Families of children with special health needs frequently cite difficulties in their communications with physicians and other medical professionals. Indeed, parents of high-risk, chronically ill, and disabled infants often regard interactions with health care providers as one of the most stressful parts of their early experiences with their children.

This volume was designed to present a variety of medical education approaches used to overcome this problem. After providing an overview of some of the difficulties faced by physicians and families of children with special health needs in their interactions with one another, the volume examines a number of useful medical education models. The models and viewpoints presented include those of physicians, early intervention professionals, professionals with backgrounds in education, psychology, and sociology, and parents. This volume is invaluable to those involved in designing and evaluating medical education approaches, and those developing public policy for children and the family.

'Breast is best' is today's prevailing mantra. However, women - particularly first-time mothers - frequently feel unsupported when they come to feed their baby. This new experience often takes place in the impersonal and medicalized surroundings of a hospital maternity ward where women are 'seen to' by overworked midwives. Using a UK-based ethnographic study and interview material, this book provides a new, radical and critical perspective on the ways in which women experience breastfeeding in hospitals. It highlights that, in spite of heavy promotion of breastfeeding, there is often a lack of support for women who begin to breastfeed in hospitals, thus challenging the current system of postnatal care within a culture in which neither service-user nor provider feel satisfied. Incorporating recommendations for policy and practice on infant feeding, Breastfeeding in Hospital is highly relevant to health professionals and breastfeeding supporters as well as to students in health and social care, medical anthropology and medical sociology, as it explores practice issues while contextualising them within a broad social, political and economic context.

This book deals with the management of labour, guiding the readers to recognize problems by keen monitoring, based on anatomical and physiological understanding of labour. In this era of technology, this book revives the fading art of identification of clinical signs and symptoms. The chapters are well-structured, covering different aspects from suspicion to identification of the problems by recognizing subtle warning signals by the fetus and the uterus. Operative deliveries and common obstetric emergencies with their appropriate management are also covered. It provides practical points to prevent, anticipate, recognize, and manage problems during labour. Key Features Helps to identify clinical signs and symptoms that infuses the reader with confidence to identify and manage abnormal situations during labour and childbirth through the feel of their fingers and awakened understanding. A must have book for all postgraduate trainees and practitioners of obstetrics, eager to learn the fundamentals of labour management. Features illustrated cases helpful in learning management of normal labour and pick abnormal labour, at the earliest possible deviation from normalcy.

Preventing Youth Problems provides information needed to prevent five of the most common, costly, and dangerous problems of adolescence: anti-social behavior, tobacco use, alcohol and drug abuse, and sexual behavior that risks disease and unwanted pregnancy. Over the past thirty years, scientific research on children and adolescents identified the major conditions influencing each of these problems.
Each of the chapters in this volume provides a concise summary of what is known about one of these five problem behaviors. Each chapter covers the following essential points:

- Incidence, prevalence, and cost of the problem, vital for gauging the importance of preventing the problem and for making the case for such efforts in public discussion of priorities;
- Biological and environmental influences which increase or decrease the likelihood of these problems; and,
- Principles, programs and policies that have been shown to reduce the incidence of each problem, information that can help in prevention of these behaviors.

This book is a comprehensive and up-to-date compendium on all aspects of blood and marrow transplantation in children. After an introductory chapter describing the history of pediatric blood and marrow transplantation, subsequent chapters discuss pediatric-specific aspects of transplantation, including stem cell sources suitable for transplantation, preparative regimens, graft-versus-host disease, complications related to transplantation, and late effects. The role of blood and marrow transplantation in various specific pediatric diseases is then examined, and the closing chapter considers future directions. The authors are all internationally recognized experts and offer a largely evidence-based consensus on etiology, biology, and treatment. This handbook has far-reaching applicability to the clinical diagnosis and management of pediatric diseases that are treatable with blood and marrow transplantation and will prove invaluable to specialists, generalists, and trainees alike.

The treatment of children with medicinal products is an important scientific area. It is recognized that many medicines that are used extensively in pediatric patients are either unlicensed or off-label. This textbook will help pediatric health professionals select the most appropriate medication to effectively treat children and ensure minimal side effects.

For more than a decade, there has been no resource to guide the practitioner, trainee or allied health professional in this important field of pediatrics. These disorders are addressed every day with children admitted to the neonatal intensive care unit, pediatric intensive care unit, inpatient units, day hospitals, surgical units (inpatient and ambulatory), emergency rooms or in the outpatient setting.

Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook is a complete compendium of ready access information for pediatricians, family practitioners, residents, students and allied health professionals. The manual will be a "go to" source for tables or information on any aspect of fluid, electrolyte and acid-base metabolism for general pediatrics/ family practitioners/residents/medical students/nurses or the medical or surgical specialties.

In order to achieve the goal as the "THE" textbook in this discipline, each chapter of the book will be divided into the following areas: Definition and Pathophysiology, Symptoms, Diagnosis and Causes, Treatment and Representative Scenarios. Case presentations/problems (6-10) to illustrate the key points within the chapter. The scenarios will attempt to cover the most common problems that present in pediatrics.

This book will have unique information with extensive tables, lists, and algorithms that detail clinical features of the entire spectrum of water metabolism, disorders of electrolytes, and disturbances in acid-base homeostasis by age (infants/newborns, children and adolescents) that is not available in any other textbook.

In recent years, considerable professional attention has centered on the behavioral aspects of various childhood illnesses and injuries. Indeed, child health psychology has grown exponentially over the past decade. One index of this growth is found in the number of texts that have recently appeared in the area (Gross & Drabman, 1990; Karoly, 1988; Krasnegor, Arasteh, & Cataldo, 1986; Levine, Carey, Crocker, & Gross, 1982; Routh, 1988; Russo & Varni, 1982; Tuma, 1982; Varni, 1983). In general, these texts provide summaries of the psychological literature across a variety of established (e.g., oncology) and emerging (psychoneuroimmunology) areas of child health. Until recently, many books on the psychological aspects of pediatric health provided no or minimal information about the psychosocial plight of child burn victims. In some instances, pediatric burns might be men tioned parenthetically as another example of a population for which behavioral treatment procedures (e. g., pain management) may be of value. In part, the relative inattention devoted to this population may be related to the perception that the literature in this area is sketchy and charac terized by significant methodological and substantive shortcomings. In many instances, this perception is largely justified. However, it is also the case that the pediatric burn literature has evolved considerably over the past decade and that the incidence of, and morbidity associated, with severe burn injuries mandates immediate and increased attention by mental health professionals."

There are few things that stir up our culture more than sex, particularly sex and children. Sexual behavior in children represents, to far too many people, further proof of the moral decay of our society. Any issue that provokes as strong an emotional reaction as childhood sexuality is obviously in need of a rational discussion. The best features of thought and reason include their moderating influence on overheated and reaction emotions. Consequently, this book by Betty Gordon and Carolyn Schroeder represents a very important, and even brave, counter to irrationality. When the Surgeon General of the United States is forced to resign because the words "children" and "masturbation" appear in the same sentence, you know that there is a great deal of misunderstanding about sexuality. My own evolution as a researcher in the area of child sexual abuse is a model of how naivete can be corrected by knowledge. Some of my early research in sexual abuse of children led me to realize that sexual behavior was a reliable marker of victimization in a relatively large percentage of children (Friedrich, Urquiza, & Beilke, 1986). My blinders to sexuality were evident in that I had not even hypothesized that to be the case in this early, exploratory research. When I realized how important sexual behavior was, several colleagues and I set out to interview parents and foster parents of sexually abused children more specifically. These adults were routinely quite reactive to our queries.

