Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. Professionals consulted by desperate parents often see the problems from their own angle only and diagnosis and intervention efforts wind up fragmented and ineffective. This book presents a model multidisciplinary approach to care, family-centered and collaborative, that has proven effective in practice. A pillar of the approach is recognition of the importance of performing culturally competent assessment and adjusting service delivery so that it is responsive to cultural differences. Detailed case stories illuminate the ways in which the approach can help children with different backgrounds and different disabilities. Most chapters include, besides references, study questions, lists of resources, and glossaries to facilitate easy comprehension by professionals with different backgrounds-in special education, communication sciences and disorders, clinical and counseling psychology, neuropsychology and psychiatry, social work, pediatrics-and program administrators as well as students, trainees and educated parents. Caring For Children With Neurodevelopmental Disabilities and Their Families constitutes a crucial new resource for all those professionally and personally concerned with these children. Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. This book presents a model multidisciplinary approach to care, family-centered and collaborative, that has proven effective in practice.

The MMR controversy has been characterized by two one-sided discourses. In the medical world, the weight of opinion is overwhelmingly in favour of MMR. In the public world, the anti-MMR campaign has a much greater influence, centred on the fears of parents that the triple vaccine may cause autism in their children. Both professionals and parents struggle to cope with the anxieties this creates, but find it difficult to find a balanced account of the issues.
In MMR and Autism Michael Fitzpatrick, a general practitioner who is also the parent of an autistic child, explains why he believes the anti-MMR campaign is misguided in a way that will reassure parents considering vaccination and also relieve the anxieties of parents of autistic children. At the same time, this informative book provides health care professionals and health studies students with an accessible overview of a contemporary health issue with significant policy implications.

The MMR controversy has been characterized by two one-sided discourses. In the medical world, the weight of opinion is overwhelmingly in favour of MMR. In the public world, the anti-MMR campaign has a much greater influence, centred on the fears of parents that the triple vaccine may cause autism in their children. Both professionals and parents struggle to cope with the anxieties this creates, but find it difficult to find a balanced account of the issues.
In MMR and Autism Michael Fitzpatrick, a general practitioner who is also the parent of an autistic child, explains why he believes the anti-MMR campaign is misguided in a way that will reassure parents considering vaccination and also relieve the anxieties of parents of autistic children. At the same time, this informative book provides health care professionals and health studies students with an accessible overview of a contemporary health issue with significant policy implications.

Cancer is a very rare disease in children. There have been impressive gains in survival in recent years, and these have been achieved through the use of chemotherapy and national and international clinical trials. The diagnosis of cancer in a child imposes considerable stress on the whole family. In the immediate time after diagnosis, parents must learn about the disease and its treatment, explain what is happening to the child, and make arrangements for the care of other children in the family. For the child, treatment is associated with many side effects depending on the specific drugs used. In addition, the child is prone to infection and therefore is likely to miss a lot of school and other activities. For all these reasons, physicians and families have become aware that cancer has huge implications for the quality of the child's life. This book is an attempt to describe how quality of life is affected at different stages of the disease process. Comprehensive reviews are provided of the impact on the child's physical activity, social life, and school and educational achievements. Special consideration is given to children with leukemia (one of the more common cancers) and brain tumors. Cancer does not just affect the child but every member of the family. Consequently there is coverage of the effects on parents and also healthy brothers and sisters. To the extent that improvements in survival have been achieved by national and international collaboration between clinicians, it is concluded that efforts to improve the quality of these children's lives is dependent on collaboration between clinicians, nurses, and behavioral scientists at national and international levels. This book should provide an impetus for such collaboration.

The profession of child psychotherapy builds upon the writings and contributions of earlier writers, it is not only the latest research and theory that are important.

Key Papers from the Journal of Child Psychotherapy provides access to classic and important papers from this prestigious journal, spanning the whole period from the beginning of publication to the present. Papers previously not easily attainable are grouped thematically to cover the entire range of work represented in the journal, and presented in one volume accessible to students and professionals alike. This volume contains papers written by professionals at the forefront of their fields (past and present) including Frances Tustin, Anne Alvarez and Dilys Daws. Chapters include:

* Alvarez, A. (1983) Problems in the Use of the Countertransference

* Daws, D. (1985) Standing next to the weighing scales

* Rustin, M (1982) Finding a Way to the Child

Essential not only for those training and practising in child psychotherapy, Key Papers from the Journal of Child Psychotherapy will be of great benefit to all other professionals involved in direct work with children.

