Original article Shoulder dystocia: an Evidence-Based approach Salvatore Politi1 Laura D’Emidio2 Pietro Cignini2 Maurizio Giorlandino2 Claudio Giorlandino2 Introduction Most often an unpredictable and unpreventable obstetric emergency‚ Shoulder Dystocia (SD) continues to evoke terror and fear among physicians‚ nurse midwives and other healthcare providers (1‚2). SD is defined as a delivery that requires additional obstetric manoeuvres to release the shoulders after gentle downward traction
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wan’s world came into focus as his eyes widened as far as they would go. The burning agony behind his eye sockets prevented him from fully opening them. Now back in his cell‚ the guards must have thrown him in while unconscious. Kwan crept his arms up to his head to massage his temples. His skull throbbed like a second heartbeat‚ so powerful his cranium threatened to cave with every pulse. Eventually‚ he gathered enough energy to pull himself up into a sitting position. His muscles ached‚ imitating
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Structural Effects on Stability and Reactivity. Organic Chemstry Laboratory Structural Effects on Stability and Reactivity Introduction The concepts of stability and reactivity are fundamental to understanding chemistry. In this chapter we consider first the thermodynamic definition of chemical stability. We then consider chemical kinetics (Section 3.2) and how it can provide information about reactivity. We also explore how structure influences stability and reactivity. We want to learn how
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the patient and sexual history. Dark field microscopy of exudate from the lesion is a reliable way to confirm the presence of spirochetes. Light through the microscope fitted with special lenses allows the visualization and identification of the corkscrew morphology of the spirochete as white against a dark
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The King of Battle is what the artillery has been nicknamed due to their historical effects during war. The roar of artillery brings mass confusion to the enemy and devastating effects to troops in the open. In history‚ one battle that definitively portrays their long standing title as the King‚ the Battle of Antietam. The Union claimed a victory in Sharpsburg because the south had retreated first‚ but the number of casualties from each side would suggest a stalemate. Killed‚ wounded‚ or captured
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Los Angeles is described as sunshine and noir. The beautiful climate‚ mountains‚ and beaches encapsulate the geography of Los Angeles. Further‚ Los Angeles is the capital of many entertainment industries—which for many hopefuls is a way to be rich and famous. However‚ Los Angeles is also pure noir. The situation in Los Angeles is often bleak. Many seeking freedom and fame in Los Angeles have been victimized and their ideas silenced by an oppressive government. However‚ the music industry has always
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The developments of sculpture are closely associated with the emergence of human society. A sculpture is the history of human identity recording the thoughts‚ culture‚ and aesthetic concept of the people at that age‚ and also reflects the worship of one generation to another. The Marble Statue of a Youthful Hercules‚ a Roman marble sculpture from A.D. 69 to 98‚ Flavian dynasty‚ depicts the Greek Mythology hero: Hercules . In contrast‚ Commemorative Portrait of a Chief (Lefem)‚ an African wood sculpture
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Pulp fiction‚ according to the Vintage Library (Media)‚ provides a ground for creative talent. The freedom provided in the pulp fiction created hardboiled detectives and science fiction genres. Pulp fiction is given credit for the evolution of literature‚ and fictional heroes found in today’s films. In the early nineteen-hundreds the American public was awash with creative writing publications known as pulp fiction. The name was coined from the cheap material that was used in the publications.
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Electrical Engineer Product Fabrication SemiTech Mr. Mark Benjamin Engineer SemiTech Dear Mr. Mark Benjamin This is the report for analyzing and recommends dope silicon for our company. In the report‚ I use the right-hand rule to determine the direction of the magnetic field‚ force acting in charge and the direction of moving charges. After that I use several equations to calculate the carrier concentration‚ hall coefficient‚ of the sample. It is an n-type semi-conductor. The resistance
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By Jonty Harrison Shell 2 ‘J’ Social By Jonty Harrison Shell 2 ‘J’ Social Why Were the Normandy Landings a Success On and Following the 6th June? Introduction The question of whether or not the whole of the 2nd Front‚ or just the landings‚ was a complete success‚ is still debated all around Europe today. However‚ there is one definite fact that the Allies had a victorious to the end of the war. The journey to the victory was tough‚ and I will be talking about
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