This is a comprehensive and practical guide to all aspects of breastfeeding babies with special care needs. The language is clear and direct and the references up to date. The author covers the basics of breastfeeding and lactation, positioning and attachment, milk supply, the impact of common drugs, as well as breast conditions and problems and their resolution. Particular attention is paid to feeding the vulnerable baby and to alternative methods of feeding.Crystal clear and practical in writing and approach Full coverage of a topic which is poorly covered elsewhere Simple and explanatory with helpful up-to-date drawings, tables and photographs New material and expanded/updated current chapters Tackles issues which all midwives and neonatal intensive care nurses have to face at some point This revised edition includes new material on:the instinctive nature of breastfeeding at birth skin-to-skin contact and care many new concepts relating to positioning and attachment how long it takes to acquire these skills non-nutritive sucking breast conditions, especially sore and cracked nipples areolar massage breastfeeeding and HIV

In 1983 two doctors, one from each side of the world, decided to form a partnership, and so began a scientific adventure that would improve the odds that babies could be born healthy and whole. Neural tube defects that severely disabled or killed babies were epidemic in China (where the folk term was guai tai--roughly ""monster baby""--for an infant whose embryonic neural tube doesn't completely close and whose head and neck may be misshapen or spine may protrude) and a significant problem in the United States, leading teams of researchers from the United States and China to combine forces to recruit more than 285,000 Chinese women and to follow nearly 250,000 pregnancies in an epidemiological study. Sixteen thousand staff were involved in running the project, which encountered massive bureaucratic obstacles as well as cultural differences, politicking for study designs and funding, the crisis of Tiananmen Square, and testy debates over research ethics. Nevertheless, the researchers persevered in a collaboration that lasted more than three decades and led to landmark findings on the role of folic acid in preventing spina bifida. Fortifying cereal grain products with folic acid became routine in the United States and a growing number of nations around the world: that intervention was named one of the ten great public health achievements of the last decade.

Introduction to Podopaediatrics 2/e is a concise but comprehensive introduction to the effective care of foot problems in children. Including coverage of the general specialist and medical conditions which may influence the course of the podiatric treatment. Written by a multidisciplinary international team of contributors under the editorship of a UK practitioner and an American educator and practitioner both podiatrists.Little else on this topic is available Written by a leading transatlantic team of expertsAddresses a core part of the podiatrists case load Comprehensive and up-to-dateWritten at a level appealing to both students and practitioners Concise and well-illustrated

The most complete guide to preventing, testing, living with, and treating food allergies in children and adults. In this comprehensive, evidence-based guide for adults and children with food allergies and those who care for them, Dr. Scott H. Sicherer provides all the critical information you need on preventing, testing, living with, and treating food allergies. Organized in an accessible Q&A format and illustrated with case studies, the book thoroughly explains how to prevent exposure to a known allergen at home, at work, at school, in restaurants, and elsewhere. Emphasizing the most recent advances, Sicherer touches on everything from handling an anaphylactic emergency to diagnosing allergies and intolerances, all while detailing chronic health problems caused by food, such as eczema, hives, and gastrointestinal symptoms. He also shares: * the benefits and risks of new therapies * new prevention guidelines * new approaches to improve quality of life and reduce anxiety * the latest insights on adult-onset food allergies * new diagnostic tests now commercially available * approaches shown to increase safety in school * the latest thinking on treating eczema through the diet * new doses and self-injection devices for treating food anaphylaxis * new information about food allergies that affect the gut Dr. Sicherer also reviews food reactions that are not allergic, such as lactose intolerance, irritable bowel syndrome, and celiac disease. He explains how to get adequate nutrition when you must avoid dietary staples and discusses whether allergies ever go away (they do-and sometimes they return). Finally, he includes an allergy and anaphylaxis emergency plan and checklists to reduce cross-contamination. This is the most authoritative and accessible allergy book on the market.

Childhood brain tumors are a diverse group of diseases characterized by the abnormal growth of tissue contained within the skull. Other than leukemia and lymphoma, brain tumors are the most common type of neoplasms that occur in children. The leading cause of death from childhood neoplasms among persons up to 19 years is brain tumors. As such, this book is a review of the most recent molecular biological research concerning brain tumors with references and comparisons to a variety of neoplastic disorders. The book then uses this information to foreshadow the direction that future anti-neoplastic therapies will take. Because of the wide spectrum of the objectives of the book, any individual involved in cancer research will greatly benefit from the work. Histopathologists, neuropathologists, clinical and research oncologists, and medical students will find this book to be an invaluable resource as a reference guide. Patients and their families will also find the book useful as it offers a comprehensive update on new, non-classical therapeutic modality options and contains a detailed description and analysis of brain tumors. Such an endeavor has yet to be undertaken by any other book and may prove to be the most comprehensive book on brain tumors thus far.