Last year, the National Audit Office reported that levels of obesity in the UK have tripled over the last 20 years. This makes the British among the fattest nations in Europe and, if nothing is done to halt the epidemic, it is feared that levels will soon reach those in the US where one person in every four is obese. Every year tens of thousands of people in the western world are dying prematurely from heart disease, stroke and diabetes - all of them closely linked to obesity.
Obesity is a disease. It is the expression of a classic interaction between nature and nurture. What are the factors responsible for its development? Are we becoming more and more a nation of couch potatoes, or are we just eating too much? Do fat children become fat adults? Can anything be done to halt the obesity epidemic?
This collection of essays, based on presentations made at a national symposium on obesity, is aimed at the generalist with an interest in managing obesity and its outcomes, whether general practitioner, community nurse, dietician or hospital clinician. Its purpose is to highlight the causes and consequences of obesity and to bring modern understanding to the treatment of a problem that is still heavily stigmatised. The authors offer a wide-ranging perspective of obesity as a global problem and explore its devastating metabolic, social and political impact.
What is increasingly clear is that the seeds of many of these adult diseases are sown in childhood. The prevention of adult obesity has thus become a major challenge for the paediatrician.

Preoperative imaging is increasingly being adopted for preoperative planning in plastic and reconstructive surgery. Accurate preoperative analysis can reduce the length of operations and maximize surgical design and dissection techniques. Imaging for Plastic Surgery covers the techniques, applications, and potentialities of medical imaging technology in plastic and reconstructive surgery. Presenting state-of-the-art research on evolving imaging modalities, this cutting-edge text: Provides a practical introduction to imaging modalities that can be used during preoperative planning Addresses imaging principles of the face, head, neck, breast, trunk, and extremities Identifies the strengths and weaknesses of all available imaging modalities Demonstrates the added value of imaging in different clinical scenarios Comprised of contributions from world-class experts in the field, Imaging for Plastic Surgery is an essential imaging resource for surgeons, radiologists, and patient care professionals.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

Chapters written by leading authorities offer current perspectives on the origins and development of language disorders. They address the question: How can the child's linguistic environment be restructured so that children at risk can develop important adaptive skills in the domains of self-care, social interaction, and problem solving? This theory-based, but practical book emphasizes the importance of accurate definitions of subtypes for assessment and intervention. It will be of interest to students, researchers, and practitioners in the field of developmental language disorders.

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

This text analyses the pathophysiology, diagnosis, treatment and control of respiratory disorders in the newborn infant. It explores the mechanisms, patterns and factors influencing respiratory activity and dysfunction, as well as the aetiology, management and evaluation of conditions such as respiratory distress syndrome, bronchopulmonary dysplasia, airway disorders, and congenital hypoventilation syndromes.

This authoritative resource, now thoroughly revised for DSM-5, has set the standard for the comprehensive assessment of autism spectrum disorder (ASD). Leading experts demonstrate how to craft a scientifically grounded profile of each child's strengths and difficulties, make a formal diagnosis, and use assessment data to guide individualized intervention in clinical and school settings. Chapters review state-of-the-art instruments and approaches for evaluating specific areas of impairment in ASD and co-occurring emotional and behavioral disorders. Considerations in working with children of different ages are highlighted. With a primary focus on children, several chapters also address assessment of adolescents and adults. New to This Edition *Chapter on key implications of DSM-5 diagnostic criteria, plus related updates throughout the volume. *Chapter on advances in early identification (ages 0-3). *Chapter with in-depth case examples illustrating the evaluation decision-making process and common diagnostic challenges. *Chapters on pseudoscience (including strategies for advising parents) and future directions in the field. *Current assessment data, numerous new and revised measures, and cutting-edge screening approaches.

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

Some children seem different, detached, disinterested in the games of other children. They prefer their hobbies to friends of their own age and if forced into community activities, as they often are at school, can become aggressive and difficult. In Loners, Sula Wolff describes a childhood personality syndrome that has frequently been neglected. Often using children's own words, their lives and problems become real as she unwraps their stories from first referral to adulthood. Some have become talented and successful adults, whilst others are less fortunate in later years. Carefully documented and meticulously researched, this study makes compelling reading.

