Pediatric Dysphagia: Challenges and Controversies

 Gastroenterology/Hepatology, Pediatrics  Comments Off on Pediatric Dysphagia: Challenges and Controversies
Jul 102020
 

Pediatric dysphagia is a clinical problem that crosses disciplines. Children may be seen by numerous medical specialties including pediatric otolaryngology, gastroenterology, pulmonology, speech pathology, occupational therapy, and lactation consultants. The myriad approaches to the diagnosis and management of dysphagia is confusing for both clinicians and families; resulting in recurrent trips to medical professionals. Feeding is integral to socialization and to bonding between infants and parents. Disruptions in feeding development can be extremely taxing emotionally and economically for families. Children with dysphagia are some of the most challenging patients even for clinicians who specialize in their care.
This text provides the reader with a comprehensive understanding of swallowing and presents a practical, evidence-based approach to the diagnosis and management of swallowing difficulties in children. It also highlights particular clinical challenges and controversies in the management of pediatric dysphagia. It is unique in that it incorporates the perspectives of multiple types of clinicians that care for these patients including otolaryngologists, gastroenterologists, pulmonologists, speech pathologists, occupational therapists and lactation consultants. In doing so, this text will encourage cross-specialty pollination of ideas and knowledge as well as stimulate further research in the field.
Part 1 of the text begins with an overview of the anatomy and physiology of swallowing with a focus on normal development as we currently understand it. It also discusses new information regarding reflexive interactions between the larynx and esophagus that potentially influence swallowing. It then moves on to a discussion of the advantages and limitations of currently available diagnostic modalities and highlights current controversies regarding frame rate, radiation exposure, breastfeeding infants, and grading of studies. Additionally, it reviews the current literature regarding medical and behavioral-based therapy options, including thickening options, oromotor therapy, and controversies concerning strict NPO.
Part 2 addresses specific diagnoses which can cause or be associated with dysphagia such as prematurity, velopharyngeal insufficiency, ankyloglossia, laryngeal clefts, laryngomalacia, vocal fold paralysis, and cricopharyngeal dysfunction. The text goes on to explore the pathophysiology and treatment options for each. Anatomic, inflammatory, and neuromuscular esophageal causes of dysphagia are also evaluated. In addition, it delves into the impact of craniofacial anomalies, sialorrhea and psychological factors on swallowing. Finally, it discusses how a multidisciplinary aerodigestive team can help streamline multidisciplinary care for individual patients. It will incorporate information pertinent to the different roles, tools and views of a multidisciplinary dysphagia team, including how pediatric otolaryngologists, gastroenterologists, pulmonologists, speech language pathologists, occupational therapists, and dieticians can collaborate to provide optimal evaluation and care of these often challenging patients, especially for those who are at high-risk of complications related to aspiration.

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Pediatric Rheumatology

 Pediatrics, Rheumatology  Comments Off on Pediatric Rheumatology
Jul 022020
 

The third edition of “Pediatric Rheumatology” was long overdue. This edition is an updated, and enlarged, version of its predecessor. A new chapter on “Drugs in Pediatric Rheumatology: Azathioprine, Cyclophosphamide and Mycophenolate Mofetil” has been added. It is aimed at postgraduate students of pediatrics as well as practising pediatricians in India. The undergraduate and postgraduate medical curricula in our country (as also perhaps in many

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BALRAM CHOWDHRY’ S PEDIATRICS LECTURE NOTES

 Pediatrics  Comments Off on BALRAM CHOWDHRY’ S PEDIATRICS LECTURE NOTES
Jul 022020
 

felt that the book needs updating with specialists review. We approached selected veteran specialists from all over the country to review the specialty

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Practical Pediatric Gastrointestinal Endoscopy, 2nd edition

 Gastroenterology/Hepatology, Pediatrics  Comments Off on Practical Pediatric Gastrointestinal Endoscopy, 2nd edition
Jul 012020
 

This practical step–by–step guide to performing GI endoscopy safely and effectively in children covers the use of endoscopy as both a diagnostic and a therapeutic modality. Now with an entirely new section focusing on advanced endoscopic techniques, such as such as pancreatic cysto–gastrostomy, confocal endo microscopy, and single balloon enteroscopy, the new edition gives trainees and practitioners access to the most recent, as well as the most dependable, information.

