Dyslipidemia Screening of 9- to 11-Year-Olds at Well-Child Visits by Utah Pediatricians

2016 ◽  
Vol 56 (14) ◽  
pp. 1286-1290 ◽  
Author(s):  
Carole Stipelman ◽  
Paul C. Young ◽  
Joni Hemond ◽  
Laura L. Brown ◽  
Nicole L. Mihalopoulos
Keyword(s):  
Primary Care ◽  
Family History ◽  
American Academy ◽  
Children And Adolescents ◽  
Risk Reduction ◽  
Positive Family History ◽  
National Institutes Of Health ◽  
American Academy Of Pediatrics ◽  
Lipid Screening

In 2011, an expert National Institutes of Health panel published the “Integrated Guidelines for CV Health and Risk Reduction in Children and Adolescents,” which recommended screening all children aged 9 to 11 years for dyslipidemia. It is unknown if this guideline is being followed. We surveyed members of the Utah chapter of the American Academy of Pediatrics to determine whether they performed universal lipid screening at well-child visits (WCV) on their patients at 9,10, or 11 years and how comfortable they were with evaluating and/or managing children with dyslipidemia. Of the 118 respondents who practiced primary care, only 18 (15%) screened all children at WCV; 86 (73%) tested “some,” most commonly children who were obese or had a positive family history. 18% were unfamiliar with the guidelines; 28% were familiar with the guidelines but felt they were “inappropriate;” 98 (84%) of the respondents said they were “very or somewhat comfortable” evaluating children with dyslipidemia.

SECTION ON ALLERGY AND IMMUNOLOGY

PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. ii-ii
Author(s):  
Keyword(s):  
American Academy ◽  
Asthmatic Child ◽  
Task Force ◽  
National Institutes Of Health ◽  
Educational Resource ◽  
Pediatric Allergy ◽  
The Past ◽  
American Academy Of Pediatrics ◽  
Allergy And Immunology ◽  
Children With Asthma

The Section on Allergy and Immunology was one of the first sections formed (1948) within the American Academy of Pediatrics. It now has almost 600 members. Its objective is to improve the care of children with asthma, allergies, and immunologic disorders. The Section aims to serve as a major informational and educational resource for the 34 000 members of the American Academy of Pediatrics. The Section sponsors a 2-day scientific program and symposium at each Anual Meeting of the Academy; and, for the past several years, it has also presented a symposium at the Annual Meeting of the American Academy of Allergy and Immunology, as well as the annual "Synopsis Book." Other educational activities by the Section include publishing position papers (most recently, "Exercise and the Asthmatic Child"), assisting the National Asthma Education Task Force of the National Institutes of Health, and developing informational pamphlets for patients. In addition, the Section sponsors visiting professorship programs to medical schools which do not have a division of pediatric allergy and immunology. The membership of the Section on Allergy and Immunology consists of Fellows of the American Academy of Pediatrics who have been certified by the American Board of Pediatrics and by the American Board of Allergy and Immunology. Any and all qualified American Academy of Pediatrics Fellows are invited to apply for membership in the Section. If interested, please write to: DIRECTOR, DIVISION OF SECTIONS American Academy of Pediatrics 141 Northwest Point Blvd PO Box 927 Elk Grove Village, IL 60009-0927 The reviews contained in this 1988 to 1989 synopsis were written by 28 Fellows of the American Academy of Pediatrics Section on Allergy and Immunology and by 5 senior fellows in allergy and immunology who contributed reviews under the aegis of their mentors.

Prophylactic Vitamin D Dosage after Infancy

PEDIATRICS ◽  
1963 ◽  
Vol 32 (2) ◽  
pp. 308-308
Author(s):  
HARRY BAKWIN
Keyword(s):  
Vitamin D ◽  
American Academy ◽  
Children And Adolescents ◽  
Late Winter ◽  
First Year ◽  
Bellevue Hospital ◽  
American Academy Of Pediatrics ◽  
Prophylactic Dose ◽  
Nutrition Committee

In the report of the Nutrition Committee, American Academy of Pediatrics on the "Prophylactic Requirement and the Toxicity of Vitamin D" (Pediatrics, 31:512) the same prophylactic dose of vitamin D is recommended for children and adolescents as for infants. This seems to me unrealistic. Before the introduction of widespread vitamin D prophylaxis, all the babies over 3 or 4 months on the infant's ward at Bellevue Hospital had rickets during the late winter and spring. The only variation was in degree. Rickets was never seen after the first year or two except for an occasional case of "renal rickets" and "coeliac rickets."

