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Nelson Textbook of Pediatrics E-Book

Nelson Textbook of Pediatrics E-Book

Robert M. Kliegman | Bonita M.D. Stanton | Joseph St. Geme | Nina F Schor

(2015)

Additional Information

Book Details

Abstract

After more than 75 years, Nelson Textbook of Pediatrics remains your indispensable source for definitive, state-of-the-art answers on every aspect of pediatric care. Embracing the new advances in science as well as the time-honored art of pediatric practice, this classic reference provides the essential information that practitioners and other care providers involved in pediatric health care throughout the world need to understand to effectively address the enormous range of biologic, psychologic, and social problems that our children and youth may face. Brand-new chapters and comprehensive revisions throughout ensure that you have the most recent information on diagnosis and treatment of pediatric diseases based on the latest recommendations and methodologies.

  • Form a definitive diagnosis and create the best treatment plans possible using evidence-based medicine and astute clinical experiences from leading international authors—many new to this edition.
  • A NEW layout provides superior portability and exceptional ease of use.
  • Gain a more complete perspective. Along with a broader emphasis on imaging and molecular diagnoses and updated references, the new edition includes an increased focus on international issues to ensure relevance in pediatrics practice throughout the world.
  • Effectively apply the latest techniques and approaches with complete updates throughout 35 new chapters, including: Innovations in Addressing Child Health and Survival in Low Income Settings; Developmental Domains and Theories of Cognition; The Reggio Emilia Educational Approach Catatonia ; Refeeding Syndrome; Altitude-associated Illness; Genetic Approaches to Rare and Undiagnosed Diseases; Healthcare−Associated Infections; Intrapartum and Peripartum Infections; Bath salts and other drugs of abuse; Small Fiber Polyneuropathy; Microbiome; Kingella kingae; Mitochondrial Neurogastrointestinal Encephalomyopathy; Nonalcoholic Fatty Liver Disease; Plagiocephaly; CNS Vasculitis; Anterior Cruciate Ligament Rupture; and Sports-Related Traumatic Brain Injury.
  • Recognize, diagnose, and manage genetic and acquired conditions more effectively. A new Rehabilitation section with 10 new chapters, including: Evaluation of the Child for Rehabilitative Services; Severe Traumatic Brain Injury; Spinal Cord Injury and Autonomic Crisis Management; Spasticity; Birth Brachial Plexus Palsy; Traumatic and Sports-Related Injuries; Meningomyelocele; Health and Wellness for Children with Disabilities.

  • Manage the transition to adult healthcare for children with chronic diseases through discussions of the overall health needs of patients with congenital heart defects, diabetes, and cystic fibrosis.
  • Understand the principles of therapy and which drugs and dosages to prescribe for every disease.

