You and Your Family
Moreover, neurodevelopment proceeds by a scaffolding process in which the development of increasingly complex neural circuits and the behaviors they support relies on successful completion of previous stages of development. Order Your Certificates Order birth, death, divorce, and marriage certificates from the Department of Health. Saturated fats have all of the carbon atoms in their fatty acid chains bonded to hydrogen atoms, whereas unsaturated fats have some of these carbon atoms double-bonded , so their molecules have relatively fewer hydrogen atoms than a saturated fatty acid of the same length. Associations between obesity and cognition in the pre-school years. Although randomized trials are not feasible, improved cognitive function in term and preterm infants who are fed human milk compared with those who are fed formula is supported by the weight of evidence on this topic. Department of Agriculture introduced the Food Guide Pyramid. Obesity Although there is evidence that obesity in children and adolescents is associated with poorer educational success, studies are often complicated by small sample size, failure to control for confounding factors, and other aspects of study design.
Community and Environment
Apostilles or Exemplified Certificates An Apostille is a certification provided under the Hague convention of for authenticating documents for use in foreign countries An Exemplified certification covers those countries who did not sign the Hague Treaty. Influenza Influenza or 'flu' is a viral respiratory illness, mainly spread by droplets made when people with flu cough, sneeze or talk.
Report a Disease To report a disease , contact your local county health department. Report a Foodborne Illness. Home Licensing and Regulation Dietetics Nutrition. Medical Quality Assurance Services. Verify a License Verify the license status and disciplinary history of a healthcare professional or facility license in the State of Florida. Licensure options for evacuees from Puerto Rico Applicants from Puerto Rico often apply by Endorsement of Another license where the territory laws and rules must be provided to perform a law to law Comparison.
New MQA Online Services Portal is Here When you use the new MQA Online Services Portal for the first time, you will be required to register for a new user account and link your existing health care licenses or previously submitted applications to your account.
Just follow these five easy steps: Register for a new user account. Once on the registration screen, follow the prompts for new user registration using a valid, active email address. Check your email and locate the email containing your new account user ID and temporary password.
Login to your new account. Using your temporary password and user ID provided in the email, log in to your account. You will be prompted to create a new password for your account. Link your license to your account. Once logged in, you will be prompted to link any existing health care licenses and previously submitted applications to your account or apply for a new license.
For that reason, we cannot depend solely on our bodies to create all the enzymes we need. The best way to solve this ongoing problem is to take an enzyme supplement, in capsule or powder form. Enzyme supplements are extracted from different sources; including plant, animal and microbial.
Plant and microbial enzymes are optimal because they are supportive to pH levels and they are not easily affected by stomach acids. In order to assist with the breakdown of fats and carbohydrates choose a supplement that contains a mix of different enzymes.
Pay attention to the potency of the product you are purchasing, as different products contain varied amounts of enzymes. To our benefit, enzyme supplements also aid in weight loss.
Inflammation can be counteracted by taking an Omega-3 supplement daily. Interject Omega-3 rich foods into your diet like flax seeds, walnuts, beans, olive oil, salmon, tuna and halibut.
Stick to an anti-inflammatory diet by avoiding high fructose corn syrup, sugar, processed foods, saturated fats and partially hydrogenated oils. Limit your intake of animal proteins with the exception of fish. Fill your plate with fruits, vegetables, whole grains and fiber. Use herbs and seasonings with anti-inflammatory values such as turmeric, ginger, cinnamon, rosemary and basil. Ask your doctor about taking probiotic, enzyme and Omega-3 supplements; to make sure they are right for you.
If approved, implement each supplement one by one. A healthy digestive tract is essential for a thriving body and immune system. The abbreviated version of this article appears in the February issue of the Port Ludlow Voice.
Wednesday, May 29, 7: Could you add the fitness classes going on at Port Ludlow. I teach a zumba class at South Bay open to non-members as well tuesday and thursdays 5: Failure to provide key nutrients during this critical period of brain development may result in lifelong deficits in brain function despite subsequent nutrient repletion. Leaders in pediatric health and policy makers must be aware of this research given its implications for public policy at the federal and state level.