Protective Eyewear for Young Athletes

PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 311-313 ◽  
Author(s):  
◽  
Keyword(s):  
American Academy ◽  
Children And Adolescents ◽  
Participation Rates ◽  
Eye Injuries ◽  
Young Athletes ◽  
Eye Protection ◽  
American Academy Of Pediatrics ◽  
High Incidence ◽  
Protective Eyewear ◽  
Hospital Emergency Departments

The American Academy of Pediatrics and the American Academy of Ophthalmology recommend mandatory protective eyewear for all functionally one-eyed individuals and for athletes who have had eye surgery or trauma and whose ophthalmologists recommend eye protection. Protective eyewear is also strongly recommended for all other athletes. BACKGROUND More than 41 000 sports-related and recreational eye injuries were treated in hospital emergency departments in 1993.1 Seventy-one percent of the injuries occurred in individuals younger than 25 years; 41% occurred in individuals younger than 15 years; and 6% occurred in children younger than 5 years. Children and adolescents are particularly susceptible to injuries because of their fearless manner of play and their athletic immaturity.2-4 Ten sports or sports groupings are highlighted in this statement based on their popularity and the high incidence of eye injuries (see Table 1).1 Baseball and basketball are associated with the most eye injuries in athletes 5 to 24 years old.5 Participation rates and information on the severity of the injuries are unavailable, however; therefore, the relative risk of significant injuries cannot be determined for various sports. The high frequency of sports-related eye injuries in young athletes indicates the need for an awareness among athletes and their parents of the risks of participation and of the availability of a variety of approved sports eye protectors. When properly fitted, appropriate eye protectors have been found to reduce the risk of significant eye injury by at least 90%.4,6,7 EVALUATION It would be ideal if all children and adolescents wore appropriate eye protection for all sports and recreational activities.

COMMITTEE ON NUTRITION

PEDIATRICS ◽  
1956 ◽  
Vol 18 (1) ◽  
pp. 159-159
Author(s):  
Keyword(s):  
American Academy ◽  
Children And Adolescents ◽  
Rapid Growth ◽  
Current Knowledge ◽  
Scientific Basis ◽  
Scientific Committee ◽  
Nutritional Requirements ◽  
Official Journal ◽  
Executive Board ◽  
American Academy Of Pediatrics

THE Committee on Nutrition of the American Academy of Pediatrics was established as a Scientific Committee by action of the Executive Board on April 1, 1954. It was created through due recognition of the importance of nutrition in the welfare of infants, children and adolescents. It had become evident that there should be an authoritative body, particularly concerned with the science and practice of nutrition in the periods of rapid growth which occupy the attention of pediatricians. In this manner it was hoped that special consideration of factors which affect the nutrition of infants, children and adolescents could be emphasized. The Committee should include persons capable of compiling and appraising the pertinent facts and who also would be sensitive to the needs of practitioners and to the position of purveyors of products intended for the nutrition of infants, children and adolescents. This Committee of the Academy shall offer guidance in selecting means of achieving optimal nutrition in those periods of rapid growth. Consultation and cooperation with other existing authoritative bodies are considered desirable. The Executive Board of the Academy on September 29, 1955, defined the scope and functions of the Committee on Nutrition to include: 1. Compilation of the essential facts which are the scientific basis for practical nutrition of infants, children and adolescents. 2. Publication of the findings of the Committee in a form suitable to convey the information to physicians, such as brief reports and commentaries in the official journal and publications of the Academy. This Committee shall concern itself with standards for nutritional requirements, optimal practices and the interpretation of current knowledge of nutrition as these affect infants, children and adolescents.

Proposed Guidelines on Genetic Engineering

PEDIATRICS ◽  
1985 ◽  
Vol 75 (6) ◽  
pp. 1159-1159
Author(s):  
Keyword(s):  
American Academy ◽  
Mammalian Species ◽  
Scientific Basis ◽  
Molecular Structures ◽  
National Institutes Of Health ◽  
University Of Pennsylvania ◽  
Genetic Trait ◽  
Inborn Errors ◽  
American Academy Of Pediatrics ◽  
The University

The American Academy of Pediatrics has become aware of a proposal to National Institute of Allergy and Infectious Diseases (NIAID) that "NIH [National Institutes of Health] prohibit any experimentation involving the transfer of a genetic trait from one mammalian species into the germ cell of another, unrelated mammalian species." An advisory committee rejected this proposal on Oct 29, 1984. For the record and in any event of further attempts to impose such a prohibition, the Academy, on recommendation of its Council on Research, has the following statement: Without specific study of the referenced experiments by Dr Ralph Brinster of the University of Pennsylvania, the American Academy of Pediatrics believes that such a blanket prohibition would be scientifically dangerous and detrimental to research efforts into understanding human disease, including cancer, and potentially to the development of new therapies. There is no true scientific basis for the proposed prohibition. The fact is that a large number of molecular structures, including complex ones, are held in common among the mammalian species. In reality, the species are much more similar than they are different. The species borders that the proposer talks about are a continuum and a blend rather than a sharp demarcation (as is evidenced in cell culture by the ability to fuse cells from many species). The prohibition would militate against certain possibilities for research and therapy related to inborn errors of metabolism. A gene for the production of an enzyme in one species often makes an enzyme that would produce the same kind of product found in the human.

