5 fetal face ultrasound dr ahmed esawy
Fetal face
Skin tag
EAR AND FACE APPENDIX
Beckwith Wiedemann syndrome
HYPOTELERISM
HYPERTELERISM
Facial anomalies with holoprosencephaly
Lacrimal duct cysts.
Macroglossia
Lymphangioma of the tongue
Cleft Palate and Cleft Lip
Cleft lip and palate
Microphthalmia
Micrognathia
Micrognathia associated with a Dandy-Walker variant.
ULIPs are innovative forms of life insurance that provide safety of your insurance cover with wealth enhancement opportunities. For more information visit - www.aegonreligare.com/ulip/ulip.php
5 fetal face ultrasound dr ahmed esawy
Fetal face
Skin tag
EAR AND FACE APPENDIX
Beckwith Wiedemann syndrome
HYPOTELERISM
HYPERTELERISM
Facial anomalies with holoprosencephaly
Lacrimal duct cysts.
Macroglossia
Lymphangioma of the tongue
Cleft Palate and Cleft Lip
Cleft lip and palate
Microphthalmia
Micrognathia
Micrognathia associated with a Dandy-Walker variant.
ULIPs are innovative forms of life insurance that provide safety of your insurance cover with wealth enhancement opportunities. For more information visit - www.aegonreligare.com/ulip/ulip.php
Study of content management systems joomla and drupaleSAT Journals
Abstract A content management system (CMS) is a software program that makes building and maintaining Web sites faster and easier. The system can automatically pull the content out and show it on the appropriate pages based on rules you set up in advance. There are several CMS available now a day’s varying based on functionalities and platforms. The challenge in correctly implementing a CMS is both the author’s utilization of the appropriate management system platform to create the content and the successful access by the end user to the published website. This paper discusses about comparative study of most widely used content management systems Joomla and Drupal. This study attempt to analyze each CMS on the basis of usage, design, performance, scalability, compatibility with different platforms, security purpose, and search engine visibility This study will help an individual or organization to choose an appropriate CMS for their specific web application. Keywords: CMS, Joomla, Drupal
US Energy Consumption by State as of 2005Bruce LaCour
The attached was completed in 2006 and was inspired by a presentation by the late Matt Simmons, author of "Twilight in the Desert", and who made frequent presentations on peak oil and water shortages. The data is old, but little has changed since 2005. This will be the starting point for future presentations on the state of energy consumption in the various states of U.S.A. and what the future may bring.
A case report of cervical ectopic pregnancy misdiagnosed as cervical miscarriageApollo Hospitals
Cervical pregnancy is a rare variety of ectopic gestation. The aetiology is obscure. Diagnosis may be difficult unless the clinician/the radiologist is conscious of the entity. The evaluation of first trimester vaginal bleeding or pelvic pain is an important task for the emergency physician. The early identification of an ectopic pregnancy can help prevent significant morbidity and mortality for patients seeking emergency care. We present the case of a patient found to have a cervical ectopic pregnancy.
Ultrasound is used in many different fields. Ultrasonic devices are used to detect objects and measure distances. Ultrasound imaging or sonography is often used in medicine.
— Pregnancy in non-communicating rudimentary horn is very rare and life threatening. It is often not diagnosed unless it terminates by rupture in the second trimester. Prerupture diagnosis of rudimentary horn pregnancy with USG is technically difficult, with sensitivity of 30%. Here a case of unruptured ectopic pregnancy in non-communicating rudimentary horn of unicornuate uterus at 15 weeks of gestation is presented. This patient presented in emergency department as a case of intrauterine fetal death. Laparotomy was carried out and excision of rudimentary horn was done.
Una "Diplomatura" es un curso de postgrado como cualquier otro, pero con nombre ostentoso. NO tiene el rango académico de las Carreras de Especialización, Maestría ni Doctorado. NO es reconocida por la CONEAU.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
2. Nuchal Translucency Measurement on the Fetus in a Difficult Position
Scanning the Patient Sitting Upright surement when the midsagittal view is unachiev-
Measuring the NT requires a perfect midsagittal able in the standard supine maternal position
view of the cervical and thoracic portions of the (Figure 1). This is particularly helpful in obese
fetus with visualization of the nasal tip as well as patients because the scan window when the
the third and fourth ventricles of the fetal brain. patient is upright rises above the panniculus.