Pediatricians should refer to existing services for nutrition support for pregnant and breastfeeding women, infants, and toddlers. Finally, all providers caring for children can advocate for healthy diets for mothers, infants, and young children in the first days.
Prioritizing public policies that ensure the provision of adequate nutrients and healthy eating during this crucial time would ensure that all children have an early foundation for optimal neurodevelopment, a key factor in long-term health.
Healthy, normal neurodevelopment is a complex process involving cellular and structural changes in the brain that proceed in a specified sequence. Timing is crucial; once a particular developmental sequence fails, it may not be possible to retrieve all the lost function.
Moreover, neurodevelopment proceeds by a scaffolding process in which the development of increasingly complex neural circuits and the behaviors they support relies on successful completion of previous stages of development.
Thus, optimal, healthy neurobehavioral development requires that all necessary factors be present at their biologically defined time points and that no inhibitory factors be present. The most active period of neurologic development occurs in the first days of life, the period beginning at conception and ending at the start of the third postnatal year.
These structures and processes include the sensory systems especially auditory and visual , the hippocampus declarative learning and memory , myelination speed of processing , and the monoamine neurotransmitter systems affect, reward.
Even the prefrontal cortex planning, attention, inhibition, multitasking and brain circuits involved in social development have the onset of rapid development in the first days. Although neurodevelopment continues throughout the life of a healthy person, by age 2 years the brain has undergone tremendous restructuring. Many of the developmental changes expected to occur during this period will not be able to occur in later life.
The period of fetal life and the first 2 years postpartum may be seen as a time of tremendous opportunity for neurodevelopment and a time of great vulnerability. In infants and children, toxic stress, emotional deprivation, and infection or inflammation have been shown to be associated with less optimal brain development, and a deficient diet for the child can worsen this.
The effects of early adverse experiences may be a lifetime of medical and psychosocial problems, lost academic achievement and productivity, and possible effects on the next generation.
For the purposes of this discussion, our focus is on the nutritional environment of the fetus, infant, and toddler. The nutritional environment has an effect on whether brain growth and differentiation proceed normally or abnormally. Both adequate overall nutrition ie, absence of malnutrition and provision of adequate amounts of key macro- and micronutrients at critical periods in development are necessary for normal brain development.
It is important to recognize that many nutrients exhibit a U-shaped risk curve, whereby inadequate or excessive amounts both place the individual at risk. Each of these 2 forms of malnutrition affects neurodevelopment, and they may coexist in an individual. In this Policy Statement, we seek to inform pediatricians and other health care providers of the key role of nutrition in brain development in the first days of life conception to 2 years of age.
It is not meant as a comprehensive review of the data on brain-nutrient interaction for this, see Rao and Georgieff With this policy statement, we intend to support pediatricians and other health care providers in promoting healthy nutrition and advocating for the expansion of programs that affect early life nutrition as a means of providing scaffolding for later nutritional programs and preventing early developmental loss.
Macronutrient protein, fat, glucose sufficiency is essential for normal brain development. Early macronutrient undernutrition is associated with lower IQ scores, reduced school success, and more behavioral dysregulation. Two villages received a high-calorie, high-protein supplement, and 2 villages received a low-calorie supplement without protein.
Both supplements contained vitamins and minerals. The supplements were provided for pregnant and lactating women and children up to age 7 years. The investigators measured locally relevant outcomes over a period longer than 10 years, assessing children between 13 and 19 years of age. Children who had received high-calorie, high-protein supplementation before age 2 years scored higher on tests of knowledge, numeracy, reading, and vocabulary and had faster reaction times in information-processing tasks than age-matched children who received the low-calorie supplement.
In villages receiving the high-calorie, high-protein supplement, there were no differences in test scores between children of high and low socioeconomic status, but in villages receiving the low-calorie supplements, children in the higher socioeconomic group had higher test scores.
