Improving Human Milk and Breastfeeding Rates in a Perinatal Hospital in Japan: A Quality Improvement Project.

The leadership team at the Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University in Tokyo, Japan sought to improve our human milk (HM) and breastfeeding rates for vulnerable infants. This article describes the quality improvement (QI) initiative, which involved the implementation of the first three steps of the Spatz 10-step model for HM and breastfeeding in vulnerable infants. Our main objectives were to ensure that: (1) families were making informed feeding decisions about HM and breastfeeding as a medical intervention; (2) mothers were pumping early and often; (3) the staff implemented HM management; and (4) the proportion of infants who received HM at 1 month of life increased.

Long-term study of posterior capsular opacification prevention with endocapsular equator rings in humans.

Objective: To confirm the effect of a square-edged, closed endocapsular equator ring (E-ring) for preventing posterior capsular opacification (PCO) after cataract extraction.

Methods: Fifty-one eyes underwent cataract surgery associated with E-ring implantation between October 2002 and March 2008. Group 1 included 14 patients (14 eyes) who received an E-ring and intraocular lens (IOL) in 1 eye before March 2006.

Infero-eyebrow blepharoplasty for the upper eyelids of elderly patients.

Aims: To describe a procedure for removing excess wrinkles from the upper lids of elderly patients.

Methods: Excess wrinkles were resected with a razor blade and scissors or CO(2) laser along the lower eyebrow margin. Ninety-five patients (average age 74 ± 8.

Epithelial photorefractive keratectomy as an enhancement procedure after laser in situ keratomileusis.

The authors describe the refractive effect of epithelial photorefractive keratectomy (E-PRK) on 10 eyes that had undergone LASIK (group 1) and 13 eyes that had not been operated on (group 2). The central 6 mm was ablated. The mean corneal epithelium removed was 15.

Preventing posterior capsular opacification with an endocapsular equator ring in a young human eye: 2-year follow-up.

Objective: To report the results of a specially designed closed ring with a square edge (endocapsular equator ring) in a young patient to prevent posterior capsular opacification.

Methods: One eye of a 22-year-old atopic patient underwent endocapsular equator ring implantation with a 1-piece polymethylmethacrylate intraocular lens immediately after phacoemulsification at Hara Eye Hospital on January 10, 2003. The solid flexible silicone ring has an outer diameter of 9.

Ten-year results of anterior chamber fixation of the posterior chamber intraocular lens.

Objective: To report the outcomes in eyes in which a Sinskey-type conventional posterior chamber intraocular lens (PC-IOL) was fixed in the anterior chamber and followed up for an average of 10 years.

Methods: Twenty-one eyes were included in the study. The IOLs were conventional hard PC-IOLs, 13.