This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.

Designed to provide clinical knowledge in a convenient format, Textbook of Pediatric Gastroenterology and Nutrition highlights the most common clinical concerns seen on a regular basis by the practicing pediatric gastroenterologist. Covering issues relevant for the diagnosis and treatment of a full range of problematic conditions, including nutritional disorders, the book is an up-to-date, reliable clinical primer on the disorders and diseases that may affect the gastrointestinal tract in neonates and children.
Reflecting a new vision for cooperation among pediatric gastroenterologists in response to the globalization of information that the Internet has catalyzed, the book takes a comprehensive approach. It offers, in one cohesive package, information that illustrates the different realities of common gastroenterological and nutritional problems in different patients and different clinical settings.

Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. Professionals consulted by desperate parents often see the problems from their own angle only and diagnosis and intervention efforts wind up fragmented and ineffective. This book presents a model multidisciplinary approach to care, family-centered and collaborative, that has proven effective in practice. A pillar of the approach is recognition of the importance of performing culturally competent assessment and adjusting service delivery so that it is responsive to cultural differences. Detailed case stories illuminate the ways in which the approach can help children with different backgrounds and different disabilities. Most chapters include, besides references, study questions, lists of resources, and glossaries to facilitate easy comprehension by professionals with different backgrounds-in special education, communication sciences and disorders, clinical and counseling psychology, neuropsychology and psychiatry, social work, pediatrics-and program administrators as well as students, trainees and educated parents. Caring For Children With Neurodevelopmental Disabilities and Their Families constitutes a crucial new resource for all those professionally and personally concerned with these children. Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. This book presents a model multidisciplinary approach to care, family-centered and collaborative, that has proven effective in practice.

The MMR controversy has been characterized by two one-sided discourses. In the medical world, the weight of opinion is overwhelmingly in favour of MMR. In the public world, the anti-MMR campaign has a much greater influence, centred on the fears of parents that the triple vaccine may cause autism in their children. Both professionals and parents struggle to cope with the anxieties this creates, but find it difficult to find a balanced account of the issues.
In MMR and Autism Michael Fitzpatrick, a general practitioner who is also the parent of an autistic child, explains why he believes the anti-MMR campaign is misguided in a way that will reassure parents considering vaccination and also relieve the anxieties of parents of autistic children. At the same time, this informative book provides health care professionals and health studies students with an accessible overview of a contemporary health issue with significant policy implications.

The MMR controversy has been characterized by two one-sided discourses. In the medical world, the weight of opinion is overwhelmingly in favour of MMR. In the public world, the anti-MMR campaign has a much greater influence, centred on the fears of parents that the triple vaccine may cause autism in their children. Both professionals and parents struggle to cope with the anxieties this creates, but find it difficult to find a balanced account of the issues.
In MMR and Autism Michael Fitzpatrick, a general practitioner who is also the parent of an autistic child, explains why he believes the anti-MMR campaign is misguided in a way that will reassure parents considering vaccination and also relieve the anxieties of parents of autistic children. At the same time, this informative book provides health care professionals and health studies students with an accessible overview of a contemporary health issue with significant policy implications.

A much-needed, up-to-date guide to the clinical management of kidney disorders in children and adolescents, this text presents the essentials of diagnosis and treatment in this important field, with an indication of when referral to, or consultation with, the pediatric nephrologist is needed. With a team of international contributors who have had a significant global impact on the development of pediatric nephrology, this user-friendly resource takes the findings of specialists to a much wider audience in training and in primary care.

