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Hurricane Katrina made landfall with the northern Gulf Coast on August 29,as one of the strongest hurricanes on record. The storm damage incurred in Louisiana included a number of levee failures that led to the inundation of approximately 85 percent of the metropolitan New Orleans area.

Whereas extreme levels of storm damage were expected from such an event, the catastrophic failure of the New Orleans levees prompted a quick mobilization of engineering experts to assess why and how particular levees failed. As part of this mobilization, civil engineering members of the United States Geological Survey USGS performed terrestrial lidar topographic surveys at major levee failures in the New Orleans area.

Hypnosis for weight loss dartford focus of the terrestrial lidar effort was to obtain precise measurements of the ground surface to map soil displacements at each levee site, the nonuniformity of levee height freeboard, depth of erosion where scour occurred, and distress in structures at incipient failure. In total, we investigated eight sites in the New Orleans region, including both earth and concrete floodwall levee breaks. The lidar scan data consists of electronic files containing millions of surveyed points.

These points characterize the topography of each levee 's postfailure or incipient condition and are available for download through online hyperlinks. The data serve as a permanent archive of the catastrophic damage of Hurricane Katrina on the levee systems hypnosis for weight loss dartford New Orleans. Complete details of the data collection, processing, and georeferencing methodologies are provided in this report to assist in the visualization and analysis of the data by future users.

The Mississippi River and corresponding tributaries drain approximately 3.

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Approximately 2, km 1, miles hypnosis for weight loss dartford earthen levees presently protect major urban cities and agricultural land against the periodic Mississippi River floods within the Lower Mississippi River Valley. The flood also severely stressed the levees and highlighted the need to source the behavior of levee embankments during high water levels.

The performance of earthen levees is complex because of the uncertainties in construction materials, antecedent moisture contents, hydraulic properties, and lack of field monitoring.

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In particular, calibration of unsaturated and saturated soil properties of levee embankment and foundation layers along with the evaluation of phreatic surface during high river stage is lacking. Due to the formation of sand boils at the Duncan Point Levee in Baton Rouge, LA during the flood event, a reconnaissance survey was conducted to collect pore-water pressures in the sand foundation using piezometers and identifying the phreatic surface at the peak river level.

Transient seepage analyses were performed to calibrate the foundation and levee embankment material properties using field data hypnosis for weight loss dartford. With this calibrated levee model, numerical experiments were conducted to characterize the effects of rainfall intensity and duration, progression of phreatic surface, and seasonal climate variability hypnosis for weight loss dartford to floods on the performance of the levee embankment.

For example, elevated phreatic surface from river floods are maintained for several months and can be compounded with rainfall to lead to slope instability.

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Antenatal imaging of cutis verticis gyrata. Cutis verticis gyrata CVG is a skin condition characterized by thick folds and deep furrows, resembling a cortical gyral pattern.

There is a recognized but rare association with Noonan syndrome. We report the antenatal imaging, including three-dimensional surface-rendered sonography and MRI, of a fetus with CVG who hypnosis for weight loss dartford subsequently diagnosed with Noonan syndrome.

The case illustrates the antenatal appearances of congenital CVG and the potential yield of antenatal imaging in excluding a major central nervous system anomaly. This is important because without prior knowledge of this condition and its imaging characteristics, it is possible to get a false impression of an underlying skull defect on mid-trimester imaging.

Many arroyos that formed by incision more than a century ago in the southwestern United States are currently filling with sediment. This reversal of hypnosis for weight loss dartford is important because it causes changes in riparian ecology, erosion hazards, ground water recharge, and sediment supply to downstream. Along the Rio Puerco and Chaco Wash in New Mexico, we examined the geometry and facies of channel and floodplain stratigraphy exposed in trenches, used high-resolution dating of the sedimentary beds, and used photographs and other historical evidence to investigate the processes of aggradation in naturally leveed channels within arroyos.

Prior to the onset of aggradation, the streambeds were composed of sand and had low relief, and arroyo walls retreated rapidly due to stream undermining. Aggradation began with hypnosis for weight loss dartford formation of sand levees at the margins of the streambeds, followed by formation of hypnosis for weight loss dartford levees increasingly closer to the thalweg.

