Maternal and Child Health Library
This and past issues of the MCH Alert are available at http://www.mchlibrary.info/alert/archives.html
June 11, 2010
************************************************************
Special Notice: MCHB Customer Satisfaction Survey
You recently received an e-mail requesting your participation in the
Health Resources and Services Administration's Maternal and Child
Health Bureau (MCHB) customer satisfaction survey of its Resource
Center, Maternal and Child Health Library. To those of you who have
already responded, thank you very much. If you have not yet had a
chance to participate in the survey, we would appreciate it if you
would take a few minutes to complete the survey via the internet by
clicking on the link below.
https://svy.cfigroup.com/cgi-bin/qwebcorporate.dll?idx=S59BJQ
The survey will take approximately 10 minutes to complete. The CFI
Group, an independent research and consulting firm, is conducting this
survey for the MCHB. The survey is hosted via a secure server and your
participation will remain anonymous. If you have any technical
questions or issues while taking the survey, please contact MCHBsurvey@mail.cfigroup.com
Thank you in advance for your participation.
************************************************************
Multimedia Featured Resource: The Eunice Kennedy Shriver National
Institute of Child Health and Human Development and the Office of
Medical Applications of Research of the National Institutes of Health
convened a Consensus Development Conference on March 8-10, 2010, in
Bethesda, Maryland, to provide health professionals and the general
public with an assessment of data on vaginal birth after cesarean
(VBAC). The final statement, program and abstracts, archived Webcast,
and evidence report are available at http://consensus.nih.gov/2010/vbac.htm
In Pinn Point on Women's Health: Vaginal Birth after Cesarean Section,
Vivian W. Pinn, M.D., director of the Office of Research on Women's
Health at the National Institutes of Health (NIH) and Caroline Signore,
M.D., M.P.H., a board certified obstetrician-gynecologist at the Eunice
Kennedy Shriver National Institute of Child Health and Human
Development at NIH, explore VBAC and the systemic barriers that need to
be overcome to make this delivery option available to more women. The
podcast is one in a series of broadcasts hosted by Dr. Pinn that looks
at developments in women's health and research on women’s health. The
podcast is available at http://orwh.od.nih.gov/podcast/Pinncast2010-05.mp3.
The transcript is available at http://orwh.od.nih.gov/podcast/VBAC-Signore.pdf
1. Booklet Focuses on Skills Development in Nutrition and
Feeding of Children with Special Health Care Needs
2. Journal Supplements Provide Portrait of the Social
Determinants of Children's Health
3. Report from the American Academy of Pediatrics Task
Force on Mental Health Care Featured in Journal Supplement
4. CDC Releases 2009 Data on Health-Risk Behaviors Among
Youth
5. Journal Presents Approach to Managing
Neurodevelopmental Disorders in Primary Care
6. Article Assesses Infants' Ability to Self-Regulate
Milk Intake Depending on Feeding Mode in Early Infancy
************************************************************
1. BOOKLET FOCUSES ON SKILLS DEVELOPMENT IN NUTRITION AND FEEDING OF
CHILDREN WITH SPECIAL HEALTH CARE NEEDS
Nutrition Interventions for Children with Special Health Care Needs 3rd
edition, 2010 addresses the growth, nutrition, and feeding of children
with or at increased risk for a broad range of chronic illnesses or
conditions who require intervention beyond basic, routine, pediatric
care. The new edition of the booklet, published by the Washington State
Department of Health, is divided into three sections and includes new
chapters on breastfeeding, physical activity, and autism spectrum
disorders. Section 1 outlines procedures for nutrition screening and
assessment and development of a nutrition intervention care plan.
Section 2 addresses nutrition-related problems across a wide range of
diagnoses. Section 3 examines nutrition management related to specific
diseases and disorders that have strong nutrition components. Each
chapter contains intervention strategies, outcomes, and references.
Additional tools are included in the appendix. The booklet is available
at http://here.doh.wa.gov/materials/nutrition-interventions
************************************************************
2. JOURNAL SUPPLEMENTS PROVIDE PORTRAIT OF THE SOCIAL DETERMINANTS OF
CHILDREN'S HEALTH
The supplement to the May 2010 issue of the Journal of Health Care for
the Poor and Underserved focuses on the social determinants of health
among children from immigrant, minority, and other low-income
populations in the developed world. The supplement is the second volume
in a set produced with support from the W. K. Kellogg Foundation. The
first volume, published in November 2009, addresses global
perspectives. The current volume contains 11 articles on the following
topics: rural African-American youths' perceptions about the role of
community social institutions in addressing HIV; access to care among
immigrant children by region of birth; social determinants of mental
health treatment among Haitian, African-American, and white youth in
community health centers; racial and ethnic differences in social
consequences of early-onset psychiatric disorder; access to and use of
oral health care by children and families who are homeless; savings
attributable to guidelines-based asthma care in the pediatric medical
home; school-based obesity-prevention programming for low-income,
minority children; the impact of health insurance coverage on
undocumented and other low-income children; nativity status and
self-reported asthma in children and adolescents; pregnancy among young
women who are homeless; and clinic- and hospital-based legal services.
