Article
Clinical Neurology
Jaime M. Hatcher-Martin, Neil A. Busis, Bruce H. Cohen, Rebecca A. Wolf, Elaine C. Jones, Eric R. Anderson, Joseph Fritz, Steven J. Shook, Riley M. Bove
Summary: Telehealth services are seen as a complement to in-person neurologic care, with a focus on supporting patient access regardless of location. The American Academy of Neurology advocates for coverage of telehealth services by all subscriber benefits, equitable provider reimbursement, simplified state licensing requirements, and expanding telehealth research and quality initiatives. Roles and responsibilities of providers should be clearly defined in telehealth service models.
Article
Pediatrics
Joan Younger Meek, Lawrence Noble
Summary: Breastfeeding and human milk are important for infant health and neurodevelopment. The AAP and WHO recommend exclusive breastfeeding for 6 months and continued breastfeeding for at least 2 years. Contraindications to breastfeeding are rare and hospitals should support breastfeeding initiation and duration. Pediatricians play a critical role in advocating for breastfeeding and need training in managing breastfeeding.
Article
Nursing
Lindsay Ellsworth, Julie Sturza, Kate Stanley
Summary: The study revealed that most mothers have limited knowledge about donor human milk and milk banks, and have not received sufficient counseling from medical providers. While participants had positive attitudes towards donor human milk, they tended to choose formula over donor human milk when making decisions. Additionally, if donor human milk was the only option, they preferred milk from a relative or friend over milk banks.
JOURNAL OF HUMAN LACTATION
(2021)
Article
Clinical Neurology
Louella Amos, Olufunke Afolabi-Brown, Dominic Gault, Robin Lloyd, Moshe Y. Prero, Carol L. Rosen, Raman K. Malhotra, Jennifer L. Martin, Kannan Ramar, James A. Rowley, Fariha Abbasi-Feinberg, R. Nisha Aurora, Vishesh K. Kapur, Uzma Kazmi, David Kuhlmann, Eric J. Olson, Anita Shelgikar, Sherene M. Thomas, Lynn Marie Trotti
Summary: This position statement provides guidance on age and weight considerations for using continuous positive airway pressure therapy in pediatric populations. According to the American Academy of Sleep Medicine, continuous positive airway pressure can be safe and effective for treating obstructive sleep apnea in pediatric patients, even in younger and lighter children, when managed by clinicians with expertise in pediatric obstructive sleep apnea.
JOURNAL OF CLINICAL SLEEP MEDICINE
(2022)
Article
Dentistry, Oral Surgery & Medicine
Gustavo Avila-Ortiz, Jeanne Ambruster, Shayan Barootchi, Leandro Chambrone, Chia-Yu Chen, Douglas R. Dixon, Maria L. Geisinger, William Giannobile, Katie Goss, John C. Gunsolley, Rick H. Heard, David M. Kim, George A. Mandelaris, Alberto Monje, Marc L. Nevins, Angela Palaiologou-Gallis, Paul S. Rosen, E. Todd Scheyer, Fernando Suarez-Lopez del Amo, Lorenzo Tavelli, Diego Velasquez, Hom-Lay Wang, Brian L. Mealey
Summary: The article provides an evidence-based perspective on the therapeutic application of biologics in periodontal practice. It concludes that the appropriate use of biologics is generally safe and provides added benefits to conventional treatment approaches, but the therapeutic benefits and risks depend on the specific biologics used and patient-related factors.
JOURNAL OF PERIODONTOLOGY
(2022)
Article
Nutrition & Dietetics
Nelly C. Munoz-Esparza, Edgar M. Vasquez-Garibay, Elizabeth Guzman-Mercado, Alfredo Larrosa-Haro, Oriol Comas-Baste, M. Luz Latorre-Moratalla, M. Teresa Veciana-Nogues, M. Carmen Vidal-Carou
Summary: The study evaluated the influence of different breastfeeding factors on the polyamine levels in human milk, finding that polyamine levels varied significantly between mothers and tended to decrease over time. Spermidine and spermine concentrations were higher in hindmilk compared to foremilk, and decreased significantly as lactation progressed.
Article
Rheumatology
James T. Rosenbaum, Karen H. Costenbader, Julianna Desmarais, Ellen M. Ginzler, Nicole Fett, Susan M. Goodman, James R. O'Dell, Gabriela Schmajuk, Victoria P. Werth, Ronald B. Melles, Michael F. Marmor
Summary: Four major medical societies agree on the common principles and cooperation needed to minimize the risk of ocular toxicity associated with hydroxychloroquine (HCQ) therapy. They recommend the use of more sensitive testing techniques by eye care providers and emphasize the importance of early toxicity detection.
