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Mid-pelvic: head is engaged at or below 0 station (but above +2 station), rotation is often required to mimic the cardinal movements of labor High: above 0 station Operative vaginal delivery is appropriate or indicated in what context What are the most common maternal morbidities involved with forceps delivery Maternal or fetal distress (eg, infection, heart, or lung disease, exhaustion, prolonged second stage) Increased perineal trauma (third and fourth degree extensions) Increased need for blood transfusion (these risks are increased with more rotation or at a higher station) Vacuum delivery confers what advantages over forceps What are some contraindications to vacuum-assisted delivery Can be achieved with minimal analgesia Low birth weight fetus (estimated fetal weight <2500 g) Prematurity <34 weeks Suspected fetal coagulopathy Recent scalp blood sampling Face or breech presentation An inability for the mother to engage in expulsive efforts Cessation of contractions (vacuum traction must be coordinated with maternal effort) What are the most common fetal morbidities involved with forceps and vacuum delivery Scalp lacerations, bruising, subgaleal hematomas, cephalohematomas, intracranial hemorrhage, neonatal jaundice, subconjunctival hemorrhage, clavicular fracture, shoulder dystocia, facial nerve injury, Erb palsy, retinal hemorrhage, and fetal death Vacuum delivery there is an increased risk of cephalohematoma and retinal hemorrhage when compared with forceps delivery Forceps (except when electively applied to facilitate outlet delivery of the fetus)

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most of whom grew up playing video games and loving them The academic community, especially at the big universities, is older and more conservative A sizable chunk of that group doesn t think video games are a legitimate subject of scholarship, because games are (they believe) nothing but light popular entertainment The same people, or their academic forebears, thought in the 1980s that TV wasn t worth studying, and in the 1960s that film wasn t worth studying You need to avoid these people! In your research, when talking to professors at schools you re interested in, ask them flat-out what they think of video games If they re enthusiastic and they can see the latent potential in the medium, you ve hit the jackpot: you found a person who will support your dream of becoming a game developer If they re neutral, then use other criteria to judge: they might still be excellent people to learn programming or art from If they re disdainful, dismissive, or openly hostile, stay away It s hard to establish a good rapport with a teacher who disapproves of what you re trying to achieve, and you won t be able to count on their wholehearted support and interest in your projects Remember, part of what you re doing in college is working on your portfolio You can t do that effectively if your professor has no respect for your work

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Jul 13, 2015 · Convert PDF to Word Using C# The first step will be to get the PdfBox package using the Nuget Package Manager. Now, import the following DLLs into your .cs file: The third step will be to install the DocX NuGet Package from the NuGet Package Manager: Let's read a PDF file and try to get the text from it.

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What are some indications for scheduled cesarean delivery Previous classical uterine incision Prior uterine surgery that involved the myometrium EFW >4500 g Severe fetal hydrocephalus Malpresentation (breech) Cervical cancer Active genital herpes Placenta previa What percentage of deliveries in the United States are emergent or scheduled cesarean deliveries Over 20%

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By the time you reach college, whether it s a four-year university or a trade school, you should have a pretty good idea of where your strengths and weaknesses are, and be ready to start specializing in the areas that interest you most A few people will have the talent and energy to double-major in art and computer science at the same time, but for most of us mortals, it s time to start studying your particular craft intensively I spent a long time trying to define all the things that you could study in college to help you become a game developer, and then I realized someone else had done it much better than I could Appendix B of this book contains a document written by the IGDA s Education Committee called the IGDA Curriculum Framework It includes a list of a large number of core topics that could be helpful to a student who wants to become a game developer Note that I said could be helpful That doesn t mean you have to study every single one! It also shows how these topics relate to particular careers in the game industry Since the Education Committee did such an excellent job, I thought it would be better to reprint their work than try to duplicate it myself This section doesn t list the specific software and hardware tools used by the game industry; they re covered in 6

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