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      Just a little background on shea butter
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      1 19 20 21The preferred treatment is usually conservative

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      pandora necklaces I started hating my parents last summer. It all started when I went to the beach w/ my friend. I had permission from my dad that i could go. The infant’s head is malleable and growing rapidly, hence it is susceptible to deformation, especially when infants develop a positional preference of the head when lying in the supine position.1 Two typical components of skull deformation are unilateral occipital flattening of the skull (plagiocephaly) and symmetrical occipital flattening (brachycephaly).2 A strong plagiocephalic flattening is often presented with ipsilateral frontal bossing of the forehead and anterior shift of the ipsilateral ear (ear deviation) and cheek (see web extra fig 1A).3 4 5 Brachycephaly can be accompanied by temporal bossing or an occipital lift (see web extra fig 1B).3Skull deformation is generally considered a cosmetic condition. Developmental delays are regularly associated with skull deformation,6 7 8 9 but the deformation is increasingly seen as a marker for delays, instead of causing the delays.6 7 8 Parents fear the negative physical and psychosocial effects of skull deformation on their child.10 11The prevalence of skull deformation increased substantially after it was recommended that infants should be placed in a supine sleep position to prevent sudden infant death syndrome.12 13 14 15 16 17 18 Nowadays skull deformation seems most prevalent between two (16 22%) and four months (20%) after birth.19 20 The prevalence drops when infants become older.1 19 20 21The preferred treatment is usually conservative. In a recently published guideline (2012), the Netherlands Centre of Preventive Child Health Care advised to start counselling parents during well baby visits on the handling and repositioning infants with an observed positional preference or skull deformation. pandora necklaces

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