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A concise yet comprehensive overview of the anesthetic management of pediatric patients with congenital heart disease Designed for ease of use, The Pediatric Cardiac Anesthesia Handbook is divided into two parts: Part One covers the basic assessment of patients, including cardiovascular physiology, the pathophysiology of coronary heart disease, preoperative evaluation, intraoperative management, and interpretation of cardiac catheterization data. Part Two contains templated chapters that address a variety of disorders, allowing easy reference to anatomical and physiological features, surgical therapies, anesthetic approach, and postoperative management. Now in its second edition, The Pediatric Cardiac Anesthesia Handbook contains new chapters on coagulation and blood management, echocardiography, risk scoring systems, and postoperative critical care management, as well as a completely revised chapter on mechanical circulatory support. Providing clear and reliable, this easily referable pocket-sized resource: Addresses the additional complexities of pediatric patients and the anesthetic considerations for non-cardiac surgery after heart and heart-lung transplantationProvides guidelines on specific lesions for the pediatric anesthesiologist caring for cardiac patients presenting for non-cardiac surgeryContains templated chapters that allow easy reference by members of the multidisciplinary team, such as cardiologists, cardiac intensivists, perfusionists, and surgeonsFeatures high-quality illustrative echocardiographic images in every chapter and bulleted content designed for rapid reference Written by an expert author team at the world-renowned Boston Children's Hospital, The Pediatric Cardiac Anesthesia Handbook is a must-have guide and study aid for anesthesiology and cardiac critical care trainees and practitioners who manage patients with congenital heart disease.

Designed to effectively prepare pediatric cardiology fellows and practitioners for board certification and recertification, Pediatric Cardiology Board Review, Third Edition, provides easy access to more than 1,200 board-style questions. Based on the popular Mayo Clinic Pediatric Cardiology Review course and edited by Drs. Benjamin W. Eidem, Bryan C. Cannon, Jonathan N. Johnson, Anthony C. Chang, Frank Cetta, Robert E. Shaddy, and Paul Kantor, it covers all the latest advances in the diagnosis and management of congenital heart disease, provides full explanations for every question, and helps you make the most of your study time.

'Anyone practising generalist paediatrics should have the material within these chapters either hard-wired in, or at the fingertips. This book is ideal for the primary care bookshelf...The authors have ensured that clinicians'paediatric knowledge and skills can only grow with familiarity of their material.'From the Foreword by John Spicer Essential Paediatrics in Primary Care covers the entire breadth of paediatric practice. Written by a team with frontline experience of the challenges and dilemmas faced in diagnosing and treating children in primary care, this practical text contains clear, evidence-based guidance about managing children in primary care and considers when referral to hospital is appropriate. The concise, list-based format enables a rapid, confident and knowledgeable diagnosis to be reached in the short time available in general practice. This reference book is invaluable for General Practitioners and GP trainees wanting to keep abreast of recent progress in paediatric care, but is also ideal for nurse practitioners, health visitors, medical students and paediatricians considering a career in general practice.

Pediatric Emergencies comprehensively covers the practical management of pediatric emergencies based on organ systems, with a strong emphasis on clinical relevance. Each chapter explores the background, classic clinical presentation, atypical clinical presentation, differential diagnosis, diagnostic confirmation, treatment, clinical algorithm, disposition, complications, and pitfalls of each topic. Clinical pearls included in each chapter can be used at the bedside, and case examples allow readers to compare and contrast pediatric complaints to adult presentations. More clinically focused than a traditional textbook, and more comprehensive than a typical clinical guide, Pediatric Emergencies is an ideal resource for emergency providers of various backgrounds and training, including emergency physicians, emergency medicine residents, pediatric emergency medicine fellows, pediatricians, and other primary care providers who work in urgent care settings.

Part of the What Do I Do Now? Psychiatry series, Child and Adolescent Psychiatry provides a practical biopsychosocial approach to assessing and treating psychiatric disorders in children and adolescents. Case studies covered include neurodevelopmental disorders, schizophrenia, mood disorders, anxiety disorders, obsessive-compulsive and related disorders, trauma and stressor-related disorders, factitious disorder imposed on another, feeding and eating disorders, encopresis, gender dysphoria, substance-related and addictive disorders, and delirium. Each chapter includes an overview of the epidemiology of the disorder, common signs and symptoms, key aspects of the clinical assessment, and a biopsychosocial treatment approach with considerations based upon the age and developmental stage of the patient.

