COLIC SOLVED(ISBN=9780345490681) 英文原版 pdf mobi txt 2024 电子版 下载

For generations, doctors have been diagnosing babies with

colic, offering little comfort and few solutions to worried, weary

parents. But recent medical advances made through cutting-edge

technology now reveal that many if not most cases of colic are

actually caused by acid reflux. In this revolutionary book, Bryan

Vartabedian, a noted pediatric gastroenterologist and the father of

two babies with acid reflux, provides hands-on, practical advice

about this hidden epidemic–and how to make your own baby happy

again.

? Recognize the seven signs of reflux in infancy.

? Discover the role of milk protein allergy–the other colic.

? Learn what, when, and how to feed an irritable baby and the best

positions for sleep.

? Recognize the role of formula, breast milk, bottle systems,

burping, and pacificers in your baby’s fussiness, and

irritability.

? Understand when and why your baby may need testing for

reflux.

Weigh the pros and cons of available treatment options.

Identify when a specialist is needed and where to find one.

Complete with inspiring real-life cases of colic solved, plus tips,

sidebars, and illustrations, this essential guide provides real

answers to a problem that has been upsetting babies–and parents–for

years. Help and hope are at hand!

“This is the book for every parent whose young baby is a ‘bundle of

misery,’ in pain, and hard to feed, and for that baby’s

pediatrician, too.”

–Laura Nathanson, M.D., F.A.A.P., author of The Portable

Pediatrician

“Great news for exhausted parents and for suffering babies! Colic

Solved gets to the root of what is making many babies cry, and

offers powerful, real-world solutions. This is a must-have book for

desperate parents everywhere.”

–Alan Greene, MD, FAAP, author of From First Kicks to First

Steps and founder of DrGreene.com

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书籍介绍

For generations, doctors have been diagnosing babies with colic, offering little comfort and few solutions to worried, weary parents. But recent medical advances made through cutting-edge technology now reveal that many if not most cases of colic are actually caused by acid reflux. In this revolutionary book, Bryan Vartabedian, a noted pediatric gastroenterologist and the father of two babies with acid reflux, provides hands-on, practical advice about this hidden epidemic–and how to make your own baby happy again.

• Recognize the seven signs of reflux in infancy.

• Discover the role of milk protein allergy–the other colic.

• Learn what, when, and how to feed an irritable baby and the best positions for sleep.

• Recognize the role of formula, breast milk, bottle systems, burping, and pacificers in your baby’s fussiness, and irritability.

• Understand when and why your baby may need testing for reflux.

Weigh the pros and cons of available treatment options.

Identify when a specialist is needed and where to find one.

Complete with inspiring real-life cases of colic solved, plus tips, sidebars, and illustrations, this essential guide provides real answers to a problem that has been upsetting babies–and parents–for years. Help and hope are at hand!

“This is the book for every parent whose young baby is a ‘bundle of misery,’ in pain, and hard to feed, and for that baby’s pediatrician, too.”

–Laura Nathanson, M.D., F.A.A.P., author of The Portable Pediatrician

“Great news for exhausted parents and for suffering babies! Colic Solved gets to the root of what is making many babies cry, and offers powerful, real-world solutions. This is a must-have book for desperate parents everywhere.”

–Alan Greene, MD, FAAP, author of From First Kicks to First Steps and founder of DrGreene.com

• 作者：溏心蛋 发布时间：2024-05-07 13:49:17

  理论虽然多，都配了丰富的举例，容易理解。为了这个举例，也得给个不错的分数。

• 作者：M 发布时间：2010-02-01 19:49:26

  其实我一直想说无用那是行为艺术不是服装。

• 作者：戴白白 发布时间：2015-12-29 09:19:30

  现代的艺术家，只要是拜金狂都很赞，安迪的哲学嘛就是一个艺术家的碎碎念。。。。

• 作者：七日狐狸 发布时间：2018-03-11 21:39:18

  其实我觉得更加适合给心理治疗从业人员看，尤其是荣格派精神分析从业者或对这个感兴趣的。

• 作者：慕卿 发布时间：2018-08-23 03:40:55

  某年某月某人

• 作者：王果汁儿 发布时间：2019-04-23 14:49:17

  思考世界的孩子

  也是一本给大人的书

  有好多事是小时候的自己也会思考的

  比如为什么上学

  长大是不是好事

  不停的回答与提问

  比如上学 性别 种族

  很有辩证想法的书籍

  甚至是富有贫穷 社会发展

  也很社会学了

  以及羞愧

  审美 自由

  成功 智慧是什么

  为什么衰老

  为什么会有人类

  以及最近困扰自己的

  为什么我们要工作

  这样哲学 社会学 人类学的抽象话题

  果然自由烂漫的法国人

  有一套

  嗯 趁年轻

  去做自己喜欢的事吧

  不管结果如何

  即使失败 至少不留遗憾

  学习是不变老的方法

  即使肉体变化

  精神也在增加

  hongsick：让我们随着时间

  一起变得更加厚重吧

• 速度时代的速读技法

  作者：陈卷耳 发布时间：2012-11-13 12:36:47

         21世纪，我们进入了一个信息技术高速发展的时代。在各种媒介的刺激下，我们的信息来源越来越广泛多样，让人目不暇接。大量图书出版、各类报刊杂志和电子刊物也办得风生水起，如何在令人眼花缭乱的的信息海洋中攫取最有价值的信息，成了我们的第一要务。齐藤英治先生写的这本《王者速读法》，告诉我们如何用最优的时间获取最有用的知识，就是专为速食时代迷惘的我们准备的一本速读工具书。

