Fundamental questions about the morality of pediatric medical research persist despite years of debate and the establishment of strict codes of ethics. Is it ever permissible to use a child as a means to an end? How much authority should parents have over decisions about research involving their children? Should children or their parents be paid for participation in research? Most importantly, how can the twin goals of access to the benefits of clinical research and protection from research risk be reconciled? Promoting more thoughtful attention to the complex ethical problems that arise when research involves children, this fully updated new edition of Ethics and Research with Children presents 14 case studies featuring some of the most challenging and fascinating ethical dilemmas in pediatric research. Each chapter begins with a unique case vignette, followed by rich discussion and incisive ethical analysis. Chapters represent a host of current controversies and are contributed by leading scholars from a variety of disciplines that must grapple with how to best protect children from research risk while driving innovation in the fight against childhood diseases. Chapters end with questions for discussion, providing faculty and students with accessible starting points from which to explore more in depth the thorny issues that are raised. In the final chapter, the editors provide a synthesis and summary that serve as a capstone and companion to the case-based chapters. Unique in its specific focus on research, Ethics and Research with Children provides a balanced and thorough account of the enduring dilemmas that arise when children become research subjects, and will be essential reading for those involved with pediatric research in any context.

Child and family psychotherapist Eric J. Green draws on years of clinical experience to explain his original model of Jungian play therapy. The empathic techniques he illuminates in "The Handbook of Jungian Play Therapy with Children and Adolescents" can effectively treat children who are traumatized by abuse, natural disasters, and other losses, as well as children who have attention deficit and autism spectrum disorders.

The overarching goal of Green's Jungian play therapy model is to help children and adolescents become psychologically whole individuals. Toward that end, therapists encourage children to engage in sandplay, spontaneous drawing, and other expressive arts. Green demonstrates how therapists can create an atmosphere of warmth and psychological safety by observing the child's play without judgment and, through the therapeutic relationship, help children learn to regulate their impulses and regain emotional equilibrium.

Designed for master's level and doctoral students, as well as school counselors, play therapists, and private practitioners, the book covers the theoretical underpinnings of "depth psychology" while highlighting easy-to-understand case studies from Green's own practice to illustrate Jungian play therapy applications at work.

A concise introduction to the principles and practice of point-of-care echocardiography for neonatologists Practical Neonatal Echocardiography is based on an acclaimed course that the authors havetaught for the past 15 years at USC training neonatologists in cardiac ultrasound ofneonatal patients for on-the-spot examination and diagnosis. Drs. Siassiand Noori have trained hundreds of physicians to use ultrasound equipment toexamine neonatal cardiac function at the first sign of distress, leading to fasterdiagnosis and referral to pediatric cardiologists for treatment. This book is designed to helpreaders develop the skills necessary to perform a high quality neonatalechocardiographic examination, evaluate cardiac function, and recognizeabnormalities and defects. Practical Neonatal Echocardiography begins with an introduction to the basic principles of echocardiography and the ultrasound scanners commonly used at pediatric cardiac centers. Neonatal cardiac anatomy is clearly described through the use of 2-dimensional images andvideo clips. Subsequent chapters teach the assessment of cardiac function, bloodflow, shunts, physical defects, and abnormalities that may exist in the absence of adefect. Myocardial dysfunction, heart failure, shock, hypertension, cardiomyopathy,cyanosis, and more are discussed in detail with multiple illustrative cases. *Integrated throughout the chapters are 110 video clips, which when looped, will display a beating heart. These real-life cases will help readers hone their skills in recognizing defects in cardiac function and growth.*Covers essential principles of echocardiography with clear descriptions and illustrations*Describes common features of ultrasound scanners and how to use them

