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Klappentext Since 1989, American families have adopted more than 230,000 children from other countries. Many of these children have lived in crowded conditions, sometimes with poor standards of hygiene, inadequate nutrition, and limited numbers of caregivers. Some suffer from endemic infectious diseases. Upon arrival, practitioners often fail to recognize the unique concerns of this group. This text provides an overview of the specialized medical and developmental issues that affect internationally adopted children, offering guidelines to the physicians caring for these children and their families before, during, and after adoption. The reader will learn how to advise families prior to an international adoption, how to perform an effective initial screening assessment of the newly arrived child, and how to recognize and manage developmental and other more long-term problems as they emerge. Zusammenfassung Since 1989, more than 165,000 children have been adopted by American parents. Every indication suggests that this number will increase in the years to come. Many of these children arrive with complex medical and behavioural problems. These children require specialized medical attention to help them get well and adjust to their new lives and surroundings.The Handbook of International Adoption Medicine presents an overview of the medical and developmental issues that affect internationally adopted children, offering guidelines for families and physicians before, during, and after adoption. Laurie Miller has comprehensively researched these topics and also draws from over fifteen years of experience in international adoption and orphanages throughout the world. This book shows how to advise families prior to an international adoption, how to perform an effective initial screening assessment of the newly arrived child, how to manage common behaviour problems, and how to recognize and manage developmental and other more long-term problems as they emerge. Sections cover such subjects as the risks of prenatal exposures, problems in growth and development, infectious diseases, and other medical conditions such as inherited disorders, uncertain age, and precocious puberty. This information has never been available in one place, making the book an invaluable resource for families and professionals in the field of international adoption. Inhaltsverzeichnis 1: International adoption medicine Part I: Before the adoption 2: The effects of institutionalization on children 3: Special regional consideration 4: Pre-adoption counselling and evaluating the referral Part II: Prenatal exposures 5: Fetal alcohol syndrome 6: Prenatal drug exposure 7: Prenatal exposure to maternal smoking 8: Effects of stress in early life Part III: Travel and transition 9: Travel and transition to the adoptive family Part IV: Growth and development 10: Malnutrition and undernutrition 11: Micronutrient deficiencies 12: Microcephaly and early brain injury 13: Developmental delay Part V: Infectious diseases 14: Tuberculosis 15: Hepatitis B 16: Hepatitis C 17: Intestinal parasites and other enteric infections 18: Human Immunodeficiency Virus (HIV) 19: Syphilis 20: Heliobacter Pylori 21: Immunization and vaccine-preventable diseases 22: Unusual and other infectious diseases Part VI: Other medical conditions 23: Inherited disorders of erythrocytes 24: Lead and other environmental toxins 25: Rickets 26: Uncertain age 27: Precocious puberty 28: Lactose intolerance Part VII: Neurocognitive and behavioural issues 29: Attachment 30: Behavioural and mental disorders 31: Language 32: School issues 33: Dysfunction of sensory integration 34: Culture and identity 35: After adoption: unspoken problems 26: Resources ...
