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Neonatal Teeth

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41. Newborn Exam

Newborn Exam Newborn Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Newborn Exam Newborn Exam Aka: Newborn Exam , Neonatal Exam (...) or harsh or grade III or louder) Transient murmurs (Tricuspid regurgitation, ) Absent Split S2 Common with ( , , pulmonic valve atresia) VIII. Exam: Newborn Skin Exam See Normal transient rashes resolve in minutes to hours Examples: , , , Normal short-term rashes resolve in days to months Examples: , Neonatal , , Lanugo, , Normal - s, long-term rashes that persists for month, years and possibly permanent Examples: s, , Abnormal lesions that may be signs of systemic disease Pallor (e.g. ), Mottling (e.g

2015 FP Notebook

42. Green Teeth Following Icterus Gravis Neonatorum Full Text available with Trip Pro

Green Teeth Following Icterus Gravis Neonatorum 18147008 2008 01 29 2018 12 01 0035-9157 42 7 1949 Jul Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Green teeth following icterus gravis neonatorum. 561 PINCKNEY C C eng Journal Article England Proc R Soc Med 7505890 0035-9157 OM Erythroblastosis, Fetal Humans Infant, Newborn Jaundice Jaundice, Neonatal 4917:711k1 JAUNDICE/of newborn 1949 7 1 0 0 2014 8 13 6 0 1949 7 1 0 0 ppublish 18147008 PMC2081150

1949 Proceedings of the Royal Society of Medicine

43. Lead in teeth during the perinatal period. Full Text available with Trip Pro

Lead in teeth during the perinatal period. 1208286 1976 03 05 2018 11 13 0032-5473 51 601 1975 Nov Postgraduate medical journal Postgrad Med J Lead in teeth during the perinatal period. 778-9 Burkitt A J AJ Nickless G G Stack M V MV eng Journal Article England Postgrad Med J 0234135 0032-5473 2P299V784P Lead IM Female Fetus Humans Infant Infant, Newborn Lead analysis Male Time Factors Tooth analysis 1975 11 1 1975 11 1 0 1 1975 11 1 0 0 ppublish 1208286 PMC2496126 Nature. 1972 Jan 14;235(5333

1975 Postgraduate medical journal

44. Doctors and children's teeth. Full Text available with Trip Pro

Doctors and children's teeth. 466160 1979 10 26 2013 11 21 0007-1447 1 6178 1979 Jun 16 British medical journal Br Med J Doctors and children's teeth. 1629 Stocker P P eng Letter England Br Med J 0372673 0007-1447 0 Tablets Q80VPU408O Fluorides AIM IM Adolescent Adult Child Child, Preschool Dental Caries prevention & control Female Fluoridation Fluorides therapeutic use Humans Infant Infant, Newborn Pregnancy Tablets 1979 6 16 1979 6 16 0 1 1979 6 16 0 0 ppublish 466160 PMC1599175

1979 British medical journal

45. Doctors and children's teeth. Full Text available with Trip Pro

Doctors and children's teeth. 466227 1979 10 26 2013 11 21 0007-1447 1 6180 1979 Jun 30 British medical journal Br Med J Doctors and children's teeth. 1794 Curran M A MA eng Letter England Br Med J 0372673 0007-1447 0 Tablets 0 Toothpastes Q80VPU408O Fluorides AIM IM Adolescent Child Child, Preschool Dental Caries prevention & control Drug Administration Schedule Fluorides administration & dosage therapeutic use Humans Infant Infant, Newborn Substance-Related Disorders Tablets Toothpastes 1979

