Silent Risk

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Silent Risk

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Author : Jason H. Collins, MD, MSCR
language : en
Publisher: Xlibris Corporation
Release Date : 2014-07-02

Silent Risk written by Jason H. Collins, MD, MSCR and has been published by Xlibris Corporation this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-02 with Medical categories.

With an estimated 8,000 deaths per year in the United States from complications of UCA, an initial goal of 50% reduction of loss is possible. To achieve this goal requires the recognition by the obstetrical community of the issue. Recent research into circadian rhythms may help explain why UCA stillbirth is an event between 2:00 a.m. and 4:00 a.m. Melatonin has been described as stimulating uterine contractions through the M2 receptor. Melatonin secretion from the pineal gland begins around 10:00 p.m. and peaks to 60 pg at 3:00 a.m. Serum levels decline to below 10 pg by 6:00 a.m. Uterine stimulation intensifies during maternal sleep, which can be overwhelming to a compromised fetus, especially one experiencing intermittent umbilical cord compression due to UCA. It is now time for the focus to be on screening for UCA, managing UCA prenatally, and delivery of the baby in distress defined by the American College of Obstetricians and Gynecologists as a heart rate of 90 beats per minute for 1 minute on a recorded nonstress test. The ability of ultrasound and magnetic resonance imaging (MRI) to visualize UCA is well documented. The 18-20 week ultrasound review should include the umbilical cord, its characteristics, and description of its placental and fetal attachment. Bettye Wilson, MEd, R.T.(R)(CT), RDMS, FASRT Fellow of The American Society of Radiologic Technologist recommended in RADIOLOGIC TECHNOLOGY March/April 2008, Vol. 79/No. 4 pg 333S-345S That an umbilical cord evaluation with sonography should include the appearance, composition, location, and size (and length) of the cord. In addition: Abnormal Insertion (in the placenta and fetus) Vasa Previa Abnormal composition (single umbilical artery) Cysts, Masses Hematoma Umbilical Cord Thrombosis Coiling (helices), collapse, knotting and prolapsed (funic presentation) Cord Events: Although many stillbirths are attributed to a cord accident, this diagnosis should be made with caution. Cord abnormalities, including a Nuchal Cord, are found in approximately 30% of normal births and may be an incidental finding. (American College of Obstetrics and Gynecology Practice Bulletin 2009) According to NICHD's recent stillbirth study, UCA is a significant cause of mortality (10%). This finding is in agreement with other international UCA studies. (Bukowski et al. 2011) These histologic criteria identify cases of cord accident as a cause of stillbirth with very high specificity. (Dilated fetal vessels, thrombosis in fetal vessels, avascular placental villi.) (Pediatr Dev Pathol 2012) Finally, defining the morbidity (injury) of cord compression, such as fetal neurologic injury or heart injury identified with umbilical cord blood troponin T levels or pulmonary injury, is the next major area of investigation.

Risk Seals Of Shadow Force Romantic Suspense Series Book 7

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Author : Misty Evans
language : en
Publisher: Beach Path Publishing, LLC.
Release Date : 2022-01-14

Risk Seals Of Shadow Force Romantic Suspense Series Book 7 written by Misty Evans and has been published by Beach Path Publishing, LLC. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-01-14 with Fiction categories.

Danger stalks Jena… Past mistakes haunt Noah. When a stalker comes after her, will Noah be able to put the past behind him and keep her safe? Princess of pop, Jenavieve DuMont, knows better than to get close to a fan, but when she needs help protecting a prized show horse for her grandfather—as well as tracking down a missing portfolio of her latest songs—there’s only one man she can call on…her biggest fan ever. Former SEAL Noah Pierce has been in love with his best friend’s little sister since Jena stole his heart when they were just kids. He thought the two of them had it all until she refused to marry him once she hit the big time. All these years later, his heart is still a wreck, but Jena needs him. He can’t say no. Once he lands in Tennessee, Noah realizes the horse isn’t the only one in need of protection. When a stalker draws near, Jena loses more than her songs. A killer goes after those closest to her and will stop at nothing in order to ruin her life.

Risk Analysis And Evaluation

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Author : Neil Cowan
language : en
Publisher: Global Professional Publishi
Release Date : 2005

Risk Analysis And Evaluation written by Neil Cowan and has been published by Global Professional Publishi this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Business & Economics categories.

"This book is about risk - that is those risks that affect an organisation in its everyday dealings with the world. Unlike many books on risk it is not solely an exercise in quantitative analysis but also seeks to examine the whole range of risks that face an organisation."--BOOK JACKET.

Silent Risk

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Author : Jason H. Collins, MD, MSCR
language : en
Publisher: Xlibris Corporation
Release Date : 2014-06-30

Silent Risk written by Jason H. Collins, MD, MSCR and has been published by Xlibris Corporation this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-06-30 with Medical categories.

