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Books > Medicine > Clinical & internal medicine > Paediatric medicine > Neonatal medicine
It has been close to six decades since Watson and Crick discovered
the structure of DNA and more than ten years since the human genome
was decoded. Today, through the collection and analysis of a small
blood sample, every baby born in the United States is screened for
more than fifty genetic disorders. Though the early detection of
these abnormalities can potentially save lives, the test also has a
high percentage of false positives-inaccurate results that can take
a brutal emotional toll on parents before they are corrected. Now
some doctors are questioning whether the benefits of these
screenings outweigh the stress and pain they sometimes produce. In
Saving Babies?, Stefan Timmermans and Mara Buchbinder evaluate the
consequences and benefits of state-mandated newborn screening - and
the larger policy questions they raise about the inherent
inequalities in American medical care that limit the effectiveness
of this potentially life - saving technology. Drawing on
observations and interviews with families, doctors, and policy
actors, Timmermans and Buchbinder have given us the first
ethnographic study of how parents and geneticists resolve the many
uncertainties in screening newborns. Ideal for scholars of
medicine, public health, and public policy, this book is destined
to become a classic in its field.
Awarded Third Place in the 2016 AJN Book of the Year Awards in the
Maternal-Child Health Category! Breastfeeding Management for the
Clinician: Using the Evidence, Fourth Edition is an essential and
practical reference guide for clinicians. Using a research-based
approach, it includes literature reviews while covering incidence,
etiology, risk factors, prevention, prognosis and implications,
interventions, expected outcomes, care plans, and clinical
algorithms. With a focus on the practical application of
evidence-based knowledge, this reference offers a problem-solving
approach to help busy clinicians integrate the latest research into
everyday clinical practice. Completely updated and revised, the
Fourth Edition includes a new discussion of the vitally important
newborn gut microbiome. In addition, it features new and more
effective techniques for addressing breastfeeding barriers, new
research, and the latest guidelines.
The 5th edition of this indispensable resource captures the latest
insights in neonatal neurology in a totally engaging, readable
manner. World authority Dr. Joseph Volpe has completely revised his
masterwork from cover to cover, describing everything from the most
up-to-the-minute discoveries in genetics through the latest
advances in the diagnosis and management of neurologic disorders.
He delivers all the clinical guidance you need to provide today's
most effective care for neonates with neurological conditions.
Provides comprehensive coverage of neonatal neurology, solely
written by the field's founding expert, Dr. Joseph Volpe - for a
masterful, cohesive source of answers to any question that arises
in your practice. Focuses on clinical evaluation and management,
while also examining the many scientific and technological advances
that are revolutionizing neonatal neurology. Organizes
disease-focused chapters by affected body region for ease of
reference. Features a brand new, full-color design with hundreds of
new figures, tables, algorithms, and micrographs. Includes two
entirely new chapters: Neurodevelopmental Follow-Up and Stroke in
the Newborn; a new section on Neonatal Seizures; and an extensively
expanded section on Hypoxic-Ischemia and Other Disorders. Showcases
the experience and knowledge of a new editorial team, led by Dr.
Joseph Volpe and Dr. Terrie E. Inder, Chair of the Department of
Pediatric Newborn Medicine at Brigham and Women's Hospital, all of
whom bring a wealth of insight to this classic text. Offers
comprehensive updates from cover to cover to reflect all of the
latest information regarding the development of the neural tube;
prosencephalic development; congenital hydrocephalus; cerebellar
hemorrhage; neuromuscular disorders and genetic testing; and much
more. Uses an improved organization to enhance navigation. Expert
ConsultT eBook version included with purchase. This enhanced eBook
experience allows you to search all of the text, figures, Q&As,
and references from the book on a variety of devices.
Paediatric Surgery has been fully updated to reflect current
guidelines and practices, and offers a contemporary overview of the
subject in general, as well as detailed information about core
subjects. Structured to assist problem-solving and diagnosis, the
handbook contains detailed clinical features on all aspects of
neonatal and general paediatric surgical conditions, it is a key
revision tool for the MRCS and FRCS Paediatrics post-graduate
exams, as well as the UEMS European exam in paediatric surgery. The
chapter on common operations has been expanded, including new
topics on orchidopexy, scrotal exploration, thoracotomy, and
appendicectomy, as well as information on robotic surgery. There is
also a new chapter on global paediatric surgery, outlining the
challenges and future direction of the discipline in India, East
Africa, West Africa, and South Africa. Neonatal medicine and
neonatal surgery both have new topics on resuscitation, ventilation
strategies, jaundice, and congenital lung abnormalities. With the
knowledge level based around what is needed in clinical practice,
supporting background and science is included to strengthen
understanding. Pragmatic and practical, this second edition of
Paediatric Surgery is a vital tool for all those who work in the
field.