Provides vital information about key aspects of drug therapy and immunization in neonates, infants, and children, derived from various authoritative sources in a simple, easy to access and apply format. It covers treatment of a broad range of important pediatric disorders such as infections, asthma, epilepsy, congestive heart failure, diabetes, hereditary clotting disorders, blood component therapy, and management of emergencies such as shock, status asthmaticus, status epilepticus, diabetic ketoacidosis, anaphylaxis, hypertensive emergency, cardiac arrhythmias, and life support-requiring situations. The spectrum of effectiveness of various antibiotics and their rational use in treatment of different types of infections has been set out. The guidelines by Indian Academy of Pediatrics, World Health Organization (WHO), and other international authorities in respect of schedules of immunization, appropriate use of various vaccines, and measures for pre-and postexposure prophylaxis in children have been described. A separate section provides information about drugs used in children-their indications, dosage, modes of use, precautions, and side effects along with trade names of some standard proprietary products. A concise, wide-ranging, and up-to-date ready reference companion guide for pediatricians, residents, postgraduate (PG) and undergraduate (UG) students, and general practitioners. Provides standard guidelines for the management of a wide-range of pediatric disorders encountered in ones day-to-day practice in outdoor, indoor, as well as intensive care settings. The spectrum of effectiveness of various antibiotics and their rational use in management of different types of infections has been described. Current guidelines for immunization and pre- and postexposure prophylaxis in children have been discussed. The indications, dosage, precautions, contraindications, and side effects of various drugs used in neonates, infants, and children alongside names of some proprietary products have been detailed. An excellent index provides instant retrieval of the conditions being searched for, which enables prompt institution of appropriate therapy.

Clinics in Developmental Medicine No.166

Ranging from epidemiology and neuroimaging through the general principles of surgery and radiotherapy/chemotherapy to issues of palliative care and quality of life, this concise, broad-ranging and practical text covers all clinical aspects of central nervous system tumours in children. It provides an overview of current important issues in diagnosis and management, and focuses on important areas of research, with an emphasis on the areas likely to impact on clinical practice. It will be essential reading for paediatric oncologists, medical and clinical oncologists, neurosurgeons, and paediatricians involved in the care of children with brain tumours, trainees in these and related specialties, specialist nurses and paramedical staff.

Pediatric Injury Biomechanics: Archive and Textbook consolidates and describes the current state of the art in pediatric injury biomechanics research in the automotive crash environment. Written by the most respected scientists in the field, the objective of this ground-breaking project is to provide a comprehensive archive and analysis of pediatric injury biomechanics research; to be the go-to reference for the epidemiology of motor vehicle related childhood injury data, pediatric anthropometry, pediatric biomechanical properties, tissue tolerance, and computational models. This book provides essential information needed by researchers working in the field of pediatric injury including those involved in rulemaking activities, injury criteria development, child dummy development, and child injury interventions development. In addition to the text, a companion archive will include valuable information and tools to assist in the identification of gaps in research and future research directions.This living document will be regularly updated with current research and advancements in pediatric injury biomechanics.

Over the past two decades, the assessment of Attention-Deficit/Hyperactivity Disorder (AD/HD) has evolved into a sophisticated balance of science and clinical judgement essential for arriving at reliable and valid diagnostic de- sions. Because of the precarious mix of clinical and empirical skill needed to evaluate children with this disorder, diagnostic practice in this area has been found wanting by many critics. In fact, a 1998 National Institutes of Health consensus panel concluded that "existing diagnostic treatment practices ... point to the need for improved awareness by the health service sector conce- ing an appropriate assessment, treatment, and follow-up. A more consistent set of diagnostic procedures and practice guidelines is of utmost importance" (p. 21). Drs. Arthur D. Anastopoulos and Terri L. Shelton have designed a book that addresses this need. A number of themes are highlighted throughout the text. Perhaps the most important is that the assessment guidelines set forth in this book represent a balance between science and practice. The authors account for the realities of clinical practice in an age of managed care while challenging clinicians to heed the lessons of empirical research. Although the use of empirically based asse- ment procedures may at times fly in the face of cost constraints (e. g. , systematic evaluation of medication effects), the authors present a strong argument for them. Further, they call upon their vast clinical experience to provide concrete suggestions for translating research findings into effective evaluations.

conduct disorder and under-achievement

The young people who are the subject of this book are responsible for a disproportionate amount of difficulty for society. They are the chronic rule-breakers and bullies. They may threaten, intimidate, manipulate, steal, and use violence to get what they want. Many are drug abusers and drug dealers.

