Biotechnology and potential nutritional implications for children.

Abstract:

:The tools of biotechnology have enormous potential to develop new, safe, and nutritious foods and food products that could benefit the immediate and long-term nutritional and health needs of the pediatric population. This is especially true as more emphasis is placed on the prevention, rather than the treatment, of chronic degenerative and metabolic diseases. But the promise of biotechnology for nutritional and health benefits of children's diets must be accepted with cautious optimism. Many advances in food technology and nutritional composition of food animals and plants have already been made through biotechnology, but they represent only the beginning of the necessary research. These advances have been based on relatively little knowledge of basic human nutritional needs, particularly during the dynamic pediatric period of growth and development. More importantly, these advances have been predicated with no understanding of dietary nutrient interactions. Changing nutrient composition of foods through biotechnology may alter nutrient interactions, nutrient-gene interactions, nutrient bioavailability, nutrient potency, and nutrient metabolism. Biotechnology has the potential to produce changes in our foods and in our diet at a pace far greater than our ability to predict the significance of those changes on pediatric nutrition. The Human Genome Project, which relies on biotechnology, will revolutionize science and medicine. Pediatrics will be one of the first medical specialties to benefit from the outcome of this project as recombinant DNA manipulations will replace diet therapies for treating metabolic diseases. Somatic gene therapy eventually may be the ideal means for diagnosis, treatment, and cure of inherited diseases and metabolic disorders; however, many problems exist, especially in situations in which nutrients are involved in the complex regulation of gene expression. DNA and genes themselves do not determine the fate of an individual. The genetic material provides the potential for the individual, but this potential can be modified by environmental factors. The interaction of nutrients with genes is a major determinant in the final outcome of the individual. Biotechnology promises children a more productive and better quality of life, but achieving the full potential of this promise demands a continued diligent search for knowledge of nutrition and nutrient-gene interactions.

journal_name

Pediatr Clin North Am

authors

Young AL,Lewis CG

doi

10.1016/s0031-3955(16)40022-2

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

917-30

issue

4

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(16)40022-2

journal_volume

42

pub_type

杂志文章,评审
  • Pediatric maxillofacial trauma.

    abstract::The accurate diagnosis and timely, appropriate treatment of soft-tissue and bony maxillofacial injuries in children are of critical importance due to the potential adverse impact of maxillofacial trauma on subsequent facial growth and development. Guidelines are provided to assist the pediatrician in the evaluation an...

    journal_title:Pediatric clinics of North America

    pub_type: 指南,杂志文章,评审

    doi:10.1016/s0031-3955(16)38410-3

    authors: Hunter JG

    更新日期:1992-10-01 00:00:00

  • Pregnancy in the adolescent patient. Screening, diagnosis, and initial management.

    abstract::Despite declines in adolescent pregnancy rates in the past decade, unplanned pregnancies among adolescents remain a significant problem in the United States. Clinicians caring for adolescents can be certain to encounter pregnancy in their patients. This article addresses surveillance and diagnosis for pregnancy in the...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70145-0

    authors: Polaneczky M,O'Connor K

    更新日期:1999-08-01 00:00:00

  • Tonsillectomy and adenoidectomy.

    abstract::Adenotonsillectomy (AT) is one of the most common pediatric surgical procedures performed in the United States; more than 530,000 are performed annually in children younger than 15 years of age. AT was traditionally performed for recurrent tonsillitis and its sequelae but in recent times, sleep-disordered breathing/ob...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2013.04.015

    authors: Ramos SD,Mukerji S,Pine HS

    更新日期:2013-08-01 00:00:00

  • Ocular findings in pediatric systemic disease.

    abstract::The many diseases and disorders that frequently have ophthalmologic implications in the pediatric age group are discussed. ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)34506-0

    authors: Richard JM,Friendly DS

    更新日期:1983-12-01 00:00:00

  • Inborn Errors of Metabolism with Acidosis: Organic Acidemias and Defects of Pyruvate and Ketone Body Metabolism.

    abstract::When a child presents with high-anion gap metabolic acidosis, the pediatrician can proceed with confidence by recalling some basic principles. Defects of organic acid, pyruvate, and ketone body metabolism that present with acute acidosis are reviewed. Flowcharts for identifying the underlying cause and initiating life...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2017.11.003

    authors: Schillaci LP,DeBrosse SD,McCandless SE

    更新日期:2018-04-01 00:00:00

  • Status epilepticus.

    abstract::Status epilepticus is a serious medical emergency that requires prompt and appropriate intervention. Maintenance of adequate vital function with attention to airway, breathing, and circulation; prevention of systemic complications; and rapid termination of seizures must be coupled with investigating and treating any u...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70334-5

    authors: Hanhan UA,Fiallos MR,Orlowski JP

    更新日期:2001-06-01 00:00:00

  • Prenatal diagnosis of congenital heart disease.

