Presidential determination, or presidential finding, are memoranda required by a statute and must be issued before certain actions are taken. For example, a presidential determination on the status of a country must be released before sanctions are imposed on the country.
Tongue-tie (ankyloglossia) is a condition present at birth that restricts the tongue's range of motion. With tongue-tie, an unusually short, thick or tight band of tissue (lingual frenulum) tethers the bottom of the tongue's tip to the floor of the mouth.
I am not saying each baby with latch issues is tongue or lip tied, (and not every baby with a lip and/or tongue tie has trouble breastfeeding) but if you are having problems, and seem to have no answers - research it and see if tongue tie (especially POSTERIOR tongue tie) and/or lip tie is the issue.