Many children spend their first days, weeks, and sometimes months in a neonatal intensive care unit as a consequence of prematurity, congenital anomalies, or birth complications. Their medical needs are thoughtfully appraised and attended to, yet some questions are rarely asked: What experiences do these newborns have? What experiences are we giving them? How can we and do we understand what their lives are like? What are the interventions and actions of medical care actually like for them? Michael van Manen explores the experiential life of newborn infants with particular consideration for those newborns who require medical care. Drawing on contemporary research findings from physiology, psychology, biology, and other disciplines, he offers phenomenological insights and raises thought-provoking questions as to how we ought to understand and care for such young children. In our contemporary world, it is often the experiences of inception, of first contact, with those who seem most distant, foreign, or even alien that we need to try to apprehend and understand. The inceptual lives of newborn infants challenges us to explore those experiences phenomenologically - to investigate the originary meanings of early life experiences. Phenomenology of the Newborn is an essential text for researchers seeking to employ phenomenology for the study of neonatal life and related concerns that may seem inaccessible to other more traditional qualitative and quantitative methods.

This volume addresses the major "index cases" involving neonates that are taught in pediatric surgical training programs. The discussion emphasizes practical features of the diagnosis and management of these malformations. The intention is to help clinicians sculpt a creative adaptable approach that can be individualized for each child. The current approach is situated in its historical context to encourage ongoing advancement in the care of these patients.

The Infant Motor Profile is a practical manual on a new, evidence-based method to assess infant motor behaviour. Not only looking at what milestones the infant has reached, but also paying attention to the quality of motor behaviour - how the infant moves - this text provides professionals involved in the care of infants at risk of developmental disorders with information on five domains of motor behaviour: variation, adaptability, symmetry, fluency, and performance. Backed up by extensive, up-to-date research, it includes percentile curves so that professionals can easily interpret the infants' scores. The profile created from the assessment informs about the infant's current condition and their risk of developmental disorders, as well as providing suggestions for early intervention, tailored to the strengths and limitations of the infant. Used over time, it can be an excellent instrument to monitor the infant's developmental progress. Illustrated with numerous figures and accompanied by a website hosting over 100 video clips, this text is an essential read for professionals in developmental paediatrics, including paediatric physiotherapists, occupational therapists, developmental paediatricians, neuropaediatricians, and paediatric physiatrists.

The gold-standard resource for evaluating bone health in children and adolescents, this practical and highly anticipated second edition offers a comprehensive, fully updated resource for addressing bone health in these populations. Developed by a renowned international panel of experts in measuring and analyzing bone density in the pediatric patient and reflecting the 2013 International Society for Clinical Densitometry (ISCD) Guidelines for Pediatric DXA assessment, interpretation and reporting, this indispensable reference covers all the important changes in the field over the last 9 years. Some highlights of this edition include: an entire chapter on the assessment of infants and toddlers, a chapter devoted to the assessment of children with disabling conditions, an in-depth discussion of vertebral fracture and its etiologies, and a thorough review of the advantages and limitations of densitometry techniques including DXA, pQCT, HRpQCT, and MRI. New fracture prediction software, including Trabecular Bone Score and Finite Element Analysis, is described. In this edition, the limitations of DXA are addressed as are the most recent strategies for handling them including proposed DXA adjustments such as height Z-score. Solidifying itself as the leading text in the field, Bone Health Assessment in Pediatrics: Guidelines for Clinical Practice, 2nd edition provides all of the critical basic analysis and evaluation tools, images, and calculations necessary for clinical practice.

The new edition of this best-selling title from the popular 100 cases series explores common paediatric scenarios that will be encountered by the medical student and junior doctor during practical training on the ward, in the emergency department, in outpatient clinics and in the community, and which are likely to feature in qualifying examinations. The book covers a comprehensive range of presentations from cough to constipation, organized by sub-specialty area for ease of reference. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur when practising paediatric medicine at all levels.

