Written by a pediatrician for pediatric clinicians on the front line in response to the ever increasing obligations they acquire for the well being of children, this book focuses on the potential of health care to impact the social morbidities that affect children's health. Dr. Rushton does not suggest that child health practitioners must do more, but rather they must reorient their efforts in order to achieve optimal outcomes for children. As specialists in child health, pediatric clinicians have skills they can utilize to ensure better outcomes for children, but doing so will require a reorganization of health supervision and the establishment of links with other social services. Group visits, psychosocial screening, school health, public-private partnerships, home visitation, parent-child centers, and use of auxiliary anticipatory guidance specialists are all tools described in the development of a coordinated, community-based, family-centered approach to pediatric health care supervision. This is a book for private practitioners, community health professionals, academicians who support them, and all those others who want to ensure that our children are nurtured by the child health care system. The crux of this book is to provide a template for thoughtful consideration by the thousands of pediatric providers who care deeply about their profession.

This issue of Dental Clinics of North America focuses on Evidence-based Pediatric Dentistry, and is edited by Dr. Donald Chi. Articles will include: Prenatal maternal factors, intergenerational transmission of disease, and child oral health outcomes; Evidence-based Medicaid policies and research use; Social determinants of children's oral health; Pediatric behavioral oral health interventions; Pediatric social oral health interventions; Pediatric workforce issues; Pediatric-focused interprofessional interventions; Acculturation and pediatric minority oral health interventions; Interventions focusing on children with special health care needs; Genetics and pediatric dental caries; Oral health interventions during pregnancy; Topical fluoride hesitancy, and more!

This issue of Surgical Clinics of North America focuses on Pediatric Surgery, and is edited by Drs. Todd Ponsky and Aaron Garrison. Articles will include: Solid Organ Injury in Pediatric Surgery; Non-accidental Trauma in Pediatric Surgery; Head and C-spine Evaluation for the Pediatric Surgeon; Abdominal Trauma Evaluation for the Pediatric Surgeon; The Role of Laparoscopy in Pediatric Trauma; The Pediatric Airway and Esophageal Foreign Bodies; Pediatric Appendicitis; Intussusception and Lower GI Bleeding; Pediatric Vascular Access; Pediatric Incarcerated Hernias; Malrotation and Midgut Volvulus in Pediatric Surgery; Pediatric Testicular Torsion; Soft Tissue Abscess and Complex Wound Closure in Pediatric Surgery; Pediatric Ovarian Torsion; Timing of Anesthesia for Pediatric Surgery; and more!

Dr. Kliegman and Dr. Bordini have written a primer on Undiagnosed and Rare Diseases in Children. Leading experts have presented the current knowledge in the following areas: How Doctor's Think: Common Diagnostic Errors in Clinical Judgment; Team-Based Approach to Undiagnosed and Rare Diseases; Ending a Diagnostic Odyssey: Family Education Counselling and Their Response to Eventual Diagnosis; Eczema and Urticaria as Manifestations of Undiagnosed and Rare Diseases; Usual and Unusual Manifestations of Familial Hemophagocytic and Langerhans Cell Histiocytosis Syndromes; When Autistic Behavior Suggests a Disease Other than Classic Autism; Non-classic Inflammatory Bowel Disease in Young Infants; IPEX and Other Disorders; Usual and Unusual Presentation of Mitochondrial Disorders; When to Suspect Auto-inflammatory/Recurrent Fever Syndromes; Primary and Secondary Causes of Autonomic Dysfunction; Usual and Unusual Manifestations of Systemic and CNS Vasculitis; Fever of Unknown Origin; Differentiating Familial Neuropathies from Guillain-Barre Syndrome; and Munchausen by Proxy: A Factitious Undiagnosed Disease. Readers will come away with cutting-edge information to use immediately in their clinical management of patients.

