Obstetrics is the field of study concentrated on pregnancy and the postpartum period. As a medical specialty, obstetrics is combined with gynaecology under the discipline known as obstetrics and gynecology, a surgical field. Prenatal care is important in screening for various complications of pregnancy; this includes routine office visits with physical exams and routine lab tests: Complete blood count Blood type General antibody screen for HDN Rh D negative antenatal patients should receive RhoGam at 28 weeks to prevent Rh disease. Rapid plasma reagin to screen for syphilis Rubella antibody screen Hepatitis B surface antigen Gonorrhea and Chlamydia culture PPD for tuberculosis Pap smear Urinalysis and culture HIV screenGenetic screening for Down syndrome and trisomy 18, the national standard in the United States, is evolving away from the AFP-Quad screen for Down syndrome, done in the second trimester at 16–18 weeks; the newer integrated screen can be done at 10 plus weeks to 13 plus weeks with an ultrasound of the fetal neck and two chemicals PAPP-A and βHCG.
It gives an accurate risk profile early. A second blood screen at 15 to 20 weeks refines the risk more accurately; the cost is higher than an "AFP-quad" screen due to the ultrasound and second blood test, but it is quoted to have a 93% pick up rate as opposed to 88% for the standard AFP/QS. This is an evolving standard of care in the United States. MSAFP/quad. Screen – elevations, low numbers or odd patterns correlate with neural tube defect risk and increased risks of trisomy 18 or trisomy 21 Ultrasound either abdominal or transvaginal to assess cervix, placenta and baby Amniocentesis is the national standard for women over 35 or who reach 35 by mid pregnancy or who are at increased risk by family history or prior birth history. Hematocrit Group B Streptococcus screen. If positive, the woman receives IV penicillin or ampicillin while in labor—or, if she is allergic to penicillin, an alternative therapy, such as IV clindamycin or IV vancomycin. Glucose loading test – screens for gestational diabetes.
Most doctors do a sugar load in a drink form of 50 grams of glucose in cola, lime or orange and draw blood an hour later. The standard modified criteria have been lowered to 135 since the late 1980s. Obstetric ultrasonography is used for dating the gestational age of a pregnancy from the size of the fetus, determine the number of fetuses and placentae, evaluate for an ectopic pregnancy and first trimester bleeding, the most accurate dating being in first trimester before the growth of the foetus has been influenced by other factors. Ultrasound is used for detecting congenital anomalies and determining the biophysical profiles, which are easier to detect in the second trimester when the foetal structures are larger and more developed. Specialised ultrasound equipment can evaluate the blood flow velocity in the umbilical cord, looking to detect a decrease/absence/reversal or diastolic blood flow in the umbilical artery. X-rays and computerized tomography are not used in the first trimester, due to the ionizing radiation, which has teratogenic effects on the foetus.
No effects of magnetic resonance imaging on the foetus have been demonstrated, but this technique is too expensive for routine observation. Instead, obstetric ultrasonography is the imaging method of choice in the first trimester and throughout the pregnancy, because it emits no radiation, is portable, allows for realtime imaging; the safety of frequent ultrasound scanning has not be confirmed. Despite this, increasing numbers of women are choosing to have additional scans for no medical purpose, such as gender scans, 3D and 4D scans. A normal gestation would reveal a gestational sac, yolk sac, fetal pole; the gestational age can be assessed by evaluating the mean gestational sac diameter before week 6, the crown-rump length after week 6. Multiple gestation is evaluated by the number of placentae and amniotic sacs present. Other tools used for assessment include: Fetal screening is used to help assess the viability of the fetus, as well as congenital abnormalities. Fetal karyotype can be used for the screening of genetic diseases.
