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Aloka Lahoti Patel

TitleProfessor
InstitutionRush University, Rush Medical College
DepartmentPediatrics
Address1653 W. Congress Pkwy
Chicago IL 60612
Phone312-942-6646
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    Collapse Biography 
    Collapse awards and honors
    2022 - 2027Early Childhood Neurodevelopmental, Economic and Nutritional Outcomes among Former Very Low Birth We, NICHD R01HD107348
    2022 - 2023Establishing a New Model of Bone Health in Formerly Premature Individuals , NICHD 1R21HD102026
    2018 - 2024Reducing Disparity in Receipt of Mother’s Own Milk in Very Low Birth Weight Infants: An Economic Int, NIMHD R01MD013969
    2014 - 2016Barriers to Continued Provision of Human Milk for Black Mothers of VLBW Infants, NICHD 1R03HD081412
    2007 - 2012Health Benefits and Cost of Human Milk Feeding for Very Low Birthweight Infants, NINR R01NR010009

    Collapse Overview 
    Collapse overview
    My ORCID is 0000-0003-1751-0421.
    My Scopus ID is 55449635200.
    My NIH COMMONS name is APATEL1.

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Johnson TJ, Meier PP, Robinson DT, Suzuki S, Kadakia S, Garman AN, Patel AL. The Role of Work as a Social Determinant of Health in Mother's Own Milk Feeding Decisions for Preterm Infants: A State of the Science Review. Children (Basel). 2023 Feb 21; 10(3). PMID: 36979974.
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    2. Patel AL, Taylor SN. Dilemmas in initiation of very preterm infant enteral feeds-when, what, how? J Perinatol. 2023 01; 43(1):108-113. PMID: 36447040.
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    3. Hair AB, Patel AL, Kiechl-Kohlendorfer U, Kim JH, Schanler RJ, Hawthorne KM, Itriago E, Abrams SA, Blanco CL. Neurodevelopmental outcomes of extremely preterm infants fed an exclusive human milk-based diet versus a mixed human milk?+?bovine milk-based diet: a multi-center study. J Perinatol. 2022 11; 42(11):1485-1488. PMID: 36171356.
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    4. Johnson TJ, Patel AL, Schoeny ME, Meier PP. Cost Savings of Mother's Own Milk for Very Low Birth Weight Infants in the Neonatal Intensive Care Unit. Pharmacoecon Open. 2022 May; 6(3):451-460. PMID: 35147912.
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    5. Johnson TJ, Meier PP, Schoeny ME, Bucek A, Janes JE, Kwiek JJ, Zupancic JAF, Keim SA, Patel AL. Study protocol for reducing disparity in receipt of mother's own milk in very low birth weight infants (ReDiMOM): a randomized trial to improve adherence to sustained maternal breast pump use. BMC Pediatr. 2022 01 07; 22(1):27. PMID: 34996401.
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    6. Medina Poeliniz C, Hoban R, Schoeny ME, Engstrom JL, Patel AL, Meier P. Prepregnancy Body Mass Index Is Associated with Time-Dependent Changes in Secretory Activation Measures During the First 7 Days Postpartum in Breast Pump-dependent Mothers of Premature Infants. Breastfeed Med. 2022 02; 17(2):173-181. PMID: 34919412.
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    7. Artman A, Huang A, Bowker R, Cerwinske L, Cooper S, Johnson T, Patel AL. Evaluation of vitamin D protocol in the neonatal intensive care unit at Rush University Medical Center. JPEN J Parenter Enteral Nutr. 2022 03; 46(3):618-625. PMID: 34125972.
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    8. Frost BL, Patel AL, Robinson DT, Berseth CL, Cooper T, Caplan M. Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants. J Pediatr. 2021 05; 232:23-30.e1. PMID: 33358843.
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    9. Patra K, Greene MM, Tobin G, Casini G, Esquerra-Zwiers AL, Meier PP, Patel AL. Erratum: Neurodevelopmental Outcome in Very Low Birth Weight Infants Exposed to Donor Milk. Am J Perinatol. 2021 Jan 22. PMID: 33482669.
