Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie - Comparative Effectiveness Review (Number 149) PDF Download
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Author: Department Of Health And Human Services
Publisher:
ISBN: 9781329660021
Category : Science
Languages : en
Pages : 0
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Book Description
A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues.
Author: Department Of Health And Human Services
Publisher:
ISBN: 9781329660021
Category : Science
Languages : en
Pages : 0
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Book Description
A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues.
Author: David O. Francis
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
OBJECTIVES: We systematically reviewed the literature on surgical and nonsurgical treatments for infants and children with ankyloglossia and ankyloglossia with concomitant lip-tie. DATA SOURCES: We searched MEDLINE(r) (PubMed(r)), PsycINFO(r), Cumulative Index of Nursing and Allied Health Literature (CINAHL(r)) and Embase (Excerpta Medica Database), as well as the reference lists of included studies and recent systematic reviews. We conducted the searches between September 2013 and August 2014. REVIEW METHODS: We included studies of interventions for ankyloglossia published in English. Two investigators independently screened studies against predetermined inclusion criteria and independently rated the quality of included studies. We extracted data into evidence tables and summarized them qualitatively. RESULTS: We included 58 unique studies comprising 6 randomized controlled trials (RCTs) (3 good, 1 fair, 2 poor quality), 3 cohort studies (all poor quality), 33 case series, 15 case reports, and 1 unpublished thesis. Most studies assessed the effects of frenotomy (a procedure in which the lingual frenulum is divided) on breastfeeding-related outcomes. Four RCTs reported improvements in breastfeeding efficacy using either maternally reported or observer ratings, while two RCTs using observer ratings found no improvement. Mothers consistently reported improved breastfeeding effectiveness after frenotomy, but outcome measures were heterogeneous and short term. Future studies could provide additional data to confirm or change the measure of effectiveness; thus, we consider the strength of evidence (SOE; confidence in the estimate of effect) to be low at this time. Furthermore, this literature is characterized by (1) a lack of details about the surgical procedure, (2) cointerventions allowed variably in control groups, and (3) diversity of provider settings. Pain outcomes improved for mothers of frenotomized infants compared with control in one study of 6-day old infants but not in studies of infants a few weeks older. Given these inconsistencies and the small number of comparative studies and participants, the SOE is low for an immediate reduction in nipple pain. Three studies with significant limitations reported improvements in other feeding outcomes with frenotomy, and four poor-quality studies reported some improvements in speech articulation but mixed results related to overall speech sound production. Three poor-quality comparative studies noted some improvements in social concerns and gains in tongue mobility in treated participants. SOE for all of these outcomes is insufficient. SOE is moderate for minor and short-term bleeding following surgery and insufficient for other harms (reoperation, pain). CONCLUSIONS: A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues. Research is lacking on nonsurgical interventions, as well as on outcomes other than breastfeeding.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Author: Osama Naga
Publisher: Springer
ISBN: 3319101153
Category : Medical
Languages : en
Pages : 611
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Book Description
Covers the most frequently asked and tested points on the pediatric board exam. Each chapter offers a quick review of specific diseases and conditions clinicians need to know during the patient encounter. Easy-to-use and comprehensive, clinicians will find this guide to be the ideal final resource needed before taking the pediatric board exam.
Author: American Academy of Pediatrics
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 436
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Book Description
This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.
Author: Carrie Sussman
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781774444
Category : Medical
Languages : en
Pages : 786
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Book Description
Designed for health care professionals in multiple disciplines and clinical settings, this comprehensive, evidence-based wound care text provides basic and advanced information on wound healing and therapies and emphasizes clinical decision-making. The text integrates the latest scientific findings with principles of good wound care and provides a complete set of current, evidence-based practices. This edition features a new chapter on wound pain management and a chapter showing how to use negative pressure therapy on many types of hard-to-heal wounds. Technological advances covered include ultrasound for wound debridement, laser treatments, and a single-patient-use disposable device for delivering pulsed radio frequency.
Author: Herbert Chen
Publisher: Springer
ISBN: 3319245570
Category : Medical
Languages : en
Pages : 801
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Book Description
This practical surgical atlas focuses on a variety of surgical procedures in a portable format, allowing students, residents and even attending surgeons to carry it around with them throughout the day to check up on operations at any given time. The comprehensive illustrations help the reader to understand the procedures described, thanks to inter-operative photographs which provide accurate representations of the various techniques of the operations. The wide scope of this book ensures coverage of the most common general surgery procedures and the most common operations that faculty, residents and students encounter.
Author: George Laskaris
Publisher: Thieme
ISBN: 9783137170020
Category : Medical
Languages : en
Pages : 396
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Book Description
For the third edition, the text has been thoroughly revised to keep pace with new concepts in oral medicine. The structure of the text has been clarified and made more practically useful, with references to etiology, clinical images, differential diagnosis, laboratory diagnostic tests, and therapy guidelines. Also new in the third edition: four new chapters, and more than 240 new, exquisite illustrations of lesions and pathologic conditions affecting the oral cavity.
Author: Faruk Uguz
Publisher: Springer
ISBN: 3319929194
Category : Medical
Languages : en
Pages : 367
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Book Description
This book focuses on recent advances in research and practical recommendations regarding the use of psychotropic drugs during pregnancy and lactation, two important social and psychological life events for women. In addition to the social context, including the addition of a new family member, many women experience the occurrence or recurrence of psychiatric disorders during the perinatal period. Psychiatric disorders during this period can have negative effects on the fetus, infant and other children in the family, and can result in functional impairment among mothers. The book offers a comprehensive overview of psychopharmacological treatments for nearly all specific psychiatric conditions (e.g. bipolar disorder, panic disorder, obsessive-compulsive disorder) and includes chapters on clinical approaches to treating these disorders. As such, it will appeal to a wide readership, including psychiatrists, obstetricians, gynecologists and pediatricians.
Author: Marsha Walker
Publisher: Jones & Bartlett Learning
ISBN: 1284251802
Category : Health & Fitness
Languages : en
Pages : 654
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Book Description
Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management without the lengthy, overly-detailed explanations found in other large texts. Now in an updated and modernized fifth edition, this unique resource features new sections on LGBTQ families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable patient care plans and helpful handouts that can be easily shared with patients. Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms.
