Search results for ""mac keith press""

Vision impairment is a long-term condition caused by disorders of the eye, optic nerve, and brain. Using evidence-based knowledge, theory, and research, this book provides practical guidance for practitioners who are involved in the care and management of children with long-term vision impairment and disability. The book is divided into four sections following the ICF-CY model: (1) eye disorders, vision and brain, (2) child development and learning from birth to older childhood, (3) habilitation, orientation, reading and assistive technologies and (4) social relationships and participation in everyday contexts. International team of experts present up to date vision and neuroscience research and assessment and management approaches. Multidisciplinary approaches for improving function, learning and activity in children with vision impairment. New approach to childhood vision impairment with a focus on assessment, function and participation. Covering all vision disorders and levels of vision impairment, including eye disorders, cerebral vision impairment and complex disability. A useful resource for developmental/and neurodisability paediatricians and clinicians including clinical, neuro- and educational psychologists, occupational therapists, speech and language therapists, physiotherapists; paediatric ophthalmologists and eye clinic staff; mobility/habilitation specialists, educationalists of vision impairment and others; community family support and social care workers.

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Enabling Participation provides a key reference work for health and education practitioners who wish to optimise outcomes for children, young people and families where there is an individual with a childhood onset neurodisability. By focusing on participation -- what is it, how to measure it and how to influence it – the book aims to support professionals to utilise the most recent developments in the field. Written in five parts, the book provides the reader with knowledge about the concept of participation; detailed understanding of how varying contexts influence participation outcomes; how to measure participation as an outcome and as a process; how to intervene to promote participation outcomes; and future directions and challenges. Chapters provide diverse examples of evidence-based practices and are enriched by scenarios and vignettes to engage and challenge the reader to consider how participation in meaningful activities might be optimised for individuals and their families. The book’s practical examples aim to facilitate knowledge transfer, clinical application and service planning for the future.

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The scope of the book includes all neurological problems in infancy. In the first half, it sets out in a succinct format the principles of working with families, of clinical assessment, of the use of investigations and treatments, and of evidence-based medicine. The second, symptom-based half of the book provides detailed guidance on the practice of child neurology in infancy. The authors are distinguished experts drawn from all over Europe. The contributors have approached their chapters using an accessible, didactic style and consistent organization of material. The emphasis throughout is on clinical methods, the use of appropriate investigations and treatments, and the avoidance of unnecessary or potentially harmful interventions. For quick reference, all chapters feature boxes highlighting key messages, common errors, and when to worry. The book is designed to be carried round as a handy reference.

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Among the vast body of literature that has grown around Rett syndrome, this volume is the first to be aimed at both clinicians and researchers. It presents a comprehensive overview of the disorder and examines the areas where gaps in knowledge are most significant. Rett Syndrome is intended to be a guide for both initial examination and in-depth study of the disorder. It is a practical text for the physician approaching the disorder for the first time and a valuable reference resource for the specialist or researcher.

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Clinics in Developmental Medicine No. 172 A comprehensive book dealing with drug, tobacco and alcohol abuse in both children and young people. Presents the facts of drug and alcohol abuse, evidence for prevention and treatment, and reviews of the various types of treatments Reviews all drugs of abuse, including tobacco and alcohol Offers a practical presentation of evidence from particular therapies, such as cognitive behavioural therapy and family therapy Presents a comprehensive review of the pharmacological advances for this age group with substance use disorders and other mental health problems Written by an international team of professionals and academics, each with a background in adolescent development as well as addiction.

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Clinics in Developmental Medicine No. 162 The Research Programme on Shaken Baby Syndrome in Edinburgh is internationally recognised for its prominent ongoing research into the epidemiology, bio-mechanics, primary and secondary brain insults, neuroradiological aspects, medical-social aspects, and neurodevelopmental and neuropsychometric sequelae of shaking a baby. In this book, a highly distinguished team of experts from the programme present the clinician with the latest findings on the syndrome, covering the diagnosis of the syndrome itself and the long-term disability that results which, unlike other forms of child abuse associated with psychological scars, is also associated with a high degree of life-long physical and intellectual disability. This will be invaluable reading for all professionals concerned with diagnosing and treating this syndrome.

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Clinics in Developmental Medicine No. 152 Crying as a Sign, a Symptom and a Signal brings the reader up to date on new evidence concerning the developmental and clinical significance of infant crying in the first few months and years of life. Initially studied as a sign of disease, crying is now being understood not only as a sign, but also as a symptom of problematic functioning in early development. We now know much more about normative patterns of development of infant crying and how they may be manifest in a variety of clinical settings (emergency room complaint, painful procedures, colic, temper tantrums, non-verbal and mentally challenged infants). This has brought about a new conceptualization of the significance of early infant crying which an international team of experts describe and examine. In this authoritative clinical text, both historical and methodological perspectives are brought to a multidisciplinary synopsis of the new understanding of this infant behavior.

