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NET 3.0; Created: 3/10/2010; Tags: Convert PDF Images. This article shows how to convert PDF to multipage TIFF in C# using PDFRasterizer.NET 3.0.

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Large-for-gestational age implies a birth weight equal to or greater than the 90th percentile for a given gestational age What is the incidence of fetal macrosomia The worldwide prevalence of the birth of infants 4000 g is approximately 9%, with wide variations between countries 15% of all infants weigh >4500 g Maternal: protracted labor, cesarean delivery, genital tract lacerations, postpartum hemorrhage, uterine rupture Fetal: shoulder dystocia, brachial plexus injuries, fractures of the clavicle, asphyxia Neonatal: increased risk of depressed 5-minute APGAR scores, increased risk of admission to the NICU, jaundice, hypoglycemia Long-term: obesity What are risk factors for macrosomia In decreasing order of importance: Prior history of macrosomia Maternal prepregnancy weight Maternal weight gain during pregnancy Multiparity Male fetus Gestational age >40 weeks Ethnicity Maternal birth weight, height, age Positive 50 g glucose screen with a negative result on the 3-hour glucose tolerance test What pregnancy-related disease is an independent factor for and highly associated with macrosomia Which genetic and congenital syndromes are associated with macrosomia How is macrosomia diagnosed Pregestational diabetes and gestational diabetes Beckwith-Wiedemann syndrome (pancreatic islet cell hyperplasia) Fragile X syndrome An accurate diagnosis of macrosomia can only be made after weighing the newborn However, prenatal

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If you feel confident about those tasks, then you might be a candidate for a producer s job; on the other hand, if you prefer computer languages to human ones, look elsewhere Negotiation More than simply bargaining, negotiation is a process of finding a way to make both sides happy with a deal Producers are usually the point people in negotiations between developers and publishers The publisher wants the best deal they can get but best doesn t always mean cheapest A developer who has been pressured into a bad deal is unlikely to be motivated to do quality work, and a good producer knows this Organizational ability Modern game projects are huge, with dozens of people, hundreds of tasks, and literally thousands of files All this is ultimately the producer s responsibility Even with external development, where the producer doesn t directly oversee the work, she still has to know what is supposed to happen when and what should be delivered at each milestone and why To be a producer you must be able to plan, organize, and keep track of a great many things at once Don t forget, in addition to the development work itself, producers also have to do liaison work with the marketing, PR, legal and other departments at the publisher Attention to detail Another vital requirement at all levels of production is attention to detail Assistant and associate producers deal with the thousands of necessary details to make sure the game is constructed properly, that it s fun, and that it s bug-free when it ships Computers are notoriously unforgiving of errors, and a tiny mistake can turn into an expensive and embarrassing debacle for the publisher At the upper levels, producers and executive producers must be able to delegate authority appropriately to the people under them For them, attention to detail doesn t mean handling every detail personally; it means making sure everyone else is doing so properly Game projects often fail because they re run by a person who only sees the big picture and can t be bothered to look after the details (The opposite extreme, trying to handle everything yourself, is called micro-management and is usually a disaster because there s too much for one person to handle).

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diagnosis of fetal macrosomia is best diagnosed by evaluation of maternal risk factors, clinical examination (Leopold maneuvers), and ultrasound measurements Are there any available interventions for treating fetal macrosomia For mothers without diabetes, there are no reported interventions For diabetic mothers, addition of insulin to diet therapy may treat early macrosomia Is prophylactic cesarean delivery indicated for pregnant women suspected to have macrosomic fetuses Prophylactic cesarean delivery to prevent shoulder dystocia may be considered for an ESW >5000 g in nondiabetic women and >4500 g in women with diabetes (induction of labor for macrosomia is also not recommended) For women whose previous delivery was complicated by shoulder dystocia, particularly when a brachial plexus injury occurred

Good communications are the alpha and omega of production Treat your team with respect if you expect the same back Make a point of going to the pub (or whatever) with your team every now and then: no matter how approachable you make yourself at work, there are always important things that you will only be told after a couple of pints Kim Blake, Producer, Particle Systems

What is the incidence of spontaneous twins and multiple births in the United States How has the incidence of multifetal gestation changed over time Twins: 1:80 Triplets: 1:8000 Since 1980 there has been a 65% increase in the frequency of twins and a 500% increase in triplet and high-order births Increased use of ART and ovulationinduction agents The rate of multiples increases with increasing age This is most likely the result of older women undergoing antiretroviral therapy (ART) and higher levels of FSH in advancing age It causes a significant effect on preterm delivery and low birth weight of newborns

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