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This book captures new findings relevant to diagnosis in young children and addresses unresolved issues in the field since DC:0-3R was published in 2005. DC:0-5 is designed to help mental health and other professionals: recognize mental health and developmental challenges in infants and young children, through 5 years old; understand that relationships and psychosocial stressors contribute to mental health and developmental disorders and incorporate contextual factors into the diagnostic process; use diagnostic criteria effectively for classification, case formulation, and intervention; and facilitate research on mental health disorders in infants and young children -- Provided by the publisher.

Child psychopathology --- Child psychopathology. --- Infant psychiatry --- Infant psychiatry. --- Classification. --- Diagnosis.

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Preterm birth and hypotrophic birth is a major issue of the 21st century. It is responsible for 14.1% of deaths of children younger than five years. Therefore, it is important to further investigate different pathologies, which could lead to preterm birth. Periodontal disease has been linked to preterm birth since Offenbacher first published his study Periodontal infection as a possible risk factor for preterm and low birth weight in 1996. Many studies about the same subject have been published since then but none of them tried to see if the rate of preterm and hypotrophic birth rise as the periodontal status worsens. We propose a study, where the DPSI is used to classify the subjects in four different groups according to their periodontal status to be able to compare if the percentage of preterm and hypotrophic children rises as the periodontal status worsens.Material and Methods: Ethical approval has been granted by the Comité d'Ethique Hospitalo-Facultaire from Cliniques Universitaires Saint-Luc. Eligible subjects were asked to sign a consent form. Then a DPSI was scored on the eligible subjects between their 9th and 2llh week of pregnancy. Approximately at the expected date of labour, the medical record was checked to see if there was preterm birth or if the child was born small for gestational age (SGA).

Periodontal Diseases --- Infant, Premature, Diseases

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Cet ouvrage aborde la période de « fondation » sous l'angle de la vie affective, puisque les sentiments et les émotions du petit enfant, ses besoins et ses tendances, supposent déjà de véritables relations humaines, c'est-à-dire avant tout familiales (besoin de dépendance et d'autonomie, sentiment d'opposition ou d'attachement).

Infant Care. --- Infant psychology. --- Infants Care. --- Infants Development. --- Parent and infant.

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L'incidence du syndrome de mort subite du nourrisson (MSN) a considérablement diminué ces dernières années grâce à une série de mesures et d'actions. Celles-ci ne parviennent cependant pas à éviter totalement que des enfants de moins d'un an décèdent de manière inopinée en raison de l'étiologie multifactorielle de ce syndrome. Dès les années 80, des médicaments ont été identifiés comme responsables ou potentiellement responsables de mort subite. Des spécialités ont été ainsi retirées du marché ; d'autres se sont vues imposer des restrictions d'âge et d'indication ; chez d'autres enfin, la composition a été revue. Le but de ce mémoire est d'analyser les principaux médicaments, au sein de huit classes préétablies, capables d'induire une MSN et d'explorer les rôles que les pharmaciens et les médecins ont à jouer en ce qui concerne l'administration de médicaments aux nourrissons. Les recherches effectuées mettent en lumière les principaux médicaments administrés à des nourrissons à l'heure actuelle, médicaments qui pourraient, par leurs mécanismes d'action et/ou une pharmacologie particulière en bas âge, jouer un rôle dans ce syndrome. Pour certains médicaments, la relation de cause à effet est évidente ou quasi évidente ; c'est le cas par exemple du Cisapride et de la Codéine. Pour d'autres, la littérature scientifique manque de preuves certaines, en raison de faibles séries ou de case-report ; la Dompéridone, les macrolides et les anti-malariques se retrouvent notamment dans cette catégorie. Des recherches doivent être poursuivies afin de diminuer la part que peuvent jouer les médicaments dans le syndrome de MSN.En ce qui concerne le rôle des professionnels de la santé, le médecin doit être particulièrement attentif lorsqu'il prescrit un médicament potentiellement à risque et prendre les mesures de surveillance qui s'imposent, à domicile ou à l'hôpital. Le pharmacien doit aider le médecin en discutant éventuellement de l'indication du médicament, en lui apportant ses connaissances de pharmacologie et en s'interrogeant sur les interactions médicamenteuses potentielles. Il doit aussi rappeler les signaux d'appel de malaise grave du nourrisson qui justifient que l'enfant soit vu en urgence par un médecin. The incidence of sudden infant death syndrome (SIDS) has dropped significantly in recent years due to a series of measures and actions; These measures and actions however are not sufficient to completely avoid that children under one year old die unexpectedly due to the multifactorial etiology of this syndrome; In the 80s, drugs were identified as responsible or potentially responsible for sudden death. Consequently, certain pharmaceutical specialties were withdrawn from the market; others were applied age and indication restrictions; in some cases, the composition was reviewed. The purpose of this thesis is to analyze the main drugs, within the eight previously established classes, capable of inducing SIDS and explore the roles pharmacists and doctors have to play when it comes to administering drugs to infants. The research conducted brings to light the main drugs given to infants at present; drugs that could, by their mechanisms of action and/or the particular pharmacology of toddlers, play a role in this syndrome. For some drugs, the causal relationship is obvious or almost clear; such a Cisapride and Codeine. For others, scientific literature shows lack of evidence due to low series or case-reports; Domperidone, macrolides and antimalarial agents namely reside in this category. More research needs to be done in order to reduce the part played by drugs in SIDS. With regards to the roles of the healthcare professionals, doctors should be particularly careful when prescribing a drug which could potentially be at risk for an infant and should take the necessary supervisory measures at homes or in a hospital. The pharmacists must aid the doctor, possibly by discussing the drug’s indication, by sharing his knowledge in pharmacology and investigating the potential drug interactions. He must also underline the preemptive signals which could indicate a severe disorder for the infant, in which case the child would need to be urgently brought to a doctor.

Sudden Infant Death --- Abnormalities, Drug-Induced

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This chapter distinguishes between essential features of the zone of parental discretion and the longstanding concept of a grey zone in neonatal treatment decision-making. The grey zone has traditionally described a gestational age range where the outcomes of medical treatment for newborn infants are uncertain, and therefore parents have discretion to choose between resuscitation or palliative care options. In contrast, the ZPD refers to a space where parents may make decisions for their child (not restricted to newborns) even if their decisions conflict with the decisions a clinician would make. A key difference between the two zones is that the boundaries of the grey zone are defined on the basis of published evidence about medical outcomes, whereas the boundaries of the ZPD are based on the broader but arguably vaguer notion of harm to the particular child. The grey zone has usually been defined in terms of gestational age. Wilkinson argues instead for a prognosis-based grey zone in neonatal treatment decision-making, which incorporates a range of prognostic factors rather than focusing solely on gestational age.

Newborn infants --- Infant, Newborn. --- Neonatal nursing. --- Diseases.