Contents:
Author's note Foreword by Lorna Wing Introduction 1. The Variable Picture of Autism 2. The History of Autism 3. What Causes Autism? 4. Problems of Diagnoses 5. Understanding Autism: Assessing the Autistic Child 6. Practical Considerations - Management and Counselling 7. Speech and Language: Communication Development in Autistic Children 8. Educating Autistic Children 9. Growing up - What lies Beyond? 10. A Postscript - Alternative Treatments and Cures for Autism? Appendices References and Further Reading Index

Caring for the well newborn is an essential element of everyday midwifery practice. Providing a comprehensive guide to the problems associated with newborn babies, Care of the Newborn by Ten Teachers is a key textbook for trainee midwives. The ten teachers involved in writing this book are drawn from all over the UK and bring together a wealth of experience in midwifery and neonatal nursing teaching and practice. The emphasis is on caring for the normal neonate, with deviations from the normal threaded throughout. Taking a holistic approach, each chapter links theory and practice, with explicit reference to professional standards and guidelines. As well as infant feeding, skin care and thernal care practice, this book covers signs and causes of common problems such as jaundice, infections, respiratory problems, and birth injury, providing care and treatment strategies for the neonate and family. This easy-to-follow full colour design, with superb diagrams and photographs and helpful features such as key points, case histories and chapters overviews, makes this essential reading for all student midwives, as well as those on post-qualifying courses in neonatal care. It is also a useful reference for practising midwives and neonatal nurses.

This book includes 200 clinical cases which present as emergencies. Congenital and acquired conditions affecting all body systems in infants and children are covered, including allergy, abuse, burns, fractures and other trauma, feeding problems, foreign bodies, genetic disorders, infections, poisoning, haematology, oncology, and much more. Cases appear in random order, reflecting actual practice in emergency medicine, and reinforcing skills in investigation, diagnosis, and treatment. It is superbly illustrated with high-quality radiographic images and photographs and is indispensable for all health professionals dealing with emergencies involving children.

Autism is a variable and complex development disorder which frequently goes unrecognised, or else is misunderstood by both parents and professionals. This new edition of the Handbook of Autism brings up to date the relevant and practical information of the best selling first edition, with updated research and new case-studies to reflect the extent of the autistic continuum. It dispels many of the myths associated with this puzzling condition and provides readers with up-to-date information that makes sense. Practical in its approach, it will be essential reading for parents of autistic children and for all professionals involved in their education and welfare.

This book, written by a leading geneticist, examines the ethical and social issues raised by the genetic testing of children. The opinions of geneticists, ethicists and affected families are all included to give a balanced view of this controversial field. Issues covered include confidentiality, potential abuses of genetic information (eg the use of test results by insurance companies) and the value of predictive genetic testing.
The aim of the book is to improve awareness of the complexity of the issues raised and provide suggestions as to how the discussions must develop - it therefore raises new questions as well as answering those that already exist.

In this book, Dr Richard Gardner traces the development of child psychotherapeutic techniques in the 20th century and presents the central elements in the psychotherapeutic process. The work is a compendium of the basic principles of Richard Gardner's psychotherapeutic approaches. It contains useful information derived from 35 years of dedication to the treatment of children.

An up-to-the-minute reference guide for health professionals confronting pulmonary disorders in children, Pediatric Asthma offers the latest findings on this classification-defying disease and related conditions. Written by more than 20 international experts in the field, the book focuses on drug administration-issues of compliance, aerosol delivery, and pharmacokinetic differences among children-with a view toward developing new and more efficacious therapies.
Provides cutting-edge analysis for more effective diagnosis of children with asthma and improved monitoring and treatment for chronic patients
With a firm theoretical grounding and reflecting the state of the art in pharmacological research and development, Pediatric Asthma
reviews the prevalence, causes, and demographics of childhood asthma worldwide
explores determinants of the disorder in various populations-gender, age and severity of onset, atopic status, family history, and smoking
elucidates physiological factors such as airway remodeling, airway hyperresponsiveness, and persistent inflammation
describes in vivo and in vitro testing for asthma-associated allergy and the pros and cons of allergen immunotherapy
delineates the dynamics of the lung in terms of phenomena such as peak expiratory flow (PEF), forced vital capacity (FVC), and bronchial hyperresponsiveness (BHR)
highlights the importance of patient education and self-management
investigates the role that developmental psychopathologies and neurobehavioral dysfunctions may play in pediatric asthma
discusses inflammatory mediators such as cytokines, chemokines, leukotrienes, and prostaglandins
evaluates intravenous and inhaled 2 agonists for the bronchodilating treatment of acute severe asthma
and more
Featuring over 2100 references, more than 60 user-friendly tables, and a handy Appendix on clinical monitoring of childhood asthma and recommended drug dosages for its treatment, Pediatric Asthma is an indispensable resource for pediatricians, pediatric pulmonologists, and pediatric pharmacists; clinical allergists and immunologists; general and family practitioners; and graduate and medical school students in these disciplines.

