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The ability to increase available local tissue by controlled soft tissue expansion (TE) has led to a rapid increase in the use of TE in clinical practice. This article reviews some general guidelines when using TE in children and addresses some of the concerns previously expressed regarding the effects of TE on growth in infants and children.
Since our initial presentation of our experience with tissue expansion as a means of harvesting large full-thickness skin grafts in children in 1987, we have continued to "expand" both the size of full-thickness skin grafts harvested and the range of reconstructive problems to which we have applied the technique. Sixteen expanded full-thickness grafts have(More)
BACKGROUND In February 2000, the Nova Scotia Seniors' Pharmacare Program announced a change in the reimbursement of respiratory drugs that added specific reimbursement criteria for wet nebulization therapy. Policy implementation coincided with multifaceted interventions to assist patients and providers with the change. OBJECTIVE To assess the impact of(More)
The emphasis on beauty in our society also places demands on children to meet a certain appearance. With cleft lip and palate being one of the most common birth defects, it is likely that pediatric nurses or pediatric nurse practitioners will encounter children requiring a form of craniofacial surgery. This article discusses common reconstruction techniques(More)
Given the increased demand on genetic services, it is important to identify clients who may require relatively more extensive psychosocial support. This paper describes which client characteristics, as assessed in the first psycho-social counselling session, were associated with requiring relatively more psycho-social support (≥3 sessions) in the process of(More)
The failure of newborns with cleft lip and/or cleft palate to properly gain weight remains a frustrating reality for many families regardless of the complex medical technology designed to avoid this problem. The enlargement, stimulate, swallow, suck (ESSR) feeding method was developed to easily and inexpensively reduce the occurrence of poor weight gain(More)
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