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[PMID]:28449646
[Au] Autor:Lubbe W; Ten Ham-Baloyi W
[Ad] Endereço:North-West University, School of Nursing Science, Private Bag X6001, Potchefstroom, 2520, South Africa. welma.lubbe@nwu.ac.za.
[Ti] Título:When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician's guide.
[So] Source:BMC Pregnancy Childbirth;17(1):130, 2017 04 27.
[Is] ISSN:1471-2393
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The use of pacifiers is an ancient practice, but often becomes a point of debate when parents and professionals aim to protect and promote breastfeeding as most appropriately for nurturing infants. We discuss the current literature available on pacifier use to enable critical decision-making regarding justifiable use of pacifiers, especially in the Baby-Friendly Hospital Initiative context, and we provide practical guidelines for clinicians. DISCUSSION: Suck-swallow-breathe coordination is an important skill that every newborn must acquire for feeding success. In most cases the development and maintenance of the sucking reflex is not a problem, but sometimes the skill may be compromised due to factors such as mother-infant separation or medical conditions. In such situations the use of pacifiers can be considered therapeutic and even provide medical benefits to infants, including reducing the risk of sudden infant death syndrome. The argument opposing pacifier use, however, is based on potential risks such as nipple confusion and early cessation of breastfeeding. The Ten Steps to Successful Breastfeeding as embedded in the Baby-Friendly Hospital Initiative initially prohibited the use of pacifiers in a breastfeeding friendly environment to prevent potential associated risks. This article provides a summary of the evidence on the benefits of non-nutritive sucking, risks associated with pacifier use, an identification of the implications regarded as 'justifiable' in the clinical use of pacifiers and a comprehensive discussion to support the recommendations for safe pacifier use in healthy, full-term, and ill and preterm infants. The use of pacifiers is justifiable in certain situations and will support breastfeeding rather than interfere with it. Justifiable conditions have been identified as: low-birth weight and premature infants; infants at risk for hypoglyceamia; infants in need of oral stimulation to develop, maintain and mature the sucking reflex in preterm infants; and the achievement of neurobehavioural organisation. Medical benefits associated with the use of pacifiers include providing comfort, contributing towards neurobehavioural organisation, and reducing the risk of sudden infant death syndrome. Guidelines are presented for assessing and guiding safe pacifier use, for specific design to ensure safety, and for cessation of use to ensure normal childhood development.
[Mh] Termos MeSH primário: Desenvolvimento Infantil/fisiologia
Hospitais/normas
Chupetas/normas
Comportamento de Sucção/fisiologia
[Mh] Termos MeSH secundário: Aleitamento Materno
Feminino
Seres Humanos
Recém-Nascido
Masculino
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1186/s12884-017-1306-8


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[PMID]:28538822
[Au] Autor:Pereira TS; Oliveira F; Cardoso MCAF
[Ad] Endereço:Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
[Ti] Título:Association between harmful oral habits and the structures and functions of the stomatognathic system: perception of parents/guardians.
[Ti] Título:Associação entre hábitos orais deletérios e as estruturas e funções do sistema estomatognático: percepção dos responsáveis..
[So] Source:Codas;29(3):e20150301, 2017 May 15.
[Is] ISSN:2317-1782
[Cp] País de publicação:Brazil
[La] Idioma:por; eng
[Ab] Resumo:Purpose: To verify the occurrence and associate the presence and duration of harmful oral habits with the structures and functions of the stomatognathic system. Methods: This is a cross-sectional, exploratory study. Participants' participation was formalized by the signing of an Informed Consent Form. The non-probabilistic sample comprised 289 children aged one to 12 years assisted at a Family Health Strategy unit. The data were obtained through a questionnaire to identify harmful oral habits applied to the children's parents and/or guardians. The results were considered at 5% level of significance. The statistical analyses were performed using the SPSS 19.0 software and the chi-squared association test was employed to investigate the categorical variables. Results: The breastfeeding rate found was 85%; however, only 32.4% of the children were exclusively breastfed until six months of age. The most prevalent habits and those currently maintained were use of conventional bottle (28.62%) and conventional pacifier (23.18%). Significant correlation (p=0.001) was found between keeping the mouth open and oral and oronasal breathing. The presence of habits such as using orthodontic bottle (p=0.016) and orthodontic pacifier (p=0.001) was associated with the breathing mode reported. Habit duration was associated with the perception of changes in speech (p=0.046) and with malocclusion (p=0.014). Conclusion: The presence and duration of harmful oral habits were associated with the perception of changes in the structures and functions of the stomatognathic system regarding occlusion, breathing, and speech, accounting for a significant portion of the demand for rehabilitation.
