Liaisons Synopsis Stardate not given: Picard welcomes two Iyaaran ambassadors, Byleth and Loquel, aboard his ship, before embarking a shuttle with a third Iyaaran, the pilot Voval, to meet with their leader. Picard assigns Riker to tend to Byleth, but the Iyaaran insists on staying with Worf. In the following, Byleth does everything to enrage the Klingon. Troi, on the other hand, finds herself escorting the gentle Loquel, who is longing for entertainment and any kind of culinary pleasures above all. When Picard’s shuttle crashes on a hostile world and Voval is knocked out, he finds a human woman, Anna. She has apparently been living there for seven years, after her freighter has crashed. Picard initially likes the friendly woman, but soon notices she sabotages his attempts of getting rescued.
References “The technology of prenatal diagnosis is usually presented to us as a solution, but it brings with it problems of its own If you’ve already read it, you may want to skip ahead. All pregnant women in our technology-happy modern society face confusing choices about prenatal testing, its advantages and disadvantages, and its appropriateness for them.
Large pregnant women face even more confusion, since prenatal testing can be slightly harder in this population, and the results can be more confusing.
Nuchal translucency is the name for the fluid behind the neck of your baby. A collection of this fluid is taken during the 1 st Trimester scan to determine chromosomal abnormality.. Normal fetuses accumulate fluid under the skin behind the head and neck between 9 and 14 weeks of pregnancy.
Doppler Ultrasound The doppler shift principle has been used for a long time in fetal heart rate detectors. Further developments in doppler ultrasound technology in recent years have enabled a great expansion in its application in Obstetrics, particularly in the area of assessing and monitoring the well-being of the fetus, its progression in the face of intrauterine growth restriction, and the diagnosis of cardiac malformations.
Doppler ultrasound is presently most widely employed in the detection of fetal cardiac pulsations and pulsations in the various fetal blood vessels. The “Doptone” fetal pulse detector is a commonly used handheld device to detect fetal heartbeat using the same doppler principle. Blood flow characteristics in the fetal blood vessels can be assessed with Doppler ‘flow velocity waveforms’.
Diminished flow, particularly in the diastolic phase of a pulse cycle is associated with compromise in the fetus. Various ratios of the systolic to diastolic flow are used as a measure of this compromise.
Normal Fetal Ultrasound Survey
Lisa I have not been diagnosed as having any kind of cancer, yet the first GYN ontological surgeon I visited recommended a total hysterectomy, even though my CA score was 7. I sought a second opinion and got a very different suggestion – a laparoscopic removal of my ovaries and Fallopian tubes. Everyone is so scared of ovarian and cervical cancer, and rightly so, as they are most often not discovered until they are rather advanced.
However, my first opinion surgeon seemed to me to be jumping the gun. My second opinion doctor still must look at the sonograms and MRI before her final opinion, which she should be giving me this week first week of One approach is to take everything out to prevent having to operate again in the future.
Comment of the Prophet on the Kinderhook Plates. I insert fac-similes of the six brass plates found near Kinderhook, in Pike county, Illinois, on April 23, by Mr. Robert Wiley and others, while excavating a .
Some is washed into the blood, and some floats in the cerebrospinal fluid, which is why spinal taps are used. Decades before the disease strikes and triggers memory loss, the brains of sufferers become dotted with sticky amyloid beta plaque If the protein starts building up, it can collect into plaques that stick to neurons, triggering permanent damage.
Inconclusive trials Previous trials of amyloid beta blood tests have been inconclusive, but the latest study provides the clearest evidence to date of them being successful. Sticking to a traditional Nordic diet can support brain health in old age and could help fight off dementia, Swedish researchers claimed earlier this week. The diet is high in fish, non-root vegetables, fruit, rice and chicken, washed down with plenty of water and tea.
In good news for drinkers, the diet also includes a light to moderate consumption of wine. People sticking to the so-called ‘healthy Nordic diet’ should avoid eating too many root vegetables, potatoes, refined grains, butter, sugar and fruit juice. Researchers analysed blood levels of three amyloid subtypes, amyloid beta 38, 40 and 42, in each of the 41 volunteers over the age of Each person had 20 samples taken over a hour period to measure levels of the protein, production and clearance. Deposited into the blood They found that levels of amyloid beta 42 were consistently 10 to 15 per cent lower in those with amyloid plaques.