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Manual of Pediatric Cardiac Intensive Care

 Cardiovascular, Pediatrics  Comments Off on Manual of Pediatric Cardiac Intensive Care
Jun 282020
 

Practical guide to the care of children after cardiac surgery, covering the management of numerous conditions that may arise.
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Handbook of Clinical Techniques in Pediatric Dentistry

 Dentistry, Pediatrics  Comments Off on Handbook of Clinical Techniques in Pediatric Dentistry
Jun 282020
 

The Handbook of Clinical Techniques in Pediatric Dentistry provides the clinician with an increased level of expertise and skills for timely identification and intervention for various presentations in the developing dentition. It also clearly describes procedures for treatment in the primary and young permanent dentitions, including pulp therapy for primary and young permanent molars, extractions, space maintenance, and more. The most commonly encountered treatment needs are discussed with the goal of increasing clinician and staff confidence while decreasing chair-time and stress.
With an emphasis on practical instruction, The Handbook of Clinical Techniques in Pediatric Dentistry is ideal for pediatric and general dentists, pediatric residents, and dental students taking clinical pediatric courses.

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Paediatric Nephrology

 Nephrology, Pediatrics  Comments Off on Paediatric Nephrology
Jun 282020
 

Paediatric Nephrology is designed to help the reader understand and manage any condition affecting the kidney in childhood. It is pocket-sized to give easy reference in the clinical setting and highlights the important issues for quick use. From history taking and urinalysis, to acute renal failure, transplantation and actute kidney injury, all aspects are covered in this concise yet comprehensive guide to this specialist area. It is an invaluable reference to the general paediatrician.
The appendix provides useful additional information and protocols. This new edition is up-to-date and evidence-based, and tables and equations direct readers to correct drug dosages and use of relevant medication.

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Pediatric Nutrition

 Nutrition, Pediatrics  Comments Off on Pediatric Nutrition
Jun 152020
 

We are pleased to offer the second revised and updated edition of the “Pediatric Nutrition”. This has become possible consequent upon the warm reception accorded to the first edition that was released at the 44th National Conference of the IndianAcademy of Pediatrics (PEDICON 2006) held at the Hotel Ashok, New Delhi, India, consistent demand, changing recommendations in the field and the enthusiasm of the publishers.

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Pediatric Bioethics

 Pediatrics  Comments Off on Pediatric Bioethics
Jun 102020
 

This volume offers a theoretical and practical overview of the ethics of pediatric medicine. It serves as a fundamental handbook and resource for pediatricians, nurses, residents in training, graduate students, and practitioners of ethics and healthcare policy. Written by a team of leading experts, Pediatric Bioethics addresses those difficult ethical questions concerning the clinical and academic practice of pediatrics, including an approach to recognizing boundaries when confronted with issues such as end of life care, life-sustaining treatment, extreme prematurity, pharmacotherapy, and research. Thorny topics such as what constitutes best interests, personhood, or distributive justice and public health concerns such as immunization and newborn genetic screening are also addressed.
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Pediatric Critical Care Medicine (Pediatric Critical Care Medicine

 Critical Care, Pediatrics  Comments Off on Pediatric Critical Care Medicine (Pediatric Critical Care Medicine
Jun 082020
 

Presenting comprehensive and well-integrated coverage of physiology, pathophysiology, and clinical problems, Pediatric Critical Care Medicine is a core textbook and clinical reference for pediatric intensivists at all levels of training. It offers thorough preparation for subspecialty certification and recertification examinations and provides a ready reference for specific problems in the clinical setting.
An extensive section on organ system physiology and pathophysiology provides the foundation for physiologically based clinical decision-making. Subsequent sections address clinical disorders of each organ system encountered in the pediatric ICU. The clinical chapters are concise and designed for rapid reference. Numerous illustrations and tables complement the text.

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