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Short cervical length, dilated internal cervical os, and funneling of the fetal membranes 2% of all US pregnancies Prophylactic or emergent cerclage, the efficacy of this intervention may be specific to certain subgroups; however, it has not been consistently demonstrated in trials History of cervical colonization, multiparity, history of cervical trauma Fetal fibronectin (fFN) assay because of a false-positive rate of 3 4% or a low prevalence of positive results in asymptomatic low-risk women Unfortunately, the sensitivity and positive predictive value (41%) are not as impressive Fetal fibronectin is a glycoprotein present in maternal circulation and AF, if present in the cervicovaginal secretions >50 ng/mL; it suggests that the cervix is undergoing structural change and the patient may go into labor in the next 2 weeks Positive predictive value is 41% Yes The test is more valuable for its negative predictive value of 96% If the protein is low or absent there is a low probability that she will go into PTL in the next 2 weeks The swab must be collected prior to any other vaginal cultures, examination, or procedure It can be repeated in 2 weeks if she presents with signs or symptoms consistent with PTL

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The road to Avalon (WPF)

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Managed WPF code operates extremely smoothly with applications that are also managed. Having a model that relies on garbage collection means that the design of the framework isn t driven by the need to clean up after resources. Being able to use reflection to discover behavior means powerful tools that can pick up new capabilities automatically. Possibly the most important benefit of being managed is avoiding the serious security issues of the older C APIs. It s harder to exploit vulnerabilities, and you can also safely run WPF over the web (picture this on Amazon.com) and know that the code is limited to a properly secure sandbox. Managed code is Microsoft s term for code designed to operate with the .NET Common Language Runtime (CLR). Before managed code, a program was compiled directly to a machine-understandable format and did what it liked. Now programs are compiled into an intermediate language (called, cleverly, Intermediate Language) that s processed by the CLR at runtime. It s beyond the scope of this book to go into a detailed explanation of why managed code is a good idea and how it works in detail, but it does provide a huge number of advantages including security, garbage collection, interoperability between languages, reflection, better multiple target support, and extra dessert on Tuesdays.

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What are risk factors for cervical insufficiency What is considered a highly specific test for PTL

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Figure 5.21 The buttons are all the same size, based on the size of the largest button. We could add some padding to the buttons to make them a little nicer.

Bed rest, home uterine monitoring, prophylactic broadspectrum antibiotic therapy, abstinence from sex, hydration, longterm or prophylactic tocolytic therapy

The WPF team spent a lot of time thinking about localization, and a lot of built-in features support it. For example, we can make your entire window size itself based on its contained content, if it happens to get bigger or smaller, by adding SizeToContent= "WidthAndHeight" to our window element.3 We can also give all our elements unique IDs so that a Satellite resource assembly can replace all our strings based on the current language.

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When you write .NET code, you put that code into an assembly. That assembly will also contain various resources such as all your strings. When you localize, you put your localized resources into a satellite assembly. If your main assembly is called MyCode.dll and you localize for Brazilian Portuguese, you d have a satellite assembly called MyCode.pt-BR.dll; or, if you wanted to translate from American into English, you d have an assembly called MyCode.en-UK.dll.

What is round ligament pain As the gravid uterus increases rapidly during the second and third trimester, tension on the round ligament may cause sharp shooting inguinal and groin pain Rest, warm compresses, and acetaminophen may relieve the pain Twins, polyhydramnios, macrosomia, fibroids, hydatidiform mole (molar pregnancy) Gestational diabetes mellitus (GDM), fetal anomalies of the nervous (anencephaly), or gastrointestinal system (tracheosophageal fistula or atresia) Bilateral renal anomalies (Potter), posterior urethral valves in males, hypertensive disorders of pregnancy (gHTN, PEC, HELLP) Placental membrane defects that result in fetal deformities or amputations; they are believed to be because of sclerosis and are associated with oligohydramnios 2 4% of all viable infants, irrespective of ethnic background Most birth defects are multifactorial Less than 2500 g PTD, small for gestational age (SGA), intrauterine growth restriction (IUGR), infection (rubella or CMV), teratogen exposure, chromosomal or congenital anomalies The smaller the infant the higher the mortality

Unfortunately, the Visual Studio team didn t have time to wrap this for Visual Studio 2008, so we end up having to manually edit project files and run command-line utilities. Still, we expect that this issue will be addressed in the not-to-distant future.

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