This authoritative book explores electrophysiologic testing and therapeutic catheter ablation for cardiac arrhythmias in children, and in patients of all ages with congenital heart disease. It reviews the anatomic and physiologic background to these procedures, emphasizing the tools for mapping and tissue ablation that continue to improve patient outcomes. Additionally, individual chapters are dedicated to specific congenital heart defects (for instance, tetralogy of Fallot, Ebstein's anomaly, univentricular heart) guiding the reader to anticipate the type of arrhythmia, the most likely location for effective ablation, and the technical challenges that may be encountered in each condition.Key Features Provides a detailed review of the unique challenges presented by young patients with small heart size, and patients of any age with distorted anatomy due to congenital heart disease, in this long overdue, updated text Intends to guide all cardiologists engaged in invasive electrophysiology at both the training level and established practice who are exposed to such exceptional cases Includes an internationally recognized group of experts who discuss the technical approaches, success rates, complication rates, and special precautions needed to achieve optimal outcomes

The first volume in the “What Do I Do Now?: Emergency Medicine” series, Pediatric Medical Emergencies uses a case-based approach to cover common and important topics in the examination, investigation, and management of acutely ill children. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. Areas of controversy are clearly delineated with a discussion regarding evidence-based options and a balanced view of treatment and disposition decisions. The book addresses a wide range of topics including neonatal fever, pediatric sepsis, intussusception, and more, and is suited for emergency medicine providers and pediatricians. Pediatric Medical Emergencies is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult pediatric patients. The volume is also a self-assessment tool that tests the reader's ability to answer the question,'What do I do now?'

User-friendly pediatric orthopaedic surgery reference distills clinical practice into essential facts!This third edition of Handbook of Pediatric Orthopaedics by the renowned Paul Sponseller builds on prior editions with recent updates and treatment guidelines on pediatric bone and joint disorders. This compact handbook is a succinct, how-to manual covering a diverse spectrum of pediatric orthopaedic procedures. The book is organized by nine chapters, six of which are dedicated to specific disorder categories. An introductory chapter on anatomy and normal childhood development features norms for osseous and motor development, innervation, growth patterns, predictions, and new guidelines for assessing growth at the pelvis, foot, and hand.Expanded content on skeletal growth, development, and systemic disorders and skeletal syndromes reflects the latest knowledge, such as imaging parameters, clinical treatment standards, and an algorithm for DDH treatment. Cutting-edge advances in the treatment of cerebral palsy, myelodsplasia, and spinal muscular atrophy are detailed in the chapter dedicated to neuromuscular disorders. Pediatric trauma content includes important updates on forearm and femur fractures, an outlined approach to each fracture, and a diagram showing how to reduce each type of Monteggia fracture.Key FeaturesA how-to bulleted guide that walks readers through common procedures including blocks, traction, special casts, aspiration, and arthrogramsHeight and weight multipliers, bone age diagrams, a Lenke classification chart, and the most common lab values are handy clinical references for day-to-day practiceClear, concise drawings, bulleted text, charts, graphs, and diagrams enhance clinical understandingThis is a must-have orthopaedic surgery manual for orthopaedic residents, fellows, and practitioners who treat childhood musculoskeletal disorders. Its compact size also makes it an ideal lab coat companion for medical students during orthopaedic rotations.

The definitive guide to surgical management of epilepsy in pediatric patientsThis fully revised and updated second edition of Pediatric Epilepsy Surgery, edited by internationally renowned pediatric neurosurgeons and epilepsy surgery experts Oğuz Çataltepe and George Jallo, fills a void in the literature, encompassing the full spectrum of topics related to the surgical treatment of intractable epilepsy and seizures in children. The prodigiously illustrated book and its accompanying videos feature contributions from distinguished specialists in several different countries across a wide range of disciplines.From epidemiology, genetics, pathology, preoperative electrophysiological assessment and neuroimaging to state-of-the-art surgical approaches, this remarkable resource covers the full depth and breadth of surgical management of pediatric epilepsy. Topics include awake anesthesia, intracranial stimulation and mapping techniques, temporal and extratemporal epilepsy surgery techniques, insular, multilobar and hemispheric surgery approaches, and diverse disconnection, neuromodulation, and ablative procedures. Insights are provided on postoperative issues including seizure control, neuropsychological and psychosocial outcomes, surgical failure and re-operation, and much more.Key FeaturesA review of topographic anatomy of the cerebral cortex and white matter with numerous illustrations provides enhanced understanding of eloquent anatomy.Discussion of cutting-edge techniques such as stereo-electroencephalography, multi-modality imaging and tractography, endoscopic and laser ablation approaches in hypothalamic hamartomas, peri-insular quadrantotomy, and various hemispherotomy approaches.Overview of common cortical stimulation and mapping techniques including magnetic and electrical stimulation modalities, functional MRI, and the WADA test.13 videos demonstrate seizure semiology, stimulation, awake surgery, hemispherotomy, amygdalohippocampectomy, and endoscopic corpus callosotomy.This state-of-the-art resource is a must-have for epilepsy surgeons and epileptologists. It will also greatly benefit neurosurgeons, neurologists, clinical neuropsychologists, electrophysiologists, neuroradiologists, residents, fellows, and medical students involved in the assessment and surgical management of epilepsy in pediatric patients.