[Mh] Termos MeSH primário: Alimentação Artificial
Aleitamento Materno
Hábitos
Pais
Sistema Estomatognático/fisiopatologia
[Mh] Termos MeSH secundário: Alimentação Artificial/estatística & dados numéricos
Aleitamento Materno/estatística & dados numéricos
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Chupetas/estatística & dados numéricos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE


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[PMID]:28378502
[Au] Autor:Psaila K; Foster JP; Pulbrook N; Jeffery HE
[Ad] Endereço:School of Nursing and Midwifery, Western Sydney University, Penrith, DC, Australia.
[Ti] Título:Infant pacifiers for reduction in risk of sudden infant death syndrome.
[So] Source:Cochrane Database Syst Rev;4:CD011147, 2017 04 05.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sudden infant death syndrome (SIDS) has been most recently defined as the sudden unexpected death of an infant less than one year of age, with onset of the fatal episode apparently occurring during sleep, that remains unexplained after a thorough investigation, including the performance of a complete autopsy and a review of the circumstances of death and clinical history. Despite the success of several prevention campaigns, SIDS remains a leading cause of infant mortality. In 1994, a 'triple risk model' for SIDS was proposed that described SIDS as an event that results from the intersection of three factors: a vulnerable infant; a critical development period in homeostatic control (age related); and an exogenous stressor. The association between pacifier (dummy) use and reduced incidence of SIDS has been shown in epidemiological studies since the early 1990s. Pacifier use, given its low cost, might be a cost-effective intervention for SIDS prevention if it is confirmed effective in randomised controlled trials. OBJECTIVES: To determine whether the use of pacifiers during sleep versus no pacifier during sleep reduces the risk of SIDS. SEARCH METHODS: We used the standard search strategy of the Cochrane Neonatal Review Group to search the Cochrane Central Register of Controlled Trials (CENTRAL 2016, Issue 2), MEDLINE via PubMed, Embase, and CINAHL to 16 March 2016. We also searched clinical trials databases, conference proceedings, and the reference lists of retrieved articles for randomised controlled trials and quasi-randomised trials. SELECTION CRITERIA: Published and unpublished controlled trials using random and quasi-random allocations of infants born at term and at preterm (less than 37 weeks' gestation) or with low birth weight (< 2500 g). Infants must have been randomised by one month' postmenstrual age. We planned to include studies reported only by abstracts, and cluster and cross-over randomised trials. DATA COLLECTION AND ANALYSIS: Two review authors independently reviewed studies from searches. We found no eligible studies. MAIN RESULTS: We identified no randomised controlled trials examining infant pacifiers for reduction in risk of SIDS. AUTHORS' CONCLUSIONS: We found no randomised control trial evidence on which to support or refute the use of pacifiers for the prevention of SIDS.
[Mh] Termos MeSH primário: Chupetas
Morte Súbita do Lactente/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Lactente
Recém-Nascido
Recém-Nascido Prematuro
Nascimento a Termo
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD011147.pub2


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[PMID]:28366012
[Au] Autor:Amer A; Abusamaan M; Li X; Fischer H
[Ad] Endereço:1 Wayne State University School of Medicine, Detroit, MI, USA.
[Ti] Título:Does Pacifier Use in Infancy Decrease the Risk of Obesity?
[So] Source:Clin Pediatr (Phila);56(11):1018-1022, 2017 Oct.
