Download - SLH- Group 3 - Case Study
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QKT_@LJE MJ]J
Ljhk3 Hs, V
Jmmtkss3 Oje``ojl On}~
Dnt}f Mj}k3 1; Ikdt{jt~ :>6>
Jgk3 4? ~kjts `em
_kv3 Ikhjek
Qejok `i Dnt}f3 Hjlnej
Lj}n`ljen}~3 Inenqnl`
Tkengn`l3 T`hjl Oj}f`eno
Mj}k `i Jmhnssn`l3 ?1 Jqtne 41:4
]nhk `i Jmhnssn`l3 1:311 QH
Wjtm3 4/I Ikhjek Jm{e} Nliko}n`{s Mnskjsk jlm ]t`qnoje Hkmnonlk &NM]H.
Mkqjt}hkl}
F`sqn}je L{hdkt3 99==1:
Ofnki O`hqejnl}3 ikykt%
Jmhn}}nlg Mnjgl`sns3 MFI wn}f wjtlnlg sngls
Inlje Mnjgl`sns3 o`hqenoj}km {tnljt~ }tjo} nliko}n`l
Mj}k `i Mnsofjtgk3 1? Hj~ 41:4
]nhk `i Mnsofjtgk3 :1341 JH
IJHNE^ DJOBGT@[LM
Hs, V enyks wn}
FN_]@T^
Ijhne~ Fkje}f Fns}`t~
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Qjs} Fkje}f Fns}`t~
Fns}`t~ `i Qtkskl} Neelkss
Hs, V mkyke`qkm ikykt i`{t mj~s qtn`t }` o`ls{e}j}n`l, _fk skei(hkmnoj}km wn}f
qjtjok}jh`e kykt~ i`{t f`{ts i`t i`{t }nhks jlm ikykt s{dsnmkm, ]w` mj~s qtn`t }`
jmhnssn`l% sfk mkyke`qkm ikykt wn}f joo`hqjl~nlg d`m~ wkjblkss }f{s qt`hq}nlg
o`ls{e}j}n`l, Ojsk wjs jmhn}}km js MFI wn}f wjtlnlg sngls,
JLJ]@H^ JLM QF^_N@E@G^
@lk `i }fk h`s} nhq`t}jl} s~s}khs `i }fk d`m~ o`loktlnlg f`hk`s}jsns ns }fk
{tnljt~ s~s}kh, N} ns e`oj}km `l }fk e`wkt qjt} `i }fk }`ts` sqkoninojee~ }fk jdm`hkl, N} ns
s{tt`{lmkm d~ }fk f{hjl mngks}nyk s~s}kh jl}ktn`te~% }fk tksqntj}`t~ s~s}kh s{qktn`te~%
jlm }fk f{hjl ykt}kdtjk, _`hk qjt}s `i }fk {tnljt~ s~s}kh enk nl }fk qkeyns% }`gk}fkt wn}f
}fk tkqt`m{o}nyk `tgjls,
]fk [tnljt~ _~s}kh ns j gt`{q `i `tgjls nl }fk d`m~ o`loktlkm wn}f ine}ktnlg `{}
kvokss ie{nm jlm `}fkt s{ds}jloks it`h }fk de``ms}tkjh, ]fk s{ds}jloks jtk ine}ktkm `{}
it`h }fk d`m~ nl }fk i`th `i {tnlk, [tnlk ns j enz{nm qt`m{okm d~ }fk bnmlk~s% o`eeko}km nl
}fk dejmmkt jlm kvotk}km }ft`{gf }fk {tk}ftj, [tnlk ns {skm }` kv}tjo} kvokss hnlktjes `t
yn}jhnls js wkee js de``m o`tq{soeks it`h }fk d`m~, ]fk {tnljt~ `tgjls nloe{mk }fk
bnmlk~s% {tk}kts% dejmmkt% jlm {tk}ftj, ]fk {tnljt~ s~s}kh w`tbs wn}f }fk `}fkt s~s}khs `i
}fk d`m~ }` fkeq hjnl}jnl f`hk`s}jsns, ]fk bnmlk~s jtk }fk hjnl `tgjls `i f`hk`s}jsns
dkoj{sk }fk~ hjnl}jnl }fk jonm djsk djejlok jlm }fk wj}kt sje} djejlok `i }fk de``m,
Bnmlk~
Bnmlk~s jtk }w` dkjl(sfjqkm `tgjls e`oj}km j} }fk e{hdjt jtkj `i }fk djob, ]fk
bnmlk~ ns o`yktkm d~ j }fnl o`llko}nyk }nss{k ojqs{ek jlm o`lsns}s `i jl `{}kt o`t}kv jlm
hkm{eejt~ q~tjhnm `t qjqneejk, Wn}fnl }fksk }w` tkgn`ls jtk i`{lm }fk o`hq`lkl}s `i }fk
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s}t{o}{tje jlm i{lo}n`lje {ln} `i }fk bnmlk~% }fk lkqft`l, ]fk lkqft`l ns o`hq`skm `i }fk
ge`hkt{e{s% j }{i} `i ojqneejtnks% wfnof qt`m{oks }fk ge`hkt{ejt ine}tj}k% f`{skm nl }fk tklje
o`tq{soek2 i`ee`wkm d~ j sktnks `i }{d{eks% sqkonjenkm i`t kvotk}n`l jlm tkjds`tq}n`l,
]fk `{}kt h`s} tkgn`l `i }fk bnmlk~% wfnof enks c{s} dke`w }fk o`lykv s{tijok `i }fk
`tgjl% ns }fk o`t}kv% wfktk }ftkk o`hq`lkl}s `i }fk lkqft`l ojl dk i`{lm, ]fk tklje
o`tq{soeks &`t D`whjl's ojqs{eks. o`l}jnlnlg ge`hkt{en jtk s{tt`{lmkm d~ j ejd~tnl}f `i
qt`vnhje jlm mns}je o`ly`e{}km }{d{eks, ]fk o`eeko}nlg }{d{eks jes` qklk}tj}k }fk o`t}kv% }`
o`llko} wn}f }fk mns}je o`ly`e{}km }{d{eks, ]fksk kv}klsn`ls jtk ojeekm hkm{eejt~ tj~s jlm
tkqtkskl} }fk o`tks `i }fk bnmlk~ e`d{eks,
]fk hkm{eejt~ q`t}n`l `i }fk bnmlk~ ns `tgjlnkm js j snlgek hkm{eejt~ q~tjhnm
&{lne`djt bnmlk~. `t h{e}nqek q~tjhnms &h{e}ne`djt bnmlk~., Kjof q~tjhnm `i hkm{eejt~
}nss{k jlm n}s jss`onj}km $ojq$ `i o`t}noje }nss{k jtk mkinlkm js j bnmlk~ e`dk, ]fk q~tjhnms
jqqkjt s}tnj}km% m{k }` }fk qjtjeeke jenglhkl} `i }fk e``qs `i Fklek jlm o`eeko}nlg }{d{eks,
]fk lkqft`l
J lkqft`l ns }fk djsno s}t{o}{tje jlm i{lo}n`lje {ln} `i }fk bnmlk~, ]fk ljhk
lkqft`l o`hks it`h }fk Gtkkb w`tm &lkqft`s. hkjlnlg bnmlk~, N}s ofnki i{lo}n`l ns
}` tkg{ej}k wj}kt jlm s`e{dek s{ds}jloks d~ ine}ktnlg }fk de``m% tkjds`tdnlg wfj} ns
lkkmkm jlm kvotk}nlg }fk tks} js {tnlk, Lkqft`ls kenhnlj}k wjs}ks it`h }fk d`m~%
tkg{ej}k de``m y`e{hk jlm qtkss{tk% o`l}t`e ekykes `i keko}t`e~}ks jlm hk}jd`en}ks%
jlm tkg{ej}k de``m qF, N}s i{lo}n`ls jtk yn}je }` enik jlm jtk tkg{ej}km d~ }fk
klm`otnlk s~s}kh d~ f`th`lks s{of js jl}nmn{tk}no f`th`lk% jem`s}kt`lk% jlm
qjtj}f~t`nm f`th`lk,
Kjof lkqft`l fjs n}s `wl s{qqe~ `i de``m it`h }w` ojqneejt~ tkgn`ls it`h
}fk tklje jt}kt~, Kjof lkqft`l ns o`hq`skm `i jl nln}nje ine}ktnlg o`hq`lkl} &}fk
tklje o`tq{soek. jlm j }{d{ek sqkonjenkm i`t tkjds`tq}n`l jlm skotk}n`l &}fk tklje
}{d{ek., ]fk tklje o`tq{soek ine}kts `{} ejtgk s`e{}ks it`h }fk de``m% mkenyktnlgwj}kt jlm shjee s`e{}ks }` }fk tklje }{d{ek i`t h`mninoj}n`l,
Inyk qjt}s3
:, ]fk ge`hkt{e{s% wfnof ns }fk de``m bnmlk~ nl}ktijok% qejshj ns ine}ktkm it`h
ojqneejtnks nl}` }fk D`whjls ojqs{ek,
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4, ]fk qt`vnhje o`ly`e{}km }{d{ek% wfnof tkjds`tds h`s} `i }fk ine}ktkm e`jm%
nloe{mnlg l{}tnkl}s jlm keko}t`e~}ks,
?, ]fk e``q `i Fklek% wfnof% mkqklmnlg `l n}s eklg}f% o`lokl}tj}ks {tnlk d~
nlotkjsnlg }fk `sh`ejen}~ `i s{tt`{lmnlg }nss{k jlm ine}tj}k, N} fjs d`}f jsoklmnlg
jlm mksoklmnlg enhds,
=, ]fk mns}je o`ly`e{}km }{d{ek% wfnof tkjds`tds wj}kt jlm s`mn{h mkqklmnlg `l
lkkms,
;, ]fk o`eeko}nlg s~s}kh% wfnof o`eeko}s {tnlk i`t kvotk}n`l, ]fktk jtk }w` }~qks `i
lkqft`ls% }f`sk e`ojenkm }` }fk o`t}kv% jlm }f`sk kv}klmnlg nl}` }fk hkm{eej, ]fk
ej}}kt jtk ofjtjo}ktnkm d~ e`lg e``qs `i Fklek% jlm jtk h`tk hk}jd`enojee~ jo}nyk,
[tk}kts
Kjof bnmlk~ fjs j {tk}kt% jl `tgjl }fj} mtjnls {tnlk wfnof ns o`eeko}km j} }fk tklje
qkeyns, ]fksk }w` }nl~ }{dks mtjnl }fk {tnlk }` }fk dejmmkt% wfktk {tnlk ns s}`tkm, N} fjs j
}tjlsn}n`lje kqn}fken{h jlm j h{so{ejt &sh``}f h{soek. ej~kt% }fk ejhnlj qt`qnj,
[tnljt~ dejmmkt
]fk {tnlk ns l`} mntko}e~ mtjnlkm }` }fk kv}ktlje klynt`lhkl} d{} tj}fkt ns s}`tkm
}khq`tjtne~ `l j f`ee`w `tgjl% }fk {tnljt~ dejmmkt, ]fk {tnljt~ dejmmkt ns enlkm wn}f
}tjlsn}n`lje kqn}fken{h {lmktenlkm d~ j o`eejgkl`{s ejhnlj qt`qtnj, J s{dh{o`sj `i kejs}no
indkts jlm j h{so{ejt ej~kt `i }ftkk o`j}s `i sh``}f h{soek qkthn} kvqjlsn`l `i }fk
s}t{o}{tk,
[tk}ftj
Wfkl }fk dejmmkt ns i{ee jlm lkkms khq}~nlg% }fk {tnlk mtjnls nl}` }fk `{}snmk
}ft`{gf }fk {tk}ftj% j f`ee`w }{dk }fj} mtjnls {tnlk }` }fk `tninok `i }fk hjek qklns `t }fk
ikhjek {tk}ftje `tninok% dk}wkkl }fk oen}`tns jlm yjgnlje `qklnlg,
QJ]F@QF^_N@E@G^
[tnljt~ }tjo} nliko}n`l &[]N. ns h`s} o`hh`l nl ikhjeks m{k }` dj}ft``h {sk, Nl }fk
ojsk `i Hs, V% djo}ktnje nlyjsn`l hj~ fjyk dt`{gf} jd`{} }fk mnskjsk, _{sqko}km oj{sj}nyk
jgkl}s jtk {s{jee~ Ksofktnofnj o`en }f`{gf ejd`tj}`t~ tks{e}s mnm l`} jo}{jee~ nmkl}ni~ }fk
OJ, Hs, V sj~s sfk m`ks l`} bl`w }fk {lmkte~nlg oj{sk,
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]fk {tnljt~ }tjo} ns h`s} o`hh`le~ s}ktnek }f`{gf }fk {tk}ftj hj~ dk o`l}jhnlj}km
wn}f s`hk djo}ktnj, [tnlk jonmn}~ ns `lk `i }fk qf~sn`e`gno ijo}`ts }fj} hjbks }fk [] oekjl,
Wfkl }fktk ns djo}ktnje nliko}n`l nl }fk {tk}ftj% n} oj{sks {tnljt~ mnso`hi`t} jlm qjnl
nloe{mnlg }fk s{qtjq{dno jtkj, N} hj~ jes` oj{sk ikykt jlm e`oje nliejhhj}n`l,
_nlok }fk oenkl} mnm l`} nhhkmnj}ke~ g` i`t o`ls{e}j}n`l% djo}ktnje qt`eniktj}n`l
jsoklmkm }` oj{sk j o`hqenoj}km []N js }fk inlje mnjgl`sns, ]fns hj~ dk oj{skm d~ skyktje
ijo}`ts }f`{gf l`} mk}kthnlkm wfnof ns, _{sqko}km oj{sk hj~dk yksno`{tk}ktje tkie{v }fj}
jee`ws {tnlk nl }fk e`wkt }tjo} }` jsoklm,
[TNLJT^ ]TJO] NLIKO]N@L &Tkjmnlgs.
Djo}ktnje []Ns ojl nly`eyk }fk {tk}ftj% qt`s}j}k% dejmmkt% `t bnmlk~s, _~hq}`hs hj~
dk jdskl} `t nloe{mk {tnljt~ itkz{klo~ jlm {tgklo~% m~s{tnj% e`wkt jdm`hnlje qjnl% jlm
iejlb qjnl, _~s}khno s~hq}`hs jlm kykl skqsns hj~ `oo{t wn}f bnmlk~ nliko}n`l, Mnjgl`sns
ns djskm `l jlje~sns jlm o{e}{tk `i {tnlk, ]tkj}hkl} ns wn}f jl}ndn`}nos,
Jh`lg jm{e}s jgkm 41 }` ;1 ~t% []Ns jtk jd`{} ;1(i`em h`tk o`hh`l nl w`hkl, ]fk
nlonmklok nlotkjsks nl qj}nkl}s < ;1 ~t% d{} }fk ikhjek3hjek tj}n` mkotkjsks dkoj{sk `i }fk
nlotkjsnlg itkz{klo~ `i qt`s}j}k mnskjsk,
Qj}f`qf~sn`e`g~
]fk {tnljt~ }tjo}% it`h }fk bnmlk~s }` }fk {tk}ftje hkj}{s% ns l`thjee~ s}ktnek jlm
tksns}jl} }` djo}ktnje o`e`lnj}n`l mksqn}k itkz{kl} o`l}jhnlj}n`l `i }fk mns}je {tk}ftj wn}f
o`e`lno djo}ktnj, Hkofjlnshs }fj} hjnl}jnl }fk }tjo}'s s}ktnen}~ nloe{mk {tnlk jonmn}~%
khq}~nlg `i }fk dejmmkt j} hno}{tn}n`l% {tk}kt`yksnoje jlm {tk}ftje sqfnlo}kts% jlm yjtn`{s
nhh{l`e`gno jlm h{o`sje djttnkts,
Jd`{} >;+ `i []Ns `oo{t wfkl djo}ktnj jsoklm }fk {tk}ftj }` }fk dejmmkt jlm% nl
}fk ojsk `i jo{}k {lo`hqenoj}km q~ke`lkqftn}ns% jsoklm }fk {tk}kt }` }fk bnmlk~, ]fktkhjnlmkt `i []Ns jtk fkhj}`gkl`{s, _~s}khno nliko}n`l ojl tks{e} it`h []N% qjt}no{ejte~
nl }fk kemkte~, Jd`{} 9,;+ `i ojsks `i f`sqn}je(joz{ntkm djo}ktkhnj jtk j}}tnd{}jdek }` []N,
O`hqenoj}km []N ns o`lsnmktkm }` dk qtkskl} wfkl }fktk jtk {lmkte~nlg ijo}`ts
}fj} qtkmnsq`sk }` jsoklmnlg djo}ktnje nliko}n`l, Qtkmnsq`snlg ijo}`ts nloe{mk {tnljt~
nls}t{hkl}j}n`l &kg% oj}fk}ktnj}n`l% o~s}`so`q~.% jlj}`hno jdl`thjen}nks% jlm `ds}t{o}n`l
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`i {tnlk ie`w `t q``t dejmmkt khq}~nlg, J o`hh`l o`lskz{klok `i jlj}`hno jdl`thjen}~
ns yksno`{tk}ktje tkie{v &Y[T.% wfnof ns qtkskl} nl ?1 }` =;+ `i ~`{lg ofnemtkl wn}f
s~hq}`hj}no []N &skk Hnsokeejlk`{s Nliko}n`ls nl Nlijl}s jlm Ofnemtkl3 [tnljt~ ]tjo}
Nliko}n`l nl Ofnemtkl &[]N.., Y[T ns {s{jee~ oj{skm d~ j o`lgkln}je mkiko} }fj} tks{e}s nl
nlo`hqk}klok `i }fk {tk}kt`yksnoje yjeyk, N} ns h`s} `i}kl m{k }` j sf`t} nl}tjh{tje
skghkl} &}fk {tk}kt l`thjee~ }tjlsn}s }fk dejmmkt wjee j} jl jlgek2 }fk tks{e}jl} eklg}f~
skghkl} ns h`tk tkjmne~ oe`skm d~ h{so{ejt o`l}tjo}n`l }fjl }fk sf`t}kt skghkl} }fj}
`oo{ts wfkl }fk {tk}kt qjssks s}tjngf} }ft`{gf }fk wjee., Y[T ojl jes` dk joz{ntkm nl
qj}nkl}s wn}f j iejoonm dejmmkt m{k }` sqnlje o`tm nlc{t~, @}fkt jlj}`hno jdl`thjen}nks
qtkmnsq`snlg }` []N nloe{mk {tk}ftje yjeyks &j o`lgkln}je `ds}t{o}nyk jdl`thjen}~.% mkej~km
dejmmkt lkob hj}{tj}n`l% dejmmkt mnykt}no{e{h% jlm {tk}ftje m{qenoj}n`ls, [tnlk ie`w ojl
dk o`hqt`hnskm d~ ojeo{en jlm }{h`ts, Dejmmkt khq}~nlg ojl dk nhqjntkm d~ lk{t`gklno
m~si{lo}n`l &skk Y`nmnlg Mns`tmkts3 Lk{t`gklno Dejmmkt.% qtkgljlo~% {}ktnlk qt`ejqsk%
o~s}`okek% jlm qt`s}j}no klejtgkhkl}, []N oj{skm d~ o`lgkln}je ijo}`ts qtkskl}s h`s}
o`hh`le~ nl ofnemf``m, H`s} `}fkt ijo}`ts jtk h`tk o`hh`l nl }fk kemkte~,
[lo`hqenoj}km []N `oo{ts wn}f`{} {lmkte~nlg jdl`thjen}~ `t nhqjnthkl} `i {tnlk
ie`w, N} ns h`s} o`hh`l nl ~`{lg w`hkl d{} jes` s`hkwfj} o`hh`l nl ~`{lgkt hkl wf`
fjyk {lqt`}ko}km jlje nl}kto`{tsk% jl {lonto{honskm qklns% {lqt`}ko}km nl}kto`{tsk wn}f j
w`hjl wf`sk yjgnlj ns o`e`lnkm wn}f {tnljt~ qj}f`gkls% `t JNM_, Tnsb ijo}`ts nl w`hkl
nloe{mk skv{je nl}kto`{tsk% mnjqftjgh jlm sqkthnonmk {sk% jl}ndn`}no {sk% jlm j fns}`t~ `i
tko{ttkl} []Ns, Kykl {sk `i sqkthnonmk(o`j}km o`lm`hs nlotkjsks tnsb `i []N nl w`hkl,
]fk nlotkjskm tnsb `i []N nl w`hkl {snlg jl}ndn`}nos `t sqkthnonmks qt`djde~ `oo{ts
dkoj{sk `i je}ktj}n`ls nl yjgnlje ie`tj }fj} jee`w `yktgt`w}f `i Ksofktnofnj o`en, Nl kemkte~
w`hkl% s`nenlg `i }fk qktnlk{h m{k }` ikoje nlo`l}nlklok nlotkjsks tnsb, Qj}nkl}s `i d`}f
skvks wn}f mnjdk}ks fjyk jl nlotkjskm nlonmklok jlm skyktn}~ `i nliko}n`ls,
K}n`e`g~O`hhklsje o`e`lno gtjh(lkgj}nyk jkt`dno djo}ktnj oj{sk h`s} djo}ktnje []Ns, Nl
tkej}nyke~ l`thje }tjo}s% s}tjnls `i K, o`en wn}f sqkonino j}}jofhkl} ijo}`ts i`t }tjlsn}n`lje
kqn}fken{h `i }fk dejmmkt jlm {tk}kts jtk }fk h`s} itkz{kl} oj{sks, ]fk tkhjnlnlg gtjh(
lkgj}nyk {tnljt~ qj}f`gkls jtk `}fkt kl}kt`djo}ktnj% ksqkonjee~ Bekdsnkeej % Qt`}k{s
hntjdnens% jlmQsk{m`h`ljs jkt{gnl`sj, Kl}kt`o`oon >`{q M s}tkq}`o`oon. jlm o`jg{ejsk(
http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.htmlhttp://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.htmlhttp://www.merckmanuals.com/professional/genitourinary_disorders/voiding_disorders/neurogenic_bladder.htmlhttp://www.merckmanuals.com/professional/genitourinary_disorders/voiding_disorders/neurogenic_bladder.htmlhttp://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.htmlhttp://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html -
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lkgj}nyk s}jqf~e`o`oon &kg% _}jqf~e`o`oo{s sjqt`qf~}no{s. jtk }fk h`s} itkz{kl}e~
nhqenoj}km gtjh(q`sn}nyk tgjlnshs,
K, o`en oj{sks < 7;+ `i o`hh{ln}~(joz{ntkm []Ns nl jee jgk gt`{qs2 _,
sjqt`qf~}no{sjoo`{l}s i`t jd`{} :1+, Nl f`sqn}jenkm qj}nkl}s% K, o`en joo`{l}s i`t jd`{}
;1+ `i ojsks, ]fk gtjh(lkgj}nyk sqkonks Bekdsnkeej% Qt`}k{s% Kl}kt`djo}kt%
jlm _kttj}nj joo`{l} i`t jd`{} =1+% jlm }fk gtjh(q`sn}nyk djo}ktnje o`oon Kl}kt`o`oo{s
ijkojens jlm _, sjqt`qf~}no{s jlm_, j{tk{s joo`{l} i`t }fk tkhjnlmkt,
Oejssninoj}n`l
[tk}ftn}ns3 Nliko}n`l `i }fk {tk}ftj wn}f djo}ktnj &`t wn}f qt`}``j% ynt{sks% `t i{lgn.
`oo{ts wfkl `tgjlnshs }fj} gjnl jookss }` n} jo{}ke~ `t oft`lnojee~ o`e`lnk }fk l{hkt`{s
qktn{tk}ftje gejlms nl }fk d{ed`{s jlm qklm{e`{s q`t}n`ls `i }fk hjek {tk}ftj jlm nl }fk
kl}ntk ikhjek {tk}ftj, ]fk skv{jee~ }tjlshn}}km qj}f`gkls Ofejh~mnj
}tjof`hj}ns &skk _kv{jee~ ]tjlshn}}km Mnskjsks &_]M.3 Ofejh~mnje% H~o`qejshje% jlm
[tkjqejshje Nliko}n`ls.% Lknssktnj g`l`ttf`kjk &skk _kv{jee~ ]tjlshn}}km Mnskjsks &_]M.3
G`l`ttfkj.% ]tnof`h`ljs yjgnljens&skk _kv{jee~ ]tjlshn}}km Mnskjsks &_]M.3
]tnof`h`lnjsns.% jlm fktqks snhqekv ynt{s &skkFktqksynt{sks3 Fktqks _nhqekv Ynt{s &F_Y.
Nliko}n`ls. jtk o`hh`l oj{sks nl d`}f skvks,
O~s}n}ns3 Nl w`hkl% skv{je nl}kto`{tsk {s{jee~ qtkokmks {lo`hqenoj}km o~s}n}ns
&f`lk~h``l o~s}n}ns., Nl hkl% djo}ktnje nliko}n`l `i }fk dejmmkt ns {s{jee~ o`hqenoj}km jlm
gklktjee~ tks{e}s it`h jsoklmnlg nliko}n`l it`h }fk {tk}ftj `t qt`s}j}k `t ns sko`lmjt~ }`
{tk}ftje nls}t{hkl}j}n`l, ]fk h`s} o`hh`l oj{sk `i tko{ttkl} o~s}n}ns nl hkl ns oft`lno
djo}ktnje qt`s}j}n}ns,
Jo{}k {tk}ftje s~lmt`hk3 Jo{}k {tk}ftje s~lmt`hk% wfnof `oo{ts nl w`hkl% oj{sks
m~s{tnj jlm q~{tnj &m~s{tnj(q~{tnj s~lmt`hk. m{k }` djo}ktnje {tnljt~ qj}f`gkls,
@oojsn`ljee~% n} ns oj{skm d~ L, g`l`ttf`kjk% ]D% `t i{lgje mnskjsk `t d~ }tj{hj `t
nliejhhj}n`l `i }fk {tk}ftj, Qj}nkl}s wn}f jo{}k {tk}ftje s~lmt`hk fjyk m~s{tnj%itkz{klo~% jlm q~{tnj% d{} {tnlk o{e}{tks jtk kn}fkt lkgj}nyk `t sf`w o`e`l~ o`{l}s }fj}
jtk 5 :1;/hE% wfnof ns ekss }fjl }fk }tjmn}n`lje otn}ktn`l i`t djo}ktnje []N,
Js~hq}`hj}no djo}kt{tnj3 Okt}jnl qj}nkl}s% qtnhjtne~ kemkte~ w`hkl jlm qj}nkl}s wn}f
mnjdk}ks `t }f`sk wf` tkz{ntk e`lg(}kth {sk `i nlmwkeenlg oj}fk}kts% fjyk qktsns}kl}
djo}ktn{tnj wn}f ofjlgnlg ie`tj }fj} ns d`}f js~hq}`hj}no jlm tkitjo}`t~ }` }tkj}hkl},
http://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/chlamydial_mycoplasmal_and_ureaplasmal_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/chlamydial_mycoplasmal_and_ureaplasmal_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/gonorrhea.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/gonorrhea.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/trichomoniasis.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/trichomoniasis.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/herpesviruses/herpes_simplex_virus_hsv_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/herpesviruses/herpes_simplex_virus_hsv_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/herpesviruses/herpes_simplex_virus_hsv_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/herpesviruses/herpes_simplex_virus_hsv_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/trichomoniasis.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/trichomoniasis.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/gonorrhea.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/gonorrhea.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/chlamydial_mycoplasmal_and_ureaplasmal_infections.htmlhttp://www.merckmanuals.com/professional/infectious_diseases/sexually_transmitted_diseases_std/chlamydial_mycoplasmal_and_ureaplasmal_infections.html -
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WDO o`{l} nl {tnlk hj~ dk h`mks}e~ kekyj}km, H`s} `i }fksk qj}nkl}s jtk dks} eki}
{l}tkj}km dkoj{sk }fk {s{je tks{e} `i }tkj}hkl} ns }fk ks}jdensfhkl} `i fngfe~ tksns}jl}
`tgjlnshs, Js~hq}`hj}no djo}ktn{tnj ojl jes` `oo{t nl qtkgljl} w`hkl jlm hj~ oj{sk
nliko}n`l `i }fk {tnljt~ }tjo}% skqsns% e`w dnt}f wkngf}% sq`l}jlk`{s jd`t}n`l% qtkhj}{tk
mkenykt~ &skkQtkgljlo~ O`hqenoj}km d~ Mnskjsk3 [tnljt~ ]tjo} Nliko}n`l nl Qtkgljlo~.% jlm
s}neednt}f% s` }tkj}hkl} ns nlmnoj}km,
Jo{}k q~ke`lkqftn}ns3 Q~ke`lkqftn}ns ns djo}ktnje nliko}n`l `i }fk bnmlk~ qjtklof~hj, ]fk
}kth sf`{em l`} dk {skm }` mksotndk }{d{e`nl}kts}n}nje lkqft`qj}f~ {lekss nliko}n`l ns
m`o{hkl}km, Nl w`hkl% jd`{} 41+ `i o`hh{ln}~(joz{ntkm djo}ktkhnjs jtk m{k }`
q~ke`lkqftn}ns, Q~ke`lkqftn}ns ns {lo`hh`l nl hkl wn}f j l`thje {tnljt~ }tjo},
Je}f`{gf `ds}t{o}n`l &kg% s}tno}{tks% ojeo{en% }{h`ts% lk{t`gklno dejmmkt% Y[T. qtkmnsq`sks
}` q~ke`lkqftn}ns% h`s} w`hkl wn}f q~ke`lkqftn}ns fjyk l` mkh`ls}tjdek i{lo}n`lje `t
jlj}`hno mkiko}s, O~s}n}ns je`lk `t jlj}`hno mkiko}s hj~ oj{sk tkie{v, ]fns }klmklo~ ns
gtkj}e~ klfjlokm wfkl {tk}ktje qktns}jesns ns nlfndn}km &kg% m{tnlg qtkgljlo~% d~
`ds}t{o}n`l% d~ klm`}`vnls `i gtjh(lkgj}nyk djo}ktnj., Q~ke`lkqftn}ns `t i`oje jdsokss hj~
dk m{k }` fkhj}`gkl`{s sqtkjm% wfnof ns nlitkz{kl} jlm {s{jee~ tks{e}s it`h djo}ktkhnj
wn}f ynt{ekl} djoneen &kg% _jeh`lkeej sq% _, j{tk{s., Q~ke`lkqftn}ns ns o`hh`l nl ~`{lg gntes
jlm nl qtkgljl} w`hkl ji}kt nls}t{hkl}j}n`l `t dejmmkt oj}fk}ktnj}n`l,
]fk bnmlk~ {s{jee~ ns klejtgkm dkoj{sk `i nliejhhj}`t~ QHLs jlm kmkhj, Nliko}n`l ns i`oje
jlm qj}of~% dkgnllnlg nl }fk qkeyns jlm hkm{eej jlm kv}klmnlg nl}` }fk o`t}kv js jl
klejtgnlg wkmgk, Oft`lno nliejhhj}`t~ okees jqqkjt wn}fnl j ikw mj~s% jlm hkm{eejt~ jlm
s{do`t}noje jdsokssks hj~ mkyke`q, L`thje qjtklof~hje }nss{k dk}wkkl i`on `i nliko}n`l ns
o`hh`l, Qjqneejt~ lkot`sns hj~ dk kynmkl} nl jo{}k q~ke`lkqftn}ns jss`onj}km wn}f
mnjdk}ks% `ds}t{o}n`l% snobek okee mnskjsk% q~ke`lkqftn}ns nl tklje }tjlsqejl}s% q~ke`lkqftn}ns
m{k }` ojlmnmnjsns% `t jljegksno lkqft`qj}f~, Je}f`{gf jo{}k q~ke`lkqftn}ns ns itkz{kl}e~
jss`onj}km wn}f tklje sojttnlg nl ofnemtkl% snhnejt sojttnlg nl jm{e}s ns l`} mk}ko}jdek nl }fkjdsklok `i tkie{v `t `ds}t{o}n`l,
_~hq}`hs jlm _ngls
Nl }fk kemkte~% []Ns jtk `i}kl js~hq}`hj}no, Kemkte~ qj}nkl}s% jlm }f`sk wn}f j lk{t`gklno
dejmmkt `t jl nlmwkeenlg oj}fk}kt% hj~ qtkskl} wn}f skqsns jlm mkentn{h d{} wn}f`{}
s~hq}`hs tkiktjdek }` }fk {tnljt~ }tjo},
http://www.merckmanuals.com/professional/gynecology_and_obstetrics/pregnancy_complicated_by_disease/urinary_tract_infection_in_pregnancy.htmlhttp://www.merckmanuals.com/professional/gynecology_and_obstetrics/pregnancy_complicated_by_disease/urinary_tract_infection_in_pregnancy.html -
8/2/2019 SLH- Group 3 - Case Study
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Wfkl s~hq}`hs jtk qtkskl}% }fk~ hj~ l`} o`ttkej}k wn}f }fk e`oj}n`l `i }fk nliko}n`l
wn}fnl }fk {tnljt~ }tjo} dkoj{sk }fktk ns o`lsnmktjdek `yktejq2 f`wkykt% s`hk
gklktjenj}n`ls jtk {ski{e,
Nl {tk}ftn}ns% }fk hjnl s~hq}`hs jtk m~s{tnj jlm% qtnhjtne~ nl hjeks% {tk}ftje mnsofjtgk,
Mnsofjtgk }klms }` dk q{t{ekl} wfkl m{k }` L, g`l`ttf`kjk jlm wfn}nsf jlm h{o`nm wfkl
l`},
O~s}n}ns `lsk} ns {s{jee~ s{mmkl% }~qnojee~ wn}f itkz{klo~% {tgklo~% jlm d{tlnlg `t qjnli{e
y`nmnlg `i shjee y`e{hks `i {tnlk, L`o}{tnj% wn}f s{qtjq{dno jlm `i}kl e`w djob qjnl% ns
o`hh`l, ]fk {tnlk ns `i}kl }{tdnm% jlm gt`ss fkhj}{tnj `oo{ts nl jd`{} ?1+ `i qj}nkl}s, J
e`w(gtjmk ikykt hj~ mkyke`q, Qlk{hj}{tnj &qjssjgk `i jnt nl }fk {tnlk. ojl `oo{t wfkl
nliko}n`l tks{e}s it`h j yksno`kl}ktno `t yksno`yjgnlje ins}{ej `t it`h khqf~skhj}`{s
o~s}n}ns,
Nl jo{}k q~ke`lkqftn}ns% s~hq}`hs hj~ dk }fk sjhk js }f`sk `i o~s}n}ns2 `lk }fntm `i
qj}nkl}s fjyk itkz{klo~ jlm m~s{tnj, F`wkykt% wn}f q~ke`lkqftn}ns% s~hq}`hs }~qnojee~
nloe{mk ofnees% ikykt% iejlb qjnl% o`enob~ jdm`hnlje qjnl% lj{skj% jlm y`hn}nlg, Ni jdm`hnlje
tngnmn}~ ns jdskl} `t sengf}% j }klmkt% klejtgkm bnmlk~ ns s`hk}nhks qjeqjdek, O`s}`ykt}kdtje
jlgek qkto{ssn`l }klmktlkss ns gklktjee~ qtkskl} `l }fk nliko}km snmk, Nl ofnemtkl%
s~hq}`hs `i}kl jtk hkjgkt jlm ekss ofjtjo}ktns}no &skk Hnsokeejlk`{s Nliko}n`ls nl Nlijl}s
jlm Ofnemtkl3 _~hq}`hs jlm _ngls.,
Mnjgl`sns
[tnlje~sns _`hk}nhks {tnlk o{e}{tkMnjgl`sns d~ o{e}{tk ns l`} jewj~s lkokssjt~, Ni m`lk% mnjgl`sns d~ o{e}{tk tkz{ntks
mkh`ls}tj}n`l `i snglninojl} djo}ktn{tnj nl qt`qkte~ o`eeko}km {tnlk,
[tnlk o`eeko}n`l3 Ni j skv{jee~ }tjlshn}}km mnskjsk &_]M. ns s{sqko}km% j {tk}ftje swjd i`t
_]M }ks}nlg ns `d}jnlkm qtn`t }` y`nmnlg, [tnlk o`eeko}n`l ns }fkl d~ oekjl(oj}of `toj}fk}ktnj}n`l,
]` `d}jnl j oekjl(oj}of% hnms}tkjh(y`nmkm sqkonhkl% }fk {tk}ftje `qklnlg ns wjsfkm
wn}f j hnem% l`li`jhnlg mnsnliko}jl} jlm jnt mtnkm, O`l}jo} `i }fk {tnljt~ s}tkjh wn}f }fk
h{o`sj sf`{em dk hnlnhnkm d~ sqtkjmnlg }fk ejdnj nl w`hkl jlm d~ q{eenlg djob }fk
http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092658http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092658http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092658http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092658 -
8/2/2019 SLH- Group 3 - Case Study
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i`tksbnl nl {lonto{honskm hkl, ]fk ints} ; hE `i {tnlk ns l`} ojq}{tkm2 }fk lkv} ; }` :1 hE
ns o`eeko}km nl j s}ktnek o`l}jnlkt,
J sqkonhkl `d}jnlkm d~ oj}fk}ktnj}n`l ns qtkiktjdek nl `emkt w`hkl &wf` }~qnojee~
fjyk mniino{e}~ `d}jnlnlg j oekjl(oj}of sqkonhkl. jlm nl w`hkl wn}f yjgnlje dekkmnlg `t
mnsofjtgk, Hjl~ oenlnonjls jes` {sk oj}fk}ktnj}n`l }` `d}jnl j sqkonhkl ni kyje{j}n`l
nloe{mks j qkeyno kvjhnlj}n`l, Mnjgl`sns nl qj}nkl}s wn}f nlmwkeenlg oj}fk}kts ns mnso{sskm
keskwfktk &skk[tnljt~ ]tjo} Nliko}n`ls &[]N.3 Djo}ktnje [tnljt~ ]tjo} Nliko}n`ls nl Qj}nkl}s
wn}f Nlmwkeenlg Dejmmkt Oj}fk}kts.,
[tnlk }ks}nlg3 Hnot`so`qno kvjhnlj}n`l `i {tnlk ns {ski{e d{} l`} mkinln}nyk, Q~{tnj ns
mkinlkm js 6 WDOs/E `i {lokl}tni{gkm {tnlk% wfnof o`ttksq`lms }` 4 }` ; WDOs/fngf(
q`wkt inkem nl sq{l skmnhkl}, H`s} }t{e~ nliko}km qj}nkl}s fjyk < :1 WDOs/E, ]fk
qtksklok `i djo}ktnj nl }fk jdsklok `i q~{tnj% ksqkonjee~ wfkl skyktje s}tjnls jtk i`{lm% ns
{s{jee~ m{k }` o`l}jhnlj}n`l m{tnlg sjhqenlg, Hnot`so`qno fkhj}{tnj `oo{ts nl {q }` ;1+
`i qj}nkl}s% d{} gt`ss fkhj}{tnj ns {lo`hh`l, WDO ojs}s% wfnof tkz{ntk sqkonje s}jnls }`
mniiktkl}nj}k it`h tklje }{d{ejt ojs}s% nlmnoj}k `le~ jl nliejhhj}`t~ tkjo}n`l2 }fk~ ojl dk
qtkskl} nl q~ke`lkqftn}ns% ge`hkt{e`lkqftn}ns% jlm l`lnliko}nyk }{d{e`nl}kts}n}nje lkqftn}ns,
Mnqs}nob }ks}s jes` jtk o`hh`le~ {skm, J q`sn}nyk ln}tn}k }ks} `l j itksfe~ y`nmkm sqkonhkl
&djo}ktnje tkqenoj}n`l nl }fk o`l}jnlkt tklmkts tks{e}s {ltkenjdek ni }fk sqkonhkl ns l`}
}ks}km tjqnme~. ns fngfe~ sqkonino i`t []N% d{} }fk }ks} ns l`} ykt~ sklsn}nyk, ]fk ek{b`o~}k
ks}ktjsk }ks} ns ykt~ sqkonino i`t }fk qtksklok `i < :1 WDOs/E jlm ns ijnte~ sklsn}nyk, Nl
jm{e} w`hkl wn}f {lo`hqenoj}km []N wn}f }~qnoje s~hq}`hs% h`s} oenlnonjls o`lsnmkt
q`sn}nyk hnot`so`qno jlm mnqs}nob }ks}s s{iinonkl}2 nl }fksk ojsks% gnykl }fk enbke~ qj}f`gkls%
o{e}{tks jtk {lenbke~ }` ofjlgk }tkj}hkl} d{} jmm snglninojl} kvqklsk,
O{e}{tks jtk tko`hhklmkm wfkl s~hq}`hs jtk s{ggks}nyk d{} {tnlje~sns ns
l`lmnjgl`s}no2 i`t o`hqenoj}km []N% nloe{mnlg []N nl qj}nkl}s wn}f mnjdk}ks%
nhh{l`s{qqtkssn`l% tkokl} f`sqn}jenj}n`l `t {tk}ftje nls}t{hkl}j}n`l% `t tko{ttkl} []N2i`t qj}nkl}s < 9; ~t2 jlm qktfjqs i`t qj}nkl}s wn}f s~hq}`hs `i q~ke`lkqftn}ns, Jee
qtkq{dkt}je ofnemtkl sf`{em fjyk j {tnlk o{e}{tk wfkl j []N ns s{sqko}km, [tnlk sf`{em dk
o{e}{tkm js s``l js q`ssndek `t s}`tkm j} =O ni j mkej~ `i < :1 hnl ns kvqko}km, _jhqeks
o`l}jhnlj}km wn}f ejtgk l{hdkts `i kqn}fkenje okees jtk {lenbke~ }` dk fkeqi{e, Jl
{lo`l}jhnlj}km sqkonhkl sf`{em dk `d}jnlkm i`t o{e}{tk, Otn}ktnj% djskm `l }fk g{nmkenlks
http://www.merckmanuals.com/professional/genitourinary_disorders/urinary_tract_infections_uti/bacterial_urinary_tract_infections.html#v1052970http://www.merckmanuals.com/professional/genitourinary_disorders/urinary_tract_infections_uti/bacterial_urinary_tract_infections.html#v1052970http://www.merckmanuals.com/professional/genitourinary_disorders/urinary_tract_infections_uti/bacterial_urinary_tract_infections.html#v1052970http://www.merckmanuals.com/professional/genitourinary_disorders/urinary_tract_infections_uti/bacterial_urinary_tract_infections.html#v1052970 -
8/2/2019 SLH- Group 3 - Case Study
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`i }fk Nliko}n`{s Mnskjsks _`onk}~ `i Jhktnoj% &skk }fk Nliko}n`{s Mnskjsks _`onk}~ `i
Jhktnoj's G{nmkenlks i`t }fk Mnjgl`sns jlm ]tkj}hkl} `i Js~hq}`hj}no Djo}ktn{tnj nl
Jm{e}s. i`t djo}ktn{tnj jtk3
Jh`lg w`hkl wn}f s{sqko}km js~hq}`hj}no djo}ktn{tnj% 4 o`lsko{}nyk oekjl(oj}ofy`nmkm sqkonhkls it`h wfnof }fk sjhk djo}ktnje s}tjnl ns ns`ej}km nl o`e`l~ o`{l}s
`i < :1;/hE
Jh`lg w`hkl wn}f s{sqko}km jo{}k {tk}ftje s~lmt`hk% j oekjl(oj}of y`nmkm sqkonhklit`h wfnof j snlgek djo}ktnje sqkonks ns ns`ej}km nl o`e`l~ o`{l}s it`h :14 }` :1=/hE
Jh`lg hkl% j oekjl(oj}of y`nmkm sqkonhkl it`h wfnof j snlgek djo}ktnje sqkonks nsns`ej}km nl o`e`l~ o`{l}s < :1;/hE
Jh`lg w`hkl `t hkl% j oj}fk}kt(`d}jnlkm sqkonhkl it`h wfnof j snlgek djo}ktnjesqkonks ns ns`ej}km nl o`e`l~ o`{l}s `i < :14/hE
@oojsn`ljee~% []N ns qtkskl} mksqn}k e`wkt o`e`l~ o`{l}s% q`ssnde~ dkoj{sk `i qtn`t
jl}ndn`}no }fktjq~% ykt~ mne{}k {tnlk &sqkonino gtjyn}~ 5 :,11?.% `t `ds}t{o}n`l }` }fk ie`w `i
gt`sse~ nliko}km {tnlk, Tkqkj}nlg }fk o{e}{tk nhqt`yks }fk mnjgl`s}no joo{tjo~ `i j q`sn}nyk
tks{e}% nk% hj~ mniiktkl}nj}k dk}wkkl j o`l}jhnljl} jlm j }t{k q`sn}nyk tks{e},
Nliko}n`l e`ojenj}n`l3 Oenlnoje mniiktkl}nj}n`l dk}wkkl {qqkt jlm e`wkt []N ns nhq`ssndek
nl hjl~ qj}nkl}s% jlm }ks}nlg ns l`} {s{jee~ jmynsjdek, Wfkl }fk qj}nkl} fjs fngf ikykt%
o`s}`ykt}kdtje jlgek }klmktlkss% jlm gt`ss q~{tnj wn}f ojs}s% q~ke`lkqftn}ns ns fngfe~
enbke~, ]fk dks} l`lnlyjsnyk }koflnz{k i`t mniiktkl}nj}nlg dejmmkt it`h bnmlk~ nliko}n`l
jqqkjts }` dk }fk tksq`lsk }` j sf`t} o`{tsk `i jl}ndn`}no }fktjq~, Ni }fk {tnlk fjs l`}
oekjtkm ji}kt ? mj~s `i }tkj}hkl}% q~ke`lkqftn}ns sf`{em dk s`{gf},
_~hq}`hs snhnejt }` }f`sk `i o~s}n}ns jlm {tk}ftn}ns ojl `oo{t wn}f yjgnln}ns% wfnof
hj~ oj{sk m~s{tnj it`h }fk qjssjgk `i {tnlk jot`ss nliejhkm ejdnj, Yjgnln}ns ojl `i}kl dk
mns}nlg{nsfkm d~ }fk qtksklok `i yjgnlje mnsofjtgk% yjgnlje `m`t% jlm m~sqjtk{lnj,
@}fkt }ks}nlg3 _ktn`{se~ nee qj}nkl}s tkz{ntk kyje{j}n`l i`t skqsns% }~qnojee~ wn}f ODO%keko}t`e~}ks% D[L% otkj}nlnlk% jlm de``m o{e}{tks, Qj}nkl}s wn}f jdm`hnlje qjnl `t
}klmktlkss jtk kyje{j}km i`t `}fkt oj{sks `i jl jo{}k jdm`hkl &skk Jo{}k Jdm`hkl jlm
_{tgnoje Gjs}t`kl}kt`e`g~3 Jo{}k Jdm`hnlje Qjnl., Q~{tnj wn}f`{} djo}ktn{tnj ojl dk
qtkskl} wn}f jqqklmnon}ns% nliejhhj}`t~ d`wke mnskjsk% jlm `}fkt kv}tjtklje mns`tmkts,
http://www.idsociety.org/Content.aspx?id=9088http://www.idsociety.org/Content.aspx?id=9088http://www.merckmanuals.com/professional/gastrointestinal_disorders/acute_abdomen_and_surgical_gastroenterology/acute_abdominal_pain.htmlhttp://www.merckmanuals.com/professional/gastrointestinal_disorders/acute_abdomen_and_surgical_gastroenterology/acute_abdominal_pain.htmlhttp://www.merckmanuals.com/professional/gastrointestinal_disorders/acute_abdomen_and_surgical_gastroenterology/acute_abdominal_pain.htmlhttp://www.merckmanuals.com/professional/gastrointestinal_disorders/acute_abdomen_and_surgical_gastroenterology/acute_abdominal_pain.htmlhttp://www.idsociety.org/Content.aspx?id=9088http://www.idsociety.org/Content.aspx?id=9088 -
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H`s} jm{e}s m` l`} tkz{ntk jssksshkl} i`t s}t{o}{tje jdl`thjen}nks {lekss nliko}n`ls
tko{t `t jtk o`hqenoj}km% lkqft`en}fnjsns ns s{sqko}km% }fktk ns qjnlekss fkhj}{tnj `t lkw
tklje nls{iinonklo~% `t ikykt qktsns}s i`t 74 f, Nhjgnlg of`noks nloe{mk {e}tjs`l`gtjqf~%
O]% jlm NY[, @oojsn`ljee~% y`nmnlg o~s}`{tk}ft`gtjqf~% tk}t`gtjmk {tk}ft`gtjqf~% `t
o~s}`so`q~ ns wjttjl}km, [t`e`gno nlyks}ngj}n`l ns l`} t`{}nlke~ lkkmkm nl w`hkl wn}f
s~hq}`hj}no `t js~hq}`hj}no tko{ttkl} o~s}n}ns% dkoj{sk inlmnlgs m` l`} nlie{klok
}fktjq~, Ofnemtkl wn}f []N `i}kl tkz{ntk nhjgnlg &skk Hnsokeejlk`{s Nliko}n`ls nl Nlijl}s
jlm Ofnemtkl3 [tnljt~ }tjo} nhjgnlg.,
]tkj}hkl}
Jl}ndn`}nos @oojsn`ljee~ s{tgkt~ &kg% }` mtjnl jdsokssks% o`ttko} {lmkte~nlg s}t{o}{tje
jdl`thjen}nks% `t tkenkyk `ds}t{o}n`l.
Jee i`ths `i djo}ktnje []N tkz{ntk jl}ndn`}nos, @ds}t{o}nyk {t`qj}f~% jlj}`hno
jdl`thjen}nks% jlm lk{t`qj}fno {tnljt~ }tjo} eksn`ls s{of js o`hqtkssn`l `i }fk sqnlje o`tm
{s{jee~ tkz{ntk s{tgnoje o`ttko}n`l, Oj}fk}kt mtjnljgk `i jl `ds}t{o}km {tnljt~ }tjo} jnms nl
qt`hq} o`l}t`e `i []N, @oojsn`ljee~% j tklje o`t}noje jdsokss `t qktnlkqftno jdsokss
tkz{ntks s{tgnoje mtjnljgk, Nls}t{hkl}j}n`l `i }fk e`wkt {tnljt~ }tjo} nl }fk qtksklok `i
nliko}km {tnlk sf`{em dk mkikttkm ni q`ssndek, _}ktnenj}n`l `i }fk {tnlk dki`tk
nls}t{hkl}j}n`l jlm jl}ndn`}no }fktjq~ i`t ? }` 7 mj~s ji}kt nls}t{hkl}j}n`l ojl qtkykl}
enik(}ftkj}klnlg {t`skqsns, I`t qj}nkl}s wn}f }t`{deks`hk m~s{tnj% qfklj`q~tnmnlk
hj~ fkeq o`l}t`e s~hq}`hs {l}ne }fk jl}ndn`}nos m` &{s{jee~ wn}fnl =6 f.,
[tk}ftn}ns3 _kv{jee~ jo}nyk qj}nkl}s wn}f s~hq}`hs jtk {s{jee~ }tkj}km qtks{hq}nyke~ i`t
_]Ms qklmnlg }ks} tks{e}s, J }~qnoje tkgnhkl ns oki}tnjv`lk
:4; hg NH qe{s kn}fkt jn}ft`h~onl: g q` `lok `t m`v~o~oenlk
:11 hg q` dnm i`t 7 mj~s, I`t l`l(_]M {tk}ftn}ns nl hkl%}tnhk}f`qtnh/s{eijhk}f`vj`ek
&]HQ/_HV. `t j ie{`t`z{nl`e`lk ns gnykl i`t :1 }` := mj~s2 w`hkl jtk }tkj}km wn}f j
tkgnhkl i`t o~s}n}ns,
http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092691http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092691http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092691http://www.merckmanuals.com/professional/pediatrics/miscellaneous_infections_in_infants_and_children/urinary_tract_infection_in_children_uti.html#v1092691 -
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O~s}n}ns3 J ?(mj~ `tje o`{tsk `i ]HQ/_HV `t j ie{`t`z{nl`e`lk kiiko}nyke~ }tkj}s jo{}k
o~s}n}ns jlm ktjmnoj}ks q`}kl}nje djo}ktnje qj}f`gkls nl yjgnlje jlm GN tkskty`nts, _nlgek(
m`sk }fktjq~ tks{e}s nl fngfkt tko{ttklok tj}ks jlm ns l`} tko`hhklmkm, E`lgkt o`{tsks `i
}fktjq~ &7 }` := mj~s. jtk qtksotndkm i`t qj}nkl}s wn}f j fns}`t~ `i tkokl} []N% mnjdk}ks
hkeen}{s% `t s~hq}`hs ejs}nlg < : wb,
Ni q~{tnj d{} l`} djo}ktn{tnj ns qtkskl} nl j skv{jee~ jo}nyk w`hjl% }fkl O,
}tjof`hj}ns{tk}ftn}ns ns mnjgl`skm qtks{hq}nyke~% jlm jqqt`qtnj}k }tkj}hkl} ns gnykl }`
}fk qj}nkl} jlm fkt skv qjt}lkt, Ni s~hq}`hs tko{t jlm o{e}{tk tkykjes jl `tgjlnsh
sklsn}nyk }` }fk mt{gs {skm i`t ?(mj~ jl}ndn`}no }fktjq~ `t ni q~ke`lkqftn}ns ns s{sqko}km% j
:=(mj~ o`{tsk `i ]HQ/_HV `t j ie{`t`z{nl`e`lk ns gnykl js i`t q~ke`lkqftn}ns,
Jo{}k {tk}ftje s~lmt`hk3 Jo{}k {tk}ftje s~lmt`hk wn}f q~{tnj ns }tkj}km
wn}f m`v~o~oenlk
:11 hg q` dnm i`t 7 }` :1 mj~s `t ]HQ/_HV :91/611 hg q` dnm i`t ? mj~s, Ni lkn}fkt
q~{tnj l`t djo}ktn{tnj ns qtkskl}% jl}ndn`}nos jtk l`} nlmnoj}km, J o`{tsk `i {tnljt~
jljegksnos hj~ dk jqqt`qtnj}k,
Js~hq}`hj}no djo}ktn{tnj3 @tmnljtne~% js~hq}`hj}no djo}ktn{tnj nl qj}nkl}s wn}f
mnjdk}ks% kemkte~ qj}nkl}s% `t qj}nkl}s wn}f oft`lnojee~ nlmwkeenlg dejmmkt oj}fk}kts sf`{em
l`} dk }tkj}km, F`wkykt% js~hq}`hj}no djo}ktn{tnj nl qtkgljl} w`hkl ns jo}nyke~ s`{gf}
jlm }tkj}km js j s~hq}`hj}no []N% je}f`{gf hjl~ jl}ndn`}nos ojll`} dk sjike~ {skm, @tje (
ejo}jhs% s{ei`ljhnmks% jlm ln}t`i{tjl}`nl jtk o`lsnmktkm sjik nl kjte~ qtkgljlo~% d{}
s{ei`ljhnmks sf`{em dk jy`nmkm lkjt qjt}{tn}n`l dkoj{sk `i j q`ssndek t`ek nl }fk
mkyke`qhkl} `i bktlno}kt{s,
]tkj}hkl} hj~ jes` dk nlmnoj}km nl js~hq}`hj}no []N nl qj}nkl}s wn}f lk{}t`qklnj%qj}nkl}s wn}f tkokl} tklje }tjlsqejl}j}n`l% qj}nkl}s sofkm{ekm i`t nls}t{hkl}j}n`l `i }fk
{tnljt~ }tjo} &ji}kt tkh`yje `i j dejmmkt oj}fk}kt }fj} fjs dkkl nl qejok i`t < : wb.% ~`{lg
ofnemtkl wn}f gt`ss Y[T% jlm qj}nkl}s wn}f itkz{kl} []N s~hq}`hs it`h j s}t{yn}k ojeo{e{s
}fj} ojll`} dk tkh`ykm, ]fktjq~ }~qnojee~ o`lsns}s `i jl jqqt`qtnj}k jl}ndn`}no &djskm `l
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o{e}{tk tks{e}s. i`t ? }` := mj~s `t e`lg(}kth s{qqtkssnyk }fktjq~ i`t {l}tkj}jdek
`ds}t{o}nyk qt`dekhs &kg% ojeo{en% tkie{v.,
Jo{}k q~ke`lkqftn}ns3 @{}qj}nkl} }tkj}hkl} wn}f `tje jl}ndn`}nos ns q`ssndek ni }fk qj}nkl}
ns tkenjdek nl i`ee`wnlg hkmnoje jmynok jlm ns nhh{l`o`hqk}kl} jlm fjs l` lj{skj `t
y`hn}nlg% sngls `i y`e{hk mkqek}n`l% `t kynmklok `i skq}nokhnj, ]~qnoje tkgnhkls jtk :=
mj~s `i ]HQ/_HV :91/611 hg q` dnm `t onqt`ie`vjonl ;11 hg q` dnm, @}fktwnsk% qj}nkl}s
sf`{em dk f`sqn}jenkm jlm gnykl qjtkl}ktje }fktjq~ skeko}km `l }fk djsns `i e`oje
sklsn}nyn}~ qj}}ktls `i }fk h`s} o`hh`l s}tjnls, O`hh`l tkgnhkls nloe{mk jhqnoneenl
qe{s gkl}jhnonl% ]HQ/_HV jlm j ie{`t`z{nl`e`lk% jlm dt`jm(sqko}t{h okqfje`sq`tnls
&kg% oki}tnjv`lk.,J}tk`ljh% (ejo}jh/(ejo}jh nlfndn}`t o`hdnlj}n`ls
&jhqnoneenl/s{edjo}jh%}nojtoneenl/oejy{ejlj}k% qnqktjoneenl/}j`djo}jh.%jlm nhnqklkh/onej
s}j}nl jtk gklktjee~ tksktykm i`t qj}nkl}s wn}f h`tk o`hqenoj}km q~ke`lkqftn}ns &kg%
`ds}t{o}n`l% ojeo{en% tksns}jl} djo}ktnj% f`sqn}je(joz{ntkm nliko}n`l. `t tkokl} {tnljt~ }tjo}
nls}t{hkl}j}n`l, Ni qjtkl}ktje }fktjq~ ns tkz{ntkm% n} ns o`l}nl{km {l}ne mkiktyksoklok jlm
`}fkt sngls `i oenlnoje nhqt`ykhkl} `oo{t, Nl < 61+ `i qj}nkl}s% nhqt`ykhkl} `oo{ts wn}fnl
74 f, @tje }fktjq~ ojl }fkl dkgnl% jlm }fk qj}nkl} ojl dk mnsofjtgkm i`t }fk tkhjnlmkt `i
}fk :=(mj~ }tkj}hkl} o`{tsk, I`t o`hqenoj}km ojsks% qt`e`lgkm jl}ndn`}no s{qqtkssn`l hj~
dk lkkmkm js wkee js {t`e`gno o`ttko}n`l `i jlj}`hno mkiko}s,
Wfkl q~ke`lkqftn}ns ns mnjgl`skm m{tnlg qtkgljlo~% f`sqn}jenj}n`l jlm qjtkl}ktje
}fktjq~ wn}f j (ejo}jh wn}f `t wn}f`{} jl jhnl`ge~o`snmk ns jqqt`qtnj}k,
Qtkykl}n`l
Nl w`hkl wf` kvqktnklok ? []Ns/~t% y`nmnlg nhhkmnj}ke~ ji}kt skv{je nl}kto`{tsk jlm
jy`nmnlg {sk `i j mnjqftjgh hj~ dk fkeqi{e, Mtnlbnlg otjldktt~ c{nok &;1 hE `io`lokl}tj}k `t jd`{} ?11 hE `i c{nok mjne~. tkm{oks q~{tnj jlm djo}ktn{tnj, Nlotkjsnlg }`}je
ie{nm nl}jbk hj~ jes` fkeq,
Ni }fksk }koflnz{ks jtk {ls{ookssi{e% e`w(m`sk `tje jl}ndn`}no qt`qf~ejvns gtkj}e~ tkm{oks
}fk nlonmklok `i tko{ttkl} []Nskg% ]HQ/_HV =1/411 hg `lok/mj~ `t ?
}nhks/wb%ln}t`i{tjl}`nl &hjot`ot~s}jes. ;1 `t :11 hg `lok/mj~% `t j ie{`t`z{nl`e`lk
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&kg%onqt`ie`vjonl% l`tie`vjonl% `ie`vjonl% e`hkie`vjonl% kl`vjonl., E`lg(}kth {sk
`iln}t`i{tjl}`nl nlotkjsks }fk tnsb `i jmyktsk kiiko}s jlm ns o`l}tjnlmnoj}km nl qj}nkl}s
wn}f tklje ijne{tk, Q`s}o`n}je ]HQ/_HV `t j ie{`t`z{nl`e`lk hj~ dk kiiko}nyk, Ni []N tko{ts
ji}kt 9 h` `i }fns }fktjq~% qt`qf~ejvns hj~ dk tknls}n}{}km i`t 4 `t ? ~t,
Dkoj{sk `i q`}kl}nje nlc{t~ }` j ik}{s% {skts `i ie{`t`z{nl`e`lks sf`{em jes` {sk
kiiko}nyk o`l}tjokq}n`l, _`hk jl}ndn`}nos &hjot`enmks% }k}tjo~oenlks% tnijhqnl
% hk}t`lnmj`ek% qklnoneenls% jlm ]HQ/_HV. nl}ktiktk wn}f }fk kiiko}nyklkss `i `tje
o`l}tjokq}nyks d~ nl}ktt{q}nlg }fk kl}kt`fkqj}no tko~oenlg `i ks}t`gkl `t d~ nlm{onlg
fkqj}no ks}t`gkl hk}jd`ensh, W`hkl wf` {sk `tje o`l}tjokq}nyks sf`{em {sk djttnkt
o`l}tjokq}nyks wfnek }fk~ jtk }jbnlg }fksk jl}ndn`}nos,
Nl qtkgljl} w`hkl% kiiko}nyk qt`qf~ejvns `i []N ns snhnejt }` }fj} nl l`lqtkgljl}
w`hkl, Jqqt`qtnj}k qj}nkl}s nloe{mk }f`sk wn}f jo{}k q~ke`lkqftn}ns m{tnlg j qtkgljlo~%
qj}nkl}s wn}f< : kqns`mk &mksqn}k }tkj}hkl}. `i []N `t djo}ktn{tnj m{tnlg qtkgljlo~% jlm
qj}nkl}s wf` tkz{ntkm qt`qf~ejvns i`t tko{ttkl} []N dki`tk qtkgljlo~,
Nl q`s}hkl`qj{sje w`hkl% jl}ndn`}no qt`qf~ejvns ns snhnejt }` }fj} mksotndkm
qtkyn`{se~, Jmmn}n`ljee~% }`qnoje ks}t`gkl }fktjq~ hjtbkme~ tkm{oks }fk nlonmklok `i
tko{ttkl} []N nl w`hkl wn}f j}t`qfno yjgnln}ns `t j}t`qfno {tk}ftn}ns,
MKYKE@QHKL]JE MJ]J
Ktnob Ktnbs`ls ]fk`t~ `i Mkyke`qhkl}
Ktnob Ktnbs`l klynsn`ls enik js j skz{klok `i ekykes `i jofnkykhkl}s, Fk mksotndkm 6
s}jgks `i mkyke`qhkl}, Kjof s}jgk sngljes j }jsb }fj} h{s} dk jofnkykm, Nl fns ynkw i`t kjof
s}jgk `i mkyke`qhkl}% s`hk bnlm `i qs~of`s`onje otnsns sengf}e~ `oo{ts, Ni j qkts`l ns
qt`ynmkm wn}f j s`onje jlm qs~of`e`gnoje klynt`lhkl} }fj} ns o`lm{onyk }` mkyke`qhkl}% fk
wnee dk jdek }` mkje jmkz{j}ke~ wn}f }fk otnsns jlm qt`dekhs j} kjof s}jgk, Ni fk ijnes }`
mkyke`q }fk s}tklg}fs lkkmkm j} kjof s}jgk% fk wnee s{dskz{kl}e~ inlm mniino{e}~ nl mkjenlg
wn}f qs~of`s`onje otnsns nl }fk s{ookkmnlg s}jgks `i mkyke`qhkl},
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@{t qj}nkl} ns nl }fk kjte~ jm{e}f``m qktn`m,
Qs~of`s`onje _}jgk 9 ( Nl}nhjo~ ys, Ns`ej}n`l
]fns s}jgk o`ykts }fk qktn`m `i kjte~ jm{e}f``m wfkl qk`qek jtk kvqe`tnlg qkts`ljetkej}n`lsfnqs,
Ktnbs`l dkenkykm n} wjs yn}je }fj} qk`qek mkyke`q oe`sk% o`hhn}}km tkej}n`lsfnqs wn}f`}fkt qk`qek, ]f`sk wf` jtk s{ookssi{e j} }fns s}kq wnee mkyke`q tkej}n`lsfnqs }fj} jtk
o`hhn}}km jlm sko{tk,
Tkhkhdkt }fj} kjof s}kq d{nems `l sbnees ekjtlkm nl qtkyn`{s s}kqs, Ktnbs`l dkenkykm}fj} j s}t`lg sklsk `i qkts`lje nmkl}n}~ wjs nhq`t}jl} }` mkyke`qnlg nl}nhj}k
tkej}n`lsfnqs, _}{mnks fjyk mkh`ls}tj}km }fj} }f`sk wn}f j q``t sklsk `i skei }klm }`
fjyk ekss o`hhn}}km tkej}n`lsfnqs jlm jtk h`tk enbke~ }` s{iikt kh`}n`lje ns`ej}n`l%
e`lkenlkss% jlm mkqtkssn`l,
]fk qj}nkl} ns s}nee kvqe`tnlg }fk enik wn}f fjynlg j enik qjt}lkt jlm sfk sj~s sfk fjs l`}
~k} fjm }fk qt`dekh `i dknlg tjnskm {q {l}ne `i dknlg j h`}fkt,
Fjyngf{ts} Mkyke`qhkl}je ]jsb
]fk tj}k `i j qkts`ls gt`w}f jlm mkyke`qhkl} ns fngfe~ nlmnynm{jenkm, F`wkykt%
}fk skz{klok `i gt`w}f jlm mkyke`qhkl} ns qtkmno}jdek, T`dkt} Fjyngf{ts} dkenkykm }fj}
ekjtlnlg ns }fk djsno `i enik jlm }fj} qk`qek o`l}nl{k }` ekjtl }ft`{gf`{} enik,
]fns snhqek jgk(gtjmnlg s}`qs nl `{t o{e}{tk s`hkwfktk jt`{lm snv}kkl }` }wkl}~,
N} ns enbk tkjofnlg }fk klm i }fk ejmmkt jlm s}kqqnlg `ii `l}` j lkw% s}tjlgk oe`{m(ejlm wn}f
gnjl}s jlm wfnofk }` dk onto{hykl}km jlm }fk g``sk }fj} ej~s }fk g`emkl kggks }` dk
ojq}{tkm ni `le~ `lk ojl mnso`ykt }fk bl`w(f`w,
:. _keko} nlg j hj}k3 [l}ne n} ns joo`hqensfkm% }fk }jsb `i inlmnlg j hjttnjgk qjt}lkt ns j}
`lok }fk h`s} nl}ktks}nlg jlm }fk h`s} mns}{tdnlg `i }fk }jsbs `i kjte~ jm{e}f``m,
4. Ekjtlnlg }` enyk wn}f j hjttnjgk qjt}lkt3 Ji}kt }fk wkmmnlg }fktk o`hks j qktn`m `i
ekjtlnlg f`w }` in} }w` enyks }`gk}fkt, Nl }fk hjnl }fns o`lsns}s `i ekjtlnlg }` kvqtkss jlm
o`l}t`e `lk's ikkenlg((jlgkt% c`~% mnsg{s}% enyk ((s` }fj} `lk ojl enyk nl}nhj}ke~ jlm fjqqne~
wn}f `lk's sq`{sk,
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8/2/2019 SLH- Group 3 - Case Study
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?. _}jt}nlg j ijhne~3 ]` fjyk j ints} ofnem s{ookssi{ee~,
=. Tkjtnlg ofnemtkl3 Wn}f }fk gjnlnlg `i ofnemtkl }fk ~`{lg o`{qek }jbk `ykt j
tksq`lsndnen}~ ijt gtkj}kt }fjl jl~ tksq`lsndn}ne~ }fk~ fjyk kykt fjm dki`tk, L`w }fk~ jtk
tksq`lsndek i`t f{hjl enik }fj} ns l`} }fknt `wl, ]` hkk} }fns tksq`lsndnen}~ }fk~ h{s} ekjtl
}` hkk} }fk qf~snonje jlm kh`}n`lje lkkms `i ~`{lg ofnemtkl, ]fns hkjls ekjtlnlg f`w }`
hjljgk }fk ofnem% jlm jes` ekjtlnlg }` jmjq} }fknt `wl mjne~ jlm wkkbe~ sofkm{eks }` }fk
lkkms `i gt`wnlg ofnemtkl,
;. Hjljgnlg j f`hk3 Ijhne~ enik ns d{nem jt`{lm j qf~snoje okl}kt% }fk f`hk% jlm mkqklms
i`t n}s s{ookss gtkj}e~ {q`l f`w wkee(hjljgkm }fns f`hk ns, G``m f`hk hjljgkhkl} ns
`le~ qjt}e~ j hj}}kt `i bkkqnlg }fk f`{sk oekjl% }fk i{tln}{tk jlm qe{hdnlg jlm engf}nlg
inv}{tks nl tkqjnt% fjynlg hkjes wkee(o``bkm% jlm }fk enbk,
9. Gk}}nlg s}jt}km nl jl `oo{qj}n`l3 ]fns }jsb }jbks jl kl`th`{s jh`{l} `i }fk ~`{lg
hjl's }nhk jlm klktg~ m{tnlg ~`{lg jm{e}f``m, @i}kl fk dko`hks s` klgt`sskm nl }fns
qjt}no{jet }jsb }fj} fk lkgeko} `}fkts, Fk hj~ q{} `ii inlmnlg j wnik je}`gk}fkt }`` e`lg i`t
fns `wl fjqqnlkss,
7. ]jbnlg `l onyno tksq`lsndnen}~3 ]` jss{hk tksq`lsndnen}~ i`t }fk wkeijtk `i j gt`{q`{}snmk `i }fk ijhne~((j lkngfd`tf``m `t o`hh{ln}~ gt`{q `t of{tof `t e`mgk `t q`en}noje
`tgjlnj}n`l,
6. Inlmnlg j o`lgklnje s`onje gt`{q3 Hjttnjgk `i}lk nhy`eyks }fk dtkjbnlg `i s`noje }nks i`t
`lk `t d`}f ~`{lg qk`qek% jlm }fk i`thnlg `i lkw itnklmsfnqs, Kn}fkt }fk hjl `t }fk
w`hjl ns jq} }` h`yk jwj~ it`h i`thkt itnklms, Nl jl~ ojsk% wfk}fkt `em itnklmsfnqs jtk
nl}ktt{q}km d~ mns}jlok `t l`}% }fk ~`{lg o`{qek ijoks s`hk}fnlg `i j lkw }jsb nl i`thnlg j
ekns{tk(}nhk qj}}ktl jlm inlmnlg `}fkts }` sfjtk n} wn}f, ]fk ~`{lg hjl e`sks nl}ktks} nl
s`hk `i fns i`thkt djofke`t jo}nyn}nks% jlm fns wnik mt`qs `{} `i s`hk `i fkt q{tke~
ikhnlnlk jss`onj}n`ls,
QJ]]KTL_ @I I[LO]N@LNLG
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Kj}nlg Qj}}ktl
DKI@TK NEELK__ M[TNLG NEELK__
Hs, V ns l`} of``s~ o`loktlnlg }` i``ms, Nl
ijo}% sfk {skm }` kj} j e`} j} f`hk, _fk
{s{jee~ kj}s dtkjbijs} j} jt`{lm 9 nl }fk
h`tlnlg jlm ns o`hq`skm `i kn}fkt : qnkok
`i d`nekm `t sotjhdekm kgg% : qnkok `i mtnkm
insf jlm : o{q `i tnok `t dtkjm, J} e{lof j}
jd`{} :4 l``l% sfk o`ls{hks : o{q `i tnok
wn}f : qnkok `i itnkm insf `t j d`we `i qjbsnw`t kn}fkt ykgk}jdek, I`t mnllkt% sfk fjs
ykgk}jdek `t hkj} wn}f j sktynlg `i tnok, _fk
kj}s fkt sljobs j} jd`{} >3?1 nl }fk h`tlnlg
jlm ? nl }fk ji}ktl``l, _fk fjs l` kj}nlg
tn}{jes,
M{tnlg fkt f`sqn}jenj}n`l% Hs, V wjs jdek }`
kj} d{} l`} jdek }` o`ls{hk fkt kl}ntk
f`sqn}je tj}n`l, _fk ns `l i{ee mnk} kvokq}
wn}f mjtb(o`e`tkm i``ms,
_fk kj}s fkt dtkjbijs} j} 7 jh% wn}f }fk
{s{je Inenqnl` }jdek dtkjbijs}% fkt e{lg j}
::jh wn}f : o{q tnok% j ykgk}jdek jlm hkj}
mnsf% snhnejt wn}f }fk 9qh mnllkt,
Jlje~sns3 ]fktk jtk l` je}ktj}n`ls `l }fk qj}nkl}s jdnen}~ }` }jbk i``m% d{} }fktk jtk
h`mninoj}n`ls `i mnk} m{k }` tks}tno}n`l `i skyktje i``ms% enbk }f`sk wn}f mjtb o`e`ts wfnof
hj~ nl}ktiktk wn}f ikoje~sns kvjhs,
Mtnlbnlg Qj}}ktl
DKI@TK NEELK__ M[TNLG NEELK__
Hs, V ns i`lm `i mtnlbnlg s`mjs js wkee js
wn}f wj}kt, _fk mtnlbs jd`{} ? 6` d`}}eks `i
s`mj jlm jt`{lm :,; en}kts `i wj}kt j mj~,
M{tnlg fkt s}j~ j} }fk f`sqn}je% Hs, V mnm l`}
o`ls{hk s`mjs% `le~ wj}kt wfnof hj~dk 4,4
en}kts j mj~,
Jlje~sns3 Nl }fk mtnlbnlg qj}}ktl% }fktk ns l` nl}jbk `i s`mj d{} `le~ wj}kt% wfnof nlotkjsk
nl nl}jbk ns lkokssjt~ }` tkqeklnsf e`s} ie{nms jlm }` qtkykl} mkf~mtj}n`l js wkee js o`hi`t}
hkjs{tk nl }fk qtksklok `i ikykt,
Dejmmkt Qj}}ktl
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DKI@TK NEELK__ M[TNLG NEELK__
Hs, V s}j}km }fj} sfk {tnlj}ks 9 }nhks j mj~
nl}` ~kee`w o`e`tkm {tnlk nl h`mktj}k
jh`{l}, _fk {tnlj}ks ?(= }nhks j} mj~}nhk% :
nl }fk kyklnlg jlm dki`tk dkm}nhk, _fk
{tnlj}ks jd`{} ;11hE j mj~,
Hs, V {tnlj}ks nl}` mjtb(jhdkt {tnlk m{tnlg
}fk ints} }w` mj~s, _fk {tnlj}ks }fk sjhk
jh`{l} jlm ikkes h`mktj}k qjnl m{tnlg }fk
sko`lm mj~, _fk }kees {s }fj} }fktk ns j sengf}
`m`t `i }fk {tnlk,
Jlje~sns3 }fktk wjs j ofjlgk j} }fk {tnlk o`e`t hj~dk jss`onj}km wn}f }fk qtksklok `i }fk
nliko}n`l, @{}q{} wjs }fk sjhk jh`{l} js dki`tk neelkss, ]fk `m`t hj~dk m{k }` }fk
djo}ktnje nliko}n`l,
D`wke Kenhnlj}n`l Qj}}ktl
DKI@TK NEELK__ M[TNLG NEELK__
Hs, V {s{jee~ mkikoj}ks `lok j mj~% skem`h
}wnok, _fk fjs jl `{}q{} `i ~kee`w dt`wl%
s`i} ikoks, N} ns sengf}e~ `m`t`{s jlm
h`mktj}k nl jh`{l},
_fk s}j}km }fj} sfk mkikoj}ks `lok j mj~ j}
}fk f`sqn}je% ~kee`w dt`wl }` `tjlgk dt`wl
nl o`e`t% nl h`mktj}k jh`{l} jlm skkhs
mt~kt }fjl dki`tk neelkss,
Jlje~sns3 ]fktk ns l` gtkj} je}ktj}n`l nl }fk d`wke kenhnlj}n`l qj}}ktl% `le~ }fj} }fk oenkl}
c{s} mkikoj}km `lok jlm }fk s}``e ns mt~kt wfnof hj~dk j qtkskl}nlg sngf `i mkf~mtj}n`l,
Dj}fnlg Qj}}ktl
DKI@TK NEELK__ M[TNLG NEELK__
_fk dj}fks }wnok j mj~ nl }fk kjte~ h`tlnlg
jlm j} kyklnlg, _fk {sks sfjhq`` jlm d`m~
s`jq, _fk qtkikts o``e wj}kt }` dj}fk wn}f,
Wfnek j} }fk f`sqn}je% Hs, V mnm l`} }jbk j
dj}f `l }fk ints} mj~ d{} sfk mnm `l }fk
sko`lm mj~, _fk dj}fk wn}f sfjhq`` jlm
wn}f s`jq nl j sf`t}kt qktn`m }fjl dki`tk
neelkss,
Jlje~sns3Hs, V mnm l`} gtkj}e~ je}kt fkt dj}fnlg qj}}ktl kvokq} m{tnlg }fk ints} mj~ jlm
wfkl sfk dj}fk wn}f j sf`t}kt qktn`m j} }fk f`sqn}je snlok sfk ojll } }`ektj}k qt`e`lgkm
s}jlmnlg `t sn}}nlg m{k }` mnnlkss,
_ekkqnlg Qj}}ktl
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DKI@TK NEELK__ M[TNLG NEELK__
Hs, Vv ns l`} i`lm `i snks}j, Nls}kjm% sfk
w`{em }{tl fkt ]Y `l, Dki`tk dkm% sfk w`{em
wj}of qtnhk}nhk s`jqs, _fk g`ks }` dkm j}
>qh jlm wjbks {q j} ; `t 9jh, sfk sekkqs
wn}f fkt keko}tno ijl `l }fk wf`ek lngf}, _fk
fjs l` tn}{jes dki`tk sekkqnlg,
Hs, V }jbks j ljq j} mj~}nhk i`t jt`{lm :1(:;
hnl{}ks% sekkqs j} 6qh jlm wjbks {q j} 9jh
snlok sfk fjs l` ]Y j} }fk f`sqn}je, _fk {sks
fkt keko}tno ijl nl sekkqnlg }fk wf`ek lngf}%
jlm jes` {sks n} }fk wf`ek mj~,
Jlje~sns3 sfk fjs j e`lgkt qktn`m `i sekkqnlg j} }fk f`sqn}je jlm }jbks fkt ljq, _fk {sks fkt
keko}tno ijl }` mnssnqj}k fkj} nl sekkqnlg,
EKYKE @I O@HQK]KLONK_
Qf~snoje jsqko}
DKI@TK NEELK__ M[TNLG NEELK__
Hs, V ojl m` fkt mjne~ jo}nyn}nks s{of js
hkk}nlg fkt skei(ojtk lkkms jlm `}fkt }jsbs,
_fk fjs l` c`d jlm bkkqs j} f`hk, _fk }jbks
ojtk `i fkt ofnem h`s} `i }fk }nhk js j
h`}fkt,
_fk wjs l`} jdek }` e``b ji}kt fkt ofnem
dkoj{sk }fk ofnem ns j} f`hk, _fk ojll`}
jhd{ej}k wn}f`{} jssns}jlok snlok sfk ikkes
mn~ h`s} `i }fk }nhk,
Jlje~sns3 }fktk ns j ofjlgk snlok m{tnlg neelkss sfk wjs l`} jdek }` m` fkt }fnlgs jl~h`tk,
Hkl}je/ Nl}keeko}{je jsqko}
DKI@TK NEELK__ M[TNLG NEELK__
_fk wjs j o`eekgk s}{mkl} dki`tk, _fk bl`ws
}fk {s{je gklktje bl`wekmgk j 4? ~kjt `em
fjs,
Fkt nl}keeko}{je i{lo}n`lnlg wjs js dki`tk,
Jlje~sns3 ]fktk jtk l` je}ktj}n`ls nl }fk hkl}je o`hqk}klo~ `i }fk qj}nkl},
_`onje jsqko}
DKI@TK NEELK__ M[TNLG NEELK__
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Hs, V ns j qkts`l wf` ns i`lm `i s`onjennlg
wn}f `}fkts, _fk ns {skm }` fjynlg
o`lyktsj}n`ls wn}f }fknt lkngfd`{tf``m,
_fk ns j ofkkti{e jlm nl}ktqkts`lje
nlmnynm{je,
Joo`tmnlg }` fkt% fkt j}}n}{mk }`wjtms
o`hh{lnoj}nlg wn}f `}fkts wjs js dki`tk,
Jlje~sns3 Mksqn}k dknlg nee% Hs, V wjs s}nee jdek }` s`onjenk js {s{je, ]fns snglninks }fj} }fk
qtksklok `i fns neelkss mnm l`} fnlmkt fnh }` hnlgek wkee wn}f `}fkts,
_qntn}{je jsqko}
DKI@TK NEELK__ M[TNLG NEELK__
_fk ns tkengn`{se~ jiinenj}km wn}f }fk T`hjl
Oj}f`eno tkengn`l, _fk sj~s sfk qtj~s d{}
skem`h j}}klms }fk of{tof jlm `}fkt
tkengn`{s jo}nyn}nks,
_fk qtj~s {s{jee~ jlm fjs fkt s}kjmijs} ijn}f
nl G`m,
Jlje~sns3 Fkt ijn}f nl G`m wjs s}nee s}kjmijs} }f`{gf sfk ns nee,
Kh`}n`lje jsqko}
DKI@TK NEELK__ M[TNLG NEELK__
Hs, V ns j ofkkti{e qkts`l, _fk ns {s{jee~
fjqq~ sj}nsinkm wn}f fkt enik wn}f fkt ijhne~,
_fk sj~s sfk ns lkykt sjm snlok }fktk ns l`
{s{je qt`dekh wn}fnl }fk ijhne~ kvokq}
wfkl inljlonje otnsns `oo{ts,
Hs, V ns s}nee }tnks }` shnek }f`{gf sfk ns nee,
Fkt kh`}n`ls jtk l`} s` h{of jiiko}km
kvokq} fkt e`lgnlg }` skk fkt ofnem jgjnl,
Jlje~sns3 _fk ns s}nee jdek }` kh`}k lj}{tjee~ jlm o`ttko}e~,
MNJGL@_]NO QT@OKM[TK_
HKMNOJE HJLJGKHKL]
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Nl}tjykl`{s ie{nm ]fktjq~
N} ns jl kiinonkl} hk}f`m i`t s{qqe~nlg ie{nm mntko}e~ nl}` }fk nl}tjykl`{s ie{nms
o`hqjt}hkl}s jlm }` tkqejok mkinon}s `i }fk }`}je d`m~ wj}kt% }` tks}`tk y`e{hk `i de``m
o`hq`lkl}s jlm qt`ynmk jykl{k i`t jmhnlns}tj}n`l `i Nl}tjykl`{s hkmnoj}n`l,
Q{tq`sks3
N} jnhs }` hjnl}jnl f`hk`s}jsns% i{lo}n`lnlg/hjnl}jnlnlg jlm }` tkqejok d`m~
s`{toks `i ie{nm% keko}t`e~}ks% yn}jhnl% ojtd`f~mtj}ks% ij}s jlm oje`tnks nl }fk oenkl} }`
tks}`tk jonm(djsk djejlok% jlm tks}`tk y`e{hk `i de``m o`hq`lkl}s,
]fk NY ie{nm `i `{t qj}nkl} ns M;LH
M;LH L`th`s`e(H
F~qkt}`lno s`e{}n`l `i djejlokm hjnl}kljlok keko}t`e~}ks jlm ;+ mkv}t`sk nlcko}n`lnl wj}kt i`t nlcko}n`l,
( L`lq~t`gklno% qjtkl}ktje ie{nm% keko}t`e~}k jlm l{}tnkl} tkqeklnsfkt
( Kjof :11 hE o`l}jnls mkv}t`sk%f~mt`{s ; g% s`mn{h ofe`tnmk% 4?= hg% q`}jssn{h jok}j}k%
:46 hg jlm hjglksn{h jok}j}k% jlf~mt`{s 4: hg, Hj~ o`l}jnl f~mt`ofe`tno jonm i`t qF
jmc{s}hkl},
L{tsnlg Tksq`lsndnen}nks3
:, Jsb }fk oenkl}s ljhk }` kls{tk sjik}~ i`t nmkl}n}~,4, Ofkob }fk NY s`e{}n`l jgjnls} }fk qf~snonjls `tmkts i`t }fk }~qk% jh`{l}jlm tj}k `i
ie`w, ]` kls{tk kiinonklo~ jlm joo{tjo~,
?, Tk(khqfjsnk }fk q{tq`sk `i }fk NYI }fktjq~ }` }fk qj}nkl} jlm snglninojl} `}fkts }`gjnl o``qktj}n`l jlm }` nlotkjsk }fknt jwjtklkss jd`{} }fk qt`okm{tk% enbkwnsk
gjnlnlg }fk qj}nkl}s o``qktj}n`l,
=, Ofkob }fk ie{nms jlm kz{nqhkl}s }` dk {skm i`t nli{sn`l i`t jl~ mnso`e`tj}n`l%oe`{mnlkss% qtksklok `i qjt}noeks% otjobs `i d`}}ek% q{lo}{tkm d`}}ek% NY }{dnlg jlm
oj}fk}kts mnso`e`tj}n`l }` nmkl}ni~ q`ssndek nlmnoj}n`ls `i kvqntj}n`l `t
o`l}jhnlj}n`l,
;, Oekjl }fk nli{sn`l sn}k {snlg o`}}`l djees wn}f jeo`f`e }` qtkykl} nliko}n`l jlmqt`h`}k jskq}no }koflnz{k,
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9, Tkg{ej}k NYI }` }fk mksntkm ie`w tj}k, Nl `tmkt }` hkk} lkokssjt~ ie{nm jlmkeko}t`e~}k lkkmkm d~ }fk d`m~ wn}fnl }fk sqkoninkm eklg}f `i nli{sn`l js wkee js }`
qtkykl} onto{ej}`t~ `ykte`jm,
7, Ejdke }fk NY d`}}ek }` kls{tk }fk qt`qkt NY Ie{nm gnykl }` }fk qj}nkl},6, Q`sn}n`l }fk jth wn}f }fk sn}k `i NY nli{sn`l o`hi`t}jde~ }` hjnl}jnl qj}klo~ `i NY
enlk,
>, Nls}t{o} }fk oenkl} }` jy`nm {llkokssjt~ h`ykhkl}s ksqkonjee~ `l }fk nli{sn`l sn}k }`qtkykl} mnse`mgnlg `i }fk lkkmek jlm nline}tj}n`l,
:1,Ofkob }fk qj}klo~ `i NY jlm mnso`l}nl{k nhhkmnj}ke~ ni sngl `i nline}tj}n`l ns qtkskl}}` qtkykl} }ft`hd`qfekdn}ns,
::, Hjbk s{tk }fj} }fk nli{sn`l sn}k ns itkk it`h o`l}jhnlj}n`l }` qtkykl} nliko}n`l jlmqfekdn}ns,
:4,Ofjlgk }fk s`e{}n`l o`l}jnlkt dki`tk n} ns o`hqek}ke~ khq}nkm }` qtkykl} jntkhd`ensh,
:?,, M`o{hkl} }fk }~qk `i NY s`e{}n`l nli{skm% n}s y`e{hk% n}s mksntkm ie`w tj}k% }fk mj}kjlm }nhk n} wjs nli{skm jlm o`ls{hkm, ]fns w`{em sktyk js j tko`tm `t i`t ekgje
q{tq`sks,
@v~gkl Nlfjej}n`l ]fktjq~
@v~gkl }fktjq~ ns }fk jmhnlns}tj}n`l `i`v~gkl js j hkmnoje nl}ktykl}n`l% wfnof ojl
dk i`t j yjtnk}~ `i q{tq`sks nl d`}f oft`lno jlm jo{}k qj}nkl} ojtk, @v~gkl ns ksskl}nje i`t
okee hk}jd`ensh% jlm nl }{tl% }nss{k `v~gklj}n`l ns ksskl}nje i`t jee l`thje qf~sn`e`gnoje
i{lo}n`ls,
Ljsje Ojll{ej]fk ljsje ojll{ej &LO. ns j e`w ie`w s~s}kh dkoj{sk n} jmhnlns}kts `v~gkl wfnek }fk
qj}nkl} jes` nlsqntks t``h jnt, ]fk jo}{je m`sk `i `v~gkl tkoknykm d~ }fk qj}nkl} wnee yjt~
mkqklmnlg `l qj}nkl}s tksqntj}`t~ qj}}ktl, ]fns mkynok {skm }` mkenykt s{qqekhkl}je
`v~gkl `t jntie`w }` j qj}nkl} `t qkts`l nl lkkm `i tksqntj}`t~ fkeq, ]fns mkynok o`lsns}s `i
j qejs}no }{dk wfnof in}s dkfnlm }fk kjts% jlm j sk} `i }w` qt`lgs wfnof jtk qejokm nl }fk
http://en.wikipedia.org/wiki/Oxygenhttp://en.wikipedia.org/wiki/Chronic_(medicine)http://en.wikipedia.org/wiki/Acute_(medicine)http://en.wikipedia.org/wiki/Cell_(biology)http://en.wikipedia.org/wiki/Oxygenhttp://en.wikipedia.org/wiki/Nasal_cannula#Nasal_high_flowhttp://en.wikipedia.org/wiki/Nasal_cannula#Nasal_high_flowhttp://en.wikipedia.org/wiki/Oxygenhttp://en.wikipedia.org/wiki/Cell_(biology)http://en.wikipedia.org/wiki/Acute_(medicine)http://en.wikipedia.org/wiki/Chronic_(medicine)http://en.wikipedia.org/wiki/Oxygen -
8/2/2019 SLH- Group 3 - Case Study
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l`s}tnes, @v~gkl ie`ws it`h }fksk qt`lgs, ]fk ljsje ojll{ej ns o`llko}km }` jl `v~gkl
}jlb% j q`t}jdek `v~gkl gklktj}`t% `t j wjee o`llko}n`l nl j f`sqn}je ynj j ie`whk}kt, ]fk
ljsje ojll{ej ojttnks :9 en}tks `i `v~gkl qkt hnl{}k,
]~qk3 Ljsje Ojll{ej
Tkg{ej}n`l3 ? en}kts qkt hnl{}k
Q{tq`sk3
]fns ns m`lk }` `{t qj}nkl} }` qt`ynmk s{iinonkl} `v~gkl }` }fk d`m~ jlm sqkoninojee~
i`t }fk {}nenj}n`l `i }fk okees% jlm qtkykl} mjhjgk }` yn}je `tgjls tks{e}nlg it`h
nljmkz{j}k `v~gkl s{qqe~, N} ns mksnglkm }` fkeq tks}`tk `t nhqt`yk dtkj}fnlg m{k }`
mniino{e}~ `i dtkj}fnlg,
L{tsnlg Tksq`lsndnen}nks3
:, Yktni~ m`o}`ts `tmkt jlm nmkl}ni~ }fk qj}nkl} }` qtkykl} ktt`ts nl gnynlg `v~gkl}fktjq~,
4, Tk(khqfjsnk }fk qt`okm{tk }` }fk qj}nkl} jlm n}s q{tq`sk }` tkm{ok }fk jlvnk}~ `i}fk qj}nkl} jlm }` gjnl o``qktj}n`l,
?, Qtkqjtk }fk hj}ktnjes lkkmkm }` sjyk }nhk jlm klktg~ m{tnlg }fk `v~gkljmhnlns}tj}n`l,
=, Wjsf fjlms/fjlm f~gnklk }` tkm{ok }fk }tjlshnssn`l `i hnot``tgjlnshs,;, Ni {snlg f{hnmn}~% inee f{hnmninkt }` inee enlk wn}f mns}neekm wj}kt jlm oe`sk o`l}jnlkt }`
qtkykl} mt~nlg `i qj}nkl}s jntwj~ jlm }fnls jl~ skotk}n`ls,
9, J}}jof f{hnmninkt }` `v~gkl ie`w hk}kt }` jee`w }fk `v~gkl }` qjss }ft`{gf }fkwj}kt jlm dko`hk f{hnmninkm,
7,
J}}jof }fk `v~gkl }{dnlg jlm ljsje ojll{ej }` }fk ie`w hk}kt jlm }{tl n} `l}` }fkqtksotndkm ie`w tj}k &? eqh., Tj}ks jd`yk 9 en}kts qkt hnl{}k jtk l`} kiinojon`{s jlm
ojl mt~ }fk ljsje h{o`sj,
6, Ofkob i`t d{ddenlg nl }fk f{hnmninkt, N} kls{tks qt`qkt i{lo}n`lnlg,>, Ikke i`t jnt it`h }fk qt`lgs }` ofkob i`t qj}klo~ `i }fk }{dnlg,
http://en.wikipedia.org/wiki/Nostrilhttp://en.wikipedia.org/wiki/Flowmeterhttp://en.wikipedia.org/wiki/Flowmeterhttp://en.wikipedia.org/wiki/Nostril -
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:1,Qejok }fk ljsje qt`lgs nl }fk qj}nkl}s l`s}tnes, _ko{tk }fk ojll{ej nl qejok d~jmc{s}nlg }fk }{dnlg jt`{lm }fk qj}nkl}s kjt jlm {snlg }fk senq tnlg }` s}jdnenk n}
{lmkt }fk qj}nkl}s ofnl, ]` bkkqs }fk mkenykt~ s~s}kh nl qejok s` }fj} }fk qj}nkl}
tkoknyks }fk jh`{l} `i `v~gkl `tmktkm,
::,Q`sn}n`l }fk qj}nkl} nl Fngf I`wekts Q`sn}n`l }` qt`h`}k e{lg kvqjlsn`l }fktkd~qt`h`}nlg v~gklj}n`l,
:4,Kls{tk qj}kl} jntwj~ jlm ofkob i`t qt`qkt ie`w tj}k kykt~ : f`{t }` hjbk s{tk }fj}}fk qj}nkl} ns tkoknynlg qt`qkt jh`{l} `i `v~gkl lkkmkm,
:?,Jsskss qj}nkl}s l`s}tne kykt~ 6 f`{ts, Ni }fk qj}nkl} o`hqejnls `i mt~lkss `t fjssngls `i nttn}j}n`l% {sk s}ktnek e{dtnojl} }` bkkq h{o`{s hkhdtjlk h`ns}, Ofkob
f{hnmninkt ni l`} jetkjm~ nl qejok, Mt~ hkhdtjlks jtk h`tk qt`lk }` dtkjbm`wl d~
itno}n`ls `t qtkss{tk it`h ljsje ojll{ej,
:=,H`ln}`t yn}je sngls% `v~gkl sj}{tj}n`l% jlm qj}nkl}s o`lmn}n`l kykt~ `lk f`{t, N}mk}ko}s jl~ {l}`wjtm kiiko}s it`h }fktjq~,
:;,Wkjl qj}nkl} it`h `v~gkl js s``l js q`ssndek {snlg s}jlmjtm qt`}`o`e, @v~gkl nsl`} wn}f`{} snmk kiiko}s jlm sf`{em dk {skm `le~ js e`lg js lkkmkm, Qt`dekhs wn}f
tknhd{tskhkl} hj~ mkyke`q ni otn}ktnj i`t }fktjq~ jtk l`} hk},
:9,M`o{hkl} }fk qt`okm{tk i`t ekgje q{tq`sks,
Nl}jbk jlm @{}q{} H`ln}`tnlg
Nl}jbk,Nl}jbk ns jl~ hkjs{tjdek ie{nm }fj} g`ks nl}` }fk qj}nkl}'s d`m~, Nl}jbk
nloe{mks ie{nms &s{of js wj}kt% s`{q% jlm it{n} c{nok. jlm $s`enms$ o`hq`skm qtnhjtne~ `i
enz{nms &s{of js nok otkjh jlm gkej}nl. }fj} jtk }jbkl d~ h`{}f &`tjee~.% ie{nms }fj} jtk
nl}t`m{okm d~ NY% jlm ie{nms }fj} jtk nl}t`m{okm d~ nttngj}n`l &}ft`{gf j }{dk.,
@{}q{},@{}q{} ns jl~ hkjs{tjdek ie{nm }fj} o`hks it`h }fk d`m~, Wj}kt gnykl `ii nl}fk i`th `i qktsqntj}n`l jlm wj}kt yjq`t &kvfjekm dtkj}f. ns jes` `{}q{}% d{} n} ns l`}
tko`tmkm `l }fk qj}nkl}s ofjt}% snlok n} ojll`} dk joo{tj}ke~ hkjs{tkm, &Jl jm{e} {s{jee~
e``sks jd`{} ;11 hneenen}kts &he. j mj~ }ft`{gf qktsqntj}n`l jlm h`ns}{tk kvfjekm nl
dtkj}fnlg,. ]fk hjc`t i`ths `i `{}q{} tko`tmkm `l }fk w`tbsfkk} jtk {tnlk% mtjnljgk%
y`hn}{s &hj}}kt y`hn}km.% jlm s}``es &ikoje mnsofjtgk it`h }fk d`wkes.,
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Q{tq`sk3
]fns ns m`lk }` `{t qj}nkl} }` jsskss joo{tj}ke~ jlm z{jl}n}j}nyke~ fns nl}jbk jlm
`{}q{},
L{tsnlg Tksq`lsndnen}nks3
:, Yktni~ m`o}`ts `tmkt }` o`linth }fk qt`okm{tk }` dk m`lk }` }fk qj}nkl},4, Tk(khqfjsnk }fk qt`okm{tk jlm n}s q{tq`sks }` }fk qj}nkl} jlm wj}ofkt }` gjnl
o`hqenjlok,
?, Qt`ynmk jl joo{tj}k ojendtj}km gejss }` }fk qj}nkl} jlm wj}ofkt i`t `tje ie{nm nl}jbk%jlm nls}t{o} `l f`w }` {sk n} }` fjyk joo{tj}k hkjs{tkhkl} i t }fk qj}nkl}s ie{nm
nl}jbk,
=, Qt`ynmk jl khq}~ NY d`}}ek }` qj}nkl} i`t {tnlk `{}q{} hkjs{tkhkl} }` h`ln}`tjoo{tj}ke~ }fk qj}nkl}s {tnlk `{}q{},
;, Nls}t{o} wj}ofkt }` tko`tm jee }fk ie{nms }jbkl d~ }fk qj}nkl} js wkee js }fk qj}nkl}s{tnlk `{}q{} &qt`ynmk j l`}kd``b jlm djeeqkl. i`t qt`qkt h`ln}`tnlg `i qj}nkl}s
`tje nl}jbk jlm {tnlk `{}q{},
9, M`o{hkl} jee }fk hkjs{tkhkl}s `i `tje ie{nm nl}jbk% oe~sns% jlm {tnlk `{}q{} nl }fkN) @ sfkk} joo{tj}ke~ i`t ekgje q{tq`sks,
7, Tko`tm jlm l`}ni~ qf~snonjl i`t l`}nokjdek je}ktj}n`ls nl {tnlk `{}q{} s{of js }fko`e`t% jh`{l} jlm itkz{klo~ }` fjyk nhhkmnj}k jo}n`l jlm qtkykl} i{t}fkt
o`hqenoj}n`ls,
Mnk} ]fktjq~
Mnk} }fktjq~ ns jl kiiko}nyk hk}f`m `i fkjenlg% ksqkonjee~ wfkl {}nenkm js jo`hqekhkl}jt~ hk}f`m `i ojtk, Mnk} }fktjq~ ns {skm i`t qk`qek wf` jtk }t~nlg }` nlotkjsk
`t mkotkjsk }fknt d`m~ wkngf}% fjyk j sklsn}nyk mngks}n`l s~s}kh }fj} hj~ dk qt`lk }`
jeektgnks% wf` hj~ l`} dk jdek }` mngks} okt}jnl i``ms% jtk }t~nlg }` qt`m{ok sqkonino kiiko}s
nl }fknt d`m~ &enbk tkg{ej}nlg de``m s{gjt.% `t jtk }t~nlg }` `ykto`hk yn}jhnl `t hnlktje
mkinonklonks,
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Mnk} js }`ektj}km kvokq} mjtb o`e`tkm i``ms
L{tsnlg Tksq`lsndnen}nks3
:, Yktni~ m`o}`ts `tmkt jlm nmkl}ni~ }fk qj}nkl} }` qtkykl} ktt`ts nl gnynlg sqkonje mnk},
4, Tk(khqfjsnk }fk q{tq`sk `i }fk mnk} }` }fk qj}nkl} }` gjnl o``qktj}n`l,
?, Nlmnoj}k fkt mnk} nl }fk mnk} ens} `t tkikt }` }fk mnk}n}njl i`t qt`qkt nls}t{o}n`l `i }fk mnk}
}` dk s{tk }fj} }fk qj}nkl} ns sktykm wn}f fkt qtksotndkm mnk},
=, H`ln}`t }fk qj}nkl} ni sfk ns kj}nlg }fk qtksotndkm mnk} }` kls{tk }fj} }fk qj}nkl} ns
o`hqe~nlg wn}f }fk qtksotndkm mnk},
;, Qt`ynmk hkjes/i``ms sktykm j}}tjo}nyke~ jlm klo`{tjgk }fk snglninojl} `}fkts }` {sk
yjtnk}~ `i iejy`tnlg }` klfjlok fkt jqqk}n}k `t nhqt`yk }fk }js}k `i }fk i``m jlm klo`{tjgk
}fk qj}nkl} }` jookq} }fk mnk},
:1, M`o{hkl} }fk }~qk `i mnk} nlmnoj}km i`t }fk qj}nkl} nl }fk l{tsks l`}ks i`t ekgje
q{tq`sks,
Mt{g _}{m~
Mt{g Ljhk3 Qjtjok}jh`e &Dn`gksno.
Oejssninoj}n`l3 jljegksno
M`sjgk% T`{}k% Itkz{klo~3 : }jdek} Q@ kykt~ i`{t f`{ts
Jmyktsk kiiko}s3 GN mnso`hi`t}% lj{skj% mnnlkss% y`hn}nlg
L{tsnlg tksq`lsndnen}nks3
Ofkob }fj} }fk qj}nkl} ns l`} }jbnlg jl~ `}fkt hkmnoj}n`l o`l}jnlnlg qjtjok}jh`e, I`t ofnemtkl wf` hj~ tki{sk hkmnonlk `ii j sq``l }t~ {snlg j hkmnonlk s~tnlgk }` sz{nt}
enz{nm se`we~ nl}` }fk snmk `i }fk ofnem's h`{}f `t {sk s`e{dek qjtjok}jh`e hnvkm wn}f j
mtnlb,
_`hk ofnemtkl hj~ dk fjqq~ }` }jbk `lk qjtjok}jh`e qt`m{o} d{} mnsenbk }fk }js}k `ijl`}fkt,
]fktk jtk l` bl`wl fjthi{e kiiko}s wfkl {skm m{tnlg qtkgljlo~,
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_hjee jh`{l}s hj~ qjss nl}` dtkjs} hneb, F`wkykt% }fktk jtk l` bl`wl fjthi{e kiiko}swfkl {skm d~ dtkjs}ikkmnlg h`}fkts,
Jeo`f`e nlotkjsks }fk tnsb `i enykt mjhjgk }fj} ojl `oo{t ni jl `yktm`sk `i qjtjok}jh`ens }jbkl, ]fk fjjtms `i qjtjok}jh`e `yktm`sk jtk gtkj}kt nl qktsns}kl} fkjy~ mtnlbkts
jlm nl qk`qek wn}f jeo`f`eno enykt mnskjsk,
Kyje{j}k }fktjqk{}no tksq`lsk,
Mt{g Ljhk3 Oki{t`vnhk s`mn{h
Oejssninoj}n`l3 jl}ndn`}no% jl}nnliko}nyk &okqfje`sq`tnl.
M`sjgk% T`{}k% Itkz{klo~3 7;1gh NH @M
Jmyktsk kiiko}s3
L{tsnlg tksq`lsndnen}nks3
Mk}kthnlk fns}`t~ `i f~qktsklsn}nyn}~ tkjo}n`ls }` okqfje`sq`tnls% qklnoneenls% jlmfns}`t~ `i jeektgnks% qjt}no{ejte~ }` mt{gs% dki`tk }fktjq~ ns nln}nj}km,
Nlsqko} NH jlm NY nlcko}n`l sn}ks itkz{kl}e~ i`t sngls `i qfekdn}ns, Tkq`t} `lsk} `i e``sk s}``es `t mnjttfkj, Je}f`{gf qsk{m`hkhdtjl`{s o`en}ns, H`ln}`t N)@ tj}ks jlm qj}}ktl3 Ksqkonjee~ nhq`t}jl} nl skyktke~ nee qj}nkl}s
tkoknynlg fngf m`sks, Tkq`t} jl~ snglninojl} ofjlgks,
Mt{g Ljhk3 Q`}jssn{h ofe`tnmk &Bjen{h m{t{ek.
Oejssninoj}n`l3 Q`}jssn{h tkqejokhkl} mt{g
M`sjgk% T`{}k% Itkz{klo~3 : }jdek} Q@ ]NM
Jmyktsk kiiko}s3 GN mnso`hi`t}% lj{skj% gjs y`hn}nlg
L{tsnlg tksq`lsndnen}nks3
Wj}of `{} i`t ekykes `i q`}jssn{h keko}t`e~}k ekyke }` qtkykl} f~qktbjekhnj, @dsktyk :1 tngf}s `i gnynlg hkmnoj}n`l,Wj}of `{} i`t q`ssndek jmyktsk tkjo}n`l `i }fk qj}nkl},
Mt{g Ljhk3 Iktt`{s s{eij}k
Oejssninoj}n`l3 Nt`l s{qqekhkl}
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M`sjgk% T`{}k% Itkz{klo~3 : }jdek} Q@ @M
Jmyktsk kiiko}s3 lj{skj% kqngjs}tno qjnl% y`hn}nlg% o`ls}nqj}n`l% mnjttfkj% dejob s}``es%
jl`tkvnj
L{tsnlg tksq`lsndnen}nks3
@d}jnl djskenlk jssksshkl} `i qj}nkl}s nt`l mkinonklo~ dki`tk s}jt}nlg }fktjq~, Kyje{j}k fkh`ge`dnl% fkhj}`otn}% jlm tk}no{e`o~}k o`{l} m{tnlg }fktjq~, Dk jekt} i`t jmyktsk tkjo}n`ls jlm mt{g nl}ktjo}n`ls, Jsskss qj}nkl}s jlm ijhne~s bl`wekmgk `i mt{g }fktjq~,L[T_NLG OJTK HJLJGKHKL]
L{tsnlg Mnjgl`sns
Nlkiiko}nyk }nss{k qkti{sn`l tkej}km }` mkotkjskm fkh`ge`dnl o`lokl}tj}n`l nl }fk
de``m js hjlniks}km d~ mkotkjskm WDO% qej}kek} jlm fkh`ge`dnl o`{l} jlm mkotkjskm
ojqneejt~ tkinee }nhk,
L{tsnlg G`je
Ji}kt ? f`{ts `i tklmktnlg l{tsnlg nl}ktykl}n`ls }fk qj}nkl} wnee jdek }`
mkh`ls}tj}k dkfjyn`ts }` nhqt`yk onto{ej}n`l js hjlniks}km d~ l`thje ekyke `i WDO%
qej}kek} jlm fkh`ge`dnl o`{l},
L{tsnlg Nl}ktykl}n`l
:, H`ln}`t yn}je sngls kykt~ ?1 hnl{}ks }` `d}jnl djskenlk mj}j,4, Jsskss qj}nkl} o`lmn}n`l }` jsskss o`l}tnd{}nlg ijo}`ts,?, L`}k qtksklok `i dekkmnlg }` mk}kthnlk tnsb i`t jlkhnj,=, Klo`{tjgk z{nk} jlm tks}i{e j}h`sqfktk }` qt`h`}k o`hi`t} jlm mkotkjsk }nss{k
`v~gkl mkhjlm,
;, Nls}t{o} }` jy`nm }ntnlg jo}nyn}nks }` mkotkjsk ojtmnjo w`tb e`jm,9, Jmhnlns}kt hkmnoj}n`ls }` }tkj} {lmkte~nlg oj{sk,
L{tsnlg Kyje{j}n`l
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Ji}kt ? f`{ts `i tklmktnlg l{tsnlg nl}ktykl}n`ls }fk qj}nkl} wjs jdek }`
mkh`ls}tj}k dkfjyn`ts }` nhqt`yk onto{ej}n`l js hjlniks}km d~ l`thje ekyke `i WDO%
qej}kek} jlm fkh`ge`dnl o`{l},
L{tsnlg Mnjgl`sns
F~qkt}fkthnj tkej}km }` nlotkjskm hk}jd`eno tj}k js kynmklokm d~ nlotkjskm nl d`m~
}khqktj}{tk fngfkt }fjl l`thje tjlgk% ie{sfkm sbnl jlm wjth }` }`{of,
L{tsnlg G`je
Ji}kt ? f`{ts `i tklmktnlg l{tsnlg nl}ktykl}n`ls }fk qj}nkl}s }khqktj}{tk wnee
mkotkjsk nl}` l`thje tjlgk &?9,= ?7,9 `O.% jdsklok `i ie{sfkm sbnl% swkj}nlg jlm l`
e`lgkt wjth }` }`{of,
L{tsnlg Nl}ktykl}n`ls
:, H`ln}`t y/s }` `d}jnl djskenlk mj}j,4, Qt`ynmk }kqnm sq`lgk dj}f kykt~ :; hnl{}ks jlm jqqe~ e`oje nok qjobs nl jvneej }`
tkm{ok d`m~ }khqktj}{tk,
?, Nls}t{o} oenkl} }` fjyk dkm tks} }` tkm{ok hk}jd`eno mkhjlm,=, Jmhnlns}kt jl}nq~tk}nos }` tks}`tk l`thje d`m~ }khqktj}{tk,;, Tkjsskss }khqktj}{tk kykt~ :; hnl{}ks }` mk}kthnlk kiiko}nyklkss `i nl}ktykl}n`ls
m`lk,
L{tsnlg Kyje{j}n`l
Ji}kt ? f`{ts `i tklmktnlg l{tsnlg nl}ktykl}n`ls }fk qj}nkl}s }khqktj}{tkmkotkjskm nl}` l`thje tjlgk &?9,> `O.% jdsklok `i ie{sfkm sbnl% swkj}nlg jlm l` e`lgkt
wjth }` }`{of,
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L{tsnlg Mnjgl`sns
Mkinonkl} Ie{nm Y`e{hk3 ekss }fjl d`m~ tkz{ntkhkl}s tkej}km }` nlotkjskm ojqneejt~
qkthkjdnen}~% y`hn}nlg jlm ikykt js hjlniks}km d~ s{mmkl wkngf} e`ss% wkjblkss% jlm q``t
sbnl }{tg`t,
L{tsnlg G`je
Ji}kt ? f`{ts `i tklmktnlg l{tsnlg nl}ktykl}n`l }fk qj}nkl}s d`m~ ie{nm y`e{hk wnee
dk tk}{tlkm }` l`thje js hjlniks}km d~ wkngf} gjnl% l`thje sbnl }{tg`t jlm jetkjm~ ike} j
en}}ek s}t`lgkt,
L{tsnlg Nl}ktykl}n`ls
:, Qt`ynmk jmkz{j}k f~mtj}n`l joo`tmnlg }` }fk lkkms `i }fk d`m~,4, Jmhnlns}kt/h`ln}`t NY ie{nms jlm keko}t`e~}ks js nlmnoj}km }` o`ttko} ie{nm jlm
keko}t`e~}k nhdjejloks jlm }` qtkykl} ojtmnjo m~stf~}fhnjs,
?, Nls}t{o} oenkl} }` nlotkjsk `tje ie{nm nl}jbk }` qtkykl} mkf~mtj}n`l,=, @dsktyj}n`l jlm tko`tmnlg `i nl}jbk jlm `{}q{} }` h`ln}`t nhqt`ykhkl}s `i }fk
qj}nkl}s ie{nm y`e{hk,
;, H`ln}`t ejd`tj}`t~ yje{ks s{of js keko}t`e~}k/de``m% {tnlk sqkonino gtjyn}~ }` ofkobjl nhqt`ykhkl} nl ie{nm y`e{hk, ]fk e`wkt }fk sqkonino gtjyn}~ `i }fk {tnlk% }fk
h`tk ns }fk d`m~ ie{nm,
L{tsnlg Kyje{j}n`l
Ji}kt ? f`{ts `i tklmktnlg l{tsnlg nl}ktykl}n`l }fk qj}nkl}s d`m~ ie{nm y`e{hk wjs
dk jdek }` tk}{tl }` l`thje js hjlniks}km d~ wkngf} gjnl% l`thje sbnl }{tg`t jlm jetkjm~
ike} j en}}ek s}t`lgkt,