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    10. Patra K, Greene MM, Tobin G, Casini G, Esquerra-Zwiers AL, Meier PP, Patel AL. Neurodevelopmental Outcome in Very Low Birth Weight Infants Exposed to Donor Milk. Am J Perinatol. 2022 09; 39(12):1348-1353. PMID: 33406537.
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    11. Hoban R, Bowker RM, Gross ME, Patel AL. Maternal production of milk for infants in the neonatal intensive care unit. Semin Perinatol. 2021 03; 45(2):151381. PMID: 33423795.
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    12. Esquerra-Zwiers A, Schoeny ME, Engstrom J, Wicks J, Szotek J, Meier P, Patel AL. The Interaction of Donor Human Milk Availability and Race/Ethnicity on Provision of Mother's Own Milk for Very Low Birth Weight Infants. Breastfeed Med. 2021 01; 16(1):46-53. PMID: 33325782.
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    13. Azad MB, Nickel NC, Bode L, Brockway M, Brown A, Chambers C, Goldhammer C, Hinde K, McGuire M, Munblit D, Patel AL, P?rez-Escamilla R, Rasmussen KM, Shenker N, Young BE, Zuccolo L. Breastfeeding and the origins of health: Interdisciplinary perspectives and priorities. Matern Child Nutr. 2021 04; 17(2):e13109. PMID: 33210456.
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    14. Patel AL, Johnson TJ, Meier PP. Racial and socioeconomic disparities in breast milk feedings in US neonatal intensive care units. Pediatr Res. 2021 01; 89(2):344-352. PMID: 33188286.
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    15. Dalal PJ, Patel AL, Carle M, Rajanala A, Gill MK. REVIEW OF OPHTHALMIC AND BREASTFEEDING MEDICINE EVIDENCE: Real and Theoretical Risks of Intravitreal Anti-Vascular Endothelial Growth Factor Administration in Lactating Women. Retina. 2020 Nov; 40(11):2065-2069. PMID: 32796446.
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    16. Hoban R, Medina Poeliniz C, Somerset E, Tat Lai C, Janes J, Patel AL, Geddes D, Meier PP. Mother's Own Milk Biomarkers Predict Coming to Volume in Pump-Dependent Mothers of Preterm Infants. J Pediatr. 2021 01; 228:44-52.e3. PMID: 32916143.
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    17. Patel AL, Meier PP, Canvasser J. Strategies to increase the use of mother's own milk for infants at risk of necrotizing enterocolitis. Pediatr Res. 2020 08; 88(Suppl 1):21-24. PMID: 32855508.
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    18. Johnson TJ, Berenz A, Wicks J, Esquerra-Zwiers A, Sulo KS, Gross ME, Szotek J, Meier P, Patel AL. The Economic Impact of Donor Milk in the Neonatal Intensive Care Unit. J Pediatr. 2020 09; 224:57-65.e4. PMID: 32682581.
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    19. Li Y, Shen RL, Ayede AI, Berrington J, Bloomfield FH, Busari OO, Cormack BE, Embleton ND, van Goudoever JB, Greisen G, He Z, Huang Y, Li X, Lin HC, Mei J, Meier PP, Nie C, Patel AL, Sangild PT, Skeath T, Simmer K, Uhlenfeldt S, de Waard M, Ye S, Ye X, Zhang C, Zhu Y, Zhou P. Early Use of Antibiotics Is Associated with a Lower Incidence of Necrotizing Enterocolitis in Preterm, Very Low Birth Weight Infants: The NEOMUNE-NeoNutriNet Cohort Study. J Pediatr. 2020 12; 227:128-134.e2. PMID: 32553865.
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    20. Medina Poeliniz C, Engstrom JL, Hoban R, Patel AL, Meier P. Measures of Secretory Activation for Research and Practice: An Integrative Review. Breastfeed Med. 2020 04; 15(4):191-212. PMID: 32155345.
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    21. Storm AP, Bowker RM, Klonoski SC, Iantorno SE, Shah AN, Pillai S, Bell J, Patel AL. Mother's own milk dose is associated with decreased time from initiation of feedings to discharge and length of stay in infants with gastroschisis. J Perinatol. 2020 08; 40(8):1222-1227. PMID: 31992819.
