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Neonatal Teeth

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41. CRACKCast E177 – Acute Complications of Pregnancy

or intracranial bleeding, renal insufficiency, and death. Neonatal complications: placental infarcts, intrauterine growth retardation, premature delivery 13) Describe the management of eclampsia and severe pre-eclampsia. The patient who has severe preeclampsia should have an IV line and fetal monitoring initiated. Blood testing should include complete blood cell count, renal function studies, liver function tests, platelet count, and coagulation profile. A baseline magnesium level should also be determined (...) . In general, the tetracyclines and quinolones are contraindicated in pregnant patients. Treatment of genital tract infections may be important in preventing preterm labor and decreasing transmission to the infant. Complications: Salpingitis in pregnancy Disseminated gonorrhea in pregnancy Gonococcal arthritis Preterm labour Postpartum endometritis Infant: Conjunctivitis Pneumonitis Neonatal gonococcal ophthalmia Sepsis Chlamydia: Treatment during pregnancy or breast-feeding is azithromycin (single 1-g

2018 CandiEM

42. Breastfeeding - Promoting and Supporting the Initiation, Exclusivity, and Continuation of Breastfeeding in Newborns, Infants and Young Children

, Exclusivity, and Continuation of Breastfeeding for Newborns, Infants, and Y oung Children ABBREVIATION TERM LGBTQ+ lesbian, gay, bisexual, transgender, queer or questioning, and other LOA leave of absence NICU neonatal intensive care unit NQuIRE ® Nursing Quality Indicators for Reporting and Evaluation RNAO Registered Nurses’ Association of Ontario SIDS sudden infant death syndrome SUPC sudden unexpected postnatal collapse THC tetrahydrocannabinol T2DM type 2 diabetes mellitus UK United Kingdom of Great

2018 Registered Nurses' Association of Ontario

45. CrackCAST E136 – Bone and Joint Infections

the epiphysis and attaches to the metaphysis. Thus, allowing bacteria to spread directly from the metaphysis into the joint In neonates / infants there is essentially nothing really holding back bacteria from spreading from the metaphyseal area to the joint (the growth plate doesn’t stop the spread!) In children > 1, not likely to get direct spread, as no straight connection. However, Volkmann’s canals allow formation of subperiosteal abscess and extension under the periosteum In adult’s after growth plate (...) penetration of antibiotics to these areas difficult, thus the need to combine antimicrobials with surgical debridement It’s important to talk about bites!!! Spaced repetition, but: Bites = Infections from direct implantation of bacteria into deep structures Tend to be on hands and feet 20% to 50% of cat bites get infected secondary to morphology of feline teeth. Watch out for “fight bites” as human mouths are dirty dirty things, and can wreak havoc in those MCP joints Check out for more! [3] List the 3

2017 CandiEM

47. Composite Resin versus Amalgam for Dental Restorations: A Health Technology Assessment — Project Protocol

use of amalgam as a dental restorative material include its strength, durability, and low cost. 8 However, because amalgam is partly composed of elemental mercury, concerns have persisted over its safety for human health. 9 The surface(s) of dental amalgam fillings are known to release very small amounts of mercury vapour, particularly when stimulated by regular activities such as brushing teeth, chewing, eating hot foods and liquids, and grinding of the teeth. 8-10 Similarly, the placement (...) signed the Minamata Convention in 2013 15 and ratified it in April 2017. 16 As of May 31, 2017, 17 the Convention had been ratified by 54 governments and will enter into force internationally on August 16, 2017. 18 Among the alternatives to the use of amalgam as a restorative material for dental caries, composite resin is the most common, having been in use for more than 50 years. 19 Initially limited to restorations in anterior teeth, modern composite resin, with its improved formulations

2017 CADTH - Health Technology Assessment

48. Composite Resin versus Amalgam for Dental Restorations: A Health Technology Assessment — Project Protocol

use of amalgam as a dental restorative material include its strength, durability, and low cost. 8 However, because amalgam is partly composed of elemental mercury, concerns have persisted over its safety for human health. 9 The surface(s) of dental amalgam fillings are known to release very small amounts of mercury vapour, particularly when stimulated by regular activities such as brushing teeth, chewing, eating hot foods and liquids, and grinding of the teeth. 8-10 Similarly, the placement (...) signed the Minamata Convention in 2013 15 and ratified it in April 2017. 16 As of May 31, 2017, 17 the Convention had been ratified by 54 governments and will enter into force internationally on August 16, 2017. 18 Among the alternatives to the use of amalgam as a restorative material for dental caries, composite resin is the most common, having been in use for more than 50 years. 19 Initially limited to restorations in anterior teeth, modern composite resin, with its improved formulations

