Recommendations for dental preventive strategies and treatment planning were originally developed through consensus meetings by the Scottish Oral Health Group for Medically Compromised Patients and published in 2003 as a Guideline. The United Kingdom Haemophilia Centre Doctors' Organisation (UKHCDO) Dental Working Party has updated these recommendations following the AGREE II approach (www.agreetrust.org), involving a literature search, a review of national and international guidelines and after seeking the opinions of haemophilia treaters in the United Kingdom by an online survey. Where possible, evidence from the literature is graded according to the 'GRADE' system (www.bcshguidelines.com/bsch_process/evidence_levels_and_grades_of_recommendations/43_grade.html); however, overall there is a lack of robust data and most studies have methodological limitations. The objective of this guidance, which is largely consensus-based, is to assist dental practitioners in primary and secondary care to provide routine dental care for patients of all ages with congenital bleeding diatheses in order to improve overall access to dental care. The guidance may not be appropriate in all cases and individual patient circumstances may dictate an alternative approach. Date for guideline review: May 2016.
Nomadic species are globally threatened by anthropogenic habitat change, but management options to address their decline are limited. Their unpredictable settlement patterns pose major challenges for conservation because identifying where to implement action is difficult. We address this challenge by pre‐empting settlement patterns in a nomadic species using data from a long‐term study of the critically endangered, cavity‐nesting swift parrot (Lathamus discolor) and by taking action at the sites identified. We detected flower bud growth (the primary settlement cue) and deployed artificial nests at 3 predicted breeding sites before the birds arrived. At the broad breeding‐range scale, swift parrots settled wherever bud abundance was highest, including the study area. Within the study area, artificial nest occupancy was greatest at the site with abundant historical natural nesting sites. At the local scale, we found significant effects of study site and distance to forest edges on nest box occupancy by swift parrots. Despite significant differences in thermal properties between artificial and natural nests, we found no differences in clutch size, brood size, or body condition of swift parrots in each. Monitoring settlement patterns and future food availability of nomadic wildlife can empower conservation managers to make predictions about breeding and target ecologically relevant times and locations when deploying conservation resources. Our study is an example of how conservation challenges posed by nomadic species can be overcome, and demonstrates that with effective monitoring, practical action can be targeted to address acute conservation needs and augment habitat availability. © 2018 The Wildlife Society.
Introduction: Acute suppurative parotitis is a rare finding in the neonate. It is commonly caused by Staphylococcus aureus, but other bacterial isolates may be emerging. It is a novel disease for this age group and requires unique management. Only 32 cases of neonatal suppurative parotitis have been described in the English-language literature over the last 35 years. Case Report: We describe a case of a 14-day-old male who presented to the pediatric emergency department with a 24-hour history of swelling and redness of the right cheek. On examining him, purulent material was seen inside his oral cavity. He was subsequently hospitalized with a diagnosis of neonatal suppurative parotitis and received five days of parenteral antibiotics with improvement in swelling and redness. He was discharged home with oral antibiotics. Conclusion: Although neonatal suppurative parotitis is rare, it should be suspected in newborns presenting with an erythematous pre-auricular mass with or without any predisposing factors. We describe a rare case of acute suppurative parotitis in a neonate and review the published literature.
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