Dec. 16, 2015
Volume VI, Issue No. 50

The impact of a volunteer Doula Program on breast feeding success.
"A Doula (from the modern Greek meaning female slave) is a woman trained to assist pregnant women during child birth and to provide support to the family after the baby is born".
A volunteer Doula program under the auspices of a comprehensive community-based program to provide education and support to new breast feeding mothers and their families appears to have great potential to enhance breast feeding with little expense.
Journal of Human Lactation

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Randomized clinical trial of family-based treatment (FBT) and cognitive behavioral therapy (CBT) for adolescent Bulimia Nervosa (BN).
BM or Bulimia is an eating disorder characterized by binge eating followed by vomiting. Other efforts to lose weight may include using diuretics, stimulants, fasting or excessive exercise. Genetic inheritance as a causative factor appears important (30%-80% of patients).
A randomized clinical trial of 130 adolescents (aged 12-18 years) compared two treatments (FBT and CBT) for the management of BN.
At 6-months follow up FBT appears more effective than CBT for the treatment of BN; at one year follow-up however, no significant differences are found.
Early exposure to dogs and farm animals and the risk of childhood asthma
It appears from a nationwide cohort study of all children born in Sweden over a 10 years period which assessed the association between the early exposure to dogs and farm animals and the risk of asthma, that infants so exposed during their first year of life have significantly less risk of developing asthma at 6 years of age.



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Axillary lymphatic malformations: Prenatal evaluation and postnatal outcomes
"Lymphatic malformations are uncommon vascular anomalies that can cause complications that can include obstruction of vital organs and their function, recurrent infection and disfigurement". Current treatments are apparently only partially successful and recurrences occur.
A retrospective chart review of 8 fetuses (median age at diagnosis 20.5 weeks) diagnosed with an isolated axillary lymphatic malformation and delivered by caesarian section indicates:
  1. None develop polyhydramnios or hydrops fetalis.
  2. Only one of eight have associated malformations.
  3. Treatments include sclerotherapy followed by surgical resection, surgical resection only and observation.
  4. Three of eight patients have recurrences (all after active treatment).
  5. At 2.1 year follow-up all have visible residual disease.
Influence of enteral nutrition on occurrences of necrotizing enterocolitis (NEC) in very-low-birth-weight (VLBW) infants.
From a study of 1,028 VLBW infants, 5.4% of whom developed NEC within 30 days of life, and who were fed breast milk exclusively for their first seven days, it appears that early breast-milk feeding significantly decreases the risk of NEC. Infants receiving parenteral nutrition and/or never achieving full enteral feedings by 1 month of age are more likely to develop NEC.
Video Feature  
Bulimia Nervosa
Bulimia Nervosa
Cognitive-behavioral therapy for adolescents with body dysmorphic disorder (BDD)

"BDD is a mental disorder characterized by an obsessive preoccupation that some aspect of one's own appearance is severely flawed and warrants exceptional measures to hide or fix it". Thoughts about the flaw are pervasive, intrusive, occupy thought for many hours during the day and are classified in DSD-5 as part of the obsessive-compulsive spectrum. Etiology is unknown and "evidence-based" treatment undeveloped.
A study of 30 BDD diagnosed adolescents (aged 12-18 years) with their families, randomly assigned to 14 sessions of age-appropriate cognitive-behavioral therapy (CBT) given over 4 months, or a control matched peer group provided with educational material and weekly monitoring indicates that at 2-month follow up CBT provides significant improvement (in 40% of patients) measured by a modified obsessive-compulsive scale. Further studies comparing CBT, pharmacological therapies or both require further examination.
Steroids and exercise-induced bronchospasm (EIB).
Daily use of inhaled corticosteroids (ICS) improves asthma control including EIB. A single high dose of ICS also provides protection against EIB.
A prospective intervention study of 31 mildly asthmatic children (5-16 years) with EIB currently not being treated with ICS' given a single low dose of beclomethasone-dipropionate (200 μg) by inhalation 4hours prior to EIB indicates that the single low dose equally and significantly reduces bronchospasm in almost all mildly asthmatic children.
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