2017 CADTH - Health Technology Assessment

50. Healthcare performance reporting bodies

HealthGrades xx xx Emergency xx Ireland Health Information and Quality Agency (HIQA) xx xx New Zealand Health Quality and Safety Commission (HQSC) xx xx xx Gout, polypharmacy xx xx Finland National Institute of Health and Welfare (THL) xx xx xx The Netherlands National Institute for Public Health and the Environment (RIVM) x Sweden National Board of Health and Welfare xx xx xx xx Intensive care, neonatal, psychiatric, kidney xx xx Australia 23 HEALTHCARE PERFORMANCE REPORTING BODIES | SAX INSTITUTE Cancer (...) of hospital or equivalent to local health district Incident data Infection rates VTE Mortality Re-admission Other Canada Canadian Institute for Health Information (CIHI) xx xx xx xx Sepsis, admission of full-term babies to neonatal care, harm to children due to failure to monitor, medication incidents causing serious harm, pressure ulcers Institute for Clinical Evaluative Sciences (ICES) Not reported for hospitals Cancer Quality Council of Ontario (CQCO) xx (after stem cell transplant) Colonoscopy

2016 Sax Institute Evidence Check

51. Diagnosis and management of Silver-Russell syndrome: 1st international consensus statement

for imprinting disorders. Her career interests are in genetics, epigenetics and clinical characterization of childhood developmental disorders, as evidenced by over 180 research publications, including descriptions of transient neonatal diabetes mellitus (TNDM) and Temple syndrome (TS14). , Deborah J. G. Mackay is Professor of Medical Epigenetics, Faculty of Medicine, University of Southampton, UK. Her research interests are in identification of genetic and epigenetic causes of imprinting disorders (...) clinical features In addition to the clinical features in the NH-CSS, several others are recognized in association with SRS, as shown in and . These characteristics are not specific to SRS, and might be present in children born SGA who do not have SRS, but at a lower frequency than in patients with SRS. However, a few features occur at a much higher rate in children with SRS than in those with SGA , , . These features include low muscle mass, crowded or irregular teeth, micrognathia, down-turned mouth

2017 Pediatric Endocrine Society

53. Prevention, Diagnosis & Management of infective endocarditis

specific incidence of infective endocarditis in congenital heart disease 118 7.1.4 Management of infective endocarditis in congenital heart disease 120 7.2 Infective endocarditis in paediatric patients 121 7.2.1 Infective endocarditis in neonates with normal heart structures 121 7.2.2 Clinical presentation 122 7.2.3 Management of paediatric infective endocarditis 123 7.3 Infective endocarditis in transcatheter valve implantations 124 7.3.1 Transcatheter pulmonary valve implantation 124 7.3.2 (...) significant morbidity and mortality. This is due to the changing epidemiology of the disease, the wide spectrum of presentation extending from the neonate to the elderly, diagnostic difficulties, delayed surgical interventions and embolic complications. The advances in cardiothoracic surgery and cardiology over the years with the increasing use of prosthetic material, valves and intracardiac devices have also contributed to the challenges in managing IE in these patients. Some important evolution

2017 Ministry of Health, Malaysia

55. Specimen collection – microbiology and virology

bottles, the anaerobic culture bottle should be inoculated first and then the aerobic culture bottle, so that oxygen trapped in the syringe will not be transferred to the anaerobic bottle. The volume of blood is the most critical factor in the detection of blood stream infections. Place up to 4ml in the aerobic bottle (priority) and up to 10ml in the anaerobic bottle, but ensure that when using both bottles, the anaerobic bottle is inoculated first. For neonates, one to two millilitres of blood (...) is recommended ( ). However, the sensitivity of neonatal blood cultures is increased if more blood is cultured. Inoculation of the blood into the blood culture bottles should be performed first before inserting blood into other bottles as many of these bottles are not sterile and accidental contamination may occur. In children with suspected central venous line sepsis, blood for culture may be taken from a peripheral vein stab and also from (all lumen) of the intravascular lines to enable identification