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This volume considers the neurodevelopmental disorders such as dyslexia, dyscalculia, dysgraphia, clumsiness and indeed all those learning difficulties to be found in a 'normal' school population with an IQ of more than 70. Specific ideas about the causes of these disorders are presented along with very practical preventative and management information which will be welcomed by a wide range of professionals with an interest in paediatrics, neurology, developmental and educational psychology.

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This book covers both molecular and clinical aspects of Fragile X Syndrome (FXS) and premutation disorders so that new targeted treatments can be understood by clinicians and parents. It covers all premutation disorders including FXTAS, FXPOI and FXAND problems. The main focus is to help clinicians to give the best care possible to patients with FXS and to understand a multidisciplinary treatment approach. Underserved populations such as babies and toddlers with FXS and mothers with the full mutation are highlighted, including the treatments that can be beneficial to them. This book also discuss fragile X associated disorders as they impact the family whose proband has FXS. A highlight of this book is the international perspective on how different cultures deal with FXS and targeted treatments.

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Congenital or early-onset disorders of the nervous system have a profound and lifelong impact on the lives of children and their families. Diseases of the Nervous System in Childhood provides up-to-date information on the full range of these neurological disorders, from fetal and neonatal neurology to adolescence. Movement disorders, epilepsies and seizure disorders, metabolic diseases, auditory and visual disorders, and genetic anomalies are among the many topics covered in this text. Extensive reference lists at the end of each chapter guide the clinician to further relevant reading. This fourth edition retains the patient-focussed, clinical approach of its predecessors. The international team of editors and contributors has honoured the request of the late Jean Aicardi, that his book remain ‘resolutely clinical’, which distinguishes Diseases of the Nervous System in Childhood from other texts in the field. This edition: Is completely revised and updated Includes latest developments in genetic advances Contains new chapters on basal ganglia diseases and psychogenic disorders Has an easy-to-use one volume format with full-colour illustrations

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Clinics in Developmental Medicine Health care professionals need to understand their patients’ views of their condition and its effects on their health and well-being. This book builds on the World Health Organization's concepts of 'health', 'functioning' and 'quality of life' for young people with neurodisabilities: it emphasises the importance of engaging with patients in the identification of both treatment goals and their evaluation. Uniquely, it enables health care professionals to find critically reviewed outcomes-related information. The authors are leaders in their respective research fields and discuss theory, concepts, and evidence, and how these are applied in clinical settings and research applications. Readership: Health care professionals working with children and youth with neurological and developmental conditions, wanting to expand their clinical or research horizons. Frontline service providers, health services and social science researchers, clinical program managers and policy makers concerned with ensuring that their clinical or programmatic services are addressing contemporary issues as effectively as possible. Students in the health professions and others in related fields (such as social work).

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Individuals with childhood-onset physical and developmental disabilities often have special needs around exercise and physical activity. However, most books on this topic are written for exercise science experts who may not always be the frontline service provider. This book provides clear and evidence-based information on how to evaluate, train, and foster physical activity and fitness in individuals with childhood-onset disabilities safely across the lifespan. It is written for frontline service providers, such as clinicians and other rehabilitation professionals, as well as individuals with childhood-onset physical and developmental disabilities and their families. The authors thereby respond to specific needs and enable multiple parties to lead more physically active lives. Themes include physical fitness and activity assessment and training, safe engagement, measurement of activity levels and progress, and responses to pain. It includes disorder-specific chapters that apply the general principles of physical activity training to specific diagnoses including autism and juvenile arthritis.

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From time to time in the field of healthcare, an exciting new development emerges to challenge and potentially transform thinking and behaviour. The International Classification of Functioning, Disability and Health (ICF) and its framework is undoubtedly one of these transformative resources and is increasingly widely used in the field of childhood disability. This accessible handbook introduces the ICF to professionals working with children with disabilities and their families. It contains an overview of the elements of the ICF but focusses on practical applications, including how the ICF framework can be used with children, families and carers to formulate health and management goals. The Appendices contain case studies for individuals and interdisciplinary teams to work through and discuss, alongside other resources, and a copy of an ICF code set for children and youth is available to download online. Importantly, the book includes a chapter written by a parent of a child with impairments, illustrating the potential diverse applications of the ICF framework. The ICF’s relationship with patient-reported outcome measures (PROMs) and future alternatives to the current ICF framework are also examined. Clinicians, paediatricians and other healthcare providers in neurodisability, community-based health professionals, policy makers and the families and carers of children with disabilities will find this title an indispensable resource.

