Böcker av Milwaukee

Preventive pediatrics remains the foundation for pediatricians to offer benefits for future generations. Social conditions often complicate health status and bureaucracies pose challenges for families and children to navigate service systems. Therefore, it is crucial to emphasize a host of topics that children and families face in addition to highlighting opportunities for overcoming some of those challenges. In this issue, an array of authors will update pediatricians on the prevalence and management of chronic health and social conditions such as childhood poverty, youth violence, oral health, asthma, foster care, toxin exposures including tobacco, and childhood obesity. Promising interventions that pediatricians should continue to examine include: how pediatricians can advocate for breastfeeding as a wellness concept for working mothers in the workplace; promotion of childhood literacy development; maximizing immunization compliance; monitor the impact of public policy such as the Affordable Care Act (ACA) on children¿s health; and how community health workers (CHWs) can be vital to community health improvement. Proposed interventions include a description of how the medical and legal partnership model can be an empowering strategy for families to address social determinants of health (SDH) when lawyers are included as a member of the health care team. In addition, pediatricians and all other child healthcare professionals must investigate epigenetic mechanisms that might predispose children to risk factors or good health outcomes.

Neonatal-perinatal medicine has a strong history of evidence based practice but unfortunately there remain many areas of uncertainty and unproven hypotheses and treatments that may harm our highly vulnerable patients. When new ideas are introduced into the labor and delivery room or the NICU we have to evaluate these procedures and therapies before they become accepted as standards of care. We need to learn from the past lessons of grey baby syndrome and chloramphenicol and of kernicterus and sulfonamide antibiotics where therapeutic good intentions actually did more harm than good and increased the mortality rate of premature babies in the NICU.This proposed edition addresses a broad range of current topics in perinatal neonatal practice. The AAP has just issued new guidelines for the approach to a neonate exposed to maternal genital herpes virus infection. The recommendations were not evidence based and are highly controversial as well as confusing. These topics are addressed in a scholarly and objective manner to both address the controversy and help the practitioner make informed decisions.

Includes topics such as: heparin induced thrombocytopenia, monitoring devices, mechanical ventilation, removal from mechanical ventilations, common complications in the critically ill patients, common drugs in the SICU, hypovolemic shock resuscitation, sepsis, nutrition, renal management, pain management, family engagement, and more.