Being sick is a normal part of childhood, and being seriously ill is the unfortunate lot of many children. Every child in the United States has some contact with the healthcare system at some time, and it is estimated that one of every two children or adolescents is hospitalized as a result of illness or injury. Being injured, undergoing routine medical procedures, getting sick, or being hospitalized confront children with challenges on many levels--physical, mental, emotional, and social.
The premise of this volume is that developmental and psychological factors are central elements in many current problems in child health such as persistent crying in infants, sources of children's injury and respiratory illness, children's coping with medical procedures, childhood trauma, and physical and mental well-being in adolescence. Understanding, promoting, and maintaining children's health, therefore, depend to a great extent--and are likely to depend even more in the future--on elucidating the determinants and consequences of children's and parents' health-related behaviors and attitudes.
Chapter contributors include physicians and psychologists who apply principles of developmental and social psychology to their research on specific problems in children's health. Their offerings delineate current areas of collaboration between developmental psychology and behavioral pediatrics. These perspectives should prompt researchers and practitioners to explore additional ways in which more extensive endeavors at the interface of these two disciplines will facilitate efforts to understand children's health behaviors and foster children's well-being. Attention to this work should lead to moredirect clinical applicability and translation for preventive policy strategies as well as therapeutic interventions.

"I just wish I had armfuls of time." These are the words of a four year old facing a life-threatening illness. This text portrays the psychological experience of such children, who are irreversibly changed from the moment of diagnosis. Barbara Sourkes is a psychologist who specializes in psychotherapy with children who have cancer and other serious diseases. In the account, she describes how she works with these children, using drawings, soft toys and dolls, stories and real medical instruments to allow them to communicate their experience of the illness, the treatment they undergo, their relationship with their families, and their feelings of grief and loss in coming to terms with the prospect of death. Making use of the words of children, offering interpretations and practical advice, this is a book that should be useful reading for those concerned with the care of terminally ill children.

Breastfeeding is a biocultural phenomenon: not only is it a biological process, but it is also a culturally determined behavior. As such, it has important implications for understanding the past, present, and future condition of our species. In general, scholars have emphasized either the biological or the cultural aspects of breastfeeding, but not both. As biological anthropologists the editors of this volume feel that an evolutionary approach combining both aspects is essential. One of the goals of their book is to incorporate data from diverse fields to present a more holistic view of breastfeeding, through the inclusion of research from a number of different disciplines, including biological and social/cultural anthropology, nutrition, and medicine. The resulting book, presenting the complexity of the issues surrounding very basic decisions about infant nutrition, will fill a void in the existing literature on breastfeeding.

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 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 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.

Children's dental health involves much more than a toothbrush. Dental disease is the number one chronic childhood illness, and avoiding dental disease means paying scrupulous attention to our children's teeth. In Your Child's Teeth, health writers Evelina Weidman Sterling and Angie Best-Boss team up with pediatric dentists and oral health experts to answer parents' many questions about children's teeth. Topics include: how thumb sucking and pacifiers affect teeth; how to brush your young children's teeth; how to calm a child who is afraid of the dentist; how to help special needs children get proper dental care; how medical problems affect teeth; how fluoride rinses and dental sealants work; how a root canal is done; and how to make the orthodontia decision. This book will help parents help children develop good dental habits for a lifetime of healthy teeth-from baby's first tooth to the young adult's shining smile.

Peripheral neuropathies are diseases which affect the neuromuscular apparatus between the muscles or sensory receptors and connections in the spinal cord and the brain. They affect approximately 20-30% of children attending neuromuscular clinics. Uniquely, this text deals exclusively with such disorders in children and draws together the rapidly expanding but widely scattered knowledge in the field. It is a highly practical text, written by clinical neurologists with long experience in physiology, histopathology and management of neuropathy. This new edition retains the basic structure of its successful predecessor and continues to be liberally illustrated with real case histories. However, extensive revisions and expansion of the text have enabled it to encompass the major developments over the past seven years, including particularly recent advances in molecular biology and therapy of metabolic and inflammatory neuropathies.

