physical examination of the newborn

... portion of the shoulder, the most prominent mass of the shoulder girdle’s anterior aspect The rounded look of the shoulder is a result of the draping of the deltoid muscle from the acromion over the ... vertebrae and that the triangle at the vertebral end of the spine of the scapula is at the level of T3 From the inferior angle of the scapula, palpate the lateral border to the point where the scapula ... borders of the acromion, and sweeps down the spine of the scapula The clavicular portion of the origin begins in the lateral concavity of the clavicle where the pectoralis major muscle ends; the

Ngày tải lên: 18/05/2017, 10:36

... force the patient to hike his hip up on the involved side so that the foot can clear the ground (Fig 20 ). The examination of the patient’s gait should be integrated with the examination of the ... palpation of the posterior aspect of the neck, stand behind the seated patient When the patient is seated, the posterior soft tis­ sues of the neck become more accessible If sitting is painful for the ... IO N The neurologic examination of the cervical spine has been divided into two phases: (1) muscle testing of the intrinsic muscles of the cervical spine, and (2) neurologic examination of the

Ngày tải lên: 18/05/2017, 10:36

... found in lesions of the radial nerve above the elbow joint and below the origin of the posterior cutaneous nerve of the forearm (The distribution of the superficial terminal branch of the radial nerve.) ... in lesions of the musculocutaneous nerve (The distribution of the lateral cutaneous nerve of the forearm.) aa Fig 18 Biceps (Musculocutaneous nerve; C5, C6) The patient is flexing the supinated ... © The Guarantors of Brain 2000 is a registered trademark of Harcourt Publishers Limited The right of the Guarantors of Brain to be identified as authors of this work has been asserted by them

Ngày tải lên: 23/03/2014, 01:20

... Trang 2The Project Gutenberg EBook of A Critical Examination Of The Position OfMr Darwin's Work, "On The Origin Of Species," In Relation To The Complete Theory Of The Causes Of The Phenomena ... genera of afamily, and the groups themselves as thefamilies of an order, or the orders of aclass; while all have the same sort ofstructural relations with the wild rock-pigeon, as the members of ... anyother hypothesis or supposition than oneof successive modification? But if thepopulation of the world, in any age, is theresult of the gradual modification of theforms which peopled it in the

Ngày tải lên: 28/06/2014, 19:20

... between the orthogonality of magnetic representation of data on the CHD to the orthogonal representation of information in the form of Qbits on the DHD The generation of various types of RNA from the ... software We define the hardware as the physical components of the computer, along with the non-mutable design specifications/controllers of those physical components Therefore, the hardware of ... reversal Therefore the polarity of the flux lines determines whether you have a logical one or zero (the language of digital computers) The read portion of the servo head detects transitions in the

Ngày tải lên: 13/08/2014, 16:20

... dielectricloss The size of the hysteresis loops depend on dielectric loss of the material.Therefore, the dielectric loss increases, the size of the hysteresis loopsincreases, the remanent polarization ... content increases the average energy of the B–O bonding hence Tmof theceramics are decreased [91] The value of γ gives information on the phase transition diffusecharacterized The values of γ increases ... [3], [74] 3.1.3 The dependence of the dielectric properties versus the frequency Figure 3.3, 3.4 show the temperature dependence of the dielectricconstantεand dielectric loss tanδof the MP80 and

Ngày tải lên: 04/12/2014, 02:54

... as the ratio between the market value and replacement value of the same physical asset uk.advfn.com/ PBV Price to book value, as the ratio of the market value of equity to the book value of equity ... over the world, with the U.K., Germany, and Japan, even if the last two have a different type of corporate governance system than the first two “The study of corporate governance is the examination ... control for the size of the companies, respectively financial leverage to control for gearing The size of the companies take into consideration the potential advantages from the economies of scale,

Ngày tải lên: 06/01/2015, 19:48

... within the discipline, I hope to offer fresh insights about how these individuals understand themselves and the world around them As many of the arguments offered in this dissertation address the ... reality Therefore to focus simply on the media's representations of the real, the product of these relationships, is to ignore the structure that determines their very existence (Turner 161) In the ... themselves the conditions that limit their ability to negotiate their own sense of identity within their cultural space This approach reflects the critical perspective that the "process of

Ngày tải lên: 11/09/2015, 21:33

... destruction of cities changed the landscape and places abandoned the colonial system [Halstead, 2006] Movement of troops during war aided the dispersal of the DENVs between population centres of the ... the transport of dengue between population centres of the world are the major contributors to the re-emergence of the disease [Gubler, 1998] With increased air travel and exchange of viruses across ... [Tan, 1997] (3) Dengue in adults The proportion of patients ≤ 15 years of age had been on the decline while the proportion of patients ≥ 25 years of age had been on the rise (Fig 1-6b) Dengue infections

Ngày tải lên: 16/09/2015, 14:04

... investment and the senior debt are in default The total return is measured as the probability weighted average of the returns from the different scenarios We then investigate the total return of the mezzanine ... earns much of its returns that is tied directly to the performance of the borrowing company (instead of through stock ownership), the investor then participates in the success or failure of the company ... upon the success of the business and it therefore aligns the interests of the mezzanine investor more closely with those of shareholders Secondly, an exit premium is payable irrespective of the