These levees coincide with rows of woody shrubs tamarisk and willowplants that germinated in moist sand along the high-water marks of moderate flows, and survived because subsequent periods lacked flows large enough to remove them. Flow entering a row of woody shrubs decelerates, promoting deposition of suspended sand.

Stream flows in this setting here always turbid but do not have the rheology of debris flows.

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The rows of shrubs probably are a requirement for initial formation of sand levees on low relief streambeds in this setting. As new levees formed closer to the thalweg the channel effectively narrowed, and smaller discharges overtopped the levees adjacent to the channel.

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Those closer levees accumulated sand most rapidly, leaving the suspended sand concentration depleted by the time water reached more distant ones. All levees aggraded vertically. Hypnosis for weight loss dartford addition, sediment deposited on. Perception of prenatal services by antenatal clinic attendees in a Sep 30, Conclusion: In our study, no significant differences between antenatal betamethasone and dexamethasone were found in complications of preterm neonates.

Incomplete courses of antenatal corticosteroids were associated with an increased incidence of RDS compared with complete courses. The Sacramento-San Joaquin Delta is home to numerous islands that provide economically and agriculturally important land. However, the island hypnosis for weight loss dartford are sinking and most sit below sea level, making the levee roads that surround the islands vital for their continued health and productivity.

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These datasets provide high resolution topographic models with 8 year separation that can be used to examine topographic change along the levees. Regions of levee road subsidence and of levee road construction and reinforcement on the order of centimeters per year were evident in locations around the islands.

There is a high degree of spatial variability of these rates even for individual islands. These results were compared to the levee road maps published by the CA Delta Stewardship Council and it was found that the regions of reinforcement and subsidence did not always align between the published maps and the LiDAR data.

Additionally, the levee road heights and read article of change, in hypnosis for weight loss dartford of road subsidence, were compared to sea level rise projections to evaluate the risk that rising sea level may pose to hypnosis for weight loss dartford islands in the future.

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Antenatal corticosteroids: an assessment of anticipated benefits and potential risks. Antenatal corticosteroids are standard of care for pregnancies at risk of preterm delivery between weeks' gestational age. Recent trials demonstrate modest benefits from antenatal corticosteroids for late preterm and elective cesarean deliveries, and antenatal corticosteroids for periviable deliveries should be considered with family discussion.

The net effect is that a substantial fraction of the delivery population will be exposed to antenatal corticosteroids. The care practices for the mother and infant survival hypnosis for weight loss dartford different than today. The randomized source trial data also do not strongly support the optimal interval from antenatal corticosteroid treatment to delivery of days.

Although most of the prematurity-associated mortality is in low-resource environments, the efficacy and safety of antenatal corticosteroids in those environments remain to be evaluated. The short-term benefits of antenatal corticosteroids for high-risk pregnancies in high-resource environments certainly justify antenatal corticosteroids as few risks have been identified over many years.

However, cardiovascular hypnosis for weight loss dartford metabolic abnormalities have been identified in large animal models and cohorts of children exposed to antenatal corticosteroids that are consistent with fetal programming for adult diseases.

These late effects of hypnosis for weight loss dartford corticosteroids suggest caution for the expanded use of antenatal corticosteroids beyond at-risk pregnancies at weeks.

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A way forward. Hypnosis for weight loss dartford the paper the results of non-invasive georadar GPR surveys carried out for detection of loose zones located in the flood levee was presented. In the investigation site, during the flood inleakages of levee were hypnosis for weight loss dartford, so detection of inner water filtration paths was an important matter taking into account the stability of the levee during the next flood.

GPR surveys had reconnaissance character, so they were carried out with the use of short-offset reflection profiling SORP technique and radargrams were subjected to standard signal processing. The results of surveys allowed to outline main loose zone in the levee which were the reason of leakages in Additionally gravel interbeddings in sand were detected which had an hypnosis for weight loss dartford influence, due to higher porosity of such zones, to water filtration inside of the levee.

In the paper three solutions which allow to increase quality and resolution of radargrams were presented, i. Levee reliability analyses for various flood return periods - a case study in southern Taiwan. In recent years, heavy rainfall conditions have caused disasters around the world. To prevent losses by floods, levees have often been constructed in inundation-prone areas.

