Pub Date : 2015-12-01DOI: 10.1177/1941406415616373
Christopher O'Hara
A family was administering a homemade formula to empirically treat presumed food allergies in their tube feeding–dependent child. He presented with widespread bruising and tenderness, loose teeth, swollen gums, and anemia. Scurvy was diagnosed, and he showed rapid improvement with vitamin C therapy. Providers who care for individuals who are fed homemade formulas, or who have unusual dietary practices, need to be aware of possible macro- and micronutrient deficiencies.
{"title":"Scurvy Related to the Use of a Homemade Tube Feeding Formula","authors":"Christopher O'Hara","doi":"10.1177/1941406415616373","DOIUrl":"https://doi.org/10.1177/1941406415616373","url":null,"abstract":"A family was administering a homemade formula to empirically treat presumed food allergies in their tube feeding–dependent child. He presented with widespread bruising and tenderness, loose teeth, swollen gums, and anemia. Scurvy was diagnosed, and he showed rapid improvement with vitamin C therapy. Providers who care for individuals who are fed homemade formulas, or who have unusual dietary practices, need to be aware of possible macro- and micronutrient deficiencies.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121072103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415610000
Meghan Gaare, C. Howell, E. Frosch
Objective. This study evaluates the prevalence of vitamin D insufficiency and deficiency on a pediatric psychiatry inpatient unit. Deficiency has been linked to poor general health outcomes includi...
{"title":"Vitamin D Prevalence of Deficiency on an Inpatient Pediatric Psychiatry Service","authors":"Meghan Gaare, C. Howell, E. Frosch","doi":"10.1177/1941406415610000","DOIUrl":"https://doi.org/10.1177/1941406415610000","url":null,"abstract":"Objective. This study evaluates the prevalence of vitamin D insufficiency and deficiency on a pediatric psychiatry inpatient unit. Deficiency has been linked to poor general health outcomes includi...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121702844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415612911
Cagla Fenton, R. Randall, S. Groveman, C. Chee, A. Bergqvist
Breastfeeding continues to be the recommended mode of infant feeding with numerous nutritive and nonnutritive benefits to both mothers and babies. The ketogenic diet (KD) is a high-fat, adequate pr...
{"title":"Use of Expressed Breast Milk With the Ketogenic Diet","authors":"Cagla Fenton, R. Randall, S. Groveman, C. Chee, A. Bergqvist","doi":"10.1177/1941406415612911","DOIUrl":"https://doi.org/10.1177/1941406415612911","url":null,"abstract":"Breastfeeding continues to be the recommended mode of infant feeding with numerous nutritive and nonnutritive benefits to both mothers and babies. The ketogenic diet (KD) is a high-fat, adequate pr...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124765872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415615497
A. Piridzhanyan, Karen M. Park, N. Clarke
{"title":"Tackling Pediatric Obesity All Hands on Deck","authors":"A. Piridzhanyan, Karen M. Park, N. Clarke","doi":"10.1177/1941406415615497","DOIUrl":"https://doi.org/10.1177/1941406415615497","url":null,"abstract":"","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124810705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415617147
F. Shakeel, A. Napolitano, M. Newkirk, Jo Harris, S. Ghazarian
Background. Optimal nutrition for very low birth weight (VLBW, <1500 grams) preterm infants is critical in the neonatal period. With substantial variation in clinical practice, there is limited data on impact of early nutrition on growth and outcomes. Objective. The purpose of this study was to conduct a quality improvement project evaluating growth and clinical outcomes after implementing standardized enteral feeding guidelines for preterm infants. Methods. Evidence based clinical practice feeding guidelines were developed and implemented for VLBW infants in NICU. Primary outcome measures were (1) the rate of early initiation of enteral feeds (< 5 days of life) and (2) growth outcomes as measured by weight and head circumference from birth to discharge. Secondary outcome measures were total TPN days and rate of cholestasis. Retrospective data prior to initiation of guidelines were compared with data from post-implementation period in logistic and linear regression models. Results. Pre and post-implementa...
