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http://projects.csail.mit.edu/courseware/?term=essay-on-crucible essay on crucible Date of birth. I i ( wksga) large-for-gestational age (lga) >901hpercentile appropriate-for-gestational age (aga) 1g-901hpercentile small-for-gestational age (sga) <10'h percentile select one d d d * 3111 and gih percentile on all curves for 23 weeks should be interpreted cautiously given the small sample size. Figure 21.1. Intrauterine growth curves fur males and females. Reproduced with permission from olsen ie, groveman s, lawson ml, et al. New intrauterine growth curves based on united states data. Pediatrics 2010;125:E214--e224. Copyright 2010 by the american academy of pediatrics. Data source. Pediatrix medical group. Fluid electrolytes nutrition, gastrointestinal, and renal issues i 233 name ________________________ record# _ _ _ _ _ _ _ _ __ page2 females !. -- 97th 90th 55 ~ ..... Length i ~ 50 ~ i ~ f 45 f .I ~ 40 ~ ii "ii :,;:::. C:. ~ 35 ""i ,"" ~ 111111 30 ""~ii i , 1,.1' i.O' ..... ~ "i"' ...... ;~ 25 'loo" l-"'1,.1' !.

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sandel what money shouldnt buy essay 8%–30. 1%). 1 etiology in most patients (more than 90%), the cause of hypertension is unknown and referred to as primary hypertension. However, in some patients there is an identifiable cause of hypertension, referred to as secondary hypertension. Common causes of secondary hypertension include:11 •• ckd •• coarctation of the aorta •• •• •• •• cushing syndrome and other glucocorticoid excess states drug induced/related (table 5–4) pheochromocytoma primary aldosteronism and other mineralocorticoid excess states •• renovascular hypertension •• sleep apnea •• thyroid or parathyroid disease identification of a secondary cause of hypertension is often not initially pursued unless suggested by routine clinical and laboratory evaluation of the patient or a failure to achieve bp control. 6,11 in addition to primary and secondary hypertension, the clinician may encounter what is referred to as resistant hypertension. Patients failing to achieve goal bp despite adherence to optimal doses of three antihypertensive agents of different classes (ideally, one being a diuretic) have resistant hypertension and should be evaluated for secondary causes of hypertension. 12 several causes 48  section 1  |  cardiovascular disorders table 5–3  summary of key aspects of recent hypertension guidelines when to initiate bp lowering medications in general populationa bp targets initial bp-lowering agent suggestedb esh/esc 20136 james et al. Jama 20133 ash/ish 20132 general population. ≥ 160/100 mm hg or ≥140/90 mm hg if high cardiovascular risk (ie, organ damage, cvd, dm or ckd, or if low to moderate risk after implementation of lifestyle changes for several months) elderly (≥ 80 years old). Sbp ≥ 160 mm hg general population. < 140/90 mm hg patients with dm. < 140/85 mm hg elderly (≥ 80 years old). 140–150/90 mm hg general population. ≥ 60 years. ≥ 150/90 mm hg < 60 years, > 18 years with ckd or dm. ≥ 140/90 mm hg general population.

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essay explaining low gpa Basic positioning of infant to allow correct infant attachment at viagra reduced effectiveness the breast b. Minimwn anticipated feeding frequency (eight times/24-hour period) c. Expected physiologically appropriate small colostrwn intakes (about 15-20 ml in first 24 hours). 263 264 i breastfeeding d. Infant signs of hunger and adequacy of milk intake e. Common breast conditions experienced during early breastfeeding and basic management strategies f. Proper referral sources when indicated b. All breastfeeding infants should be seen by a pediatrician or other health care provider at 3 to 5 days of age to ensure that the infant has stopped losing weight and lost no more than 8 to 10% birth weight. Has ydlow, seedy stools (approximatdy 3/d)-no more meconium stools. And has at least six wet diapers per day. 1. At 3 to 5 days postddivery, the mother should experience some breast fullness, and notice some dripping of milk from opposite breast during breastfeeding. Demonstrate ability to latch infant to breast. Understand infant signs ofhunger and satiety. Understand expectations and treatment of minor breast/nipple conditions. 2. Expect a return to birth weight by 12 to 14 days of age and a continued rate of growth of at least y2 ounce per day during the first month. 3. If infant growth is inadequate, after ruling out any underlying health conditions in the infant, breastfeeding assessment should include adequacy of infant attachment to the breast. Presence or absence of signs of normal lactogenesis (i.E., breast fullness, leaking).

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