From Chaos to Coherence is the true story, told in everyday language, of the adopted boy Douglas and his journey towards adulthood with the help of psychotherapy. Douglas has severe psychic, physical and social handicaps and is also diagnosed with ADHD. He is impulse-governed, aggressive, provocative and unable to interact with other ch

The essential guide to passing the MRCPCH Applied Knowledge in Practice (AKP) exam. Closely aligned to the Royal College of Paediatrics and Child Health (RCPCH) theory examination syllabus and also reflective of current UK practice. Applied Knowledge in Paediatrics will leave the reader with a sound knowledge of all the core topics relevant to paediatrics and child health. It will also provide a useful study aid for those undertaking the MRCPCH Applied Knowledge in Practice examination. The book covers how and why illnesses develop in children and young people, the appropriate investigations and treatment required, the urgency of implementation and the impact of the disease process on the child and their family. This comprehensive text is edited by Dr Martin Hewitt, a Senior Theory Examiner for the AKP examination, and Dr Roshan Adappa a Senior clinician and postgraduate trainer, with expert input from more than 60 paediatric specialists. 33 chapters provide comprehensive information of all areas of paediatric practice. Directly aligned to the Applied Knowledge in Practice syllabus and examination 50 sample questions along with answers and reasoning explaining each of the answer options Chapter on how to prepare for the RCPCH AKP examination Clinical scenarios in each chapter outlining difficult clinical problems and proposed management plans Clinical images to aid understanding Level of detail to support clinical practice of paediatricians with 12-18 months experience

Diagnosed with ADHD while he was a struggling college student, Robert Jergen's incredible life story progresses from being a happy child who enjoyed school and wanted to learn to a state of withdrawal and depression because of the constant reprimands from his parents and teachers. By eighth grade, Jergen had twice tried killing himself. By college, he was an alcoholic. Finally, when he thought he was going to end up in a "white padded room," he was diagnosed with ADHD. Years of pain, anguish, frustration, anger, and rejection were suddenly explained. Jergen describes how he turned ADHD into an asset that enabled him to get his Ph.D. in half the time as his non-ADHD peers, become a tenured associate professor at age 34, publish five books in two years, and-most importantly-find peace and happiness. Jergen presents ADHD from the view of the child who actually has it and illustrates how constant academic and social failures can gradually wear away at the child's self-esteem and feelings of self-worth. The Little Monster is a valuable tool for any parent, professional, or individual who is touched by ADHD or similar conditions.

Cancer is a very rare disease in children. There have been impressive gains in survival in recent years, and these have been achieved through the use of chemotherapy and national and international clinical trials. The diagnosis of cancer in a child imposes considerable stress on the whole family. In the immediate time after diagnosis, parents must learn about the disease and its treatment, explain what is happening to the child, and make arrangements for the care of other children in the family. For the child, treatment is associated with many side effects depending on the specific drugs used. In addition, the child is prone to infection and therefore is likely to miss a lot of school and other activities. For all these reasons, physicians and families have become aware that cancer has huge implications for the quality of the child's life. This book is an attempt to describe how quality of life is affected at different stages of the disease process. Comprehensive reviews are provided of the impact on the child's physical activity, social life, and school and educational achievements. Special consideration is given to children with leukemia (one of the more common cancers) and brain tumors. Cancer does not just affect the child but every member of the family. Consequently there is coverage of the effects on parents and also healthy brothers and sisters. To the extent that improvements in survival have been achieved by national and international collaboration between clinicians, it is concluded that efforts to improve the quality of these children's lives is dependent on collaboration between clinicians, nurses, and behavioral scientists at national and international levels. This book should provide an impetus for such collaboration.

This is a story from inside the child psychologist's room. Victor, who is two and a half years old, has lost his mother and younger brother in a car accident. He is 'sunny and happy' and does not cry. He is a child in deep crisis and comes for a crisis therapy. In this book we will follow Victor for his fifteen treatment sessions. He shows through

