...Ninety percent of all postpartum hemorrhages are caused by uterine atony-that is, failure of the uterine muscles to contract normally after the baby and placenta are delivered. The blood vessels supplying the placenta during pregnancy are severed when the placenta separates from the wall of the uterus. The bleeding that results from these severed vessels normally stops when the uterus contracts, compressing the vessels. However, if the uterus doesn't contract enough, the bleeding can continue. Significant blood loss can result from a floppy, uncontracted uterus. Factors that may prevent the muscles of the uterus from contracting include the following: * prolonged labor; * the use of oxytocin (Pitocin) during labor; * general anesthesia; * twin or multiple births; * increased amounts of amniotic fluid (polyhydramnios); * delivery of a large baby; * history of more than five pregnancies; * abnormal labor (dystocia); and * infection (chorioamnionitis). In addition, fragments of placenta remaining in the uterus after delivery or benign growths within the walls of the uterus (known as fibroids) can also prevent the uterus from contracting normally. Active Management Many practitioners actively manage the third stage of labor, gently pulling the umbilical cord and administering oxytocin to help the uterus contract and promote delivery of the placenta. The uterus can also be massaged to help it contract firmly. Many studies show this technique...
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...human being. In good times and bad, she never lost her capacity to smile and laugh, to inspire others with her warmth and kindness. I admired and respected her for her energy and commitment to others, especially her devotion to her two boys” (pg. 29). This quote was taken from the speech the queen of England gave about Princess Diana after her death. Why hello, my name is Christopher Anderson and I am here to tell you about my novel “Diana’s Boys” which played tribute to the Princess and her two boys prince William and Harry. Body Part 1: Diana Frances Spencer was born on July 1st, 1961 in Sandringham, England to John Spencer and Frances Shand Kydd. She was the third child of the family. She had two brothers, Charles and John. John died a year before Diana was born. When she was born her parents did not have a name for her because they were hoping for a boy. A week later they finally decided on a name. Diana had normal commenor godparents unlike her brother Charles. Her brother’s godmother was Queen Elizabeth II. The Spencer family is one of Great Britain’s oldest and one of the most important families in England. The Spencer families have been close allies with the royal family for the past 500 years. At the age of 7, Diana’s parents got divorced after finding out about her mothers affair. Her father got remarried a couple of years later. Body Part 2: On June 29th, 1981 Diana married the Prince of Wales after being introduced by her step sister Sarah. The beginning...
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...Johnson would have four days until he would be required to deliver his first speech as President before a joint session of Congress. The speech was written by Ted Sorensen, Kennedy’s speechwriter. He would declare that he would continue Kennedy’s program (Robert A. Caro, 2012). Through the remainder of the term, he fought against poverty with new programs. Johnson decided to run for president in the 1964 election. As the war in Vietnam was ongoing, his campaign was one of “peace” (H. R. McMaster, 1997). The strategy was liked by his civilian advisors, for they thought that Johnson expressing that he wanted no more war would lead him to victory, whether he meant it or not. The strategy worked, and in 1964, he won with the biggest popular vote margin in history (millercenter.org) against republican candidate Barry...
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...Postpartum Psychosis Motherhood the Sad, the Mad, and the Insane Laurie Hackney Women, Crime, and Criminal Justice Dr. Connolly March 21, 2011 Postpartum Psychosis Motherhood the Sad, the Mad, and the Insane On the heartbreaking morning of June 20, 2001, Andrea Pia Yates was arrested and charged for the filicide of her children. One by one, this seemingly devoted mother of five drowned all of her children in the bathtub of their family home. Singularly, she put her three youngest children to death, taking their bodies from the tub fully clothed and wet, then placed them upon their bed, and covered them up. She proceeding doing the same with her youngest child, but while she was drowning Mary, her oldest son Noah walked in and asked what she was doing before he turned and ran away. She gave chase, caught up with him in the hall, then dragged him back to the bathroom and proceeded to terminate him with Mary dead in tub. Andrea then took Mary and placed her in the arms of the three youngest children leaving Noah behind dead and alone in the bath. Factors Relating to the Incident Being raised a Roman Catholic; Yates converted her religious beliefs to that of her husband’s prior to marriage. In this religion, people are expected to have as many children as nature will allow. Even while Andrea was awaiting trial, it was reported that her husband felt so sure of his wife’s acquittal that he was already speaking about having more children. This notion left the attorneys...
