The purpose of this title is to provide a basis for tutors from which to teach undergraduate medical students. It is not intended to be a comprehensive work on paediatric surgery or to cover all the opinions on the subject, but rather to be a practical guide to what the general practitioner should know about paediatric surgery.

Occupation-Centred Practice with Children remains the only occupational therapy book which supports the development and implementation of occupation-centred practice with children. Drawing on the latest occupational therapy theory and research, this new edition has been fully updated throughout, and includes new chapters on occupational transitions for children and young people, assessing children s occupations and participation, intervention within schools, the arts and children s occupational opportunities, as well as using animals to support children s occupational engagement. Key features: * Written by an international expert team of contributors. * Each chapter begins with preliminary questions to assist with consideration of current knowledge, and then reflection questions at the conclusion to allow revision of key content in order to support independent learning. * Highly practical, with a range of case studies, key point summaries, reflective questions, best practice guidelines, and a range of tools, interventions and techniques to aid applications to practice. * A new appendix outlining all the assessments referred to in the book has now been included. Occupation-Centred Practice with Children is a practical, theoretically grounded and evidence based guide to contemporary occupational therapy practice, and is important reading for all occupational therapy students and therapists wishing to make a real difference to children and their families lives.

Written and edited by renowned experts in pediatric anesthesia, Smith's Anesthesia for Infants and Children provides clear, concise guidance on effective perioperative care for any type of pediatric surgery. The 10th Edition contains significantly revised content throughout, bringing you fully up to date with recent advances in clinical and basic science that have led to changes in today's clinical practice. Offers comprehensive coverage of physiology, pharmacology, and clinical anesthetic management of infants and children of all ages. Contains new chapters on Airway Physiology and Development, Normal and Difficult Airway Management, Ultrasound, Acute Pain Management, Chronic Pain Management, Palliative Pain Management, Infectious Diseases, and Education; plus extensively revised content on cardiovascular physiology; induction, maintenance, and recovery; organ transplantation, and more. Features more than 100 video demonstrations, including regional anesthesia videos, echocardiograms of congenital heart lesions, anatomic dissections of various congenital heart specimens with audio explanations, various pediatric surgical operative procedures, airway management, and much more. Provides outstanding visual guidance throughout, including full-color photographs, drawings, graphs and charts, and radiographic images. Includes quick-reference appendices online: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes. Provides an interactive question bank online for review and self-assessment. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Play therapy is a popular and important intervention for many children with psychological problems and traumatic life experiences. Written by a renowned expert in the field, Introduction to Play Therapy provides a basic grounding in play therapy intervention, answering questions such as:
· Who can play therapy help?
· What are the best settings for play therapy?
· How should you train in play therapy?
A variety of models of working with play are explored, and an evaluation of the meaning of childhood is discussed in clear language, illustrated with clinical examples.
This book will help adults who communicate with children in any role, be they parents, teachers or therapists.

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Key Features * Covers allergic diseases in general and asthma in detail, providing a comprehensive coverage of clinical features, diagnosis and management, using a case-based approach * Creates awareness of the fundamentals of clinical allergy, helping physicians make wise choices of medical and surgical management, especially in resource limited settings * Features insight from international authors with clinical experience in diagnosis and treatment of asthma in the specific age group of adolescents and young adults.

Perinatal hospice is a novel form of care for an unborn child who has been diagnosed with a significantly life-limiting condition. In this book, Aaron D. Cobb develops a virtue-based defense of the value of perinatal hospice. He characterizes its promotion and provision as a common project of individuals, local communities, and institutions working together to provide exemplary care. Engaging with important themes from the work of Alasdair MacIntyre and Robert Adams, he shows how perinatal hospice manifests virtues crucial to meeting the needs of families in these difficult circumstances. As a work of applied virtue ethics, this book has important normative, social, and political implications for the creation and development of structured programs of care. It grounds the view that communities ought (i) to devote resources to ensure that these programs are widely available and (ii) to develop social structures that promote awareness of and accessibility to these forms of care. A Virtue-Based Defense of Perinatal Hospice will be of interest to philosophers working in bioethics and applied virtue ethics, as well as scholars in the fields of neonatology, nursing, palliative and hospice care, and counseling who are interested in the study of perinatal hospice.

