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This document discusses several fetal abnormalities that can be detected prenatally through ultrasonography, including spontaneous intracranial hemorrhage, nerve injuries, torticollis, amnionic band syndrome, congenital postural deformities, and respiratory distress syndrome. Ultrasonography is useful for detecting these conditions in-utero to allow for informed medical care and management decisions.

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Williams Obstetrics ed 23 : 2010 ;

( spontaneous intracranial
hemorrhage )

( nerve injuries )

2

–

( torticollis )

( amnionic
band syndrome )

( ultrasonogram )

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( congenital postural deformities )

( ultrasonogram )

Williams Obstetrics ed 23 : 2010 ;

4

( respireatory distress
syndrome )

–

Clifton M. Hasegawa expresses his hopes for Governor Neil Abercrombie's continued enthusiasm and vision for Hawaii as he begins a new journey. He praises Abercrombie's leadership, particularly in advancing Hawaii into the computer age with effective IT infrastructure and services. Hasegawa acknowledges past disagreements but emphasizes the importance of serving all citizens fairly and looks forward to Abercrombie's future contributions to the state.

HAWAII GENERAL ELECTION - 2014Clifton M. Hasegawa & Associates, LLC

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This document summarizes political events and endorsements in Hawaii elections from 2014. It discusses the Hawaii Government Employees Association (HGEA) endorsing candidates for local mayoral races but not governor. It also notes Honolulu Mayor Kirk Caldwell endorsed Governor Neil Abercrombie while Maui Mayor Alan Arakawa endorsed Mufi Hannemann for governor. Finally, it provides information on gubernatorial candidates Duke Aiona and Mufi Hannemann, including their positions, backgrounds, and platforms.

The Hawaii Super Ferry - The Interisland for Hawai`iClifton M. Hasegawa & Associates, LLC

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The document discusses the potential for an interisland ferry system in Hawaii, emphasizing support from various political leaders and a high public favorability rating of 87-92%. It outlines the historical context, legal challenges faced by the Hawaii Superferry, and financing complexities, while indicating the importance of environmental impact assessments for future ferry operations. Key legal rulings have significantly impacted ferry initiatives, leading to discussions on the feasibility of a state-run ferry system amid various public and political concerns.

THE UNITED STATES ARMY - Force Realignment 2014 - The National Environmental ...Clifton M. Hasegawa & Associates, LLC

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The document discusses the compliance requirements of the National Environmental Policy Act (NEPA) related to the United States Army's proposed force drawdown, emphasizing the need for an Environmental Impact Statement (EIS) to assess the significant impacts on various environmental and social aspects. It explains the NEPA process, including levels of analysis such as categorical exclusions, environmental assessments, and the preparation of EIS. Case law examples illustrate the requirement for thorough environmental evaluations before undertaking major federal actions that affect the human environment.

The neuroleptic malignant syndromeviriyalekprasert

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Fate (faith) will never fade for slideshareviriyalekprasert

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มีผู้ถามเรื่อง “ โรคติดเชื้อทางเพศสัมพันธ์ ” โดย น.พ. วิริยะ เล็กประเสริฐ ส...viriyalekprasert

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มีผู้ถามเรื่อง “ โรคติดเชื้อทางเพศสัมพันธ์ ” โดย น.พ. วิริยะ เล็กประเสริฐ สูตินรีแพทย์ โรงพยาบาลวิชัยยุทธ ศุกร์ที่ ๒๔ มกราคม พ.ศ. ๒๕๕๗ โอว ... เห็นหัวข้อแล้ว หนักใจนิดหนึ่งครับ เพราะ ... หัวข้อย่อยมันเยอะมาก ๆ นะ แต่นี่ !! เป็นหัวข้อที่น่าสนใจและดีจริง ๆ ครับ งั้น ... ขอเริ่มที่สถิติในประเทศของเรากันก่อนเลย ข้อมูลสถิตินี้เป็นของ สำนักระบาดวิทยา กรมควบคุมโรคติดต่อ กระทรวงสาธารณสุข เป็นข้อมูลจากปี พ.ศ. ๒๕๕๐ – ๒๕๕๔ เพื่อนำเสนอในรายงาน “ ภาวะสังคมไทยไตรมาสสอง ปี ๒๕๕๖ ” ของสำนักงานพัฒนาเศรษฐกิจและสังคมแห่งชาติ ของปีที่ ๑๐ ฉบับที่ ๓ เดือน สิงหาคม ๒๕๕๖ นี้เอง

