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NAS resolves slowly. Some infants will still need medication when discharged home, and are described as having “continuing NAS.” Others have no signs initially and then develop NAS. Where this occurs after eight days of age, this is defined as “delayed onset NAS.” These continuing or delayed signs are important because irritability, feeding difficulties and failure to sleep place additional burdens on carers. Medication can be helpful but little evidence exists to direct the choice of medication for community use. Phenobarbitol is used by the services in Grampian; its side effects include drowsiness, lethargy, hyperactivity and possible long term behavioural and developmental problems, (The British National Formulary for Children 2005, p247 248). However, these potential side effects of phenobarbitol, which in practice are seldom troublesome, are outweighed by its benefits in terms of efficacy, ease of administration, lack of ‘street’ value, and value in treating infants exposed to polydrug use. . super slim active subwoofer output Children who are above a healthy weight are much more likely to become obese adults and are at a greater risk of developing chronic diseases such as Type 2 diabetes, high blood pressure and some types of cancer. With obesity already costing the NHS 4.2billion each year, it’s critical to continue investing in child obesity services.”
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