1979 British medical journal

46. Evaluation and Care of the Normal Neonate

% erythromycin 1 cm ribbon, 1% tetracycline 1 cm ribbon, 1% silver nitrate solution 2 drops; in some countries, 2.5% povidone iodine drops) to prevent and administration of vitamin K 1 mg IM to prevent hemorrhagic disease of the newborn (see ). Subsequently, the neonate is bathed, wrapped, and brought to the family. The head should be covered with a cap to prevent heat loss. Rooming-in and early breastfeeding should be encouraged so the family can get to know the infant and can receive guidance from staff (...) to check for soft or hard palate defects. are among the most common congenital defects. Some neonates are born with an epulis (a benign hamartoma of the gum), which, if large enough, can cause feeding difficulties and may obstruct the airway. These lesions can be removed; they do not recur. Some neonates are born with primary or natal teeth. Natal teeth do not have roots and may need to be removed to prevent them from falling out and being aspirated. Inclusion cysts called Epstein pearls may occur

2013 Merck Manual (19th Edition)

47. Custom-made intraoral mandibular distraction as treatment for neonatal airway obstruction. (Abstract)

in missing teeth. The effectiveness of mandibular DO regarding early discharge of the patient is shown, leading to an overall cost reduction. Knowledge of alternative modalities such as mandibular DO in case of hypoplastic mandible related airway obstruction in neonatal healthcare should lead to early referral to a dedicated maxillofacial surgeon, possibly avoiding long-term airway support or tracheotomy.Copyright © 2011 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier (...) Custom-made intraoral mandibular distraction as treatment for neonatal airway obstruction. Hypoplastic mandible related airway obstruction therapy may vary from non-surgical to surgical, depending on the severity of the obstruction. Since its introduction in 1992, distraction osteogenesis (DO) has been used to lengthen the mandible. A new intraoral device is presented here. It has no need of screw fixation, whilst placement and activation are intraoral, leading to simple placement and removal

2011 International Journal of Oral and Maxillofacial Surgery

48. A study on neonatal factors and eruption time of primary teeth. (Abstract)

A study on neonatal factors and eruption time of primary teeth. The purpose of this study was to determine the time of the eruption of the first primary tooth (FPT) in infants and to assess the effects of neonatal factors on the timing of the eruption.The dental and medical records of healthy infants were reviewed to gather data on birth weight (BW), gestational age (GA), prenatal history, and the time of the eruption of the FPT. Additionally, the mothers of these infants were asked to identify (...) with a BW of 1500 to 2500g was 8.28 +/- 2.28 months, while the MET for the infants with a BW of over 2500g was 6.99 +/- 1.94 (p = 0.014).A significant difference was found in the METs of infants with low and normal BWs. No significant differences were observed in the MET as related to other neonatal factors.

2010 Community dental health

49. Tigecycline

function tests, coagulation parameters, haematology parameters, amylase and lipase should be monitored prior to treatment initiation with tigecycline and regularly while on treatment. Tigecycline Accord should not be used in children under 8 years of age due to the lack of safety and efficacy data in this age group and because tigecycline may be associated with permanent teeth discolouration (see sections 4.2 and 4.8). 4.5 Interaction with other medicinal products and other forms of interaction (...) ). Tigecycline should not be used during pregnancy unless the clinical condition of the woman requires treatment with tigecycline. Breast-feeding It is unknown whether tigecycline/metabolites are excreted in human milk. Available pharmacodynamic/toxicological data in animals have shown excretion of tigecycline/metabolites in milk (see section 5.3). A risk to the newborns/infants cannot be excluded. A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from tigecycline

2020 European Medicines Agency - EPARs

50. Pharmacological Agents for Procedural Sedation and Analgesia

in the Department 3. A pro-forma should be used for procedural sedation and analgesia (PSA) as a checklist and as an auditable record of the procedure 4. Adverse events should be reported using the SIVA reporting tool 3 Scope This document provides guidelines for the use of common pharmacological agents in sedation in the Emergency Department in the UK. It provides guidelines for the use of these agents for adults and children (excluding neonates). This guideline only applies to pharmacological agents used (...) or alcohol Previous anaesthetic Yes No ASA grade (please circle) ASA I ASA II ASA III ASA IV ASA V Difficult Airway? no concern/ mild concern/significant concern Features to consider: BMV ventilation: beard, no teeth, obesity, trauma, cachexia LMA: Laryngoscopy: Crithyroidotomy: Consent: sedation verbal written lacks capacity procedure verbal written lacks capacity Preprocedural ECG: Y N Pain before procedure mild (0-3) severe (7-10) Pain post-procedure mild (0-3) severe (7-10) moderate (4-6) moderate (4