Through Understanding Comes Respect and Love
This book was inspired by the author's daughter, Jaimie, who struggles with Sensory Processing Disorder (SPD) every day. It was written to validate Jaimie's feelings and to show her other children feel things the way she does. This book can help children with SPD learn how to explain their disorder to others; help peers understand what children with SPD go through; and also help therapists, teachers and/or counselors learn how to talk about it. Helping others learn about children with special needs brings understanding to them and help to make them seem less... different.
New 2nd edition includes suggested activities teachers or caregivers can do with children to help develop a deeper understanding of how SPD "feels" plus new pages on vestibular and proprioception systems.
Praise for "I'm Not Weird, I Have SPD":
"This book is a must-read for any parent who has a child suffering with Sensory Processing Disorder. It also helps your child put words to what they are feeling on a daily basis. Teachers and other professionals working with children who have SPD also come to a better understanding of how to help these children."
--Tanya Wilson
"A heart-touching book, written in a straightforward, kid-friendly manner that provides an excellent insight to the trials, frustrations, and new discoveries children with SPD and their families may encounter. This book has assisted in creating an appreciation and acceptance of the unique qualities within all of us, and that we are not 'weird'-we are 'wonderful' "
--Lillian Baulkham, Grade 3 teacher, Sweet Grass School, Edmonton, Alberta
"When I read Chynna Laird's I'm Not Weird, I Have SPD, I almost cried. Not because the story of a child struggling with severe sensory disorder is so sad, but because the frustration shared by child and family alike before diagnosis is so heart-wrenching. Ms. Laird leaves the reader with a moment of with a moment of joy and a real hope for a brighter tomorrow "
--C. Hall
Learn more at www.LilyWolfWords.ca
From the Growing With Love Series from Loving Healing Press www.LHPress.com
JNF053180 Juvenile Fiction: Social Issues - Special Needs
EDU026010 Education: Special Education - Communicative Disorders
FAM034520 Family & Relationships: Parenting - Hyperactivity

This second edition offers an expanded and updated history of the field of fetal and neonatal development, allowing readers to gain a comprehensive understanding of the biological aspects that contribute to the wellbeing or pathophysiology of newborns. In this concluding opus of a long and prominent career as a clinical scientist, Dr. Longo has invited new contributions from noted colleagues with expertise in various fields to provide a historical perspective on the impact of how modern concepts emerged in the field of fetal physiology and contributed to the current attention paid to the fetal origins of diseases in adults. In addition to new chapters on maternal physiology and complications during pregnancy, others trace the history of the Society for Reproductive Investigation, governmental funding of perinatal research, and major initiatives to support training in the new discipline of maternal fetal medicine, including the Reproductive Scientist Development program. The extensive survey provided by the author, who personally knew most of the pioneers in the field, offers a unique guide for all clinical and basic scientists interested in the history of - and future approaches to diagnosing and treating - pathologies that represent the leading causes of neonatal mortality and, far too often, life-long morbidity.

Dr. Mimouni and Dr. Koletzko have assembled some of the world's leaders on breast milk for preterm infants to provide a current overview of the benefits and barriers. Authors address the following topics: Preterm human milk macronutrient composition; Bed-side human milk analysis in the NICU; Human milk fortification; DHA supplements; Potential benefits of bioactive proteins in human milk for preterm infants; New insights into variations of metabolite and hormone contents in human milk; Immune properties of human milk in relation to preterm infant feeding; Human milk oligosaccharides; Treatment and quality of banked human milk; Use of donor milk: collection, storage and safety; Postnatal CMV infection through human milk in preterm infants: Transmission, clinical presentation, and prevention; NEC and human milk feeding; Neurodevelopmental outcomes of preterm infants fed human milk; Evidence-based methods that promote human milk feeding of preterm infants; and Human flavor learning: the breastfeeding experience. Lactiation consultants, NICU nurses, and neonatologists will find these clinical review articles to be very valuable.

This book focuses on the current basic science research of hypospadias and genital development. Congenital anomalies of the genitalia are the second most common birth abnormality besides congenital heart defects. Genital anomalies come in many varieties with the most common abnormality being hypospadias. The etiology of hypospadias remains unknown and the incidence is doubling in western countries with no definable explanation. It therefore seems especially germane to study this common congenital anomaly with a baseline incidence of 1/125-250 newborn males.

The Guest Editors of this issue have come together with the goal of producing a useful, basic guide on this population for pediatric primary care clinicians. Topics in this issue address: Caring for LGBT Youth & Families in Inclusive and Affirmative Environments; Mental Health and the Development of Sexual Orientation and Gender in Children and Adolescents; What the Primary care Pediatrician Needs to Know about Gender Variance in Children and Adolescents; Clinical Implications of Stigma, Minority Stress, and Resilience as Predictors of Health and Mental Health Outcomes; LGBT Youth and Bullying; LGBT Youth and Family Acceptance; HIV, Other Sexually Transmitted Infections, and Sexual Health in LGBT Youth; Substance Abuse Prevention, Assessment & Treatment for LGBT Youth; Body Image and Disordered Eating among LGBT Youth; and Sociocultural Factors and LGBT Youth's Health-related behavior. Pediatricians will come away with a solid understanding of recognizing and communicating with LGBT children and adolescents.