This can be obtained via amniocentesis or chorionic villus sampling Foetal haematocrit for the assessment of foetal anemia, Rh isoimmunization, or hydrops can be determined by percutaneous umbilical blood sampling, done by placing a needle through the abdomen into the uterus and taking a portion of the umbilical cord. Fetal lung maturity is associated with. Reduced production of surfactant indicates decreased lung maturity and is a high risk factor for infant respiratory distress syndrome. A lecithin:sphingomyelin ratio greater than 1.5 is associated with increased lung maturity. Nonstress test for fetal heart rate Oxytocin challenge test A pregnant woman may have intercurrent diseases, that is, other diseases or conditions that may become worse or be a potential risk to the pregnancy. Diabetes mellitus and pregnancy deals with the interactions of diabetes mellitus and pregnan
Alexander Oleinik is a Ukrainian professional Kickboxing and Muay Thai fighter who competes in the middleweight, light heavyweight and cruiserweight divisions. He has begun practicing Kyokushin Karate in early childhood at the age of six. Shortly he became a Ukrainian champion in the youth division. At the age of 17 he started practicing Muay Thai, he first came to prominence due to his successful amateur career by winning IFMA European and World Championships in 2010. At that time he combined his amateur and professional careers, he turned professional in 2007 by winning his debut fight in Slovakia. Two years he became ISKA World Champion in professional division. In 2010 Alexander won King of Kings World Grand Prix -83 kg in Moldova, he continued his professional record through 2011 where he won the 2011 Tatneft World Cup in division under 80 kg. As of January 2012, he is ranked the #2 light heavyweight kickboxer in the world by Liverkick.com. He has proved it with wins over four top 10 fighters in Sem Braan, Constantin Țuțu, Alexander Stetsurenko and Dmitry Shakuta.
Professional debut: July 7, 2007 51 fights, 44 won, 16 KOs, 7 lost 2017 – ISKA Pro-Am World Champion – 88,5 kg – Singen, Germany 2017 – King of Kings World Grand Prix Winner – 85 kg – Tallinn, Estonia 2011 – Tatneft Cup Champion – -80 kg – Kazan, Russia 2010 – King of Kings World Grand Prix in K-1 Winner – 83 kg – Chisinau, Moldova 2009 – World champion in professional kickboxing K-1 – Hurghada, Egypt The ninefold world champion on kickboxing and muay thai among amateurs under versions WAKO, IFMA and ISKA. World champion in K-1 and Low-kick World champion in Muay-thai World champion in K-1 World champion in Muay-thai European Champion in Muay-thai European Championship in Muay-thai – 2nd place World Championship in Muay-thai – 3rd place European Championship in Muay-thai – 3rd place World Cup winner in Muay-thai World Cup winner in Muay-thai World Cup winner in Kickboxing Champion of Ukraine in Muay-thai Champion of Ukraine in Kickboxing List of K-1 events List of K-1 champions List of male kickboxers Federation of Combat Contact Martial Arts of Ukraine
Charles Steve Zembillas is an American video game art director, character designer, educator and concept artist from Burbank, founder of Animation Academy. Zembillas designed early concept art for games such as Crash Bandicoot and Daxter: The Precursor Legacy, Spyro the Dragon, as well as animated TV cartoons such as Wish Kid, Where's Waldo?, James Bond Jr. and Ghostbusters. He teaches art in his home state of California. Charles Zembillas was a character designer for the TV series She-Ra: Princess of Power from 1985 to 1987 for a total of ninety-three episodes, he was a character designer in 1985 for the film The Secret of the Sword, would go on to be the art director of the TV series Ghostbusters for sixty-five episodes in 1986. In 1987 Zembillas was commissioned for Spiral Zone as a character designer for sixty-five episodes. In 1991, Charles Zembillas was commissioned to work as an animator, art director, character designer for movies and TV shows such as Wish Kid, Where's Waldo?, Captain N, James Bond Jr.