This study performed reliability analyses for the Chiuliao First Levee in southern Taiwan. The failure-related parameters were the water level, the scouring depth, and the in situ friction angle.

Three major failure mechanisms were considered: the slope sliding failure of the levee and the sliding and overturning failures of the retaining wall.

When the variability of the in situ friction angle and the scouring depth are considered for various flood hypnosis for weight loss dartford periods, the variations of the factor of safety for the different failure mechanisms show that the retaining wall sliding and overturning failures are more sensitive to the change of the friction angle.

When the flood return period is greater than 2 years, the levee could fail with slope sliding article source all values of the water level difference. The results of levee stability analysis considering the variability of different parameters could aid engineers in designing the levee cross sections, especially with potential failure mechanisms in mind.

Health care providers' knowledge and practice of focused antenatal Findings revealed poor knowledge of concept, components, timing of visits on focused antenatal care and non compliance with the guidelines for the practice of focused antenatal care, because of health workers lack of knowledge on focused antenatal care. Full Text Available This article reviews the use of synthetic aperture radar remote sensing data hypnosis for weight loss dartford earthen levee mapping with an emphasis on finding the slump slides on the levees.

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Earthen levees built on the natural levees parallel to the river channel are designed to protect hypnosis for weight loss dartford areas of populated and cultivated land in the Unites States from flooding.

One of the signs of potential impending levee failure is the appearance of slump slides. On-site inspection of levees is expensive and time-consuming; therefore, a need to develop efficient techniques based on remote sensing technologies is mandatory to prevent failures under flood loading. Analysis of multi-polarized radar data is one of the viable tools for detecting the problem areas on the levees. In this study, we develop methods to detect anomalies on the leveesuch as slump slides and give levee managers new tools to prioritize their tasks.

The study area hypnosis for weight loss dartford a portion of levees of the lower Mississippi River in the United States. In this paper, we investigate the performance of polarimetric and texture features for efficient levee classification. Click at this page features derived from the gray level co-occurrence GLCM matrix and discrete wavelet transform were computed and analyzed for efficient levee classification.

The pixel-based polarimetric decomposition features, such as entropy, anisotropy, and scattering angle were also computed and applied to the support vector machine classifier to characterize the radar imagery and compared the results with texture-based classification.

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Antenatal care in practice: an exploratory study in antenatal care clinics in the Kilombero Valley, south-eastern Tanzania. Full Text Available Abstract Background The potential of antenatal care for reducing maternal morbidity and improving newborn survival and health is widely acknowledged.

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Yet there are worrying gaps in knowledge of the quality of antenatal care provided in Tanzania. In particular, determinants of health workers' performance have not yet been fully understood. This paper uses ethnographic methods to document health workers' antenatal care practices with reference to the national Focused Antenatal Care guidelines and identifies factors influencing health workers' performance. Potential implications for improving antenatal care provision in Tanzania are discussed.

Methods Combining different qualitative techniques, we studied health workers' antenatal care practices in four public antenatal care clinics in the Kilombero Valley, south-eastern Tanzania. A total of 36 antenatal care consultations were observed and compared with the Focused Antenatal Care guidelines.

Participant observation, hypnosis for weight loss dartford discussions and in-depth interviews with the staff helped to hypnosis for weight loss dartford and explain health workers' practices and contextual factors influencing antenatal care provision.

Results The delivery of antenatal care services to pregnant women at the selected antenatal care clinics varied widely. Some services that are recommended by the Focused Antenatal Care guidelines were given to all women while other services were not delivered at all.

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Factors influencing health workers' practices were poor implementation of the Focused Antenatal Care guidelines, lack of trained staff and absenteeism, supply shortages and use hypnosis for weight loss dartford working tools that are not consistent with hypnosis for weight loss dartford Focused Antenatal Care guidelines.

Health workers react to difficult working conditions by developing informal practices as coping strategies or "street-level bureaucracy". Conclusions Efforts to improve antenatal care should address shortages of trained staff through expanding training opportunities, including health worker.