      全书围绕的主旨是：如何结合自己的阅读目的在短时间内获取大量的知识。作者齐藤英治是rapid learning for value creation（RC学会）的会长，致力于研究提高身心健康和脑力开发。他的高效速读技能被东芝、富士、东京电力以及JR东日本等血多大企业作为进修培训课程。

      全书语言简单易懂，目的明确，始终围绕着如何提高知识输入技能和智慧输出技能展开简单分析，并提出了作者认为行之有效的方法和技巧。下面我将对这些内容做一个简单概括。

      一、目的：明确阅读目的，在任何时候都要带着目的去读书。

      二、王者速读法：时间：30分钟

          1、5分钟预览：紧扣目的找焦点。发现线索(封皮、目录、标题、图表、照片、插图、漫画），知道作者的视点和论证推进方法，把握整体。

          2、2秒书页图片预览法（大约五分钟）：用两秒钟扫过书页，形成图片印象。搜寻关键词：书本中强调的关键词和自身关注的关键词），明白何处是重点。

          3、用跳读法阅读最重要的两成内容，获得八成信息。（大约20分钟）

          4、明确书是你的仆人，即使忘了也没关系，可以随时召唤出来。但最好九小时内对知识进行强化。

      三、根据目的阅读：

          1、专业书籍：吉尼斯火箭三段法：预览（15分钟），跳读（15分钟，此时将有用的信息减至一半），记忆学习法（40分钟，只看25%有用的信息）

          2、准备考试：揣摩出题方意思，在预览和跳读时，标注考点。此处有两种方法：（1）当书目繁多时，运用吉尼斯三段火箭法。（2）当书目较少时，采用资格王三圈学习法：预览（10%的时间，找出关联和差距），熟读（60%时间，并做好标注），记忆学习和复习（30%的时间）

          3、成为优秀的知性创造者：王者速读法+知识输出（图解、速记）+复习

          4、一周之内成为专家：（1）十本专业书籍（入门书、代表性著作、总结性的书籍）（2）详读基础书，再从其他书中找到必要的补充。

          5、短时间精通多个领域：二十本著作，包括入门书、解说参考书、论文、相关读物、事典和年鉴等。多做主题性阅读。

          6、英文书籍和资料：主题句法。读标题、引言、广告牌、结语。

          7、把握最新信息（选书）：了解书店结构、明白大众刊物的发展倾向。选书是知识输入顺序的表现，需要慎重。一般有以下几种选书方法：（1）重视基础型；（2）最前沿型；（3）成人购物型（全面撒网）；（4）依赖他人型；（5）容量型。

          8、整理日积月累堆下的读物：主题句法，找出需要的，清空不必要的。

          9、用倒三角形方法阅读网页、邮件和报纸

          10、用卢浮宫式和亚瑟式方法读小说（一览式与梗概式）

      四、输出：

          1、选好书（需要的，有益的）

          2、把自己的书分门别类的放在手边，随时激活

          3、迅速吸收、迅速反馈，及时输出知识，通过SQ、IQ、EQ对输入知识进行创造性输出，形成自己的思想火花。

          4、明确目的，增加知识厚度，而非单一追求速度

      五、运用：

          1、只读关键词

          2、找出文章大意：主题句法

          3、识别文章的类型：分享经验型、回答疑问型、介绍信息型、证明主张型、论证技术型（理解）。

          4、把握兴趣、立足实用、勤于训练

          5、享受闲暇，激活创意

          6、高速输出的良性循环（阅读、思考、交流、写作）

      知识是从自发到自觉的，看了这本书，对此我有了深刻的体味。其实在阅读这本书之前，我们已经不自觉地在使用其中的某些技巧，例如关键词·、主题句，但是显然在阅读时我更倾向于逐字逐句地阅读。但作者的观点我很赞同，要追求最优而不是完美，书海无涯，我们带着目的去读书显然会更加有针对性，同时对知识的理解会更加透彻。不过，对于某些很值得品鉴和反复阅读的书籍，则更适合采用精读。

      书籍是人类进步的阶梯，学到老活到老工。在这个速度时代，对许多知识采取速读不视为一种好办法。欲善其事必先利其器，希望我们像克拉提一样，成为“白马骑士”，将知识转化传播而有益于社会。

• Five Star

  作者：derekhh 发布时间：2016-01-06 14:12:49

  This was a relatively old book since in 2007 it appears not too many pediatricians are aware of the infant reflux problem so this was emphasized multiple teams in the book. Things have changed quite a lot but the things discussed in this book are still valuable information for parents who want to understand more about reflux and milk protein allergy.

