Despite the fact that feeding a very low birth weight (VLBW) neonate is a fundamental and inevitable part of its management, this is a field which is beset with controversies. Optimal nutrition improves growth and neurological outcomes, and reduces the incidence of sepsis and possibly even retinopathy of prematurity. There is a great deal of heterogeneity of practice among neonatologists and pediatricians regarding feeding VLBW infants. A working group on feeding guidelines for VLBW infants was constituted in McMaster University, Canada. The group listed a number of important questions that had to be answered with respect to feeding VLBW infants, systematically reviewed the literature, critically appraised the level of evidence, and generated a comprehensive set of guidelines. These guidelines form the basis of this state-of-art review. The review touches upon trophic feeding, nutritional feeding, fortification, feeding in special circumstances, assessment of feed tolerance, and management of gastric residuals, gastro-esophageal reflux, and glycerin enemas.

The purpose of this study was to identify high school students’ actions in response to physical aggression in their dating relationships. The association of these actions with race/ethnicity and gender was also examined. From a sample of high school students (N = 476), a subsample who reported that they had experienced at least one episode of being victimized by physical aggression in a dating relationship (n = 183), served as the sample of interest. On average, students engaged in two help-seeking actions, with females reporting more actions than males. Overall, the most common responses to physical aggression in a dating relationship were aggressive action (e.g., fight back), informal help seeking, threatened or actual breakup, and doing nothing (males) or crying (females). Females were more likely to fight back than were males. Race was largely unrelated to students’ actions. Intervention opportunities and areas for future research are discussed.

Background: Gabapentinoid drugs (gabapentin and pregabalin) are effective in neuropathic pain (prevalence ~7%). Concerns about increasing prescribing have implications for patient safety, misuse and diversion. Drug-related deaths (DRDs) have increased and toxicology often implicates gabapentinoids. We studied national and local prescribing rates (2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016) and identified associated sociodemographic factors, co-prescriptions and mortality, including drug-related deaths (DRDs).