An invaluable resource, Childhood Nutrition provides accurate facts on current concepts in pediatric nutrition, including theories of nutrition in the pathophysiology of disease and in developing nutritional healthcare plans. Written by an outstanding group of specialists, each chapter is thoroughly researched and referenced.

This book combines empirical support, clinical acumen, and practical recommendations in a comprehensive manner to examine creative augmentations to the robust cognitive behavioral therapy (CBT) model. It discusses augmentations that are supported by research and practice and are also clinical-friendly tools. Each chapter briefly summarizes research findings, offers parsimonious explanations of theoretical concepts and principles, presents vivid descriptions of therapeutic procedures, and describes rich case illustrations. The book addresses the use of humor in CBT with youth, playful applications of CBT, applications of improvisational theatre in CBT and integrating superheroes into CBT. Key areas of coverage include: Building stronger, more flexible, and enduring alliances with children and adolescents to improve treatment retention and impact. Using humor and irreverent communication in dialectical behavior therapy (DBT) to enhance outcomes with adolescents. Developing rapport between medical and psychosocial team members to alleviate stress during pediatric medical procedures and as an adjunct to therapeutic interventions. Cognitive behavioral play therapy (CBPT) with young children. Family-focused CBT for pediatric OCD (obsessive-compulsive disorder). Cognitive Behavioral Psychodrama Group Therapy (CBPGT) with youth. This unique and compelling volume is an authoritative resource for researchers, professors, clinicians, therapists and other professionals as well as graduate students in developmental psychology, pediatrics, social work, child and adolescent psychiatry, and nursing.

This book demonstrates clearly how to perform a clinical examination in the infant or child with a surgical condition. While most textbooks of pediatric surgery focus on the pathological classification and overall management of disease, in clinical practice physicians and surgeons usually use a problem-oriented approach to clinical diagnosis. Surprisingly, this is rarely taught to students. The authors attempt to redress this imbalance by providing a clinical approach to the patient which can be learned with a minimum of factual information. The book should therefore remain useful to the practitioner throughout his or her medical career. It includes detailed coverage of the usual presentations of common diseases, but does not attempt to cover all aspects of the presentations of uncommon diseases unless their recognition is important for the well-being or survival of the child. Generously illustrated, this is a book for all who are learning the art of pediatric surgical diagnosis.

Because chronic disorder is becoming an ordinary feature of family life and development, understanding its impact has become critical. This volume, and the conference proceedings it reports, represents a major effort to examine the family's response to chronic physical or psychopathological illness in one or more of its members. Recent data are revising our notions of chronic illness. Evidence is mounting that chronic psychiatric disorders reflect, in part, abnormalities of brain structure and function. In this sense, they are, in part, medical disorders. On the other hand, a number of traditionally labeled medical disorders produce a broad range of psychological symptoms and are exquisitely sensitive to psychosocial influences.
Families undergo a complex process of adaptation during which their response to stress and their fundamental beliefs about learning and parenting change. These beliefs endure and are difficult to alter. By examining the processes in a wide range of chronic conditions, this volume helps to identify the common, underlying processes of adaptation. The first three chapters concern the families' responses to disorders that are distinctly medical; the next three focus on families' responses to "grey zone" disorders or anomalies that appear early in life, minor physical anomalies, and communication handicaps; and one chapter focuses exclusively on schizophrenia. The last chapter reflects an effort to develop a model based on the experience of researchers with both psychiatric and medical illness.

This timely volume surveys the broad spectrum of interventions used in health promotion, and shows how they may be tailored to the developmental needs of children and adolescents. Its multilevel lifespan approach reflects concepts of public health as inclusive, empowering, and aimed at long- and short-term well-being. Coverage grounds readers in theoretical and ecological perspectives, while special sections spotlight key issues in social and behavioral wellness, dietary health, and children and teens in the health care system. And in keeping with best practices in the field, the book emphasizes collaboration with stakeholders, especially with the young clients themselves. Among the topics covered: Child mental health: recent developments with respect to risk, resilience, and interventions Health-related concerns among children and adolescents with ADD/ADHD Preventing risky sexual behavior in adolescents Violence affecting youth: pervasive and preventable Childhood and adolescent obesity Well-being of children in the foster care system Health Promotion for Children and Adolescents is a necessary text for graduate or advanced undergraduate courses in public health, education, medicine, psychology, health education, social work, curriculum, nutrition, and public affairs. It is also important reading for public health professionals; researchers in child health, health education, and child psychology; policymakers in education and public health; and teachers.