Pregnancy complicated by neurological disorders is a challenging area for both obstetricians and neurologists. Treatment of the maternal condition often needs to be adjusted because of concerns for the fetus, and some conditions have a major impact on the method, mode, and timing of delivery. Many of the clinical problems that arise in pregnant women with a neurological disease have not been the subject of clinical trials, so management must often be based on what published evidence is available and a good understanding of the likely interactions between the condition and pregnancy and vice versa. The editors and contributors represent a team with considerable experience in this area. They offer their "best practice" advice as how to treat the mother effectively, ensuring fetal safety, as well as embracing a philosophy that the pregnancy of a woman with a neurological disease should be made as enjoyable and rewarding for her as is possible.

Chronic childhood disease brings psychological challenges for families and carers as well as the children. In Children, Families and Chronic Disease Roger Bradford explores how they cope with these challenges, the psychological and social factors that influence outcomes, and the ways in which the delivery of services can be improved to promote adjustment. Emphasising the integration of theory and practice, Children, Families and Chronic Disease demonstrates the need to develop a multi-level approach to delivery of care which take into account the child, the family and the wider care system, with recognition of how they inter-relate and influence each other.

This book provides professionals with the knowledge, skills and application methods for the treatment of children using self-control therapy. It focuses on the developmental considerations necessary for the implementation of cognitive and behavioural therapies, with an emphasis on the specific skills required in the treatment of children. It provides a practical model for intervention, highlighting illustrations from clinical practice. This unique book combines existing knowledge of cognitive theory with new models and techniques developed by the author. It focuses on taking into account the developmental variables related to children and on adapting techniques of self-control to children s needs and abilities. The author consolidates all of these features into one integrative model, covering all the steps necessary to conduct therapy with children and providing professionals with a clear, developmentally and theoretically based guide to the field. Therapy for children with emotional and behavioural problems is of increasing importance for psychologists, psychiatrists and child care professionals in social work and medical environments. This book will be particularly useful for child and cognitive and behavioural therapists.

To learn more about Rowman & Littlefield titles please visit us at www.rowmanlittlefield.com.

conduct disorder and under-achievement

The young people who are the subject of this book are responsible for a disproportionate amount of difficulty for society. They are the chronic rule-breakers and bullies. They may threaten, intimidate, manipulate, steal, and use violence to get what they want. Many are drug abusers and drug dealers.

Most have problems with self-control and self-discipline. Nearly all of them are academic underachievers. Unfortunately, they are also incredibly resistant to psychological intervention. Exhibiting a range of behaviors grouped under the DSM rubric "Conduct Disorder," these children and adolescents are legion and their numbers continue to grow at an alarming rate.

In Conduct Disorder and Underachievement, a leading authority on CD underachievers explores the causes, assessment, treatment, and prevention of disruptive behavioral problems in underachieving children and adolescents. He summarizes many of the assessment tools developed for CD underachievers and provides a unique, comprehensive risk-factor model which can be used to help identify disorder problems before they occur. And, perhaps most importantly, he describes a dynamic cognitive/developmental treatment model which has proven to be extraordinarily successful with certain types of CD underachievers.

Conduct Disorder and Underachievement offers new hope for finding psychological solutions to one of today's most pressing social problems.

Much has been unearthed in recent years about the origins and development of conduct disorder (CD) in children and adolescents. Yet there is still considerable disagreement about the role academic underachievement plays in CD. Is underachievement acontributing factor to or a result of CD? While the jury is still out on this issue, one thing is certain: eventually, the relationship between them becomes a dialectical one--bad grades and antisocial behavior usually go hand in hand. Can this seemingly facile observation provide the basis for interventions with certain types of conduct disorders? In Conduct Disorder and Underachieve-ment, a leading authority on underachievement answers that question with a resounding "Yes" and demonstrates how.

Dr. Mandel begins with a thorough review of the latest research findings on the etiology, assessment, and treatment of conduct disorder in children and adolescents. From there, the focus narrows to issues of CD underachievement. While most forms of conduct disorder and underachievement are discussed, the clinical emphasis is on less severely disturbed children for whom underachievement is still manageable but, if left unchecked, can lead to more severe conduct problems. Through the window of two case histories complete with test results and diagnostic interviews, Dr. Mandel explores the full range of assessment issues, critically examines predominant treatment strategies, and provides helpful prevention guidelines.

