Author

David Michael

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Skin-to-skin contact occurs when infants lie prone on a mother’s chest with no clothing or blankets separating the mother from her infant. Placing newborn infants in skinto-skin contact with their mothers following a vaginal birth is standard practice in most US birthing facilities. The benefits of skin-to-skin care for a mother and her infant immediately after birth are well established. For example, immediate skin-to-skin contact encourages early breastfeeding initiation, which is associated with longer duration…

Phosphorus (P) management emphasizes the need to balance both agronomic and water quality nutrient management priorities. Agronomic priorities focus on maintaining soil test P levels in optimal ranges because of the essential role P plays in crop production. While water quality priorities emphasize the proper management of nonpoint source areas, including agricultural land, to minimize water quality degradation resulting from accelerated eutrophication. Accelerated eutrophication has been identified by the U.S. Environmental Protection Agency (USEPA) as…

Last month’s roundup presented some of the early research on COVID-19. This month’s roundup will focus on emerging guidance on the treatment and management of people presenting to hospital with suspected severe COVID-19 infection. The acutely ill commonly present with high respiratory rate, low oxygen saturations, low blood pressure, tachycardia and pyrexia. Initial emergency treatment is aimed at reversing hypoxia, restoring haemodynamic stability, and treating the underlying cause, whilst providing ongoing assessment using a track…

Findings run contrary to current guidelines Daneman et al. found that fluoroquinolones were associated with better clinical outcomes than non-fluoroquinolone antibiotics for treatment of uncomplicated urinary tract infections (UTI). Thosewomen who received fluoroquinolones experienced decreased odds of subsequent UTI-related hospitalizations, emergency department visits and return outpatient visits. In addition, repeat antibiotic prescriptions within 30 days were less common among those who were prescribed fluoroquinolones. These findings are unexpected given that randomized controlled trials and meta-analyses…