Abstracts are available at http://muse.jhu.edu/journals/journal_of_health_care_for_the_poor_and_underserved/toc/hpu.21.2A.html
************************************************************
3. REPORT FROM THE AMERICAN ACADEMY OF PEDIATRICS TASK FORCE ON MENTAL
HEALTH CARE FEATURED IN JOURNAL SUPPLEMENT
The June 2010 supplement to Pediatrics is designed to help
pediatricians and other primary care clinicians (family physicians,
nurse practitioners, and physician assistants who provide primary care
to infants, children, and adolescents) enhance the mental health care
they provide. The supplement addresses three goals determined by the
American Academy of Pediatrics Task Force on Mental Health to
accomplish its purpose: to facilitate system changes, build skills, and
incrementally change practice. In the first article of the supplement,
the task force proposes strategies that primary care clinicians can use
with their partners at the community level, collectively, to foster
resilience in children, to address factors that increase children's
risk of developing mental problems, to enhance or expand services, and
to facilitate systemic changes that foster collaboration between
primary care clinicians and others who are important to children's
mental health and care. The second article describes practice
enhancements necessary for effective mental health care. These
enhancements envision that primary care clinicians will gain the
capacity to apply medical home or chronic care principles to the care
of children with identified psychosocial problems and mental disorders
as they would to the care of children with other special health care
needs such as asthma or diabetes. The third article summarizes key
features of a clinical process for delivering mental health services in
pediatric primary care settings. The process is represented in
algorithms annotated with the procedure codes applicable to each step.
The supplement is available (at no charge) at http://pediatrics.aappublications.org/content/vol125/Supplement_3
************************************************************
4. CDC RELEASES 2009 DATA ON HEALTH-RISK BEHAVIORS AMONG YOUTH
Youth Risk Behavior Surveillance -- United States, 2009 summarizes data
from the national Youth Risk Behavior Survey, 42 state surveys, and 20
local surveys of students in grades 9 through 12 conducted during
September 2008 through December 2009. The report, published in the June
4, 2010, issue of Morbidity and Mortality Weekly Report Surveillance
Summaries, also presents trends in risk behaviors during 1991-2009. The
report addresses six categories of priority health-risk behaviors among
adolescents and young adults; these behaviors contribute to
unintentional injuries and violence, tobacco use, alcohol and other
drug use, sexual behaviors that can result in unintended pregnancy and
sexually transmitted diseases (including HIV infection), unhealthy
dietary behaviors, and physical inactivity. Additional topics include
obesity, overweight, and weight control and asthma. The report is
available at http://www.cdc.gov/mmwr/pdf/ss/ss5905.pdf
************************************************************
5. JOURNAL PRESENTS APPROACH TO MANAGING NEURODEVELOPMENTAL DISORDERS
IN PRIMARY CARE
Development Disabilities Across the Lifespan, the June 2010 issue of
Disease-a-Month, is designed to provide primary care health
professionals with an overview of major neurodevelopmental disorders
and a review of selected concepts related to their management. The
issue is based on the premise that all primary care health
professionals will encounter these disorders in all age ranges, with
diverse presentations and stages of progression, and that intervention
requires a multidisciplinary team approach involving a variety of
professionals and agencies. The content addresses neurodevelopmental
disorders comprising a range of intellectual, cognitive, learning,
language, and psychosocial capabilities. Topics include the following:
- How disability is defined by current programs and regulations.
- Basic concepts of developmental diagnoses including epidemiology,
diagnosis and clinical features, management principles, and outcome for
communication disorders, autism spectrum disorders, cerebral palsy, and
myelomeningocele.
- Dual diagnosis and psychopharmacology -- aggression,
self-injurious behavior, attention-deficit/hyperactivity disorder, and
mood, anxiety, and psychotic disorders.
- Psychological effects of neurodevelopmental disorders on
sexuality, sexual abuse, sexuality education, and gynecologic care.
- Medical home, transition planning, and challenges to transition.
- Concepts of multiple-discipline team care -- teams and team
processes, conceptualization of multiple-discipline teams, evolution of
teams, developing effective teams, team process within the context of a
medical home, and outcomes of team approaches in health care delivery.
- Psychosocial considerations including issues for parents.
- Effective communication -- interactions with the school system
and with community agencies.
Patel DR, Greydanus DE, Calles JL, et al. 2010. Developmental
disabilities across the lifespan. Disease-a-Month 56(6):305-397.