This volume provides a history of Eosinophilic Esophagitis (EoE), a basic understanding of the physiology of the eosinophil, and a current understanding of the pathophysiology and genetics of EoE. The emphasis is on clinical applications including presenting symptoms, diagnosis and treatment options for patients with EoE. Written by both pediatric and adult experts in the fields of gastroenterology, allergy and pathology, this volume includes the most up to date information. Providing practical information useful in the treatment of patients, this book will be of great value to gastroenterologists, allergists, pathologists, medical residents, fellows, internists, and general practitioners who treat patients with eosinophilic esophagitis.

This reference provides contemporary information on all aspects of Down syndrome, investigating health concerns by age group and by organ system. The text sets out to identify and correct problems before they interrupt developing skills. It includes preventive medical checklists with summaries of appropriate medical intervention; supplies background information about history, genetics and epidemiology; outlines clinical management strategies; establishes guidelines on how to inform parents of the diagnosis and conveys practical suggestions on the handling and care of the infant; and offers a detailed review of the medical literature. Appendices provide information including growth charts and financial checklists.

While a great number of textbooks have been devoted to various medical aspects of childhood epilepsy, none have been as comprehensive and forthright as Neuropsychology of Childhood Epilepsy. Devoted to the neuropsychological description of childhood epilepsy, the editors have uncovered this neurological condition as never before. Divided into three sections, section one may be highly regarded as a necessary introduction to the neuropsychological basis of childhood epilepsy, electro-clinical patterns of various types of epilepsy and brain maturation while section two delves into the characterization of the neuropsychological profile that accompanies focal epilepsies leading to the behavioral and cognitive impairments linked to the transient events that often go unnoticed. Part three covers the medical, surgical and socio-educational management of childhood epilepsy. bsenteeism, learning difficulties, and cognitive dysfunctions may have an impact on a child's self-esteem and upon his or her quality of life. The final part of the volume therefore presents an accurate account of the vast psychological consequences of this disease. This volume is a must read for experimental and cognitive neuropsychologists, medical specialists involved in the care of children with epilepsy and professionals and caretakers dealing with the different aspects of childhood epilepsy alike.

For many years, anxiety and phobie disorders ofchildhoodand adolescence were ignored by clinicians and researchers alike. They were viewed as largely benign, as problems that were relatively mild, age-specific, and transitory. With time, it was thought, they would simply disappear or "go away"-that the child or adolescent would magically "outgrow" them with development and that they would not adversely affect the growing child or adolescent. As a result ofsuch thinking, it was concluded that these "internalizing" problems were not worthy or deserving of our concerted and careful attention-that other problems of childhood and adolescence and, in particular, "externalizing" problems such as conduct disturbance, oppositional defiance, and attention-deficit problems de manded our professional energies and resources. These assumptions and asser tions have been challenged vigorously in recent years. Scholarly books (King, Hamilton, & Ollendick, 1988; Morris & Kratochwill, 1983) have documented the considerable distress and misery associated with these disorders, while reviews ofthe literature have demonstrated that these disorders are anything but transitory; for a significant number of youth these problems persist into late adolescence and adulthood (Ollendick & King, 1994). Clearly, such findings signal the need for treatment programs that "work"--programs that are effective in the short term and efficacious over the long haul, producing effects that are durable and generalizable, as weil as effects that enhance the life functioning of children and adolescents and the families that evince such problems."

This book assists health care providers to understand the specific interplay of the roles and relationships currently forming the debates in pediatric clinical ethics. It builds on the fact that, unlike adult medical ethics, pediatric ethics begins within an acutely and powerfully experienced dynamic of patient-family-state-physician relationship. The book provides a unique perspective as it interacts with established approaches as well as recent developments in pediatric ethics theory, and then explores these developments further through cases. The book first focuses on setting the stage by introducing a theoretical framework and elaborating how pediatric ethics differ from non-pediatric ethics. It approaches different theoretical frameworks in a critical manner drawing on their strengths and weaknesses. It helps the reader in developing an ability to engage in ethical reasoning and moral deliberation in order to focus on the wellbeing of the child as the main participant in the ethical deliberation, as well as to be able to identify the child's moral claims. The second section of the book focuses on the practical application of these theoretical frameworks and discusses specific areas pertaining to decision-making. These are: the critically ill child, new and enduring ethical controversies, and social justice at large, the latter of which includes looking at the child's place in society, access to healthcare, social determinants of health, and vaccinations. With the dynamic changes and challenges pediatric care faces across the globe, as well as the changing face of new technologies, no professional working in the field of pediatrics can afford not to take due note of this resource.