Review “Abortion ” from “William Obstetrics ”viriyalekprasert

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The document discusses factors related to spontaneous abortions, noting that over 80% occur in the first 12 weeks, primarily due to chromosomal anomalies. It highlights that abnormalities in chromosomal numbers account for most early pregnancy losses, with the incidence decreasing as pregnancy advances. The document also mentions the limitations of therapies for 'threatened abortion' and the diagnostic methods used to evaluate fetal viability.

กลไกการคลอดviriyalekprasert

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This document describes the normal process of childbirth, including engagement of the fetal head in the pelvis, descent and flexion of the head, internal rotation so the occiput faces the pubic symphysis, extension and external rotation during expulsion of the baby through the vagina and pelvic floor. Key stages addressed are engagement of the biparietal diameter in the pelvic inlet, descent under the influence of uterine contractions, and flexion of the fetal head to fit through the birth canal for a vertex presentation.

ไส้เลื่อ�Ȩ��ตรีviriyalekprasert

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โอกาสตั้งครรภ์ จากการคุมกำเนิดด้วยวิธีต่าง ๆviriyalekprasert

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ความเสี่ยงของสตรี เมื่อตั้งครรภ์viriyalekprasert

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Pregnancy-induced hypertension is a condition characterized by new onset of high blood pressure during pregnancy or postpartum that can lead to serious complications for both mother and baby if not properly managed. Symptoms may include headaches, visual disturbances, upper abdominal pain, and edema. Treatment focuses on controlling the mother's blood pressure and preventing seizures through bed rest, medication, and monitoring for preeclampsia or eclampsia which may require early delivery of the baby.

Important of fetal movement and weight not increase by morsutenare.page4.me f...viriyalekprasert

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This case involved a patient who was near term with decreased fetal movement and weight loss. Fetal monitoring showed a sinusoidal heart rate pattern, which can indicate fetal anemia. The patient was advised to terminate the pregnancy due to risks of fetal hypoxia. At a cesarean section, a true knot was found in the umbilical cord, which could have obstructed blood flow to the baby. The placenta was also abnormal, being succenturiata with a small attached placenta. The baby was delivered safely.

มาคุยกัน๶�รื่องคุมกำ๶��Ȩ��ดviriyalekprasert

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J:\งาน Powerpoint And Word\งานต๊อก\งานPaper\เรื่องที่อยากเล่า แต่ยังไม่มีหัวข้อviriyalekprasert

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J:\งาน powerpoint and word\งานต๊อก\slide present\pp.fgtb\success preg in fgtbviriyalekprasert

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This case report describes a 27-year-old Thai woman who was diagnosed with female genital tuberculosis after presenting with pelvic pain and abnormal bleeding over several years. She was eventually treated with a full course of anti-tuberculosis drugs, which resolved her symptoms. During treatment, she became pregnant and had a successful pregnancy outcome, demonstrating that pregnancy is possible after effective treatment of female genital tuberculosis.

F:\งาน Powerpoint And Word\เมื่อตั้งครรภ์ฉบับย่อviriyalekprasert

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F:\งาน Powerpoint And Word\เมื่อตั้งครรภ์ฉบับย่อviriyalekprasert

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F:\งาน Powerpoint And Word\Paper Female Genital Tuberculosisviriyalekprasert

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Female genital tuberculosis can be difficult to diagnose due to often being asymptomatic. The author presents 6 case studies of women diagnosed with female genital tuberculosis based on history, clinical findings, and positive PPD tests. The women presented with symptoms including recurrent pelvic inflammatory disease, pelvic pain, infertility, and abnormal vaginal discharge. All 6 women were treated with anti-tuberculosis medications and had resolution of symptoms.

F:\งาน Powerpoint And Word\Fgtb2010viriyalekprasert

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This document summarizes information about female genital tuberculosis (FGTB), including routes of transmission, clinical presentation, diagnosis, and treatment. It discusses that FGTB accounts for 15-20% of extrapulmonary TB cases and presents with symptoms like infertility, abnormal menstruation, and pelvic pain. Diagnosis involves tuberculin skin testing, tissue sampling, and nucleic acid amplification tests. Treatment consists of a standard 6-month drug regimen. The document also reports local incidence rates of FGTB and several case studies.