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This book is the first to provide comprehensive information in one place on the management of neuromuscular disorders (NMDs) in children. Written by experts from the international NMD community, this volume describes the natural history of the most frequent NMDs, such as Duchenne muscular dystrophy spinal muscular atrophy, hereditary neuropathies, congenital and metabolic neuropathies and myasthenic syndromes. Best practice management of key functions typically affected by NMDs, such as, cognition and mental health, respiratory function, gastrointestinal, nutritional and cardiology management is provided. Sexual issues and transition to adulthood are also discussed. The final part of the book provides a critical review of new evidenced-based management approaches to NMDs. The large number of healthcare professionals involved in managing children with NMDs will find this a useful one-stop reference resource

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Have you ever Wondered how to deal with a family that repeatedly fails to keep clinic appointments? Disagreed with colleagues over a proposed course of treatment for a child? Considered ways to 'bump' a child on a waiting to speed up their assessment? These are a few of the scenarios faced by clinicians in neurodisability on a daily basis. Ethics in Child Health explores the ethical dimensions of these issues that have either been ignored or not recognised. Each chapter is built around a scenario familiar to clinicians and is discussed with respect to how ethical principles can be utilised to inform decision-making. Useful "Themes for Discussion" are provided at the end of each chapter to help professionals and students develop practical ethical thinking. Ethics in Child Health offers a set of principles that clinicians, social workers and policy-makers can utilise in their respective spheres of influence.

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This book presents the latest evidence-based approaches to assessing and managing movement disorders in children. Uniquely, the authors have chosen to examine not just children with developmental coordination disorder, but also children with movement difficulties as a co-occurring secondary characteristic of another development disorder, including Attention Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, Specific language Impairment and Dyslexia. Guidelines are underpinned by motor learning theory, empiricism and professional practice. The authors have taken an ecological approach to management and show how professionals and carers working together can make relatively simple changes in a child's life that aggregate to substantial support. The book is rich in case studies to demonstrate the adaptability of these guidelines and show how they may be applied to children of different ages, abilities, and environments. The final chapter is comprised of interviews of thirteen notable clinicians and academics with intervention methodologies from around the world. This book is a valuable guide for anybody working with children with movement difficulties, including clinicians, teachers and parents.

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A better understanding of neural activity and the development of cortical connections and networks is an important requirement for evaluating the cause and treatment of neonatal seizures. There have been many advances in the management of neonatal seizures such as increased use of EEGs, therapeutic hypothermia for HIE and exome sequencing, to name a few. Neonatal Seizures, Current Management, Future Challenges distils what is known about these advances into one scholarly yet practical text.

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The only complete, scientifically rigorous, fully integrated reference giving a wide ranging and in-depth perspective on cerebral palsy and related neurodevelopment disabilities. It considers all aspects of cerebral palsy from the causes to clinical problems and their implications for individuals. Leading scientists present the evidence on the role of pre-term birth, inflammation, hypoxia, endocrinological and other pathways. They explore opportunities for neuroprotection leading to clinical applications. An international team of experts provides clinicians and researchers with key information on the mechanisms underlying impairments in movement, development, cognition, communication, vision, feeding, behaviour, sexuality, and musculoskeletal deformities. They present a wide range of person-centred assessment approaches, including clinical evaluation, measurement scales, neuroimaging and gait analysis. The principles of multi-disciplinary management are presented, in terms of therapist intervention, medication and surgery. The perspective of the book spans the lifelong course of cerebral palsy, taking into account worldwide differences in socio-economic and cultural factors. Many chapters are illustrated with clinical vignettes enabling direct translation into practice. Full integrated colour, with extensive cross-referencing make this a highly attractive and useful reference.

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Neurological disorders in children are common: families want to know what is wrong, why it happened, and whether it will happen again. Management and treatment depend on establishing the diagnosis, which usually requires investigations, but the number of possible neurological investigations is now very large indeed, and uncritical investigations may be seriously misleading and often costly. This book, based on the authors’ vast combined personal experience, gives practical guidance on how to target any specific condition with the minimum of tests. Part 1 is a brief distillation of advice on clinical history and examination, introducing the problems that beset those who deal with neurological disorders in childhood. Part 2 outlines the investigations available to solve these diagnostic problems. Part 3 takes a problem-oriented approach to the most appropriate investigations in the various clinical scenarios that may present to the practitioner: the starting point is the patient’s presentation, not the diagnosis. Throughout, vignettes of real cases help to illustrate the use of the tests in different clinical situations. The authors co-wrote the hugely popular Handbook of Neurological Investigations (“the Blue Book”) 20 years ago. This new book, while closely following the highly successful approach of the earlier title, is thoroughly up to date, with fresh material, new case vignettes, and additional investigations covered.

