Nelson Textbook of Pediatrics

Abused and Neglected Children

The abuse and neglect ( maltreatment ) of children are pervasive problems worldwide, with short- and long-term physical and mental health and social consequences. Child healthcare professionals have an important role in helping address this problem. In addition to their…

Child Trafficking for Sex and Labor

Human trafficking violates the fundamental human rights of child and adult victims and impacts families, communities, and societies. Trafficked persons originate from countries worldwide and may belong to any racial, ethnic, religious, socioeconomic, or cultural group. They may be of…

Impact of Violence on Children

The reach of violence, whether as the victim, perpetrator, or witness, whether in person or through the media, is far, deep, and long-standing across the globe. In the home, it is estimated that 80–95% of such aggression is witnessed by…

Injury Control

In all high-income countries of the world, and increasingly in many low- and middle-income countries, injuries are the most common cause of death during childhood and adolescence beyond the 1st few mo of life ( Table 13.1 and Fig. 13.1…

Cultural Issues in Pediatric Care

Pediatricians live and work in a multicultural world. Among the world's 7 billion people residing in over 200 countries, more than 6,000 languages are spoken. As the global population becomes more mobile, population diversity increases in all countries. In the…

Medical Evaluation of the Foreign-Born Child

More than 210,000 foreign-born children (≤16 yr old) enter the United States each year as asylees (asylum seekers), refugees, and immigrants, including international adoptees (see Chapter 8 ). This number does not include undocumented children living and working in the United…

Foster and Kinship Care

The placement of children in out-of-home care has served the needs of children in many societies worldwide throughout history. The institution of foster care was developed in the United States as a temporary resource for children during times of family…

Domestic and International Adoption

Adoption is a social, emotional, and legal process that provides a new family for a child when the birth family is unable or unwilling to parent. In the United States, about 1 million children <18 yr of age are adopted; 2–4%…

Pediatric Palliative Care

According to the World Health Organization (WHO), “Palliative care for children is the active total care of the child's body, mind and spirit and also involves giving support to the family. Optimally, this care begins when a life-threatening illness or…