Abnormal Uterine Bleeding and its ManagementChandrika Kulkarni

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Exomind in General Aesthetics - with June 10, 2025 updateslcadymd1

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Hi. This is Dr. Cady writing. This is the updated presentation compared to the original one given in Hong Kong on June 3rd. The rationale behind the update is my further reflection on the interesting concept of "mental wellness" which has been identified as a treatment target with a modified TMS protocol developed by BTL. It should be clearly noted that this device is definitely approved in the USA for the treatment of depression according to old TMS protocols. The "depression protocol" involves a minimum of 30 treatments, administered over 5 - 6 weeks, with one treatment typically on every weekday (M-F). In contrast, the "wellness protocol" developed by BTL for this device has been successfully used in a study on "mental wellness" with just FOUR treatments administered, and in the study for food cravings and self control with just SIX treatments administered. Additionally, I demonstrate in this presentation the remarkable power of this TMS device to eliminate depression and anxiety in two patients presented after just two back to back treatments. It should be clearly noted that this is not an official BTL protocol, nor the position of the company, and the use of this device for mental wellness is not "FDA approved." It is also not FDA approved for the aggressive treatment protocol I share in this presentation. Given that this device is used per physician discretion, and given that the scientific literature supports the idea that the more pulses or treatments delivered in a day increase the effectiveness of the treatment and the rapidity of onset, this aggressive treatment seemed to me to be scientifically valid, and safe. Scrupulous informed consent was obtained from the patients prior to administering the treatments in the manner I have illustrated herein. I am not necessasrily recommending tretments in this manner. But I include them and note them because they reveal, dramatically, the capability of this device to change people's lives with the most serious cases. The impact, therefore, on just "lack of mental wellness" or "food cravings and impulse control is very reasonable. It is my belief that 4 - 6 treatments in a general aesthetic or "wellness" practice should be sufficient. For the harder cases that a psychiatrist would see, there is some argument that even six treatments, administered with three "couplet" or "paired" treatments, could be remarkably beneficial. In this presentation, I review the epidemiology of depression, anxiety and the topic of simply being "mentally unwell" while not being necessarily diagnosed with depression or anxiety. It is the lack of mental wellness and addressing it with this helpful modality that is so tremendously exciting. A rough comparison of the relative treatment potency and effects of the Exomind versus older technology is included, pointing the way toward the logical assumption that, indeed, merely a few treatments (4 - 6) could have significant benefits in our patients.

REFRAMING OF EXPERTISE AND INFORMATION IN HEALTHTina Purnat

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Palliative Care for Patients with Heart FailureDuke Heart

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Updates_in Head__Neck TNM staging- 9th edition.pptxDr. Maroti Wadewale

