Showing results by author "Annenberg Center for Health Sciences" in All Categories

Differentiating GER from GERD in infants The challenges of obtaining a definitive diagnosis of GERD Nonpharmacologic and nutritional management of GERD Practice pearls for thickened feeds Risks of acid-suppressive medications in infants GER and GERD case studies

Human breast milk is comprised of several bioactive components, including human milk oligosaccharides (HMOs), which are non-nutritive carbohydrates unique to human milk. In this course, Lars Bode, PhD, introduces HMOs and describes the structure, composition, and infant health benefits of these compounds. Topics include the prebiotic effects of HMOs, particularly related to the gastrointestinal and immune systems, but also growth and development and allergies. Also reviewed are the oligosaccharides found in infant formulas, with a focus on clinically relevant inform

An interprofessional faculty of primary care and specialty clinicians discuss real-world issues in managing patients with complex and challenging dyslipidemia, including elevated lipoprotein a (Lp(a)). Several paired conversations serve as the foundation for discussions related to recent cholesterol guidelines, patient risk stratification, and recommended goals for patients at risk of atherosclerotic cardiovascular disease.

The gut microbiome is recognized as playing a key role in infant health. Alessio Fasano, MD, world-renowned for his research on the gut microbiome focuses on the ways in which the gut microbiome influences allergy and autoimmunity. The effects of infant nutrition on the composition of the microbiome are also discussed, including the impact of feeding mode and probiotic and prebiotic supplementation.

In this activity, Jeremy Abramson, MD, highlights the significant disease burden of B-cell lymphomas, as well as the latest advances in therapeutics, and practical strategies for integrating novel therapies into practice through patient selection and supportive care management.

An indolent subtype of non-Hodgkin lymphoma, follicular lymphoma is characterized by eventual relapse of disease and the need for multiple lines of therapy, adding to the significant disease burden experienced by patients. Novel targeted agents in the relapsed/refractory setting have afforded new treatment options, but important clinical challenges exist, including optimal treatment sequencing, therapy evaluation and patient selection, transitions of care requirements, as well as toxicity management.

Greater understanding and implementation of molecular biomarkers in non-small cell lung cancer (NSCLC) have led to improved patient outcomes. However, optimizing therapeutic strategies for patients with a molecular alteration continues to be challenging for the multidisciplinary team. Among these alterations, ROS1 rearrangements are rare, but have important clinical implications.

This education is about: - Overcoming challenges to optimal preterm infant nutrition - Strategic use of donor milk - Human milk fortification timing and clinical practice strategies - Influence of feeding types on the preterm microbiome - Emerging evidence on human milk bioactives - Interprofessional collaboration in the NICU

- Guidelines for complementary feeding - Early allergen introduction for food allergy prevention - Best practices and clinical considerations for early introduction of allergenic foods - Utilizing allergenic foods to help increase diversity during the complementary feeding period

Renowned professor of pediatric gastroenterology and nutrition, and endowed chair in pediatric research, Fayez K. Ghishan, MD, discusses the important role gastrointestinal microbiota plays in the development of immune function.

In this in-depth review, presented by Princess Ogbogu, MD, and developed in collaboration with Michael Wechsler, MD, MMSc, the wide-ranging presentations of HES will be reviewed, along with pathophysiology, classification, and acute and chronic management. Learnings from the presentation will be tied together with a case-based presentation of idiopathic HES, allowing learners to see how guideline recommendations and novel clinical trials can be applied in a real clinical setting.

Thyroid eye disease, also known as Graves’ orbitopathy, is a potentially serious, progressive autoimmune disease that most often occurs in people with hyperthyroidism, ie, Graves’ disease. Kimberley Cockerham, MD, FACS, moderates this series of six, paired conversations between endocrinologist Terry J. Smith, MD, and eye specialists Wendy W. Lee, MD, and Raymond Douglas, MD, PhD, to explore current and emerging treatment options for thyroid eye disease. In these conversations, faculty review the current understanding of the burden and pathophysiology of thyroid eye disease—including ...

Cold Agglutinin Disease is a rare, chronic hemolytic disorder, representing approximately 20% of all autoimmune hemolytic anemias. Catherine M. Broome, MD, and Alexander Röth, MD, provide an understanding of the pathogenesis of this disorder caused by cold-reacting IgM autoantibodies and reveal common clinical features. Because of the high mortality rate among those suffering from CAD, it is important to be aware of the diagnostic criteria, as well as the current and novel treatment options, with the goal of increasing hemoglobin levels, avoiding the need for transfusions, and improving ...

Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disorder that causes accumulation of sphingomyelin in various organs. In addition to a low incidence, ASMD has a heterogeneous presentation that makes management challenging. Join experts Margaret McGovern, MD, PhD, and Pramod Mistry, MD, PhD, in this review of the diagnosis and treatment of patients with ASMD.

The treatment of patients with NK, a rare disease of the eye that can lead to blindness, has evolved beyond treating symptoms to treatment that targets the root cause of the disease – nerve damage. Thus, early diagnosis is critical. Faculty discuss the etiology, diagnosis, staging, and treatment of patients with NK. In addition to an overview of symptomatic care and emerging treatments, the safety, efficacy, storage, and administration of cenegermin are explained in detail. Clinical and real-world questions are discussed, related to patient education, provided by multidisciplinary faculty.

In this activity, case studies commonly encountered in cardiology practice are utilized to prompt reflection on opportunities for reducing cardiovascular risk. Drawing on seminal research and their own experience, cardiologist Jorge Plutzy, MD, and endocrinologist Helena Rodbard, MD, navigate through a series of ‘clinical questions’ to inform regarding the clinical pharmacology of the GLP-1RAs and their evidence-based role in cardiovascular risk reduction, particularly in patients with secondary atherosclerotic cardiovascular disease.

In the first few weeks of life, the optimal growth rate for preterm infants is nearly twice that of term infants. To achieve this rapid rate of growth, preterm infants have high energy, protein, and micronutrient requirements. However, variability in human milk composition and inadequate fortification practices often result in suboptimal nutrition intake during these early critical weeks.

Human milk is optimal for preterm infants due to its ability to offer protection against potentially life-threatening complications such as necrotizing enterocolitis. However, the concentration of many nutrients in human milk—whether mother’s own milk or donor milk—falls short of meeting those required to support growth and development. To achieve growth targets for preterm infants, macro- and micronutrient supplementation is a critical component of an adequate nutrition care plan.

John Colombo, PhD, answers questions related to infant brain development and cognition. Fayez K. Ghishan, MD answers questions related to Milk Fat Globule Membrane (MFGM) Sean C.L. Deoni, PhD answers questions related to Docosahexaenoic acid (DHA)

These case studies are part of a continuing education activity that provides an update on the epidemiology, monitoring, and treatment of patients with systemic lupus erythematosus (SLE) presented by Diane Kamen, MD, and Anca Askanase, MD.