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The only book to deal specifically with the treatment of gait problems in cerebral palsy, this comprehensive, multi-disciplinary volume will be invaluable for all those working in the field of cerebral palsy and gait (neurologists, therapists, physiatrists, orthopaedic and neurosurgeons, and bioengineers). The book is divided into two parts. The first is designed to help the reader evaluate and understand a child with cerebral palsy. It deals with neurological control, musculoskeletal growth, and normal gait, as well as cerebral injury, growth deformities and gait pathology in children with cerebral palsy. The second section is a comprehensive overview of management. It emphasizes the most fundamental concept of treatment: manage the child's neurologic dysfunction first and then address the skeletal and muscular consequences of that dysfunction. The book has been thoroughly updated since the previous edition, with a greater focus on treatment and several entirely new topics covered, including chapters on the operative treatment of orthopaedic deformities.Video files are now available with all book purchases as a free digital download - contact admin@macKeith.co.uk for more information.

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Clinics in Developmental Medicine No. 176 The book provides a review of the state of the art of neurological assessment in the first two years of life and identifies the most appropriate instruments for the follow-up of newborns who are at risk of developing neurological abnormalities. After a brief description of the neurophysiological basis of development in the first years, the book provides a comprehensive review of the various methods used for the neurological assessment in young infants describing how a combined approach of clinical and instrumental investigations can provide important diagnostic and prognostic information. The first part of the book describes the most used clinical neurological examinations and their applications in infants with neurological abnormalities, followed by a description of the value of neuroimaging and neurophysiological techniques in normal preterm and full term infants in the first two years and the main types of abnormal MR findings of neurophysiological findings (EEG and evoked potentials) in relation to brain lesions.Other sections include chapters describing techniques assessing specific aspects of cognitive, perceptual and sensory abilities. Special attention is given to hearing, language and communication and to development of vision and visual attention both in normal infants and in those with neonatal brain lesions. The final chapters are devoted to intervention, describing how the identification of specific profiles of impairment can lead to the development of appropriate plans of early intervention.

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This book advocates a new approach to the clinical management of the musculoskeletal system in children with cerebral palsy based on the concept of intervention to a complex adaptive system with the aim of improving the lived experience of the child with cerebral palsy. Provides a critical review of the current understanding and management of musculoskeletal deformity in children with CP, in the context of the available evidence base and models of clinical practice. Transfers current understanding of muscle and bone physiology and impairment, from the realms of research into mainstream clinical thinking Discusses an alternative clinical model of assessment and intervention, focusing on impairment of muscle growth and function Considers the musculoskeletal system in a child with cerebral palsy as a linked system of interactive processes and subsystems, extending from individual molecules to the child and their environment. The concepts discussed regarding clinical knowledge, evidence, causation, and complex adaptive systems are relevant to the clinician, child, and family, and the possibility of new models and new therapeutic approaches offer exciting future opportunities to improve the child’s interaction with, and experience of, the world of which they are a part.

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This highly practical book brings the examination of minor neurological dysfunction developed by Bert Touwen and his colleagues in Groningen right up to date, which is timely in view of the increasing interest in and use of this approach. The approach is a detailed and extensive neurological examination with the aim of detecting a possible neurobiological basis for learning, behavioural and motor coordination problems in a child and thus informing decision-making and management. It provides a refined, sensitive and age-appropriate technique, designed to take into account the developmental aspects of the child’s rapidly changing nervous system. This third edition of Bert Touwen’s classic handbook has been updated by Mijna Hadders-Algra to reflect contemporary clinical practice. A new chapter assesses the reliability and validity of the methodology, and the book now includes norms for comparison, as well as practical management guidelines based on current clinical practice. Entirely new photographs and diagrams illustrate the assessment techniques clearly. Videos illustrating typical and atypical performance and an electronic assessment form accompany the book. Contact admin@mackeith.co.uk for access ReadershipPaediatric neurologists, physicians working in neuropaediatrics, developmental paediatrics, child and adolescent psychiatry, and paediatric rehabilitation.

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The leukodystrophies are serious, progressive disorders of demyelination, manifesting themselves in infancy or early childhood and progressing rapidly, leading to loss of sight, hearing, speech, and ambulation, and early death. A comprehensive guide to the genetics and pathogenesis of these disorders, as well as their clinical features, diagnosis and therapy, is needed, particularly as their early identification can allow more effective treatment. This book is the only up-to-date, comprehensive text on leukodystrophies. Its purpose is to summarize for the reader all aspects of the inherited disorders of myelin in children and adults. After a comprehensive overview of myelin and the role of oligodendrocytes, astrocytes and microglia in white matter disease, chapters are then devoted to individual disorders, covering their biochemical and molecular basis, genetics, pathophysiology, clinical features, diagnosis, treatment and screening. The final chapters address therapeutic approaches in leukodystrophies and present a clinical approach to diagnosing leukoencephalopathies in children and adults. The book was conceived by Hugo Moser, whose research led to major developments in the treatment of adrenoleukodystrophy, and is dedicated to him by his colleagues. Readership: Paediatric and adult neurologists, paediatricians, geneticists.

