Pediatric Prevention, An Issue of Pediatric Clinics

Earnestine Willis

Description

Preventive pediatrics remains the foundation for pediatricians to offer benefits for future generations. Social conditions often complicate health status and bureaucracies pose challenges for families and children to navigate service systems. Therefore, it is crucial to emphasize a host of topics that children and families face in addition to highlighting opportunities for overcoming some of those challenges. In this issue, an array of authors will update pediatricians on the prevalence and management of chronic health and social conditions such as childhood poverty, youth violence, oral health, asthma, foster care, toxin exposures including tobacco, and childhood obesity. Promising interventions that pediatricians should continue to examine include: how pediatricians can advocate for breastfeeding as a wellness concept for working mothers in the workplace; promotion of childhood literacy development; maximizing immunization compliance; monitor the impact of public policy such as the Affordable Care Act (ACA) on children’s health; and how community health workers (CHWs) can be vital to community health improvement. Proposed interventions include a description of how the medical and legal partnership model can be an empowering strategy for families to address social determinants of health (SDH) when lawyers are included as a member of the health care team. In addition, pediatricians and all other child healthcare professionals must investigate epigenetic mechanisms that might predispose children to risk factors or good health outcomes.

Sujets

• Médecine
• Spécialités médicales
• Médecine Générale
• Medical
• Pediatrics

Informations

• Publié par: Elsevier
• Date de parution: 07 septembre 2015
• Nombre de lectures: 0
• EAN13: 9780323400992
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Clinics Review Articles Pediatric Clinics of North America
Pediatric Prevention

Earnestine Willis, MD, MPH
Department of Pediatrics, Director, Center for the Advancement of Underserved Children, Medical College of Wisconsin, Milwaukee, WI, USA
ISSN  0031-3955 Volume 62 • Number 5 • October 2015
Elsevier
Table of Contents
Cover image
Title page
Copyright
CME Accreditation Page
Target Audience
Learning Objectives
Accreditation
Disclosure of Conflicts of Interest
Unapproved/Off-Label Use Disclosure
To Enroll
Method of Participation
CME Inquiries/Special Needs
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword: Pediatric Prevention
Preface: Preventive Pediatrics Issues for Child Health Care Providers
Breastfeeding and the Affordable Care Act
Key points
Introduction
Disparities in breastfeeding
Role of legislation
Patient Protection and Affordable Care Act
Medicaid program
Women, Infants, and Children program
Comparison of coverage of breastfeeding items and services
Gaps in coverage
Recommendations
Overcoming Challenges to Childhood Immunizations Status
Key points
Introduction
Barriers to immunization
Recommendations
Summary/Discussion
Childhood Poverty
Key points
Introduction
Defining the extent of childhood poverty
The impact of poverty on health and well-being
Prevention of child poverty and its adverse effects on health and well-being
Summary
Youth Violence Prevention and Safety
Key points
Introduction
Youth violence overview: scope of the problem
Childhood experiences and exposures: impact on youth violence potential
Youth violence prevention: background and opportunities for health care providers
Summary
Systematic Review to Inform Dual Tobacco Use Prevention
Key points
Introduction
Materials and methods
Results
Discussion
Summary
Developmental Exposure to Environmental Toxicants
Key points
Overview and developmental aspects
Specific environmental exposures
Childhood Asthma Management and Environmental Triggers
Key points
Introduction
Epidemiology
Asthma pathophysiology
Prevention strategies
Children’s Oral Health Assessment, Prevention, and Treatment
Key points
Introduction
Barriers to children’s oral health
Epidemiology of dental caries
Caries risk assessment
Prevention of dental caries
Treatment of dental caries
Involvement of pediatricians
Epigenetics and Understanding the Impact of Social Determinants of Health
Key points
Social determinants of child health
Biological underpinnings of social determinants
Description of epigenetics
DNA methylation
Measurement of DNA methylation
Description of telomeres
Measurement of telomere length
Social determinants of epigenetic marks
Social determinants of telomere length
Epigenetic association with child mental health
Epigenetic association with asthma
Current recommendations
Addressing Childhood Obesity
Key points
Introduction
Risk factors
Developmental approach to obesity prevention
Role of the primary care provider
Policy and environmental interventions
The family
Summary
Legal Care as Part of Health Care
Key points
Many social determinants are legal needs with legal remedies
Prevalence of legal needs in low-income populations
Bridging the divide: the legal and health care systems/communities
Accessing legal support
The medical-legal partnership response
Benefits of medical-legal partnership for patients and families
Benefits for health care staff
Summary
Early Literacy Promotion in the Digital Age
Key points
Early literacy as a social determinant of health
Digital media exposure during early childhood
Parents and adult caregivers: the gatekeepers to emergent literacy
Early literacy promotion as standard pediatric care
Beyond Reach Out and Read
A prescription for innovative pediatric primary care
Children, Families, and Disparities
Key points
Setting the stage: a review of Children’s Health Insurance Programs
A brief history of health reform
An overview of the Affordable Care Act
Affordable Care Act provisions affecting children and families
Efforts to address racial and ethnic health disparities
Ongoing challenges
Implications: what should pediatric clinicians do?
Summary
Community Health Workers as a Component of the Health Care Team
Key points
Introduction
Historical perspective
Training and certification
Evidence of effectiveness
Challenges and future models
Summary
Foster Care and Child Health
Key points
Foster care in the United States
The numbers
The pediatrician’s role
The child entering the foster care system
Need for mental health services
Adverse childhood experience
Centering care
Exiting the foster care system
Documentation
Appendix 1 Potential influences throughout the life span of adverse childhood experiences
Index
Copyright
ELSEVIER
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THE PEDIATRIC CLINICS OF NORTH AMERICA Volume 62, Number 5
October 2015 ISSN 0031-3955, ISBN-13: 978-0-323-40098-5
Editor: Kerry Holland
Developmental Editor: Casey Jackson
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