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The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access.
In this happily-ever-after tale, author Debi Lewis learns how to feed her mysteriously unwell daughter, falling in love with food in the process. For many parents, feeding their children is easy and instinctive, either an afterthought or a mindless task like laundry and driving the carpool. For others, though, it is on the same spectrum in which Debi Lewis found herself: part of what felt like an endless slog to move her daughter from failure-to-thrive to something that looked, if not like thriving, at least like survival. The emotional weight of not being able to feed one’s child feels like a betrayal of the most basic aspect of nurturing. While every faux matzo ball, every protein-packed smoothie that tasted like a milkshake, every new lentil dish that her daughter liked made Lewis’s spirit rise, every dish pushed away made it sink. Kitchen Medicine: How I Fed My Daughter out of Failure to Thrive tells the story of how Lewis made her way through mothering and feeding a sick child, aided by Lewis’ growing confidence in front of the stove. It’s about how she eventually saw her role as more than caretaker and fighter for her daughter’s health and how she had to redefine what mothering—and feeding—looked like once her daughter was well. This is the story of learning to feed a child who can’t seem to eat. It’s the story of growing love for food, a mirror for people who cook for fuel and those who cook for love; for those who see the miracle in the growing child and in the fresh peach; for matzo-ball lovers and the gluten-intolerant; and for parents who want to feed their kids without starving their souls.
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
This book is written to simplify complex topics of neonatal and pediatric liver and metabolic diseases which are encountered by clinicians on a day to day basis. Neonatal and early pediatric liver diseases are very much different from adult liver diseases. Most of them are either structural diseases or genetically modulated metabolic disorders affecting liver. They all look same; however the underlying etiology could be quite different. This book thoroughly covers various neonatal and pediatric liver and metabolic diseases through a unique clinical case based approach via a vast clinical experience of the author. The book presents more than 50 unique cases and presents real life learning scenario with various examples facilitating better understanding of the disease and the ways to analyze it. The book uses a simple language and presents line diagrams and algorithms facilitating learning. This book shall be a valuable resource for practicing general pediatricians, pediatric residents and gastroenterologists with involvement in pediatric liver and liver related metabolic diseases.
"Meghan Lamb's debut novel is a marvel. It's an indelible portrait of a nearly forgotten place, full of stunted lives and desperate hopes, decaying homes and fading memories, ghostly presences brought vividly to life. It's a timely exploration of the failures that seep into our lives like slow leaks and the systems that intensify them. It's a haunted landscape made luminous by Lamb's exquisite prose." -Jeff Jackson, author of Destroy All Monsters "Failure to Thrive captures slow collapse like nothing else I've read. It is packed with heartbreakingly acute observation, and yet it is uncrowded and spacious, with a gauzy, hallucinatory quality. Both expansive and economical, it does more with the form of the novel than most books will ever attempt. It's a gem glittering in the dark." -Lindsay Lerman, author of I'm From Nowhere "Meghan Lamb is such an exquisite, comprehensively intelligent, dreamy writer. Failure to Thrive exudes utmost pleasure and a defying ache from every dot of its ink, like the sun." -Dennis Cooper, author of The Marbled Swarm
Failure to thrive affects the lives of many infants and young children at critical times in their development and represents a significant public health problem in the United States. Moreover, this condition is invisible and can affect children for long periods of time before it is recognized. The long-term psychosocial sequelae of failure to thrive have only begun to be recognized but may be more severe than first realized. We do know that the costs to society in terms of acute pediatric hospitalization and long-term rehabilitation, foster care, and mental health treatment of young children who present with failure to thrive are considerable. Children who are diagnosed with failure to thrive represent a special challenge and opportunity for intervention, especially preventive intervention, because it is quite possible that many of the long-term consequences of this condi tion on psychological development can be lessened via early recognition and intervention. However, the potential for preventive intervention in failure to thrive has been limited by the state of the art in scientific knowledge and practice. Despite the frequency with which failure to thrive is encounter ed in ambulatory and inpatient settings, there is little scientific infor mation to guide practitioners. Research on the causes and consequences of failure to thrive has been very much limited by small sample sizes, lack of common definitions, and short follow-up periods. Uncertainties in the science of failure to thrive coincide with the considerable practical difficulties involved in diagnosis and inte~vention.