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The third edition of the Gross Motor Function Measure (GMFM-66 & GMFM-88) User’s Manual has retained the information contained in the original 2002 and 2013 publications which included the conceptual background to the development of the GMFM, and the administration and scoring guidelines for people to be able to administer this clinical and research assessment tool appropriately. This includes information on the development and validation of two abbreviated methods of estimating GMFM-66 scores using the GMFM-66- Item sets (GMFM-66- IS) and the GMFM-66- B&C (Basal & Ceiling) and a chapter providing a longitudinal case illustration of how the measure and the short forms of the GMFM can be applied and interpreted in clinical practice. The new edition includes information and an Appendix on the updated version of the Gross Motor Ability Estimator scoring program (GMAE-3), which is available through the GMFM App+ (see the CanChild website at (https://www.canchild.ca/en/shop/38-the-gross-motor-function-measure-app).

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Recent Advances in the Neurological and Neurodevelopmental Impact of HIV brings together world-leading experts in the field of HIV, to provide new and critical insights into HIV treatment and management for children and adolescents. Those infected with HIV are living longer thanks to antiretroviral drugs, and HIV-related neurological and neurodevelopmental disorders therefore require urgent attention, particularly complications which arise from long-term medication use. The authors summarise key findings in these important areas, as well as gaps in research and implications for paediatric HIV work. Readers will discover ways of optimising the neurological health of children and adolescents living with HIV through better care provision and earlier intervention. Outlines the important clinical neurological issues facing children and young adults with HIV infection Presents up-to-date diagnostic and treatment approaches Provides practical clinical strategies to improve the care of children and adolescents with HIV An essential resource for all clinicians involved in the care of children and adolescents with HIV and their families, including doctors, paediatricians, psychologists, and other health practitioners and researchers.

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This handbook provides easily accessible information on the aetiology, assessment and management of nutritional disorders in children with neurodisability. Succinct review of current evidence and guidelines is used to inform best practice. Early chapters outline the normal anatomy and physiology of feeding before considering the assessment and management of disordered feeding, and impact on nutritional status. Subsequent chapters discuss nutritional assessment and management supported by clear illustration of anthropometry techniques. Further consideration of the consequences of under and over nutrition, and impact on bone health is included. Dedicated chapters on associated gastrointestinal problems, management of drooling and dental care consider related comorbidities commonly experienced by children with neurodisability. A dedicated chapter on the use of tube feeding considers specific nutritional requirements and psychological aspects of intervention. Clinical vignettes are used to illustrate key learning points throughout.

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This book reviews important findings from the Extremely Low Gestational Age Newborn Study (ELGAN), the largest cohort study ever completed involving individuals born extremely prematurely. With a focus on pre-, peri-, and post-natal inflammation, this study identified potentially modifiable risk factors and pathways antecedent to a broad range of neurodevelopmental impairments, as well as asthma and obesity, during middle childhood. These findings will be of interest to both practicing neonatologists and developmental paediatricians, as well as researchers interested in the prevention of adverse child health outcomes and promotion of positive health among individuals born extremely preterm. The only book to summarise findings from the Extremely Low Gestational Age Newborn Study, the largest and most comprehensive cohort study ever conducted of this high-risk group. A comprehensive ‘one-stop-shopping’ resource. A broad range of neurodevelopmental outcomes are included, as well as the relationship of these outcomes to pre-, peri-, and post-natal risk factors. A focus of the study was perinatal inflammation, and the methods used to evaluate inflammation are the most comprehensive ever undertaken in an epidemiologic study of individuals born extremely preterm. The results of the ELGAN study will help Make a difference in the care and outcome of children born very early and make an important contribution to preventing learning and behavioural problems in children.

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This handbook presents a new, practical and logical way of assessing development in preschool children that can be applied across the developmental spectrum. The reader is taught how to confirm whether development is typical and if it is not, is signposted to the likely nature and severity of impairments with a plan of action. The author uses numerous case vignettes from her 40 years’ experience to bring to life her approach with clear summary key points and helpful illustrations. Clarifies ‘what is being tested’ and the rationale behind traditional tests Includes tables showing the ages at which 50% and 90% of children achieve a specific domain Describes permissible assessment adaptations for children with impairments. This title will be of value to paediatricians, paediatric neurologists, developmental psychologists, health visitors, specialist nurses, speech-, occupational- and physiotherapists, ophthalmologists, orthoptists, audiologists and audiometricians at every level of experience in the care of children from 0 to 5 years.

