SILENT RISK PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download SILENT RISK PDF full book. Access full book title SILENT RISK by Jason H. Collins, MD, MSCR. Download full books in PDF and EPUB format.
Author: Jason H. Collins, MD, MSCR
Publisher: Xlibris Corporation
ISBN: 1493114638
Category : Medical
Languages : en
Pages : 116
Get Book Here
Book Description
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.
Author: Jason H. Collins, MD, MSCR
Publisher: Xlibris Corporation
ISBN: 1493114638
Category : Medical
Languages : en
Pages : 116
Get Book Here
Book Description
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.
Author: Neil Cowan
Publisher: Global Professional Publishi
ISBN: 9781845163624
Category : Business & Economics
Languages : en
Pages : 204
Get Book Here
Book Description
"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.
Author: K. H. Spencer Pickett
Publisher: John Wiley & Sons
ISBN: 047174008X
Category : Business & Economics
Languages : en
Pages : 287
Get Book Here
Book Description
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.
Author: Terry Kirsten Strom
Publisher: Simon and Schuster
ISBN: 074321899X
Category : Medical
Languages : en
Pages : 292
Get Book Here
Book Description
Millions of Americans follow the "best" medical advice every day to prevent heart attacks -- eating the standard low-fat, high-carbohydrate diet so widely recommended by doctors -- but in fact they are placing themselves at greater risk for heart disease. In Syndrome X: Overcoming the Silent Killer That Can Give You a Heart Attack, Dr. Gerald Reaven, the world-renowned physician who identified and named this silent killer, explains why the standard heart-healthy diet can be dangerous and lays out a simple six-step program to reduce the risk of heart disease for everyone. The problem stems from a little-known cluster of metabolic abnormalities known as Syndrome X. The insulin resistance that lies at the heart of the syndrome can turn normal rules of good health upside down and dramatically increase the risk of heart disease. Fortunately, Syndrome X can be cured. This important book explains how to identify the disorder and provides a program of diet and exercise (plus medication when necessary) that can render Syndrome X harmless. Tested in carefully controlled research settings and in practice, this remarkable new approach has the ability to reduce the risk of heart attacks and heart disease for all of us. Dr. Reaven shows how eating a diet relatively high in "good" fats (40 percent of calories) can dramatically lower the risk of heart disease if you have Syndrome X. The approach seems paradoxical: Everyone "knows" that fat is bad, so how can more fat possibly lead to better health? The answer lies in the type of fat and the body chemistry of the people who consume it. If you have the abnormal metabolism called Syndrome X, eating a low-fat, high-carbohydrate diet to lower your LDL and blood fats won't protect you. In fact, doing so will increase the odds of heart disease. Millions of Americans have the potentially deadly, yet easily identifiable signs of Syndrome X -- but few cases are detected in time, because most physicians don't know what to look for. This trailblazing book will change that, making doctors and patients aware of the problem -- and its easy solution, an integrated program of diet and exercise that simultaneously reduces all the risk factors for heart disease, including Syndrome X. Dr. Reaven's discovery of Syndrome X has shown us that the standard approach to preventing heart disease is dangerous for many of us. Now, his safe, proven new approach explains how millions can drastically reduce their risk of heart disease. His program works not only for those who have Syndrome X, but also for anyone who simply wants to reduce the risk of heart disease.
Author: Deborah Sharpley
Publisher: College of Law Publishing
ISBN: 1912363542
Category : Law
Languages : en
Pages : 840
Get Book Here
Book Description
Criminal Litigation: Practice and Procedure provides a thorough and practical guide to all areas of the law and practice with which the aspiring criminal litigator needs to be familiar. Written with the LPC in mind, this book is suitable for both the core module of Criminal Litigation and the Advanced Criminal Practice option.