This manual is a comprehensive guide to radiological imaging for the diagnosis of diseases and disorders in children. The fourth edition has been fully revised and features many new topics, providing the latest advances in the field. Divided into 35 chapters, the book covers all the main imaging modalities - CT, MRI, ultrasound and digital radiography, and their use in the diagnosis of disorders in different body systems. Numerous radiological images, tables and boxes further enhance the extensive text. Key points Comprehensive guide to radiological imaging in children Fully revised, fourth edition, featuring many new topics and latest advances Covers all the main imaging modalities accompanied by radiological photographs, tables and boxes Previous edition (9789350252055) published in 2011

Childhood acute leukemias are one of the main causes of death in children aged 1 to 14 years in some countries; and unfortunately, we have been unable to prevent it. Certainly, a good parcel of it is due to the poor understanding about its etiology. This book aims to describe the most important theories and hypothesis regarding childhood acute leukemia. Written by the most outstanding researchers in the field, this book intends to contribute to a greater understanding of the etiology of this disease. It goes beyond the simple and common analysis of risk factors, which hardly allows us to draw definite conclusions. By addressing the etiology of the disease, discussing from molecular biology until epidemiology and clinical manifestations, this book will guide present and future approaches, contributing for a better clinical management of leukemia in children. The knowledge regarding etiology is a crucial step for a better evaluation, prevention and treatment of a disease. Thus, this book finally intends to provide such knowledge, allowing physicians and practitioners to a better manage of childhood acute leukemias.

Depression is the most common complication of childbirth and results in adverse health outcomes for both mother and child. It is vital, therefore, that health professionals be ready to help women who have depression, anxiety, or posttraumatic stress disorder in the perinatal period. Now in its third edition, Depression in New Mothers provides a comprehensive approach to treating postpartum depression in an easy-to-use format. It reviews the research and brings together the evidence-base for understanding the causes and for assessing the different treatment options, including those that are safe for breastfeeding mothers. It incorporates research from psychoneuroimmunology and includes chapters on: assessing depression mother-infant sleep traumatic birth experiences infant temperament, illness, and prematurity childhood abuse and partner violence psychotherapy complementary and integrative therapies community support for new mothers antidepressant medication suicide and infanticide. This most recent edition incorporates new research findings from around the world on risk factors, the use of antidepressants, the impact of breastfeeding, and complementary and integrative therapies as well as updated research into racial/ethnic minority differences. Rich with case illustrations and invaluable in treating mothers in need of help, this practical, evidence-based guide dispels the myths that hinder effective treatment and presents up-to-date information on the impact of maternal depression on the mother and their infants alike.

This book presents a comprehensive, state-of the-art guide and review of ultrasound applications for children and infants with surgical problems. It is meant as a single source to provide information about sonographic application, interpretation and technique for a diversity of pediatric surgical care providers, making it a useful tool for the ultrasound novice as well as the more advanced ultrasonographer. Sections address initial obstacles faced by a physician starting with ultrasound such as the scanning techniques, underlying anatomy and normal sonographic findings. The initial chapter provides an introduction and basic overview about ultrasound theory and techniques. Subsequent chapters focus on specific body parts and systems and their disease processes as it pertains to pediatric and neonatal patients. The text also includes a chapter on abdominal trauma and its evaluation with the FAST (focused abdominal sonography for trauma) exam. Diagnostic and Interventional Ultrasound in Pediatric Surgery serves as a useful resource for a broad spectrum of pediatric care providers, including a growing number of ultrasound users, surgeons and pediatricians alike.

Intended for school psychologists, counselors, and social workers, teachers, and therapists who work with school systems, this book presents a philosophy and numerous practical strategies for handling behavioral problems presented by students.

Cystic Fibrosis (CF) is a multisystem disease whose symptoms and signs involve the gastrointestinal tract (thus affecting nutritional status), endocrine system, reproductive system and the respiratory tract (nose, sinuses and lungs). Despite new treatments, the median survival for patients with CF is less than optimal, primarily due to complications of obstructive lung disease. Currently there are approximately 60,000-80,000 people worldwide with CF. The clinical manifestations of CF are caused by dysfunction of CFTR (cystic fibrosis transmembrane conductance regulator), a multifunctional cyclic-AMP regulated ion channel protein. Over time, there has been dramatic improvement in CF patient life expectancy, in large part related to earlier diagnosis (newborn screening), better understanding of molecular genetics and underlying pathophysiology, the integrated and highly specialized Cystic Fibrosis Foundation Accredited Care Centers, and development of a wide range of new treatments and therapies, some of which target the basic CFTR defect. This edition of Pediatric Clinics of North America will offer general pediatricians and family physicians, as well as subspecialists, an update of the extraordinary progress made in the understanding and treatment of Cystic Fibrosis.