2019 Royal College of Emergency Medicine

51. Asfotase alfa for treating paediatric-onset hypophosphatasia

(https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 4 of 542 2 The condition The condition 2.1 Hypophosphatasia is a genetic disorder caused by mutations in the tissue non- specific alkaline phosphatase (TNSALP) gene, which reduce its activity. This causes disruption of mineralisation, a process in which calcium and phosphorous are deposited in developing bones and teeth. Several clinical forms of hypophosphatasia are currently recognised: perinatal onset (onset before or at birth (...) in the bones and teeth, and to reduce complications of dysregulated bone mineral metabolism. Asfotase alfa is administered by subcutaneous injection. 3.2 Asfotase alfa has a marketing authorisation under exceptional circumstances in the UK 'for long-term enzyme replacement therapy in patients with paediatric- onset hypophosphatasia to treat the bone manifestations of the disease' . Treatment should be started by a physician experienced in the management of metabolic or bone disorders. The recommended

2017 National Institute for Health and Clinical Excellence - Highly specialised technology

52. Is the use of chlorhexidine contributing to increased resistance to chlorhexidine and/or antibiotics?

health care settings including acute care, residential aged care, paediatric, neonatal and primary care and rehabilitation as well as the laboratory setting. All forms of use of chlorhexidine in humans and all different exposures (dosage form, duration, stratification of exposure) across different settings. 1. ‘Chlorhexidine Resistance’ (with definition / measures used) to chlorhexidine established. 2. A specific intervention identified as contributing to resistance to Chlorhexidine in a specific (...) Population and setting Intervention Outcome Types of studies Qu. 2 All patients (isolates) / participants (isolates) including children and adults in different health care settings including acute care, residential aged care, paediatric, neonatal and primary care and rehabilitation as well as the laboratory setting All forms of use of chlorhexidine in humans and all different exposures (dosage form, duration, stratification of exposure) across different settings. 1. ‘Resistance against antibiotics

2018 National Health and Medical Research Council

53. Preparing HIV-infected children and adolescents for travel

result from swallowing water during swimming and water sports, although mainly through contaminated food and food hygiene. Avoid swallowing pool water and do not swim in water that may be contaminated with human or animal waste. • Strict hand hygiene– wash with soap and water or alcohol based gel sanitizers if soap and water are unavailable. Drink boiled or bottled water where possible; avoid ice cubes and ice-lollies. Do not brush teeth using tap water. Treating water with chlorine can (...) with Dengue infection showed no increase in pathogenicity (26). Zika Zika is a Dengue-like viral infection. Transmission is unstable and currently an epidemic is spreading throughout the Caribbean and South America. In addition to mosquito borne transmission, there is a low risk of sexual transmission and barrier methods should be advised for all travellers visiting endemic areas. Pregnant women should avoid non-essential travel due to the association between Zika viraemia and neonatal microcephaly

2018 The Children's HIV Association

54. Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic Full Text available with Trip Pro

with anesthesia or pain service providers to discuss pain management. Consultation with pediatric and neonatal intensive care providers to review neonatal care protocols for care of newborn infants who are exposed on an ongoing basis (as fetuses) to opioids also may be beneficial. Such collaborations increase preparedness for and transparency around delivery planning. Additionally, women can benefit from behavioral health referrals, services for addressing social determinants of health (eg, housing or food (...) , B.D., Krans, E.E., McAllister, J.M., and Davis, M.M. Neonatal abstinence syndrome and associated health care expenditures: United States, 2000-2009. JAMA . 2012 ; 307 : 1934–1940 • In 1 study, 85.4% of women filled an opioid prescription after a cesarean delivery. The average number of pills dispensed was 40; the median number of pills consumed was 20; and the average number of leftover pills was 15. Most women (95.3%) did not dispose of their leftover medications. x 3 Bateman, B.T., Cole, N.M