Explore interventions and treatment methods designed to help curb the alarming trend toward violence in today's youth! Written in jargon-free lucid prose, Psychological Trauma and the Developing Brain: Neurologically Based Interventions for Troubled Children specifically shows how positive early experiences enhance brain development and how traumatic life experiences, especially child abuse and neglect, can affect a child's brain and behavior. Through carefully selected case studies, the book offers basic principles of treatment and a broad range of interventions that target the multiple symptoms and problems seen in children with a history of childhood trauma. Offering a new psychobiological model of child development, this book incorporates the influence of both genes and the environment and conceptualizes normal and pathological development in terms of common underlying processes. For readers concerned with promoting healthy development in children and helping children recover from childhood trauma, this engagingly written book describes exactly how a child's social/interpersonal environment can positively or negatively influence brain development. Throughout the book, the authors highlight the interrelationship between neurobiology and psychology. They present basic information about brain development and organization, describe exactly what is going on inside the brain at each stage of development, and illustrate these concepts through a detailed case study of a preschooler with severe problems in communicating and relating. They discuss the pernicious effects that traumatic stress has on brain and behavior, differentiating between simple and complex PTSD, and review the specific brain impairments currently attributed to a childhood history of maltreatment. Using their unique psychobiological perspective and illustrative case studies, the authors evaluate the principles and strategies of treatment, showing how relationships and experiences can mitigate the effects childhood trauma. After fleshing out the shocking cost to society of child maltreatment, the authors offer broad policy prescriptions that promote healthy development, including basic strategies for prevention and early intervention. Psychological Trauma and the Developing Brain: Neurologically Based Interventions for Troubled Children will show you: how interpersonal experience shapes brain development what is going on in the brain during the critical first six years how therapeutic relationships and interpersonal experience can promote emotional and cognitive development how childhood maltreatment can damage the brain and impair the developing mind what types of experiences and therapeutic strategies can mitigate the effects of childhood trauma what policy prescriptions, programs, and early intervention strategies can be implemented to promote healthy development

This book describes control of ventilation during sleep in both health and disease states. The topics are presented in a fashion that can be easily comprehended with many figures to illustrate complex concepts. Thus, a wide range of topics, starting from the site of normal respiratory rhythm generation to chemoreceptor control of sleep apnea, description of the apneic threshold, pathophysiology of upper airway closure, novel techniques to measure control of breathing, effect of cerebral blood flow on breathing, effect of opioids on ventilation, effect of heart failure on ventilation, genetic aspects of breathing disorders, age and gender differences, and various therapies are discussed. Key Features * Helps to bridge the gap between straight forward physiology and clinical practice through a range of topics and use of case vignettes * Explores various aspects of clinical management and control which is beneficial to sleep clinicians, respiratory physiologists, intensivists, trainees, and researchers. * Distills complex concepts into understandable language and figures, providing helping resource to the clinicians, that transforms a dry topic vis a viz control of ventilation into an exciting understandable 'clinician' language.

Avoidant Restrictive Food Intake Disorder, more commonly known as ARFID, is a relatively newly introduced diagnostic category. Research in the field, although growing, remains limited, with clinical knowledge and expertise varying across clinicians. There may be uncertainty how to correctly identify and diagnose the disorder as well as how best to direct treatment. This clinical guide sets out to be a trailblazer in the field, providing up-to-date information and comprehensive clinical guidance on ARFID in childhood and adolescence. Chapters in the book are divided into five sections, the first focussing on the importance of attending to the perspectives of those directly affected by ARFID. Three subsequent sections cover diagnosis and presentation, including chapters on aetiology, epidemiology, assessment, and outcome measures; clinical assessment, including psychological, family, nutritional, medical, and sensory components; and management, discussing nutritional, medical, psychological, and wider system approaches. The final section discusses prognosis and outcomes, and considers future research directions. This clinically focussed book, with contributions from a multi-disciplinary authorship, is intended to function as an accessible, practical guide, and reference resource. It includes summaries of available evidence, with related recommendations for clinical practice. The advice and suggestions included will assist clinicians in targeting their attention appropriately, to ensure that children, adolescents, and their families receive the best possible care.

This concise, introductory primer has been written specifically for clinician educators (CEs), particularly those new to the role and those working to further develop their experience and knowledge. Drawing on his dual roles as a pediatrician and medical educationalist, the author uses story-telling and personal experience alongside practical tips and tricks to support the reader in their teaching, patient care and educational scholarship, helping both junior faculty and more senior educators to avoid pitfalls in all segments of their careers.

Das Referenzwerk zur padiatrischen Pneumologie wurde von einem neuen Herausgeberteam grundlegend uberarbeitet. Spezialisten aus Deutschland, Osterreich und der Schweiz haben bei diesem umfassenden Praxisbuch mitgewirkt, das sich an dem European Training Syllabus der European Academy of Paediatrics orientiert.

