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Results suggest that supplementing with non-breast milk before 4 months of age was associated with an increased BMI, arm circumference, and abdominal circumference at 18 months of age. The mean BMI decreased from 85% to 65% when infants were breastfeeding for 4 to 6 months as compared to breastfeeding for 1 to 3 months. Breastfeeding for 4 to 6 months appeared to protect against the risk of obesity for the children in the PETS.

Celiac disease is an autoimmune disorder in which the lining of the gastrointestinal tract is damaged by an immunemediated response to gluten proteins (Allen, 2015). It is a polygenetic disease that only appears in genetically susceptible individuals (Newton & Singer, 2012). It is a worldwide concern, with North America having a high prevalence rate (Liu et al., 2017). Celiac disease can present in a spectrum of manifestations, making it difficult to identify and diagnosis (Reilly & Green, 2012). High-risk populations include those with a positive family history as well as individuals with other autoimmune disorders (Newton & Singer, 2012). Screening and diagnosis are completed with a blood test followed by a biopsy of the small intestinal lining (Zevit & Shamir, 2014). Currently, the only treatment for celiac disease is a strict, gluten-free diet. Further research is warranted in areas of environmental risk factors and treatments (

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To obtain continuing education credit: 1. Read the article carefully. 2. Read each question and determine the correct answer. 3. Visit PedsCE SM , ce.napnap.org, to complete the online Posttest and evaluation. 4. You must receive 70% correct responses to receive the certificate. 5. Tests will be accepted until XXX. OBJECTIVES 1. Describe the clinical presentation of a slipped capital femoral epiphysis. 2. Identification of the at-risk population for a slipped capital femoral epiphysis. 3. Explain the evaluation techniques to make an accurate and timely diagnosis. 4. Identify the importance of treatment and referral as it relates to the prognosis for the patient. 5. State the potential differential diagnoses involved with pediatric hip pathology. Posttest Questions Contact hours: 0.75 Passing score: 70%This continuing education activity is administered by the National Association of Pediatric Nurse Practitioners (NAPNAP) as an Agency providing continuing education credit. Individuals who complete this program and earn a 70% or higher score on the Posttest will be awarded 0.75 contact hours.