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Neonatal Teeth

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61. Research gaps identified in systematic reviews and health technology assessments published by the Norwegian Knowledge Centre for the Health Services in 2015

months, possibly lower the use of health services for the child, and more children re- ceive exclusive breastfeeding at six weeks than after just one home visit. Parent Training (45 minutes consultation with a health worker) possibly leads to a few minutes more sleep per day and per night. Parent Training on proper sleeping posi- tion possibly increases correct sleeping position after three and six months. Training to promote smoking cessation in pregnancy and the neonatal period possibly in- creases (...) conclusion from nine randomized controlled trials was that fluoride var- nish probably reduced caries in milk teeth, and that fluoride varnish might have few or no side effects or other adverse events. There was no information about infections or poisoning (6). Knowledge gaps - Fluoride varnish for children under three years old • there is no need for more studies on the caries preventive effect of fluoride varnish Dental and oral examination of children 0 to 5 years This report is about effects

2017 Norwegian Institute of Public Health

62. 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

63. CRACKCast E189 – Air Medical Transport

? This law has to do with the effects of gases in an enclosed space. Middle and inner ear Sinuses Teeth Alveoli or blebs Bowels Let’s jump into the facts for today! (If you want the historical perspective and current trends check out the chapter!) Core questions [1] List 6 criteria for air medical transport Although virtually all types of patients have been transported by air medical services, available data do not allow prospective, identification of which patients will benefit from flight . The data (...) of critically ill neonates and children Box 191.3 Criteria for Air Medical Transport Distance to the closest appropriate facility is too great for safe and timely transport by ground ambulance. Patient’s clinical condition requires that the time spent in transport be as short as possible. Patient’s condition is time critical , requiring specific or timely treatment not available at the referring hospital. Potential for transport delay associated with ground transport is likely to worsen the patient’s

2018 CandiEM

64. Evaluation and Management of Testosterone Deficiency

), physiological (occurring in the neonatal period and at puberty), and pathological (in association with testosterone deficiency, testicular tumors, hyperprolactinemia, Klinefelter syndrome [KS], HIV disease, or cirrhosis). Histologically, the male breast contains both glandular and fatty tissue, and although gynecomastia may result from proliferation in either or both, proliferation of only the fatty tissue is termed pseudogynecomastia. Only 1% of male breast enlargement is caused by malignancy, 76 however

2018 American Urological Association

65. A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology Full Text available with Trip Pro

with bloodstream infections [ , , , ]. For adults, 20–30 mL of blood per culture set (depending on the manufacturer of the instrument) is recommended and may require >2 culture bottles depending on the system. For neonates and adolescents, an age- and weight- appropriate volume of blood should be cultured (see below for recommended volumes). A second important determinant is the number of blood culture sets performed during a given septic episode. Generally, in adults with a suspicion of BSI, 2–4 blood culture

2018 Infectious Diseases Society of America

66. Proposals for a further expansion of day surgery in Belgium

of surgical index procedures Surgical procedures ICD-9-CM code OECD 2011-2012 data collection IAAS DSDP Inpatient cases Day-surgery cases 1994-5 & 1997 2004 & 2011 Cataract surgery 13.1-13.7 v v v v v Squint surgery 15.0-15.9 v v Myringotomy (with tube insertion) 20.01 v v Tonsillectomy with or without adenoidectomy 28.2-28.3 v v v v v Rhinoplasty 21.8 v Surgical tooth extraction/ Extraction of impacted teeth 23.1 v v Submucous resection 21.5 v Broncho-mediastinoscopy 33.22, 33.24, 34.22 v KCE Report 282

2017 Belgian Health Care Knowledge Centre

68. 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

69. 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

71. 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

74. 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

76. The UK guidelines for management and surveillance of Tuberous Sclerosis Complex Full Text available with Trip Pro

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

77. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

patients . In general, any of the features of TS may be seen with virtually any of the common chromosome constitutions ( , ). Although non-mosaic 45,X fetuses with pleural effusion or cystic hygroma often spontaneously abort, these findings are also compatible with delivery of a viable newborn ( ). The recent developments in non-invasive prenatal testing (NIPT) have had implications for diagnosing TS ( ). When TS is suspected, the possible interpretations may include TS in the fetus or TS in the mother

2017 European Society of Endocrinology

78. Diagnosis and management of Silver-Russell syndrome: 1st international consensus statement Full Text available with Trip Pro

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

79. 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

80. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting Full Text available with Trip Pro

patients . In general, any of the features of TS may be seen with virtually any of the common chromosome constitutions ( , ). Although non-mosaic 45,X fetuses with pleural effusion or cystic hygroma often spontaneously abort, these findings are also compatible with delivery of a viable newborn ( ). The recent developments in non-invasive prenatal testing (NIPT) have had implications for diagnosing TS ( ). When TS is suspected, the possible interpretations may include TS in the fetus or TS in the mother

2016 European Society of Human Reproduction and Embryology

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