This unique volume explores issues related to working with children who have nonverbal learning disability (NVLD). It examines how a child's psychology - thoughts, feelings, beliefs - affects his or her functioning and learning. In addition, the book addresses how a child's experiences are processed through individual personality, psychology, culture, environment and economic circumstances, and family dynamics. Using these psychological organizing principles, the book describes how to work most effectively with young patients with NVLD. It offers a new model and definition for understanding NVLD, emphasizing its core deficit of visual-spatial processing. In addition, this book addresses efforts to rename NVLD to developmental visual-spatial disorder (DVSD). It describes the 11 possible subtypes as including a primary deficit in visual-spatial processes and impairment in several additional functional domains, including executive functioning, social/emotional deficits, academic achievement, and motor coordination. The book highlights the need for psychologically minded treatment and provides specific intervention guidelines. It details how to conduct the intake process and create a treatment plan and team and offers practical suggestions for working with a patient's family members. In addition, the book addresses the importance of working with a consistent psychological theory, such as control mastery theory (CMT). It describes the Brooklyn Learning Center Model for treating NVLD and offers guidelines for interventions to support patients academically. The book provides a comprehensive approach to the neuropsychological assessment of NVLD as well as examples of visual-spatial, sensory perception, executive functioning, academics, social/emotional deficits and motor coordination interventions, and all forms used to gather information from patients. Key areas of coverage include: Definition of nonverbal learning disability (NVLD). Efforts toward inclusion in the Diagnostic and Statistical Manual (DSM) and for renaming it to a developmental visual-spatial disorder (DVSD) Guide to general diagnostic testing and assessment. Developing a treatment plan and team for NVLD patients. NVLD therapy and tutoring priorities. NVLD and Developmental Visual-Spatial Disorder in Children is an essential reference for clinicians, therapists, and other professionals as well as researchers, professors, and graduate students in school and clinical child psychology, special education, speech-language therapy, developmental psychology, pediatrics, social work as well as all interrelated disciplines.

Successfully reach out and help children through the worst times of their young lives! Effects of and Interventions for Childhood Trauma from Infancy Through Adolescence: Pain Unspeakable explores an array of trauma-related topics pertaining to children of all ages from a variety of cultures and countries. This book covers the various ego stages of child development and addresses how each one is affected by traumatic experiences. This easy-to-read resource serves as a readily available reference for caregiversprofessional or otherwisewho work with or encounter a child who has been traumatized. In Effects of and Interventions for Childhood Trauma from Infancy Through Adolescence, you'll find actual accounts of traumatic incidents throughout the world, focused specifically on those incidents that have the most devastating impact on large groups of children. This book reviews the research on post-traumatic stress disorder and stress-response related symptoms with brief descriptions of treatments for you to use with children who suffer from posttraumatic stress. Special features of this important tool consist of with an extensive list of organizations and crisis hotline numbers as well as recommended reading, video, and curricula resources. Effects of and Interventions for Childhood Trauma from Infancy Through Adolescence examines traumatic situations from many angles, including: the many faces of traumaaccidents, fire, natural disasters developmental considerations, including ego development, memory development, and the development of fears and responses the way children respond to traumatic incidents the types of interventionsindividual, group, family, pharmacological, and school-based cultural considerations from around the globe how to establish a school-based Trauma Response Team Effects of and Interventions for Childhood Trauma from Infancy Through Adolescence includes real case studies, fictional sample cases, and suggestions that walk you step-by-step through the possible scenarios that can occur with children during or after a traumatic event. Each section of the book ends with a helpful summary highlighting the most important information.

Discover new perspectives and recent research findings to apply to the children and families on your caseload With Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice, you will explore the motor control, learning, and development of children with movement disorders, allowing you to increase the effectiveness of intervention. This book provides cutting-edge information on motor disabilities in children such as cerebral palsy, Down syndrome, or Erb's palsy and how prehension, balance, and mobility are affected. Expert researchers and practitioners offer their findings and techniques for improving motor processes, using figures, tables, and extensive resources to help you create more effective pediatric rehabilitation programs. With this book, you will gain a better understanding of: motor control for posture and prehension the motor learning challenges of children with movement dysfunction predictors of standing balance in children with cerebral palsy the effect of environment setting on mobility methods of children with cerebral palsy the reliability of a clinical measure of muscle extensibility in preterm and full-term newborn infants Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice will help physical therapists, occupational therapists, and other health care professionals implement motor learning concepts safely and effectively. This book also delivers practical advice for achieving the best results with a younger population by utilizing interventions that address the needs of their clients. With this guide, you will be able to determine which approaches are acceptable to the children and families in your practice, and ensure the therapy is meaningful to their daily lives.

Discover new perspectives and recent research findings to apply to the children and families on your caseload With Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice, you will explore the motor control, learning, and development of children with movement disorders, allowing you to increase the effectiveness of intervention. This book provides cutting-edge information on motor disabilities in children such as cerebral palsy, Down syndrome, or Erb's palsy and how prehension, balance, and mobility are affected. Expert researchers and practitioners offer their findings and techniques for improving motor processes, using figures, tables, and extensive resources to help you create more effective pediatric rehabilitation programs. With this book, you will gain a better understanding of: motor control for posture and prehension the motor learning challenges of children with movement dysfunction predictors of standing balance in children with cerebral palsy the effect of environment setting on mobility methods of children with cerebral palsy the reliability of a clinical measure of muscle extensibility in preterm and full-term newborn infants Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice will help physical therapists, occupational therapists, and other health care professionals implement motor learning concepts safely and effectively. This book also delivers practical advice for achieving the best results with a younger population by utilizing interventions that address the needs of their clients. With this guide, you will be able to determine which approaches are acceptable to the children and families in your practice, and ensure the therapy is meaningful to their daily lives.