In the prescriptive portion of the book, the author delineates a cognitively oriented approach to treating CD underachievers. He espouses a treatment strategy based on the assumption that, from one case to the next, underachievement may either contribute to or result from conduct disorder. The most constructive approach, therefore, is to reconstruct the unfolding of individual scenarios and then determine what can be done to mend fractured developmental pathways. Through aseries of therapy excerpts which take the reader inside a treatment session, Dr. Mandel brings to vivid life the issues that must be dealt with, the struggles that must be overcome, and the complex interactions that develop between child and therapist during therapeutic intervention.

Combining a comprehensive review of the latest findings with a dynamic new approach to intervention, Conduct Disorder and Underachievement is a valuable resource for mental health professionals, guidance counselors, and educators who deal with this increasingly common problem.

Each year more than 50,000 children and adolescents receive mental health treatment in residential and inpatient settings such as hospitals, group homes, and residential treatment centers. How is a decision made to disrupt a child's or teen's environment and place him or her in a program? What factors should be considered? What kinds of treatment are offered in these settings? How cost-effective and productive are these programs? Suggesting guidelines for how and when to use these special services, Treating Children and Adolescents in Residential and Inpatient Settings provides a useful assessment of current therapeutic models and inpatient/residential treatment options. The authors review the findings of published program evaluations and discuss effective alternatives to residential placement, such as part-time day and community-based treatment. The book also includes a list of relevant resources that both professionals and parents will find helpful, including information on locating professional and advocacy organizations, publications, and assessment materials. Referring a child or teen to an intensive residential or inpatient treatment program is a major decision that affects the whole family. Treating Children and Adolescents in Residential and Inpatient Settings will help both professionals and parents make better informed decisions about institutionalizing children and adolescents. Likewise, students, researchers, and scholars in clinical/counseling psychology, developmental psychology, nursing, behavioral psychology, and social work will find interesting and pertinent information in this volume.

Family-Centred Assessment and Intervention in Pediatric Rehabilitation analyzes the effectiveness of Family-Centred Services (FCS) for children with disabilities or chronic illnesses. This text provides you with the exact definition of FCS and offers proof that parent involvement in children's treatment greatly enhances therapy. You can use the suggestions and methods to integrate parents into therapy, maximizing the family's intervention experiences and making your work more successful and effective.Many clinicians agree that families play a crucial part in deciding what intervention strategies are best for their children. From this text, you will learn that listening to parents and valuing parental input will give you insight into the goals, needs, and ambitions families have for their children. This enables you to choose, with the parent, the interventions that best suit your patients'needs and the needs of their families. In addition to information on how to integrate parents and families into intervention, Family-Centred Assessment and Intervention in Pediatric Rehabilitation offers suggestions that will improve your existing FCS or help you implement a family- centred approach, including: performing therapy in natural settings, such as school or home, to make changes in the children's social and physical environments acknowledging the grieving and adaptation process of families while being compassionate and understanding letting parents describe what they would like their child to be able to do and accomplish in the future putting the parents'concerns and requests first, enabling parents to deal with caring for their child supporting parents and reinforcing them when they have innovative and helpful ideas informing parents on the progress of their children and educating parents on methodologies and strategies used in FCSMany of the suggestions derived from the analysis of current data and original research in Family-Centred Assessment and Intervention in Pediatric Rehabilitation have immediate clinical applicability, allowing you to quickly adapt methods into your intervention processes. This text also provides you with information on types of evaluative methods, such as Measure of Processes of Care (MPOC) and Family-Centred Program Rating Scale (Fam PRS), that will help you determine if your FCS program is working efficiently. Emphasizing the goal of parent interaction in FCS services, Family-Centred Assessment and Intervention in Pediatric Rehabilitation offers methods that will improve your work with families and patients, making services more beneficial and relevant to the child and to their families.

The questions used in this book have been developed and continuously updated over 15 years. 'MCQs in Paediatrics' includes questions and detailed answers submitted by paediatricians in all specialties, and covers the widest range of clinical skills and paediatric knowledge.The questions have been used in both undergraduate and postgraduate examinations at the DCH and MRCP level. All questions have been reviewed and refined following the analysis of examination results, and are designed to test the application of knowledge rather than just the facts. The answers are accompanied by detailed explanations which allow the book to be used both for self-assessment and as a guide for further study.