[Is] ISSN:1938-2707
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Nonnutritive sucking using a finger or pacifier is a natural reflex for infants. We hypothesized that infants may overfeed if the bottle or breast is constantly offered. Our goal was to determine whether pacifier use in early infancy is associated with lower incidence of obesity at later age. METHODS: Parents of 399 infants, 9 to 15 months old, were interviewed and asked whether a pacifier was used consistently for ≥9 months. Body mass indexes at birth, 6 months, and on the day of interview were calculated. RESULTS: In all, 204 (51%) infants used a pacifier, and 195 (49%) were nonusers. More infants in the nonuser group were either overweight-40 (21%)-or obese-32 (16%)-than in the user group-22 (11%) and 22 (11%), respectively ( P = .003). CONCLUSIONS: Pacifier use in infancy was associated with lower incidence of obesity at 9 to 15 months of age. Offering a pacifier can be protective against infantile obesity.
[Mh] Termos MeSH primário: Obesidade/prevenção & controle
Chupetas/estatística & dados numéricos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Masculino
Michigan
Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1177/0009922817701171


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[PMID]:27872353
[Au] Autor:Antonov NK; Ruzal-Shapiro CB; Morel KD; Millar WS; Kashyap S; Lauren CT; Garzon MC
[Ad] Endereço:1 Columbia University, New York, NY, USA.
[Ti] Título:Feed and Wrap MRI Technique in Infants.
[So] Source:Clin Pediatr (Phila);56(12):1095-1103, 2017 Oct.
[Is] ISSN:1938-2707
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The feed and wrap technique refers to the use of feeding and swaddling to induce natural sleep in infants. It can be used prior to an magnetic resonance imaging (MRI) scan, avoiding sedation or anesthesia. We performed a retrospective review of feed and wrap MRI scans in infants 3 months or younger over a 2-year period at our center (279 scans) to evaluate the efficacy of this technique. Of scan results reviewed, 79% addressed the clinical question, 20% partially addressed the clinical question, and 1% were technically inadequate. History of preterm birth (odds ratio [OR] = 2.368; P = .032) and spine MRI (OR = 2.821; P = .001) were associated with a less-successful scan outcome. The feed and wrap technique can be used successfully in infants undergoing MRI; however, it may be less successful in preterm infants and those requiring spinal MRI. A standardized technique performed by experienced personnel may avoid anesthesia and sedation in infants who require MRI.
[Mh] Termos MeSH primário: Roupas de Cama, Mesa e Banho
Comportamento do Lactente
Alimentos Infantis
Imagem por Ressonância Magnética
Sono
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Masculino
Chupetas
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE
[do] DOI:10.1177/0009922816677806


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[PMID]:27754572
[Au] Autor:Kaya V; Aytekin A
[Ad] Endereço:Gülhane Military Medical Academy, Clinic of Pediatrics, Ankara, Turkey.
[Ti] Título:Effects of pacifier use on transition to full breastfeeding and sucking skills in preterm infants: a randomised controlled trial.
[So] Source:J Clin Nurs;26(13-14):2055-2063, 2017 Jul.