    abstract::This article presents advancements in the field of fetal echocardiography and the significant impact of these within the fields of pediatric cardiology, perinatology, and neonatology. A prenatal diagnosis of congenital heart disease allows for improved counseling of the parents, guides the timing and optimal location ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2009.04.002

    authors: Jone PN,Schowengerdt KO Jr

    更新日期:2009-06-01 00:00:00

  • Concepts of fluid therapy in diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic coma.

    abstract::Despite many advances in the overall treatment of type I diabetes mellitus during the last few years, no major advance has been made in decreasing the mortality rate of diabetic ketoacidosis or hyperosmolar hyperglycemic nonketotic coma. A major concern in both of these disease states is the development of cerebral ed...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36870-5

    authors: Ellis EN

    更新日期:1990-04-01 00:00:00

  • Tolerance: is it achievable in pediatric solid organ transplantation?

    abstract::Significant advances have been made in the understanding of allograft rejection. There is growing awareness that allograft acceptance, or tolerance, is also an active process rather than a passive absence of rejection. Mechanistic awareness of this process has spawned many preclinical strategies for the prevention of ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(03)00120-2

    authors: Pearl JP,Preston E,Kirk AD

    更新日期:2003-12-01 00:00:00

  • Endocrine Health in Childhood Cancer Survivors.

    abstract::Endocrine late effects, including reproductive disorders and secondary thyroid cancer, have been reported in up to 50 %childhood cancer survivors (CCS) more than 5 years after treatment. Most endocrine disorders are amenable to treatment; awareness of symptoms is therefore of great importance. Recognition of these sym...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2020.08.002

    authors: van Santen HM,Chemaitilly W,Meacham LR,Tonorezos ES,Mostoufi-Moab S

    更新日期:2020-12-01 00:00:00

  • Perceptions and pathophysiology of dyspnea and exercise intolerance.

    abstract::Dyspnea is a complex psychophysiologic sensation that requires intact afferent and efferent pathways for the full perception of the neuromechanical dissociation between the respiratory effort attempted and the work actually accomplished. The sensation is triggered or accentuated by a variety of receptors located in th...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2008.10.015

    authors: Weinberger M,Abu-Hasan M

    更新日期:2009-02-01 00:00:00

  • Strategies for addressing long-term issues after institutionalization.

    abstract::As a result of their preadoptive histories and experiences, internationally adopted children, especially those with a history of institutionalization, can present with a complex profile of developmental and behavioral issues. Although many children demonstrate significant recovery and resilience after joining their ad...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2005.06.010

    authors: Nalven L

    更新日期:2005-10-01 00:00:00

  • Recent advancements in pediatric toxicology.

    abstract::Ingestion of potentially poisonous agents is a common reason for children to present to an emergency department. The clinician must decide whether gastrointestinal decontamination is indicated for these patients. The controversy over the type of gastrointestinal decontamination is resolving and recent recommendations ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70181-4

    authors: Tenenbein M

    更新日期:1999-12-01 00:00:00

  • Evaluation and treatment of childhood musculoskeletal injury in the office.

    abstract::Evaluation and treatment of acute musculoskeletal injuries can be rewarding for primary care providers. They are common presenting complaints, and with appropriate management, many patients make a full recovery in a short period of time. This article reviews basic principles of evaluation of acutely injured children, ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2014.08.009

    authors: Apel PJ,Howard A

    更新日期:2014-12-01 00:00:00

  • Racial Bias and Its Impact on Children and Adolescents.

    abstract::Racial bias is pervasive throughout society and can impact children and adolescents in the health care, education, and criminal justice systems. This article provides a state-of-the-science review of implicit bias in health care. It also reviews the evidence of how bias impacts children in other aspects of society, ex...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2019.12.011

    authors: Johnson TJ

    更新日期:2020-04-01 00:00:00

  • Syncope in the pediatric patient. The cardiologist's perspective.

    abstract::The evaluation of syncopal children or adolescents relies heavily on a thorough, detailed history and physical examination. All syncope associated with exercise or exertion must be considered dangerous. The ECG is mandatory, but other laboratory tests are generally of limited value unless guided by pertinent positives...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70113-9

    authors: Lewis DA,Dhala A

    更新日期:1999-04-01 00:00:00

  • Adolescent varicocele.

    abstract::The evaluation and management of adolescents with varicoceles continue to evolve. Current recommendations for repair are based on the findings of impaired testicular growth or spermatogenesis; however, with early evaluation and selective treatment, clinicians should be able to reduce the potential for future fertility...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70391-6

    authors: Kass EJ

    更新日期:2001-12-01 00:00:00

  • Atypical Hemolytic Uremic Syndrome.

    abstract::Atypical hemolytic uremic syndrome is a rare life-threatening disease of unregulated complement activation. Untreated, the prognosis is generally poor; more than one-half of patients die or develop end-stage renal disease within 1 year. Atypical hemolytic uremic syndrome is characterized by thrombotic microangiopathy ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2018.02.003

    authors: Dixon BP,Gruppo RA

    更新日期:2018-06-01 00:00:00

  • Legal approaches to injury prevention.