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.

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."

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.

Get an in-depth look at pediatric primary care through the eyes of a Nurse Practitioner! Pediatric Primary Care, 6th Edition guides readers through the process of assessing, managing, and preventing health problems in infants, children, and adolescents. Key topics include developmental theory, issues of daily living, the health status of children today, and diversity and cultural considerations. This sixth edition also features a wealth of new content and updates - such as a new chapter on pediatric pharmacology, full-color design and illustrations, new QSEN integration, updated coverage of the impact of the Affordable Care Act, a refocused chapter on practice management, and more - to keep readers up to date on the latest issues affecting practice today. Comprehensive content provides a complete foundation in the primary care of children from the unique perspective of the Nurse Practitioner and covers the full spectrum of health conditions seen in the primary care of children, emphasizing both prevention and management. In-depth guidance on assessing and managing pediatric health problems covers patients from infancy through adolescence. Four-part organization includes 1) an introductory unit on the foundations of global pediatric health, child and family health assessment, and cultural perspectives for pediatric primary care; 2) a unit on managing child development; 3) a unit on health promotion and management; and 4) a unit on disease management. Content devoted to issues of daily living covers issues that are a part of every child's growth - such as nutrition and toilet training - that could lead to health problems unless appropriate education and guidance are given. Algorithms are used throughout the book to provide a concise overview of the evaluation and management of common disorders. Resources for providers and families are also included throughout the text for further information. Expert editor team well is well-versed in the scope of practice and knowledge base of Pediatric Nurse Practitioners (PNPs) and Family Nurse Practitioners (FNPs). NEW! Updated content throughout reflects the latest developments in our understanding of disease processes, disease management in children, and current trends in pediatric healthcare. NEW! Chapter on prescribing pediatric medications emphasizes the unique needs of children in pharmacotherapy. NEW! Practice Alerts highlight situations that may require urgent action, consultation, or referral for additional treatment outside the primary care setting. NEW! Full-color design and illustrations improve usability and learning. NEW! Graduate-level QSEN integration: Quality and Safety Education for Nurses (QSEN) is now introduced in the Preface. The QSEN Safety competency is now emphasized via the new Practice Alert highlights and integration of National Patient Safety Goals and Core Measures. The Informatics competency is addressed with new informatics content in a refocused Strategies for Managing a Pediatric Health Care Practice chapter. The Teamwork and Collaboration competency is addressed by new content on the trending topic of interprofessional collaboration, also in the Strategies for Managing a Pediatric Health Care Practice chapter. The Evidence-Based Practice competency is integrated through icons that reference evidence-based guidelines. Reorganized application of Gordon's Functional Health Patterns provides a more conceptually consistent flow with Gordon's model. Expanded integration of Healthy People 2020 goes beyond the emphasis on physical activity in the previous edition. Expanded coverage of health literacy includes application of health literacy principles - the ability to obtain, read, understand, and use healthcare information to make appropriate health decisions and follow instructions for treatment - in relevant chapters. Additional coverage of growth and development includes a thorough revision of the chapter on developmental management in pediatric primary care along with inclusion of developmental milestones in appropriate chapters. Expanded coverage of assessment, genetics and epigenetics, mental health issues, the Children with Special Health Care Needs (CSHCN) Services Program, and global health reflect the growing impact of these trends on pediatric primary care. Updated coverage of the Affordable Care Act includes a focus on the impact of the Affordable Care Act (including Medicaid expansion) and its implications for access to pediatric healthcare. Updated coverage of the Bright Futures guidelines goes beyond the previous edition's focus on mental health and sexual development. NEW! Focus on diversity (vs culture) offers a greater emphasis on diversity in its many dimensions rather than on culture alone. Refocused practice management chapter has been retitled Strategies for Managing a Pediatric Health Care Practice and eliminates general practice management content that is already covered in other parts of the curriculum to focus on content more specific to pediatric practice management - including the various settings for pediatric primary care, informatics, and other essential topics influenced by the Affordable Care Act, National Patient Safety Goals, and the growing trend of interprofessional collaboration.

