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関連する概念動画

Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...

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Updated: Jul 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

新生児のヒップスクリーニング

Deborah M Eastwood1

  • 1Royal National Orthopaedic Hospital and Royal Free Hospital, NW3 2QG, London, UK. deborah_eastwood@lineone.net

Lancet (London, England)
|February 25, 2003
PubMed
まとめ

股関節発育不形成症 (DDH) の普遍的なスクリーニングは,英国コベントリーで印象的な結果を示しました. このアプローチは,早期発見のゴールデンスタンダードとなり,股関節疾患の乳児の治療結果を改善する可能性がある.

科学分野:

  • 整形外科 整形外科
  • 小児のスクリーニング
  • ヒップの発達 ヒップの発達

背景:

  • 生まれながらの股関節変位 (CDH) は,現在,股関節発育不形成症 (DDH) と呼ばれ,見逃しても重大なリスクを伴う.
  • スクリーニングプログラムは早期発見を目的としていますが,新生児の股関節成熟の理解が不十分であるため,課題があります.
  • DDHの臨床および超音波スクリーニングの有効性は,依然として議論されている.

研究 の 目的:

  • 股関節発育不形成症に対する普遍的対選択的スクリーニングプログラムの有効性を評価する.
  • 新生児における異なるスクリーニング戦略の結果を比較する.

主な方法:

  • 15,500人以上の新生児を対象に予備的なランダム化試験が行われました.
  • この研究では,普遍的スクリーニングと選択的スクリーニングプログラムを比較した.
  • 結果は6~11年のフォローアップ期間で評価されました.

主要な成果:

  • 遅発見のヒップ不形成症は,普遍的なスクリーニング群で1例,選択群で6例 (統計的に有意ではない) 発生しました.
  • 優れた臨床プログラムが既に実施されている場合,普遍的なスクリーニングによる追加の利益は見つかりませんでした.

さらに関連する動画

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

関連する実験動画

Last Updated: Jul 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

  • イギリスのコベントリーにある普遍的なスクリーニングプログラムは,他の英国センターと比較して印象的で優れた結果を示しました.
  • 結論:

    • スクリーニングプログラムの目的は明確に定義され,厳格に評価されなければならない.
    • 費用は要因であるが,誤診による人為的コストは計り知れない.
    • コベントリーの普遍的なスクリーニングプログラムの成功は,他の場所でのDDH検出のより良い結果を達成するためのベンチマークとして機能することを示唆しています.