Human Placental Trophoblasts: Impact of Maternal Nutrition explores the vital roles of trophoblasts play in fetal growth and pregnancy, giving you new insight into the modulation of placental trophoblast functions by nutrients. It also reviews the role of fatty acids, folic acids, and specific vitamins in this aspect. The book highlights the critical role of nutrients on human placental development and its' in utero programming effects on the development of chronic diseases such as type 2 diabetes, cardiovascular diseases, hypertension, and obesity in later life. The book begins with discussions of the central process of placentation and its regulation on size and growth of the fetus. It also covers the effects of key macronutrients on placental growth, metabolism, transport, and secretory function. The text details important vitamins and few micronutrients and their roles in the feto-placental growth and development. It includes information on the influence of maternal lifestyle and environmental factors on regulation of the growth, metabolism and gene expression in the feto-placental unit. A review of the genes linked to the process of placentation rounds out the coverage. An examination of a broad range of evidence in the areas of placental growth, function, and its impact on feto-placental outcome, the book presents new knowledge on nutrition and its relevance with early human development. This includes not only the effects of maternal nutrients on possible neonatal growth and development but also their regulation by maternal lifestyle associated factors. A fine blending of epidemiology, clinical nutrition, perinatal and neonatal medicine, and biochemistry and molecular biology areas of research activities, the book helps you to understand the impact of maternal nutrition on placentation and its relevance with pregnancy outcome and fetal programming of adult health and disease.

Essentials of Pediatric Urology provides surgical trainees with an up to date and comprehensive account of the urological disorders of childhood . In addition, this popular textbook makes a valuable practical contribution to clinical decision making by Adult Urologists and General Pediatric Surgeons who treat conditions of the genitourinary systems in children. This established resource fulfils a unique role as the only international textbook of Pediatric Urology written primarily for trainees and those practising adult Urology, Pediatric Surgery, and Pediatric Urology. The third edition continues to meet this need as well as providing a ready source of reference for non-specialists including Pediatricians and Nurses.

The clinically indispensable guide to using play in therapy, revised and updated.
Featuring new approaches developed since the publication of the successful first edition, The Play Therapy Primer, Second Edition offers health care professionals and students a balance of fundamentals, theory, and practical techniques for using play in therapy. Providing an ecosystemic perspective, the book defines distinctive approaches to the practice of play therapy that readers can integrate into a personalized and internally consistent theory and practice of their own. This timely resource also includes increased coverage of developmental issues and a new chapter discussing diversity issues with case examples.

Presenting stimulating and useful information for therapists at all levels of training, The Play Therapy Primer covers:

• A history of play therapy
• The major theories of play therapy in use today
• Ecosystemic Play Therapy theory and practice
• A conceptual framework for the practice of individual play therapy
• The course of individual play therapy
• Structured group play therapy
• Session-by-session treatment plans

It is commonly accepted that "exercise is good for children" but, considering the number of children worldwide exercising, we know comparatively little, compared to adults, about how specific mechanisms influence health and sports performance. There are considerable obstacles that challenge the progress of paediatric research, not least in relation to ethical and methodological considerations. Therefore, advances in the science and clinical application of paediatric exercise physiology, psychology and biomechanics have not reached their potential. Paediatric clinical exercise physiology has application to the role of exercise in the assessment and treatment of paediatric chronic diseases, the utilization of physical activity in preventing illness and enhancing wellbeing and can enhance our understanding of how sports can be made safer and more enjoyable for our young athletes. Exercise and Respiratory Diseases in Paediatrics highlights research by various methodologies, including literature reviews, experimental research and innovations, applied to children and adolescents with respiratory diseases. Chronic conditions such as asthma, bronchiectasis (e.g., cystic fibrosis), and those associated with prematurity and medical complexity are worldwide health problems for young people and although management includes pharmaceutical medications, physiotherapy, nutritional and psychological support, exercise has a role in optimising multidisciplinary care. There has been unprecedented acceleration in new technologies and methodologies that promise to facilitate paediatric research and these are explained and discussed as future research directions. This is reading for post graduate students, researchers, academics and policy makers within the field of paediatric healthcare, physical activity, physiology and the related disciplines.