{"title":"Improving Clinical Outcomes of Very Low Birth Weight Infants by Early Standardized Nutritional Management","authors":"F. Shakeel, A. Napolitano, M. Newkirk, Jo Harris, S. Ghazarian","doi":"10.1177/1941406415617147","DOIUrl":"https://doi.org/10.1177/1941406415617147","url":null,"abstract":"Background. Optimal nutrition for very low birth weight (VLBW, <1500 grams) preterm infants is critical in the neonatal period. With substantial variation in clinical practice, there is limited data on impact of early nutrition on growth and outcomes. Objective. The purpose of this study was to conduct a quality improvement project evaluating growth and clinical outcomes after implementing standardized enteral feeding guidelines for preterm infants. Methods. Evidence based clinical practice feeding guidelines were developed and implemented for VLBW infants in NICU. Primary outcome measures were (1) the rate of early initiation of enteral feeds (< 5 days of life) and (2) growth outcomes as measured by weight and head circumference from birth to discharge. Secondary outcome measures were total TPN days and rate of cholestasis. Retrospective data prior to initiation of guidelines were compared with data from post-implementation period in logistic and linear regression models. Results. Pre and post-implementa...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124389211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415616869
S. Teske, D. Peterson, Amy Morse, L. Hardy, A. Youngblood, N. Tofil
Background. Pediatric nutrition concepts, important competencies for pediatric residents, are often incompletely taught in lectures. Objective. Demonstrate use of simulation as an effective and wel...
{"title":"Utilizing High-Fidelity Simulation to Teach Pediatric Residents Clinical Nutrition A Curricular Change Guided by a Needs Assessment","authors":"S. Teske, D. Peterson, Amy Morse, L. Hardy, A. Youngblood, N. Tofil","doi":"10.1177/1941406415616869","DOIUrl":"https://doi.org/10.1177/1941406415616869","url":null,"abstract":"Background. Pediatric nutrition concepts, important competencies for pediatric residents, are often incompletely taught in lectures. Objective. Demonstrate use of simulation as an effective and wel...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125851376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415611475
V. Gray, Libby Gustin, Laura Jensen, Kristine Smith
The current policy environment calls for enhanced child care nutrition standards. Child care menus provide an opportunity to expose children to healthy foods and flavor variety. The current study compared 2 sets of 5-week cycle menus to investigate differences in nutrient content and vegetable variety achieved by transitioning from traditional style menus to made-from-scratch menus. Menus were provided by a San Diego–based nonprofit agency producing food for 29 Head Start facilities. Mann-Whitney U tests were used to compare differences in nutrients and vegetable subgroup offerings between menus. Made-from-scratch menus improved the fat profile of child care menus, with reductions in transfat (P ≤ .01) and calories from saturated fat (P = .01) and increases in essential fatty acids (ω-3, P < .01; ω-6, P < .01). Furthermore, made-from-scratch menus improved the fiber (from 6.8 ± 2.0 to 9.5 ± 2.1 g P < .001) and potassium (from 1202.8 ± 141.7 to 1446.5 ± 144.7 mg, P < .001) content in the context of dietary...