[Is] ISSN:1365-2702
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS AND OBJECTIVES: To determine the effects of pacifier use on transition to full breastfeeding and sucking skills in preterm infants. BACKGROUND: Feeding problems in preterm infants cause delays in hospital discharge, extend mother-infant reunification and increase medical cost. Nutritive sucking skills of preterm infants may develop by improving non-nutritive sucking skills and increasing sucking experiences. DESIGN: A prospective, randomised controlled trial conducted in the Eastern Turkey. METHODS: Seventy infants were randomised into two groups: a pacifier group (n = 34) and a control group (n = 36). Pacifier use was applied in the preterm infants in the pacifier group, up to switching to full breastfeeding. The infants in the control group did not use pacifiers. Data were collected by a researcher using the Preterm Infant Introductory Information Form, the Preterm Infant Monitoring Form and the LATCH Breastfeeding Assessment Tool. For the study, ethics committee approval, official permission and written informed consents of the families were obtained. RESULTS: The time to transition to full breastfeeding (123·06 ± 66·56 hours) and the time to discharge (434·50 ± 133·29 hours) in the pacifier group were significantly shorter compared to the control group (167·78 ± 91·77 and 593·63 ± 385·32 hours, respectively) (p < 0·05). The weight at transition to full breastfeeding (1944·12 ± 275·67 g) and the weight of discharge (1956·45 ± 268·04 g) in the pacifier group were significantly lower compared to the control group (2155·58 ± 345·57 and 2159·75 ± 341·22 g, respectively) (p < 0·05). Sucking skills of the infants in the pacifier group at 48 hours after transition to oral feeding and before the discharge was better than in the control group (p < 0·05). CONCLUSION: Pacifier use improved the sucking skills and shortened the time to transition to full breastfeeding and to discharge in preterm infants receiving complementary feeding. RELEVANCE TO CLINICAL PRACTICE: Pacifier use may be recommended to accelerate transition to full breastfeeding and to improve the sucking skills in preterm infants who were fed by both oral route and complementary feeding in the neonatal intensive care units.
[Mh] Termos MeSH primário: Aleitamento Materno/métodos
Chupetas
Comportamento de Sucção
[Mh] Termos MeSH secundário: Peso Corporal
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Recém-Nascido Prematuro
Unidades de Terapia Intensiva Neonatal
Masculino
Relações Mãe-Filho
Alta do Paciente
Estudos Prospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161019
[St] Status:MEDLINE
[do] DOI:10.1111/jocn.13617


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[PMID]:28045318
[Au] Autor:Lopes Freire GM; Espasa Suarez de Deza JE; Rodrigues da Silva IC; Butini Oliveira L; Ustrell Torrent JM; Boj Quesada JR
[Ad] Endereço:Department of Paediatric Dentistry, Faculty of Dentistry, University of Barcelona Hospitalet de Llobregat, Barcelona.
[Ti] Título:Non-nutritive sucking habits and their effects on the occlusion in the deciduous dentition in children.
[So] Source:Eur J Paediatr Dent;17(4):301-306, 2016 Dec.
[Is] ISSN:1591-996X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:AIM: The study evaluated the presence of non-nutritive sucking habits and and their effects on the occlusion in the deciduos dentition in Spanish children. MATERIALS AND METHODS: Study design: Cross-sectional survey. A clinical examination was performed by an experienced examiner in 275 children aged 3 to 6 years and the collected data included the presence of anterior open bite (vertical dimension), unilateral or bilateral posterior crossbite (transverse dimensions), midline deviation and sagittal relationships between incisors, molars and canines. In addition, the parents of each child completed a questionnaire about oral habits. Data analysis included descriptive statistics (frequency distribution). Statistical significance for the association between the non-nutritive sucking habits and development of malocclusion was determined using Chi-square and Fisher's exact tests. Multiple logistic regression analysis was used in order to adjust the results for confounding effects of non-nutritive habits before assessing statistical significance. RESULTS: Non-nutritive sucking habit was observed in 224 children (81.5%) and malocclusions were present in 152 children (55.2%). There were significant relationships between pacifier sucking habit and transverse dimension alteration (OR= 3.29, CI: 0.97- 11.17, p=0.044), midline deviation (OR= 3.00, CI: 1.22-7.38, p=0.013). Children with a history of finger sucking (or thumb sucking) had an increased risk of malocclusion 4.25 times higher (CI: 0.92-19.58, p=0.044) and there was a significant relationship between finger sucking and vertical relationship (OR= 8.25, CI: 2.50-27.25, p=0.001). Children with non- nutritive sucking habits had an increased risk of malocclusion 2.55 higher compared to those without non-nutritive sucking habits (p=0.004). CONCLUSION There was an impact of non-nutritive sucking habit and development of malocclusions in this sample of children.
[Mh] Termos MeSH primário: Sucção de Dedo/efeitos adversos
Hábitos
Má Oclusão/etiologia
Chupetas/efeitos adversos
Dente Decíduo
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE


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[PMID]:27987514
[Au] Autor:Chen XX; Xia B; Ge LH; Yuan JW
[Ad] Endereço:Department of Pediatric Dentistry, First Clinical Division, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100034, China.