Most parents have worried about the side effects and possible long-term consequences of administering a particular medication to their child. The medication may be available over-the-counter, like cough syrup, or it may be prescribed by a doctor, like an antibiotic. Parents want to know: Is the medication safe? Is it effective? Will it help my child? A pediatric pharmacist for nearly thirty years, Edward A. Bell has spent his career listening carefully to parents' concerns. In Children's Medicines, Bell draws on the latest scientific information, coupled with his experience in hospital and clinic settings, as a university professor, and as a parent, to answer questions about whether, when, and what medications to give to infants, children, and teenagers. Bell touches on practical issues of medication administration and explores areas of particular concern for parents. Inside the book, readers will find* information to help parents weigh the benefits and risks of medicines * an explanation of why some adult medications are not safe for children * descriptions of medicine for treating fever and common illnesses* practical tips on measuring, flavoring, and administering medicines* directions for giving medicine in the mouth, the nose, the ear, and the eye * advice for keeping children of any age safe around medications * facts about vaccinations: how they work, which ones are recommended, and their safety * a guide to the FDA's approval process for use of medicines by children* information about drug pricing, expiration dates, and storing medicine at home* a chapter on ADHD and the treatment of adolescent depression that takes into account the long-term side effects of antidepressants* details about the use of herbal and complementary therapies, including probiotics and vitamins * a discussion of over-the-counter cough/cold products* information on which websites to use for accurate medical and drug information Full of information helpful to parents, grandparents, and others who provide care for children, Children's Medicines is a reliable and insightful guide to how drugs for children of all ages are prescribed and used.

This title is based on the results of a project based at the Tavistock Clinic in London which set out to explore whether children and young people aged nine years to fifteen years suffering from depression could be helped using brief focused psychodynamic psychotherapy together with parent work and family therapy. There were also centres in Athens,

This is a book written for those of us who evaluate the many quirks and behaviors encountered in the lives of developing children. The number of important pathologic conditions that befall this age group is staggering. However, equally staggering is the number of episodic and often benign or developmentally programmed paroxysmal events encountered in this population. The nature of these episodic events in many circumstances leads to their erroneous identification as epileptic in nature. It is my hope that this book will serve as a compendium of those episodically manifest entities often uniquely observed in childhood. The book is organized with some foundations in terminology and an in depth analysis of epidemiology of many of these disorders. As best possible, epidemiologic data are compiled with incidence and prevalence figures provided for comparisons. Discussion on the deductive approach to their clinical assessment is provided along with emphasis on the diagnostic clues contained within the descriptive and observational information provided during clinical evaluation. A categorization of the differential features and ages of presentation are provided as a means to help direct logical diagnostic considerations. Subsequent chapters are organized by major topic (i.e.) Syncopes, Sleep Phenomena, Somatizaion, Factitious Illness, Movement Disorders, and Migraine Syndromes. Each chapter provides discourse on the general principles of underlying pthophysiologic mechanisms and curent knowledge about the chapter topic under discussion. Specific clinical entities encompassed within the general topic are then discussed individually with particular attention to their clinical descriptions and presentations, natural history, particular pathophysiology, genetics, pertinent laboratory, and treatments. The text is aplified by pertinent tables highlighting diagnostic criteria where this applies and reference information where needed. The text is generously referenced to encompass the most relevant information available.

Last year, the National Audit Office reported that levels of obesity in the UK have tripled over the last 20 years. This makes the British among the fattest nations in Europe and, if nothing is done to halt the epidemic, it is feared that levels will soon reach those in the US where one person in every four is obese. Every year tens of thousands of people in the western world are dying prematurely from heart disease, stroke and diabetes - all of them closely linked to obesity.
Obesity is a disease. It is the expression of a classic interaction between nature and nurture. What are the factors responsible for its development? Are we becoming more and more a nation of couch potatoes, or are we just eating too much? Do fat children become fat adults? Can anything be done to halt the obesity epidemic?
This collection of essays, based on presentations made at a national symposium on obesity, is aimed at the generalist with an interest in managing obesity and its outcomes, whether general practitioner, community nurse, dietician or hospital clinician. Its purpose is to highlight the causes and consequences of obesity and to bring modern understanding to the treatment of a problem that is still heavily stigmatised. The authors offer a wide-ranging perspective of obesity as a global problem and explore its devastating metabolic, social and political impact.
What is increasingly clear is that the seeds of many of these adult diseases are sown in childhood. The prevention of adult obesity has thus become a major challenge for the paediatrician.

