensive text follows an evidence-based approach to thoroughly discuss Atrial septal defects. Since this congenital heart disease mostly presents in adulthood, it becomes imperative to understand the embryology, pathophysiology and anatomy in detail, for effective management of these patients. This book has strong clinical focus on anatomy, natural history, indications, imaging methods and practical aspects of disease management, which inculcates best practice in the day to day management techniques employed by cardiologists, trainees and professionals. Key Features Covers all aspects of atrial septal defects with a logical flow of topics. Serves as a useful guide to clinical cardiologists aiming to specialize in atrial septal defects and professionals entering the field. Explores future directions in diagnosis and treatment, elaborating on the use of 3D echocardiography and Intracardiac echocardiography.

Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children's pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children's adaptive functioning as well as subjective discomfort. This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

How do we talk about feelings to children who are cut off from feeling? How do we raise hope and a sense of safety in despairing and terrified children without offering false hope? How do we reach the unreachable child and interest the hardened child? The Thinking Heart is a natural sequel to Live Company, Anne Alvarez' highly influential and now classic book about working with severely disturbed and damaged children. Building on 50 years experience as a child and adolescent psychotherapist, Alvarez uses detailed and vivid clinical examples of different interactions between therapist and client, and explores the reasons why one type of therapeutic understanding can work rather than another. She also addresses what happens when the therapist gets it wrong. In The Thinking Heart, Alvarez identifies three different levels of analytic work and communication: * the explanatory level - the "why - because" * the descriptive level - the "whatness" of what the child feels * the intensified vitalizing level - gaining access to feeling itself for children with chronic dissociation, despairing apathy or 'undrawn' autism. The book offers a structured schema drawing on and updating some of her classic work. It is designed to help the therapist to find the right level of interpretation in work with clients and, provides particular help with the unreachable child. It will be of use to Psychotherapists, Psychoanalysts, Clinical and Educational Psychologists, Child Psychiatrists, Social Workers, Special needs teachers and carers of disturbed children. Anne Alvarez is a Consultant Child and Adolescent Psychotherapist and is retired Co-Chair for The Autism Service at the Tavistock Clinic, London. She is currently a visiting teacher and lecturer for the Tavistock Clinic, and a Lecturer on the San Francisco Psychoanalytic Society Child Programme.

Babies who cry a lot, or are unsettled in the night, are common sources of concern for parents and, consequently, costly problems for health services. In this book, Ian St James-Roberts summarises the evidence concerning infant crying and sleeping problems to provide a new evidence-based approach to these common challenges for parents and health services. The book begins by distinguishing between infant and parental parts of the problems and provides guidelines for assessing each issue. Topics covered include: * the pros and cons of 'infant-demand' versus 'limit-setting' forms of parenting * causes of infant 'colicky' crying and night waking * effects of night-time separations on infant attachments * interventions such as swaddling, herbal remedies, and 'controlled crying.' Since there is now firm evidence that parents' vulnerabilities and cultural backgrounds affect how problems are defined and guidance is acted upon, and that parents who wish to do so can reduce infant crying and unsettled night waking, social factors are considered alongside medical issues. Translating research evidence into practical tools and guidance, The Origins, Prevention and Treatment of Infant Crying and Sleeping Problems will be essential reading for a wide range of healthcare professionals including mental health staff, social workers, midwives, health visitors, community physicians and paediatricians.

This new and extensively revised edition of one of the most popular of the Clinics series, brings the original work up to date and clarifies Karel Bobath's account of the neurophysiological mechanisms underlying the motor disorders of cerebral palsy. It also highlights the advantages of very early treatment of infants before the disordered postures and movements are established. All those involved with physically handicapped children, and especially therapists, will find the book invaluable reading.

Food security and child malnutrition are at the forefront of our attention, both nationally and internationally. The chapters contained in this compendium include a range of methodologies-literature review, cross-sectional study, longitudinal study, case-control, and even a focus group!-all of which examine this urgent issue, revealing new perspectives and facets of information. The international roster of contributors present a nuanced look at food security and child malnutrition with research into food security measures in many nations around the world. The book is broken into several parts, covering defining food security food security, nutrition, and growth and development food security and mental and physical health food security and child obesity conclusion, with an information study from The Children's Healthwatch on household hardships, public programs, and their associations with the health and development of very young children The range of topics and information presented here will be valuable for those involved with food security advocacy, policymakers, researchers, social service professionals working children and families, and others.

Paediatric Biomechanics and Motor Control brings together the very latest developmental research using biomechanical measurement and analysis techniques and is the first book to focus on biomechanical aspects of child development. The book is divided into four main sections, the biological changes in children; developmental changes in muscular force production; developmental changes in the biomechanics of postural control and fundamental motor skills and finally the applications of research into paediatric biomechanics and motor control in selected clinical populations.