"Dr. Wakefield sets the record straight. It was not he who showed callous disregard towards vulnerable, sick children with autism. It was the British medical establishment, the General Medical Council, the media and the pharmaceutical industry."-Mary Holland, Esq., co-founder, Elizabeth Birt Center for Autism Law and Advocacy As Andrew Wakefield states in his prologue, "If autism does not affect your family now, it will. If something does not change-and change soon-this is almost a mathematical certainty. This book affects you also. It is not a parochial look at a trivial medical spat in the United Kingdom, but dispatches from the battlefront in a major confrontation-a struggle against compromise in medicine, corruption of science, and a real and present threat to children in the interests of policy and profit. It is a story of how 'the system' deals with dissent among its doctors and scientists." In the pursuit of possible links between childhood vaccines, intestinal inflammation, and neurologic injury in children, Wakefield lost his job in London's Royal Free Hospital, his country of birth, his career, and his medical license. A recent General Medical Council ruling stated that he was "dishonest, irresponsible and showed callous disregard for the distress and pain of children." Maligned by the medical establishment and mainstream media, Wakefield endeavors to set the record straight in Callous Disregard. While explaining what really happened, he calls out the organizations and individuals that are acting not for the sake of children affected by autism, but in their own self-interests.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

Nutrition in Pediatric Pulmonary Disease is a much needed resource for practitioners that provides a basic understanding of nutrition and nutritional supplements; their impact on physiologic function and how this can be applied for general health maintenance as well as a supplemental treatment for pulmonary diseases. This book provides information on (1) basics of nutrition, supplements and herbs and how they influence physiology (2) their application and potential use for various pulmonary diseases along with evidence regarding efficacy and safety. Also examined are (3) how diet, dietary supplements and herbs are integrated together for treatment and prevention of pulmonary disease. Finally (4) several health promoting diets and their potential benefits to patients with pulmonary diseases will be discussed. Nutrition in Pediatric Pulmonary Disease is an excellent new resource for practicing physicians who are interested in incorporating more nutritional approaches to treating their patients.

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting. Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children. Chapters include case examples with guidance on how to work through similar difficulties and decision-making. While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.

It's a startling reality that more American children are victims-and perpetrators-of violence than those of any other developed country. Yet unlike the other nations, the United States has yet to ratify the United Nations Convention on the Rights of the Child. Compelling, readable, and interdisciplinary, "A Child's Right to a Healthy Environment" provides an abundance of skilled observation, important findings, and keen insights to place children's well-being in the vanguard of human rights concerns, both in the United States and globally.

Within this volume, authors examine the impediments to the crucial goals of justice, safety, dignity, well-being, and meaning in children's lives, factors as varied as socioeconomic stressors, alienated, disengaged parents, and corrosive moral lessons from the media. The complex role of religious institutions in promoting and, in many cases, curtailing children's rights is analyzed, as are international efforts by advocates and policymakers to address major threats to children's development, including: War and natural disasters.Environmental toxins (e.g., malaria and lead poisoning).The child obesity epidemic.Gun violence.Child slavery and trafficking.Toxic elements in contemporary culture.