  One thing I don't quite like about this book is the lack of "List of References". It's interesting that these days most parents rely on Internet to do research and accumulate more information than previously so they consider themselves as a "self-taught expert". But it would be nicer to provide papers and clinical study reports that come from authoritative sources so we, as parents, have the opportunity to understand the author's claim not just qualitatively but also quantitatively. For instance, on P175 it is mentioned that "The healing rates in children with esophagitis are higher with PPIs than with H2RAs.". It will be very helpful if accompanying studies can be mentioned so we can understand the definition of "children" here - do these include infants? What is the exact amount of "higher"? So we can determine whether this benefit outweighs the potential risks of using PPIs on infants.

  The author himself on this blog also published an article that describes how parents nowadays can have a more mature relationship with information. If the authors can include these information in a second edition it would be beneficial to most readers.

  My notes follows:

  Chapter 1: The Truth About Crying Babies

  Chapter 2: Reflux 101

  • Why is reflux such a common problem for infants? (P24-28)

  1. "The Faulty Valve" - Lower esophageal sphincter (LES)

  By the time babies are 3 to 6 weeks old, the LES pressure reaches that of adults.

  2. Poor stomach emptying

  i. One of the major factors contributing to reflux in infants is delayed emptying of the stomach.

  ii. Normally, a liquid meal should be gone from a baby's stomach in approx. 30 to 60 mins.

  iii. During the first few months, stomach is inefficient at emptying.

  3. Slower Intestinal Motility

  4. Positioning: LES lies closer to a baby's back!

  5. Not-So-Efficient Feeding

  Additional air in the stomach creates distortion and the need to burp, both of which are a setup for acid reflux.

  6. Liquid Diet

  Chapter 3: Seven Signs of Reflux in Your Baby

  • The Seven Signs (P39-52, very good discussion)

  1. Spitting and vomiting

  2. Constant hiccups

  3. Feeding disturbances (poor / voracious / gas)

  4. Chronic irritability

  5. Discomfort when lying on the back

  6. Sleep disturbance

  7. Chronic cough and / or congestion

  Chapter 4: Recognizing the Sick Baby

  • Failure to Thrive (FTT, P69-71)

  FTT has to do with how much weight is gained over time rather than how much a baby weighs.

  • Oral aversion (P71-73, signs on P74)

  1. Be sure that your baby's reflux is being properly managed

  2. Expose your baby to textures

  3. Encourage playing with food

  4. Don't push the issue

  5. Consider therapy.

  • Esophagitis (P85-87)

  Chapter 5: Milk Protein Allergy

  • Symptoms (P102-104)

  1. Unexplained screaming and irritability

  2. Bleeding in stools (whether you see it or not)

  3. Mucus production

  4. Cramping and fussy disposition

  5. Diarrhea

  6. Eczema

  7. Wheezing and congestion

  • The treatment for milk protein allergy in the breastfed baby is dietary restriction of the offending proteins. (P109)

  1. Most babies do fine with the restriction of the milk proteins casein and whey - in other words, don't drink milk or eat milk products like cheese or yogurt.

  2. For sicker babies, this may be broadened to include soy proteins and other animal proteins but this typically isn't necessary.

  Chapter 6: Care and Handling

  • Expectations (P131)

  1. The issues of reflux in infancy are time-limited.

  2. The likelihood of serious harm to the baby is small.

  3. There are treatment options that can often make things more tolerable.

  • Burping occurs when that bubble of air in the fundus moves near the LES at around the time the LED undergoes on eof its transient relaxations. (P149)

  • What to do to put gravity on your side (P160-161)

  1. Keep your baby vertical for 20 to 30 minutes after feeds (use a carrier?)

  2. Avoid aggressive handling.

  3. Wedge a baby on her left side.

  When the left side is down, stomach contacts have a place to pool that's free and clear of the LES.

  4. Elevate the head of the crib.

  • The pH probes showed that babies have longer exposure to GER in their car seats. (P166)

  Chapter 7: Medications for Reflux

  • Medical Approach (P172-182)

  1. Acid Suppression

  i. Histamine2-receptor antagonists (H2RAs)

  1) There are other triggers and switches that will stimulate acid production in parietal cells, so blocking the H2 receptor in the stomach isn't enough to fix every acid-related problem. (P174)

  2) One of the major problems with this class of acid blockers is that they tend to lose their effectiveness with time. (P174-175, tachyphylaxis)

  ii. Proton Pump Inhibitors

  1) PPIs work to stop the release of acid at the tip of parietal cells where it's released into the stomach. (P175)

  2) The healing rates in children with esophagitis are higher with PPIs than with H2RAs. (P175)

  2. Prokinetic Therapy

  Chapter 8: A Parent's Guide to Tests and Studies

  1. Upper GI series (P210-213)

  2. Endoscopy (P214-218)

  3. pH probe (P219-222)

  4. Gastric Emptying Scan / Nuclear Scintiscan (P222-225)

  Chapter 9: What to Expect from Your Physician

  Chapter 10: Reflux Beyond Infancy