Evidence Gaps and Research Needs in Current Guidance on Feeding Children from Birth to 24 Months

2020 ◽  
Author(s):  
Stephanie Ann Atkinson ◽  
Elizabeth Yakes Jimenez ◽  
Rafael Pérez-Escamilla
Keyword(s):  
Young Children ◽  
Future Development ◽  
Review Process ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Research Needs ◽  
Methodological Approaches ◽  
Current Guidance ◽  
New Research ◽  
Infants And Young Children

A U.S. National Academies report summarized recommendations on what and how to feed infants and young children in high-income countries from 43 eligible guideline documents. Consistency existed across many recommendations, but some differences occurred in topic areas, age groupings and methodological approaches. Future development of guidelines on feeding of infants and young children requires new research and a rigorous evidence-based review process that is harmonized within and across countries and incorporates dissemination and implementation guidance. Novelty: • New research and rigorous methods are recommended to develop future harmonized guidance on feeding of infants and young children that incorporates dissemination and implementation methods.

scholarly journals Time-Out with Young Children: A Parent-Child Interaction Therapy (PCIT) Practitioner Review

2021 ◽  
Vol 19 (1) ◽  
pp. 145
Author(s):  
Melanie Woodfield ◽  
Irene Brodd ◽  
Sarah Hetrick
Keyword(s):  
Young Children ◽  
Parent Training ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Parent Child Interaction Therapy ◽  
Child Interaction ◽  
Time Out ◽  
Parent Child Interaction ◽  
Training Programmes ◽  
Parent Child

Time-out is a component of many evidence-based parent training programmes for the treatment of childhood conduct problems. Existing comprehensive reviews suggest that time-out is both safe and effective when used predictably, infrequently, calmly and as one component of a collection of parenting strategies—i.e., when utilised in the manner advocated by most parent training programmes. However, this research evidence has been largely oriented towards the academic community and is often in conflict with the widespread misinformation about time-out within communities of parents, and within groups of treatment practitioners. This dissonance has the potential to undermine the dissemination and implementation of an effective suite of treatments for common and disabling childhood conditions. The parent-practitioner relationship is integral to the success of Parent-Child Interaction Therapy (PCIT), an evidence-based treatment which involves live coaching of parent(s) with their young child(ren). Yet this relationship, and practitioner perspectives, attitudes and values as they relate to time-out, are often overlooked. This practitioner review explores the dynamics of the parent-practitioner relationship as they apply to the teaching and coaching of time-out to parents. It also acknowledges factors within the clinical setting that impact on time-out’s use, such as the views of administrators and professional colleagues. The paper is oriented toward practitioners of PCIT but is of relevance to all providers of parent training interventions for young children.

Role of Lactoferrin in Neonates and Infants: An Update

2018 ◽  
Vol 35 (06) ◽  
pp. 561-565 ◽  
Author(s):  
Alberto Dall'Agnola ◽  
Daniel Tomé ◽  
David Kaufman ◽  
Elena Tavella ◽  
Marta Pieretto ◽  
...  
Keyword(s):  
Quality Control ◽  
Young Children ◽  
Current Evidence ◽  
Evidence Based ◽  
Respiratory Pathogens ◽  
Bioactive Proteins ◽  
Different Types ◽  
Neonates And Infants ◽  
Infants And Young Children

AbstractLactoferrin is one of the most represented and important bioactive proteins in human and mammal milk. In humans, lactoferrin is responsible for several actions targeting anti-infective, immunological, and gastrointestinal domains in neonates, infants, and young children. Evidence-based data vouch for the ability of supplemented lactoferrin to prevent sepsis and necrotizing enterocolitis in preterm infants and to reduce the burden of morbidity related to gastrointestinal and respiratory pathogens in young children. However, several issues remain pending regarding answers and clarification related to quality control, correct intakes, optimal schedules and schemes of supplementations, interactions with probiotics, and different types of milk and formulas. This review summarizes the current evidence regarding lactoferrin and discusses the areas in need of further guidance prior to the adoption of strategies that include a routine use of lactoferrin in neonates and young children.

scholarly journals How to interpret symptoms, signs and investigations of dehydration in children with gastroenteritis

2020 ◽  
pp. edpract-2019-317831
Author(s):  
Antonio Prisco ◽  
Daniela Capalbo ◽  
Stefano Guarino ◽  
Emanuele Miraglia del Giudice ◽  
Pierluigi Marzuillo
Keyword(s):  
Young Children ◽  
Current Literature ◽  
Clinical Assessment ◽  
Morbidity And Mortality ◽  
Pivotal Role ◽  
Evidence Based ◽  
Laboratory Investigations ◽  
Infants And Young Children

Dehydration is a significant cause of morbidity and mortality in children worldwide. Infants and young children are vulnerable to dehydration, and clinical assessment plays a pivotal role in their care. In addition, laboratory investigations can, in some children, be helpful when assessing the severity of dehydration and for guiding rehydration treatment. In this interpretation, we review the current literature and provide an evidence-based approach to recognising and managing dehydration in children.

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