n this issue of Clinics in Sports Medicine, Dr. Theodore Ganley and colleagues will discuss a wide range of topics in sports medicine pertaining specifically to children and adolescents. Articles will include topics on tibial spine fractures, partial ACL injuries, treatment algorithms based on skeletal maturity, proprioceptive training, preventing injuries by avoiding overtraining and burnout, rehabilitation, and more.

The articles in this issue give an overview of current issues facing the diagnosis and treatment of diseases involving? endocrinology and metabolism. Dr. Rapaport has compiled experts in this field to write state-of-the art clinical reviews on newborn screening, congenital hypothyroidism, neonatal endocrinology, obesity, and? the metabolic syndrome in pediatrics. Also included are articles devoted to growth issues, gonadal disorders, and diabetes as well as initiatives to prevent it.

This book presents an early treatment model for toddlers. It describes the early life span development, trajectory, and future potential of toddlers and how it may be powerfully influenced by the protection and guidance of caregivers to meet toddlers' physical and mental health needs. It offers an in-depth guide toParent-Child Interaction Therapy with Toddlers (PCIT-T), an evidence-based program for addressing and preventing behavior problems affecting young children's development. The book details the innovative intervention design and how it guides clinicians in providing treatment for 12-month old to 24-month old toddlers with disruptive behaviors in addition to being used as a prevention model for caregivers experiencing stress of child rearing. PCIT-T focuses on core areas of social and emotional development, including behavior management and language skills, and can be used in dealing with difficulties as diverse as tantrums, language issues, autistic behaviors, and separation anxiety. Play therapy and compliance training in child-directed as well as parent-directed sessions are also examined. Initial chapters provide an overview of attachment and behavioral theory components that are foundational to the treatment model. Subsequent chapters provide a session-by-session guide and clinical manual for implementation of PCIT-T as well as the clinician tools needed to monitor treatment integrity and fidelity to the model. Topics featured in this book include: Core elements and treatment goals of PCIT-T A range of behavioral assessments used in PCIT-T. Instructions for room set-up, toy selection, and special considerations when providing PCIT-T treatment. Preparation guides for the pretreatment interview, assessment sessions, and weekly coaching sessions. The importance of child-directed interaction toddler (CDI-T) and parent-directed interaction toddler (PDI-T) in teaching children the necessary skills to regulate their emotions and develop self-control. Parent-Child Interaction Therapy with Toddlers is a must-have resource for clinicians and related professionals, researchers and professors, and graduate students in the fields of clinical child and school psychology, social work, pediatrics, infancy and early childhood development, child and adolescent psychiatry, primary care medicine, and related disciplines.

The objective of this volume is to give an overview of the present state of the art of pediatric clinical pharmacology including developmental physiology, pediatric-specific pathology, special tools and methods for development of drugs for children (assessment of efficacy, toxicity, long-term safety etc.) as well as regulatory and ethical knowledge and skills. In the future, structural and educational changes have to lead back to a closer cooperation and interaction of pediatrics with (clinical) pharmacology and pharmacy.

The goal of this issue is to provide readers with a basic understanding of common chronic illnesses that begin in childhood (even at the time of conception), an understanding of the role of the family and mental health issues and how they may affect treatment adherence, and challenges faced when transitioning to adulthood. A special article is dedicated to the pediatric medical home. Several articles address the psychiatric challenges of very premature infants, behavioral and psychiatric concerns for genetically neurodevelopmentally challenged children, and the developmental perspective of children and families with cystic fibrosis. Other articles are devoted to potentially lifelong chronic illnesses, including inflammatory bowel disease, asthma, diabetes mellitus, obesity, and epilepsy. The issue ends with articles devoted to potential life-threatening illnesses, including HIV and oncologic illnesses, and finishes with an article on palliative care

This book focuses on the role of the psychiatric, medical and nutritional assessment and management of severely ill patients with anorexia and bulimia nervosa. Lead clinicians and researchers address the essentials of risk assessment, the identification of complications and the monitoring of treatment progress. Location of care and the role of the team are fully addressed, with due consideration of legal and ethical issues. Practical guidelines are included on risk assessment, management of acute and chronic physical problems, feeding during treatment and consent, as outlined in the MARSIPAN (2010) and Junior MARSIPAN (2012)documents. Assessment and Management of Medical Problems in Eating Disorders will be of value for GPs, psychiatrists, medical teams and all health-care professionals involved in the treatment and management of anorexia and bulimia nervosa and related eating disorders. "

Topics: Foundations of Pediatrics; HIV; Type 2 Diabetes; Angioedema and Anaphylaxis; Meningococcemia; Novel Pulmonary Endpoints in Clinical Trials; Inflammatory Mediators in Human Milk; Probiotics and Clinical Disease; Nutrition for Preterm Infants; Genetics of Microcephaly; Access to Healthcare Issues; Intersex; Cutaneous Drug Eruptions; Proteomics; Anorexia Nervosa; Pharmacology Review

Because of the number and variety of illnesses that can affect the pediatric respiratory system, being able to interpret thoracic images of children is important for the general radiologist.? This issue of Radiologic Clinics starts off with an overview of lung and pleural infections.? Reviews of small and large airway diseases are followed by separate articles on the uses of ultrasound, MR, and nuclear medicine to image pediatric patients.? Also included are articles on lung and vascular anomalies, thoracic trauma, and cardiac disease.? The issue is completed with articles on fetal lung imaging and radiation safety.