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This comprehensive and authoritative book discusses the critical role of the utero-placenta in neurodisability, both at term and preterm. It examines aspects of fetal compromise and possible cerebro-protective interventions, recent evidence on fetal growth and mental illness, as well as cerebro-therapeutics. Throughout the book, information from the basic sciences placed within the clinical context. Written by leading obstetricians, neonatologists, paediatricians and pathologists. Discusses the role of placenta in the pathophysiology of CNS Examines recent evidence of endocrine, haematological and inflammatory origins of utero-placental dysfunction Reviews latest advances in antepartum and perinatal imaging

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Unlike much of the literature on Tourette syndrome disorders, this book moves away from focusing on the tics and acknowledges that sometimes it is the disorder, such as ADHD, DCD, and OCD, that is the most pressing problem. Roger Freeman, considered a world expert in developmental neurology, shares his vast experience on tic disorders in an informal but highly informative style. He discusses recent advances in the identification and management of tic disorders that many clinicians may be unfamiliar with. Multiple illustrative case histories address many of the mistaken assumptions about tics that are made in everyday clinical practice. Extensive reference lists provide a rich resource for the both the clinician and the researcher. Paediatricians working in neurodisability and child development, child and adolescent psychiatrists and psychologist, neurologists and other health professionals who manage patients with tic disorders will find this book an excellent resource.

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Covering the range of pediatric spinal cord disease, its clinical assessment, appropriate investigation, its medical and neurosurgical management and neuro-rehabilitation. Spinal cord disorders have tended to be approached as adjuncts to disorders of the paediatric brain or peripheral nervous system. This is partly a function of numbers – specifically spinal pathologies being less frequent than those of the brain and the peripheral neuromuscular system, partly a function of the relatively limited investigation techniques available before the advent of MRI and, at least to some degree, it is because the clinical evaluation of the spinal cord in young children is difficult and may be overshadowed by the manifestations of accompanying brain and peripheral neuromuscular symptomatology. It is likely that the role of the cord, in conditions ranging from neonatal neurological injury to shaken impact syndrome and in inflammatory and neurometabolic disorders and beyond, will continue to become more evident over coming years. Readership: Pediatric neurologists; Pediatric neurosurgeons; Pediatric oncologists; Pediatric neuroradiologists and neurophysiologists; Rehabilitation physicians and therapists.

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This book is written to assist those who have responsibility for the nutritional and gastrointestinal care of children with neurodisability. The emphasis throughout is on the importance of multidisciplinary care. It is concerned with the problems surrounding the nutritional management of children with neurological impairment who have difficulty swallowing and feeding. Written from a multidisciplinary perspective by a group of authors with considerable clinical and research experience in this area, it covers: ? The epidemiology of feeding disorders in children with cerebral palsy ? Nutritional assessment ? Evaluation of oral-motor function ? Dietetic management ? Nursing issues in the nutritional care of the disabled child ? Tube feeding ? Gastrointestinal problems and their investigation

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Clinics in Developmental Medicine No. 170 Elimination disorders (nocturnal enuresis, urinary incontinence and encopresis) are among the most common disorders of childhood. Some disorders are primarily genetically determined, in others environmental factors predominate. Also, the rate of comorbid behavioural disturbances differs greatly from one syndrome to another. Because of this variety and heterogeneity, each disorder requires specific approaches in assessment and treatment. This book provides an evidence-based overview of functional elimination disorders. It draws on the standardisation and terminology suggested by the International Children's Continence Society. Short case vignettes, photos and line drawings, as well as questionnaires and charts are provided. To enable a quick orientation for clinical purposes, each chapter is followed by summaries, guidelines and diagrams. It will be of interest to all professionals working in the field.

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Autism is not a single disease but a syndrome of different diseases. In this completely reworked and updated third edition, two world authorities, Christopher Gillberg and Mary Coleman, address the difficulties this presents for clinical diagnosis with diagnostic aids and clear guidelines for medical evaluation. Epidemiology, neuropsychological studies and behavior complexes, such as self-injury, are reviewed in detail, and the authors give a detailed explanation of what is known about the molecular biology and genetics of autism. Epilepsy and electrophysiological studies are also covered, as well as biochemistry, endocrinology, immunology, brain imaging and neuropathology. The available medical therapies are reviewed, along with an update on what is known about other interventions, such as psychoeducational and behavioral modification procedures. The book concludes with an integration of current knowledge from diverse fields. This is an essential text for clinicians and will also be of interest to parents of autistic children.

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This is a very practical book on the value of behavioural techniques in the treatment of children with various disorders including hyperactivity, conduct problems, autism and communication difficulties. Written by an international group of experts, it will provide practitioners in the field with a clear picture of the value of behavioural methodology. It also stresses the necessary assessment and evaluation procedures required in order to implement the techniques appropriately.

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This book is based on presentations and discussions of a group of world-renowned experts during a symposium “International Cerebral Palsy Function & Mobility Symposium: Improving Quality of Life for Individuals with Cerebral Palsy through Treatment of Gait Impairment” which was held in Banff, Canada, in December 2019. Clinicians and scientists are paired to discuss the current state of knowledge, working at the border of what we know and what we don’t, to advance the care of those with gait impairment due to cerebral palsy. Using authors with different focus, points of view, and ways of thinking, to help establish a framework to guide research efforts for the next five years and to ensure that progress continues to be made to improve the quality of life for those with gait impairments. Disparate topics are unified by a common format of bulleted key points and objectives at the beginning of each chapter and research goals at the end to make the results more rapidly accessible. Focus on gait and mobility in a clear, well-structured format. Enhances debate and exploration of issues. Challenges long-held assumptions to explore the current state of research, testing, and treatment and help direct it meaningfully. The disparate topics are unified by a common format of bulleted key points and objectives at the beginning of each chapter and research goals at the end to make the results more rapidly accessible. Presents objective, but also expert opinion, on how future research could be best directed. Patient goals need more attention, outcomes have stagnated, the details of the underlying neurological impairments are still a mystery, and strong evidence for what we do is desperately needed.