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The Union for International Cancer Control (UICC) and the American Joint Committee on Cancer (AJCC) collaborate closely to produce the globally recognized TNM Classification of Malignant Tumours. Therefore, when discussing the "9th edition of UICC head and neck staging," it's largely in alignment with the updates introduced by the AJCC's Version 9. The UICC's TNM Core Committee finalized the 9th edition of the TNM Classification, with publication anticipated in August 2025. The key updates for head and neck cancers in the 9th edition (or Version 9) reflect an ongoing effort to improve prognostic accuracy and align staging with contemporary clinical understanding and treatment outcomes. Here are the significant changes, particularly those relevant to head and neck: * Emphasis on Personalized Care and Prognostic Refinements: The 9th edition reflects a greater focus on personalized care, incorporating refinements that aim to better predict patient outcomes. * Revised Criteria for Specific Head and Neck Cancers: * Nasopharyngeal Carcinoma (NPC): This site has seen substantial revisions, as highlighted in the previous response on AJCC updates. Key changes include: * More precise definition of T3 disease (unequivocal evidence of bone involvement). * Introduction of advanced radiologic extranodal extension (ENE) as an N3 criterion. This acknowledges the prognostic impact of ENE seen on imaging. * Subclassification of M1 disease into M1a (3 or fewer metastatic lesions) and M1b (more than 3 lesions) to better stratify prognosis in metastatic settings. * Redefined Stage Groups for NPC, with T1-2N0-1 now often falling into Stage I, and Stage IV being exclusively for metastatic disease, further subdivided by the M1a/M1b categories. * Salivary Gland Cancers: Revised criteria based on updated imaging and anatomical features are being incorporated. * HPV-Related Oropharyngeal Cancers: New staging is introduced for HPV-associated oropharyngeal cancers to better reflect their distinct biological behavior and prognosis, which is generally more favorable than HPV-negative oropharyngeal cancers. This often involves specific considerations for nodal burden. * Integration of Imaging and Anatomical Features: The updates are grounded in recent evidence, incorporating insights from advanced imaging techniques and a deeper understanding of anatomical spread. * International Collaboration: These updates are the result of collaborative efforts between the AJCC and UICC, involving input from cancer registries, clinical outcomes data, and disease-specific experts worldwide. The goal is to provide a unified and globally applicable staging system. * Dynamic Update Process: Similar to the AJCC's shift from "Editions" to "Versions" for specific sites, the UICC is also exploring more flexible ways to share future TNM updates. In essence, the 9th edition of the UICC staging system for head and neck cancers, particularly in areas like NPC and HPV

How Has Our Understanding of Heart Failure with Preserved Ejection Fraction E...Duke Heart

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Aspirin powder or Acetyl salicylic acid powder.docxkopalsharma85

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Theories of Learning and Teaching.......Avantika Gupta

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Definition of Teaching: “Teaching is a form of interpersonal influence aim at changing the behavior potential of another person”. Nature and Characteristics of Teaching:  Teaching is giving information.  Teaching is causing to learn.  Teaching is a matter of helping the child to respond to his environment in an effective manner.  Teaching is helping a child to adjust himself to his environment.  Teaching is stimulation and encouragement.  Teaching is guidance.  Teaching is Training the emotions of the child.  Teaching is a mean of preparation.  Teaching is an art and science. General Theory of Teaching: The General Theory of Teaching, also known as the "Theory of Teaching" or "General Theory of Instruction," is a comprehensive framework that outlines the fundamental principles and processes of teaching. Benefits of the General Theory of Teaching: • Improved Student Learning • Increased Teacher Efficacy • Enhanced Teacher Professional Development • Better Student Engagement CONCLUSION • Teaching theory is prescriptive. • Teachers and pupils are the major variables of teaching theory. • It is narrow and specific. • It is based upon learning theory, learning conditions and learning components. • While learning theory are formulated by conducting experiments on animals teaching theory is developed by dealing with human subjects in normal situations. • It is concerned with effective learning and development of pupils. Learning is a complex and multifaceted process that involves the acquisition, processing, and retention of knowledge, skills, and attitudes. The relatively permanent change in a person's knowledge or behavior due to experience. Characteristics of Learning: • Learning is Growth. • Learning is adjustment. • Learning is purposeful. • Learning is intelligent. • Learning is active. • Learning is both individual and social. • Learning is the product of the environment. • Learning is experience. Learning Theory: Learning theory refers to the body of knowledge that explains how people learn and acquire new knowledge, skills, and attitudes. Types of Teaching Theory: 1.Formal Theory of Teaching • Meutic Theory of teaching. • Communication theory of teaching. • Moulding theory of teaching. • The mutual enquiry theory. 2.Descriptive theory of teaching • Theories of instruction • Prescriptive theory of teaching 3.Normative theory of teaching • Cognitive theory of teaching • Theory of teacher behaviour • Psychological theory of teaching • General theory of teaching FORMAL THEORY OF TEACHING Formal theory of teaching is also known as philosophical theory. The theory which is based upon certain logic, certain metaphysical, epistemological assumptions and propositions is known as formal theory of teaching. 1.Meutic Theory of Teaching: • This theory conceives that teaching process helps to recollect or unfold that knowledge with questioning techniques. • The Socratic’s method is an essential for this theory. • The heredity plays an import

Anti-Infective Agents: Classification, Uses & Formulations Detailed Guide to...Sajini

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Update on Anesthesia for Pediatric Ophthalmic Surgery.pptxDr.Umang Sharma

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