Allen McCowan. February 15, 1890. -- Committed to the Committee of the Whole House and Ordered to be Printed PDF Download
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Author: United States. Congress. House. Committee on Invalid Pensions
Publisher:
ISBN:
Category :
Languages : en
Pages : 1
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Author: United States. Congress. House. Committee on Invalid Pensions
Publisher:
ISBN:
Category :
Languages : en
Pages : 1
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Category : Electronic journals
Languages : en
Pages : 362
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Author: Uni States Office of Indian Affairs
Publisher: Legare Street Press
ISBN: 9781018971131
Category :
Languages : en
Pages : 0
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This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
Author: United States. Department of Agriculture
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ISBN:
Category : Agriculture
Languages : en
Pages : 782
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Category : Building
Languages : en
Pages : 862
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Category : Building
Languages : en
Pages : 448
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Category :
Languages : en
Pages : 94
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Author: Jason H. Collins, MD, MSCR
Publisher: Xlibris Corporation
ISBN: 1493114638
Category : Medical
Languages : en
Pages : 116
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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: State Bar of Nevada. Nevada Jury Instructions--Civil Subcommittee
Publisher:
ISBN: 9780615436821
Category : Jury instructions
Languages : en
Pages : 542
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Author: United States. National Archives and Records Service
Publisher:
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Category : Archives
Languages : en
Pages : 320
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