ARTHRITIS & RHEUMATOLOGY
(2021)
Article
Obstetrics & Gynecology
Lori Feldman-Winter, Trina Van, Daphna Varadi, Amanda C. Adams, Bahar Kural, Elien C. J. Rouw
Summary: The Academy of Breastfeeding Medicine aims to develop clinical protocols for managing medical problems related to breastfeeding. These protocols are meant as guidelines and not exclusive treatments, as individual patients may require variations in treatment. The Academy acknowledges the diversity of breastfeeding individuals while recognizing the challenges of using gender-inclusive language.
BREASTFEEDING MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Kayte Spector-Bagdady, Antonis A. Armoundas, Rima Arnaout, Jennifer L. Hall, Brooke Yeager McSwain, Joshua W. Knowles, W. Nicholson Price, Danda B. Rawat, Barbara Riegel, Tracy Y. Wang, Kevin Wiley, Mina K. Chung
Summary: The evolution of the electronic health record and advances in data curation and analytic technologies enable data sharing and harmonization. This policy statement discusses the potential of broad data sharing in driving progress in health research and care. It outlines key equity and legal background and proposes principles to guide responsible data sharing and management.
Article
Gastroenterology & Hepatology
Meltem Dinleyici, Jana Barbieur, Ener Cagri Dinleyici, Yvan Vandenplas
Summary: Human milk oligosaccharides (HMOs) are important components in human milk, varying greatly between mothers. HMOs improve gut health, protect against infection, and promote cognitive development. Supplementing formula with HMOs is safe and beneficial for microbiota composition and infection prevention, but the clinical benefits compared to non-human oligosaccharides are not known. More research is needed to understand the factors influencing HMO composition and their functions.
Article
Nursing
Catherine Leggett, Usha Ritchie, Lynn Costi, David Elliot, Arduino A. Mangoni, William M. M. Hague
Summary: In this case study, the concentration of armodafinil in human milk and infant plasma was measured to assess infant exposure. The findings suggest that relatively small amounts of armodafinil pass into human milk and have limited impact on the nursing infant. The use of modafinil or armodafinil during breastfeeding can be considered with proper monitoring of the infant.
JOURNAL OF HUMAN LACTATION
(2023)
Article
Nursing
Sourabh Dutta, Bhabatosh Das, Tarini Shankar Ghosh, Shakti Kumar, Raj Kumari Kaushal, Pallab Ray, Vanita Suri, Gopinath Balakrish Nair
Summary: This study describes the milk microbiota of healthy North Indian women, showing that their milk microbiome is dominated by Pseudomonas, but with high diversity.
JOURNAL OF HUMAN LACTATION
(2023)
Article
Microbiology
Lilian Lopez Leyva, Emmanuel Gonzalez, Noel W. Solomons, Kristine G. Koski
Summary: This study found that different feeding practices and lactation stages have an impact on the milk microbiome. Exclusive breastfeeding (EBF) has higher differential abundance of bacteria, including commensal and lactic acid bacteria. The addition of herbal teas and/or complementary foods reduces oral bacteria and introduces more environmentally sourced bacteria to the milk microbial ecosystem.
FRONTIERS IN MICROBIOLOGY
(2022)
Article
Ophthalmology
Mark P. Breazzano, John B. Bond, Srilaxmi Bearelly, Donna H. Kim, Sean P. Donahue, Flora Lum, Timothy W. Olsen
Summary: The American Academy of Ophthalmology does not recommend routine ophthalmologic consultation after laboratory findings of systemic Candida septicemia, as it is considered a low-value practice. Ophthalmologic consultation is only recommended for patients with signs or symptoms suggestive of ocular infection.
Article
Nutrition & Dietetics
Pasqua Anna Quitadamo, Laura Comegna, Giuseppina Palumbo, Massimiliano Copetti, Paola Lurdo, Federica Zambianco, Maria Assunta Gentile, Antonio Villani
Summary: The study found that the birth rate of twins in the center has almost doubled from 1.28% in 2015 to 2.48% in 2020, with 88% of twins being premature. 18.1% of babies were breastfed for more than 6 months and 6.3% were breastfed for more than 12 months. Infants with lower gestational age and weight, born to multiparous, more mature and medium-high schooling mothers tended to be breastfed for a longer period.