Sheet2-表格 1 Flashcards
What are evidence of sexual abuse in children?
genital/anal trauma, STDs, UTIs
What are the 5 components of the APGAR score at birth?
- A= Apperance (color)
- P= Pulse
- G= Grimace (reflex irritability)
- A= Activity (muscle tone)
- R= Respiration
What are the 7 effects of long-term deprivation of a!ection?
- Weak
- Wordless
- Wanting (socially)
- Wary (lack trust)
- Weight loss
- anaclitic depression
- physical illness
[Hint: 5 W’s and 2 more]
What are the development milestones at about 3 years old in preschool?
- group play
- rides tricycle
- copies line or circle drawing
What are the development milestones at about 4 years old in preschool?
- cooperative play
- simple drawings (stick figure)
- hops on 1 foot
What are the developmental milestones at about 12-14 months old in infancy?
NAME?
What are the developmental milestones at about 15 months old in infancy?
- walking
- few words
- separation anxiety
What are the developmental milestones at about 3 months old in an infant?
- holds head up
- social smile
- Moro reflex disappears
What are the developmental milestones at about 4-5 months old in an infant?
- rolls on back
- sits when propped
What are the developmental milestones at about 7-9 months old in infancy?
- stranger anxiety
- sits alone
- orients to voice
What are the developmental milestones during adolescence?
- abstract reasoning (formal operations)
- formation of personality
What are the developmental milestones during the schoolage years (6-11y/o)?
- development of conscience (superego)
- same-sex friends
- identification with same-sex parent
What are the Kubler-Ross dying stages?
Denial-Anger-Barganing-Grieving-Acceptance, don’t occur necessarily in this order [Hint: Death Arrives Brining Grave Adjustments]
What are the risks of low birth weight?
assoc. w/ gtr. Incidence of physical and emotional problems. Complications include:
- infections
- respiratory distress syndrome
- necrotizing entercolitis
- persistent fetal circulation
What can cause regression to younger behavior in children?
Stress:
- physical illness
- punishment
- birth of new sibling
- tiredness
What causes low birth weight?
prematurity or intrauterine growth retardation
What is anaclitic depression?
depression in an infant owing to continued separation from caregiver–can result in failure to thrive. Infant becomes withdrawn and unresponsive
What is grief?
normal bereavement characterized by shock, denial, guilt, and somatic symptoms, Typically lasts 6mo. to 1yr.
What is pathologic grief?
includes excessively intense or prolonged grief or grief that’s delayed, inhibited, or denied
What is the result of severe long-term deprivation of affection?
death
When can a child parallel play?
Toddler, 24-48 months old
When does a child achieve core gender identity?
Toddler, 24-36 months old
When does a child achieve object permanence?
Toddler, 12-24 months old
When does a child achieve rapprochement?
Toddler, 18-24 months old
When does a child become toilet trained?
Preschool, 30-36 months old
When is adolescence for boys and for girls?
Boys: 13 years old
Girls: 11 years old
Who is usually the abuser in physical abuse in children?
female primary caregiver
Who is usually the abuser in sexual abuse in children?
known to victim, usually male
Case-control studies are often?
Retrospective (case control)
Characteristics of a normal statistical distribution?
Gaussian = Bell Shaped (mean=median=mode )
Country with highest divorce rate
U.S.
Define a bimodal distribution
Peaks on either side of the median
Define a Meta-analysis
Pooling data from several studies to achieve greater statistical power
Define a negative skew
Asymmetry with the tail on the left
mean<mode
Define a positive skew
Asymmetry with the tail on the right
mean>median>mode
Define Accuracy
The trueness of test measurements
Define Alternate Hypothesis
Hypothesis that there is some difference
Define Coeffcient of Determination
r^2 (Correlation coefficient squared)
Define Correlation coeffcient (r )
Always between -1 and 1. Absolute value indicates the strength of correlation.
Define Negative Predictive Value
Number of true negatives / number that tested neg. for disease
Define Positive Predictive Value
“Number of true positives / number that tested pos. for disease or the prob. Of
having a condition, given a pos. test”
Define Precision
“The consistency of a test (reliability), absence of random error”
Define Primary Disease Prevention
“Prevent occurrence, e.g., vaccination”
Define Relative Risk
Disease risk in exposed group / disease risk in unexposed group; a/a+b / c/c+d
Define Reliability
Reproducibility of a test; repeat measurements are the same
Define Secondary Disease Prevention
“Early detection of disease, e.g., Pap smear”
Define SEM
Standard Error of the Mean; standard deviation / square root of n (sample size)
Define sensitivity
Number of true positives / all people with disease
Define specificity
Number of true negatives / number of all people w/o the disease
Define Tertiary Disease Prevention
“Reduce disability form disease, e.g. insulin for diabetics”
Define the Power of a study
Probability of rejecting a null hypothesis when it is false
Define Validity
Whether a test truly measures what it purports to measure; the appropriateness of a test
Do divorcees remarry frequently?
Yes
How do disease prevalence and positive predictive value relate?
Higher prevalence = Higher Positive Predictive Value
How do prevalence and incidence relate to disease length?
P>I for chronic diseases; P=I for acute diseases
How do SEM and Standard Deviation relate?
SD > SEM; as n increases,
SEM decreases
How do you measure the ‘power’ of a study or the probability that the study will see a difference if one exists?
1-beta
How does alpha relate to the Type I error?
“It is the probability of making a Type I error, is equal to p (p is usually < 0.05)”
How does beta relate to the Type II error?
Beta is the probability of making a Type II error
How many people >65
35,000,000 (approx. 13%)
“If the 95% confidence interval for OR of RR includes 1, what does this mean?”
That the study is inconclusive
In what age group will the greatest population increase be seen in?
Those >85
Increasing sample size will affect the Power of a study how?
By increasing the Power
Is divorce related to industrialization?
No
Is HIV positivity a reportable disease?
No
Marriages at high risk
Teenage marriages, Mixed religions, Low socio-economic status
Memory aid for Medicare/Medicaid
MedicarE=Elderly;
MedicaiD=Destitute
Preventive services needed for Alcoholism
Influenza, pneumococcal immunizations; TB test
Preventive services needed for Diabetes
Eye, foot exams; Urine test
Preventive services needed for Drug Abuse
HIV, TB tests; hepatitis immunization
Preventive services needed for High-risk sexual behavior
HIV, Hep B, syphilis, gonorrhea, chlamydia tests
“Preventive services needed for Homeless, Refugee, or Immigrant”
TB test
Preventive services needed for Obesity
Blood glucose test