The goal of the scan is to obtain this midsagittal
view no matter what the fetal position. In cases in The Simultaneous Transvaginal and
which the fetal or uterine position precludes a Transabdominal Technique
midsagittal view when the mother is in the stan- The second technique involves scanning both
dard supine position, sitting her up at 75° to 90° transvaginally and transabdominally simultane-
results in a change in orientation of the uterus, ously. Although scanning transvaginally alone
thus allowing the ultrasound beam to enter the will sometimes result in a midsagittal view, often
uterus from the fundus. The transducer is placed the fetus has spun around, and the NT is still not
just under the umbilicus and angled caudad to measurable transvaginally. While scanning trans-
image the fetus at 90° from the original position abdominally, we use the endovaginal probe to
when the patient was supine. This change is stabilize the uterus or to push the uterus toward
often enough to obtain an adequate NT mea- the anterior abdominal wall (this works especial-
Figure 1. A, Upright positioning of the patient and transducer when using the “sitting-up” technique. B, Fetus in the coronal plane,
in an awkward position for the NT measurement when the patient is supine. C, Same fetus when the patient is sitting up and the
ultrasound beam enters the uterus from the fundus. Note that the fetus is now seen in the midsagittal plane. D, Fetus in the mid-
sagittal position showing the position for the NT measurement and caliper placement.
A B
C D
1262 J Ultrasound Med 2010; 29:1261–1264
3. Bromley et al
ly well if the uterus is retroverted). Depending on midsagittal view of the fetal head and neck is not
the fetal movement and position, the sonologist always obtainable with the patient in the stan-
or sonographer can toggle back and forth dard supine position. Additionally, a recently
between the transabdominal and endovaginal emptied bladder may contribute to a less than
images, displaying views that are oriented at optimal fetal position. We have found that when
right angles to each other. Using a simultaneous standard techniques of turning the patient from
transabdominal and endovaginal approach, a side to side fail, placing the patient in a sitting
midsagittal orientation of the fetus should be position will provide a new view into the uterus,
achievable in most cases (Figure 2). at 90° from the initial attempt. If this maneuver
does not suffice, the sonographer can then try the
Conclusions transvaginal approach. If the appropriate fetal
The success of fetal sonographic NT measure- image is still not obtained, the patient should be
ment depends on our ability to view the fetus rescanned transabdominally while the vaginal
from multiple directions because the perfect probe is still in place and can be used to manipu-
Figure 2. A, Positioning of the patient and transducer for the simultaneous transvaginal and transabdominal technique. Note that
by angling the vaginal probe down, the uterus can be pushed up toward the abdominal probe. B, Transabdominal image of a first-
trimester fetus referred for NT measurement. Note that the fetus is very deep within the maternal pelvis because of a high maternal
body mass index. C, Transvaginal imaging of the fetus provides a much clearer view. However, the fetus is not in a midsagittal view;
therefore, the NT cannot be measured. D, Transabdominal scan of the same fetus where the vaginal probe is in situ and is being used
to push the entire uterus closer to the abdominal wall, thus resulting in a much clearer image. Note that the NT is easily seen and
measured, and the nasal bone is also identified.
A B
C D
J Ultrasound Med 2010; 29:1261–1264 1263
4. Nuchal Translucency Measurement on the Fetus in a Difficult Position
late the orientation of the uterus. We use these
imaging techniques in fetuses where the standard
transabdominal approach is unsuccessful in
obtaining a perfect midsagittal view. Previously,
these patients would have required another eval-
uation at a later time. Since introducing this scan-
ning protocol into our practice, we have been able
to obtain an NT measurement successfully with-
out a need for repeat scanning in the last several
hundred patients. This brief communication is
simply meant to introduce these techniques to
help the practitioner obtain an NT measurement
when the fetus is in a difficult position. We did not
address how often these techniques were required
to obtain an NT measurement. A prospective
study is needed to determine the frequency with
which each of these techniques is used in a large
clinical practice.
References
1. ACOG Committee on Practice Bulletins. ACOG Practice
Bulletin No. 77: screening for fetal chromosomal abnor-
malities. Obstet Gynecol 2007; 109:217–227.
2. Wax JR, Pinette MG, Cartin A, Blackstone J. The value of
repeated evaluation after initial failed nuchal translucency
measurement. J Ultrasound Med 2007; 26:825–828.
3. Thornburg M, Mulconry M, Post A, Carpenter A, Grace D,
Pressman EK. Fetal nuchal translucency thickness evalua-
tion in the overweight and obese gravida. Ultrasound
Obstet Gynecol 2009; 33:665–669.
1264 J Ultrasound Med 2010; 29:1261–1264