First published in 1998.This text reviews current knowledge and research in key areas of adolescent sexuality, focusing on the implications of this for young people's sexual health. The book includes chapters on adolescent sexual knowledge, teenage relationships and sexual behaviour, HIV/AIDS education, sexual identity, peer education and the prevention of teenage pregnancy. The book is aimed at all those who work with young people, including those involved in health education, youth work, sex education and those in youth organisations. The book is written in straightforward language, with the aim of disseminating relevant research to all those who work with young people. The focus of the book is on understanding the implications of research in this area for young people's sexual health, risk reduction and education.

Epidemiological surveys have provided key information about the prevalence and degree of seriousness at different ages of a wide array of problem behaviors such as delinquency, substance use, early sexual involvement, and mental health disorders. Knowledge of the extent of these problems and changes in their course over time is important. In its absence, interventions and health planning in general can be difficult. Understanding which risk and protective factors are relevant to which problem behaviors is also essential for the formulation of theories that constitute the basis of intervention. This book draws on the results of the major Pittsburgh Youth Study complemented by follow-up tracking of juvenile court records for more than six years, to address the following questions: *What is the prevalence and age of onset of delinquency, substance use, and early sexual behavior for three samples of boys age 8, 11, and 14? What are the average mental health problems for these ages? How strong are the relationships among these problem behaviors in each of the samples? *Which variables best explain individual differences among the boys in their manifestations of delinquency, substance use, early sexual behavior, and mental health problems? To what extent do explanatory factors vary with age? How accurately can boys with different outcomes be identified by risk scores based on hierarchical multiple regressions? *To what extent are explanatory factors associated with one outcome that are also associated with other outcomes? Are explanatory factors that are especially characteristic of a multiproblem group of boys--who display many different problem behaviors--different from explanatory factors associated with boys with few problems? *Do the results fit a general theory of juvenile problem behaviors, or is a differentiated theory more applicable?

This volume's purpose is to describe concepts and methods concerning assessment of health-related quality of life (HRQOL) in children and adolescents with a special focus on chronic health conditions. The impetus for this book came from a recognition of the increasing importance of HRQOL assessments in the evaluation of treatment outcomes and the need to increase the utilization of HRQOL assessments in research and clinical applications with a range of pediatric populations. The need to develop a volume that describes new research and clinical applications concerning this topic stemmed from several recent developments. There is a continuing need for evaluations of the efficacy of medical treatments for children and adolescents, including those with chronic health conditions.
To address these critical unmet needs in the field of HRQOL assessment, and to advance scientific methods and clinical applications in this field, a conference was held at Case Western Reserve University. The conference set out to summarize current information concerning the development and implementation of measures of HRQOL assessment, to identify and consider key conceptual and methodological issues in research concerning the measurement of HRQOL, and to recommend priorities to advance the state-of-the-art in research and clinical applications of QOL assessment in children and adolescents with chronic health conditions. This volume summarizes and synthesizes the information that was presented by the conference participants in a series of lively discussions and chapters that were based on the presentations.

This volume's purpose is to describe concepts and methods concerning assessment of health-related quality of life (HRQOL) in children and adolescents with a special focus on chronic health conditions. The impetus for this book came from a recognition of the increasing importance of HRQOL assessments in the evaluation of treatment outcomes and the need to increase the utilization of HRQOL assessments in research and clinical applications with a range of pediatric populations. The need to develop a volume that describes new research and clinical applications concerning this topic stemmed from several recent developments. There is a continuing need for evaluations of the efficacy of medical treatments for children and adolescents, including those with chronic health conditions.
To address these critical unmet needs in the field of HRQOL assessment, and to advance scientific methods and clinical applications in this field, a conference was held at Case Western Reserve University. The conference set out to summarize current information concerning the development and implementation of measures of HRQOL assessment, to identify and consider key conceptual and methodological issues in research concerning the measurement of HRQOL, and to recommend priorities to advance the state-of-the-art in research and clinical applications of QOL assessment in children and adolescents with chronic health conditions. This volume summarizes and synthesizes the information that was presented by the conference participants in a series of lively discussions and chapters that were based on the presentations.

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