Most have problems with self-control and self-discipline. Nearly all of them are academic underachievers. Unfortunately, they are also incredibly resistant to psychological intervention. Exhibiting a range of behaviors grouped under the DSM rubric "Conduct Disorder," these children and adolescents are legion and their numbers continue to grow at an alarming rate.

In Conduct Disorder and Underachievement, a leading authority on CD underachievers explores the causes, assessment, treatment, and prevention of disruptive behavioral problems in underachieving children and adolescents. He summarizes many of the assessment tools developed for CD underachievers and provides a unique, comprehensive risk-factor model which can be used to help identify disorder problems before they occur. And, perhaps most importantly, he describes a dynamic cognitive/developmental treatment model which has proven to be extraordinarily successful with certain types of CD underachievers.

Conduct Disorder and Underachievement offers new hope for finding psychological solutions to one of today's most pressing social problems.

Much has been unearthed in recent years about the origins and development of conduct disorder (CD) in children and adolescents. Yet there is still considerable disagreement about the role academic underachievement plays in CD. Is underachievement acontributing factor to or a result of CD? While the jury is still out on this issue, one thing is certain: eventually, the relationship between them becomes a dialectical one--bad grades and antisocial behavior usually go hand in hand. Can this seemingly facile observation provide the basis for interventions with certain types of conduct disorders? In Conduct Disorder and Underachieve-ment, a leading authority on underachievement answers that question with a resounding "Yes" and demonstrates how.

Dr. Mandel begins with a thorough review of the latest research findings on the etiology, assessment, and treatment of conduct disorder in children and adolescents. From there, the focus narrows to issues of CD underachievement. While most forms of conduct disorder and underachievement are discussed, the clinical emphasis is on less severely disturbed children for whom underachievement is still manageable but, if left unchecked, can lead to more severe conduct problems. Through the window of two case histories complete with test results and diagnostic interviews, Dr. Mandel explores the full range of assessment issues, critically examines predominant treatment strategies, and provides helpful prevention guidelines.

In the prescriptive portion of the book, the author delineates a cognitively oriented approach to treating CD underachievers. He espouses a treatment strategy based on the assumption that, from one case to the next, underachievement may either contribute to or result from conduct disorder. The most constructive approach, therefore, is to reconstruct the unfolding of individual scenarios and then determine what can be done to mend fractured developmental pathways. Through aseries of therapy excerpts which take the reader inside a treatment session, Dr. Mandel brings to vivid life the issues that must be dealt with, the struggles that must be overcome, and the complex interactions that develop between child and therapist during therapeutic intervention.

Combining a comprehensive review of the latest findings with a dynamic new approach to intervention, Conduct Disorder and Underachievement is a valuable resource for mental health professionals, guidance counselors, and educators who deal with this increasingly common problem.

This excellent research based textbook addresses nursing care issues rather than disease processes and therefore looks at issues such as discharge planning, adolescents and cancer, coping strategies for family and staff. It concentrates on the psychological and social aspects of care and reflects the radical changes that have occurred in recent years in thisfield. These include better survival rates in childhood cancer, advanced therapies, the move to community based care and increasing awareness of the long term effects of treatment.All post-graduate nurses working with children with cancer, whether in a community or hospital setting will find this text invaluable. It will equally benefit post-graduate nurses studying professional and academic specialist courses such as the ENB 240 paediatric oncology course or those who are already qualified paediatric oncology nurses but who need to keep themselves updated or need a reference in this area.Expert contributors and editor in this field who will provide up-to- date and relevant analysis of the subject. Emphasises the partnership between nurse, child and family.Discusses the impact of treatment on the nursing team. This is an important chapter as there is a lack of knowledge regarding the emotional cost of caring for children with cancer.

Intracranial haemorrhage affects more than one liveborn term infant in a hundred. The range of aetiologies has been expanded from trauma due to breech or instrumental delivery, to birth asphyxia, haemorrhagic diathesis, infection and prenatal injury. A shift towards diagnosis in life has been brought about by the application of ultrasound, CT and NMR imaging. Survival of most affected infants has encouraged neonatologists and paediatric radiologists to describe their findings in the past decade, yielding a wealth of data. Medico-legal implications surrounding delivery and neonatal care have increased the demand for thorough description of perinatal intracranial events.