Currently, it is common practice among the child psychiatric establishment to prescribe powerful and potentially addictive drugs to children who have emotional or behavioural problems. Pathological Child Psychiatry and the Medicalization of Childhood is a strong challenge to this way of thinking.
Sami Timimi uses a wide variety of sources that shape our understanding including his personal experiences to highlight the role of culture, beliefs, science, social hierarchy and power, in shaping our understanding of childhood problems and how to deal with them. He urges professionals who work with children to question their assumptions in a manner that will enable them to access a greater variety of potentially helpful therapeutic frameworks.
Since the 1960s, psychiatry has had to learn to accommodate critical analysis of its beliefs and methods. The legitimacy of its core assumptions continues to be questioned. Now child psychiatry too must engage with such a debate, if it wishes to develop into a genuinely democratic and inclusive profession. Pathological Child Psychiatry and the Medicalization of Childhood will be of great interest to professionals and trainees in psychiatry and child psychiatry, social work, family therapy and other psychotherapies for children and adolescents.

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The fundamental goal of the revised edition of this acclaimed text is to provide comprehensive, practical, and straightforward information about the developing nervous system that is as relevant to those embarking on careers in pediatric neurology as it will be to the experienced practitioner who cares for infants, children, and adolescents. New to this edition are chapters on tumors of the nervous system, autism and related conditions, and practice parameters in child neurology.

Contents:
Introduction 1. Biology of Twinning 2. Twin Pregnancy and the Twin Fetus 3. Intrauterine Behaviour 4. Antecedents and Forerunners of Postnatal Life 5. Still in Hospital: Birth and Soon After Birth 6. Back Home 7. The Initial Stages of Twinship 8. 'Twinning' 9. Becoming 'Twinned' - The Couple Effect 10. Change in the Twins 11. Different Types of Twins 12. Changes in the Family 13. Conclusions

Preterm infants grow poorly after birth and very commonly develop ex utero growth restriction (EUGR). However, the risks and benefits of catch-up growth in preterm infants must be weighed, and evidence addressing this warrants examination. Perinatal Growth and Nutrition explores the reasons for EUGR and the long-term effects on developmental outcome and on metabolic risks. It provides clear information on the risks and benefits of faster post-natal growth and catch-up growth in preterm infants and offers tools for better assessment of growth and earlier identification of faltering growth. This book is divided into three sections. The first section covers advances in preterm infant growth standards, diagnosis and causes of EUGR, and assessments of preterm infant diets. The second section considers the extensive human literature on the effects of in utero and ex utero growth restriction and catch-up growth on long-term metabolic outcomes-such as obesity, insulin resistance, type 2 diabetes, and cardiac disease-and long-term neurodevelopmental outcomes including cognition. It also examines evidence for the effect of growth on these outcomes in term and preterm infants. The final section of the book considers ways to reduce the incidence of EUGR in preterm infants and when EUGR does occur, to optimize catch-up growth. Topics include assessment of dietary requirements of the diverse population of preterm infants, examination of tools for prescribing nutrition to neonatal intensive care unit patients, consideration of whether to customize or generalize nutrient intake, and fortification of human milk. In addition, the last chapter proposes using a Z-score growth chart for improved interpretation of growth data.

This new evidence-based model, derived from a study of parents and exemplary clinicians, offers a clear presentation of the complex process of interaction between healthcare providers and parents of seriously ill children. A unique aspect of the book is that it is based on the study of excellence rather than focusing on what did not go well. This model gives clinicians practical strategies for optimizing interactions with parents of seriously ill children. Moving beyond the prevalent idea of communication as a step-by-step procedure, this book demonstrates the complex and holistic nature of interaction in healthcare.

This book covers most of the major topics in pediatric pathology including the embryo, perinatal, infant and child developmental organ system, and pediatric hematopathology. It presents glossaries for developmental and organ system pathology, which provides terminology with explanations.