Professor Bateman said plaques are composed mainly of amyloid beta 42, meaning it is probably being deposited in the brain before moving into the blood. By averaging the ratio of amyloid beta 42 to amyloid beta 40 over each person’s 20 samples, the researchers could classify people accurately as amyloid-positive or -negative 89 per cent of the time. On average, any single time point was also about 86 per cent accurate, according to the study published in Alzheimer’s and Dementia. Dr James Pickett, head of research at Alzheimer’s Society said:
Breast tenderness is common during the first trimester, and is more common in women who are pregnant at a young age. Sometimes, timing may also use the fertilization age which is the age of the embryo. Start of gestational age According to American Congress of Obstetricians and Gynecologists , the main methods to calculate gestational age are:
An ultrasound exam is a procedure that uses high-frequency sound waves to scan a woman’s abdomen creating a picture (sonogram) of the baby and placenta.
My rock, my reminder, my inspiration, my failure Case 1 It was fall and early in my second year of residency. The patient was a year-old male presenting with syncope. Admittedly, he was an alcoholic who was an on-the-wagon, off-the-wagon type. His trip to the ED found him off the wagon for several weeks, deeply depressed, and outwardly self-neglected. His story was not unfamiliar to the ED; lots of alcohol without eating or drinking much else and lots of time on the couch.
Today, he got up to get something from the fridge but found himself at the bottom of a set of stairs. A housemate was kind enough to call EMS when it took more than a few minutes for him to wake up. It was early morning so I had a bit more time than usual to chitchat. He wore a Minnesota Twins jersey. Though I was from the northeast, I told him how I was a big Kirby Puckett fan growing up, which segued into discussion about their current season, game soon-to-be in progress, and the Vikings acquisition of Farve.
Our conversation was natural, comfortable, and enjoyable. All the usual suspects were considered but we thought his low saturations sats were most likely due to his smoking history and low blood pressure due to dehydration. Fluids and albuterol went in, labs came back, and time ticked by. Acute renal insufficiency, hyponatremia, hypomagnesemia, and normal chest x-ray without any improvement in vitals despite our interventions.
Ultrasonic Fetal Measurement Standards If we assume a fetus is growing normally, biometric measurements are determined by gestational age, and we can estimate the gestational age and thus the due date. Conditions which alter fetal growth will make the estimates less reliable. Although many embryonic and fetal structures can be measured, only a few measurements are easy and repeatable enough for widespread use.
The most common are: The first element to be measurable is the gestation sac of the early pregnancy. The gestational sac is measured in three dimensions, and the average, the Mean Sac Diameter MSD used for estimating gestational age.
It should be bornt in mind that prenatal ultrasound cannot diagnose all malformations and problems of an unborn baby (reported figures range from 40 to 98 percent), so one should never interpret a normal scan report as a guarantee that the baby will be completely normal.
Each of our early pregnancy scans come complete with a medical report. If you feel weekly scans will offer more reassurance during the early weeks of pregnancy then these can be arranged in addition to this package. The primary purpose of this scan is to confirm viability of an intrauterine pregnancy and determine well-being. The scans will last about 10 minutes and a 2D scan picture will be given to you to take home and keep. All early scans are performed by a qualified diagnostic Sonographer.
As this package is offered from 6 weeks it is likely any pre week pregnancy scans will require an internal vaginal scan.
When will I hear my baby’s heartbeat?
History of Technology Heroes and Villains – A little light reading Here you will find a brief history of technology. Initially inspired by the development of batteries, it covers technology in general and includes some interesting little known, or long forgotten, facts as well as a few myths about the development of technology, the science behind it, the context in which it occurred and the deeds of the many personalities, eccentrics and charlatans involved. You may find the Search Engine , the Technology Timeline or the Hall of Fame quicker if you are looking for something or somebody in particular.
Scroll down and see what treasures you can discover.
Lisa I have not been diagnosed as having any kind of cancer, yet the first GYN ontological surgeon I visited recommended a total hysterectomy, even though my CA score was 7.
The Kinderhook Plates Readers should note that today, these items are either lost or verified forgeries. The Manual’s Kinderhook section defends Joseph Smith’s partial translation. Its editors suggest that the testimony of Wilbur Fugate, who admitted creating the plates as a hoax, must be false, primarily because only he out of the three “discoverers” blew the whistle on the forgery.
Moreover, the editors express suspicion of Fugate because he waited 36 years to confess his part in the supposed hoax. Why, they ask, did he not confess his supposed hoax immediately after the release of Joseph Smith’s initial translation? Kimball, the Cchurch also published missionary pamphlets in the s with the story of the Kinderhook Plates—apparently to be used as a conversion tool. After penetrating about eleven feet the workers came to a bed of limestone that had been subjected to the action of fire.
They removed the stones, which were small and easy to handle, to the depth of two feet more, when they found the skeleton.