High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.

Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers' Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.

Forgotten dangers and deadly risks—climbing out from the shadows of the past isn’t easy. Rebecca James’s backcountry survival skills and daring attitude have earned her legendary status in the search-and-rescue community. But since the climbing accident that claimed her partner’s life, her memory of those final moments is fragmented. She’s stuck, unable to move forward until she can piece together the past. Marcus Landers, permanently injured during a mission, has dedicated his life to leading the Lifeline team. PTSD and haunting memories aside, he’s determined to make a difference and save lives. When Becki, the woman he shared a scorching affair with seven years ago, returns to Banff, the chemistry between them reignites. With their passion rekindled, buried memories from their pasts start to surface. As new truths emerge, Becki is forced to face her deepest fear. Remembering the past might mean letting go of the future she dreams of with the man she loves… -- Keywords: Canadian Author, adventure romance, rekindled romance, contemporary, small town, search-and-recue romance, backcountry survival For readers who enjoy: Rachel Grant, Toni Anderson, Laura Griffin, Rebecca Zanetti, Karen Rose.

Audits provide essential accountability and transparency over government programs. Given the current challenges facing governments and their programs, the oversight provided through auditing is more critical than ever. Government auditing provides the objective analysis and information needed to make the decisions necessary to help create a better future. The professional standards presented in this 2018 revision of Government Auditing Standards (known as the Yellow Book) provide a framework for performing high-quality audit work with competence, integrity, objectivity, and independence to provide accountability and to help improve government operations and services. These standards, commonly referred to as generally accepted government auditing standards (GAGAS), provide the foundation for government auditors to lead by example in the areas of independence, transparency, accountability, and quality through the audit process. This revision contains major changes from, and supersedes, the 2011 revision.

"This provocative collection of short fiction, essays, and poetry freely delves into forbidden zones of sex and transgressive behavior. The writers and artists featured in High Risk are black, white, and Latino; gay and straight; but they share one strong conviction: that art must be bound only by the limits of the imagination." --