Available at http://www.diseaseamonth.com/current
Readers: More information is available from the following MCH Library
resources:
- Emotional, Behavioral, and Mental Health Challenges in Children and
Adolescents: Knowledge Path at
http://mchlibrary.info/KnowledgePaths/kp_Mental_Conditions.html
- Child Developmental Screening: Bibliography of Materials from MCHLine
at
http://mchlibrary.info/databases/bibliography.php?target=auto_search_devscrn
************************************************************
6. ARTICLE ASSESSES INFANTS' ABILITY TO SELF-REGULATE MILK INTAKE
DEPENDING ON FEEDING MODE IN EARLY INFANCY
"Infants at the breast learn and develop better control of their milk
intake, whereas bottle-feeding may decrease infants' abilities to
self-regulate milk intake," write the authors of an article published
in the June 2010 issue of Pediatrics. The estimated percentage of
children ages 2-5 and 6-11 in the United States classified as
overweight increased from 5.0 percent and 6.5 percent, respectively, in
1980 to 12.4 percent and 17.0 percent, respectively, in 2006. The
increase in childhood obesity was also observed in children ages 6-23
months, from 7.2 percent in 1980 to 11.6 percent in 2000. Many studies
have shown that breastfed infants have a continued lower risk of
obesity later in childhood. The purpose of the study described in this
article was to explore whether infants' self-regulation of milk intake
is a possible mechanism behind the relationship between breastfeeding
and childhood obesity.
The study sample came from the Infant Feeding Practices Study (IFPS)
II, a U.S. population-based longitudinal study (2005-2007). The IFPS II
sample was drawn from a U.S. national consumer-opinion panel and
consisted of mothers ages 18 or older with healthy newborns whose
gestational age at birth was 35 or more weeks and whose birthweight was
5 or more pounds. Infants were followed longitudinally with
questionnaires mailed almost monthly until age 12 months. The authors
included 1,597 infants for whom there were data on how often the infant
emptied the milk in the bottle or cup offered during the second
half-year of infancy; of these infants, there were complete data for
1,250 infants for the analysis. To examine whether infants'
self-regulation in the second half-year of infancy was affected by how
milk was delivered in the first half-year, feeding mode (breast only,
bottle and breast, or bottle only) and bottle-feeding intensity (the
percentage of milk feeds given by bottle) were used as main exposure
variables.
The authors found that
- Twenty-seven percent of exclusively breastfed infants emptied the
bottle or cup given to them in later infancy, vs. 54 percent of infants
fed both at the breast and by bottle and 68 percent of infants fed only
by bottle.
- Analyses indicated a dose-response relationship between
bottle-feeding and self-regulation of milk intake. Specifically, a 10
percent increase in bottle-feeding intensity during the first half-year
increased the rates of infant-led emptying of milk from bottles or cups
by 9 percent, and infants who were given bottles more intensively early
in life were approximately 71 percent, or two times, more likely to
empty the bottle or cup later in life than those bottle-fed less
intensively (one-third to two-thirds or more than two-thirds of milk
feeds given by bottle, vs. less than one-third).
- When formula- and expressed-milk feedings were considered
separately, similar dose-response relationships were observed.
The authors conclude that "infants fed directly at the breast have
better self-regulation, which in turn could mediate the relationship
between breastfeeding and childhood obesity." They continue, "our
results also indicate that bottle-feeding may be more important than
the type of milk in the bottle in limiting infants' ability to
self-regulate milk intake."
Li R, Fein SB, Grummer-Strawn LM. 2010. Do infants fed from bottles
lack self-regulation of milk intake compared with directly breastfed
infants? Pediatrics 125(6):e1386-e1393. Available at http://pediatrics.aappublications.org/cgi/content/abstract/125/6/e1386
Readers: More information is available from the following MCH Library
resource:
- Breastfeeding: Resource Brief at
http://mchlibrary.info/guides/breastfeeding.html
************************************************************
To subscribe to MCH Alert, send an e-mail message to MCHAlert-request@lists.mchgroup.org with SUBSCRIBE in the subject line.
You do not need to enter any text in the body of the message.
To unsubscribe from MCH Alert, send an e-mail message to MCHAlert-request@lists.mchgroup.org with UNSUBSCRIBE in the subject
line. You do not need to enter any text in the body of the message.
************************************************************
MCH Library shares notices of new issues of MCH Alert on Twitter at http://bit.ly/OKv5Y
************************************************************
MCH Alert © 1998-2010 by National Center for Education in Maternal
and
Child Health and Georgetown University. MCH Alert is produced by
Maternal and Child Health Library at the National Center for Education
in Maternal and Child Health under its cooperative agreement
(U02MC00001) with the Maternal and Child Health Bureau, Health
Resources and Services Administration, U.S. Department of Health and
Human Services. The Maternal and Child Health Bureau reserves a
royalty-free, nonexclusive, and irrevocable right to use the work for
federal purposes and to authorize others to use the work for federal
purposes.
Permission is given to forward MCH Alert, in its entirety, to others.
For
all other uses, requests for permission to duplicate and use all or
part of the information contained in this publication should be sent to mchalert@ncemch.org.
The editors welcome your submissions, suggestions, and questions.
Please contact us at the address below.
EDITOR/ADMINISTRATOR: Jolene Bertness, M.Ed.
CO-EDITOR: Tracy Lopez, M.S.L.S.
COPYEDITOR/WRITER: Ruth Barzel, M.A.
WRITER: Beth DeFrancis, M.L.S.
MCH Alert
Maternal and Child Health Library
Georgetown University
Box 571272
Washington, DC 20057-1272
Phone: (202) 784-9770
Fax: (202) 784-9777
E-mail: mchalert@ncemch.org
Web site: http://www.mchlibrary.info/alert
************************************************************