W ith an estimated 8,000 deaths per year in the United States from complications of UCA, an initial goal of 50% reduction of loss is possible. To achieve this goal requires the recognition by the obstetrical community of the issue. Recent research into circadian rhythms may help explain why UCA stillbirth is an event between 2:00 a.m. and 4:00 a.m. Melatonin has been described as stimulating uterine contractions through the M2 receptor. Melatonin secretion from the pineal gland begins around 10:00 p.m. and peaks to 60 pg at 3:00 a.m. Serum levels decline to below 10 pg by 6:00 a.m. Uterine stimulation intensifies during maternal sleep, which can be overwhelming to a compromised fetus, especially one experiencing intermittent umbilical cord compression due to UCA. It is now time for the focus to be on screening for UCA, managing UCA prenatally, and delivery of the baby in distress defined by the American College of Obstetricians and Gynecologists as a heart rate of 90 beats per minute for 1 minute on a recorded nonstress test. the ability of ultrasound and magnetic resonance imaging (MRI) to visualize UCA is well documented. the 18-20 week ultrasound review should include the umbilical cord, its characteristics, and description of its placental and fetal attachment. Bettye Wilson, MEd, R.T.(R)(CT), RDMS, FASRT Fellow of the American Society of Radiologic Technologist recommended in RADIOLOGIC TECHNOLOGY March/April 2008, Vol. 79/No. 4 pg 333S-345S That an umbilical cord evaluation with sonography should include the appearance, composition, location, and size (and length) of the cord. In addition: Abnormal Insertion (in the placenta and fetus) Vasa Previa Abnormal composition (single umbilical artery) Cysts, Masses Hematoma Umbilical Cord Thrombosis Coiling (helices), collapse, knotting and prolapsed (funic presentation) Cord Events: Although many stillbirths are attributed to a cord accident, this diagnosis should be made with caution. Cord abnormalities, including a Nuchal Cord, are found in approximately 30% of normal births and may be an incidental finding. (American College of Obstetrics and Gynecology Practice Bulletin 2009) According to NICHD's recent stillbirth study, UCA is a significant cause of mortality (10%). This finding is in agreement with other international UCA studies. (Bukowski et al. 2011) These histologic criteria identify cases of cord accident as a cause of stillbirth with very high specificity. (Dilated fetal vessels, thrombosis in fetal vessels, avascular placental villi.) (Pediatr Dev Pathol 2012) Finally, defining the morbidity (injury) of cord compression, such as fetal neurologic injury or heart injury identified with umbilical cord blood troponin T levels or pulmonary injury, is the next major area of investigation.

Seals Of Shadow Force Romantic Suspense Series Box Set Books 1 7

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Author : Misty Evans
language : en
Publisher: Beach Path Publishing, LLC.
Release Date : 2022-01-18

Seals Of Shadow Force Romantic Suspense Series Box Set Books 1 7 written by Misty Evans and has been published by Beach Path Publishing, LLC. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-01-18 with Fiction categories.

The SEALs of Shadow Force will take you on undercover and make you risk it all. Meet the men and women that make up the Shadow Force International family! Under the supervision of Beatrice Reese, the former SEALs, spies, and tech experts risk their lives every day against terrorists, crime lords, and serial killers. Along the way, they fight to protect the ones they love and gain their happily-ever-afters. This special collection includes SEVEN fast paced, action-packed romantic suspense novels filled with alpha males, strong heroines, and sizzling romance. This collection will keep you reading late into the night, enthralled from beginning to end! Books in the SEALs of Shadow Force Series: Fatal Truth – Trace and Savanna Fatal Honor – Miles and Charlotte Fatal Courage – Jax and Ruby Fatal Love – Cal and Beatrice; Connor and Sabrina Fatal Vision – Colton and Shelby; Connor and Sabrina Fatal Thrill – Jon and Jaya Risk – Noah and Jena SEALs of Shadow Force Box Set, Books 1-7 quantity

General Insurance Reinsurance And Risk Management Glossary

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Author : Lajpat Ray Chandnani
language : en
Publisher: Notion Press
Release Date : 2017-03-14

General Insurance Reinsurance And Risk Management Glossary written by Lajpat Ray Chandnani and has been published by Notion Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-03-14 with Reference categories.

General Insurance, Reinsurance and Risk Management Glossary is designed to provide accurate and authoritative yet simplistic and understandable definitions on commonly used words, terms, concepts and abbreviations used in the Industry. It is divided into sections in alphabetical order and wherever applicable, terms are cross-referenced with other terms. This glossary is a must for: • Insurance personnel • Surveyors and other claims specialists, • Advocates, • Insurance consultants, • Financial and legal consultants, • Agents, • Brokers, • Risk managers, • Loss control managers, • Insurance authorities, • CEOs and other corporate managers, • Corporate or school, college, university and other libraries • Students of insurance, reinsurance and risk management as well Bancassurance courses • Laymen who wish to better understand their own insurance coverage.