As we near the 50th anniversary of the landmark article by C. Henry Kempe and his colleagues entitled “The Battered Child Syndrome”, which ushered in the modern era of professional attention by pediatricians and other child health professionals, we have reason for both celebration and concern. We can take heart that over the recent ve decades, a great deal of professional attention focused on the problem of child abuse and neglect. In every state of the country, there are mandatory repo- ing laws that require nurses, physicians, and social workers to report suspicions of maltreatment to the appropriate authorities for investigation. The act of repo- ing provides legal immunity to the reporter except when performed in bad faith. Progress in understanding the factors that place children at risk for harm from ph- ical abuse and neglect now permits prevention and intervention. The peer-reviewed literature dealing with child abuse and neglect has proliferated with high quality work being done and reported on the many dimensions related to the epidemi- ogy, mechanism, treatment, and prognosis of child maltreatment. Efforts are being directed toward developing an evidence-based approach to the prevention of child abuse and neglect. These are some of the positives. However, negatives exist and remain reasons for concern. Despite a tremendous amount of attention to the pr- lem of maltreatment, there are at least 3 million reports of suspected child abuse and neglect made annually, with nearly 1 million cases being substantiated.
A CASE-BASED GUIDE TO PEDIATRIC DIAGNOSIS, CONVENIENTLY ORGANIZED BY PRESENTING SYMPTOMS Symptom-Based Diagnosis in Pediatrics features 19 chapters, each devoted to a common pediatric complaint. Within each chapter, five to eight case presentations teach the diagnostic approach to the symptom. The case presentations follow a consistent outline of History, Physical Examination, and Course of Illness, and are followed by discussion of the Differential Diagnosis, Diagnosis Incidence and Epidemiology, Clinical Manifestations, Diagnostic Approach, and Treatment. Cases are illustrated with vibrant full-color photographs and include numerous tables comparing potential diagnoses. Organized by symptoms--the way patients actually present More than 100 cases teach the diagnostic approach to a symptom Cases illustrate how the same complaint can have a variety of causes Full-color clinical photos and illustrations sharpen your visual diagnosis skills Valuable tables detail the most frequent causes of common symptoms CASE-BASED COVERAGE OF THE SYMPTOMS YOU'RE MOST LIKELY TO ENCOUNTER IN PEDIATRIC PRACTICE Wheezing * Decreased Activity Level * Vomiting * Coughing * Back, Joint, and Extremity Pain * Poor Weight Gain * Abdominal Pain * Altered Mental Status * Rash * Pallor * Fever * Constipation * Neck Swelling * Chest Pain * Jaundice * Abnormal Gait * Diarrhea * Syncope * Seizures Editors Samir S. Shah, MD, MSCE is Director, Division of Hospital Medicine, James M. Ewell Endowed Chair, and Attending Physician in Hospital Medicine & Infectious Diseases at Cincinnati Children’s Hospital Medical Center; and Professor in the Department of Pediatrics at the University of Cincinnati College of Medicine. Stephen Ludwig, MD is Chairman of the Graduate Medical Education Committee and Continuing Medical Education Committee and an attending physician in general pediatrics at The Children's Hospital of Philadelphia; and Emeritus Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.
Brimming with assessment and intervention techniques, this exhaustive resource discusses the medical and developmental consequences of pediatric undernutrition. The authors stress the importance of interdisciplinary teamwork and service coordination in dealing with a range of nutrition and feeding issues, from medical care and child development to community planning and advocacy. This comprehensive volume provides coverage of the numerous difficulties associated with inadequate nutrition in children younger than age 3, including developmental delays, medical conditions that impair growth, and cognitive deficits.