Author: Lesley Walls
Publisher: CRC Press
ISBN: 1315349167
Category : Technology & Engineering
Languages : en
Pages : 4767
Get Book Here
Book Description
The safe and reliable performance of many systems with which we interact daily has been achieved through the analysis and management of risk. From complex infrastructures to consumer durables, from engineering systems and technologies used in transportation, health, energy, chemical, oil, gas, aerospace, maritime, defence and other sectors, the management of risk during design, manufacture, operation and decommissioning is vital. Methods and models to support risk-informed decision-making are well established but are continually challenged by technology innovations, increasing interdependencies, and changes in societal expectations. Risk, Reliability and Safety contains papers describing innovations in theory and practice contributed to the scientific programme of the European Safety and Reliability conference (ESREL 2016), held at the University of Strathclyde in Glasgow, Scotland (25—29 September 2016). Authors include scientists, academics, practitioners, regulators and other key individuals with expertise and experience relevant to specific areas. Papers include domain specific applications as well as general modelling methods. Papers cover evaluation of contemporary solutions, exploration of future challenges, and exposition of concepts, methods and processes. Topics include human factors, occupational health and safety, dynamic and systems reliability modelling, maintenance optimisation, uncertainty analysis, resilience assessment, risk and crisis management.
Author: Lajpat Ray Chandnani
Publisher: Notion Press
ISBN: 1946556963
Category : Reference
Languages : en
Pages : 850
Get Book Here
Book Description
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.
Author: Jagendra Rana
Publisher: Blue Rose Publishers
ISBN:
Category : Education
Languages : en
Pages : 432
Get Book Here
Book Description
Property and casualty insurance is a smart investment that can help you and your family in the event of an unforeseen accident in your home or on your property. Fire insurance in India is a critical component of risk management for businesses and property owners, providing financial protection against damages caused by fire-related incidents. Property insurance is a type of P&C insurance coverage that makes the insured whole in relation to losses and damages to personal or business property, such as a home, car, or office. Property insurance also provides a safeguard from significant monetary loss if an event occurs with physical damage, injury, or loss of living expenses. P&C insurance can help individuals and businesses manage the financial risks associated with owning property and engaging in activities that have the potential to cause harm to others. It can provide peace of mind and help ensure that policyholders have the financial resources they need to recover from unexpected losses.
Author: Michael Mentis
Publisher: Ethics International Press
ISBN: 180441624X
Category : Business & Economics
Languages : en
Pages : 239
Get Book Here
Book Description
This book supposes you want to plan and complete a ‘project’. Why might you fail? What can you do to reduce the chances of failure? This book looks at where projects fail, the causes, and what measures can limit failure. Failures and the reasons for them are examined. Areas discussed include unclear objectives; evaluating alternatives; the planning fallacy; misperception of the nature of risk; devising risk appetite; overly narrow risk assessment and identification; undervaluing natural capital; lack of stakeholder engagement; unclear responsibility assignment; and conflicting interests. Machiavellianism can make things happen when they shouldn’t, or obstruct them when they should happen. The book concludes with a concise one-page risk management guide. As well as pulling together and summarising relevant literature sources, the author draws on more than fifty years’ experience in small and large-scale project management including water supply, biodiversity and environmental management, and work with the extractive industries.
Author: James R. Barth
Publisher: MIT Press
ISBN: 0262526840
Category : Business & Economics
Languages : en
Pages : 295
Get Book Here
Book Description
How the unaccountable, unmonitorable, and unchecked actions of regulators precipitated the global financial crisis; and how to reform the system. The recent financial crisis was an accident, a “perfect storm” fueled by an unforeseeable confluence of events that unfortunately combined to bring down the global financial systems. Or at least this is the story told and retold by a chorus of luminaries that includes Timothy Geithner, Henry Paulson, Robert Rubin, Ben Bernanke, and Alan Greenspan. In Guardians of Finance, economists James Barth, Gerard Caprio, and Ross Levine argue that the financial meltdown of 2007 to 2009 was no accident; it was negligent homicide. They show that senior regulatory officials around the world knew or should have known that their policies were destabilizing the global financial system and yet chose not to act until the crisis had fully emerged. Barth, Caprio, and Levine propose a reform to counter this systemic failure: the establishment of a “Sentinel” to provide an informed, expert, and independent assessment of financial regulation. Its sole power would be to demand information and to evaluate it from the perspective of the public—rather than that of the financial industry, the regulators, or politicians.
