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It sounds simple: Women who drink while pregnant may give birth to children with defects, so women should not drink during pregnancy. Yet in the 20 years since it was first described in the medical literature, fetal alcohol syndrome (FAS) has proved to be a stubborn problem, with consequences as serious as those of the more widely publicized "crack babies." This volume discusses FAS and other possibly alcohol-related effects from two broad perspectives: diagnosis and surveillance, and prevention and treatment. In addition, it includes several real-life vignettes of FAS children. The committee examines fundamental concepts for setting diagnostic criteria in general, reviews and updates the diagnostic criteria for FAS and related conditions, and explores current research findings and problems associated with FAS epidemiology and surveillance. In addition, the book describes an integrated multidisciplinary approach to research on the prevention and treatment of FAS. The committee: Discusses levels of preventive intervention. Reviews available data about women and alcohol abuse and treatment among pregnant women. Explores the psychological and behavioral consequences of FAS at different ages. Examines the current state of knowledge about medical and therapeutic interventions, education efforts, and family support programs. This volume will be of special interest to physicians, nurses, mental health practitioners, school and public health officials, policymakers, researchers, educators, and anyone else involved in serving families and children, especially in high risk populations.
This eBook addresses the impact of prenatal exposure to alcohol, and Fetal Alcohol Spectrum Disorders (FASD). It presents a compilation of current research by leading experts in the field and serves as a guide to future directions in FASD research, interventions and treatment. the book includes a comprehensive compendium of our knowledge of the dangers of prenatal alcohol exposure and covers ways to screen and intervene with pregnant women, diagnosis and treatment to ameliorate the effects of prenatal alcohol exposure (through the lifespan), and other related issues, such as building a state infrastructure of health services and legislation. the eBook is intended as a textbook for graduate courses relevant to FASD.
MANAGEMENT OF GENETIC SYNDROMES THE MOST RECENT UPDATE TO ONE OF THE MOST ESSENTIAL REFERENCES ON MEDICAL GENETICS Cassidy and Allanson’s Management of Genetic Syndromes, Fourth Edition is the latest version of a classic text in medical genetics. With newly covered disorders and cutting-edge, up-to-date information, this resource remains the most crucial reference on the management of genetic syndromes in the field of medical genetics for students, clinicians, caregivers, and researchers. The fourth edition includes current information on the identification of genetic syndromes (including newly developed diagnostic criteria), the genetic basis (including diagnostic testing), and the routine care and management for more than 60 genetic disorders. Written by experts, each chapter includes sections on: Incidence Diagnostic criteria Etiology, pathogenesis and genetics Diagnostic testing Differential diagnosis Manifestations and Management (by system) The book focuses on genetic syndromes, primarily those involving developmental disabilities and congenital defects. The chapter sections dealing with Manifestations and Management represents the centerpiece of each entry and is unmatched by other genetic syndrome references. Management of Genetic Syndromes is perfect for medical geneticists, genetic counselors, primary care physicians and all healthcare professionals seeking to stay current on the routine care and management of individuals with genetic disorders.
In the first book of its kind, experts describe how to help people with Fetal Alcohol Syndrome. A summary of recent findings and recommendations is presented by the team who conducted the largest study ever done on people of all ages with Fetal Alcohol Syndrome and Fetal Alcohol Effects. Twenty-one experts from the fields of human services, education, and criminal justice respond by describing their solutions to this problem of a birth defect that targets the brain and has lifelong consequences. Some of the most crippling secondary disabilities that people with FAS/FAE face include mental health problems, disrupted school experience, inappropriate sexual behavior, trouble with the law, alcohol and drug problems, difficulty caring for their children, and homelessness. This book acknowledges the diverse and multifaceted needs of people with FAS/FAE across the lifespan. It will be valuable for parents and the many professionals working with people with FAS/FAE.