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...typically takes places 2 weeks before the next period is due. Once the egg leaves the follicle it develops into the corpus luteum, releasing a hormone to thicken the uterus lining, preparing for the egg. Once released the egg travels to the fallopian tube, where it remains for 24hrs waiting for sperm to fertilize it. This takes around 2 weeks after the period. If there is no sperm to fertilize the egg, it travels through the uterus and falls apart. The hormone levels return to normal, and the uterus sheds the lining, starting the period. If a sperm does make its way into the egg, it fertilizes, no other sperm will be able to access the egg. As soon as fertilization happens the babies genes and sex are set. (Y chromosome being male, X chromosome being female). The egg remains in the fallopian tubes for around 3-4 days, but within 24hrs of the fertilization it begins to divide quickly into cells. It continues to divide as it travels through the tube and attaches itself to the uterus lining, this is implantation. The uterus lining will become...
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...Cri du Chat Cri du chat syndrome is a rare genetic disorder which approximately affects 1 in 20,000 to 50,000 live births. The disease does not depend on ethnic backgrounds, but is most common in the case of women. The disorder gets its name from the typical cry of babies born with this syndrome. The baby sounds like a kitten, because of problems with the nervous system and larynx. The good news is that about 1/3 of kids recover by the age of 2. Negative aspects of this disease may be: * Feeding problems, because they can't suck and swallow well * Low weight at birth and poor evolution * Motor, cognitive, and speech delays * Behavioral problems such as aggression, hyperactivity, and repetitive movements * Uncommon facial traits that can change in time * What is Cri-du-Chat syndrome? The name of this syndrome is French for "cry of the cat," referring to the distinctive cry of children with this disorder. The cry is caused by abnormal larynx development, one of the many symptoms associated with this disorder. It usually becomes less noticeable as the baby gets older, making it difficult for doctors to diagnose cri-du-chat after age two. Cri-du-chat is caused by a deletion (the length of which may vary) on the short arm of chromosome 5. Multiple genes are missing as a result of this deletion, and each may contribute to the symptoms of the disorder. One of the deleted genes known to be involved is TERT (telomerase reverse transcriptase). This gene is...
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...Amorita West Grand Canyon University SPED-330 July 3, 2015 The case study I selected to write about was number two. The information provided stated the Gabriel is a kindergarten student who has cerebral palsy. He has to use a wheelchair, wear a diaper and uses a feeding tube. Gabriel is nonverbal, however is able to communicate some, and make choices when provided with two options. Gabriel needs to work on grasping things because he has limited strength in his hands. Cerebral Palsy (CP) “is an umbrella term that refers to a group of disorders affecting a person’s ability to move” (What is cerebral palsy). “1 in 500 babies are diagnosed with cerebral palsy” (About CP). Children with cerebral palsy typically will encounter specific learning difficulties. “These may include a short attention span, motor planning difficulties (organization and sequencing), perceptual difficulties and language difficulties” (What is cerebral palsy). There are three known forms of cerebral palsy : spastic, athetoid, and ataxic. A child who is diagnosed with cerebral palsy can be affected mildly or severely depending on the amount or part of brain. Generally children who are diagnosed with cerebral palsy can attend school. Although the child may experience some learning disabilities and may require some assistant, but frequently can do things children without cerebral palsy can do. According to the Learning Disabilities Association of America, 2.4 million students are diagnosed with...
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...JSLHR Research Article Lexical Effects on Children’s Speech Processing: Individual Differences Reflected in the Autism-Spectrum Quotient (AQ) Mitsuhiko Ota,a Mary E. Stewart,b Alexandra M. Petrou,b and Catherine Dickiec Purpose: This study was undertaken to examine whether children exhibit the same relationship that adults show between lexical influence on phoneme identification and individual variation on the Autism-Spectrum Quotient (AQ). Method: Data from 62 4- to 7-year-olds with no diagnosis of autism were analyzed. The main task involved identification of the initial sound in pairs of voice-onset time continua with a real word on one end and a nonword on the other (e.g., gift–kift, giss–kiss). Participants were also given the children’s version of the AQ and a 2nd instrument related to autistic-like traits, the Social Responsiveness Scale (SRS). Results: The lexical shift was related to the AQ (particularly to its Attention Switching subscale) but not to the SRS. Conclusions: The size of lexical effects on children’s speech perception can be predicted by AQ scores but not necessarily by other measures of autism-like traits. The results indicate that speech perception in children manifests individual differences along some general dimension of cognitive style reflected in the AQ, possibly in relation to local/global information processing. U Ota, 2008; Yu, 2010; Yu, Abrego-Collier, & Sonderegger, 2013). The Autism-Spectrum Quotient...