When we worked on Down Syndrome brain in the past we have been focus ing on adult brain. This was a major step forwards as most work on Down Syndrome was carried out on fibroblasts or other tissues and, moreover, we introduced proteomics to identify and quantify brain protein expression. We considered evaluation of brain protein expression in Down Syndrome brain by and by more important than gene hunting at the nucleic acid level realiz ing the long unpredictable way from RNA to protein. The availability of fetal samples along with the proteomic appproach stimulated and reinforced studies on Down Syndrome brain. And indeed, it was found out that some observations on aberrant protein expression in adult Down Syndrome brain could not be verified in the fetal samples indi cating that neurodegeneration in adult Down Syndrome brain may have been responsible rather than trisomy 21. Using brains from the early second trimester of gestation led to the generation of a series of clues for the under standing of aberrant wiring of the brain in Down Syndrome and enabled the determination of altered key functions in early life; e. g. undetectably low drebrin was observed in Down Syndrome cortex, an integral constituent and marker for dendritic spines, main effectors of cross-talk between neurons. In addition, evaluation of the nature of the neuronal deficits in terms of neuro transmission markers could be established as well as neuronal density in fetal Down Syndrome cortex."

This book provides a comprehensive overview of the process of building healthy early social and emotional relationships with infants from a developmental perspective. The book synthesizes current research on the contextual influences of attachment, family relationships, and caregiving practices on social-emotional development. Chapters examine the processes of socioemotional development-particularly in relationships with parents, other family members, and peers-and identify areas for promoting healthy attachments and resilience, improving caregiving skills, and intervening in traumatic and stressful situations. Chapters also present empirically-supported intervention and prevention programs focused on building early relationships from birth through three years of age. The book concludes with future directions for supporting infant mental health and its vital importance as a component of research, clinical and educational practice, and child and family policy. Topics featured in this book include: The effect of prenatal and neonatal attachment on social and emotional development. The impact of primary relationships and early experiences in toddlerhood. Toddler autonomy and peer awareness in the context of families and child care. Supporting early social and emotional relationships through The Legacy for Children (TM) Intervention. How to build early relationship programming across various cultures. Building Early Social and Emotional Relationships with Infants and Toddlers is a must-have reference for researchers, clinicians and professionals, and graduate students in the fields of infant mental health, developmental psychology, pediatrics, public health, family studies, and early childhood education.

Developmental Language Disorders: From Phenotypes to Etiologies is based on the recent conference of the same name sponsored by the Merrill Advanced Studies Center of the University of Kansas. In the past 10 years, considerable advances have taken place in our understanding of genetic and environmental influences on language disorders in children. Significant research in behavioral phenotypes, associated neurocortical processes, and the genetics of language disorders has laid the foundation for further breakthroughs in understanding the reasons for overlapping etiologies, as well as the unique aspects of some phenotypes. Too often the findings are disseminated in a fragmented way because of the discrete diagnostic categories of affectedness. This volume attempts to assimilate and integrate the findings of the transdisciplinary research toward a more coherent picture of behavioral descriptions, brain imaging studies, genetics, and intervention technologies in language impairment. The contributing authors are all scholars with active programs of research funded by the National Institutes of Health involving diverse clinical groups of children with language impairments.

Your #1 source of pediatric point-of-care clinical information. Every three years, The Harriet Lane Handbook is carefully updated by residents, edited by chief residents, and reviewed by expert faculty at The Johns Hopkins Hospital. Easy to use, concise, and complete, this essential manual keeps you current with new guidelines, practice parameters, pharmacology, and more. The 23rd Edition of this portable reference continues to be the most widely used and most recognized pediatric reference worldwide-an indispensable resource for pediatric residents, students, nurses, and all healthcare professionals who treat young patients.  Trusted for 70 years for fast, accurate information on pediatric diagnosis and treatment.  New audio case files: Listen to residents and faculty at The Johns Hopkins Hospital discuss case studies and healthcare disparities based on topics from this bestselling book.  The popular and comprehensive Pediatric Drug Formulary, updated by Carlton K. K. Lee, PharmD, MPH, provides the latest in pharmacologic treatment of pediatric patients.  Outline format ensures you'll find information quickly and easily, even in the most demanding circumstances.  An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. 