How can we measure the quality of life in children and adolescents with chronic disease?
Major progress in the diagnosis and treatment of severe and chronic disease has led to an increased number of children and their families having to adapt and cope with the impact of disease, survival, and the cost of treatment. Health professionals have responded to this by developing a diversity of instruments for measuring quality of life for use in paediatrics, psychology and public health. This book introduces the reader to the emerging field of quality of life assessment and provides a comprehensive overview of the conceptual and methodological issues concerning quality of life in child and adolescent illness. Particular emphasis is provided on current efforts to measure the impact of specific chronic conditions on different domains of child functioning. Future directions are outlined for the development of appropriate instruments for measuring quality of life in children and adolescents.
Quality of Life in Child and Adolescent Illness is intended for psychologists, paediatricians, paediatric nurses, child psychiatrists, public health professionals, researchers and other interested readers from the undergraduate to the working professional.

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Updated to include a succinct yet thorough review of the most recent evidence-based information and data-driven best treatment practices in child and adolescent psychiatry, this fourth edition of the Clinical Manual of Child and Adolescent Psychopharmacology not only examines the evidence for treating mental health disorders in younger patients but also illuminates how clinical trials of various methodologies can inform different aspects of clinical practice. Organized by DSM-5-TR diagnosis rather than drug class, this clinically accessible volume offers an exhaustive analysis of the use of psychotropic agents in disorders that include • Attention-deficit/hyperactivity disorder • Depressive disorders • Autism spectrum disorder • Early schizophrenia and psychotic illnesses • Eating disorders Comprehensive medication tables allow for easy reference of dosing, side effects, and tips for management. Additionally, key points at the conclusion of each chapter summarize essential information for treating clinicians. With a depth of information unmatched by any other guide, this new edition of the Clinical Manual of Child and Adolescent Psychopharmacology is an indispensable desktop reference for clinicians working with young patients.

This is a highly illustrated guide to the diagnosis and management of nail conditions in children. With new material on genetics and on developments such as dermoscopy, it will be invaluable as a reliable clinical reference for both dermatologists and pediatricians, as well as those in family practice.

Succinct and highly illustrated, the third edition of this handy pocket guide enables practitioners to successfully manage common minor injuries in children at the point of care. Each chapter has been updated to reflect changes to the treatment for the injury based on recent research and new guidelines. The new edition includes: the latest recommended guidelines and procedures, for instant access to key information generous use of colour, warning boxes, icons, clinical tips and practical advice to help the reader find information at a glance numerous illustrations help explain more difficult concepts detailed guidance on when to treat, how to treat, when to refer or when minor trauma is indicative of a more serious diagnosis. This concise evidence-based book remains an essential purchase for junior doctors, nurse practitioners and emergency care practitioners in the emergency department, minor injury centre or primary care facility. It is a touchstone for all those seeing children following minor injury or trauma.

Answering the demand for acomprehensive, all-purpose volume focusing on the challenging needs of pediatric patients, Mechanical Support for Cardiac and Respiratory Failure in Pediatric Patients summarizes a wealth of knowledge on the mechanical devices, clinical management, alternative applications, and future directions in the specialized field of pediatric critical care. Condensed advice from experts on the shelf offers guidance in critical intensive care settings! Combining clinical aspects with the latest experimental results, Mechanical Support for Cardiac and Respiratory Failure in Pediatric Patients -examines current modalities and the best uses of mechanical support, including step-by-step techniques for extracorporeal membrane oxygenation (ECMO), ventricular assist devices (VAD), and intra-aortic balloon pumps -highlights the use of mechanical support in nonsurgical diseases such as myocarditis and cardiomyopathy, with implanted ventricular devices and in long-term follow-up care -discusses the optimal management for perioperative support in cardiac and pulmonary transplantations in children -reviews successful cases of mechanical support, including resuscitation after cardiac arrest, pediatric patients with myocarditis, and circulatory support of patients without cardiac disease -explores anticipated improvements and uses of the Berlin Heart, the Nimbus Rotary Pump, and applications of the Medos-HIA VAD in young patients -and much more! Authored by nearly 40 internationally recognized experts and containing over 500 literature references, drawings, photographs, and tables, Mechanical Support for Cardiac and Respiratory Failure in Pediatric Patients is an invaluable referencefor cardiologists and pediatric cardiologists, intensivists, cardiac surgeons, pulmonologists, anesthesiologists, general pediatricians, nursing personnel, perfusionists, and medical school students in these disciplines.