[Ti] Título:[Effects of breast-feeding duration, bottle-feeding duration and oral habits on the occlusal characteristics of primary dentition].
[So] Source:Beijing Da Xue Xue Bao Yi Xue Ban;48(6):1060-1066, 2016 12 18.
[Is] ISSN:1671-167X
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To assess the effects of breast-feeding duration, bottle-feeding duration and oral habits on the occlusal characteristics of primary dentition in 3-6-year-old children in Beijing. METHODS: This cross sectional study was conducted via an examination of the occlusal characteristics of 734 children combined with a questionnaire completed by their parents/guardians. The examination was performed by a single, previously calibrated examiner and the following variables were evaluated: presence or absence of deep overbite, open bite, anterior cross bite, posterior cross bite, deep overjet, terminal plane relationship of the second primary molar, primary canine relationship, crowding and spacing. Univariate analysis and multiple Logistic regressions were applied to analyze the associations. RESULTS: It was found that a short duration of breast-feeding (never or ≤6 months) was directly associated with posterior cross bite (OR=3.13, 95%CI=1.11-8.82, P=0.031) and no maxillary space (OR=1.63, 95%CI=1.23-2.98, P=0.038). In children breast-fed for ≤6 months, the probability of developing pacifier-sucking habits was 4 times that for those breast-fed for >6 months (OR=4.21, 95%CI=1.85-9.60, P=0.000 2). The children who were bottle-fed for over 18 months had a 1.45-fold higher risk of nonmesial step occlusion and a 1.43-fold higher risk of class II canine relationship compared with those who were bottle-fed for 6-18 months. Non-nutritive sucking habits were also found to affect occlusion: a prolonged digit-sucking habit increased the probability of an anterior open bite, while a pacifier-sucking habit was associated with excessive overjet and absence of lower arch developmental space. Tongue-thrust habit was associated with anterior open bite (OR=4.21, 95%CI=1.85-9.60, P=0.000 2) and posterior cross bite (OR=7.24, 95%CI=1.30-40.13, P=0.024). Lower lip sucking habit was associated with deep overjet and had a negative association with class III canine relationship. Unilateral chewing was associated with spacing in mandibular (OR=1.57, 95%CI=1.03-2.41, P=0.037). Mouth breathing was associated with chronic rhinitis and adenoidal hypertrophy and had an association with spacing in maxillary. The chi-square test did not indicate a statistically significant association between upper lip sucking habit and any occlusal characteristics. CONCLUSION: Breast-feeding duration was shown to be associated with the prevalence of posterior crossbite, or no maxillary space in the deciduous dentition and development of a pacifier-sucking habit. Children who had a longer duration of bottle-feeding were more likely to develop class II canine relationship. Children who had an oral habit were more likely to develop abnormal occlusal characteristics.
[Mh] Termos MeSH primário: Alimentação Artificial/efeitos adversos
Aleitamento Materno/efeitos adversos
Sucção de Dedo/efeitos adversos
Má Oclusão/etiologia
Chupetas/efeitos adversos
Hábitos Linguais/efeitos adversos
[Mh] Termos MeSH secundário: Pequim
Alimentação Artificial/estatística & dados numéricos
Aleitamento Materno/estatística & dados numéricos
Distribuição de Qui-Quadrado
Criança
Pré-Escolar
Estudos Transversais
Oclusão Dentária
Feminino
Seres Humanos
Lactente
Masculino
Mandíbula
Mastigação
Maxila
Chupetas/estatística & dados numéricos
Prevalência
Fatores de Tempo
Dente Decíduo/crescimento & desenvolvimento
Dente Decíduo/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161218
[St] Status:MEDLINE


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[PMID]:27940805
[Au] Autor:Moon RY; TASK FORCE ON SUDDEN INFANT DEATH SYNDROME
[Ti] Título:SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment.
