////////////////////Early Determinants of Fruit and Vegetable Acceptance
Forestell CA and Mennella JA.Pediatrics. 2007;120:1247-1254.
Summary
The authors note that infant tastes for sweet foods (eg, fruit) tend to be innate, while preferences for other foods (eg, vegetables) are more learned. This study tested whether the method of food introduction to infants would alter acceptance of vegetables, with green beans being the "prototype" tested.
Past studies demonstrated that maternal intake of foods during the prenatal period as well as during nursing can positively influence infant acceptance of those foods. The authors had the following hypotheses: that breastfed infants would be more likely to accept green beans than formula-fed infants; that repeated exposure to green beans would increase acceptance of them; and that pairing green bean exposure with a fruit exposure afterward (peaches in this study) would improve green bean acceptance at subsequent feedings.
///////////////GJRT SCHL BS CNL TRGDY-41 DD-DN CMPR
/////////////////////........Unintentional Strangulation Deaths From the "Choking Game" Among Youths Aged 6-19 Years -- United States, 1995-2007 The "choking game" produces brief euphoria from cerebral hypoxia, but serious neurologic injury or death can result. What is the estimated incidence of deaths among youths based on news media reports?
////////////////..........The authors concluded that approximately half of patients diagnosed with early childhood asthma have remission of the disease by age 12 years.
Viewpoint
A question that comes up frequently in pediatric practice is whether patients admitted for their first asthma episode should be started on controller medications. This study suggests that the answer is yes, given the much higher rate of asthma-related healthcare used by patients diagnosed in hospital, especially in the first year after diagnosis. A second question that comes up is how long to continue controllers once begun. This study demonstrated that the cumulative incidence of hospitalization increased for 3 years after initial diagnosis before reaching a plateau, leading the authors to conclude that it takes up to 3 years for asthma to stabilize in an individual. As a potential answer to the question of "how long," the answer seems to be on the order of 12 months or more before considering discontinuation of controllers. The latest Guidelines for the Diagnosis and Management of Asthma can be viewed or downloaded at the National Heart Lung and Blood Institute (please see Related Links). These new guidelines urge providers to include assessment of both impairment (old symptom approach) and risk, and admission to hospital seems to indicate a high-risk patient.
Abstract
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Related Links
External LinksGuidelines for the Diagnosis and Management of Asthma (EPR-3)
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Author Information
William T. Basco, Jr., MD, FAAP, Pediatrician, Charleston, South Carolina
Disclosure: William T. Basco, Jr., MD, FAAP, has disclosed no relevant financial relationships.
Medscape Pediatrics. 2008; ©2008 Medscape
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