Together with Consulting Editor Dr. William Rayburn, Guest Editors Dr. Cynthia Gyamfi-Bannerman and Dr. Russel Miller have curated a state-of-the-art monograph devoted to Advances in Maternal Fetal Medicine. They have secured expert authors to submit clinical reviews for perinatologists. Specific articles are devoted to the following topics: Advances in delivery management for the preterm fetus (magnesium sulfate, late-preterm antenatal corticosteroids); Approaches to stillbirth prevention; Current preterm birth prevention strategies; Neurological outcomes after fetal therapy for complicated monochorionic twins; Innovations in fetal myelomeningocele (fMMC) repair; An update on biologic agents in pregnancy; Telemedicine in obstetrics; The impact of racial and socioeconomic disparities on obstetrical outcomes; Opioids use and misuse in pregnancy; Advances in statewide and national obstetrical QI collaborations; Optimizing term delivery timing and mode of delivery; Preeclampsia; E-Z infections can be quite challenging: Contemporary understanding of Ebola and Zika virus in pregnancy; and Next-generation genetic testing in obstetrics. Readers will come away with the evidence-based recommendations they need to improve patient outcomes.

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 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.

The harmful consequences of alcoholism for the unborn child are still largely unknown. This book presents a detailed description of fetal alcohol syndrome as well as fetal alcohol spectrum disorders with respect to their clinical presentation, diagnosis, epidemiology, and pathogenesis. It also includes detailed considerations of underlying psychopathology, prevention, and therapy as well as the social consequences and impacts to patients.

Clinics in Developmental Medicine No. 162

The Research Programme on Shaken Baby Syndrome in Edinburgh is internationally recognised for its prominent ongoing research into the epidemiology, bio-mechanics, primary and secondary brain insults, neuroradiological aspects, medical-social aspects, and neurodevelopmental and neuropsychometric sequelae of shaking a baby. In this book, a highly distinguished team of experts from the programme present the clinician with the latest findings on the syndrome, covering the diagnosis of the syndrome itself and the long-term disability that results which, unlike other forms of child abuse associated with psychological scars, is also associated with a high degree of life-long physical and intellectual disability. This will be invaluable reading for all professionals concerned with diagnosing and treating this syndrome.

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.

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."

This encyclopedia provides a concise introduction to the mental health topics of greatest concern to adolescents. It offers young readers the information they need to better understand mental disorders and the importance of psychological well-being. Addressing mental illness and prioritizing psychological well-being are important at any age, but the teen years present unique challenges. Hormonal changes, peer pressure, and the demands of school and a busy social life combined with many other factors put adolescents at high risk for mental health problems. Certain disorders, such as depression and anxiety, are particularly prevalent in this age group, as are risky behaviors like substance abuse, self-harm, and distracted driving. Today's teens also face uniquely modern threats to their psychological well-being, such as Internet addiction and social media-induced fear of missing out (FOMO). Yet there are also ample opportunities for adolescents to strengthen their mental health and resiliency through such practices as meditation, activism, and youth leadership. Teen Mental Health: An Encyclopedia of Issues and Solutions is a ready-reference guide to the mental health topics that most affect the lives of American teens in the 21st century. Entries are accessibly written and feature extensive cross-referencing and helpful further reading lists. This volume also offers a collection of recommended resources, including a number of hotlines for teens in crisis. More than 175 carefully curated entries focusing on the mental health issues most relevant to today's teens Up-to-date coverage of 21st-century issues affecting adolescent mental health, such as the overuse of social media and the psychological impact of the COVID-19 pandemic Recommended Resources section providing referral information for teens in crisis, as well as a selection of informative websites and books appropriate for young readers Cross-referencing allowing readers to easily find related information and broaden their exploration of a particular topic