In 1993, he was the character designer of the TV series Hurricanes as "Skevos Zembillas". In the same year, he served as the storyboard reviser for the TV series Sonic the Hedgehog. In 1996, Charles Zembillas worked for Naughty Dog Inc. on a new project known as "Crash Bandicoot", a video game series for the Sony PlayStation. Zembillas would continue to work for Naughty Dog in 1998 with Crash Bandicoot: Warped. In the year 2000, Zembillas designed early concept art for Naughty Dog in the game Jak and Daxter: The Precursor Legacy, as well as Spyro: Year of the Dragon. Charles Zembillas serves as the CEO and Founder and instructor at The Animation Academy in California
Amir Mansour is an American professional boxer who fights at heavyweight. His professional debut came in 1997, he fought 9 fights, before he was sent to prison in 2001, serving 8 1/2 years on a controlled substance charge. He entered a halfway house in March 2010 and resumed his boxing career in August 2010. Mansour made his debut at the age of 24 against another debutant Clifton Graham at the Cedar Beach Park in Allentown, Pennsylvania, on July 12, 1997. Mansour knocked out Graham in round 1. Two months Mansour knocked out Malik Muhammad in two rounds. Mansour went undefeated in his next seven fights, with a record of 9 wins with 6 coming inside the distance. At that time, Mansour was 28 years old. At the age of 38, in his first fight since 2001, Mansour returned to the boxing ring to defeat 36-year-old Samuel Brown by knockout. Mansour stayed undefeated in his next four fights. In May 2011, Mansour claimed the vacant World Boxing Foundation Intercontinental heavyweight title, knocking out Kenyan boxer Raymond Ochieng 1 minute and 45 seconds into the first round.
This was his quickest victory recorded to date. On August 19, 2011 he defeated former heavyweight contender Dominick Guinn by unanimous decision to win the NABO heavyweight title. Mansour defended his title with a 6th-round TKO on December 2, 2011 against the Colombian boxer Epifanio Mendoza at Dover Downs Hotel & Casino, in Dover, DE. On December 23, 2011, Mansour was sentenced to 14 months in prison for violating his probation. Mansour came home from prison on July 12, 2012. Mansour started his road to redemption dedicating his life to family and helping children outside of the ring. While in the ring Mansour started his path to a becoming a world champion, resumed his boxing career on January 25, 2013, at the Dover Downs Hotel & Casino, where he faced Dominique Alexander. Mansour KO'd Alexander in only 24 seconds and improved his record to 17–0, his last fight took place on April 12, 2013 in Dover, Delaware, USA. His opponent was a late replacement. Amir Mansour won by a first-round KO. Knocking down Jason Gavern four times.
On August 23, 2013, Mansour fought for three minor heavyweight titles. He defended his WBF Intercontinental and won the vacant USBA and interim NABA Heavyweight titles, his opponent was journeyman veteran Maurice Harris. Mansour weighed in at 226; the fight marked his first scheduled 12-round fight. In what was a tactical affair, Mansour won the fight by a 12-round unanimous decision; the scores were all for Mansour. The aggresssor throughout the bout was Mansour who managed to mix up his head and body attack against his taller opponent. Harris managed staying in the fight. Harris began to tire. On October 30, 2013 Mansour signed a managerial contract with Inc.. On the new partnership, Mansour said, "I’m looking forward to working with Joe Hand. I've known Joe since 1997 when I first trained at his gym. I would never train anywhere else. A lot of good fighters train there." The deal included working with Russell Peltz, of Peltz Boxing Promotions, Inc. who would help promoting upcoming fights. On December 14, Mansour recorded a TKO against Kelvin Price in New Jersey.
Rather than scoring the early knockout, a feat that he had grown used to, Mansour treated Price like a stubborn stump that required several hundred whacks before going down. After the fight, Mansour said, "He's so tall. I got so many different styles that I can make it rugged; these guys aren't built like that anymore," Mansour dropped Price once in round 5. Mansour's first fight of 2014 was a huge step-up in class, defending his USBA title against veteran Steve Cunningham; the fight was announced in February, to take place on April 4 at the Liacouras Center on the campus of Temple University in Philadelphia. The fight was to main event NBCSN Fight Night; the fight was promoted by Main Events. Kathy Duva stated she was looking forward to the fight as it was a true evenly matched crossroads bout. Mansour cut Cunningham above the left eye with a short right hook in the 2nd round. In the 5th round, Mansour knocked down Cunningham with a double right hook knocked him down a second time with a series of shots.
Cunningham benefited from some ponderous officiating by referee Smoger who counted slowly spent several seconds checking Cunningham after both counts, with the bell sounding to end the round after the second count. Mansour would swing wildly for the rest of the fight and Cunningham made Mansour touch down with his gloves after a series of clean blows in the 10th and final round; the scores were 95-92 twice, all for Cunningham. The fight averaged 291,000 viewers on NBC Sports. Cunningham landed 117 of his 516 punches thrown, with 91 power punches landed. Mansour landed 110 of 535 thrown. After losing the fight, Mansour spoke to the press and instead of complaining about the judgement, he talked about his opponent's young daughter who needed a heart transplant; as a result of the publicity, more than $20,000 was donated to a special fund for Cunningham's daughter. Following his first loss as a professional, Mansour made a comeback in November 2014, he fought 35-year-old Fred Kassi at the Sands Bethlehem Event Center in Bethlehem and was shown live on NBC Sports Network.
In round 7, Mansour saw an opening and hit a counter right hook that put Kassi face first to the canvas, knocked out, ending the fight by knockout. Mansour took six months out after knocking out Kassi and next fought in May 2015
Adventure Island is a water park located northeast of Tampa, across the street from Busch Gardens Tampa Bay. The park features 30 acres of water rides and other attractions; the park opened on June 7, 1980, is part of SeaWorld Entertainment. Aruba Tuba Calypso Coaster Caribbean Corkscrew Colossal Curl Riptide Rush Runaway Rapids Solar Vortex Vanish Point Wahoo Run Water Moccasin Endless Surf Fabian's Fun Port Paradise Lagoon Rambling Bayou Splash Attack Tampa Typhoon: A water slide that closed in 2005; the slide shared a tower with Gulf Scream, a now defunct water slide. Standing nearly 70 feet, or seven stories tall, the ride allowed patrons to see for miles around, including a view of the nearby MOSI museum. Gulf Scream: Built in 1980, it was the second ride to be constructed in the park, it shared its tower with Tampa Typhoon until 2005. It was demolished in 2014 to make way for the Park's newest ride Colossal Curl, a tube slide that opened in 2015. Barratuba: Built in the mid 1980s. Entrance to this ride was near the top of the hill behind the Runaway Rapids where Wahoo Run is now located.
This ride was a similar experience to Calypso Coaster but instead was built in-ground and followed the lands natural terrain down hill. The ride finished with a short drop through a large cylinder before ending in a splash pool located adjacent to the splash pool of the Runaway Rapids where the parks most eastern snack and concession stand is now located. Guests can still observe the remnants of this ride now disguised as flower bed decoration lining the exit path of Wahoo Run; the exact details of this rides fate are unclear, but many Tampa natives who are old enough to remember Barratuba and the lore behind it, believe it was closed after a lawsuit was filed after a patron broke a bone while riding. As stated above the ride was built in ground: and this created a haphazard unpredictable experience which created enough force to eject riders from their tubes; the slides surface was hard like concrete and not forgiving. Everglides: A unique water slide that sent riders down a pair of straight fiberglass flumes from a wooden tower riding flat bottomed plastic toboggans.
At the bottom of the slide the fast moving toboggans would carry the riders on a series of skipping bounces along the length of the splash pool before coming to rest at a beach. A mechanical conveyor carried the toboggans back to the top of the ride for the next guests, it was removed in between the 2018 seasons to make way for a beach and sitting area. Key West Rapids Surfside Cafe Mango Joes' Surfside Ice Cream Gulf Scream Ice Cream Bayou Beach Club Island Taco Truck Snack Attack Official Website
The Admiralspalast is a 1,756-seat theatre on Friedrichstraße in the Mitte district of Berlin, Germany. Opened in 1910, it is one of the few preserved variety venues of the pre-World War II era in the city; as a place of amusement the Admiralspalast included a skating rink, a public bath, bowling alleys, a café and a cinema open day and night. After World War I it changed to a revue theatre, starting with the show Drunter und drüber by Walter Kollo continued by the performance of operettas; as the building suffered little damage from World War II bombing, it was home to the Berlin State Opera until the reconstruction of the Berlin State Opera house in 1955. On April 21–22 1946, the Social Democratic Party of Germany and the Communist Party of Germany in the Soviet occupation zone held a convention at the Admiralspalast where they merged to become the Socialist Unity Party of Germany; the performance of revues and operettas were continued under the name of Metropol-Theater until its disestablishment in 1997.