This indispensable resource provides vital guidance for integrating mental health care into your primary care practice. Learn from leading experts the latest information on enhancements to the medical home and on the care of children and adolescents with mental health symptoms that do not rise to the threshold for a diagnosis, as well as those that do.Topics covered include:Assessing and monitoring children's mental health in primary careTriage for psychiatric emergenciesTechniques for engaging patients and families resistant to mental health care or behavior changeCare of children with common mental health signs and symptomsUse of psychotropic medications in primary careAssessment and care of children with unexplained medical symptomsAddressing non-adherence to medical treatment

Pediatric Intensive Care offers clinicians and trainees a concise, easy-to-carry resource on pediatric critical care medicine, designed for frequent and quick reference at the bedside, providing solutions to questions and situations encountered in practice. The book is sized to fit in a pocket and contains focused text, bulleted lists, tables, and figures. The book facilitates the delivery of critical care by a range of practitioners, from residents to generalists in settings where CCM expertise is not readily available, to intensivists.

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

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional pediatric neurology references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation in Pediatric Neurology: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a “curbside consultation” between pediatricians. Dr. Daniel Licht and Dr. Nicole R. Ryan have designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with pediatric neurology. The unique Q&A format provides quick access to current information related to pediatric neurology with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion.Some of the questions that are answered: When should I consider head imaging in a child with headache? CT or MRI? What is the acute management after a concussion? When can a child return to school and sports? What are the important things to consider when you see a child with the complaint of vision changes? Are there any diet changes or vitamins that may help a child with epilepsy? What are the signs of a stroke in a child? Are there other conditions that can present like a stroke? What are common causes of acute ataxia? What are the neurodevelopmental disorders leading to language delay and what work-up is needed? What are the Causes of Guillain-Barré Syndrome, How Often Does It Occur, and How Do You Treat It? Curbside Consultation in Pediatric Neurology: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume pediatricians will appreciate. Pediatricians, family practitioners, and pediatric residents will benefit from the user-friendly, casual format and the expert advice contained within.

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional pediatric sleep disorder references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation in Pediatric Sleep Disorders: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a “curbside consultation” between pediatricians. Dr. Aaron Chidekel has designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with pediatric sleep disorders. The unique Q&A format provides quick access to current information related to pediatric sleep disorders with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion.Some of the questions that are answered: Why do we sleep and what is happening when children sleep? How does sleep change from infancy to adulthood? What are the latest recommendations for safe infant sleep and the prevention of SIDS? What are some pearls or strategies to manage or even better, to prevent behavioral sleep disorders in young children? What is obstructive sleep apnea syndrome? What is narcolepsy and do children actually develop this condition? Which of my patients should have a polysomnogram? Curbside Consultation in Pediatric Sleep Disorders: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume pediatricians will appreciate. Pediatricians, family practitioners, and pediatric residents will benefit from the user-friendly, casual format and the expert advice contained within.

The premier guide to Shonishin — Japanese Pediatric Acupuncture — now in a new editionNow in an expanded new edition, this user-friendly manual remains the foremost instructional reference for the application of Shonishin, or Japanese pediatric acupuncture. The book addresses the unique and often changing circumstances involved in the treatment of infants and children. It focuses on the crucial factors of patient comfort and dosage regulation throughout treatment by gently and painlessly pressing, tapping, scratching, rubbing, and stroking the skin without penetrating it. Stephen Birch, the world's leading authority in Japanese acupuncture and Shonishin, provides valuable clinical guidance and hands-on advice that can be easily integrated into everyday practice.The book begins by presenting the underlying principles and treatment tools used in Shonishin, and then goes on to cover root and symptomatic approaches and techniques, followed by details on how to manage a wide range of specific problems and diseases. More than 75 case histories from around the world present various treatment ideas, methods, and results for the featured condition.Highlights:More than 25 new clinical cases (over 75 cases total) offer useful insights and suggestions for daily practiceNew information on using Shonishin to treat headaches and emotional problems; combining Shonishin with other treatments, such as Bach flowers and Chinese herbal medicine; and using the techniques of Shonishin and the Meridian Therapy root treatmentCoverage of Shonishin for the management of a broad spectrum of illnesses and diseases, including respiratory and digestive ailments, ear infections, allergies, sleep problems, and many moreExercises throughout the book help readers improve their skill and check their techniqueMore than 150 precise illustrations complement and further clarify the textVideo footage of a workshop where the author demonstrates how to do Shonishin and shows real treatments bring concepts to life (accessed through Thieme's Media Center)With Shonishin: Japanese Pediatric Acupuncture, Second Edition, professionals and students in acupuncture, and pediatricians and physical therapists who use acupuncture, will learn from the master the art of non-inserted needling to treat children. This volume contains all of the information that practitioners need to understand Shonishin as a treatment option and refine their technique, and to instruct parents on how to regularly use Shonishin at home, thereby increasing the frequency of treatment.

