scholarly journals Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document

2016 ◽  
Vol 17 (2) ◽  
pp. 35-37 ◽  
Author(s):  
Derek Richards
2016 ◽  
Vol 17 (1) ◽  
pp. 3-12 ◽  
Author(s):  
J. Kühnisch ◽  
K. R. Ekstrand ◽  
I. Pretty ◽  
S. Twetman ◽  
C. van Loveren ◽  
...  

PEDIATRICS ◽  
1980 ◽  
Vol 65 (4) ◽  
pp. 825-827
Author(s):  
Thomas L. Young ◽  
Keith S. Reisinger

Although it is generally accepted that the maintenance of health ought to be the major objective of health professionals, the prevention of illness has largely been secondary to treatment of existing disease in clinical practice and in research. One example of this dichotomy between goals and practice is the approach that the medical profession has taken with regard to accidents, which cause more injuries and deaths in children and young adults than any single disease process.1 Whereas millions of dollars and countless hours are spent in caring for individuals injured in accidents, research directed toward prevention of accidents and subsequent injury has been so sparse that many facets of this field have not been investigated beyond a cursory examination.


Author(s):  
Kerry Devlin ◽  
Anthony Meadows

Abstract This article provides an overview of Alternative and Augmentative Communication (AAC) and discusses ways in which AAC may be integrated into music therapy clinical practice with neurodivergent children and young adults. The article begins with an overview of commonly used AAC modalities and subsequently explores their use in clinical practice through a series of vignettes. This article may be of value to students who wish to understand the myriad ways in which AAC may be integrated into their clinical work and to clinicians interested in developing their clinical practice knowledge in this area.


2020 ◽  
Vol 24 (04) ◽  
pp. e429-e433
Author(s):  
Berit Hackenberg ◽  
Magdalena Pölzl ◽  
Christoph Matthias ◽  
Julian Künzel

Abstract Introduction Tonsillectomy and adenoidectomy are common procedures. Most surgeries in children and young adults are recommended due to recurring infections or obstructive constraints. However, occult malignant findings are reported in the literature. The clinical guidelines still refrain from recommending routine histopathologic analyses when discussing these procedures. Objective The present study aims to define the value of a routine histopathologic analysis after tonsillectomy, adenoidectomy and tonsillotomy. Methods We conducted a prospective survey including all German ear, nose and throat (ENT) departments, asking physicians about their current clinical practice and opinion. Furthermore, we reviewed all patients attending our department for tonsillectomy/adenoidectomy/tonsillotomy or a combination of these procedures between 2011 and 2016. In addition to this, a cost analysis was conducted to assess the financial burden of a routine histopathologic analysis. Results Most German ENT departments perform a routine histopathologic analysis after tonsillectomy/adenoidectomy/tonsillotomy. Despite this, only a minority deemed this approach necessary. Our retrospective review of the histopathologic analysis after tonsillectomy/adenoidectomy/tonsillotomy in our department rendered a cohort size of 2,157 patients. Within this group, there were no occult malignant findings. We found a yearly burden of 2,509,401€ for routine histopathologic analyses in patients under the age of 15 years in Germany in 2016. Conclusion We found a divergence between the physicians opinions and their current clinical practice concerning the question of whether to conduct routine histopathologic analyses. Even though there was no occult malignant finding in our cohort, unsuspected malignant findings are reported in the literature. Therefore, we call for a discussion on clinical practice guidelines.


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