The Sacramento-San Joaquin Delta's extensive levee system protects over 2, km2 of reclaimed lands and serves as the main irrigation and domestic water supply for the state of California.

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However, ongoing subsidence and disaster threats from floods and earthquakes make the Delta levee system highly vulnerable, endangering water supplies for hypnosis for weight loss dartford million California residents and 2.

Levee failure in the Delta can cause saltwater intrusion from San Francisco Bay, reducing water quality and curtailing water exports to residents, commercial users, and farmers.

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To protect the Delta levee system, it is essential to search for signs of seepage in which water is piping through or beneath leveeswhich can be associated with deformation of the levees themselves.

Until now, in-situ monitoring has largely been applied, however, this is a time-consuming and expensive approach. Hypnosis for weight loss dartford is an L-band airborne sensor with high signal-to-noise ratio, repeat flight track accuracy, and spatial resolution of 7x7 m2 for multi-looked products that is necessary for detailed levee monitoring. The adaptability of radar instruments in their ability to see through smoke, haze, and clouds during the day or night, is especially relevant during disaster events, when cloud cover or lack of solar illumination inhibits traditional hypnosis for weight loss dartford surveys of damage.

Hypnosis for weight loss dartford demonstrate the advantages of combining polarimetric radar imagery with geographic information systems GIS datasets in locating seepage features along critical levee infrastructure in the Delta for The ability to efficiently locate potential. Midwifery basics. Antenatal care: the options available. This new series of articles is aimed at student midwives. Read article purpose is to provide them with a basic understanding of the main issues and concepts surrounding the delivery of antenatal care.

Students will be encouraged to seek further information through a series of activities throughout the text. They will also be helped to link theory with practice by following 'Joanna' through her pregnancy.

Antenatal Bartter's syndrome with sensorineural deafness. Bartter's syndrome is a group of inherited, salt-losing tubulopathies presenting as metabolic alkalosis with normotensive hyperreninemia and hyperaldosteronism.

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We report here the first case of a neonate with bilateral, sensorineural deafness, a variant of antenatal Bartter's syndrome from an Indian hypnosis for weight loss dartford. Antenatal breastfeeding education for increasing breastfeeding duration. Background Breastfeeding BF is well recognised as the best food for infants.

The impact of antenatal BF education on the duration of BF has not been evaluated.

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Objectives To evaluate the effectiveness of antenatal BF education for increasing BF initiation and duration. We contacted experts and searched reference lists of hypnosis for weight loss dartford articles. Selection criteria All identified published, unpublished and ongoing randomised controlled trials RCTs assessing the effect of formal antenatal BF education or comparing two different methods of formal antenatal BF education, on duration of BF.

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Data collection and analysis We assessed all potential studies identified as a result of the search strategy. Two review authors extracted data from each included study using the agreed form and assessed risk of bias. We resolved discrepancies through discussion.

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Main results We included 17 studies with women in the review and 14 studies involving women contributed data to the analyses. We did not do any meta-analysis because there was only one study for each comparison.

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Five studies compared a single method of BF education with routine care. Hypnosis for weight loss dartford counselling significantly increased BF initiation. Three studies compared one form of BF education versus another. No intervention was significantly more effective than another intervention in increasing initiation or duration of BF. Seven studies compared multiple methods versus a single method of BF education. Combined BF educational interventions were not. Using ground penetrating radar in levee assessment to detect small scale animal burrows.

Levees are civil engineering structures built to protect human lives, property, and agricultural lands during flood events. To keep these important structures hypnosis for weight loss dartford a safe condition, continuous monitoring must be performed regularly and thoroughly. Small rodent burrows are one of the major defects within levees ; however, their early detection and repair helps in protecting levees during flooding events.

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A set of laboratory experiments was conducted to analyze the polarity change in GPR signals in the presence of subsurface voids and water-filled cavities.

Many subsurface animal burrows, water-filled cavities, clay clasts, and metallic objects were investigated and identified. These anomalies were located at different depths and have different sizes.

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To ground truth the observations, hand dug trenches were excavated to confirm several anomalies. Results show an excellent match between GPR interpreted anomalies and the observed features. In-situ dielectric constant measurements were used to calculate the feature depths.

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