"A Child's Right to a Healthy Environment" is a powerful call to action for researchers and professionals in developmental, clinical child, school, and educational psychology as well as psychiatry, pediatrics, social work, general and special education, sociology, and other fields tasked with improving children's lives.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

As the worldwide prevalence of morbid obesity among adolescents continues to rise, recent years have seen a large increase in the performance of adolescent bariatric surgery. While surgical intervention often becomes necessary when conservative weight-loss therapies have failed, no standards regarding the post-operative regimen and long-term management of adolescent patients have been established. Thus, the treatment of obesity and its co-morbidities requires a multidisciplinary approach, taking into account epidemiological, clinical, nutritional, and genetic aspects of morbid obesity in the pediatric age group. This volume discusses both conventional therapy and surgical options for morbid obesity in the pediatric age group. In the first part, obesity-related diseases, genetics, and psychological factors are analyzed. The second part focuses on current bariatric surgery procedures, including dietary restrictions and guidelines to prevent nutritional deficiencies common after surgery. Therefore, the book will prove an invaluable resource for pediatricians, surgeons, nutritionists, dieticians, and all other health professionals who treat adolescent obesity.

From Trauma to Harming Others shows the approach of professionals from the world-renowned Portman Clinic, which specializes in work with violence, delinquency and sexual acting out. This book focuses on the intricacies of working with young people who display such worrying behaviours. Written by experienced and eminent authors, the chapters unpack central theories and open up original ideas describing a range of work with sexual offenders, compulsive pornography users and violent young people. The central theme of the book is trauma and how acting out can be understood as a way of managing the psychic pain of such trauma. The chapters are ingrained with understandings from the classical psychoanalytic traditions of the Portman and Tavistock Clinics, together with more recent thinking about trauma, rooted in neurobiological, developmentally and trauma informed theories. They emphasize the need for awareness of both the victim of trauma and the perpetrator within the same person presenting for help, while panning treatment. With insights and examples from experienced clinicians, this book will be of value to all those working with traumatized, acting out young people.

This title includes a number of Open Access chapters. Nutrition is not only a basic need that all humans have to sustain life, but it is also critical to successful early development. This research compendium lends deeper insights into the links between nutrition and healthy brain function-and from the reverse perspective, between nutrition and neurocognitive disorders. This well-organized and accessible compendium offers a vital research context for policymakers, educators, medical providers, and families. It underlines our urgent responsibility to give children a strong start by improving prenatal and early childhood nutrition.

This title includes a number of Open Access chapters. This collection of timely chapters presents a nuanced study of environmental toxins and the risks they pose to children's development. The book details the impact of a number of commonplace environmental toxins, focusing on everyday exposure to tobacco smoke, lead, pesticides, and flame retardants. There is growing recognition that the impact of the environment on children's health is of critical importance for both current and future generations. In the last half-century, thousands of chemicals have been introduced into the environment with limited-although growing-research on the consequences of exposure. It has been proven that children and adolescents are far more vulnerable than adults to these environmental toxins by virtue of children's behaviors, higher metabolic rate, greater skin area relative to their volume, and still developing organ systems. Increased number of ear infections, poor asthma control, and learning disabilities are just some of the adverse outcomes that have been noted. This well-researched book: * Presents detailed information on why children are more vulnerable to everyday toxins * Discusses why new approaches to medical care are necessary that take into account children's unique physiology and development * Offers well-defined research on tobacco smoking on prenatal development as well as children's exposure to tobacco smoke during their early years, particularly the evidence of asthma and asthma-like symptoms * Examines the possible health effects of children born to mothers living in areas of natural gas development * Looks at the health effects of childhood exposure to environmental lead, using GIS technology to study areas of potentially high lead concentrations * Discusses the possible effects of agricultural pesticides on children's health during gestation * Presents studies on prenatal and adolescent exposure to PBDEs used as flame retardants in many household and commercial products to prevent fire This valuable book, edited by a pediatric clinician at Boston's Children's Hospital, provides a wealth of information on this important issue. The book concludes with an article by the World Health Organization, which offers a practical and comprehensive summary of a series of action steps. The book aims to create greater awareness to spur additional research, provide vital information to clinicians, and send a powerful message to government officials, putting pressure on them to develop policies that improve the quality of the environment and spare children the detrimental effects of such exposures.

