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For preventive purposes it is important to be able to identify families with a high risk of child maltreatment at an early stage. Therefore we developed an actuarial instrument for screening families with a newborn baby, the Instrument for identification of Parents At Risk for child Abuse and Neglect (IPARAN). The aim of this study was to assess the predictive validity of the IPARAN and to examine whether combining actuarial and clinical methods leads to an improvement of the predictive validity. We examined the predictive validity by calculating several performance indicators (i.e., sensitivity, specificity and the Area Under the receiver operating characteristic Curve [AUC]) in a sample of 4692 Dutch families with newborns. The outcome measure was a report of child maltreatment at Child Protection Services during a follow-up of 3 years. For 17 children (.4%) a report of maltreatment was registered. The predictive validity of the IPARAN was significantly better than chance (AUC = .700, 95% CI [.567–.832]), in contrast to a low value for clinical judgement of nurses of the Youth Health Care Centers (AUC = .591, 95% CI [.422–.759]). The combination of the IPARAN and clinical judgement resulted in the highest predictive validity (AUC = .720, 95% CI [.593–.847]), however, the difference between the methods did not reach statistical significance. The good predictive validity of the IPARAN in combination with clinical judgment of the nurse enables professionals to assess risks at an early stage and to make referrals to early intervention programs. 相似文献
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窒息新生儿的行为神经测定 总被引：3，自引：0，他引：3
目的：探讨新生儿行为神经测定（NBNA）对足月窒息新生儿评定的临床意义。方法：对62例足月窒息新生儿7d．14d行NBNA评分测定。分析其在轻重度窒息儿及窒息时间长短不同病情中的变化。结果：NBNA评分在窒息新生儿中均下降，并与窒息程度呈相关。结论：NBNA评分有助于判断窒息新生儿的病情并估计预后。 相似文献
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目的:针对先天畸形性的新生儿听力的效果进行筛查进行分析,研究听力损失的原因是否包含先天畸形这个因素。方法:采用2010年1月到2012年12月期间在儿童医院的新生儿中不属于国家所颁布的听力高危人群,但是具有先天性畸形的患者,将他们作为新生儿的研究对象,主要选取的人数为417例。对照组的选择是该儿童医院正常的新生儿,共计794例。选取的方法为了避免偶然性或是其他因素的限制,现对自动听性脑干发应(AABR)以及畸变产物耳声发射(DPOAE)两种方法进行复合,希望达到良好的效果。结果:对于听力筛选而言,先天畸形性新生儿比正常的新生儿要弱,他们病发听力障碍的几率更大;此外,DPOAE法和AABR法相比,筛选新生儿听力具有一定的局限性,比较容易出现失误或是误诊,针对于听力障碍儿童的筛选不利,所以将两种方式进行联合,更合适筛查高危新生儿的听力状况。 相似文献
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Amy M. Romano 《The Journal of perinatal education》2009,18(4):49-55
In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses a new study that demonstrates the need to look closely at research articles to avoid being misled. Examples include new research on the effectiveness of intrapartum antibiotics for preventing early onset Group B streptococcal disease in newborns, a recent study on the incidence of infection after cesarean surgery and vaginal birth, and a new study demonstrating long-term benefits of skin-to-skin contact between the mother and infant after birth. 相似文献
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Teri Shilling 《The Journal of perinatal education》2009,18(3):63-72
In this column, reviewers offer perspectives and comments on a variety of new media resources for childbirth educators and for expectant and new parents. The books and DVDs reviewed in this issue''s column address the following topics: new directions for childbirth education classes; pregnancy tips for expectant mothers; empowering women to give birth naturally; midwifery care; breastfeeding; labyrinths and “laborinths” (an alternative approach to preparing for birth); preterm labor; understanding newborns'' language cues; and exercise programs during pregnancy and the postnatal period, as well as exercises that strengthen the pelvic floor and help new mothers deal with incontinence. 相似文献
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吕晓燕 《临沂师范学院学报》2006,28(4):80-82
“大一现象”主要表现为新生对全新环境的不适应,学习缺乏目的性和方向性,心理上的挫折感和孤独感。这种现象的产生主要是因为大学新生难以适应全新的环境,不能及时完成学习方式上的转变,缺乏多种自身能力,心理调适能力相对较弱。针对“大一现象”,在对新生进行适应性教育时,应注意使入学教育内容系统化、完善化,引导新生正确认识大学环境和自我,关心新生生活,提高其自理能力,帮助新生尽快适应大学的学习,通过积极引导学生参加校园文化活动培养提高其综合素质,通过心理教育提高新生自我调节能力和适应能力。 相似文献
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