Prophylactic Vitamin D Dosage after Infancy

PEDIATRICS ◽  
1963 ◽  
Vol 32 (2) ◽  
pp. 308-308
Author(s):  
HARRY BAKWIN

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."

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 160-161
Author(s):  
Alex J. Steigman ◽  
Edwin L. Kendig

In a statement from the Section on Diseases of the Chest of the American Academy of Pediatrics entitled "The Tuberculin Test,"1 the second paragraph of a comprehensive article begins as follows: "A routine tuberculin test should be performed sometime during the first year of life and annually or biennially thereafter." This recommendation for the frequency of routine tuberculin testing differs from that currently proposed by others. The same issue of Pediatrics contains an article by Dr. Phyllis Q. Edwards entitled "Tuberculin Testing of Children."2 The Summary of the article states "The pediatrician should review and analyze tuberculin test results based on his personal experience.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 311-313 ◽  
Author(s):  
◽  

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.


PEDIATRICS ◽  
1956 ◽  
Vol 18 (1) ◽  
pp. 159-159
Author(s):  

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.


2016 ◽  
Vol 56 (14) ◽  
pp. 1286-1290 ◽  
Author(s):  
Carole Stipelman ◽  
Paul C. Young ◽  
Joni Hemond ◽  
Laura L. Brown ◽  
Nicole L. Mihalopoulos

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.


PEDIATRICS ◽  
1980 ◽  
Vol 66 (5) ◽  
pp. 818-819
Author(s):  
John W. Gerrard

The Nutrition Committee of the Canadian Paediatric Society and the Committee on Nutrition of the American Academy of Pediatrics are to be highly commended for their commentary on breast-feeding. One recommendation made to encourage breast-feeding is to feed on demand. An all-too-common reason put forward by mothers for giving up breast-feeding is that the baby is always hungry, implying that breast milk does not satisfy him. An alternative inference, and often the correct one, is that he likes his milk so much that no sooner has he had one feed than he demands another.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1844-1844
Author(s):  
L.M. Wegner

IntroductionChildren and adolescents experience significant emotional disorders and the prevalence of these conditions is notable. In 1999, the U.S. Surgeon General's report on children's mental health listed the following prevalence data: Anxiety disorders 13.0%; Mood disorders 6.2%; Disruptive disorders 10.3%; Substance use disorders 2%; Any Disorder: 20.9%* (*Children age 9–17 with mental or addictive disorders, combined MECA sample, 6-month prevalence.) However, there is an acknowledged dearth of pediatric mental health care professionals in the U.S. and among those professionals available, geographic and reimbursement limitations restrict access to the care available for many children and adolescents.ObjectivesPrimary health care providers are being encouraged to provide some of the identification and care management to offset this access problem.AimsExpand clinical skills of providers, develop tools for planning at state and local level, educate public about importance of early screening and diagnosis.MethodsIn 2005, the American Academy of Pediatrics convened a Task Force of members and consultants to develop recommendations and paradigms for melding physical health care and mental/behavioral care in the primary practice medical home for children and adolescents.ResultsThis project concluded in 2010 with six published papers and appendices detailing increased identification of pediatric mental health conditions, methods for primary care providers working collaboratively with families and mental health specialists, algorithms for decisions and actions, and payment mechanisms supporting parity between mental and physical care in the US third party payer system.ConclusionsPaper presents the major recommendations and outcomes from this 5 year project.


2018 ◽  
Vol 6 (1) ◽  
pp. 230
Author(s):  
Bijal Shrivastava ◽  
Rashi Aryan ◽  
Abhinav Tiwari ◽  
Lekha Tiwari ◽  
Nimmkayala Pravallika

Background: There are currently two different guidelines for treatment of Vitamin D deficiency in infants, one is that of American Academy of Pediatrics and the other being Clinical Practice Guidelines of the Endocrine Society. This study was done to compare the two guidelines for treatment of Vitamin D deficiency in infants.Methods: A hospital based, longitudinal interventional study was conducted for 2 years and 115 babies having vitamin d deficiency (Vitamin D less than or equal to 20ng/dl) were divided into group A and group B. Group A babies were treated as per American Academy of Pediatrics Guidelines whereas Group Cases were treated as per International Endocrine Society guidelines. All babies were followed up after 3-4 months when repeat Vitamin D levels were checked and then compared.Results: In present study, Vitamin D level had increased by 0.6 times in Group A whereas it had increased by 1.3 times in group B and it was significant.Conclusions: Study results were in favour of the guidelines recommended by the International Endocrine Society.


PEDIATRICS ◽  
1961 ◽  
Vol 28 (4) ◽  
pp. 531-544
Author(s):  
Harold E. Harrison

I am indeed grateful for the honor of the Borden Award of the American Academy of Pediatrics. At this time it is fitting that I express my indebtedness to three great teachers in pediatrics whose influence has been of the utmost importance to me: Grover Powers, Daniel Darrow and Edwards Park. I should also remind you that this award is really a recognition of the joint work of my wife, Dr. Helen C. Harrison, and myself. We have both participated in all aspects of experiment and theory which will be summarized in this paper. It is a great privilege to be asked to present to the American Academy of Pediatrics observations that we have made on a problem that historically has had tremendous significance to pediatricians. A review of the history of rickets and of the discovery of vitamin D is exciting in part because of the brilliant success achieved in the solution of all important problem, but also because of the number of American leaders in pediatrics who participated in this triumph over a disease that had afflicted children in Europe and the United States for generations. THE FIRST experimental evidence of the existence of a fat-soluble organic substance with antirachitic properties was submitted by the British nutritionist Mellanby in 1918.


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