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  • Book
    by Barbara Wilson-Clay and Kay Hoover.
    Contents:
    Introduction
    Infant states and infant assessment
    Infant orofacial assessment and feeding reflexes
    Infant stools, urine, and vaginal discharge
    Appearances of human milk
    Positioning and latch
    Flat and inverted nipples
    Sore nipples
    Unusual presentations of the breast and nipple
    Anatomic variability
    Engorgement, oversupply, and mastitis
    Breast cancer: issues for lactation
    Twins, triplets, and tandem nursing
    Alternative feeding methods
    Breastfeeding in emergencies
    Breastfeeding in special circumstances
    Ankyloglossia (tongue-tie)
    Cleft lip and cleft palate.
    Digital Access R2Library 2022
    Limited to 1 simultaneous user
  • Article
    van Herick R, Aronow WS.
    Clin Pharmacol Ther. 1978 Dec;24(6):678-82.
    Twenty patients with coronary heart disease participated in a double-blind, randomized, crossover study on three study mornings to evaluate the effect of oral oxprenolol 80 mg, oral propranolol 80 mg, and placebo on left ventricular contractility. Systolic time intervals were performed in the control period and at 60, 90, 120, 150, 180, 240, 300, and 360 min after medication. None of 20 patients developed adverse effects. The 80-mg doses of oxprenolol and propranolol had a negative chronotropic effect, with the resting heart rate slightly but consistently decreased more after propranolol, attaining statistical significance at 90, 150, and 300 min. That the 80-mg doses of oral oxprenolol and propranolol also induced a negative inotropic effect was indicated by a similar prolongation of the external isovolumic contraction time and pre-ejection period intervals. This equipotent dose of oxprenolol in producing a negative inotropic effect induces less resting bradycardia than propranolol.
    Digital Access Access Options