Designated a Reference Reviews Top Ten Print Reference Source 2005 The Encyclopedia of Women's Health meets this challenge by bringing together an impressive array of experts on topics from reproductive issues to gastrointestinal illnesses. This skilfully edited volume, informed by current health issues and health-care realities, offers readers practical information, historical aspects, and future directions, all meticulously researched and conveniently presented. Key features include: -Accessible A-to-Z coverage, including AIDS, birth control, hormone replacement therapy, teen pregnancy, sexual harassment, violence, body image, access to health care and more. -Entries spanning the medical, psychological, sociocultural, spiritual, and legal arenas. -Medical topics explored from both conventional and complementary perspectives. -Cross-cultural data illustrate issues as they apply to minority women, rural women, the elderly, and other underserved populations. -Special chapters on disparities in women's health and health care. -Historical overview of women in health - as patients and as professionals. -Suggested readings and resource lists.
This widely used guidebook from expert Ann Streissguth explains how to identify and work with children and adults who have FAS and FAE and how to educate prospective mothers and society at large about this entirely preventable disorder.
Fetal alcohol spectrum disorders (FASDs) have emerged as a major phenomenon within the education, health, criminal justice and social care systems of many countries, with current prevalence figures suggesting that one in a hundred children and young people have FASDs. In this publication, academics, professionals and families from around the world have shared expertise and insights on FASDs. Their combined interdisciplinary perspective makes an invaluable contribution to how we understand and address the complex social, educational and health needs associated with this growing group of children and young people. Articulating fundamental knowledge, cutting edge initiatives and emerging trends in FASDs, this book provides an evidence base that will enable services to identify and respond to the need for action on FASDs. It recognises that families – natural, foster or adoptive – are at the heart of this process, and that their rich knowledge base, grounded in their lived experience, is crucial. Any education, social care, criminal justice or health professional working with children and young people with FASDs and their families will find this book a seminal and authoritative resource.
Prenatal Alcohol Exposure: A Clinician's Guide provides comprehensive, clinically relevant information for mental health practitioners and professionals in educational, vocational, legal, child welfare, and correctional settings who may encounter individuals with a "hidden disability" that compromises their success in career, family, and life. The author is a noted scholar and clinician in the field of fetal alcohol spectrum disorder (FASD), and the book fills a glaring gap in the training literature on prenatal alcohol exposure (PAE). Lacking a diagnosis and the professional assistance they so desperately need, people with FASD can experience great frustration and suffering. Many are institutionalized unnecessarily or have entered the criminal justice system. Drawing upon evidence-based research and employing the most current assessment techniques and treatment strategies, the book aims to help the reader understand that pathophysiology is key to interpreting outcomes and that the effects of PAE vary according to the differential impacts of other biopsychosocial factors. The book emphasizes the need for individual clinicians to develop expert knowledge of PAE, rather than create new alternative services or systems to cater to these patients. Beautifully written and clinically rich, the guide offers in-depth coverage of essential topics: * Through the use of clinical vignettes, the book helps clinicians work through differential diagnoses, recognize the "red flags" that individuals with PAE may exhibit, and implement evidence- and practice-based modifications to care that help patients improve and even thrive.* Over the five decades that the complications of PAE have been recognized in the scientific literature, the terms used to describe the entities have changed. The book helps readers understand this nosological evolution and recognize the bridging of FASD in the interface of PAE and its mental disorder sequelae.* The section on assessment and diagnosis covers the latest techniques, including neuroimaging and psychological testing, both of which are promising although not yet reliable, and laboratory testing for general screening, diagnostic confirmation, monitoring, and risk management.* Chapters are included on pharmacological intervention, which reviews both medications currently in use and those requiring further study and psychological treatment, which focuses on interventions to replace deficits with techniques that correct affect regulation, executive dysfunction, and impulsivity.* Strategies and programs that enhance quality of life, ensure interdependence, and are socially responsible and inclusive are explored in a chapter on the "critical success factors." Proper diagnosis of FASD is fraught with difficulty, and clinicians need specialized knowledge to navigate the red herrings and red flags. Prenatal Alcohol Exposure: A Clinician's Guide equips professionals with the requisite skills and clinical acumen to identify individuals with PAE and provide them with optimum care.