From World Health Organization data, the prevalence of hearing
impairment among infants varies between 0.5 and 3.0 cases per
thousand, but in children hospitalised in the Newborn Intensive
Care Unit (NICU) and in those with other risk factors (ie:
anatomically small for gestational age, craniofacial abnormalities,
intrauterine infections, family history of hearing loss, ototoxic
drugs, mechanical ventilation , etc.), the prevalence is 10-20
times greater. Newborn Intensive Care Unit (NICU) can be defined as
an intensive care unit for sick newborns who need specialised
treatment. NICU combines equipment and advanced technology with
medical staff specially trained in newborn care. The Joint
Committee on Infants Hearing (JCIH) identified many risk factors in
NICU infants like prolonged mechanical ventilation, asphyxia, low
birth weight and ototoxic medication, and so it also considers
intensive care as a whole a risk factor. The present book focuses
its attention on this hearing loss risk factor, starting from risk
factors and screening strategies, highlighting the various neonatal
levels of care, focusing on the treatment of infants with neural
tube defects and the future motor development of premature babies.
This should be done until caregivers can get the attention of drug
therapies used in the NICU.
Care of the Well Newborn is a unique text that focuses on care of
the term newborn for the first month of life. Written by
distinguished experts in the field, it teaches students and
professionals how and what to assess in the care of the nonverbal
newborn, while also providing criteria for recognizing deviations
from normal and strategies for managing complications that arise.
The first text of its kind, it provides easily accessible
information on evidence-based neonatal care that follows current
guidelines, standards, and recommendations. Also explored are
physiology and pathophysiology, data collection, differential
diagnosis, cultural considerations, and parental education. An
ideal resource for both students and professionals, each chapter
includes multiple choice questions, case studies, or activities to
facilitate critical thinking and learning.
In 1983 two doctors, one from each side of the world, decided to
form a partnership, and so began a scientific adventure that would
improve the odds that babies could be born healthy and whole.
Neural tube defects that severely disabled or killed babies were
epidemic in China (where the folk term was guai tai--roughly
""monster baby""--for an infant whose embryonic neural tube doesn't
completely close and whose head and neck may be misshapen or spine
may protrude) and a significant problem in the United States,
leading teams of researchers from the United States and China to
combine forces to recruit more than 285,000 Chinese women and to
follow nearly 250,000 pregnancies in an epidemiological study.
Sixteen thousand staff were involved in running the project, which
encountered massive bureaucratic obstacles as well as cultural
differences, politicking for study designs and funding, the crisis
of Tiananmen Square, and testy debates over research ethics.
Nevertheless, the researchers persevered in a collaboration that
lasted more than three decades and led to landmark findings on the
role of folic acid in preventing spina bifida. Fortifying cereal
grain products with folic acid became routine in the United States
and a growing number of nations around the world: that intervention
was named one of the ten great public health achievements of the
last decade.
In 1983 two doctors, one from each side of the world, decided to
form a partnership, and so began a scientific adventure that would
improve the odds that babies could be born healthy and whole.
Neural tube defects that severely disabled or killed babies were
epidemic in China (where the folk term was guai tai--roughly
""monster baby""--for an infant whose embryonic neural tube doesn't
completely close and whose head and neck may be misshapen or spine
may protrude) and a significant problem in the United States,
leading teams of researchers from the United States and China to
combine forces to recruit more than 285,000 Chinese women and to
follow nearly 250,000 pregnancies in an epidemiological study.
Sixteen thousand staff were involved in running the project, which
encountered massive bureaucratic obstacles as well as cultural
differences, politicking for study designs and funding, the crisis
of Tiananmen Square, and testy debates over research ethics.
Nevertheless, the researchers persevered in a collaboration that
lasted more than three decades and led to landmark findings on the
role of folic acid in preventing spina bifida. Fortifying cereal
grain products with folic acid became routine in the United States
and a growing number of nations around the world: that intervention
was named one of the ten great public health achievements of the
last decade.