当前的政策环境要求提高儿童保育营养标准。儿童保育菜单提供了一个机会，让孩子们接触到健康食品和各种口味。目前的研究比较了两套5周周期菜单，以调查从传统风格菜单过渡到从头制作菜单所获得的营养含量和蔬菜品种的差异。菜单是由一家位于圣地亚哥的非营利机构提供的，该机构为29家启智学校生产食品。曼-惠特尼U测试用于比较不同菜单中营养成分和蔬菜亚组产品的差异。从头开始制作菜单改善了儿童保育菜单的脂肪分布，减少了反式脂肪(P≤0.01)和饱和脂肪的热量(P = 0.01)，增加了必需脂肪酸(ω-3, P < 0.01;ω-6, p < 0.01)。此外，在不同膳食水平下，从头制作菜单提高了纤维(从6.8±2.0 g提高到9.5±2.1 g, P < 0.001)和钾(从1202.8±141.7 mg提高到1446.5±144.7 mg, P < 0.001)含量。
{"title":"Validating the Made-From-Scratch Versus Traditional Style Approach for Improving the Nutritional Quality of Heart Start Menus","authors":"V. Gray, Libby Gustin, Laura Jensen, Kristine Smith","doi":"10.1177/1941406415611475","DOIUrl":"https://doi.org/10.1177/1941406415611475","url":null,"abstract":"The current policy environment calls for enhanced child care nutrition standards. Child care menus provide an opportunity to expose children to healthy foods and flavor variety. The current study compared 2 sets of 5-week cycle menus to investigate differences in nutrient content and vegetable variety achieved by transitioning from traditional style menus to made-from-scratch menus. Menus were provided by a San Diego–based nonprofit agency producing food for 29 Head Start facilities. Mann-Whitney U tests were used to compare differences in nutrients and vegetable subgroup offerings between menus. Made-from-scratch menus improved the fat profile of child care menus, with reductions in transfat (P ≤ .01) and calories from saturated fat (P = .01) and increases in essential fatty acids (ω-3, P < .01; ω-6, P < .01). Furthermore, made-from-scratch menus improved the fiber (from 6.8 ± 2.0 to 9.5 ± 2.1 g P < .001) and potassium (from 1202.8 ± 141.7 to 1446.5 ± 144.7 mg, P < .001) content in the context of dietary...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"176 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130910432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1177/1941406415615983
L. Heller
{"title":"The Time Has Come . . .","authors":"L. Heller","doi":"10.1177/1941406415615983","DOIUrl":"https://doi.org/10.1177/1941406415615983","url":null,"abstract":"","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127944333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-11-03DOI: 10.1177/1941406415615556
Megan R Beggs, C. Joynt, E. Phillipos, G. Guerra, B. Larsen
Objective. To determine if early pre- and postoperative enteral feeding was associated with improved postoperative outcomes in infants with hypoplastic left heart syndrome undergoing the Norwood pr...
目标。为了确定早期术前和术后肠内喂养是否与左心发育不全综合征婴儿接受诺伍德手术后预后的改善有关。
{"title":"Feeding Practices and Outcomes of Infants Undergoing the Norwood Procedure","authors":"Megan R Beggs, C. Joynt, E. Phillipos, G. Guerra, B. Larsen","doi":"10.1177/1941406415615556","DOIUrl":"https://doi.org/10.1177/1941406415615556","url":null,"abstract":"Objective. To determine if early pre- and postoperative enteral feeding was associated with improved postoperative outcomes in infants with hypoplastic left heart syndrome undergoing the Norwood pr...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116490942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-13DOI: 10.1177/1941406415610194
K. Mueller
Background and Objective. Breastfeeding has been shown to have an overall impact on the health and well-being of mothers and infants. Statistically, national and state breastfeeding rates are below the Healthy People 2020 target goals. A review of literature concluded that lactation support increased the overall rates of breastfeeding throughout the first year of life. The objectives of this quality improvement project were to increase the rates of breastfeeding at 2 weeks and 2 months of age by providing lactation support to the mother–infant dyad, to provide education for health care providers on the evidence-based recommendation for lactation support, and implement the program as standard of care. Methods. The quality improvement project used a retrospective chart review method to collect data. Data collection was done on the provision of lactation support for infants with the ICD-9 code of newborn feeding issues (779.31). Feeding methods were documented at 2 weeks and 2 months of age. Data were collec...
{"title":"Implementation of a Lactation Support Program in a Primary Care Pediatric Practice","authors":"K. Mueller","doi":"10.1177/1941406415610194","DOIUrl":"https://doi.org/10.1177/1941406415610194","url":null,"abstract":"Background and Objective. Breastfeeding has been shown to have an overall impact on the health and well-being of mothers and infants. Statistically, national and state breastfeeding rates are below the Healthy People 2020 target goals. A review of literature concluded that lactation support increased the overall rates of breastfeeding throughout the first year of life. The objectives of this quality improvement project were to increase the rates of breastfeeding at 2 weeks and 2 months of age by providing lactation support to the mother–infant dyad, to provide education for health care providers on the evidence-based recommendation for lactation support, and implement the program as standard of care. Methods. The quality improvement project used a retrospective chart review method to collect data. Data collection was done on the provision of lactation support for infants with the ICD-9 code of newborn feeding issues (779.31). Feeding methods were documented at 2 weeks and 2 months of age. Data were collec...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128583935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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