2019 Society for Maternal-Fetal Medicine

55. Health Effects for Infants and Young Children Associated with Breastfeeding: A Rapid Review

. (55644) 5 1 or 3 or 4 (135683) 6 ("infant*" or "neonate*" or "newborn*").ti,ab. (854299) 7 2 or 6 (2041281) 8 ("dose*" or exposure or duration).ti,ab. (3473779) 9 ("review*" or "meta-analys*" or "synthes*" or "guideline*").ti. (1212428) 10 5 and 7 and 8 and 9 (776) 11 limit 10 to yr="2007 -Current" (545) 12 remove duplicates from 11 (264) *************************** 30 31 32 33 Appendix D: Literature Search Flowchart What are the health effects of breastfeeding or feeding expressed mother’s milk (...) compared to any, and shorter compared to longer duration. The outcome of interest, development of dental caries in permanent teeth, was determined by reports by 14 qualified practitioners or researchers, by parents or through health records databases. The authors note that lack of control for confounders such as other foods/drinks in the diet, oral hygiene and maternal oral health, limits reliability of the results. Current evidence on the associations of breastfeeding, infant formula and cow’s milk

2019 Peel Health Library

56. Effects of Pacifier Use on Breastfeeding and Health Outcomes: A Focused Practice Questions

have initiated and established breastfeeding, 1 and are motivated 2 to continue breastfeeding, pacifier use has no impact on breastfeeding duration in the first six months of life. 2. Health Canada’s safety tips: • Check the pacifier every day for breakdown (e.g. holes, tears caused by age, heat or certain foods) and ensure the nipple is securely attached to the handle. Dispose of the pacifier if it is damaged. • Replace a pacifier every two months. • Use a teething ring if the baby begins to chew (...) reviews. (9-11) Description of Included Evidence This research review includes the following evidence (see Appendix C): Guideline World Health Organization. (2018): Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-Friendly Hospital Initiative (2) The objective of this strong quality guideline (7/7) was to provide recommendations where facilities, providing maternity and newborn services, protect, promote, and support optimal

2019 Peel Health Library

57. The NHS long-term plan explained

the National Maternity Review with the aim of halving still births, maternal mortality, neonatal mortality and serious brain injury in newborn babies by 2025. Among a range of commitments, continuity of care during pregnancy, birth and after birth will be improved, bed capacity in intensive neonatal care will increase in areas where this is currently lacking and mental health services and other support for pregnant women and new mothers will be improved. The plan sets out a number of actions to improve (...) . These priorities include cancer, cardiovascular disease, maternity and neonatal health, mental health (see separate section below), stroke, diabetes and respiratory care. There is also a strong focus on children and young people’s health. Cancer, cardiovascular disease, maternity and neonatal health, and mental health, are just some of the clinical priorities outlined in the plan. In cancer care, the plan aims to boost survival by speeding up diagnosis. It includes a package of measures to extend screening

2019 The King's Fund

59. 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

60. Bruising

. Liver disease can cause impaired synthesis of clotting factors. Vitamin K deficiency This can result in functional deficiencies of factors II, VII, IX, and X, and proteins C and S, and can cause bleeding in an infant in the first weeks of life, when it is known as Haemorrhagic Disease of the Newborn (HDN). HDN is more prevalent in exclusively breastfed babies, and those with an inadequate or omitted dose of prophylactic vitamin K after birth. Bleeding can vary from bruising or petechiae in the first (...) an undiagnosed bleeding disorder, such as: Cephalhaematoma after instrumental delivery. Unexpected bleeding from the umbilical stump or delayed stump separation by up to 4 weeks, suggesting factor XIII deficiency. Haematoma after routine intramuscular vitamin K given at birth. Bleeding from the newborn heel prick test, suggesting factor XIII deficiency, or sometimes haemophilia. Assess the location and pattern of bruising, using pictorial or photographic records where possible and appropriate (for example

2017 Prodigy

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