Each chapter will focus on the known molecular characteristics of specific childhood cancers, focusing on how the molecular 'drivers' can be exploited from a therapeutic standpoint with currently available targeted agents. Where applicable, integration of targeted therapies with conventional cytotoxic agents will be considered. This volume will provide a comprehensive summary of molecular characteristics of childhood cancers, and how the changes involved in transformation provide us with opportunities for developing relatively less toxic, but curative, therapies.

This issue of Endocrinology and Metabolism Clinics, edited by Dr. Robert Rapaport, is devoted to Pediatric Endocrinology. Articles in this issue include: Thyroid Cancer in Pediatrics; Gender and Sex Assignment; CAH Prenatal Diagnosis; Diabetes; Polycystic Ovarian Disease; Newborn Screening for X-linked ALD; Growth in Patients w/ Skeletal Dysplasia; Thyroid Imaging in Infants; Bariatric Surgery in Youth; Pituitary Imaging in Pediatrics; and Cardiac and Metabolic Features of GH Deficiency.

Almost one out of every three US children is overweight or obese, with minority youth at highest risk. There are limited efficacious pediatric obesity interventions available for clinicians, and successful weight loss trials for minority youth are rare. Even fewer interventions have been shown to significantly improve clinical health outcomes such as adiposity, blood pressure, and cholesterol level, and maintenance of behavior change over the long-term remains a challenge Translation I research in which "bench" findings are applied to the "bedside" is uncommon in the behavioral arena. Thus, advances in our understanding of fundamental human processes such as motivation, emotion, cognition, self-regulation, decision-making, stress, and social networks are not being optimally applied to our most pressing behavioral health problems. This issue of Pediatric Clinics will focus on promising behavioral treatments "in the pipeline" that have been translated from basic behavioral science and are the process of refinement and proof of concept testing.

Preterm neonates remain at increased risk for adverse bilirubin-related outcomes, including acute bilirubin encephalopathy relative to term infants. Yet, most vulnerable neonates are likely benefit form the potent anti-oxidant properties of bilirubin. Evidence-based guidelines for the management of hyperbilirubinemia in preterm infants, however, are lacking. High concentrations of unconjugated bilirubin can cause permanent neurologic damage in infants, evident through magnetic resonance imaging of chronic bilirubin encephalopathy or kernicterus. There is a growing concern that exposures to even moderate concentrations of bilirubin may lead to subtle but permanent neurodevelopmental impairment referred to as bilirubin-induced neurologic dysfunction. Our current use of phototherapy to decrease bilirubin loads and its potential photo-oxidant properties is a biological conundrum that has been questioned in the use of phototherapy for very low birth weight neonates. In this issue of Clinics in Perinatology, we provide updates on the current understanding of the biology, mechanisms of increasing bilirubin load due to hemolysis, decreased bilirubin binding capacity and glucose-6-phosphate dehydrogenase deficiency, as well as clinical strategies to operationalize the thresholds for hyperbilirubinemia interventions in preterm infants.

This wide-ranging volume combines the current findings and frontline knowledge working practitioners need to know about forensic interviewing of children in sexual abuse cases. Coverage begins with the basics: legal and ethical principles, interview planning and procedure, psychometric and cultural issues, pitfalls and how to avoid them. Perspectives from a trial lawyer and a district attorney lend real-life details on criminal court procedure, interview procedure, legal standards, and what is expected of expert witnesses. Not only is developmental understanding of salient issues concerning children's competency and suggestibility offered here, but also vital guidance on the controversies surrounding false memories and untrue accusations. Included in the coverage: Working with the multidisciplinary team. Childhood memory: an update from cognitive neuroscience. Disclosure failures: statistics, characteristics, and strategies to address them.Child abusers' threats and grooming techniques. Review of psychometrics of forensic interview protocols with children. Assessing the quality of forensic interviews with child witnesses. Forensic Interviews Regarding Child Sexual Abuse brings a wealth of robust practical information to professionals working with children, including clinical and child psychologists, psychiatrists, and social workers.