This volume examines the role of oxidative stress in the pathology of numerous pediatric disorders. It covers a wide range of topics including the chemistry and biology of reactive oxygen species and nitric oxide, molecular biology of the enzymes generating these species, clinically useful biomarkers for evaluating oxidative stress status in humans, and the pathophysiology, clinical course and management of a variety of pediatric disorders, among others. The book also describes current diagnostic tools, laboratory methods and technology for treatment and prevention of pediatric disorders. It explores emerging technology and medical applications including discussions of biomarkers and antioxidants as therapeutic agents. Written by an international team of experts in both pediatrics and free radical and antioxidant research, Studies on Pediatric Disorders is an invaluable addition to the Oxidative Stress in Applied Basic Research and Clinical Practice series.

This issue on sex and gender comes at an opportune time, as the DSM-IV is being revised, and in particular sex and gender issues are being reconsidered.? This issue focuses on research in the area of gender variant children and transgender adolescents, assessment of several scenarios and clear information on practice parameters.? Therapy for gender variant children and transgender adolescents is discussed in detail, as well as parents' perspectives, ethical legal, and non-discrimination issues, and education on these subjects.? International standards of care are also discussed.

This work shows how interviews help child survivors of the Jewish experience during World War II. It is unique in that it features different aspects of the interviewer-interviewee relationship. The contributions are personal as well as analytical in nature, and the narrative is an informed psychological analysis. The work should be of interest to Holocaust centers, researchers, oral historians, psychiatrists, psychologists, social workers, sociologists, and trauma researchers as well as survivors.

This handbook offers a comprehensive review of intellectual disabilities (ID). It examines historical perspectives and foundational principles in the field. The handbook addresses philosophy of care for individuals with ID, as well as parent and professional issues and organizations, staffing, and working on multidisciplinary teams. Chapters explore issues of client protection, risk factors of ID, basic research issues, and legal concerns. In addition, chapters include information on evidence-based assessments and innovative treatments to address a variety of behaviors associated with ID. The handbook provides an in-depth analysis of comorbid physical disorders, such as cerebral palsy, epilepsy and seizures, and developmental coordination disorders (DCD), in relation to ID. Topics featured in this handbook include: Informed consent and the enablement of persons with ID. The responsible use of restraint and seclusion as a protective measure. Vocational training and job preparation programs that assist individuals with ID. Psychological and educational approaches to the treatment of aggression and tantrums. Emerging technologies that support learning for students with ID. Key sexuality and relationship issues that are faced by individuals with ID. Effective approaches to weight management for individuals with intellectual and developmental disabilities. The Handbook of Intellectual Disabilities is an essential reference for researchers, graduate students, clinicians and related therapists and professionals in clinical child and school psychology, pediatrics, social work, developmental psychology, behavioral therapy/rehabilitation, child and adolescent psychiatry, and special education.

This book, written by experts from across the world, provides a comprehensive, up-to-date overview covering all aspects of posterior fossa neoplasms in pediatric patients, including medulloblastoma, ependymoma, cerebellar astrocytoma, atypical teratoid/rhabdoid tumor, chordoma, brain stem tumors, and rarer entities. For each tumor type, individual chapters are devoted to genetics, radiological evaluation using advanced imaging techniques, surgery, pathology, oncology, and radiation treatment. In addition, a separate section describes the various surgical approaches that may be adopted and offers guidance on the treatment of hydrocephalus and the role of intraoperative mapping and monitoring. Useful information is also provided on anatomy, clinical presentation, neurological evaluation, and molecular biology. The book closes by discussing in detail immediate postoperative care, the management of surgical complications, and longer-term rehabilitation and support. Posterior fossa tumors are the most common pediatric brain tumors but are often difficult to treat owing to their proximity to critical brain structures and their tendency to cause marked intracranial hypertension. Practitioners of all levels of experience will find Posterior Fossa Tumors in Children to be a richly illustrated, state of the art guide to the management of these tumors that will serve as an ideal reference in clinical practice.