Ngày tải lên: 28/09/2015, 13:28

... make a distinction between official rhetoric on the one hand and actions of the Myanmar state on the other hand The rhetoric of the state often is a good expression of the state’s mindset and analysing ... of the state."12 Accordingly, the term nation-state is the product of the attempt of governments to create an overlap between the concepts of state and nation In particular in the study of ... developments of economic, political and social nature The first chapter of the thesis focuses on the attempts of the state, while the latter chapters focus on the ways in which these attempts

Ngày tải lên: 28/09/2015, 13:28

... permission of the copyright owner Further reproduction prohibited without permission. Trang 3An Examination of the Long-run Market Reaction to the Announcement of Dividend Omissions and Reductions A Thesis ... mother and sister, although they are not physically with me Their support does not reduce through thousands o f miles away The power o f their encouragement is proportional to the square o f the ... from the microfilm master UMI films the text directly from the original or copy submitted Thus, some thesis and dissertation copies are in typewriter face, while others may be from any type of

Ngày tải lên: 30/09/2015, 15:34

... Screening of the cervical spine For the examination of the cervical spine, the patient sits on the examination couch with the back of his (or her) knees at the edge of the couch During screening the ... pressure of the examiner's hand on the side of the head in the direction of movement with the other hand positioned on the trapezius muscle on the other side to register evasive movements • The maximum ... cervical spine by the examining physician (additional file 1) One hand of the physician fixes the axis of rotation on top of the head, the other hand pulls the chin in the direction of movement (figure...

Ngày tải lên: 20/06/2014, 00:20

... conditions; however, the diagnosis of abnormality remains the remit of the medical practitioner The First Examination of the Newborn: A Practical Guide takes the examination of the newborn into a new ... clinical examination includes auscultation of the heart and lungs, detailed examination of the eye, palpation of the abdomen and assessment of the hips It is performed in addition to the physical examination ... combine a sound understanding of the physical aspects of the examination with an awareness of the many other significant influences that affect the parents’ perception of their baby Parents also need...

Ngày tải lên: 12/08/2014, 03:21

... the baby under examination Table 2.1 provides a guide to the development of the various systems of the body The gestational development of the fetus is extremely relevant to the examination of ... her to seek the advice of the local feeding advisor, if there is one In addition, there are many sources of further information such as community midwives, 12 EXAMINATION OF THE NEWBORN health ... begins the examination of the neonate, she will take the essential step of reading the mother’s case notes and thus familiarising herself with the antenatal history It will be in the light of this...

Ngày tải lên: 12/08/2014, 03:21

... deliveries, depending on the indication and type of anaesthesia used The first examination of the newborn may, therefore, be the first time that the baby is clinically examined, unless there were any indications ... guide to the first examination of the newborn It will take the practitioner systematically through the process and introduce the principles of the neonatal examination It will focus on the normal ... Examination of the baby is best performed with the (right-handed) practitioner standing on the right-hand side of the bed with the baby lying with its head to the left of the practitioner One of the...

Ngày tải lên: 12/08/2014, 03:21

... with the hips and the knees flexed at right angles The easiest way to this is to hold the palm of the hand against the baby’s shin, the thumb of the hand on the inside of the baby’s thigh and the ... pushing the tips of the same two fingers in the direction of the head away from the rest of the hand PALPATION OF THE LIVER EDGE Start in the lower right quadrant and work slowly upwards towards the ... any idea of its origin Knowledge of the stages of development of the contents of the abdomen is valuable as it may assist the identification of a mass, but this is beyond the scope of this book...

Ngày tải lên: 12/08/2014, 03:21

... 100 EXAMINATION OF THE NEWBORN ABNORMAL FINDINGS AND CONGENITAL ABNORMALITIES 101 102 EXAMINATION OF THE NEWBORN ABNORMAL FINDINGS AND CONGENITAL ABNORMALITIES 103 104 EXAMINATION OF THE NEWBORN ... 106 EXAMINATION OF THE NEWBORN ABNORMAL FINDINGS AND CONGENITAL ABNORMALITIES 107 108 EXAMINATION OF THE NEWBORN ABNORMAL FINDINGS AND CONGENITAL ABNORMALITIES 109 110 EXAMINATION OF THE NEWBORN ... discoloration of the skin and sclera of the eyes It occurs when the level of circulating bilirubin becomes elevated This commonly occurs in the newborn baby about days after delivery as a result of increased...

Ngày tải lên: 12/08/2014, 03:21

... from the parents before it can be undertaken In the 176 EXAMINATION OF THE NEWBORN context of the examination of the newborn the practitioner needs to be aware of both the legal and the professional ... during the first examination of the newborn? THE DEFENDANT OWED A DUTY OF CARE Clearly, by undertaking a professional role, practitioners owe a duty of care to their clients BREACH OF THE DUTY OF ... NEWBORN undertaking the first examination of the newborn There are many ways in which the practitioner can enhance the effectiveness of the examination, thus minimising the risk of mistakes being...

Ngày tải lên: 12/08/2014, 03:21

... can thus be considered the "mother of all functions," the first breath in the computer's life Before start_kernel, there was chaos By the time start_kernel is invoked, the processor has been ... if a match is found The remaining arguments end up in either the environment or the command line of the initprocess All the magic for init calls and ELF sections is part of Unfortunately, ... how to link the kernel image (the vmlinux file) by means of an ldscript file; the file is called vmlinux.lds in the source tree of each platform Use of ld scripts is described in the standard...

Ngày tải lên: 21/01/2014, 07:20