Silent Risk
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| Author | : Jason H. Collins MD MSCR |
| Publisher | : Xlibris Corporation |
| Total Pages | : 240 |
| Release | : 2014-07-02 |
| Genre | : Medical |
| ISBN | : 1499039093 |
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.
| Author | : Jeff Gunhus |
| Publisher | : Kensington Publishing Corporation |
| Total Pages | : 289 |
| Release | : 2019-12-31 |
| Genre | : Fiction |
| ISBN | : 1496726219 |
With more than a dozen kills under her belt, ex-Marine Mara Roberts is one of the Agency's most reliable assassins. But her latest target, a convicted traitor about to be released from prison, is different than her other marks. He's a former agent who betrayed his country. He's responsible for the death of Mara's mother. And he happens to be Mara's father. Scott Roberts knows that his daughter was sent to kill him. He realizes he has only one chance to change her mind, to convince her that he's been framed for treason, and that every member of their family are pawns to be sacrificed, one by one. Mara isn't sure she can trust her father. He is a master of manipulation, as ruthless as he is resourceful. But when her nephew is abducted, she agrees to follow Scott's lead and expose the global elites who are pulling the strings. But first, they must infiltrate the highest levels of power. Then, they must attempt the unthinkable: Kidnap the President of the United States. --
| Author | : Don Pendleton |
| Publisher | : Gold Eagle |
| Total Pages | : 189 |
| Release | : 2010-07-01 |
| Genre | : Fiction |
| ISBN | : 1426860560 |
When several German CEOs become victims in deadly accidents and their strategic companies are suddenly bought out, red flags are raised in U.S. intelligence circles. All signs indicate that the buyouts are being orchestrated by the head of a powerful cult and he's planning a terrorist attack. But getting to the cult leader and ending the threat proves to be challenging—especially when an army of zealous followers bristling with weapons are prepared to die for the cause. Mack Bolan is determined to infiltrate the group and destroy the organization before they unleash their plan of destruction. The cult leader may believe he can bring death, but there is only one Executioner.
| Author | : Misty Evans |
| Publisher | : Beach Path Publishing, LLC. |
| Total Pages | : 317 |
| Release | : 2022-01-14 |
| Genre | : Fiction |
| ISBN | : |
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.
| Author | : Neil Cowan |
| Publisher | : Global Professional Publishi |
| Total Pages | : 204 |
| Release | : 2005 |
| Genre | : Business & Economics |
| ISBN | : 9781845163624 |
"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 | : Jason H. Collins, MD, MSCR |
| Publisher | : Xlibris Corporation |
| Total Pages | : 116 |
| Release | : 2013-10 |
| Genre | : Medical |
| ISBN | : 1493114638 |
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 | : Misty Evans |
| Publisher | : Beach Path Publishing, LLC. |
| Total Pages | : 1959 |
| Release | : 2022-01-18 |
| Genre | : Fiction |
| ISBN | : |
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
| Author | : Lajpat Ray Chandnani |
| Publisher | : Notion Press |
| Total Pages | : 850 |
| Release | : 2017-03-14 |
| Genre | : Reference |
| ISBN | : 1946556963 |
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 | : K. H. Spencer Pickett |
| Publisher | : John Wiley & Sons |
| Total Pages | : 287 |
| Release | : 2005-07-29 |
| Genre | : Business & Economics |
| ISBN | : 047174008X |
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 |
| Total Pages | : 292 |
| Release | : 2002-02-28 |
| Genre | : Medical |
| ISBN | : 074321899X |
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.