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    22. Patel AL, Schoeny ME, Hoban R, Johnson TJ, Bigger H, Engstrom JL, Fleurant E, Riley B, Meier PP. Correction: Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants. Pediatr Res. 2019 Dec; 86(6):786. PMID: 31534188.
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    23. Greene MM, Schoeny M, Rossman B, Patra K, Meier PP, Patel AL. Infant, Maternal, and Neighborhood Predictors of Maternal Psychological Distress at Birth and Over Very Low Birth Weight Infants' First Year of Life. J Dev Behav Pediatr. 2019 Oct/Nov; 40(8):613-621. PMID: 31356412.
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    24. Rossman B, Asiodu I, Hoban R, Patel AL, Engstrom JL, Medina-Poeliniz C, Meier PP. Priorities for Contraception and Lactation Among Breast Pump-Dependent Mothers of Premature Infants in the Neonatal Intensive Care Unit. Breastfeed Med. 2019 09; 14(7):448-455. PMID: 31120306.
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    25. Hoban R, Schoeny ME, Esquerra-Zwiers A, Kaenkumchorn TK, Casini G, Tobin G, Siegel AH, Patra K, Hamilton M, Wicks J, Meier P, Patel AL. Impact of Donor Milk on Short- and Long-Term Growth of Very Low Birth Weight Infants. Nutrients. 2019 Jan 22; 11(2). PMID: 30678256.
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    26. Patel AL, Schoeny ME, Hoban R, Johnson TJ, Bigger H, Engstrom JL, Fleurant E, Riley B, Meier PP. Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants. Pediatr Res. 2019 04; 85(5):662-670. PMID: 30679795.
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    27. de Waard M, Li Y, Zhu Y, Ayede AI, Berrington J, Bloomfield FH, Busari OO, Cormack BE, Embleton ND, van Goudoever JB, Greisen G, He Z, Huang Y, Li X, Lin HC, Mei J, Meier PP, Nie C, Patel AL, Ritz C, Sangild PT, Skeath T, Simmer K, Tongo OO, Uhlenfeldt SS, Ye S, Ye X, Zhang C, Zhou P. Time to Full Enteral Feeding for Very Low-Birth-Weight Infants Varies Markedly Among Hospitals Worldwide But May Not Be Associated With Incidence of Necrotizing Enterocolitis: The NEOMUNE-NeoNutriNet Cohort Study. JPEN J Parenter Enteral Nutr. 2019 07; 43(5):658-667. PMID: 30465333.
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    28. Johnson TJ, Patra K, Greene MM, Hamilton M, Dabrowski E, Meier PP, Patel AL. NICU human milk dose and health care use after NICU discharge in very low birth weight infants. J Perinatol. 2019 01; 39(1):120-128. PMID: 30341399.
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    29. Romaine A, Clark RH, Davis BR, Hendershot K, Kite V, Laughon M, Updike I, Miranda ML, Meier PP, Patel AL, Smith PB, Cotten CM, Benjamin DK, Greenberg RG. Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants. J Pediatr. 2018 11; 202:23-30.e1. PMID: 30170862.
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    30. Chen Y, Fantuzzi G, Schoeny M, Meier P, Patel AL. High-Dose Human Milk Feedings Decrease Oxidative Stress in Premature Infant. JPEN J Parenter Enteral Nutr. 2019 01; 43(1):126-132. PMID: 29761879.
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    31. Hoban R, Patel AL, Medina Poeliniz C, Lai CT, Janes J, Geddes D, Meier PP. Human Milk Biomarkers of Secretory Activation in Breast Pump-Dependent Mothers of Premature Infants. Breastfeed Med. 2018 06; 13(5):352-360. PMID: 29708764.
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    32. Hoban R, Bigger H, Schoeny M, Engstrom J, Meier P, Patel AL. Milk Volume at 2 Weeks Predicts Mother's Own Milk Feeding at Neonatal Intensive Care Unit Discharge for Very Low Birthweight Infants. Breastfeed Med. 2018 03; 13(2):135-141. PMID: 29377728.