2017 Publication 1593

56. Epidermolysis bullosa (EB): management of the newborn infant with EB

Epidermolysis bullosa (EB): management of the newborn infant with EB Epidermolysis bullosa (EB): management of the newborn infant with EB | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Epidermolysis bullosa (EB): management of the newborn infant with EB Epidermolysis bullosa (EB): management of the newborn infant with EB ). Infants with EB are nursed in their local neonatal unit (there is no need to transfer to specialised centres) and managed (...) a validated neonatal pain assessment tool to ensure adequate analgesia (opioid analgesia is usually required) given prior to wound care (avoid the administration of rectal medication if possible as this can blister the anal margin). ( ). Prepare a clean trolley with clinical waste bag, hypodermic needles, all dressings (cut to shape using supplied template) and tape cut into short lengths ( ). See below for template. Wash hands using 7 step technique using liquid soap (plain or antimicrobial) for at least

2017 Publication 1593

57. The UK guidelines for management and surveillance of Tuberous Sclerosis Complex

be considered for larger solitary lesions. Surgical excision can be considered for ungual fibromas, which are causing problems. Teeth Dental enamel pitting is observed in most patients with TSC. Dental pitting can also be observed in the general population, but at lower frequency and with fewer lesions than in TSC. Oral fibromas are also common in adults with TSC. They are mostly gingival but they can occur on the tongue. Teeth – recommendations and results of consensus Expert opinion Periodic oral

2018 Tuberous Sclerosis Association

58. Oral Health Care for the Pregnant Adolescent

to clinically assessed oral health during pregnancy. 11 Medical complications involving mother and child occur more frequently in pregnant females aged 11 through 15 years than those aged 20 to 22 years. 5 These include the delivery of low-birth-weight infants, increased neonatal death rate, and increased mortality rate for the mother. 5 The socioeconomic and cultural environments of the pregnant adolescent are related to the increased frequency of low-weight and prema- ture newborns. 12 Pregnancy-induced (...) but may contribute to the onset of perimyolysis, an erosion of the lingual surfaces of the teeth caused by exposure to gastric acids. A confounding factor is that pregnancy-associated hormonal changes may cause dryness of the mouth. Approximately 44 percent of pregnant participants in one study reported persistent xerostomia. 44 Signs of gingivitis (e.g., bleeding, redness, swelling, tender- ness) are evident in the second trimester and peak in the eighth month of pregnancy, with anterior teeth

2016 American Academy of Pediatric Dentistry

59. Persistent Pain with Breastfeeding

clavicle fractures, torticollis, head/neck or facial trauma, mandibular asymmetry, 16 oral defensiveness or aversion (e.g., infantsforce-fedwithridgednipples[teats]),tonicbite re?ex, nasal congestion, a response to an overactive milk ejection re?ex, and teething. (III) 2. Breast pump trauma/misuse Because of the widespread use of breast pumps in many countries and the variability of consumer edu- cation, literacy, and support, there is signi?cant po- tential for harm from breast pump use. In a survey (...) infections. Prevent contact between lesions and the infant. Avoid breastfeeding or feeding expressed breast milk to infants from an affected breast/nipple until the lesions are healed to prevent neonatal herpes infection. (continued) 4 ABM PROTOCOL epithelium. (III) A relatively constant, dull, deep aching pain in both breasts is characteristic of this in?ammation as well as tenderness to palpation on breast examination. 29 (II-3) Milk ?ow and ejection cause increased pressure and sharp shooting pain

2016 Academy of Breastfeeding Medicine

60. CRACKCast E010 – Pediatric Resuscitation

rhythm at 2-4 J/kg epinephrine 0.01mg/kg every 3-5 minutes pulse/rhythm checks every 2 minutes think through reversible causes (Hs and Ts) Chest Compression to Ventilation Ratio no ideal ratios are known; recommendations made based on educational theory and physiology less O2 is needed during arrest in adults the ratio is 30:2 in kids (infants and children): 1 rescuer CPR: 30:2 2 rescuer CPR: 15:2 neonates: 3:1 once an advanced airway is in place the goal is 8-10 breaths per minute. Pediatric VF (...) adenoidal hypertrophy large tonsils risk for obstruction, bleeding, etc. developing teeth friable alveolar ridge in edentulous kids risk for disruption, bleeding primary teeth weak in young children easily avulsed or aspirated tongue large relative to oropharynx obstructs anterior, superior larynx opening is higher at C3 more acute angle of the laryngeal opening = difficult to visualize weak hyoepiglottic ligament base of tongue connected to epiglottis loosely blade in vallecula doesn’t elevate

2016 CandiEM

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