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Now in its thoroughly revised, updated Seventh Edition, this Spiral® Manual provides practical, easily accessible information on management of the pregnant patient. Major sections cover obstetric care, obstetric complications, maternal complications, fetal assessment, fetal complications, and neonatal care. This edition's chapters have a new consistent outline structure, more tables, and more figures. Coverage includes a new chapter on obstetric anesthesia and new information on drugs for cardiovascular, neurologic, and endocrine conditions, including oral agents for gestational diabetes. The chapter on genetic counseling has been completely rewritten. This edition also addresses controversies regarding surgical births and vaginal birth after cesarean (VBAC).
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First published in 1990. In this study, the author suggests ways that policy-makers can think about environmental policy choice that responds to the importance of uncertainty and delay. Hammitt describes several tools for environmental policy analysis and illustrates their application to important policy issues. In the first part of the book, dealing with stratospheric-ozone depletion, the author describes techniques for accommodating outcome uncertainties. The second part of the study considers the health risks associated with pesticide residues on food. The final section addresses the issue of potential global climate change, and describes how the tools explored can be applied to this new challenge. This book should be of greatest interest to academic, government, and industry analysts and others concerned with improving methods for environmental-policy making.
From Pura Belpré Award–winning author Margarita Engle comes a lively, rhythmic picture book about a little girl visiting her grandfather who is a pregonero—a singing street vendor in Cuba—and helping him sell his frutas. When we visit mi abuelo, I help him sell frutas, singing the names of each fruit as we walk, our footsteps like drumbeats, our hands like maracas, shaking… The little girl loves visiting her grandfather in Cuba and singing his special songs to sell all kinds of fruit: mango, limón, naranja, piña, and more! Even when they’re apart, grandfather and granddaughter can share rhymes between their countries like un abrazo—a hug—made of words carried on letters that soar across the distance like songbirds.