This title includes a number of Open Access chapters. Child obesity is a serious condition that affects children around the world in growing numbers. With obesity comes an increased risk of other chronic diseases as well, making it even more important to understand and treat this condition from a variety of angles. This current volume seeks to understand the phenomenon of child obesity and presents a range of viewpoints on its prevalence, causes, and treatments. The different sections contained within explore the following topics: * The worldwide prevalence of childhood obesity and its growing effect on children * The causes of childhood obesity and the complex interactions of genetic, environmental, social, and medical factors that contribute to its development * Proposed treatments, some intervention-based and others that aim to change how food is marketed and sold to youth This reference volume offers a comprehensive and thorough guide to a field that is rapidly expanding and points to new directions in research and public policy. Edited by a doctor with extensive experience as a researcher, writer, and medical practitioner, The Childhood Obesity Epidemic is an authoritative and easy-to-use reference that provides resources for researchers in the field, students, and anyone who wishes to gain an overview to this important field of study.

This title includes a number of Open Access chapters. Research into the effects of child abuse has experienced an explosion over the last few decades, resulting in a far more wide-ranging understanding of this grave societal problem. This compendium volume collects some of the most recent research and organizes it within three categories: societal effects, effects on health (including mental health) behaviors, and epigenetic effects. Specific topics include the associations between childhood abuse and the following factors: Juvenile sexual offending Juvenile delinquency Adult aggression Cognitive development Adult smoking Sleep patterns Suicidal behaviors Psychopathology Epigenomic mechanisms Edited by a Harvard developmental behavioral pediatrician, this important compendium offers state-of-the-art knowledge to professionals and graduate students in the helping fields. The articles collected here provide researchers with foundations for further investigations, while they give active professionals greater power in the fight against child abuse.

Multicultural Child Maltreatment Risk Assessment provides detailed descriptions of child maltreatment assessment and key strategies for culturally informed risk assessment in families. The book presents a new model for evaluating families that includes cultural competence, a conceptualization of adequate parenting, and strategies for reflective decision making. Chapters address a range of factors including race, ethnicity, religion, gender, and sexuality. Ten case studies, each including discussion prompts, challenge the reader to apply forensic evaluation techniques for effective and ethical decision making in complex and ambiguous cases. Both experienced mental health providers and students will come away from the book with a deeper understanding of child maltreatment and its effects, models and modes of assessment, and factors that place families at greater risk.

Multicultural Child Maltreatment Risk Assessment provides detailed descriptions of child maltreatment assessment and key strategies for culturally informed risk assessment in families. The book presents a new model for evaluating families that includes cultural competence, a conceptualization of adequate parenting, and strategies for reflective decision making. Chapters address a range of factors including race, ethnicity, religion, gender, and sexuality. Ten case studies, each including discussion prompts, challenge the reader to apply forensic evaluation techniques for effective and ethical decision making in complex and ambiguous cases. Both experienced mental health providers and students will come away from the book with a deeper understanding of child maltreatment and its effects, models and modes of assessment, and factors that place families at greater risk.

This book connects experts in the field of child assessment to provide child psychiatrists with knowledge in evaluation and educational programming. The book provides a review of the latest science behind: common learning disabilities, including etiology and guidelines for assessment/diagnosis; neurodevelopmental disorders, like learning disabilities, ADHD; psychiatric disorders in childhood such as mood and anxiety disorders; and impact learning and development protocols. The Massachusetts General Hospital Guide to Learning Disabilities evaluates the interventions that are effective in addressing these learning challenges in the context of multiple factors in a way that no other current text does. Special topics such as special education law and managing the needs of transitional age youth allow psychiatrists to support their patients' and their families as they navigate the system. By offering a better understanding the learning needs of their patients, this texts gives readers the tools to consult with families and educators regarding how to address the learning needs of their patients at school and in other settings. The Massachusetts General Hospital Guide to Learning Disabilities is a vital took for child psychiatrists, students, assessment professionals, and other professionals studying or working with children suffering from learning disabilities.