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...Project iphone 5 23th April 2013. Project iphone 5 Apple's Mission Statement Apple Computer is committed to protecting the environment, health and safety of our employees, customers and the global communities where we operate. We recognize that by integrating sound environmental, health and safety management practices into all aspects of our business, we can offer technologically innovative products and services while conserving and enhancing recourses for future generations. Apple strives for continuous improvement in our environmental, health and safety management systems and in the environmental quality of our products, processes and services. As learned the environment, health and safety of employees, customers and global communities are the most sweeping variables that the Apple company should take care of. Without a good environment, the company gets seen disable to operate, with unsatisfied employees inside the company, leads to the collapse because customers will not be well served thus will not buy the company’s product as a result, a loss in the company’s profits. Apple's Vision Statement Apple is committed to bringing the best personal computing experience to students, educators, creative professionals and consumers around the world through its innovative hardware, software and Internet offerings. Given the increased changes in today’s world (taste, needs...
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...CHILD AND YOUNG PERSON DEVELOPMENT TULAY KOZ Student no 40092565 Evidence record: Louise Burnham Brenda Baker; supporting teaching and learning book Jacqueline Harding: Child development book From birth to adulthood, children are continually develop, grow and learn. The main stages of developments are: * PHYSICAL DEVELOPMENT * INTELLECTUAL DEVELOPMENT * LANGUAGE DEVELOPMENT * EMOTIONAL DEVELOPMENT * SOCIAL DEVELOPMENT Different age groups have different developmental changes. PHYSICAL DEVELOPMENT MILESTONES: Physical development provides the children with the abilities they need to explore and interact with the world around them. They will need to develop in 2 sections. *Gross motor skills; involve the coordination and control of large muscles and skills like walking, sitting, running, … *fine motor skills; involve the coordination and control of small muscles and skills like writing, cutting, holding a rattle, picking up crumbs, … * 0-12 MONTHS PHYSICAL DEVELOPMENT First months they can only sucking and swallowing .After few months they can use their hands, start to control their head. About 12 months they can sit without help. They start to stand or creep. * 1-3 YEARS PHYSICAL DEVELOPMENT At this age group, they start to use their hands more confidently. For example: they can drink water by themselves .After first birthday, their body start to change and they ca not gain too much weight...
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...BlueCross BlueShield of North Carolina: Blue Value Silver$$start$$ 3000 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2014 - 12/31/2014 Coverage for: Individual Plan Type: POS This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcbsnc.com or by calling 1-877-258-3334. Important Questions Answers $3,000 person/$6,000 family in-network. $6,000 person/$12,000 family outof-network. Doesn't apply to In-Network preventive care. Coinsurance and copayments do not apply to the deductible. Yes. $200 for prescription drugs. There are no other specific deductibles. Yes. For In-Network $6,350 person/$12,700 family For Out-Of-Network $12,700 person/$25,400 family Premiums, balance-billed charges and health care this plan doesn't cover No. Yes. For a list of InNetwork providers, see www.bcbsnc.com/content/ Why this Matters: You must pay all the costs up to the deductible amount before this plan begins to pay for covered services you use. Check your policy or plan document to see when the deductible starts over (usually, but not always, January 1st). See the chart starting on page 2 for how much you pay for covered services after you meet the deductible. What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket limit on my expenses? What is not included in the out-of-pocket limit? Is there...
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...Why Google is a great place to work  Prepared by Ekaterina Miller Instructor: Michael Marcis History Google began in March 1996 as a research project by Larry Page and Sergey Brin. Their goal was “to develop the enabling technologies for a single, integrated and universal digital library." And was funded through the National Science Foundation among other federal agencies. Google has created some very impressive milestones of its time and continues to grow rapidly every day. The name “Google” comes from a mathematical term for the number 1 followed by 100 zero’s. The use of the term reflects their mission to organize a seemingly infinite amount of information on the web. In 1998 Google had made its mark as one off the Top 100 websites. Even at the very beginning they received only the best reviews. They then went on to become the most successful internet company ever. Early in 1999 they struck a deal with Sequoia Capital and Kleiner Perkins for $25 million. In November 1999 Charlie Ayers joined Google as the company’s first chef. In April of 2000. Google announced the MentalPlex program, which envisages the software’s ability to read your mind as you visualize the search results you want. In June of 2000, Google partnered with Yahoo! to become their default search provider. Also in June they announced the first billion URL index, making Google become the world’s largest search engine. In September of 2000 they started offering searches in Chinese, Japanese, and...