The Guest Editor of this issue is a pediatric emergency medicine specialist and the Chief Medical Officer at Children's Hospital of Pittsburgh. He is very involved in the medical record and other electronic devices as safety measures. He brings his expertise and breadth of knowledge to the Pediatric Clinics of North America to assemble a stand out list of authors who have contributed articles on Pediatric Safety, Quality & Informatics. In this issue, articles are devoted to Big Data and the role of Predictive Analytics in Pediatrics; Research in Pediatric IT- the present and the future; Quality Care and Patient Safety in the pediatric emergency department; Safety & Quality metrics for Pediatric Hospital Medicine; Clinical Effectiveness Guidelines- Easy to Create but Hard to Implement; Advanced Technology in the pediatric ICUs; Measurement, Standards and Peer Benchmarking in Pediatric Safety & Quality: One hospital's journey; Clinical Informatics and its role in the care of children; Pediatric Safety & Quality: A nursing perspective; Pediatric Telehealth: opportunities and challenges; and Fundamentals of Quality Improvement: How to do pediatric QI research.

The focus of this book is to provide a nephrology reference manual for the developing pediatrician and pediatric nephrologist. Its objective is not only to inform but also to teach -- one that inspires thinking in the reader. The contents and level of teaching in the manual are intended for trainees at four different levels: medical student, intern, resident and fellow. This handbook provides what other nephrology textbooks cannot -- a useful and practical guidebook that is written to teach at a level that is appropriate for various stages of learning. Each chapter focuses on a specific topic, followed by several patient cases, and with an answer and discussion of each case.

This book is concerned with one of the major areas of misdiagnosis in medicine today. It has been estimated that as many as thirty percent of children typed as 'epileptic' when presenting with loss of consciousness, falls or other paroxysmal episodes have, in fact, non-epileptic attacks. Yet becauseof the stigma attached to this label, and the frequent side effects of anti-epileptic drugs, it is important that the alternative etiological mechanisms be recognized. The most common of these conditions, the vagalmediated anoxic seizure or fainting fit, is so frequent that it will be encountered by anyone involved in the practice of clinical medicine in its widest sense. These seizures are discussed in depth using original data and extensively reviewing the literature. Many other less common, but nonetheless important, varieties of fits, faints and 'funny turns' are self-induced by a Valsalva maneuver, and motor events ranging from day-dreaming to the effects of suffocation and brain swelling. As Jean Aicardi writes in his foreword to this volume: 'Over 140 case histories ... bring the flavor of real life into an exhaustive, yet highly readable account ... This monograph is undoubtedly the most comprehensive source of information available about the various types of anoxic attacks, their clinical and EEG features, mechanisms and prognosis ... This is a delightful book that anyone involved in clinical medicine in general and child neurology in particular will enjoy reading.'

This book describes in detail current best practice in the diagnosis and treatment of malignant pediatric bone tumors and also discusses other important aspects of management. Clinical assessment, the role of different imaging modalities and choice of biopsy procedure are explained and an individual chapter is devoted to diagnostic pathology. The treatment-oriented chapters offer in-depth descriptions of chemotherapeutic regimens, radiation therapy, limb-salvage options and amputation-related issues and in addition consider the approach to lung nodules, the role of biomarkers, off-therapy monitoring and the treatment of relapse. Psychosocial impacts and needs are addressed and guidance provided on nursing during treatment and rehabilitation following orthopaedic surgery. Closing chapters evaluate emerging therapies and discuss disparate aspects of survivorship. The authors are acknowledged experts and include many contributors from the Nationwide Children's Hospital, a leading pediatric care facility in the United States.

This history of the evolution of pediatrics from the beginning of recorded civilization examines chronologically the medical and societal antecedents of current child care. Although the term pediatrics is modern, the book explores the antecedents that facilitated the evolution of pediatric care as a separate discipline and a unique science. These antecedents include ancient manuscripts and the writings of acknowledged medical classicists, and the works of physicians in the East who recorded the medicine of the ancients, their own original theories, clinical observations, and experience, and exported their wisdom to the West.

The book's point of view demonstrates that healers from the beginning of recorded time understood the unique physiology of the infant and the distinct nutritional and medical needs of the growing child. Despite this recognition, centuries of poorly applied medical principles prevailed in the general population as adjuncts to societal conditions that included war, pestilence, ignorance of the pathophysiology of disease, and the exploitation of labor. In this milieu, suffering was universal. Pediatrics came into its own when richer, more stable societies had the time, energy, and resources to provide for the most vulnerable of their subjects. Motives included economic self-interest as well as altruistic demand for social reform.