    abstract::Injury prevention can be achieved, but it will require a fundamental reexamination of our approach to injury causation. We must learn to examine the manufacturing and marketing practices of companies that produce the products associated with children's injuries, for these are the real culprits in our national childhoo...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)34768-x

    authors: Swartz EM

    更新日期:1985-02-01 00:00:00

  • Laboratory tests in the analysis of states of dehydration.

    abstract::In an otherwise healthy child with acute dehydration known to be due to diarrhea or vomiting, the amount of deficit can best be estimated by accurate weight. Total serum protein and hematocrit provide a rough estimate of reduction in circulating blood volume, but calculation from these data will usually underestimate ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)32538-x

    authors: Bruck E

    更新日期:1971-02-01 00:00:00

  • Herbs to homeopathy-medicinal products for children.

    abstract::Many pediatric patients and their families use dietary supplements and homeopathy. They do not always disclose this information to their health care practitioners. It is important that health care practitioners are aware of the research available in these areas and discuss the use of these products openly with their p...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2007.10.005

    authors: Gardiner P,Riley DS

    更新日期:2007-12-01 00:00:00

  • Retinoblastoma.

    abstract::Retinoblastoma is the most common neoplasm of the eye in childhood, and represents 3% of all childhood malignancies. Retinoblastoma is a cancer of the very young; two-thirds are diagnosed before 2 years of age and 95% before 5 years. Retinoblastoma presents in 2 distinct clinical forms: (1) a bilateral or multifocal, ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2014.09.014

    authors: Rodriguez-Galindo C,Orbach DB,VanderVeen D

    更新日期:2015-02-01 00:00:00

  • Evaluation and management of the Chiari malformation type 1 for the primary care pediatrician.

    abstract::Diagnosis and treatment of CMI is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SMI present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some wil...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/S0031-3955(03)00208-6

    authors: Yassari R,Frim D

    更新日期:2004-04-01 00:00:00

  • Identification and treatment of group A beta-hemolytic streptococcal infections. Role of the pediatrician and the nurse-practitioner.

    abstract::The risk of rheumatic fever in childhood continues to be high in the United States, especially where crowded living conditions promote epidemic spread of streptococcal pharyngitis. Early identification and appropriate penicillin therapy shorten the acute streptococcal illness and greatly reduce the occurrence of seque...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)32528-7

    authors: Peebles TC

    更新日期:1971-02-01 00:00:00

  • Medical and orthopedic conditions and sports participation.

    abstract::The presence of certain medical or orthopedic conditions need not preclude adolescents from being physically active and participating in sports. The benefits of continued physical activity far outweigh any concerns for potential complications for most such conditions. This article reviews sport participation guideline...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2010.03.005

    authors: Diokno E,Rowe D

    更新日期:2010-06-01 00:00:00

  • Iron deficiency in the young athlete.

    abstract::Although overt anemia is uncommon, depletion of body iron stores is common among adolescent female athletes. Poor dietary iron intake, menstruation, and increased iron losses associated with physical training all appear to be important factors. Whether nonanemic iron deficiency can impair exercise performance is uncer...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36980-2

    authors: Rowland TW

    更新日期:1990-10-01 00:00:00

  • Psychiatric aspects of learning difficulties.

    abstract::This article describes the process of clinical assessment that may lead to differential treatment of psychiatric-related learning difficulties. The authors review differences in information processing among individuals with attention, affective, and primary thought disorders. ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0031-3955(16)34578-3

    authors: Hunt RD,Cohen DJ

    更新日期:1984-04-01 00:00:00

  • Retinopathy of prematurity.

    abstract::Retinopathy of prematurity (ROP) remains a nonpreventable disorder associated with extreme prematurity. Recent advances in establishing the International Classification of ROP have facilitated both clinical care and research, highlighted by the demonstration of the effectiveness of cryoablative therapy for vision-thre...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38581-9

    authors: Phelps DL

    更新日期:1993-08-01 00:00:00

  • Control of infection and techniques of isolation in the pediatric intensive care unit.

    abstract::The control of nosocomial infection in a pediatric intensive care unit is important not only because of the serious nature of the patient's condition, but also because of the greater staff-patient contact and inevitable crowding of patients, staff, and equipment. In order to control the spread of nosocomial infection,...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Holzman BH,Scott GB

    更新日期:1981-08-01 00:00:00

  • The renin-angiotensin system and blood pressure regulation during infancy and childhood.

    abstract::The renin-angiotensin system plays multiple roles in the maintenance of normal blood pressure and renal function. The balance and integration of these roles change during development in ways that we do not yet fully understand. This article reviews the ways in which the renin-angiotensin system maintains normal cardio...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38481-4

    authors: Guillery EN,Robillard JE

    更新日期:1993-02-01 00:00:00