Using a highly effective, case-based approach, Workbook in Practical Neonatology puts neonatal evaluation, diagnosis, and treatment in a clinical context and tests your knowledge with questions and answers for each topic. You'll find authoritative guidance on the problems you're most likely to see in practice, including issues regarding resuscitation, mechanical ventilation, anemia, fluid therapy, and bronchopulmonary dysplasia. The 6th Edition has been extensively revised, with new authors, rewritten content, improved figures and tables, and many new cases throughout. Organizes chapters around case studies, followed by questions and answers that require you to make diagnostic decisions and help you understand how scientific concepts apply to each clinical problem. Guides you step-by-step through patient care with abundant diagnostic algorithms, illustrations, and decision trees. Features eleven chapters rewritten by new authors, new tables and algorithms, new cases, and updated discussions of existing cases. Provides online access to echocardiograph and fluoroscopic video clips that show you what to expect and how to proceed. An excellent learning tool and everyday reference for practicing neonatologists, as well as students, trainees, nurses, and other clinicians. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

This thought-provoking volume defines child abuse and neglect as a public health crisis, both in terms of injuries and mental health problems and as a link to poverty and other negative social outcomes. The author identifies key factors contributing to this situation-in particular juvenile ageism, the pervasive othering of children and youth-coupled with the assumption of parental competence until severe abuse or neglect proves otherwise. The book's practical answers to these complex issues involve recognizing and balancing the rights of parents and children, and responding to the diverse needs of new, competent, and dysfunctional families. To this end, a comprehensive prevention model is outlined, featuring primary, secondary, and tertiary interventions. Included in the coverage: * Child abuse and neglect in the United States * The impact of juvenile ageism on individuals * The devaluation of parenthood * The rights and needs of newborn babies and young children * Overcoming our crisis-recoil response * Barriers to change and hope for the future Dealing with Child Abuse and Neglect as Public Health Problems should engage professionals in the public health, healthcare, and social services sectors. It should also attract parents in struggling families as well as other laypersons, such as policymakers and child advocates, interested in improving current social conditions.

This book, focusing on the work of Jacques Lacan, examines psychosis in children, without ignoring the study of neurosis in childhood and concentrates on autism as produced by psychic disorders, by the symbolic failure that brings about the inclusion of the subject into the psychotic structure.

This book offers a most interesting view of the application of the Winnicott squiggle game outside the context of therapeutic consultations. It concentrates on describing the inner mechanisms for coping which came to light in the psychoanalytical squiggle interviews with the children.

This text analyses the pathophysiology, diagnosis, treatment and control of respiratory disorders in the newborn infant. It explores the mechanisms, patterns and factors influencing respiratory activity and dysfunction, as well as the aetiology, management and evaluation of conditions such as respiratory distress syndrome, bronchopulmonary dysplasia, airway disorders, and congenital hypoventilation syndromes.

This book focuses on predictive, preventative and personalized medicine (PPPM) and how it is related to the healthcare of rare diseases. Readers will discover how advanced rare diseases healthcare provides an excellent proof-of-principles for the personalisation of healthcare systems on a global scale. These chapters look at national plans on rare diseases, at biobanking, gene identification in rare diseases, mitochondrial diseases, rare cancers and virus gene therapy, amongst other topics. There is a chapter dedicated to personalized medicine for hereditary deafness and another exploring the complexity of genotype-phenotype correlations. Specific diseases such as Fabry's, Gauchers and mitochondrial cytopathies are highlighted and we look at enzyme replacement therapy in lysosomal storage diseases. This work is part of a series, produced with the involvement of the European Association for Predictive, Preventive and Personalised Medicine. The series focusses on the concept of an integrative medical approach by PPPM. This volume is dedicated to all aspects related to the prediction, prevention and personalised treatments of rare diseases, and in doing so it explores developments relevant to all medical branches. The authors cover ethical considerations, the creation of a robust platform for professional communication, synergies with patient organisations, doctor-patient collaboration and a new philosophy of integrative medicine by PPPM. This volume serves as a reference source for scientific and medical centres in the field and can be used both at medical curricula and graduate level in the life sciences. Those who place a special emphasis on healthcare promotion and innovations intended to combat rare diseases, save the affected lives and enhance life quality will all find this book of great value."

