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The authors of this article in JAMA Internal Medicine compared oxygen saturation measured by pulse oximetry and by arterial blood gas in 1216 adult patients with COVID-19 infection. They discovered that occult hypoxemia (defined as arterial saturation < 88% with concurrent pulse oximetry reading of 92%-96%) occurred in 79 White patients (17.2%), 136 Black patients (28.5%), 64 non-Black Hispanic patients (29.8%), and 19 Asian patients (30.2%).
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Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19 3
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What will you recommend to your families now? Similarly, health care providers should encourage responsive feeding and consider the wide variations in the attainment of oral motor and other critical developmental skills in infants when deciding when to initiate complementary feeding." 2 The AAP supports this recommendation, stipulating the introduction of complementary foods at approximately 6 months Of note, however, is the distinction between recommendations for populations and those for individual infants, all of whom should be monitored for growth faltering or other adverse effects, and appropriate interventions should be undertaken when indicated. I agree most with AAP policy as articulated in the AAP Pediatric Nutrition handbook,2 which states, “Several organizations, including the WHO, have recommended exclusive breastfeeding through 6 months. I think that as the scientific evidence has accumulated, a recommendation of approximately 6 months of age seems more justified. The statement cites new evidence that the introduction of complementary foods at 4 months of age or earlier has been associated with increased risk for overweight and obesity without providing benefits for growth, development, or iron status. Regarding the timing of the introduction of complementary foods, u p until now, I have generally recommended the introduction of complementary foods at 4 to 6 months of age. Breastfeeding disparities and breastfeeding within diverse populations.Breastmilk in preterm and very low birth weight infants.Hospital support to promote the initiation of breastfeeding.Medical conditions, medications, and substances that are contraindications to breastfeeding.Policy Statement: Breastfeeding and the Use of Human Milk 1Īn American Academy of Pediatrics (AAP) policy statement from the Section on Breastfeeding contains several new and updated recommendations. The AAP now recommends exclusive breastfeeding until the infant is approximately 6 months of age and continuing, if desired until the child is 2 years of age. The extended duration of nursing is consistent with recommendations from the World Health Organization (WHO) and is associated with numerous health benefits for both mother and child. In addition, the statement also discusses:
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Please feel free to share with your colleagues, discuss in your offices, and write to with your thoughts and opinions. Here are my choices of articles for the month of June. Finally, it is a chance to catch up with some of the older children whose families I have seen through rough patches in infancy and childhood and have grown into their own in adolescence, even with all its inherent challenges. I hope you have such pleasurable periods in your work as well. The kids seem happier and the families more relaxed. We are entering my favorite season in the general pediatric office. I have always enjoyed seeing healthy kids. The illnesses in the summer seem less acute: swimmer's ear, poison ivy, and minor trauma. 4 top papers you may have missed in June 2022. Department of Pediatrics, Children’s Hospital of The King’s Daughters, Norfolk, VA