Luckenlos prasentiert das Buch das fundierte Spezialwissen zu Atemwegserkrankungen bei Kindern und Jugendlichen von den respiratorischen Erkrankungen des Fruh- und Neugeborenen bis hin zu Asthma, obstruktiven Atemwegserkrankungen, Pneumonie und seltenen Lungenerkrankungen. Der Bogen wird gespannt von den verstandlich dargestellten Grundlagen des gesunden Respirationstraktes uber die diagnostischen Techniken bis hin zu den Erkrankungen des Respirationstraktes, die nach einer einheitlichen Struktur ausfuhrlich und praxisnah beschrieben sind.

Spezielle Therapien wie Inhalationstherapie oder Heimbeatmung bilden einen weiteren Schwerpunkt des Buches. Das wichtige Thema der Interaktionen mit anderen Fachgebieten wurde neu ins Buch aufgenommen, darunter intensivmedizinische Aspekte, Difficult Airway Management oder kinderchirurgische Aspekte. Damit ist dieses Referenzwerk fur alle Arzte nutzlich, die mit padiatrischer Pneumologie in Beruhrung kommen. Zum Lesen, Lernen und Nachschlagen.

"

This handbook of therapy provides both theoretical understanding, and a wealth of suggestions for daily practice. The coverage includes a cross-scientific theoretical overview, the classic symptoms of disturbed attachment, and treatment at different stages of development, from measures to ensure a healthy attachment early in life to treatment at different stages of personality development to adulthood. Each step includes many examples from daily practice as well as checklists at different stages. Sections on adoption issues, how to teach the AD schoolchild, sexual abuse and AD give tools and inspiration for the reader's own research.

This is a comprehensive guide to the clinical management of the pediatric upper limb, with special emphasis on the hand. A special feature is the general discussion of some clinical cases by various contributors.

Procedure induced anxiety affects the majority of children undergoing medical intervention and has been directly linked to behaviour disturbances, psychological trauma, phobias and symptoms of PTSD. Despite this, there is currently no formal training relating to the management of procedure induced anxiety for medical personnel caring for children. A distillation of more than eighty years of research, this textbook examines the nature, prevalence and consequences of anxiety in children, alongside evidence-based strategies for its effective management. Designed as a training manual, it includes a comprehensive account of positive and negative aspects of behaviour that contribute to the successful management of anxious children. Chapters cover topics such as non-verbal and verbal communication, enhanced communication management strategies, support of children with autistic spectrum disorder, ADHD, learning difficulties, the use of premedication and the role that families play. Essential reading for anaesthetists and paediatricians and a valuable resource for any practitioner working with children.

As an essential guide to paediatric haematology, this concise text offers a quick and reliable source of practical information for clinicians. Covering all blood disorders in children, the contents are structured to include all the major disease groups and include introductory chapters on normal haemopoiesis, normal coagulation, infections and transfusion. Whilst the text focuses on practical management, sufficient background information is given to enable trainees to care effectively for patients. Essential Paediatric Haematology is an ideal text for haematologists and paediatricians in training and a valuable source of reference for other health care professionals.

'Fascinating and moving.' - Adam Kay, author of This is Going to Hurt A BBC Radio 4 A Good Read choice This is a story about the cutting-edge medicine that has saved a generation of babies. It's about the love and fear a parent feels for a child they haven't yet met. It's about doctors, mothers, fathers and babies as together they fight for the first breath. The First Breath is a book about motherhood and medicine. Olivia Gordon decided to find out how, exactly, modern science saved her son's life. Crossing medical memoir with popular science, The First Breath is an investigation into the pioneering fetal and neonatal care bringing a new generation into the world, who would not have lived if they had been born only a few decades ago. The First Breath explores the female experience of medicine and details the relationship mothers develop with doctors who hold not only life and death in their hands, but also the very possibility of birth. From the dawn of fetal medicine to neonatal surgery and the exploding field of perinatal genetics, The First Breath tells of fear, bravery and love. Olivia Gordon takes the reader behind the closed doors of the fetal and neonatal intensive care units, resuscitation rooms and operating theatres at some of the world's leading children's hospitals, unveiling the untold story of how doctors save the sickest babies.

This book provides a current understanding of Continuous Renal Replacement Therapies (CRRT) techniques with a focus on drug dosing in critically ill children receiving CRRT. Strategies include the role of therapeutic drug monitoring, effect of CRRT on drug pharmacokinetics, variations in the drugs properties, newer kidney injury biomarkers and simple and easy methods for estimating drug clearance. The conclusion of this book features case reports focused on the patients' symptoms and laboratory data as they present in clinical practice and the type of CRRT modality needed to provide quality, safety, and cost-effectiveness of patient care. Pediatric Continuous Renal Replacement Therapy will expand the clinical knowledge and experience of practicing nephrologists and other professionals involved in the care of children suffering from Acute Kidney Injury (AKI) to improve and sustain their quality of life.

