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Case 2: Sisters - A 2-Month-Old With Colic and an 18-Month-Old With Diarrhea

Case 2: Sisters - A 2-Month-Old With Colic and an 18-Month-Old With Diarrhea

Format

Patient Case Study

Time to Complete

1 hour

Released

January 31, 2013

Expires

January 31, 2014

Maximum Credits

1.00 / AMA PRA Category 1 Credit(s)TM
1.00 / CE for Nurses
1.00 / CPEU Credit

Accredited Provider

This activity is jointly sponsored by Albert Einstein College of Medicine of Yeshiva University, Montefiore Learning Network, and Haymarket Medical Education.

Commercial Supporter

This activity is supported by an educational grant from Nestlé Nutrition Institute.

Program Description

Probiotics can help modulate the microbial content of the infant’s gut. Certain bacteria—particularly Lactobacilli and Bifidobacteria—have antimicrobial effects that influence both local and systemic immunity in the infant gut. In cases of diarrhea or colic, pediatric clinicians need to be aware of the most current therapeutic options as well as strategies for parent education.


Click here to visit the Pediatric Nutrition Learning Center.
 

Intended Audience

This activity has been designed to meet the educational needs of pediatricians, nurses, pediatric nurse practitioners, registered dieticians, and other health care professionals involved in the care of children.

Educational Objectives

After taking part in this educational activity, participants should be better able to:

  • Outline factors that affect bacterial colonization of the intestinal tract
  • Describe evidence for the use of probiotics and prebiotics in preventing and/or treating diarrhea and colic
  • Implement strategies to improve parent education about infant nutrition choices and their effect on the infant intestinal tract and health
  • For Registered Nurses: Provide appropriate care and counsel for patients and their families

Conflicts of Interest Disclosure Statements

The “Conflict of Interest Disclosure Policy” of Albert Einstein College of Medicine of Yeshiva University requires that faculty participating in any CME activity disclose to the audience any relationship(s) with a pharmaceutical or equipment company. Any presenter whose disclosed relationships prove to create a conflict of interest with regard to their contribution to the activity will not be permitted to present.

It is the policy of Montefiore Learning Network to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All faculty participating in our programs are expected to disclose any relationships they may have with commercial companies whose products or services may be mentioned, so that participants may evaluate the objectivity of the presentations. In addition, any discussion of off-label, experimental, or investigational use of drugs or devices will be disclosed by the faculty.

Faculty

Author
Michael D. Cabana, MD, MPH

Professor of Pediatrics, Epidemiology and Biostatistics
University of California, San Francisco
   School of Medicine
San Francisco, California

Michael D. Cabana, MD, MPH, has received grant/research support for Nestlé Nutrition Institute and has served as a consultant for Pfizer.

Reviewer
Michelle M. Pietzak, MD

Head, Division of Pediatric Gastroenterology
LAC & USC Medical Center
Assistant Professor of Clinical Pediatrics
Department of Pediatrics
University of Southern California Keck School of Medicine
Los Angeles, California

Michelle M. Pietzak, MD, has received grant/research support for Prometheus Laboratories and has served as a consultant and is on the speakers’ bureaus for Nestlé/Gerber Nutrition and Prometheus Laboratories.

Course Directors
Marguerite M. Mayers, MD

Attending Physician, Children’s Hospital at Montefiore
Professor of Clinical Pediatrics
Albert Einstein College of Medicine
Bronx, New York

Marguerite M. Mayers, MD, has nothing to disclose with regard to commercial support.

Kathleen Ronca, MSN, PNP, ANP, APRN-BC, DNPc
Nurse Practitioner
Montefiore Learning Network
Bronx, New York

Kathleen Ronca, MSN, PNP, ANP, APRN-BC, DNPc, has nothing to disclose with regard to commercial support.

Accreditor Staff Disclosures

The staff of the Center for Continuing Medical Education of Albert Einstein College of Medicine of Yeshiva University and Montefiore Learning Network has nothing to disclose with regard to commercial support.

Publishing Staff Disclosures

Mary Jo Krey, Eileen McCaffrey, Sharon Hill-Ingram, Lynne Callea, and Anne Bardsley, Haymarket Medical Education, have nothing to disclose with regard to commercial support.

Medium

Internet activity

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through joint sponsorship of Albert Einstein College of Medicine of Yeshiva University and Haymarket Medical Education. Albert Einstein College of Medicine of Yeshiva University is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

Albert Einstein College of Medicine of Yeshiva University designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Credit

1.00

Type

CPEU Credit

Accreditation Statement

The following activity has been approved by the ACCME, whose approval is recognized by the Commission on Dietetic Registration and, as such, RDs/DTRs will be able to receive 1.00 CPEU.

Designation Statement

RDs/DTRs will be able to receive 1.00 CPEU.

Credit

1.00

Type

CE for Nurses

Accreditation Statement

Montefiore Learning Network is an approved provider of continuing nursing education by New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Designation Statement

This activity is awarded 1.00 contact hour and is assigned provider number: NYP# 268-11/12/15

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Nestlé Nutrition Institute, Albert Einstein College of Medicine of Yeshiva University, Montefiore, and Haymarket Medical Education do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Nestlé Nutrition Institute, Albert Einstein College of Medicine of Yeshiva University, Montefiore Learning Network, and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Instructions

To obtain credit, a score of 70% or better is required. This CME is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all post-test questions, completed the post-test survey, and received your digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/Exam History, which you can then access at any time.

For questions about CME and CPEU, please call Einstein CME at 718-920-6674.

For questions about CE, please call Montefiore Learning Network at 718-920-8580 or e-mail mmclough@montefiore.org.

If you have any other questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

Privacy Policy

To view the myCME privacy policy, please click here.

To view the privacy policy for Albert Einstein College of Medicine of Yeshiva University and Montefiore, please click here.

SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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