[So] Source:Pediatrics;138(5), 2016 Nov.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Approximately 3500 infants die annually in the United States from sleep-related infant deaths, including sudden infant death syndrome (SIDS), ill-defined deaths, and accidental suffocation and strangulation in bed. After an initial decrease in the 1990s, the overall sleep-related infant death rate has not declined in more recent years. Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar. The American Academy of Pediatrics recommends a safe sleep environment that can reduce the risk of all sleep-related infant deaths. Recommendations for a safe sleep environment include supine positioning, use of a firm sleep surface, room-sharing without bed-sharing, and avoidance of soft bedding and overheating. Additional recommendations for SIDS risk reduction include avoidance of exposure to smoke, alcohol, and illicit drugs; breastfeeding; routine immunization; and use of a pacifier. New evidence and rationale for recommendations are presented for skin-to-skin care for newborn infants, bedside and in-bed sleepers, sleeping on couches/armchairs and in sitting devices, and use of soft bedding after 4 months of age. In addition, expanded recommendations for infant sleep location are included. The recommendations and strength of evidence for each recommendation are published in the accompanying policy statement, "SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment," which is included in this issue.
[Mh] Termos MeSH primário: Causas de Morte
Gestão da Segurança/normas
Transtornos do Sono-Vigília/mortalidade
Morte Súbita do Lactente/epidemiologia
[Mh] Termos MeSH secundário: Comitês Consultivos
Roupas de Cama, Mesa e Banho/efeitos adversos
Meio Ambiente
Medicina Baseada em Evidências
Feminino
Seres Humanos
Lactente
Mortalidade Infantil/tendências
Recém-Nascido
Masculino
Chupetas/efeitos adversos
Guias de Prática Clínica como Assunto/normas
Decúbito Ventral
Medição de Risco
Transtornos do Sono-Vigília/diagnóstico
Morte Súbita do Lactente/prevenção & controle
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE


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[PMID]:27901201
[Au] Autor:Scarpelli BB; Berger SB; Punhagui MF; Oliveira CA; Ferelle A; Oltramari-Navarro PV
[Ad] Endereço:Universidade Estadual de Londrina, Department Oral Medicine and Children's Dentistry, Londrina, PR, Brazil.
[Ti] Título:Evaluation of a preventive educational program for malocclusions: 7-year study.
[So] Source:Braz Oral Res;30(1):e119, 2016 Nov 28.
[Is] ISSN:1807-3107
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Results: 506 of the 802 guardians/children referred to the PPM joined. As for the children, the most frequently assessed habits were: bottle (56.1%), bottle and pacifier (18.4%), finger (11.9%), bottle and finger (7.1%), pacifier (5.7%), pacifier and finger (0.6%), and bottle/pacifier/finger (0.2%). After parent participation in the meetings, 335 (66.2%) children abandoned their habits. There was a statistical difference between type of oral habit and time to abandonment (p = 0.0001). However, those with only one habit abandoned it more easily (72.6%) than those with two or more associated habits (48.1%) (p = 0.042). Presence or absence of breastfeeding and parents' level of education had no significant effect on habit abandonment. Conclusion: PPM was an important tool for spreading knowledge to guardians, greatly contributing to the abandonment of deleterious oral habits. Bottle sucking warrants special attention - mentioned by 81.8% of parents - either alone or associated with other habits. Thus, educational actions to implement the children's approach to oral health are fundamental to making behavioral changes and promoting education of healthy habits, thereby keeping malocclusions from developing.
[Mh] Termos MeSH primário: Assistência Odontológica para Crianças/métodos
Educação em Saúde Bucal/métodos
Má Oclusão/prevenção & controle
[Mh] Termos MeSH secundário: Pré-Escolar
Escolaridade
Feminino
Hábitos
Seres Humanos
Lactente
Tutores Legais
Masculino
Má Oclusão/etiologia
Chupetas/efeitos adversos
Pais
Avaliação de Programas e Projetos de Saúde
Reprodutibilidade dos Testes
Estudos Retrospectivos
Comportamento de Sucção
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170308
[Lr] Data última revisão:
170308
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE



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