Silent Risk

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Author :
Publisher : Xlibris Corporation
ISBN 13 : 1499039093
Total Pages : 240 pages
Book Rating : 4.4/5 (99 download)

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Book Synopsis Silent Risk by : Jason H. Collins MD MSCR

Download or read book Silent Risk written by Jason H. Collins MD MSCR and published by Xlibris Corporation. This book was released on 2014-07-02 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Silent Threat

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Author :
Publisher : Kensington Publishing Corporation
ISBN 13 : 1496726219
Total Pages : 289 pages
Book Rating : 4.4/5 (967 download)

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Book Synopsis Silent Threat by : Jeff Gunhus

Download or read book Silent Threat written by Jeff Gunhus and published by Kensington Publishing Corporation. This book was released on 2019-12-31 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. --

Silent Threat

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Author :
Publisher : Gold Eagle
ISBN 13 : 1426860560
Total Pages : 189 pages
Book Rating : 4.4/5 (268 download)

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Book Synopsis Silent Threat by : Don Pendleton

Download or read book Silent Threat written by Don Pendleton and published by Gold Eagle. This book was released on 2010-07-01 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Risk, SEALs of Shadow Force Romantic Suspense Series, Book 7

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Author :
Publisher : Beach Path Publishing, LLC.
ISBN 13 :
Total Pages : 317 pages
Book Rating : 4./5 ( download)

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Book Synopsis Risk, SEALs of Shadow Force Romantic Suspense Series, Book 7 by : Misty Evans

Download or read book Risk, SEALs of Shadow Force Romantic Suspense Series, Book 7 written by Misty Evans and published by Beach Path Publishing, LLC.. This book was released on 2022-01-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Risk Analysis and Evaluation

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Publisher : Global Professional Publishi
ISBN 13 : 9781845163624
Total Pages : 204 pages
Book Rating : 4.1/5 (636 download)

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Book Synopsis Risk Analysis and Evaluation by : Neil Cowan

Download or read book Risk Analysis and Evaluation written by Neil Cowan and published by Global Professional Publishi. This book was released on 2005 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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.

SEALs of Shadow Force Romantic Suspense Series Box Set, Books 1-7

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Author :
Publisher : Beach Path Publishing, LLC.
ISBN 13 :
Total Pages : 1959 pages
Book Rating : 4./5 ( download)

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Book Synopsis SEALs of Shadow Force Romantic Suspense Series Box Set, Books 1-7 by : Misty Evans

Download or read book SEALs of Shadow Force Romantic Suspense Series Box Set, Books 1-7 written by Misty Evans and published by Beach Path Publishing, LLC.. This book was released on 2022-01-18 with total page 1959 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

General Insurance, Reinsurance and Risk Management Glossary

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Author :
Publisher : Notion Press
ISBN 13 : 1946556963
Total Pages : 850 pages
Book Rating : 4.9/5 (465 download)

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Book Synopsis General Insurance, Reinsurance and Risk Management Glossary by : Lajpat Ray Chandnani

Download or read book General Insurance, Reinsurance and Risk Management Glossary written by Lajpat Ray Chandnani and published by Notion Press. This book was released on 2017-03-14 with total page 850 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Auditing the Risk Management Process

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 047174008X
Total Pages : 287 pages
Book Rating : 4.4/5 (717 download)

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Book Synopsis Auditing the Risk Management Process by : K. H. Spencer Pickett

Download or read book Auditing the Risk Management Process written by K. H. Spencer Pickett and published by John Wiley & Sons. This book was released on 2005-07-29 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

SILENT RISK

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Author :
Publisher : Xlibris Corporation
ISBN 13 : 1493114638
Total Pages : 116 pages
Book Rating : 4.4/5 (931 download)

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Book Synopsis SILENT RISK by : Jason H. Collins, MD, MSCR

Download or read book SILENT RISK written by Jason H. Collins, MD, MSCR and published by Xlibris Corporation. This book was released on 2013-10 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

PROPERTY & CASUALTY INSURANCE

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Author :
Publisher : Blue Rose Publishers
ISBN 13 :
Total Pages : 432 pages
Book Rating : 4./5 ( download)

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Book Synopsis PROPERTY & CASUALTY INSURANCE by : Jagendra Rana

Download or read book PROPERTY & CASUALTY INSURANCE written by Jagendra Rana and published by Blue Rose Publishers. This book was released on 2024-07-06 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

PSYCHOLOGY – Volume II

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Publisher : EOLSS Publications
ISBN 13 : 1905839669
Total Pages : 514 pages
Book Rating : 4.9/5 (58 download)

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Book Synopsis PSYCHOLOGY – Volume II by : Stefano Carta

Download or read book PSYCHOLOGY – Volume II written by Stefano Carta and published by EOLSS Publications. This book was released on 2009-11-29 with total page 514 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychology theme in a set of three volumes is one of a number of many theme subjects covered by the Encyclopedia of Biological, Physiological and Health Sciences, a component of the global Encyclopedia of Life Support Systems (EOLSS), which is an integrated compendium of twenty such component Encyclopedias. The three-volume set is organized in seven main areas that try to cover essential information about such this wide and complex field of human knowledge from its neurobiological correlates, to the study of how the human mind imagines and how it produces symbols that guide human behavior, to the most advanced clinical interventions within the psychotherapeutic realm. These three volumes are aimed at the following five major target audiences: University and College Students, Educators, Professional Practitioners, Research Personnel and Policy Analysts, Managers, and Decision Makers and NGOs.

Syndrome X

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Publisher : Simon and Schuster
ISBN 13 : 074321899X
Total Pages : 292 pages
Book Rating : 4.7/5 (432 download)

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Book Synopsis Syndrome X by : Terry Kirsten Strom

Download or read book Syndrome X written by Terry Kirsten Strom and published by Simon and Schuster. This book was released on 2002-02-28 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Sermons on Neglected Texts

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Author :
Publisher :
ISBN 13 :
Total Pages : 328 pages
Book Rating : 4.R/5 (5 download)

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Book Synopsis Sermons on Neglected Texts by : Charles Seymour Robinson

Download or read book Sermons on Neglected Texts written by Charles Seymour Robinson and published by . This book was released on 1884 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Post Magazine and Insurance Monitor

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Publisher :
ISBN 13 :
Total Pages : 846 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Post Magazine and Insurance Monitor by :

Download or read book The Post Magazine and Insurance Monitor written by and published by . This book was released on 1909 with total page 846 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Motor Insurance

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Publisher :
ISBN 13 :
Total Pages : 198 pages
Book Rating : 4.:/5 (3 download)

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Book Synopsis Motor Insurance by : W. F. Todd

Download or read book Motor Insurance written by W. F. Todd and published by . This book was released on 1922 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Silent Spring

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Publisher : Houghton Mifflin Harcourt
ISBN 13 : 9780618249060
Total Pages : 404 pages
Book Rating : 4.2/5 (49 download)

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Book Synopsis Silent Spring by : Rachel Carson

Download or read book Silent Spring written by Rachel Carson and published by Houghton Mifflin Harcourt. This book was released on 2002 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential, cornerstone book of modern environmentalism is now offered in a handsome 40th anniversary edition which features a new Introduction by activist Terry Tempest Williams and a new Afterword by Carson biographer Linda Lear.

The Kentucky Law Reporter

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Publisher :
ISBN 13 :
Total Pages : 2004 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis The Kentucky Law Reporter by :

Download or read book The Kentucky Law Reporter written by and published by . This book was released on 1900 with total page 2004 pages. Available in PDF, EPUB and Kindle. Book excerpt: