SAR HS 300 Lecture Notes - Lecture 2: Glucose Tolerance Test, Newborn Screening, Scoliosis

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Point of p. h: primary prevention of disease is the best approach. If you cannot prevent then next step: early detection in the pre-symptomatic stage (secondary prevention) Screening is secondary prevention for morbidity and mortality. Screen population which is at a slightly higher risk. Screening represents a basic change of medical practice from a focus on small number of ill individuals to targeting large numbers of asymptomatic individuals. Primary: remove or avoid a risk factor before the disease develops. Secondary: detect disease in pre-symptomatic stage (e. g. mammogram) Infants: newborn screening: multiphasic (2 or more screening tests, at 9 months: lead screening, newborn screening includes hypothyroidism and pku. 48-72 hours to wait before newborns are tested for metabolic test (guthrie cards used) A test or series of tests in which an individual submits to determine whether enough evidence of a disease exists to warrant further diagnostic examination. Not a diagnostic test: diagnostic confirmation is required after further examination.

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