In summary, early supplementation of nutrients to children at risk for macronutrient deficiency improved neurodevelopmental outcomes over an extended period of life, beyond the period of supplementation.
There are populations in the United States that, similar to the villages in Guatemala, have inadequate access to macronutrients or only access to low-quality macronutrients.
Although parents shield children from the worst effects of food insecurity, in approximately half of these food-insecure households, children were food insecure. The failure to provide adequate macronutrients or key micronutrients at critical periods in brain development can have lifelong effects on a child. In addition to generalized macronutrient undernutrition, deficiencies of individual nutrients may have a substantial effect on neurodevelopment Table 1.
Prenatal and early infancy iron deficiency is associated with long-term neurobehavioral damage that may not be reversible, even with iron treatment. Deficiency of iodine in pregnant women leads to cretinism in the child, with attendant severe, irreversible developmental delays. Mild to moderate postnatal chronic iodine deficiency is associated with reduced performance on IQ tests. Traditions in complementary feeding or restricted diets because of poverty or neglect may reduce infant intake of many key factors in normal neurodevelopment, including zinc, protein, and iron.
As the normative infant feeding, human milk and breastfeeding play a crucial role in neurodevelopment. Although randomized trials are not feasible, improved cognitive function in term and preterm infants who are fed human milk compared with those who are fed formula is supported by the weight of evidence on this topic.
Although there is evidence that obesity in children and adolescents is associated with poorer educational success, studies are often complicated by small sample size, failure to control for confounding factors, and other aspects of study design. Weight gain alone, particularly when excessive weight is gained, may not achieve the desired goal of preserving brain development in the very low birth weight preterm infant.
In summary, nutrition is 1 of several factors affecting early neurodevelopment and is a factor that pediatricians and other health care providers have the capacity to improve by application of well-described, well-piloted, effective interventions. Failure to provide adequate essential nutrients during the first days of life may result in increased expenditures later in the form of medical care, psychiatric and psychological care, remedial education, loss of wages, and management of behavior.
Thus, early nutritional intervention provides enormous potential advantages across the life span and, if nutritional needs are unmet in this period, developmental losses occur that are difficult to recover.
Opportunities to improve early child nutrition, and thus neurodevelopment, are currently focused in 2 areas: It should be noted that programs that serve the nutritional needs of children after the first days form a crucial link from this early period to adulthood and are most effective when building on a scaffolding of optimal early nutrition. As such, it is the most important program providing nutritional support in the first days.
WIC supports breastfeeding prenatally through education and postpartum by helping mothers breastfeed, and they perform screening for anemia in women and children receiving services through the program. Published evidence supports the impact of WIC on the health of children: Despite the impact of WIC, children in many families who do not qualify under current guidelines would benefit from the nutrients and educational support of this program. Children whose families are on the margin of qualification for WIC may, for economic reasons, subsist on cheaper, less nutritionally replete diets.
Many families fail to take advantage of the program after the first year of life, in part because of the challenge of access. Keeping families in the program longer for example, through the elimination of the requirement to recertify eligibility at 1 year of age and extending eligibility for WIC through 6 years of age will make supplemental food available to the growing toddler.
WIC is a crucial program in providing food and education to support neurodevelopment. Seventy-two percent of households served are families with children. The Child and Adult Care Food Program CACFP is administered by the USDA and, among other things, provides money to assist child care institutions and family or group day care homes in providing nutritious foods that contribute to the wellness, healthy growth, and development of children. Completion of the revision of CACFP meal requirements to make them more consistent with the Dietary Guidelines for Americans DGA 39 should improve the nutritional quality of these meals for young children.
Food pantries and soup kitchens are generally community-supported programs that serve as a safety net for children and families struggling with inadequate food. However, many charitable food providers are not consistently able to provide healthful food in general, nutritional items appropriate for infants and toddlers, or amounts adequate to protect children from inadequate nutrition for more than a few days.
Congress established the Maternal, Infant, and Early Childhood Home Visiting Program in to provide funds for states and tribes providing voluntary, evidence-based home visiting to at-risk families.