By Florence Littauer
A revealing "personality profile" self-test and Littauer's insightful suggestion aid readers greater comprehend themselves and others. A best-seller.
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The absence of mechanical cardiac function can be confirmed with increasing accuracy using any one or a combination of the following: ᭺ absence of a central pulse on palpation ᭺ absence of heart sounds on auscultation ᭺ asystole on a continuous ECG display ᭺ absence of pulsatile flow using direct intra-arterial pressure monitoring ᭺ absence of contractile activity using echocardiography. • Given, as above, that no further attempts are planned to restore the circulation, any spontaneous return of cardiac or respiratory activity during this period of observation should prompt a further five minutes’ observation from the next point of cardiorespiratory arrest.
1). Some of this fall in death rates can be attributed to improvements in public health, including proper sanitation and immunisation. Further improvements relate to an overall improvement in housing and standards of living, nutrition (both child and maternal), ending child labour, and to improved Health Services, including the availability of antibiotics for the treatment of infectious diseases. However, disparities still exist, with wide variations across the UK largely reflecting a strong north–south divide.
The occurrence of unrecognised seizures as a cause of death in individuals not previously known to suffer from epilepsy remains a possible cause of some unexpected deaths, but in the absence of direct evidence to suggest terminal seizure activity this must remain speculative. SUDDEN DEATH IN ASTHMA Death from asthma in childhood is rare (less than one in 10,000 affected children). Whilst most such deaths occur in hospitalised children with severe asthma, sudden and unexpected death has been described in children with NATURAL CAUSES OF UNEXPECTED CHILDHOOD DEATHS 39 previously mild asthma.