scholarly journals Cardiovascular Risk Distribution in a Contemporary Polish Collective

2020 ◽  
Vol 17 (9) ◽  
pp. 3306
Author(s):  
Anita Liput-Sikora ◽  
Anna Cybulska ◽  
Wiesława Fabian ◽  
Anna Fabian-Danielewska ◽  
Marzanna Stanisławska ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Primary Care ◽  
Family History ◽  
Total Cholesterol ◽  
Positive Family History ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Medical Documentation ◽  
Significant Difference

The aim of this study was to assess the prevalence of selected risk factors for cardiovascular disease (hypertension, overweight, obesity, carbohydrate metabolism disorders, a positive family history, a lack of physical activity), and to estimate the risk of a cardiovascular incident according to the Systematic Coronary Risk Evaluation (SCORE) algorithm for patients aged 35, 40, 45, 50, and 55 years, included in a primary-care prevention program, with regard to selected variables (sex and age brackets). The study sample consisted of 2009 subjects, 63% of whom were women. The largest group was the group of 35-year-olds (27%). The research method was the analysis of medical documentation of primary-care patients living in West Pomerania included in the Program of Prevention and Early Detection of Cardiovascular Disease of the National Health Fund. We collected data concerning risk factors for cardiovascular disease, blood pressure, anthropometric measurements (arm circumference, waist circumference, height, weight), body mass index (BMI), and the levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), and fasting glucose, as well as the SCORE results. Men more often than women were overweight and obese, had hyperglycemia, and had elevated levels of total cholesterol, LDL cholesterol, and triglycerides (p < 0.001). There was also a statistically significant difference in the odds of a cardiovascular incident (p < 0.001)—the SCORE results obtained by men were higher. Men require special preventive measures in order to reduce their risk factors for cardiovascular disease, especially hypertension, dyslipidemia, diabetes, overweight, obesity, smoking, and a positive family history.

Colocated Mental Health/Developmental Care

2017 ◽  
Vol 56 (11) ◽  
pp. 1023-1031 ◽  
Author(s):  
Sheryl L. Levy ◽  
Elena Hill ◽  
Kathryn Mattern ◽  
Kevin McKay ◽  
R. Christopher Sheldrick ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
American Academy ◽  
Developmental Care ◽  
Primary Care Settings ◽  
American Academy Of Pediatrics ◽  
Developmental Health ◽  
Financial Arrangements ◽  
Further Development

The inadequacy of mental health and developmental services for children is a widely recognized and growing problem. Although a variety of solutions have been proposed, none has been generally successful or feasible. This research describes models of colocation that have evolved in primary care settings in Massachusetts and reports on pediatricians’ and their colocated colleagues’ impressions of their benefits and challenges. Pediatricians in 18 practices that included a colocated mental health/developmental specialist (MH/DS) were identified through a survey administered through the state American Academy of Pediatrics Chapter, and interviewed. Practices varied widely in the professional expertise/training and roles of the MH/DSs, communication among providers, and financial arrangements. The majority of pediatricians and MH/DSs reported being pleased with their colocated arrangements, despite the costs rarely being supported by billing revenues. This study suggests that further development of such systems hold promise to meet the growing need for accessible pediatric mental and developmental health care.

scholarly journals Prevalence and Family History Characteristics of Type 1 Diabetes Mellitus in Children and Adolescents: A Nigerian Tertiary-Healthcare Based Study

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Elizabeth Eberechi Oyenusi ◽  
Alphonsus Ndidi Onyiriuka ◽  
Yahaya Saidu Alkali
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Family History ◽  
Children And Adolescents ◽  
Positive Family History ◽  
Risk Category ◽  
Family History Of Diabetes ◽  
Tertiary Healthcare ◽  
History Of

Background: Family history of diabetes mellitus is a useful tool for detecting children and adolescents at risk of the disease. The aim of this study is to determine the prevalence and describe the characteristics of family history of diabetes mellitus in Nigerian children and adolescents with type 1 diabetes. Methods: A retrospective chart review of children and adolescents newly diagnosed with type 1 diabetes was conducted in three tertiary-healthcare institutions in Nigeria. In addition to the review of charts of old patients, other children and adolescents who presented with new-onset diabetes during  the review process were also included. An interviewer-administered questionnaire was used in obtaining information from the patients and their parents. Using the criteria suggested by Scheuner et al, the family history risk category was stratified into average, moderate and high. Results: Out of a total of 65 children and adolescents with type 1 diabetes, 29(44.6%, 95% CI= 32.6-56.7) had a positive family history of diabetes mellitus. Of the affected family members, 42.9% were first-degree relatives. The frequencies of family history risk category were average 65.5%, moderate 27.6% and high 6.9%. Among the affected family members in whom information on their diabetes status was available, 19(86.4%) had type 2 diabetes and only 3(13.6%) had type 1 diabetes. Conclusion: Four out of every ten patients with type 1 diabetes in the paediatric age group, have a first- degree relative with a positive family history of diabetes.

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