Now in its fourth edition, Pellock's Pediatric Epilepsy: Diagnosis and Therapy remains the gold standard for diagnosis, treatment, classification, and management of childhood epilepsies. With over 100 distinguished contributors from world-leading epilepsy programs, the long-awaited new edition maintains the breadth and scope the book is known for while significantly updating the science, practice, and therapeutic strategies that continue to move the field forward. At the center of this new edition is the totally reorganized and expanded section on age-related syndromes. There is a major emphasis on new genetic-based classifications and the clinical implications for identifying and managing the various subtypes. New chapters devoted exclusively to Panayiotopoulos syndrome, myoclonic status epilepticus, and autosomal dominant focal epilepsies, among others, cover even more ground than the last edition. Brand-new chapters in the drug and diet section cover perampanel, ezogabine, and lacosamide, while the existing chapters on major medical treatments have been comprehensively updated to reflect the latest trials and studies. Other sections contain new chapters on genetics, non-invasive functional mapping, sleep issues for pediatric epilepsy patients, and more. With more than 80 chapters, Pellock's Pediatric Epilepsy now contains a full discussion of the spectrum of epilepsy disorders, not just seizures. From basic mechanisms and epidemiology, through diagnosis and therapy, to quality of life issues, the new edition of this established reference covers every aspect of childhood epilepsy and will continue to be the definitive core text for all professionals involved in the field. New to the Fourth Edition: Every chapter thoroughly reviewed, revised, and updated Section on age-related syndromes completely reconfigured to align with new ILAE terminology and organization in classifying seizures and forms of epilepsy Major update on disease mechanisms and all treatments for epilepsy, including drugs Increased attention to special populations, including a heavily-updated chapter on the female epilepsy patient New final section covers the epilepsy spectrum, with new chapters on epilepsy and sleep, co-morbidities of childhood, behavioral influence of AEDs, and transitioning to adulthood

This is the first book to comprehensively address neurodiagnostic testing for the broad scope of clinical neurophysiologic disorders in the pediatric population. The field of clinical neurophysiology has expanded exponentially with the development of new approaches, techniques, studies, and certifications. This book bridges the gap in clinical information available for practitioners who use neurophysiologic techniques to evaluate and treat children and adolescents with epilepsy, sleep, neuromuscular, and autonomic disorders but may not have subspecialty training in each individual field.Drawing on the expertise and clinical wisdom of leading practitioners and researchers in each area of clinical neurophysiology, the book focuses on the technical and interpretive skills unique to treating the pediatric population. It covers the full spectrum of neurophysiologic topics including pediatric sleep disorders, epilepsy, febrile seizures and nonepileptic paraxosysmal disorders. Chapters address pediatric muscular dystrophies, EMG, brachial plexopathies, peripheral neuropathy, intraoperative monitoring, evoked potentials, evaluation of autonomic disorders, and EMG studies for all applications. This singular working reference will be indispensable for the clinical provider as well as for trainees and technologists who use a wide diversity of clinical neurophysiologic skills to more accurately diagnose and treat neurologic disorders in children and adolescents. Key Features: Delivers comprehensive information on all areas of pediatric clinical neurophysiology Provides clinical and procedural guidance for performing and interpreting neurodiagnostic tests in children and adolescents Over 100 illustrations of studies and findings amplify the text Brings together experts from the fields of epilepsy, sleep, neuromuscular and autonomic disorders, and neurophysiological monitoringAbout the Editor: Gloria M. Galloway, MD, FAAN is Professor of Clinical Neurology, Ohio State University Medical Center, Columbus, OH

There has been a rapid expansion of knowledge in the field of paediatric calcium and bone disorders over the past twenty years. Advances have been made in the underlying genetic basis for many conditions in conjunction with progress in bone density and geometry imaging and the development of new treatment options. The 2nd revised edition of ‘Calcium and Bone Disorders in Children and Adolescents'presents up-to-date information on many aspects included in the 1st edition such as the physiology, pathology, diagnosis and management of numerous conditions including a chapter of case histories illustrating clinical aspects. New chapters on skeletal dysplasias, the genetics of osteoporosis, radiological imaging of bone and a practical approach to a child with recurrent fractures are included. Providing a comprehensive update, this book is a useful clinical resource for paediatricians and specialists in endocrinology, metabolic bone disease, nephrology, rheumatology, radiology, orthopaedics and clinical genetics who may be faced with a child with a calcium and/or bone disorder.

