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In our interviews we found that the old adage of a picture capturing a thousand words is not lost on nurses buy cheap flagyl 400mg. Hence cheap 250 mg flagyl fast delivery, we sought to offer in our prototype the seamless support for capturing images and integrating them directly into the patient information. A small and inexpensive digital camera peripheral connected via the SDIO port can be used for this purpose. The process of capture, abstraction through a thumbnail representation, and the viewing of the image can be seen in Figures 13 and 14. Leveraging handwriting recognition to capture vital signs into an HTML form Copyright © 2005, Idea Group Inc. Copying or distributing in print or electronic forms without written permission of Idea Group Inc. Convenient image capture is seamlessly integrated into the patient record Figure 14. Hence, a multimedia annotation capability is offered that can support this requirement and be stored along with the patient record. Current and future work includes conducting formal user studies with nursing practitio- ners from two home healthcare agencies to evaluate the usability and efficacy of the devices and approaches described above to inform the subsequent iteration of the prototype design. Conclusions The manner in which a networked enterprise can facilitate a plethora of ways for healthcare personnel to communicate and collaborate was explored within this chapter. The next generation of communication technologies augurs well for converged voice and data solutions on a single network. We anticipate a closer union between healthcare IT Copyright © 2005, Idea Group Inc. Copying or distributing in print or electronic forms without written permission of Idea Group Inc. Multimedia Capture, Collaboration and Knowledge Management 157 systems and web-based communications.

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A teratogen is any substance to which a woman is Postnatal causes exposed that has the potential to harm the embryo or The remaining 15% of CP is due to neurologic injury fetus discount 250mg flagyl with amex. CP that has a postnatal cause is during pregnancy and a risk for CP are difficult to prove buy flagyl 250 mg visa. Furthermore, any substance that increases the mother and child (mother Rh negative, baby Rh positive) risk for premature delivery and low birth weight, such as can result in severe anemia in the baby (erythroblastosis alcohol, tobacco, or cocaine, among others, might indi- fetalis). Rh disease in the The fetus receives all nutrients and oxygen from newborn is now rare in developed countries due to routine blood that circulates through the placenta. Therefore, screening of maternal blood type and treatment of preg- anything that interferes with normal placental function nancies at risk. The routine, effective treatment of jaundice might adversely affect development of the fetus, includ- due to other causes has also made it an infrequent cause of ing the brain, or might increase the risk for premature CP in developed countries. Structural abnormalities of the placenta, prema- recurrence of Rh disease if treatment is not provided. A seizure disorder Certain conditions in the mother during pregnancy early in life may cause CP, or may be the product of a might pose a risk to fetal development leading to CP. Women with autoimmune anti-thyroid or anti-phospho- Unexplained (idiopathic) seizures are hereditary in only a lipid (APA) antibodies are at slightly increased risk for small percentage of cases. A potentially important clue uncov- healthy at or near term, intracerebral hemorrhage and ered recently points toward high levels of cytokines in the brain embolism, like fetal stroke, are sometimes genetic. Physical trauma to an infant or child resulting in Cytokines are proteins associated with inflammation, brain injury, such as from abuse, accidents, or near such as from infection or autoimmune disorders, and they drowning/suffocation, might cause CP. More research tion of a toxic substance such as lead, mercury, poisons, is needed to determine the exact relationship, if any, or certain chemicals could cause neurological damage. A Accidental overdose of certain medications might also woman has some risk of developing the same complica- cause similar damage to the central nervous system. Prematurity and multiple birth pregnancy Serious physical trauma to the mother during preg- Advances in the medical care of premature infants in nancy could result in direct trauma to the fetus as well, or the last 20 years have dramatically increased the rate of 214 GALE ENCYCLOPEDIA OF GENETIC DISORDERS survival of these fragile newborns. However, as gesta- tional age at delivery and birth weight of a baby decrease, KEY TERMS the risk for CP dramatically increases.

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However generic flagyl 400 mg with visa, pain and paresthesia can also occur as a result of compression of the median nerve because in this maneuver the action of the pronators can com- press the nerve flagyl 400mg with visa. Alterna- tively, the examiner may attempt to press the fist, which the patient Buckup, Clinical Tests for the Musculoskeletal System © 2004 Thieme All rights reserved. Assessment: Localized pain in the lateral epicondyle of the humerus or pain in the lateral extensor compartment suggests epicondylitis. Assessment: The flexors of the forearm and hand and the pronator teres have their origins on the medial epicondyle. Otherwise, a forcible avoidance movement or pronation could exacer- bate a compression syndrome in the pronator musculature (pronator compartment syndrome). Buckup, Clinical Tests for the Musculoskeletal System © 2004 Thieme All rights reserved. Assessment: Pain over the medial epicondyle and over the origins of the forearm flexors suggests epicondylar pathology. Buckup, Clinical Tests for the Musculoskeletal System © 2004 Thieme All rights reserved. Assessment: The ulnar nerve courses through a bony groove posterior to the medial epicondyle. Injury, traction, inflammation, scar- ring, or chronic compression are the most common causes of damage to the ulnar nerve. Pain elicited by gently tapping the groove for the ulnar nerve suggests chronic compression neuropathy. With this test, care should be taken not to tap the nerve too hard because a forceful tap will cause pain even in a normal nerve. Buckup, Clinical Tests for the Musculoskeletal System © 2004 Thieme All rights reserved. Assessment: The ulnar nerve passes through the cubital tunnel, which is formed by the ulnar collateral ligaments and the flexor carpi ulnaris. Occurrence of paresthesia along the course of the nerve suggests compressive neuropathy.