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関連する概念動画

Work Done Over an Inclined Plane01:11

Work Done Over an Inclined Plane

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The center-of-mass framework helps to easily describe the work done on rigid bodies. Since the internal forces in a rigid body do no work, they can be ignored, and the external forces can be considered in the work-energy theorem.
The work done by gravity to move a rigid body, or the work done by an opposing force to move a rigid body against gravity, can be calculated using the center-of-mass framework. It is the line integral of the force of gravity over the path, considered positive if...
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Body Planes01:06

Body Planes

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Body planes in anatomy are imaginary flat surfaces used as reference points to divide the body into sections for anatomical study. These planes are essential for understanding the orientation, relationships, and spatial organization of anatomical structures.
The sagittal plane is the plane that divides the body or an organ vertically into right and left sides. If this vertical plane runs directly down the middle of the body resulting in equal division, it is called the midsagittal or median...
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Coordinate Plane01:21

Coordinate Plane

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The Cartesian coordinate plane is a fundamental structure in mathematics that enables the visualization of relationships between numerical values in two dimensions. It is formed by two intersecting number lines: a horizontal x-axis and a vertical y-axis. These axes meet at the origin, the point where both values are zero. Their intersection divides the plane into four quadrants labeled in a counterclockwise direction starting from the upper right.An ordered pair of numbers represents every...
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Plane Electromagnetic Waves I01:30

Plane Electromagnetic Waves I

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The existence of combined electric and magnetic fields that propagate through space as electromagnetic (EM) waves is the most significant prediction of Maxwell's equations. As Maxwell's equations hold in free space, the predicted electromagnetic waves do not require a medium for their propagation. An EM wave comprises an electric field, defined as the force per charge on a stationary charge, and a magnetic field, which is the force per charge on a moving charge.
The EM field is assumed to be a...
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Plane Electromagnetic Waves II01:29

Plane Electromagnetic Waves II

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Consider a plane wavefront traveling in position x-direction with a constant speed. This wavefront can be utilized to obtain the relationship between electric and magnetic fields with the help of Faraday's law.
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Studying stress transformation is essential in understanding how stress components within a material, like a cube under plane stress, change with rotation. This change is analyzed by considering a prismatic element within the cube. As the element rotates, the stress components acting on it—both normal and shearing stresses—change in magnitude and orientation. This change is quantified using trigonometric functions of the rotation angle, relating the forces acting on the rotated element's...
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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
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新生児における腸骨筋面ブロック:症例報告

J A Orozco Arango1, P A Cruces Muñoz2

  • 1S.E.S. Hospital Universitario de Caldas, Clínica del Dolor, Manizales, Colombia.

Revista espanola de anestesiologia y reanimacion
|February 1, 2026
PubMed
まとめ

新生児の肋骨骨折は永続的な問題を引き起こす可能性があります。肋骨骨折のある新生児に対し、超音波ガイド下腸骨筋面ブロック(ESPB)が安全かつ効果的な疼痛緩和を提供し、合併症なく症状を改善しました。

科学分野:

  • 新生児ケア
  • 小児麻酔科学
  • 疼痛管理

背景:

  • 未治療の新生児の疼痛は、長期的な神経学的および行動的障害につながる可能性があります。
  • 分娩時骨折、特に肋骨骨折は、新生児の疼痛の重大な原因であり、診断および治療上の課題をもたらします。
  • 腸骨筋面ブロック(ESPB)は、成人および年長の小児の胸部痛に対して確立されていますが、新生児での記録は少ないです。

研究 の 目的:

  • 胸部痛のある新生児における超音波ガイド下腸骨筋面ブロック(ESPB)の症例を提示すること。
  • 胸部痛のある新生児におけるESPBの安全性と有効性を評価すること。
  • ESPBを新生児の疼痛管理における潜在的な代替法として強調すること。

主な方法:

  • 左肋骨骨折のある36週の新生児が、泣き止まない啼泣、哺乳拒否、酸素飽和度低下を呈しました。
  • 超音波ガイド下腸骨筋面ブロック(ESPB)を実施しました。
  • 臨床転帰および合併症を監視しました。

主要な成果:

  • ESPB施行後、新生児は著明な臨床的改善を経験しました。
  • 処置は合併症なく実施されました。
キーワード:
鎮痛麻酔科学疼痛肋骨骨折乳児疼痛管理新生児

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  • 啼泣、哺乳拒否、酸素飽和度低下などの症状が緩和されました。
  • 結論:

    • 超音波ガイド下ESPBは、新生児の肋骨骨折に対する安全かつ効果的な鎮痛技術です。
    • ESPBは、副作用が少ないため、新生児における他の区域鎮痛法よりも利点があります。
    • この技術は、特に非外科的状況において、新生児の胸部痛管理に実行可能な選択肢です。