This groundbreaking new book brings together policy, evidence, practice, service development and children's narrative to provide a far-reaching overview of this vulnerable and traumatised group. It combines powerfully written, moving scenarios and draws on evidence-based research to fully illustrate concepts and present practical ideas for change t

600 pages, 1177 images, with 32 contributors The first volume in the fourth edition of Chadwick's Child Maltreatment provides an overview of the signs and effects of physical abuse and neglect toward children. The clinical text includes essential information for professionals who work to identify, treat, and prevent child physical abuse and neglect. More than 30 medical experts collaborated to provide the latest clinical data and research on topics ranging from burns and bruises in child maltreatment to oral injuries and the effects of chemical abuse. Chadwick's Child Maltreatment, Volume One: Physical Abuse and Neglect features clinical text accompanied by a photographic atlas in the back of the book that includes current case studies and more than 1100 images and illustrations that complement many of the main topics included in the clinical text, plus chapters on radiology and photodocumentation.

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional pediatric GI references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation in Pediatric GI: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a “curbside consultation” between pediatricians.Drs. Joel R. Rosh and Athos Bousvaros have designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with pediatric GI. The unique Q&A format provides quick access to current information related to pediatric GI with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion.Some of the questions that are answered: How is infantile colic diagnosed and treated? How is GERD diagnosed in infants and what are the best treatments? How can I optimize my treatment of childhood constipation and does this vary by age? How can I effectively intervene in a child that is overweight or obese? Celiac disease seems so much more common—is this an epidemic? Why have food allergies become so common and what are the most accurate means of diagnosis? Curbside Consultation in Pediatric GI: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume pediatricians will appreciate. Pediatricians, nurse practitioners, physician assistants, family practitioners and pediatric residents will benefit from the user-friendly, casual format and the expert advice contained within.

Completely updated and expanded, Emans, Laufer, and Goldstein's Pediatric and Adolescent Gynecology, Sixth Edition, covers the medical and surgical approaches to common and uncommon pediatric and adolescent clinical problems. The book discusses the approach to the gynecologic assessment of the child and adolescent, the physiology of puberty and its associated disorders, vulvar dermatology, congenital anomalies of the reproductive tract, endometriosis, ovarian cysts and tumors, vaginitis, STDs, urologic conditions, contraception, teen pregnancy, breast disease, chronic disease, and more. Features: • Now in full color throughout, with more than 700 illustrations to guide the clinician to the correct diagnosis; •Completely redesigned with a new look! 8.5 x 11 trim size and hard cover; • Updated chapters on all aspects of pediatric and adolescent gynecology and new chapters focused on the adolescent interview, vulvar dermatology, gynecologic trauma, imaging techniques, gynecologic issues for cancer patients/survivors, and patient safety in office gynecology; • More than 100 case examples; • Over 40 expert contributors who are leaders in their field; • Up-to-date references; • Companion website with fully searchable text, image bank, extra content, and surgical videos.

A Karger'Publishing Highlights 1890–2015'title A multitude of new developments, not only in the rapidly advancing field of molecular genetics and steroid metabolism but in all traditional areas of pediatric endocrinology, have influenced the diagnostic approach in children and adolescents with endocrine disorders, thus warranting this 4th, revised and extended edition of'Diagnostics of Endocrine Function in Children and Adolescents'. Several chapters have been revised completely and all have been thoroughly updated. In addition, new chapters dealing with the muscle-bone unit and bone metabolism have also been incorporated. The original format of the chapters, which are a combination of in-depth discussion of the diagnostic process, practical conclusions and expert advice based on extensive experience, was maintained. Easy-to-use tables and figures allow for quick reference. Flowcharts of possible diagnostic pathways lead to the most frequent diagnoses. Presenting a broad range of diagnostic approaches, test procedures, and normative data required for establishing diagnoses for a broad spectrum of endocrine disorders, this book is an indispensable reference tool not only for endocrinologists and pediatricians but also for professionals in other specialties seeking evidence-based, rapid diagnostic solutions as the basis of advice and therapy for their patients.