This book is a collection of state-of-the-art reviews on the various aspects of nutrition for the preterm neonate, by internationally renowned clinicians and researchers from Australia, UK, USA, Canada, and Italy. It provides the scientific basis and clinical perspective on the A to Z of enteral and parenteral nutrition for extremely preterm neonates, making it valuable for all involved in the care of this high-risk population. The topics covered range from the developmental physiology of the gastrointestinal tract, and early trophic feeds, to aggressive enteral and parenteral nutrition, and feeding under special conditions such as intrauterine growth restriction and chronic lung disease. Survival of extremely preterm neonates has improved significantly following the advances in neonatal intensive care. Extrauterine growth restriction is recognised as a serious and almost universal issue in this population. Considering the long term consequences of nutritional deficit and poor growth (e.g. neurodevelopmental impairment, short stature and metabolic disorders), optimising nutrition in the early postnatal life of the preterm neonate is crucial. However this is easier said than done considering the frequency of feed intolerance, fear of necrotising enterocolitis, and the hesitancy in adopting an aggressive approach to parenteral nutrition in this population. The simple and practical approach of this comprehensive and unique book makes it a must read for clinicians as well as researchers involved in neonatal intensive care. It is a useful resource for trainees in neonatology, paediatric gastroenterology, and neonatal nursing, and also for dieticians specialising in neonatal nutrition.

A critical review of the classic, as wells as most recent-and quite seminal-findings concerning the phenotypic and molecular characteristics of both fetal and neonatal B and T cells, the cells that mediate antibody and cellular immune responses in newborns and infants. Dr. Bona shows how the antibody response of neonates is modulated by maternal antibodies and how, in certain cases, this can cause transient or life-threatening neonatal autoimmune disease. He also describes the characteristics of neonatal tolerance induced by foreign allo- and self-antigens, which are the basis for understanding impaired infant immune response and which provide a rationale for the development of efficient neonatal vaccines. By making clear the characteristics and differences between the immune system and the immune responses of both newborns and infants, compared to those of adults, Dr. Bona offers insights and challenging hypotheses that promise to help overcome the poor responses of neonates to various antigens.

This expert volume in the Diagnostic Pathology series is an excellent point-of-care resource for practitioners at all levels of experience and training. Covering all areas of nonneoplastic pediatric pathology, it incorporates the most recent clinical, pathologic, and molecular knowledge in this challenging field to provide a comprehensive overview of all key issues relevant to today's practice. Richly illustrated and easy to use, Diagnostic Pathology: Nonneoplastic Pediatrics is a one-stop reference for accurate, complete pathology reports, ideal as a day-to-day reference for both pediatric and general pathologists or as a reliable training resource. Provides a clear framework for a better understanding of the clinical and histopathologic appearances of more than 270 nonneoplastic entities, covering every organ system with a focus on reactive, infectious, congenital, and genetic conditions Covers significant advances in this complex field, including recent molecular discoveries and updated disease entities, new information on multiple immunologic disorders, changes and expansions to several classification systems (such as WHO, Banff, and ISSVA), and updates in other scoring systems Contains new chapters on manifestations of pediatric COVID-19 infection, tumoral calcinosis, multiple skeletal dysplasia, skeletal muscle, collagenous gastritis and colitis, adenovirus appendicitis, intestinal pseudoobstruction, disorders of sexual development, and Kikuchi disease Includes approximately 3,000 high-quality clinical and histologic images, gross pathology images, radiologic images, and full-color illustrations to help practicing and in-training pathologists reach a confident diagnosis-as well as nearly 200 additional images online Employs consistently templated chapters and bulleted content for quick, expert reference at the point of care Includes an eBook version that enables you to access all text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud

First published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.

This timely book provides for the therapist working with cases of intrafamily child sexual abuse both a theoretical background and practical information for the treatment of incest and gives new insight into the complex problems associated with incest. With the enactment of more stringent child abuse reporting laws nationwide and increased public education about the problem, there has been a dramatic increase in the need for incest-related psychotherapy. Treating Incest is an important source of information about the assessment and treatment of the family that will enable clinicians to provide appropriate crisis intervention for families and make informed judgments about referrals, if necessary. The book's central theme is that effective treatment of incest requires a systemic approach because incestuous activity is the product of a problematic family, rather than the cause. The book is divided into two helpful sections: assessment issues and treatment issues and techniques.