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    33. Patel AL, Kim JH. Human milk and necrotizing enterocolitis. Semin Pediatr Surg. 2018 Feb; 27(1):34-38. PMID: 29275815.
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    34. Sampath V, Mulrooney N, Patel AL, Cohen J, Zhang L, Garland J, Lavoie PM, Dagle J, Simpson P. A Potential Role for the NOD1 Variant (rs6958571) in Gram-Positive Blood Stream Infection in ELBW Infants. Neonatology. 2017; 112(4):354-358. PMID: 28768269.
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    35. Patra K, Hamilton M, Johnson TJ, Greene M, Dabrowski E, Meier PP, Patel AL. NICU Human Milk Dose and 20-Month Neurodevelopmental Outcome in Very Low Birth Weight Infants. Neonatology. 2017; 112(4):330-336. PMID: 28768286.
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    36. Patel AL, Panagos PG, Silvestri JM. Reducing Incidence of Necrotizing Enterocolitis. Clin Perinatol. 2017 09; 44(3):683-700. PMID: 28802346.
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    37. Rossman B, Meier PP, Janes JE, Lawrence C, Patel AL. Human Milk Provision Experiences, Goals, and Outcomes for Teen Mothers with Low-Birth-Weight Infants in the Neonatal Intensive Care Unit. Breastfeed Med. 2017 Jul/Aug; 12(6):351-358. PMID: 28557525.
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    38. Parker MG, Patel AL. Using quality improvement to increase human milk use for preterm infants. Semin Perinatol. 2017 04; 41(3):175-186. PMID: 28545652.
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    39. Autran CA, Kellman BP, Kim JH, Asztalos E, Blood AB, Spence ECH, Patel AL, Hou J, Lewis NE, Bode L. Human milk oligosaccharide composition predicts risk of necrotising enterocolitis in preterm infants. Gut. 2018 06; 67(6):1064-1070. PMID: 28381523.
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    40. Engstrom JL, Patel AL, Meier PP. Eliminating Disparities in Mother's Milk Feeding in the Neonatal Intensive Care Unit. J Pediatr. 2017 03; 182:8-9. PMID: 28081887.
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    41. Meier PP, Johnson TJ, Patel AL, Rossman B. Evidence-Based Methods That Promote Human Milk Feeding of Preterm Infants: An Expert Review. Clin Perinatol. 2017 03; 44(1):1-22. PMID: 28159199.
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    42. Fleurant E, Schoeny M, Hoban R, Asiodu IV, Riley B, Meier PP, Bigger H, Patel AL. Barriers to Human Milk Feeding at Discharge of Very-Low-Birth-Weight Infants: Maternal Goal Setting as a Key Social Factor. Breastfeed Med. 2017 Jan/Feb; 12:20-27. PMID: 27906557.
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    43. Patel AL, Johnson TJ, Robin B, Bigger HR, Buchanan A, Christian E, Nandhan V, Shroff A, Schoeny M, Engstrom JL, Meier PP. Influence of own mother's milk on bronchopulmonary dysplasia and costs. Arch Dis Child Fetal Neonatal Ed. 2017 May; 102(3):F256-F261. PMID: 27806990.
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    44. Meier P, Patel A, Esquerra-Zwiers A. Donor Human Milk Update: Evidence, Mechanisms, and Priorities for Research and Practice. J Pediatr. 2017 01; 180:15-21. PMID: 27773337.
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    45. Riley B, Schoeny M, Rogers L, Asiodu IV, Bigger HR, Meier PP, Patel AL. Barriers to Human Milk Feeding at Discharge of Very Low-Birthweight Infants: Evaluation of Neighborhood Structural Factors. Breastfeed Med. 2016 09; 11:335-42. PMID: 27347851.
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    46. Patra K, Greene MM, Patel AL, Meier P. Maternal Education Level Predicts Cognitive, Language, and Motor Outcome in Preterm Infants in the Second Year of Life. Am J Perinatol. 2016 07; 33(8):738-44. PMID: 26890439.
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    47. Patel AL, Mutlu EA, Sun Y, Koenig L, Green S, Jakubowicz A, Mryan J, Engen P, Fogg L, Chen AL, Pombar X, Meier PP, Keshavarzian A. Longitudinal Survey of Microbiota in Hospitalized Preterm Very-Low-Birth-Weight Infants. J Pediatr Gastroenterol Nutr. 2016 Feb; 62(2):292-303. PMID: 26230901.