Now in its third edition, and endorsed by both the Royal College of Paediatrics and Child Health and the European Society of Pediatric Infectious Diseases, the Manual of Childhood Infections (known by its readers as The Blue Book) is a simple-to-use, evidence-based, and practical handbook on how to recognise, investigate and manage both common and rare infectious diseases in children and babies. The handbook is divided into two sections, the first of which is syndrome-based and covers all the key diagnosis and management features of common childhood infections, such as sepsis, meningitis, and pneumonia. The second section lists specific organisms, and provides all the key points in the epidemiology, clinical features, and management for all the key infections. Each chapter includes key references for further reading and suggestions for future research. Packed with helpful tips and practical guidance, including lists of alternative diagnoses and useful tables, the handbook also features a neonatal and paediatric formulary of around 100 of the commonest used antimicrobials based on the BNF for Children, but presented in a simple easy-to-use weight based dosing regimen. Common side effects and cautions are also included. The book is aimed at both junior trainees looking after ill children and more senior colleagues who want to check their management plans, and is written for both a UK and European audience, reflecting the range of clinical practice across Europe, while being clear where the evidence base is strongest.

There is ample evidence that children and adolescents in large numbers are actively using integrative (complementary and alternative) therapies. Various studies now indicate that over 50% of pediatricians surveyed would refer a patient for integrative therapy, and they would welcome more natural therapies for children provided they were safe and effective. However, there has been little training for pediatricians in this area. Integrative Pediatrics addresses these issues and provides guidelines for pediatricians, parents, and general audiences in a balanced, evidence-based manner. In this volume in the Weil Integrative Medicine Library series, the authors describe a rational and evidence-based approach to the integrative therapy of childhood disorders and well-child care, integrating the principles of alternative and complementary therapies into the principles and practice of conventional pediatrics. The authors examine what works and what doesn't and offer practical guidelines for physicians to incorporate integrative medicine into their practice and how to advise patients and their parents on reasonable and effective therapies. The text also covers areas of controversy and identifies areas of uncertainty where future research is needed. Chapters also cite the best available evidence for both safety and efficacy of all therapies discussed. The series editor is Andrew Weil, MD, Professor and Director of the Program of Integrative Medicine at the University of Arizon. Dr. Weil's program was the first academic program in the US and he is the major name in integrative medicine in the US, and well-known around the world. His program's stated goal is'to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically.'

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Over recent decades, innovative diagnostic technologies, new therapeutic approaches and steady progress in medical genetics have helped establish the field of bone disease as a stand-alone specialty. Summarizing current knowledge, the physiology of calcium, magnesium and phosphate metabolism, the technique of bone biopsy and uses and pitfalls of bone density scanning are discussed. The main part of this publication describes in detail the disorders associated with hypocalcemia, hypercalcemia, rickets, phosphate metabolism, primary and secondary osteoporosis. The genetic nature of many of these conditions is highlighted and each condition is referred to by the number of its OMIM entry. The final chapter, which distinguishes this book from previous publications on the topic, comprises case reports illustrating some of the problems that are examined in previous chapters. This comprehensive account of disorders related to bone and mineral metabolism makes essential reading for pediatric endocrinologists as well as for clinicians who wish to gain a practical understanding of this important topic.

In many developing and emerging societies, the coexistence of malnutrition and obesity is becoming increasingly prevalent. Caused by a rapid change in terms of economic growth and increased availability of food, the main challenge of this nutrition transition is the balance between short-term benefits and long-term risks of increased metabolic diseases. The publication at hand starts with an epidemiological overview, including regional case studies from India, China and Africa. This is followed by an in-depth evaluation of the phenomenon, focussing on the origin and prevalence of malnutrition and its link to obesity, the possible mechanisms of metabolic injury, and the strategies for preventing the projected epidemic of non-communicable disease. Also stressed is the need for further research to determine which population segments should be targeted at what stages of their lifecycle in order to achieve optimal results. Written by an international panel of experts, this volume will be of particular value for pediatricians, perinatologists, obstetricians, endocrinologists, public health scientists and epidemiologists.

Why and how did ADHD become the most commonly diagnosed mental disorder among children and adolescents, as well as one of the most controversial? Stimulant medication had been used to treat excessively hyperactive children since the 1950s. And the behaviors that today might lead to an ADHD diagnosis had been observed since the early 1930s as “organic drivenness,” and then by various other names throughout the decades.Rick Mayes and colleagues argue that a unique alignment of social and economic trends and incentives converged in the early 1990s with greater scientific knowledge to make ADHD the most prevalent pediatric mental disorder. New movements advocating for the rights of children and the disabled and a massive increase in Medicaid spending on psychotropic drugs all contributed to the dramatic spike in ADHD diagnoses and stimulant use.Medicating Children is unique in that it integrates analyses of the clinical, political, historical, educational, social, economic, and legal aspects of ADHD and stimulant pharmacotherapy. Thus, it will be invaluable to educators, clinicians, parents, and policymakers, all of whom are trying to determine what is in the best interest of millions of children.