+Case-based format enhances learning and retention of core curriculum in pediatric orthopaedics +Reflects pediatric orthopaedic diagnosis and management on a global basis +Concise text and numerous illustrations aid understanding of a broad spectrum of cases +Includes access to additional material via the e-book for those readers requiring more in depth content.

The scope of the book includes all neurological problems in infancy. In the first half, it sets out in a succinct format the principles of working with families, of clinical assessment, of the use of investigations and treatments, and of evidence-based medicine. The second, symptom-based half of the book provides detailed guidance on the practice of child neurology in infancy. The authors are distinguished experts drawn from all over Europe. The contributors have approached their chapters using an accessible, didactic style and consistent organization of material. The emphasis throughout is on clinical methods, the use of appropriate investigations and treatments, and the avoidance of unnecessary or potentially harmful interventions. For quick reference, all chapters feature boxes highlighting key messages, common errors, and when to worry. The book is designed to be carried round as a handy reference.

"You know, Dr. Dan, that kid is from my planet." With in-depth descriptions of LEGO (R)-based therapy in action, this book explains how and why it helps to promote the development of social skills for children with autism spectrum disorders (ASDs) and related conditions. Written by Daniel B. LeGoff, who pioneered the approach, this book comprises a series of case histories of children who participated in LEGO (R) therapy. It traces the development of the evidence-based approach, shares the clinical insights gained along the way and highlights the principles which should be at the core of all effective treatment and educational strategies for children with ASDs. The case histories have real practical value for those working with children with ASDs and also help to demonstrate the subtleties of the adult facilitation role for professionals running sessions.

This book deals with the management of labour, guiding the readers to recognize problems by keen monitoring, based on anatomical and physiological understanding of labour. In this era of technology, this book revives the fading art of identification of clinical signs and symptoms. The chapters are well-structured, covering different aspects from suspicion to identification of the problems by recognizing subtle warning signals by the fetus and the uterus. Operative deliveries and common obstetric emergencies with their appropriate management are also covered. It provides practical points to prevent, anticipate, recognize, and manage problems during labour. Key Features Helps to identify clinical signs and symptoms that infuses the reader with confidence to identify and manage abnormal situations during labour and childbirth through the feel of their fingers and awakened understanding. A must have book for all postgraduate trainees and practitioners of obstetrics, eager to learn the fundamentals of labour management. Features illustrated cases helpful in learning management of normal labour and pick abnormal labour, at the earliest possible deviation from normalcy.

A complex, puzzling disorder, obsessive compulsive disorder (OCD) is characterized by a child's or teenager's obsessions with contamination, object hoarding, and exact orderliness and compulsions involving rituals of washing, cleaning, checking and rechecking, or counting. Childhood Obsessive Compulsive Disorder draws on the most up-to-date research available to provide a comprehensive overview of this problem, from diagnosis through treatment. Authors Greta Francis and Rod A. Gragg first describe childhood and adolescent OCD in its various forms and discuss the etiology and epidemiology of OCD. They also explore assessment methods and their usefulness in research and practice, and both pharmacological and psychosocial treatments. In addition, intriguing case examples of this enigmatic disorder, measurement scales for it, and a manual for cognitive-behavioral treatment make this book a vital guide for clinicians. Consolidated into one integral volume, the information on diagnosing and treating children with OCD presented here will be invaluable to students, professionals, and researchers in clinical/counseling psychology, developmental psychology, nursing, behavioral psychology, and social work.

Psychotic disorders are frequently misunderstood and/or misdiagnosed by many clinicians that deal with children, including clinical social workers, mental health counselors, child psychiatrists, and child psychologists. Many times it is difficult for a mental health professional to determine whether the problematic behaviors exhibited (such as hearing voices and seeing things that do not exist) are the result of an altered normal developmental process or the result of a serious mental disorder. Psychotic Disorders in Children and Adolescents will provide mental health professionals and students a resource that contains specific information needed to assess better the exact nature of what is affecting the young patient. The book addresses normal developmental process and cultural influences vs. psychotic disorders; normal grief vs. pathological grief vs. depression; and brief psychotic episodes vs. organic and chronic types of psychosis.