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    48. Esquerra-Zwiers A, Rossman B, Meier P, Engstrom J, Janes J, Patel A. "It's Somebody Else's Milk": Unraveling the Tension in Mothers of Preterm Infants Who Provide Consent for Pasteurized Donor Human Milk. J Hum Lact. 2016 Feb; 32(1):95-102. PMID: 26590179.
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    49. Hoban R, Bigger H, Patel AL, Rossman B, Fogg LF, Meier P. Goals for Human Milk Feeding in Mothers of Very Low Birth Weight Infants: How Do Goals Change and Are They Achieved During the NICU Hospitalization? Breastfeed Med. 2015 Jul-Aug; 10(6):305-11. PMID: 26110439.
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    50. Namachivayam K, Coffing HP, Sankaranarayanan NV, Jin Y, MohanKumar K, Frost BL, Blanco CL, Patel AL, Meier PP, Garzon SA, Desai UR, Maheshwari A. Transforming growth factor-?2 is sequestered in preterm human milk by chondroitin sulfate proteoglycans. Am J Physiol Gastrointest Liver Physiol. 2015 Aug 01; 309(3):G171-80. PMID: 26045614.
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    51. Johnson TJ, Patel AL, Bigger HR, Engstrom JL, Meier PP. Cost savings of human milk as a strategy to reduce the incidence of necrotizing enterocolitis in very low birth weight infants. Neonatology. 2015; 107(4):271-6. PMID: 25765818.
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    52. Meier PP, Patel AL, Bigger HR, Chen Y, Johnson TJ, Rossman B, Engstrom JL. Human milk feedings in the neonatal intensive care unit. R Rajendram, VR Preedy, VB Patel, Eds. Diet and nutrition in critical care. 2015; 807-22.
    53. Johnson TJ, Patel AL, Bigger HR, Engstrom JL, Meier PP. Economic benefits and costs of human milk feedings: a strategy to reduce the risk of prematurity-related morbidities in very-low-birth-weight infants. Adv Nutr. 2014 Mar 01; 5(2):207-12. PMID: 24618763.
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    54. Jones G, Muriello M, Patel A, Logan L. Enteroviral Meningoencephalitis Complicated by Central Diabetes Insipidus in a Neonate: A Case Report and Review of the Literature. J Pediatric Infect Dis Soc. 2015 Jun; 4(2):155-8. PMID: 26407416.
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    55. Meier P, Patel AL, Wright K, Engstrom JL. Management of breastfeeding during and after the maternity hospitalization for late preterm infants. Clin Perinatol. 2013 Dec; 40(4):689-705. PMID: 24182956.
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    56. Jegier BJ, Johnson TJ, Engstrom JL, Patel AL, Loera F, Meier P. The institutional cost of acquiring 100 mL of human milk for very low birth weight infants in the neonatal intensive care unit. J Hum Lact. 2013 Aug; 29(3):390-9. PMID: 23776080.
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    57. Meier PP, Patel AL, Bigger HR, Rossman B, Engstrom JL. Supporting breastfeeding in the neonatal intensive care unit: Rush Mother's Milk Club as a case study of evidence-based care. Pediatr Clin North Am. 2013 Feb; 60(1):209-26. PMID: 23178066.
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    58. Patel AL, Johnson TJ, Engstrom JL, Fogg LF, Jegier BJ, Bigger HR, Meier PP. Impact of early human milk on sepsis and health-care costs in very low birth weight infants. J Perinatol. 2013 Jul; 33(7):514-9. PMID: 23370606.
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    59. Severin PN, Awad S, Shields B, Hoffman J, Bonney W, Cortez E, Ganesan R, Patel A, Barnes S, Barnes S, Al-Anani S, Gupta U, Cheddar YB, Gonzalez IE, Mallula K, Ghawi H, Kazmouz S, Gendi S, Abdulla RI. The pediatric cardiology pharmacopeia: 2013 update. Pediatr Cardiol. 2013 Jan; 34(1):1-29. PMID: 23192622.