Until the 1990s, it was generally accepted that medicines were first developed for adults and their use in children was investigated later, if at all. One of the main tasks of hospital pharmacies was the manufacturing of child-appropriate formulations in a more or less makeshift way. The first change came in 1997 with U.S. legislation that rewarded manufacturers to do voluntary pediatric research. Ten years later, the European Union passed legislation that required manufacturers to discuss all pediatric aspects, including formulations, with the regulatory authorities as a condition of starting the registration procedure. In consequence, manufacturers must now cover all age groups, including the youngest ones. So far, pediatric formulations were more a focus for academic researchers. Through the changed regulatory environment, there is now a sudden high commercial demand for age-appropriate formulations. This book begins by highlighting the anatomical, physiological and developmental differences between adults and children of different ages. It goes on to review the existing technologies and attempts to draw a roadmap to better, innovative formulations, in particular for oral administration. The regulatory, clinical, ethical and pharmaceutical framework is also addressed.

Understanding the complex factors contributing to the growing childhood obesity epidemic is vital not only for the improved health of the world's future generations, but for the healthcare system. The impact of childhood obesity reaches beyond the individual family and into the public arenas of social systems and government policy and programs. "Global Perspectives on Childhood Obesity" explores these with an approach that considers the current state of childhood obesity around the world as well as future projections, the most highly cited factors contributing to childhood obesity, what it means for the future both for children and society, and suggestions for steps to address and potentially prevent childhood obesity.
Features:
1. This book will cover the multi-faceted factors contributing to the rapidly growing childhood obesity epidemic.
2. The underlying causes and current status of rapidly growing obesity epidemic in children in the global scenario will be discussed.
3. The strategies for childhood obesity prevention and treatment such as physical activity and exercise, personalized nutrition plans and school and community involvement will be presented.

Benefits:
1. A comprehensive and concise book addressing the global epidemic of childhood obesity targeted for nutritionists, dieticians, medical and health professionals, educators and scientists.
2. The strategies for childhood obesity prevention and treatment such as physical activity and exercise, personalized nutrition plans and school and community involvement will be presented.
3. The impact and its consequences of this ongoing epidemic on individual family and community as a whole will be addressed.

Communication disabilities are common, although their precise nature and degree of severity vary greatly among individuals. They are among the most handicapping of disabilities because they isolate a person and in so doing restrict social, educational, and occupational opportunities. One of the purposes of this book was to bring together theoretical, practical, and clinical knowledge from several disciplines that bear on language and communication into some reasonably accessible form. The intent is to provide a broad and multi-faceted view of language development and language disorders. Thus, contributions from education, linguistics, psychology, pediatrics, psychiatry, neurology, neuropsychology, and speech therapy are included. They describe our current knowledge of language development, suggest classifications for language pathology, outline what is known of the epidemiology of language difficulties, consider assessment and therapy, alternative communication systems and the impact of the new technology on communication aids. The variety of perspectives that it provides will make it particularly useful to the range of specialists who are concerned with the development of communication skills and language disorders.

Despite approximately 50 years of progress in the management of com plex congenital heart disease, hypoplastic left heart syndrome (HLHS) has been one of the last cardiac malformations to yield to effective surgical treat ment. The surgical therapies for hypoplastic left heart syndrome have evolved by two quite disparate routes. One approach has been the staged reconstruc tion operations utilizing an initial operation pioneered by many but developed by Dr. William Norwood and subsequently modified by many other investigators. The first stage reconstruction operation has been refined and standardized such that the majority of infants now proceed to second and third stage reconstruc tive operations culminating in a Pontan Kreutzer single ventricle physiology. An alternative surgical approach has been the development of neonatal and infant heart transplantation for HLHS. This approach also has had a signifi cant impact on the treatment of HLHS and other cardiac malformations and has been associated with good intermediate term results. Both of the thera peutic approaches devised for treatment of hypoplastic left heart syndrome have been effective and the outcomes are continuing to improve with each."

Current play therapy resources offer details on how to conduct play therapy, but are limited in addressing the challenges that develop when therapists conduct play therapy with real-life clients. Using the Child-Centered Play Therapy Approach, Ray has written the first book to address these complex play therapy subjects. Topics covered include: integrating field knowledge of play, development, and theory into the advanced play therapist's knowledge base; working with difficult situations, such as limit-setting, aggression, and parents; addressing modern work concerns like measuring progress, data accountability, and treatment planning; differentiating play therapy practice in school and community settings; and addressing complicated skills, such as theme work, group play therapy, and supervision. Ray also includes her Child Centered Play Therapy Treatment Manual, an invaluable tool for any play therapist accountable for evidence-based practice. This manual can also be found on the accompanying downloadable resources, along with treatment plan, session summary, and progress-tracking worksheets.