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In the United States alone, roughly 300,000 children suffer from some form of arthritis or rheumatic disease, and millions more are at risk of developing one of these diseases. In this marvelously down-to-earth guide, Thomas Lehman--the head of one of the leading pediatric rheumatology programs in the world--offers a gold mine of expert advice invaluable for pediatricians who want to become more proficient in understanding, diagnosing, and treating rheumatic disease in children. Dr. Lehman helps pediatricians interpret their patients'complaints and determine whether and what type of medical attention is needed, explaining what symptoms to look for, what questions to ask, what tests to run, and what to expect when treatment begins. Using illustrative anecdotes, this book sheds light on a wide range of rheumatic disorders--including juvenile arthritis, Lyme disease, lupus, Kawasaki disease, fibromyalgia, and chronic fatigue syndrome--and it addresses such crucial topics as drug safety, genetic considerations, the potential risks to children posed by medications, the difficulty of family life when a child has a chronic disease, and much more. A Clinician's Guide to Rheumatic Diseases in Children captures the expertise of a dedicated physician with over thirty years of hands-on experience helping children lead normal, happy lives. It will help pediatricians make sure that patients achieve the best possible outcome.

Medical textbooks are mainly oriented by body systems, disease or diagnosis, yet practicing physicians are confronted with patients'complaints in the form of symptoms, physical signs or laboratory abnormalities, from which they are expected to reach a diagnosis and proceed with treatment. This book is meant as a pragmatic text for use at the patient's bedside. It classifies common clinical symptoms and signs, laboratory abnormalities and issues of management as they present themselves in daily practice. Special emphasis is given to new knowledge that has accumulated on the molecular pathophysiology and molecular genetics of various kidney diseases in order to deepen and strengthen the practical approach to common problems in pediatric nephrology. Aimed at an audience of general and family practitioners, pediatricians and trainees who are not exposed on a day-to-day basis to pediatric nephrology problems, it provides a logical, concise and cost-effective approach from which they can profit and acquire medical reasoning.

Dr. Stephen Zderic and Pediatric Nurse Practitioner Jennifer Kirk, along with their contributors, provide helpful information for primary care providers to effectively care for their patients and to handle the increasingly complex case load encountered in the clinic. Common conditions and topics addressed: Toilet training Daytime wetting Nocturnal enuresis Frequency, Dysruria, and Meatal problems Urinary tract infections Hematuria Problems with circumcision Groin abnormalities Painful scrotum Disorders of the female genitalia With its user-friendly text, illustrations, and algorithms, Pediatric Urology for the Primary Care Provider is a step-by-step guide to facilitating treatment, operating efficiently, and adding more value to time spent in the office—a must-have resource for employing hands-on patient management and care in pediatric urology. A perfect read for pediatricians, nurse practitioners, physician assistants, and family practitioners.

Increasingly, children with significant medical issues are being incorporated into the general school environment. Given the potential effects of various disorders and conditions on educational prognosis, it is important for neuropsychologists, pediatric psychologists, school psychologists, teachers, and other professionals who are working with these children to be aware of the nature and course of these many disorders as well as the avenues for rehabilitation, accommodation, and classroom modification.In Children with Complex Medical Issues in Schools, Dr. Castillo bridges the gap between research and practice and provides a concise, yet thorough reference that covers a broad range of conditions, from high incidence disorders like epilepsy and meningitis, to those with less obvious neurological underpinnings like asthma and diabetes. Each chapter is written by clinicians with practical expertise with each disorder and includes: Case studies with results from neuropsychological evaluations to elicit understanding into how a student's school functioning may be affected by their medical historyRecommendations for educational modifications and accommodationsData regarding morbidity and mortality rates, related medical issues, and common medical treatmentsInterventions for children with specific medical disorders, along with educational resources that may be accessed via the internet or through other literature

Parenteral nutrition in general is required if nutritional needs cannot be met by oral or enteral feeding. In the paediatric patient, its initiation depends both on individual circumstances and the age and size of the infant or child. This compact reference work on parenteral nutrition in children is based on the ‘Guidelines for Paediatric Parenteral Nutrition'that have been developed jointly by the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), in collaboration with the European Society for Paediatric Research (ESPR). These guidelines were based on systematic literature reviews as well as a formal consensus process of a multidisciplinary panel of professionals. However, as a result of the scarcity of good quality clinical trials in children, many of the recommendations were extrapolated from adult studies and based on expert opinion. A detailed analysis of the available data was performed, and for each statement, the level of evidence and grade of recommendation was assessed. This reference guide has been conceived as an aid for the treating physician to assist him in the decision process, thus being a valuable companion in clinical practice.