A new look at how we welcome newborn babies into the world,
whatever context they are born in, but particularly if they are
born in a large maternity hospital. Reflections, exercises and
ideas for midwives and other maternity professionals. "The deeply
ingrained, rational scientific culture we live in today suppresses
our innate knowledge of how things could improve. We focus on
categorising through measuring, counting and documenting what we
do, instead of realising deep inside that things must change with
regard to our rituals around birth in hospital. It's as if we don't
quite know how to engender that change..." Experienced midwife
Debby Gould considers the current situation and explores how change
is not just possible but also beneficial for mother, baby and
healthcare professionals. Questions and exercises are provided to
stimulate reflection and seminar discussion. Following a varied and
distinguished career in many maternity contexts, Debby Gould is
currently Head of Midwifery for University College London Hospitals
and has served two full terms in office (as Deputy Chair, then
Chair) on the Royal College of Midwives Council. She is also named
in Debrett's People of Today as one of the top 25,000 influential
and successful people in the UK. Her words are well worth reading
In this book, the authors present new research in the study of
neonatal care. Topics discussed include the effects of maternal
stress and intrauterine environmental factors on foetal behaviour
and central brain processes related to cognition, memory and
habituation; phosphodieterases and their inhibitors in some
respiratory system disorders; glucocorticoids in meconium
aspiration syndrome and the possible benefits versus the risks of
treatment; and the evidence linking hyperbilirubinemia to auditory
neuropathy and prelingual deafness.
Severely unwell children are the most frightening emergency a
clinician can face. This second edition of Emergencies in
Paediatrics and Neonatology, guides the clinician through what to
do and when, in a format that can be read at the bedside.
Resuscitation techniques are described in detail and comprehensive
management plans are provided. Organised by symptom, the handbook
concisely covers a range of essential information, from the key
facts to elicit in the history to the specific difficulties of
treating children in an emergency situation - communication and
pain relief. Symbols are used to indicate clinical severity ranging
from life-threatening to minor, and the book includes detailed drug
dosages for children and the most recent resuscitation guidelines.
The new edition brings this bestselling guide fully up-to-date,
including the management of anaphylaxis and rheumatic fever. The
number of algorithms included in the book has also been increased.
This is the true story of the heart-wrenching struggle for
survival, devastating financial loss, and the power of hope that
comes with extremely premature babies born nearly four months
early. The twin babies arrived at 24 weeks gestation and each
weighed a pound. Imagine that, the same as six sticks of butter
It's a riveting story of despair and tragedy, joy and laughter. I
couldn't put it down and I hope you find it the same way...perhaps
just not so late into the wee hours of the night. Re-told from
journals, the story unfolds like a medical-mystery. Will the twins
survive? Will they have devastating disabilities? The breath-taking
pace of life-altering decisions in a Neonatal Intensive Care
setting is like witnessing an accident--one you can't bear to watch
and yet so compelling you can't look away. Follow the
roller-coaster ride through heroics, medical miracles, unrelenting
fear, and heart-warming joy. The events of this true story will
make you cry. You'll be appalled at the insensitivity of some
towards this young family. You'll be angry at the gall of insurance
companies that use "fine print" to deny coverage for certain
medical treatments. And you'll rejoice with the miracle of life
fought for and won. With less than a 20% chance of survival at
birth, the doctors warned; "If the babies manage to survive, they
have an 80% chance of debilitating issues--including cerebral
palsy, breathing issues, and severe learning disabilities." The
second edition of A Pound of Hope adds the much awaited five-year
look back on this harrowing start in life. Read the unexpected
outcome (I won't spoil the surprise here ) of these one-pound
miracle babies. The backdrop setting for this story of survival is
one of financial disaster. This family is bankrupted by the
unrelenting medical costs to save their babies. They lose
everything--savings and retirement accounts are emptied; belongings
are sold and their house is lost as they fall into the bottomless
pit of medical bankruptcy. Our leaders in health insurance, medical
services, and government have failed to address a hole in the very
fabric of our society. A hole so big it swallows families at a time
when they are experiencing life-threatening issues. For what is the
point of medical miracles if there is no way to pay for them? Our
society has developed machines and techniques to preserve and
extend life against all odds. But at what cost? Families stricken
with the financial burden of catastrophic medical bills will see
their financial stability, their future, even their very viability
as a family slip away. If science can save the babies, who will
save the family?
Growth Parameters of the Newborn Revisited With Review of the
Standardized Placental Measurements
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