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Clinics in Developmental Medicine No. 190 Fourth edition of the most comprehensive examination of newborn behavior available Well established and used globally as a research instrument and in clinical practice Case studies from a range of disciplines and settings enrich this edition New administration guidelines and refined scoring criteria for researchers and clinicians The Neonatal Behavioral Assessment Scale (NBAS) is the most comprehensive examination of newborn behaviour available today and has been used in clinical and research settings around the world for more than 35 years. The scale assesses the newborn's behavioral repertoire with 28 behavioral items and also includes an assessment of the infant's neurological status on 20 items. The NBAS items cover the following domains of neonatal functioning: autonomic regulation; motor organization; state organization and regulation and attention/social interaction. The first part of this new edition book describes in detail the procedures involved in administering and scoring the NBAS. This is followed by chapters setting the assessment in the context of psychological influences around birth, the relationship between the examiner, infant and parents, and what we know about newborn motor behaviour. After a chapter on the use of the NBAS in research settings, the final part comprises descriptions by professionals around the world of its use in clinical practice. Since the time it was first published, the NBAS has been used in hundreds of studies to examine the effects of a wide range of pre- and perinatal variables. This new edition therefore contains an updated review of research using the NBAS. Because the NBAS is being used increasingly as a way of promoting a positive relationship between parent and child, the new edition also includes new guidelines for clinicians. New guidelines and numerous refinements in the administration and scoring have now been added, and a section describing advances in our understanding of motor behaviour has been added. Finally, new chapters present the uses of the NBAS in a range of contexts around the world, highlighting the wide range of research and clinical applications of the NBAS. Readership: Paediatricians, neonatologists, all those involved in the examination of the newborn infant including, for example, nurses, psychologists, infancy specialists, lactation consultants, home visitors, occupational therapists, physical therapists, early intervention specialists, social workers and other allied health professionals (all of whom attend NBAS training courses)

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This Atlas covers the entire spectrum of brain disease as studied with ultrasound, illustrated throughout with superb-quality images. It is aimed at neonatologists and radiologists confronted with everyday clinical questions on the neonatal ward. Most newborn brain disorders can be identified with ultrasound; this book will therefore be particularly useful in settings with limited MRI facilities. Prenatal ultrasound specialists will also find it valuable as a postnatal reference in their field of interest. Suggestions for differential diagnosis accompany all the sonographic findings, guiding the clinician in proceeding from an abnormal image to a diagnosis. This second edition of the Atlas has been brought up to date to include the many advances in technique and interpretation that have been made in the past decade. The images have been replaced with new ones of higher quality, and all the line artwork has been standardised and improved. Readership Neonatologists, radiologists, neuroradiologists with an interest in neonatal ultrasound From reviews of the first edition: "This is the most challenging and comprehensive book on this theme, and is an essential reference for clinicians to make a correct diagnosis." —Satoshi Takada, Brain and Development "This can be little doubt that this title represents the definitive work on neonatal cranial ultrasound. The authors have had extensive experience in the use of ultrasound scanning the neonatal brain for almost as long as ultrasound has been used to investigate intracranial pathology on the neonatal unit. Their combined experience is most impressive." —Malcolm Leven, Archives of Disease in Childhood

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Paediatric Neuropsychology within the Multidisciplinary Context is a practitioner handbook with chapters co-written by academics and clinicians. The book will offer a fresh perspective on neuropsychological theory and its influence on clinical practice. Case studies are described alongside research and theory as a clear demonstration of how neuroscience can drive formulation in paediatric neuropsychology. The book has been divided into three parts. The focus for the first two sections is on (i) sensory and then (ii) cognitive processes, with the final section on (iii) important factors that influence formulation. Chapters aim to take a process-oriented approach rather than describing a specific syndrome/condition.

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Myasthenia is a rare, but underdiagnosed and sometimes life-threatening disorder in children. There are no guidelines for diagnosing and managing these children, especially those with congenital myasthenia, a more recently recognised genetic condition, but there have been significant developments in identification and treatment of myasthenia in recent years. This book will help clinicians and families of children with this rare condition direct management effectively. Myasthenia in Children describes the various genotypes and phenotypes of congenital myasthenic syndromes, their clinical features and management. Autoimmune myasthenia gravis and newly recognised myopathies with neuromuscular transmission defects are also covered. The book includes a client perspective and is full of practical tips from carers, service users and therapists with a broad multi-disciplinary treatment approach. This book will guide future holistic management of this rare but life changing condition for some children and their families.