Mental health disorders are prevalent in children and adolescents with rates varying from 10 to 20%. Therefore understanding psychiatric disorders of children is a priority in the mental health agenda worldwide. In this publication leading experts discuss topics like Attention-Deficit/Hyperactivity Disorder, schizophrenia, eating disorders as well as substance use disorders. Cross-cultural issues are another interesting aspect as the authors come from diverse cultural backgrounds. Although the focus of this volume is on child biological psychiatry, the authors present findings in an integrative context helping readers to establish the needed connections with the real clinical world. This publication is of valuable reading for child psychiatrists, child psychologists, pediatricians and any mental health professionals working with children and adolescents to update their knowledge in this exciting and new area which is extremely important for implementing contemporary and evidence based treatments for individuals in this age range.

Updated and revised, this is a comprehensive sourcebook of reference data for health professionals involved in evaluating people with abnormal features or syndromes. It includes many graphs, tables, and charts needed by clinicians to define normal patterns of growth and provides standards of comparison for possible congenital abnormalities. Numerous'how-to'illustrations give the step-by-step guidance needed to ensure that standardized measurements are properly taken for accurate recordkeeping. Designed for ease of use, the pocket-sized book has a durable plastic cover, making it ideal for use in the ward or clinic.

For 20 years, KIGS (Pfizer International Growth Database) has provided an outstanding tool for monitoring the use, efficacy and safety of growth hormone (GH) treatment in children with short stature of varying origin. This volume offers a comprehensive update of the continuing experiences in KIGS and is based on data from more than 50 countries and more than 60,000 patients. International experts analyse in detail the basic auxological characteristics of patients and their response to GH treatment for a broad spectrum of growth disorders. These include idiopathic GH deficiency, organic GH deficiency due to a variety of causes such as congenital malformations and syndromes, genetic disorders or treatment for leukaemia or central nervous system tumours and short stature in children born small for gestational age, specific syndromes and systemic disorders. Each growth disorder is also covered by a review of relevant published data by international experts. KIGS has also established itself as a primary source of information about adverse events during long-term GH treatment in children. The recent analysis of KIGS data has revealed no new adverse drug reactions since the 10-year follow-up. Therefore, treatment with GH seems a low-risk intervention in children and adolescents with various growth disorders. The process of developing disease-specific growth response prediction models has been ongoing in KIGS for many years. The available models are accurate, precise and have a relatively high degree of predictive power, although further predictors of the growth response remain to be identified. The KIGS prediction models can be applied prospectively to new patients, enabling their GH therapy to be better tailored and monitored to achieve optimal growth, safety and cost outcomes. The future of KIGS within the era of evidence-based medicine will continue to depend upon the quality of the data reported. Therefore, the commitment of participating physicians will continue to be a decisive element. The ongoing recognition of the importance of valid safety and efficacy information in the practice of paediatric endocrinology is exemplified by this valuable international collaboration of clinicians and the pharmaceutical community.

Grand Award winner! Now—for the first time anywhere—a single pediatric sports medicine resource teams a practical skills-focused text with full-motion video clips that show you exactly “how it's done.” “This is a must-have reference for every pediatrician's office. The videos walk you through everything you need to know about sports medicine injuries in children.” Andrew Gregory, MD, FAAP, Vanderbilt University. Using this innovative multimedia tool, you can view step-by-step demonstrations of the examination and evaluation techniques described and illustrated in the text. See examinations and tests to determine the extent and location of injury. See how preventive strengthening exercises should be performed. Profit from seeing proven approaches to diagnosing and managing sports injuries. Learn which tests to order when. Save practice time with informative patient education handouts.

Test and enhance your diagnostic know-how with this new collection of 50 high-interest case studies. “...Provides terrific photos, quick and concise presentations, treatment options, and relevant pearls for common diseases and some not-so-common processes.” Natalie M. Neu, MD, Doody's Review. Each high-interest case is based on a real-life case and includes a detailed description of patient presentation, evaluation and management questions to gauge your up-front knowledge, step-by-step diagnostic procedures and considerations—including differential diagnosis, and proven treatment and management recommendations for the diagnosed condition. Illustrated with more than 160 full-color photos and radiographs, the cases target diverse signs and symptoms occurring in children from birth through adolescence. The case-based format makes this a superb learning and training tool for residents and other clinicians.