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doi: 10.1370/afm.2016

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Abstract

Daily vitamin D supplementation is recommended for breastfed infants, but alternative methods include enriching breast milk with vitamin D through maternal supplementation or intermittent high-dose vitamin D. We determined maternal preferences for vitamin D supplementation in 140 mothers with exclusively breastfed infants, and 44 who used both breast and formula milk. Only 101 (55%) supplemented their infants with vitamin D. One hundred sixty (88%) preferred supplementing themselves rather than their infants, and 102 (57%) preferred daily to monthly supplementation. Safety was most important in choosing a method of supplementation. Taking maternal preferences into consideration may improve adequate intakes of vitamin D in breastfed infants.

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Vitamin D deficiency has become a global public health concern. Nutritional rickets is the most established consequence, and an increasing incidence of rickets has been observed in developed countries. 1 , 2 In one study up to 18% of US children were vitamin D deficient, and 1% had severe deficiency. 3

Breastfed infants are vulnerable to vitamin D deficiency because of the low concentration of vitamin D in breast milk. The American Academy of Pediatrics (AAP) recommends supplementation of breastfed, partially breastfed, and bottle-fed infants with vitamin D at 400 IU/d, beginning in the first few days of life. Valentino Leather Espadrille Flats finishline sale online cheap price low shipping fee Red pre order eastbay original vbFHpm
Adherence to this recommendation, however, is poor. 5

Several studies have explored alternative methods of supplementation. Breast milk can be enriched with vitamin D through daily or intermittent high-dose maternal supplementation to meet infants’ vitamin D requirements. buy cheap finishline Derek Lam Kyoto Laser Cut Loafers w/ Tags in China cheap price outlet store free shipping for sale l2jkc
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Alternatively, oral vitamin D, 50,000 IU every 2 months, can be given to healthy infants with routine vaccinations to prevent vitamin D deficiency. Miu Miu Suede CapToe Ballet Flats very cheap for sale clearance visit new online sale online footaction online authentic gDB3jlKS4p

Little is known about maternal preferences for different methods of vitamin D supplementation. Our aim was to assess maternal practices and preferences for vitamin D supplementation of their infants in primary care.

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Mothers seeking care with infants for either 2-month or 4-month well-child visits were surveyed regarding vitamin D supplementation. Eligible mothers were aged 18 years and older, spoke English, and had an infant aged between 6 weeks and 5 months that was receiving primary care at Mayo Clinic in Rochester, Minnesota. Practices included 1 urban site, 2 suburban sites, and 1 rural site.

(courts have not hesitated to take action when public defender programs fail to represent their clients in a timely manner; the military appellate courts should be no less diligent in protecting the rights of convicted service members).

(unlike the civilian criminal justice system, the Courts of Criminal Appeals have unique fact finding authority, and that aspect of a service member’s case is not concluded until that review is completed; the nature of this review calls for, if anything, even greater diligence and timeliness than is found in the civilian system).

(the fact remains that through ten enlargements of time, petitioner’s first appellate defense counsel did not look at the substance of petitioner’s case and did not know when she would be able to do so; the appointment of a new appellate defense counsel did not rectify this problem, because that attorney concedes that he will not be able to look at the case in the foreseeable future; we reject any suggestion that institutional vigilance is evident in this case or that vigilance has been applied to ensure that petitioner receives the rights he is entitled to under Article 66 and Article 70).

(it is disingenuous for the government to argue that petitioner has not made a colorable claim of any possibility of relief, when the system that the government controls has to date deprived petitioner of the timely assistance of counsel that would enable him to perfect and refine the legal issues he has asserted).

(given that over 900 days have passed since sentencing and petitioner's appellate counsel have not even commenced an initial review of his record of trial, despite petitioner's desire that they do so, petitioner is not being afforded an appellate review of his findings and sentence that comports with the requirements of Article 66 and Article 70; these rights must be recognized, enforced, and protected by the government, by the appellate attorneys, by the Court of Criminal Appeals, and by this Court; the right to a timely appellate review in the military justice system is no less important and no less a protection than its counterpart in the civilian criminal justice system; petitioner's case illustrates that nothing has been done so far to respect or ensure his right to timely review of his findings and sentence).

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, 57 MJ 64 (a 244-day delay between trial and the convening authority’s action was neither unexplained nor inordinate, given the unusual circumstances in this case, which included: that the trial participants were assigned to three different bases in three different countries in Europe; that the record was lengthy – four volumes, totaling 593 pages; and that, apparently from the number of times the military judge returned the record, the record contained numerous errors).

United States v. Tardif , 57 MJ 219 (a Court of Criminal Appeals has authority under Article 66(c), UCMJ, 10 USC § 866(c), to grant appropriate relief for unreasonable and unexplained post-trial delays; this authority under Article 66(c) is distinct from the court’s authority under Article 59(a), UCMJ, 10 USC § 859(a), to overturn a finding or sentence “on the ground of an error of law”; and the court’s authority to grant relief under Article 66(c) does not require a predicate holding under Article 59(a) that the error materially prejudices the substantial rights of the accused).

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