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    60. Johnson TJ, Patel AL, Jegier BJ, Engstrom JL, Meier PP. Cost of morbidities in very low birth weight infants. J Pediatr. 2013 Feb; 162(2):243-49.e1. PMID: 22910099.
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    61. Sampath V, Garland JS, Le M, Patel AL, Konduri GG, Cohen JD, Simpson PM, Hines RN. A TLR5 (g.1174C?>?T) variant that encodes a stop codon (R392X) is associated with bronchopulmonary dysplasia. Pediatr Pulmonol. 2012 May; 47(5):460-8. PMID: 22058078.
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    62. Sampath V, Le M, Lane L, Patel AL, Cohen JD, Simpson PM, Garland JS, Hines RN. The NFKB1 (g.-24519delATTG) variant is associated with necrotizing enterocolitis (NEC) in premature infants. J Surg Res. 2011 Jul; 169(1):e51-7. PMID: 21529841.
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    63. Aziz M, Patel AL, Losavio J, Iyengar A, Berven M, Schloemer N, Jakubowicz A, Mathai T, McAuley JB. Efficacy of fluconazole prophylaxis for prevention of invasive fungal infection in extremely low birth weight infants. Pediatr Infect Dis J. 2010 Apr; 29(4):352-6. PMID: 19934791.
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    64. Meier PP, Engstrom JL, Patel AL, Jegier BJ, Bruns NE. Improving the use of human milk during and after the NICU stay. Clin Perinatol. 2010 Mar; 37(1):217-45. PMID: 20363457.
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    65. Sullivan S, Schanler RJ, Kim JH, Patel AL, Traw?ger R, Kiechl-Kohlendorfer U, Chan GM, Blanco CL, Abrams S, Cotten CM, Laroia N, Ehrenkranz RA, Dudell G, Cristofalo EA, Meier P, Lee ML, Rechtman DJ, Lucas A. An exclusively human milk-based diet is associated with a lower rate of necrotizing enterocolitis than a diet of human milk and bovine milk-based products. J Pediatr. 2010 Apr; 156(4):562-7.e1. PMID: 20036378.
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    66. Patel AL, Engstrom JL, Meier PP, Jegier BJ, Kimura RE. Calculating postnatal growth velocity in very low birth weight (VLBW) premature infants. J Perinatol. 2009 Sep; 29(9):618-22. PMID: 19461590.
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    67. Silvestri JM and Patel AL. Developmental changes in breathing during sleep. Eds. Marcus CL, Carroll JL, Donnelly DF, Loughlin GM. Sleep and Breathing in children. 2008; 211-227.
    68. Patel AL, Engstrom JL, Meier PP, Kimura RE. Accuracy of methods for calculating postnatal growth velocity for extremely low birth weight infants. Pediatrics. 2005 Dec; 116(6):1466-73. PMID: 16322172.
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    69. Patel AL, Paluszynska D, Harris KA, Thach BT. Occurrence and mechanisms of sudden oxygen desaturation in infants who sleep face down. Pediatrics. 2003 Apr; 111(4 Pt 1):e328-32. PMID: 12671147.
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    70. Patel AL, Harris K, Thach BT. Inspired CO(2) and O(2) in sleeping infants rebreathing from bedding: relevance for sudden infant death syndrome. J Appl Physiol (1985). 2001 Dec; 91(6):2537-45. PMID: 11717216.
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    71. Hayashi RJ, Kraus MD, Patel AL, Canter C, Cohen AH, Hmiel P, Howard T, Huddleston C, Lowell JA, Mallory G, Mendeloff E, Molleston J, Sweet S, DeBaun MR. Posttransplant lymphoproliferative disease in children: correlation of histology to clinical behavior. J Pediatr Hematol Oncol. 2001 Jan; 23(1):14-8. PMID: 11196263.
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    72. Naheed ZJ, Lahoti A, Hughes SF, Benson DW. Ventricular relaxation in the stage 24 chick embryo following changes in volume and blockade of Na+ and Ca2+ channels. Cardiovasc Res. 1996 Feb; 31 Spec No:E139-44. PMID: 8681338.
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