All aspects of safe, effective, holistic care for birthing mothers, newborns, and their families are included in this easy-access guide for new antepartum and postpartum nurses and their preceptors during the orientation period. Presented in the convenient, easy-to-use "Fast Facts" format, the book provides up-to-date information regarding care for both low- and high-risk antepartum and postpartum patients. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Each chapter features a helpful "orientation guide" to acquaint the new orientee with essential information on procedures and policies, equipment, medications, and evidence-based protocols.

Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values. Key Features:

Covers all aspects of safe, evidence-based, holistic care for birthing mothers, newborns and their families Written for nurses in orientation and their preceptors as well as nurses working with mothers and newborns in any practice setting Provides key information demonstrating the impact of newborn status on assessing, planning, and implementing care Includes an "orientation guide" to acquaint new orientees with essential information on procedures, policies, equipment, medications, and evidence-based protocols Addresses specific care components needed for special populations

Fetal & Neonatal Physiology provides neonatologist fellows and physicians with the essential information they need to effectively diagnose, treat, and manage sick and premature infants. Fully comprehensive, this 2-volume resource continues to serve as an excellent reference tool, focusing on the basic science needed for exam preparation and the key information required for full-time practice. The 5th edition is the most substantially updated and revised edition ever. In the 5 years since the last edition published, there have been thousands of publications on various aspects of development of health and disease; Fetal and Neonatal Physiology synthesizes this knowledge into definitive guidance for today's busy practitioner. Offers definitive guidance on how to effectively manage the many health problems seen in newborn and premature infants. Chapters devoted to clinical correlation help explain the implications of fetal and neonatal physiology. Allows you to apply the latest insights on genetic therapy, intrauterine infections, brain protection and neuroimaging, and much more. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Features a fantastic new 4-color design with 1,000 illustrations, 170+ chapters, and over 350 contributors. 16 new chapters cover such hot topics as Epigenetics; Placental Function in Intrauterine Growth Restriction; Regulation of Pulmonary Circulation; The Developing Microbiome of the Fetus and Newborn; Hereditary Contribution to Neonatal Hyperbilirubinemia; Mechanistic Aspects of Phototherapy for Neonatal Hyperbilirubinemia; Cerebellar Development; Pathophysiology of Neonatal Sepsis; Pathophysiology of Persistent Pulmonary Hypertension of the Newborn; Pathophysiology of Meconium Aspiration Syndrome; Pathophysiology of Ventilator Dependent Infants; Pathophysiology of Hypoxic-Ischemic Brain Injury; Pathophysiology of Neonatal White Matter Injury; Pathophysiology of Meningitis; Pathophysiology of Preeclampsia; and Pathophysiology of Chorioamnionitis. New Pathophysiology of Neonatal Diseases section highlights every process associated with a disease or injury, all in one place. In-depth information, combined with end-of-chapter summaries, enables deep or quick use of the text.

First published in 1983. Routledge is an imprint of Taylor & Francis, an informa company.

In April 1982, an infant boy was born in Bloomington, Indiana, with Down syndrome and a defective, but surgically correctable, esophagus. His parents refused to consent to surgery or intravenous feeding. The hospital unsuccessfully sought a court order to force treatment, and appeals to higher courts also failed. The child, identified as Baby Doe by the news media, subsequently died. The events in Bloomington became the catalyst for action by the Reagan administration, the courts, and Congress that culminated in a federal policy that makes failure to treat newborns with disabilities a form of child neglect. This book centers on the public policy aspects of withholding treatment from critically ill newborns who are disabled. Specifically, it deals with why the policy was enacted and what impact it has had on health care workers, families, and infants. Some of the contributors to this book spearheaded the early debate on withholding treatment. Anthony Shaw's New York Times Magazine article in 1972 was the first to address these issues in the popular press. The following year, he published a related article in the New England Journal of Medicine. Also appearing in this same issue of NEJM, was the pathbreaking study, coauthored by A. G. M. Campbell, on withholding treatment in the special care nursery at Yale-New Haven Hospital. Each of these articles promoted much public and professional discussion.