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This title has been developed with the International Child Neurology Association to provide information on all common CNS infections. It covers almost all CNS infections commonly seen in children across the world including those in developed and resource poor countries. It provides concise, state of the art overview of viral, bacterial, tubercular, fungal, parasitic and many other infections of the CNS. In addition involvement of the CNS secondary to other infections or vaccines has also been briefly covered. A chapter on Principles of Management of CNS Infections provides a practical and pragmatic approach to management of CNS infections in general. A chapter on ‘Neuroimaging of CNS Infections’ and ‘A brief account of Febrile Seizures in Children’ is included. The book is intended to be of practical use to residents, physicians, paediatricians and paediatric neurologists across the globe. It should be particularly helpful in providing important information in an easily accessible and comprehensive format, with supporting references.

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Clinics in Developmental Medicine No. 189 Fetal behaviour and movements not only give an insight into the developing brain, as an expression of neural activity, but are also necessary for the further development of neural structure and of other organs. This book presents an account of our current understanding of fetal behaviour as obtained through the assessment of fetal movements and behavioural states. The approach is based on the premises of developmental neurology, and provides important clues for the recognition of the age-specific functional repertoire of the nervous system. The companion DVD contains 26 movies using both ultrasound and dynamic MRI to illustrate the text. After presenting the historical background, the authors describe in detail the patterns of fetal movements and the mechanisms underlying them: They then discuss determinants of fetal behaviour, explaining the impact of different pregnancy-related and maternal factors on behaviour. Other chapters describe important aspects such as fetal responsiveness, laterality and development of handedness, and the behaviour of twins. The final chapter reviews research on the effects of various neurological conditions on fetal behaviour. The ability to assess the functional condition of the nervous system is invaluable to the clinician, as a considerable percentage of early brain damage is of prenatal origin. The structured and standardized description of fetal behavioural patterns proposed in this book improves our ability to understand the mechanisms underlying various aspects of behaviour in healthy fetuses and in those with brain lesions or other risk factors. Because of this, the volume will be of great interest not only to researchers in this field but also to all of those working in neonatology, paediatrics and paediatric neurology. Readership: Researchers in this field, neonatologists, paediatricians, paediatric neurologists, neurophysiologists, neuroscientists, obstetricians

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This is a comprehensive framework for the care needed by children and their famiies following a traumatic brain injury.

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Clinics in Developmental Medicine No. 171 The last 10 years have seen major advances in the scientific understanding of ADHD. This book builds on them to provide a practical, comprehensive and evidence-based approach to clinical work with ADHD and hyperkinetic disorder, and to similar problems in people with complex neurodevelopmental disabilities. This is a book for professionals of all kinds who deal with hyperactive children and people with ADHD. It explains the science base of understanding it and gives practical step-by-step instructions on how to treat it - including informative leaflets for parents and teachers.

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Children with complex cerebral palsy (typically, but not always, GMFCS levels IV and V) require skilled management and extensive expertise which can be overwhelming or intimidating for many clinical practitioners. This book explores management of the many medical comorbidities these children encounter, including orthopedic concerns, mobility and equipment needs, cognition and sensory impairment, difficult behaviors, seizures, respiratory complications and nutritional challenges, among many others. Summary points at the end of each chapter provide at-a-glance access to key recommendations. In addition, an Appendix provides adaptable care tools to guide clinicians in evaluation, preventive care and crisis management. Importantly, the book includes contributions from parents of children with cerebral palsy and youth with cerebral palsy, providing unique and critical wisdom for family-centred care. Parents and families of children and youth with complex cerebral palsy will particularly appreciate the inclusion of chapters on adolescence, transition to adulthood, and growing up, growing well with cerebral palsy.

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For many parents, cognitive and behavioral comorbidities, such as ADHD, autism and intellectual disability, are the real burden of childhood epilepsy. This title offers concrete guidance and treatment strategies for childhood epilepsy in general, and for the comorbidities associated with each epilepsy syndrome and their pathophysiology. The book is written by experts in the field with an important clinical experience, while chapters by clinical neuropsychologists provide a strong theoretical background.

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This book is an accessible and practical guide on all aspects of assessment of children and young people with Attention Deficit Hyperactivity Disorder (ADHD) and how they can be managed successfully. The multi-professional team of authors discusses referral, assessment and diagnosis, psychological management, pharmacological management, and co-existing conditions, as well as ADHD in the school setting. New research on girls with ADHD is also featured. Case scenarios are included that bring these topics to life. Neurodisability and community paediatricians, child and adolescent psychiatrists, specialist nurses, psychologists, and education professionals as well as parents and carers will find this an essential resource.

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