Written by a team of leading experts in paediatric exercise science, biomechanics and motor control from the UK, the US, Australia and Europe, the book is designed to highlight the key implications of this work for scientists, educators and clinicians. Each chapter is preceded by a short overview of the relevant theoretical concepts and concludes with a summary of the practical and clinical applications in relation to the existing literature on the topic. This book is important reading for any sport or exercise scientist, health scientist, physical therapist, sports coach or clinician with an interest in child development or health.

With a heavily revised format in consideration of the recent DCH clinical examination changes, this new edition of the comprehensive revision guide provides the candidate with a definitive, one-stop revision resource. Familiarise yourself with the revised format of the examination, including revised timings Learn your revision needs through plentiful scenarios and worked examples Study using the wealth of detailed revision guidance, exam tips, diagrams, and practice cases Written by an experienced author team with extensive knowledge of the exam through its role teaching DCH courses, this title is currently the only revision guide that is focused on the clinical part of the DCH examination. Get Through DCH Clinical is essential reading and revision material for postgraduate candidates preparing for the clinical part of the DCH examination.

Children and Exercise XXIV presents the latest scientific research into paediatric exercise physiology, endocrinology, kinanthropometry, growth and maturation, and youth sport. Including contributions from a wide-range of leading international experts, the book is arranged into six thematic sections addressing:

• Children's health and well-being
• Physical activity patterns
• Exercise endocrinology
• Elite young athletes
• Aerobic and anaerobic fitness
• Muscle physiology.

Offering critical reviews of current topics and reports of current and on-going research in paediatric health and exercise science, this is a key text for all researchers, teachers, health professionals and students with an interest in paediatric sport and exercise science, sports medicine and physical education.

The papers contained within this volume were first presented at the 24th Pediatric Work Physiology meeting, held in Tallinn, Estonia, in September 2007

Toivo Jurimae is Professor, and Chair of Sport Pedagogy at the Institute of Sport Pedagogy, University of Tartu, Estonia.

Neil Armstrong is Professor of Paediatric Exercise Physiology and Director of the Children's Health and Exercise Research Centre at Exeter University. He is also Deputy Vice-Chancellor of Exeter University.

Jaak Jurimae is Associate Professor in the Faculty of Exercise and Sport Sciences at the University of Tartu, Estonia.

This book focusses on the clinical aspects and management of pediatric skin disorders, especially seen in darker skin types. It includes unique conditions that the authors have encountered in their lifetime with their independent observations and approach to management. Original high-quality images are used to illustrate most dermatoses described in the book enabling a strong visual impression of the discussed diseases. It hopes to provide readers with a blend of evidence and experience based pediatric dermatology. This book aims to be a hands-on manual that can be referred to during a busy practice as it discusses the practical approach to dermatoses. Key Features Focusses on darker skin types. Examines unusual presentations with detailed clinical features. Discusses the ways to differentiate between similar-appearing diseases. Explores approaches to therapy, especially in resource-poor settings. Covers topics with high quality illustrations.

As in any field of clinical or scientific endeavor, a cataloguing of the techniques and findings of behavioral pediatrics must follow shortly after the first few years of systematic work. This book has been designed to serve this initial summary function for the field. It represents a first attempt to bring together in one place the definition and scope of be havioral pediatrics and to outline current research and treatment ap proaches to various organic disorders, clinical settings, and problem areas in which a sufficient body of knowledge has accrued for author itative statement. As the first text in a rapidly expanding area, our decisions regarding the topics to be covered and the contributors to this volume were guided by our desire to represent what we would consider to exemplify the field in its early development: pragmatic and thorough study of signif icant problems from a base of sound scientific inquiry. Each of the topics addressed in the present volume develops, in a preliminary fashion, an epistemology for current practice and future study. All of the contrib uting authors have been involved in the development of their specialty areas through their research and, importantly, through their clinical work in the hospitals affiliated with the medical schools in which they hold appointments."

Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is a comprehensive, timely and up-to-date review of pediatric sleep disordered breathing (SDB) and offers a thorough focus on several key areas: namely, the normal development and maturation of the airway and breathing during sleep, the techniques that are in place for assessment of SDB in children, the clinical manifestations and characteristics of several pediatric populations at risk for SDB, the implications of SDB in various end-organ systems, and, finally, a critical review of the evidence on current therapeutic approaches. This unique and complete text is of welcome interest to all practicing physicians and healthcare professionals who evaluate children with sleep problems -- namely pulmonologists, pediatricians, sleep physicians, pediatric neurologists, pediatric otolaryngologists, and family practitioners, as well as clinical researchers, pediatric nurse practitioners and respiratory therapists. Written by a distinguished and international panel of authors who are renowned experts in their field and who offer an expanded view of the problems associated with SDB, Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is an indispensible resource for all physicians who evaluate children for sleep-disordered breathing.