At a time of increasing financial pressure on families - as well as the services that support them - children are doubly disadvantaged. The economical mass-provision of proven approaches appears to be an unquestionable strategy. In this frank and revealing book, written by an experienced child and adolescent psychiatrist of eclectic and questioning persuasion, the argument is made that we are travelling in the wrong direction. A blinkered pursuit of empirical evidence and uniform delivery is leading us away from any sensitive and reciprocal relationship between caring professionals and the young individuals whose interests they are there to serve. Drawing on attachment and psychodynamic approaches, as well as systemic, values-based and mindful practice, Being With and Saying Goodbye describes an attitude that should be the prerequisite and medium of all child and adolescent work that has therapeutic intention. Unacknowledged, even reviled, this ghost in the machine is threatened with extinction.

Consulting Editor, Dr. Bonita Stanton is serving as Guest Editor along with Dr. Danielle Laraque-Arena for this important issue of Pediatric Clinics of North America to address violence against children. This never-before published issue is broken into three sections, addressing The War against Children, Case Studies, and Interventions to Reduce Violence to Children. Expert authors have contributed clinical review articles that provide guidance on providing care to pediatric victims of violence and abuse. Articles are specifically devoted to the following topics: Global Burden of Violence: Overview and Epidemiology; Operating Principles and Competencies for Engagement; Violence Against Children: Recognition, Rights, Responses; Forcible Displacement, Migration and Violence on Children and Families; An Eye on Disparities, Health Equity, and Racism: The case of Firearm Injuries in Urban Youth in the US and Globally; Rural Communities and Violence; Attacks against Schools, Hospitals, Places of Worship and Other Public Spaces: Mass Shootings; Sexual Violence Against Children; War, Conflict, Terrorism, and the Status of Children; Racism and Other Systems of Structural Inequities as Violence Against Children; Domestic Violence and its Effects on Women, Children and Families; Executions and Police Conflict Involving Children and Young Adults; Community-Engaged and -Informed Violence Prevention Interventions; and Global Humanitarian Access for Children. Pediatricians will come away with the information they need to improve outcomes and violence-prevention interventions for their patients.

This is the ninth edition of a well-established, introductory text providing in-depth information on the care of the newborn, both normal and abnormal, full-term and pre-term, from minor to major abnormalities and illnesses. It provides an introduction to neonatology, concentrating on common conditions,for all health professionals concerned with care of the newborn.The concise, readable text facilitates the comprehension of content. The content is firmly evidence-based to ensure best practices. Key points listed throughout the text assist in learning and comprehension. Color photos illustrate important clinical conditions. Fully referenced to provide a current evidence base. Updated content reflects recent guidelines, developments in intensive care, pharmacology, and hepatitis C. A discussion of current issues includes vitamin K administration. Additional information is provided on the care of normal babies, including the parents' perspective. It provides an increased emphasis on the nursing/midwifery aspects.

Play with structure board games is developmentally appropriate for latency-age children but is seldom discussed in the child therapy literature or seen as therapeutically useful. This book describes ways that structured board games can reveal the internal psychodynamic working of the child and can be understood as projective material. Clinical examples of children's play reveal parallels between their dramatic and their board-game play. Both show unconscious content, defensive needs, and interpersonal and transferential relationships. As therapists, we can search for the same underlying dynamics we would look for in these other symbolic expressions."This book also discusses a child's developmental changes and how the dramatic, magical play of childhood is replaced by the structured, rule-oriented play of the middle years. Therapists must sensitively follow hem in this development, rather than force them to continue the more regressed play of childhood or push them prematurely into the verbal world of adolescents and adults. Children's Use Of Board Games in Psychotherapy demonstrates ways to work with the material which children give us at this stage, even when expressed in the form of structured games.