Dr. Leonard Swischuk has revised his outstanding work on imaging the cervical spine in children. He draws upon his extensive experience to provide practitioners with an insightful approach to pediatric cervical spine injuries. The text covers developmental anatomy, normal variants, congenital anomalies, abnormalities of the dens, trauma, and miscellaneous abnormalities of the cervical spine. The book has several strengths that appeal to radiology residents, such as its succinct overview of the topic and helpful reference lists that guide readers to additional resources. Dr. Swischuk illustrates conditions he discusses with excellent plain film examples that help residents identify cases they are likely to encounter during board exams and in practice. Accompanying CT and MR images clarify and qualify the findings. Dr. Swischuk's direct writing style makes the complex content highly accessible, providing imaging residents with an invaluable introduction to pediatric cervical spine radiology.

This issue provides a unique and valuable perspective on forensic matters in child and adolescent psychiatry, with an approach that adds new thinking to the discussion, rather than rehashing known facts.? The issue is divided into several sections: juvenile offenders, family law/custody and visitation, child maltreatment, personal injury law suits, forensic issues in clinical child and adolescent psychiatry, and training in child and adolescent psychiatry.? A wide range of topics are explored within each section.? All articles are geared toward? child psychiatrists in clinical practice, providing practical information in this very important area of study.

The interpretation of skin lesions in children that may be due to abuse is often not straightforward, and many reports have been published on dermatological disorders and accidental injuries that were unjustly regarded as signs of child abuse. This book describes in detail the cutaneous manifestations of the physical abuse of children and devotes particular attention to differential diagnosis. Careful guidance is provided on the optimal evaluation of children presenting with findings potentially attributable to abuse. The numerous images and detailed background information will develop the ability of the reader to assess and interpret the clinical signs of abuse, and to distinguish these signs from other causes of injury, such as accidents and self-mutilation, and dermatological disorders. "Cutaneous Manifestations of Child Abuse" will be invaluable for pediatric dermatologists, pediatricians, forensic experts, and others who deal with the physical abuse of children.

Today, individuals have greater access to information about their healththaneverbefore(Randeree,2009;Eysenbach,2008).Muchofthis changeisdue, inlargepart, toadvancesinbiotechnologyandtheseque- ing of the human genome (Manolio & Collins, 2009). It is now possible, forexample, forindividualstologontotheInternetand, forafeeofs- eral hundred dollars, order an at-home DNA collection kit and have the resultsofamyriadofgenetictestsdelivereddirectlytotheire-mailinbox (Gurwitz&Bregman-Eschet,2009).Insomecases, thesetestresultsmay indicatepersonalriskforcommonchronicdiseases, suchascertainforms ofcancer, diabetes, cardiovasculardisease, andseveralothers.Companies marketing these test kits often claim that promoting greater access to and awareness of the association between genes and health, and one's genetic susceptibilities to disease, leads to more proactive and insig- fulmethodsofindividualhealthmanagement(Hogarth, Javitt,&Melzer, 2008). Moreover, it is consistent with an emerging trend in medicine - that of consumer-oriented medicine - which places health information toolsdirectlyinthehandsofpatientsunderthepremiseoffosteringbetter patient-providercollaboration(Silvestre, Sue,&Allen,2009). Though the principles behind this direct-to-consumer approach to genetics seem laudable and perhaps even exciting, there is consid- ablecontroversyastowhat, ifany, utilitytheinformationactuallyholds (Geransar&Einsiedel,2008;Wasson, Cook,&Helzlsouer,2006).Unlike geneticteststhatarediagnostic(e.g., chromosomeanalysisforDowns- drome)orhighlypredictive(e.g., BRCA1andBRCA2testingforhereditary breast-ovarian cancer risk), this new wave of presymptomatic predictive genetictestsforcommondiseaseyieldsresultsthataremuchmoreunc- tainbecausethestatisticalmodelsonwhichtheyarepresentlybasedare imperfectandwithlimiteddata(Ng, Murray, Levy,&Venter,2009). Theabovescenarioraisesmanyquestionsfortoday'shealth-carec- sumers. For example, for whom is this information applicable, and for whatpopulationsorsubpopulationsisitnot?Underwhatcircumstances might this information be useful, and when should it be disregarded as irrelevant?Andperhapsmostimportantly, what, ifanything, canbedone inlightofinformationaboutpersonalgeneticrisktoeffectivelylowerthe oddsofbecomingsickandraisetheoddsofstayinghealthy? vii viii PREFACE Becausetheprevalenceofmostdiseasesvariesasafunctionofage, gender, race/ethnicity, and other personal characteristics, answers to these questions are complex and many are just beginning to be und- stood(Khouryetal.,2009).Someexpertshaveconcludedthattheanswers tosuchquestionsremainoutofreachatthepresenttimeandmayc- tinue to be elusive for another 5-10 years (Frazer, Murray, Schork, & Topol,2009).Yet, twenty-?rstcenturyhealth-careconsumers, providers, and policy makers face these choices now about incorporating personal genetic information into health management and often do so without a complete and accurate understanding of the potential impact of their decisionsonmultiplelevels(Carlson,2009).