This new edition provides paediatricians and trainees with a complete guide to the physical diagnosis of diseases and disorders in children. Divided into 39 sections, the book begins with an overview of paediatric history and examination, growth and development, neonatal medicine, genetics, and nutrition. Each of the following sections covers diagnosis of disorders in different sub-specialties. Each case is presented in a step by step format describing aetiology, pathology, clinical features and differential diagnosis in depth. The second edition has been fully revised and new chapters on podiatry, surgical urology and neurosurgery added. Edited by recognised Glasgow-based experts, this comprehensive atlas features more than 2000 clinical photographs, diagrams and tables across nearly 1000 pages. Key points Complete guide to diagnosis of paediatric diseases and disorders Fully revised second edition with new topics and more than 2000 images and illustrations Internationally recognised editor and author team Previous edition (9789351521525) published in 2014

In 1983 two doctors, one from each side of the world, decided to form a partnership, and so began a scientific adventure that would improve the odds that babies could be born healthy and whole. Neural tube defects that severely disabled or killed babies were epidemic in China (where the folk term was guai tai--roughly ""monster baby""--for an infant whose embryonic neural tube doesn't completely close and whose head and neck may be misshapen or spine may protrude) and a significant problem in the United States, leading teams of researchers from the United States and China to combine forces to recruit more than 285,000 Chinese women and to follow nearly 250,000 pregnancies in an epidemiological study. Sixteen thousand staff were involved in running the project, which encountered massive bureaucratic obstacles as well as cultural differences, politicking for study designs and funding, the crisis of Tiananmen Square, and testy debates over research ethics. Nevertheless, the researchers persevered in a collaboration that lasted more than three decades and led to landmark findings on the role of folic acid in preventing spina bifida. Fortifying cereal grain products with folic acid became routine in the United States and a growing number of nations around the world: that intervention was named one of the ten great public health achievements of the last decade.

Invaluable to the practising pediatrician in solvinge common and not so common conditions and at the same time educating and placating parents' concerns and anxieties. Illustrative common to not-so-common clinical cases. Hundreds of clinically-useful pictures. Easy to comprehend interrogative format. Highly acclaimed authors. A handy tool for clinicians to tackle parents' queries.

The main demographic revoulution in modern history has been the increased survival of children - the gradual elimination of the biological waste linked to the high mortality of the past. This volume examines the trends of early-age mortality across time and space and the methodological and theoretical problems inherent in such studies. It widens the discussion beyond the standard European focus by including data from Asian and American sources, showing that they offer enormous potential for researchers. At the same time, it makes clear the need for cautious treatment of historical data and points towards the design of techniques for appraising their quality, correcting distortions, and filling gaps. The analysis demonstrates that levels of infant and child mortality are linked not only to material conditions of life but also to social and cultural factors. The authors argue that a better understanding of these interactions can only come from an interdisciplinary approach, where demography joins forces with biology, medicine, public health, and social and economic history.

This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.

Positron emission tomography (PET) has been at the forefront of fu- tional and molecular imaging for a number of years. The future of di- nostic imaging depends upon the ability to change from imaging anatomy to examining the processes at work in the body. The fact that there are now monographs examining particular aspects of PET, such as this book on the examination of children, speaks to the newly won maturity of PET. The authors are to be congratulated for the timely appearance of this volume. In recent years, PET has transformed the contributions of nuclear medicine to the diagnosis, staging, and follow-up of patients with cancer. Children with cancer deserve the very best and most comp- sionate care that society can provide. Ultimately the greatest comp- sion we can offer as physicians is to provide the best possible care. Those charged with creating public policy in the context of diagnostic medicine must make common cause with physicians and other sci- tists to ensure that that best possible care is realized at the bedside. All of the evidence suggests that PET is central to such optimal cancer care. In addition to the distinguished cast of physicians and researchers who contributed to this book, I welcome the contributions from te- nologists who are a key part of the interaction between the diagnostic process and the sick or potentially sick child. Good care is contingent upon putting parents and child at ease, and the technologist has a lead role in this.

Movement Disorders in Childhood, Third Edition provides the most up-to-date information on the diseases and disorders that affect motor control, an important area of specialization within child neurology. In this new edition, each chapter has been fully revised to include all of the latest scientific and therapeutic advances. Updates include new insights in motor development, control, goal-directed and habitual behaviors, classifications of movements and their complex and integrated circuitry. The authors also discuss developments in pathophysiologic mechanisms, immunology and metabolic disorders. New chapters include coverage of genetics of movement disorders and movement disorders in psychiatric conditions. Appendices include an updated and revised drug index and genetic search strategy. An updated Companion website hosts selected educational videos to help diagnose movement disorders.

