Assuntos
Sistemas Eletrônicos de Liberação de Nicotina , Nicotina/administração & dosagem , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Vaping/efeitos adversos , Adolescente , Comércio/legislação & jurisprudência , Regulamentação Governamental , Humanos , Programas de Rastreamento , Transtornos Relacionados ao Uso de Substâncias/terapia , Estados Unidos/epidemiologia , United States Food and Drug Administration , Vaping/epidemiologiaRESUMO
Use of electronic nicotine delivery systems is flourishing among adolescents. The long-term effects have not been fully determined; however, literature suggests there is potential for significant harm. Providers must be aware of usage trends, device safety, and product knowledge. Adolescents should be evaluated through routine screening, and cessation counseling should be initiated.
Assuntos
Sistemas Eletrônicos de Liberação de Nicotina/estatística & dados numéricos , Adolescente , Regulamentação Governamental , Humanos , Programas de Rastreamento , Educação de Pacientes como Assunto , Abandono do Hábito de Fumar , Produtos do Tabaco/legislação & jurisprudência , Estados Unidos , United States Food and Drug Administration , Vaping/efeitos adversos , Vaping/prevenção & controleRESUMO
The prevalence of food allergies has doubled in the past 10 years. Peanut allergies are a significant public health issue and are the primary reason for food-related anaphylactic reactions that result in death. Evidence supports that early introduction of the peanut protein (or in combination with immunotherapy) to the highly allergic may safely desensitize patients, which could lead to less adverse allergic reactions and alter allergy management overall.
Assuntos
Hipersensibilidade a Amendoim/prevenção & controle , Criança , Dessensibilização Imunológica , Humanos , Imunoterapia , Guias de Prática Clínica como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Medição de RiscoRESUMO
PURPOSE/OBJECTIVES: To analyze the cultural and ethnic impact of gestational diabetes mellitus (GDM), report the associated complications, and investigate how lifestyle interventions are effective in preventing these associated complications. METHODS: A literature review was conducted using online databases like CINAHL and Cochrane review. Findings were limited to journal articles published between 2012 and 2017. Irrelevant and relevant articles were determined by research topic, specific population, and type of interventions. RESULTS: Due to the growing rate of Hispanics, this ethnic group will have the most impact of GDM. There is a link between the prevalence of GDM and being classified as obese or overweight among women of childbearing age. Differences in perinatal outcomes were noted in different ethnicities especially between Hispanic and Caucasian women. Higher prevalence of GDM did not equal higher impact. In fact, the ethnicity with the highest rate tends to have the lowest impact. Lifestyle interventions reduced the rate and impact of complications of GDM. CONCLUSIONS: There is ethnic variation on the impact of GDM, with the Hispanic women having the most prevalence. Lifestyle interventions such as diet and exercise should be the first-line therapy for all women with GDM.