Auditing The Risk Management Process

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Author : K. H. Spencer Pickett
language : en
Publisher: John Wiley & Sons
Release Date : 2005-07-29

Auditing The Risk Management Process written by K. H. Spencer Pickett and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005-07-29 with Business & Economics categories.

Risk management is a part of mainstream corporate life that touches all aspects of every type of organization. Auditors must focus firmly on risk: risk to the business, the executives, and the stakeholders. Auditing the Risk Management Process incorporates all the latest developments in risk management as it applies to auditors, including the new Committee of Sponsoring Organizations of the Treadway Commission (COSO) enterprise risk paper. Auditing the Risk Management Process includes original risk maps and process models developed by the author, explaining where and how topics fit within an overall audit framework, all the latest developments in risk management as it applies to auditors, and insight into how enterprise risk management affects the responsibilities of both internal and external auditors.

Silent Risk

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Author : Jason H. Mscr Collins
language : en
Publisher: Xlibris
Release Date : 2013-10

Silent Risk written by Jason H. Mscr Collins and has been published by Xlibris this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-10 with categories.

With an estimated 8,000 deaths per year in the United States from complications of UCA, an initial goal of 50% reduction of loss is possible. To achieve this goal requires the recognition by the obstetrical community of the issue. Recent research into circadian rhythms may help explain why UCA stillbirth is an event between 2:00 a.m. and 4:00 a.m. Melatonin has been described as stimulating uterine contractions through the M2 receptor. Melatonin secretion from the pineal gland begins around 10:00 p.m. and peaks to 60 pg at 3:00 a.m. Serum levels decline to below 10 pg by 6:00 a.m. Uterine stimulation intensifies during maternal sleep, which can be overwhelming to a compromised fetus, especially one experiencing intermittent umbilical cord compression due to UCA. It is now time for the focus to be on screening for UCA, managing UCA prenatally, and delivery of the baby in distress defined by the American College of Obstetricians and Gynecologists as a heart rate of 90 beats per minute for 1 minute on a recorded nonstress test. The ability of ultrasound and magnetic resonance imaging (MRI) to visualize UCA is well documented. The 18 20 week ultrasound review should include the umbilical cord, its characteristics, and description of its placental and fetal attachment. The American Association of Ultrasound Technologists has defined these parameters for umbilical cord abnormalities: B.1.4 Abnormal insertion B.1.5 Vasa previa B.1.6 Abnormal composition B.1.7 Cysts, hematomas, and masses B.1.8 Umbilical cord thrombosis B.1.9 Coiling, collapse, knotting, and prolapse B.1.10 Umbilical cord evaluation with sonography includes the appearance, composition, location, and size of the cord Cord Events: Although many stillbirths are attributed to a cord accident, this diagnosis should be made with caution. Cord abnormalities, including a Nuchal Cord, are found in approximately 30% of normal births and may be an incidental finding. (American College of Obstetrics and Gynecology Practice Bulletin 2009) According to NICHD's recent stillbirth study, UCA is a significant cause of mortality (10%). This finding is in agreement with other international UCA studies. (Bukowski et al. 2011) These histologic criteria identify cases of cord accident as a cause of stillbirth with very high specificity. (Dilated fetal vessels, thrombosis in fetal vessels, avascular placental villi.) (Pediatr Dev Pathol 2012) Finally, defining the morbidity (injury) of cord compression, such as fetal neurologic injury or heart injury identified with umbilical cord blood troponin T levels or pulmonary injury, is the next major area of investigation.

Psychology Volume Ii

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Author : Stefano Carta
language : en
Publisher: EOLSS Publications
Release Date : 2009-11-29

Psychology Volume Ii written by Stefano Carta and has been published by EOLSS Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-11-29 with categories.

Psychology theme in a set of three volumes is one of a number of many theme subjects covered by the Encyclopedia of Biological, Physiological and Health Sciences, a component of the global Encyclopedia of Life Support Systems (EOLSS), which is an integrated compendium of twenty such component Encyclopedias. The three-volume set is organized in seven main areas that try to cover essential information about such this wide and complex field of human knowledge from its neurobiological correlates, to the study of how the human mind imagines and how it produces symbols that guide human behavior, to the most advanced clinical interventions within the psychotherapeutic realm. These three volumes are aimed at the following five major target audiences: University and College Students, Educators, Professional Practitioners, Research Personnel and Policy Analysts, Managers, and Decision Makers and NGOs.

Sermons On Neglected Texts

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Author : Charles Seymour Robinson
language : en
Publisher:
Release Date : 1884

Sermons On Neglected Texts written by Charles Seymour Robinson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1884 with Presbyterian Church categories.