This book presents pulmonary outcomes of prematurity, from their emergence in infancy through to their consequences in adulthood. With an increasing number of preterm births and more infants surviving, there is now a larger population of adults with lung disease originating in infancy requiring specialized care. Looking at the whole group of preterm infants, not just those with bronchopulmonary dysplasia, this text covers a wide spectrum of pulmonary outcomes, including: pulmonary hypertension, wheezing, and alterations in sleep. The chapter authors focus on critically appraising what is and is not known about each outcome and suggest key questions that still need to be answered. Respiratory Outcomes in Preterm Infants: Sequelae from Infancy through Adulthood is an ideal reference for the multidisciplinary group that cares for these preterm infants and the adults they become, including: neonatologists, pediatric pulmonologists, pediatricians, adult pulmonologists, primary care physicians, nurses, and fellows.

This book is the proceedings of the Falk Symposium No. 127 on Autoimmune Diseases in Paediatric Gastroenterology' (IV International Falk Symposium on Paediatric Gastroenterology), held in Basel, Switzerland, on November 8-9, 2001. The symposium focused on the role of the immune system, both the acquired and the innate systems, in inflammatory bowel disease (IBD) in children and adolescents. The innate system has an important fundamental role in host defence by initiating immune responses against potentially deleterious matter. However, a mutation within the innate system may elicit an immune response against the host: hence, an autoimmune response.

Chronic autoimmune hepatitis occurs predominantly in young people, and especially in women. Immunological changes are conspicuous. Tissue antibodies are found in a large number of patients. This is a disease of disordered immunoregulation marked by a deficit in suppressor T cells causing the production of autoantibodies against specific hepatocyte surface antigen. Liver membrane protein is found in the sera of patients with autoimmune chronic acute hepatitis and with primary biliary cirrhosis (PBC). The latter condition of progressive granulomatous destruction of intrahepatic bile ducts is, in many respects, analogous to the graft-versus-host syndrome where the immune system has become sensitized to foreign HLA-molecules.

Primary sclerosing cholangitis (PSC) is another condition of unknown origin. All parts of the biliary tree can be involved in a chronic, fibrosing, inflammatory process that results in obliteration of the biliary tree and ultimately in biliary cirrhosis. About half of the patients also suffer from ulcerative colitis and rarely from Crohn's disease. Circulating antibodies to some antigens are found in obstructed portal tracts, as well as increased concentrations of biliary immune complexes in patients with PBC.
In all three previous Falk symposia on paediatric gastroenterology, attention was focused on the role of the innate immune system in the aetiology of IBD. It has become increasingly clear in recent years that the innate system has a much more important and fundamental role in host defence. The decision to initiate an immune response is one of the major roles of the innate system. Mutations within this system could transform it into becoming constitutively active, resulting in an inflammatory reaction and thus eliciting an autoimmune response.

Following an introduction to the basic phenomena of autoimmunity, the proceedings discuss clinical aspects of autoimmune diseases. In particular, current knowledge and the state of the art about the diagnosis and treatment of the autoimmune diseases of the gastrointestinal tract are described by world-renowned experts. The book also contains the short presentations on selected topics, as well as abstracts of the mini-posters read by title, which were included in the symposium.

Reoperative surgery is a problem that is confronted by every surgeon and this book offers up-to-date information and techniques for critical cases in all of the pediatric surgical specialties. The book is comprehensive, covering the full spectrum of pediatric reoperation, and it addresses the complications of common pediatric surgeries. This book is an essential resource for both surgeons and non-surgeons involved in the care of pediatric patients.

Melanoma is one of the most types of cancer. When melanoma is detected at an early stage, treatment is highly successful, but outcomes can be poor when the disease is advanced. There has been significant progress in our understanding of the molecular biology, genetics, and immunology of melanoma over the past decade. This has been accompanied by rapid advances in therapeutic strategies for patients with melanoma. This book provides the clinician and the researcher with a broad understanding of the molecular and cellular pathogenesis of melanoma, explores the clinical characteristics and criteria for clinical and pathological staging of the disease, and provides an overview of current and evolving treatment strategies in the adjuvant, metastatic, and preventive settings. The treatment of special populations and rare variants of melanoma that often present particular clinical challenges is also covered. Authored by international experts in melanoma biology and clinical management, this volume concisely explains how to diagnose, treat, and prevent melanoma while reviewing advances in basic science and providing an overview of innovative approaches still under development.