Berman's Pediatric Decision Making uses an algorithmic, structured approach to lead you to the right diagnosis and treatment every time. Drs. Lalit Baja, Simon Hambidge, Ann-Christine Nyquist, and Gwendolyn Kerby use evidence-based research and flow charts for each presenting complaint or specific disorder to provide quick access to the information you need for effective decision making. With updated drug tables, revised algorithms, and full-text online access at www.expertconsult.com, this streamlined new edition makes it even easier for you to diagnose and manage common clinical problems from infancy through adolescence. Rapidly access guidance on diagnosis and management from algorithms for each clinical disorder. Treat the full range of diseases and disorders with comprehensive coverage of diagnosis, assessment of severity, and clinical management. Choose the best treatment for each case thanks to indications for surgical interventions as well as expensive diagnostic procedures Access the fully searchable contents online at www.expertconsult.com. Stay current on recent developments and make effective decisions for movement disorders, physical abuse in children, sexual abuse in children, eating disorders, ADHD, and other hot topics. Find answers quickly and easily with a new table of contents organized into two sections-Presenting Complaints and Specific Disorders-that reduces the need to flip between chapters. Tap into the diverse perspectives of expert authors from all over the country. Get only the information you need in the streamlined new edition with shorter, more user-friendly flow diagrams and fewer specialized chapters. Make the right diagnosis every time with Dr. Berman's unique step-by-step guide

Sleep in children and adolescents is reviewed in this issue of Pediatric Clinics, guest edited by Drs. Judith Owens and Jodi Mindell. Drs. Owens and Mindell have gathered a panel of experts in the field of pediatric sleep medicine to pen reviews on topics including Evaluating sleep and sleep disorders in the pediatric primary care setting, insomnia, sleep-disordered breathing, Restless legs syndrome and periodic limb movement disorder, Circadian rhythm disorders, Sleep in adolescents: the perfect storm, Neurocognitive dysfunction and sleep, Sleep in children with Attention Deficit Hyperactivity Disorder, Sleep in children with Autism Spectrum Disorders, Sleep problems in children with common medical disorders, Sleep and obesity, Sleep health education, Cultural issues in children's sleep, and Sleep in the family.

Traditional therapy can often be an off-putting experience for boys as it is in direct opposition to the ways they generally interact and connect with others. This book explores a variety of creative approaches that professionals can use to enhance the clinical experience and better reach their young male clients. Chapters discuss the theory behind and implementation of various creative approaches to therapy with boys, such as play therapy, including sports, movement, and gross-motor activity; animal-assisted therapy; the use of video games and computers; the use of superheroes in role play, metaphor, and play therapy; and art therapy. Attention is also given to methods for working with several subgroups of boys that require specialized treatment approaches, including gender variant and sexual minority boys and boys with ADHD. The first book of its kind, mental health professionals will find this a comprehensive and highly valuable text to help them understand, help, and support boys and their development.

The authors incorporate the neurologic examination into a play framework, wherein they can analyze a child's personality and development, searching for _soft_ signs of postural or motor incoordination, and for _hard_ signs of childrens' mental status.

Dr. Coppes and his co-Editors have created a comprehensive table of contents that addresses the full spectrum of food allergies in children. Articles are presented to be most useful to pediatricians, as the issue begins with the clinical presentation and epidemiology of food allergy, and then progresses to the diagnostic testing and pahthophysiology.? Articles are also included that are devoted to specific types of food allergy, dairy, soy, egg, peanut, and tree nut. Finally, articles are also devoted to living with food allergies, management of allergies in schools and camps, and therapies for food allergies.

This book focuses on the impact of nutritional disorders on the nervous system. Nutritional disorders are caused due to poverty, famine, infestations, ignorance in the developing world and due to food faddism, isolation, depression, addictions, and comorbidities in the developed countries. This book has chapters on various disorders covering basic knowledge, their clinical manifestations, basis and etiology, laboratory diagnosis, method of treatment and prognosis. It provides the guidelines to students and clinicians for dealing with such disorders which are easily preventable and amenable to treatment whose early diagnosis and management can avert morbidity and mortality. Key Features Deals with the unexplored topic of the neurological impact of nutritional disorders Will be essential for neurologists, general physicians, and pediatricians Includes key illustrated examples from authors' clinical practice.

This issue provides a unique and valuable perspective on forensic matters in child and adolescent psychiatry, with an approach that adds new thinking to the discussion, rather than rehashing known facts. The issue is divided into several sections: juvenile offenders, family law/custody and visitation, child maltreatment, personal injury law suits, forensic issues in clinical child and adolescent psychiatry, and training in child and adolescent psychiatry. A wide range of topics are explored within each section. All articles are geared toward child psychiatrists in clinical practice, providing practical information in this very important area of study.

Starting Treatment With Children and Adolescents provides therapists with a time-tested framework for treatment and a moment-by-moment guide to the first few sessions with a new patient. In twelve remarkable case studies, verbatim transcripts of individual play-therapy sessions are brought to life through running commentary on techniques and theory and a fine-grained analysis of what worked, what didn t, and what else the clinician could have done to make the session as productive as possible.
Clinicians will come away from the book with a unique window into how other therapists actually work as well as new tools for engaging children and adolescents in process-oriented treatment. They ll also be guided through an exploration of common questions such as How else could I have handled that situation? What other paths could I have tried? Where might those other paths have led? What treatment strategies are most advantageous to my patients growth and to my own?