This important treatise reviews the latest clinical models for working with developmental disability and behavioral problems. In the first section contributions explore the causes and nature of behavior problems among people with physical, learning, language, and sensory disabilities, and such specific conditions as epilepsy and acquired brain damage, while those in the second section describe the assessment approaches for evaluating these behaviors. The third section covers treatment strategies emphasizing the importance of an eclectic approach. The contributors, all acknowledged experts in their fields of pediatrics, psychology, and psychiatry, provide a comprehensive overview of this set of major challenges, indicating the importance of auditory detection, understanding, measurement, and treatment.

Drawing on the TEACCH program's twenty years of experience in clinical services, education, and research, this volume synthesizes some of the most important theory and data related to the early identification and intervention in autism and related disorders. Chapters addressing clinical aspects, parental concerns, and legal issues will be useful in helping professionals understand and implement state-of-the-art services for young children and their families.

Explore interventions and treatment methods designed to help curb the alarming trend toward violence in today's youth! Written in jargon-free lucid prose, Psychological Trauma and the Developing Brain: Neurologically Based Interventions for Troubled Children specifically shows how positive early experiences enhance brain development and how traumatic life experiences, especially child abuse and neglect, can affect a child's brain and behavior. Through carefully selected case studies, the book offers basic principles of treatment and a broad range of interventions that target the multiple symptoms and problems seen in children with a history of childhood trauma. Offering a new psychobiological model of child development, this book incorporates the influence of both genes and the environment and conceptualizes normal and pathological development in terms of common underlying processes. For readers concerned with promoting healthy development in children and helping children recover from childhood trauma, this engagingly written book describes exactly how a child's social/interpersonal environment can positively or negatively influence brain development. Throughout the book, the authors highlight the interrelationship between neurobiology and psychology. They present basic information about brain development and organization, describe exactly what is going on inside the brain at each stage of development, and illustrate these concepts through a detailed case study of a preschooler with severe problems in communicating and relating. They discuss the pernicious effects that traumatic stress has on brain and behavior, differentiating between simple and complex PTSD, and review the specific brain impairments currently attributed to a childhood history of maltreatment. Using their unique psychobiological perspective and illustrative case studies, the authors evaluate the principles and strategies of treatment, showing how relationships and experiences can mitigate the effects childhood trauma. After fleshing out the shocking cost to society of child maltreatment, the authors offer broad policy prescriptions that promote healthy development, including basic strategies for prevention and early intervention. Psychological Trauma and the Developing Brain: Neurologically Based Interventions for Troubled Children will show you: how interpersonal experience shapes brain development what is going on in the brain during the critical first six years how therapeutic relationships and interpersonal experience can promote emotional and cognitive development how childhood maltreatment can damage the brain and impair the developing mind what types of experiences and therapeutic strategies can mitigate the effects of childhood trauma what policy prescriptions, programs, and early intervention strategies can be implemented to promote healthy development

This book provides a step-by-step guide to integrating early childhood behavioral health care into primary care with hands-on advice for creating, implementing, and evaluating programs. It discusses the unique advantages of pediatric primary care as a setting for mental health services from birth into the early school years, particularly for addressing parent/child stress and trauma issues. Contributors illustrate in depth how bringing behavioral health into pediatric services can engender care that is replicable and sustainable, not only cost-effective but also clinically effective. Guidelines and case examples from frontline practitioners highlight typical challenges and workable recommendations. Among the featured topics: * The fit between early intervention programs and primary care.* Staffing, workforce development, and funding issues.* On-the-job teamwork concerns, from time constraints to continuity of care.* Culturally competent care geared toward key child care issues.* Intervening with parents of young children in the integrated pediatric setting. Integrated Early Childhood Behavioral Health in Primary Care is an essential resource for clinicians/practitioners, graduate students, and researchers in child and school psychology, pediatrics, and social work.