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...Introduction The Digestive System • Most nutrients we eat cannot be used in existing form – Must be broken down into smaller components before body can make use of them • Digestive system—acts as a disassembly line – To break down nutrients into forms that can be used by the body – To absorb them so they can be distributed to the tissues • Gastroenterology—the study of the digestive tract and the diagnosis and treatment of its disorders 25-1 25-2 Digestive Function Digestive Function • Digestive system—organ system that processes food, extracts nutrients, and eliminates residue • Mechanical digestion—the physical breakdown of food into smaller particles • Five stages of digestion – Ingestion: selective intake of food – Digestion: mechanical and chemical breakdown of food into a form usable by the body – Absorption: uptake of nutrient molecules into the epithelial cells of the digestive tract and then into the blood and lymph – Compaction: absorbing water and consolidating the indigestible residue into feces – Defecation: elimination of feces – Cutting and grinding action of the teeth – Churning action of stomach and small intestines – Exposes more food surface to digestive enzymes 25-3 General Anatomy Digestive Function • Chemical digestion—a series of hydrolysis reactions that breaks dietary macromolecules into their monomers (residues) • Digestive system has two subdivisions: digestive tract and accessory organs • Digestive tract (alimentary canal) – Carried out...
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...other brands. For close to fifty years now, Amul has honored its contract with the consumer. The contract that is symbolized by the Amul brand means quality. It means value for money. It means availability. And it means service.” Varghese Kurien, Chairman GCMMF1 Introduction C op y Gujarat Cooperative Milk Marketing Federation (GCMMF), the largest food company in India, recorded a turnover of Rs 2882 crore ($ 0.65 bn) in 2003-04. Its flagship brand ‘Amul’ was the market leader in butter, whole milk, cheese, ice cream and dairy whitener. GCMMF was the largest cooperative movement in India with 2.2 million milk producers of Gujarat organized in 10,552 cooperative societies. GCMMF collected 5 million litres of milk per day from its shareholders who owned 3.2 million buffaloes, one million cows and 0.3 million crossbred cows. The Federation’s extensive marketing network comprised 3000 distributors and 500,000 retailers spread across the country. ot Background Note D o N Amul’s genesis was linked to the freedom movement in India. Sardar Vallabhbhai Patel, an eminent Indian freedom fighter encouraged the dairy farmers from the Kaira district in Gujarat to form a cooperative to counter the ‘exploitatively’ low prices offered for their milk by the monopoly milk supplier of the area, Polson’s Dairy. The dairy farmers met in Samarkha (Kaira district, Gujarat) on the 4th of January 1946, and decided to set up a milk producers’ cooperative that...
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...Where There Is No Doctor 2010 Where There Is No Doctor 2010 Library of Congress Cataloging-in-Publication Data The Library of Congress has already cataloged the 10-digit ISBN as follows: Werner, David, 1934Where there is no doctor: a village health care handbook / by David Werner; with Carol Thuman and Jane Maxwell-Rev. ed. Includes Index. ISBN 0-942364-15-5 1. Medicine, Popular. 2. Rural health. I. Thuman, Carol, 1959-. II. Maxwell, Jane, 1941-. III Title. [DNLM: 1. Community Health Aides-handbooks. 2. Medicine-popular works. 3. Rural Health-handbooks. WA 39 W492W] RC81.W4813 1992 610-dc20 DNLM/DLC for Library of Congress 92-1539 CIP Published by: Hesperian 1919 Addison St., #304 Berkeley, California 94704 • USA hesperian@hesperian.org • www.hesperian.org Copyright © 1977, 1992, 2010 by the Hesperian Foundation First English edition: October 1977 Revised English edition: May 1992 Eleventh printing: July 2010 ISBN: 978-0-942364-15-6 The original English version of this book was produced in 1977 as a revised translation of the Spanish edition, Donde no hay doctor. Hesperian encourages others to copy, reproduce, or adapt to meet local needs, any or all parts of this book, including the illustrations, provided the parts reproduced are distributed free or at cost—not for profit. Any organization or person who wishes to copy, reproduce, or adapt any or all parts of this book for commercial purposes, must first obtain permission to do so from Hesperian. Please contact Hesperian before...
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