Table of Contents

Section Title Page Action Price
9780323263528v1_WEB 1
Front Cover 1
IFC_ExpertConsult 2
Nelson Textbook of Pediatrics, 2-Volume Set 3
Copyright Page 6
Dedication 7
Contributors 8
Preface 38
Table Of Contents 39
Videos 70
I The Field of Pediatrics 73
1 Overview of Pediatrics 73
Vital Statistics About Child Health (See Also Chapter 1.1) 73
The Changing Pediatric World 75
Morbidities among Children 76
Situational Special-Risk Populations 77
Children in Urban Settings 77
Children in Poverty 77
Children of Immigrants and Racial Minority Groups Including U.S. Native Americans 78
Children of Migrant Workers 80
Homeless Children 80
Runaway and Thrown-Away Children 80
Children Directly Affected By War and Other Forms of Direct Violence 80
Inherent Strengths in Vulnerable Children and Interventions 81
Global Warming 81
The Challenge to Pediatricians 81
Patterns of Healthcare 81
Planning and Implementing a System of Care 82
Health Services for At-Risk Populations 82
Evaluation of Healthcare 83
The Information Explosion of the 21St Century 83
Organization of the Profession and the Growth of Specialization 83
Bibliography 85
1.1 Innovations in Addressing Child Health and Survival in Low-Income Settings 84
Global Burden and Mortality Trends 84
Causes of Newborn and Child Deaths 84
Understanding Social Determinants and Barriers for Care 87
Evidence-Based Interventions and Innovations to Address Inequities 88
Community Health Workers for Newborn and Child Health 88
The Role of Information Technology and mHealth Platforms 89
Cash Transfers to Reduce Poverty Barriers and Improve Child Health 89
Other Technologies and Innovations 89
Bibliography 92
2 Quality and Safety in Healthcare for Children 91
The Need for Quality Improvement 91
What is Quality? 91
Definitions of Quality-Related Terms 91
Framework for Quality 91
Developing Guidelines to Establish the Standard for Quality 93
Improving Quality 93
Model for Improvement 93
Six Sigma 94
LEAN 94
Management Sciences 95
Measuring Quality 95
Analyzing Quality Data 97
Comparing and Reporting Quality 97
Quality and Patient Safety 98
Medical Errors in Children’s Healthcare 98
Key Issues in Patient Safety 99
Systems Approach 99
Developing a Culture of Safety 99
Communication. 99
Teamwork and Authority Gradients. 99
Human Factors Engineering. 99
Reliability. 99
Implications of the U.S. Healthcare Reform for Quality 99
The Evolution of Quality to Outcomes to Value 100
Information Technology and Quality Improvement 100
Quality Improvement or Research? 100
Expanding Individual Quality Improvement Initiatives to Scale 100
International Efforts for Quality Improvement 100
Bibliography 102
3 Ethics in Pediatric Care 101
Assent and Parental Permission 101
Treatment of Critically ILL Children 103
Transitioning the Goals of Care 103
Withholding and Withdrawing Life-Sustaining Treatment 103
Advance Directives. 103
Artificial Hydration and Nutrition. 104
The Doctrine of Double Effect. 104
Care of Disabled Newborns 104
Declaring Death and Organ Donation 104
Death by Neurologic Criteria 105
Circulatory Death 105
Religious or Cultural Objections to Treatment 105
Pediatric Ethics Committees and Ethics Consultation 105
Newborn Screening and Genetic Testing 105
Adolescent Healthcare 106
Adolescent Assent and Consent 106
Chronic Illness 106
Decisions in Terminally Ill Adolescents 106
Research 106
Balancing Maternal and Fetal Interests 107
Justice and Pediatric Ethics 107
Emerging Issues 107
Bibliography 109
4 Cultural Issues in Pediatric Care 108
The Importance of Culture to Medical Practice 108
Newly Recognized Cultural Groups 108
The Culture of the Medical Profession 108
Cultural Competence 111
Cultural Awareness 111
Cultural Knowledge 111
Cultural Skill 113
Cultural Encounters 113
Cultural Desire 113
Bibliography 114
5 Maximizing Children’s Health: 113
Periodicity 115
Guidelines 115
Tasks of Well-Child Care 115
Infancy and Early Childhood 115
Middle Childhood and Adolescence 117
Office Intervention for Behavioral and Mental Health Issues 117
Strength-Based Approaches and Framework 117
Office System Change for Quality Improvement 117
Evidence 117
Caring for the Child and Youth in the Context of the Family and Community 117
Bibliography 118
5.1 Injury Control 117
Injury Control (Formerly Called Accident Prevention) 119
Scope of the Problem 119
Mortality 119
Nonfatal Injuries 120
Global Child Injuries 120
Principles of Injury Control 120
Risk Factors for Childhood Injuries 121
Age 121
Gender 121
Race and Ethnicity 121
Socioeconomic Status 122
Rural–Urban Location 122
Environment 122
Mechanisms of Injury 122
Motor Vehicle Injuries 122
Occupants 122
Teenage Drivers 123
All-Terrain Vehicles. 124
Bicycle Injuries. 124
Pedestrian Injuries. 124
Ski- and Snowboard-Related Head Injuries. 124
Fire- and Burn-Related Injuries. 124
Poisoning. 124
Drowning. 124
Traumatic Brain Injury. 124
Firearm Injuries. 124
Falls. 125
Violent Behavior and Aggression. 125
Psychosocial Consequences of Injuries 125
Bibliography 126
II Growth, Development, and Behavior 127
6 Overview and Assessment of Variability 127
Biopsychosocial Model and Ecobiodevelopmental Framework: Models of Development 127
Biologic Influences 127
Psychologic Influences: Attachment and Contingency 128
Social Factors: Family Systems and the Ecologic Model 129
Unifying Concepts: The Transactional Model, Risk, and Resilience 129
Developmental Domains and Theories of Emotion and Cognition 130
Psychoanalytic Theories 130
Cognitive Theories 130
Behavioral Theory 131
Theories Commonly Employed in Behavioral Interventions 131
Statistics Used in Describing Growth and Development 131
Bibliography 134
7 Cognitive Development: 133
Methodologies 133
Physical Knowledge Development 135
Social Knowledge Development 135
Theories of Cognitive Development 136
Bibliography 137
7.1 The Reggio Emilia Educational Approach and Child Development and Learning 136
The Emotional Component 138
The Ethical Component 138
The Aesthetic Component 138
Pedagogic Thinking: Core Concepts Around 3 Major Areas 138
The Image of the Child 138
The Image of the Educator 139
The Image of the Contextual Community 139
The Developmental Theories of Greenspan, Vygotsky, and Malaguzzi 139
Greenspan on Well-Being and the Sense of Self 139
Vygotsky and the Reggio Emilia Approach 140
Reggio Approach and Relationships with Parents 140
Bibliography 142
8 Assessment of Fetal Growth and Development 141
Somatic Development 141
Embryonic Period 141
Fetal Period 141
Neurologic Development 141
Behavioral Development 141
Psychologic Changes in Parents 143
Threats to Fetal Development 143
Bibliography 145
9 The Newborn 144
Parental Role in Mother–Infant Attachment 144
Prenatal Factors 144
Peripartum and Postpartum Influences 146
The Infant’s Role in Mother–Infant Attachment 146
Physical Examination 146
Interactional Abilities 146
Modulation of Arousal 146
Behavioral States 146
Mutual Regulation 146
Implications for the Pediatrician 146
Optimal Practices 146
Assessing Parent–Infant Interactions 147
Teaching About Individual Competencies 147
Bibliography 149
10 The First Year 148
Age 0-2 Months 150
Physical Development 150
Cognitive Development 150
Emotional Development 151