In the first book to argue that neurotic, psychotic, and borderline personality disorders can be identified, diagnosed, and treated even in the young, a renowned child psychiatrist marshalls her developmental perspective and adduces clinical evidence to support it. Kernberg and her colleagues elucidate assessment criteria and advance therapeutic approaches for each disorder.

The gold-standard text in pediatric hospital medicine - updated and streamlined for today's practice Hailed by reviewers and clinicians alike, Comprehensive Pediatric Hospital Medicine has become the specialty's cornerstone text. Edited by five leading figures in pediatric hospital medicine, this acclaimed resource brings you the most up-to-date, evidence-based approaches to inpatient pediatric care from experts in their fields. Comprehensive Pediatric Hospital Medicine, Second Edition opens with an informative introductory section that defines hospital medicine and addresses general issues of hospitalist practice and administration. This includes important topics such as medical legal issues, communications, electronic health records, palliative care, ethical issues, careers, professional organizations, and more. The book then moves into commonly presenting signs and symptoms. This is followed by the largest section, a breakdown of diseases by system. The text concludes with a procedures section that provides hard-to-find instruction on the procedures most commonly performed on children in a hospital setting. The Disease chapters are templated to include Background, Pathophysiology, Differential Diagnosis, Diagnostic Evaluation, Management, Special Considerations, Key Points, References, algorithms, and more. The Procedures chapters include Indications, Contraindications, Anatomy, Equipment, Procedure, Preparation, Technique, Complications, and Special Considerations. If you're in need of an up-to-date, comprehensive, and authoritative text that spans the emerging field of pediatric hospital medicine, your search ends here.

Conduct problems, particularly oppositional defiant disorder (ODD) and conduct disorder (CD), are the most common mental health problems affecting children and adolescents. The consequences to individuals, families, and schools may be severe and long-lasting. To ameliorate negative outcomes and ensure the most effective treatment for aggressive and antisocial youth, early diagnosis and evidence-based interventions are essential. Clinical Handbook of Assessing and Treating Conduct Problems in Youth provides readers with both a solid grounding in theory and a comprehensive examination of the evidence-based assessment strategies and therapeutic practices that can be used to treat a highly diverse population with a wide range of conduct problems. It provides professional readers with an array of evidence-based interventions, both universal and targeted, that can be implemented to improve behavioral and social outcomes in children and adolescents. This expertly written resource: Lays the foundation for understanding conduct problems in youth, including epidemiology, etiology, and biological, familial, and contextual risk factors. Details the assessment process, with in-depth attention to tools, strategies, and differential diagnosis. Reviews nine major treatment protocols, including Parent-Child Interaction Therapy (PCIT), multisystemic therapy (MST) for adolescents, school-based group approaches, residential treatment, and pharmacotherapy. Critiques the current generation of prevention programs for at-risk youth. Explores salient issues in working effectively with minority youth. Offers methods for evaluating intervention programs, starting with cost analysis. This volume serves as a one-stop reference for all professionals who seek a solid grounding in theory as well as those who need access to evidence-based assessment and therapies for conduct problems. It is a must-have volume for anyone working with at-risk children, including clinical child, school, and developmental psychologists; forensic psychologists; social workers; school counselors and allied professionals; and medical and psychiatric practitioners.

Pediatric Orthopaedic Surgery-a title in the Operative Techniques series-offers you the step-by-step guidance you need-on femoral lengthening, sofield procedure, distal radius fracture, and more-from experts Mininder Kocher and Michael B. Millis. Perform all of the latest and best techniques in this specialty thanks to large, full-color intraoperative photos, diagrammable illustrations, a dedicated website, and a companion DVD with select procedural videos. The complete, lavishly illustrated volume is made even better with a state-of-the-art companion website, which includes procedural video! Refine the quality of your technique and learn the expert's approach to getting the best results thanks to pearls and pitfalls and an emphasis on optimizing outcomes. Master every procedure with step-by-step instructions on positioning, exposures, instrumentation, and implants. Provide comprehensive care for your patients through discussions of post-operative care and expected outcomes, including potential complications and brief notes on controversies and supporting evidence. See every detail with clarity using color photos and illustrations that highlight key anatomies and diagrams that present cases as they appear in real life. Watch experts perform key techniques in the online video library.

Topics: Foundations of Pediatrics; HIV; Type 2 Diabetes; Angioedema and Anaphylaxis; Meningococcemia; Novel Pulmonary Endpoints in Clinical Trials; Inflammatory Mediators in Human Milk; Probiotics and Clinical Disease; Nutrition for Preterm Infants; Genetics of Microcephaly; Access to Healthcare Issues; Intersex; Cutaneous Drug Eruptions; Proteomics; Anorexia Nervosa; Pharmacology Review