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AEI currently utilizes a RIEGL VZ400 Terrestrial Laser Scanner on various job sites.  This proecss utilizes a high accuracy 3D terrestrial LiDAR unit.  The data collected will be brought into a feature extraction software, TopoDOT.  TopoDOT utilizes a variety of tools to identify adn quickly extrapolate features within pointcloud data.  All features can then be imported into an AutoCAD drawing file.  AEI can provide an accurate 3D pointcloud of terrain plus any existing building or structures.  The pointcloud can also be converted for Building Information Models.

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Allen Engineering is involved with the civil design and surveying for the new park in Palm Bay, Flordia.  This Regional Park will feature 150 full service campsite hookups and is scheduled to break ground in 2018.  We are extremely proud to be involved in this project.

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Allen Engineering is beginning its 21st year associated with the Space Coast Post of the Society of American Military Engineers (SAME).  During our 21 years, we have helped raise over $350,000 in scholarships and endowments.  We are extremely proud to be associated with SAME and its continued commitment to offer opportunities for students pursuing careers in the engineering field.


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The nurse has provided anticipatory guidance to medicine knowledge purchase capoten 25mg mastercard a couple that has just delivered a baby medicine 6 year in us discount capoten 25 mg on-line. Which of the following is an appropriate short-term goal for the care of their new baby? For the first month of life medicine balls for sale order capoten 25 mg with amex, the baby will sleep on its side in a crib next to medications given during dialysis buy discount capoten 25mg the parents. A nurse is advising a mother of a neonate being discharged from the hospital regarding car seat safety. Which of the following statements by the parents shows that further teaching by the nurse is needed? A nurse is advising a couple of a newborn regarding when they should call their pediatrician. A nurse is providing anticipatory guidance to a couple before they take home their newborn. They should purchase liquid acetaminophen to be used when ordered by the pediatrician. Which of the following should the nurse teach the parents regarding use of the bulb syringe? Please put an "X" on the site where the nurse should perform a heel stick on the neonate. The nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. A bottlefeeding mother is providing a return demonstration of how to burp the baby. Which of the following maternal disease states are consistent with the recommendation? Which of the following actions are important for the mother to perform in order to achieve effective breastfeeding? The nurse is evaluating the effectiveness of an intervention when assisting a woman whose baby has been latched to the nipple only rather than to the nipple and the areola. The parents and their full-term, breastfed neonate were discharged from the hospital. The nurse does not hear the baby swallow when suckling even though the baby appears to be latched properly to the breast. The nurse is concerned that a bottlefed baby may become obese because of which activity by the mother? Under what conditions should the nurse teach the parents to call the pediatrician? A nurse who is caring for a mother/newborn dyad on the maternity unit has identified the following nursing diagnosis: Effective breastfeeding. Which of the following actions would encourage the baby to open the mouth wide for feeding? A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. On admission to the maternity unit, it is learned that a mother has smoked 2 packs of cigarettes per day and expects to continue to smoke after discharge. A 2-pack-a-day smoker should be reported to child protective services for child abuse. A breastfeeding mother who is 2 weeks postpartum is informed by her pediatrician that her 4-year-old has chickenpox (varicella). The mother calls the nursery nurse because she is concerned about having the baby in contact with the sick sibling. A 4-day-old breastfeeding neonate whose birth weight was 2678 grams has lost 100 grams since the cesarean birth. A newly delivered mother states, "I have not had any alcohol since I decided to become pregnant. I have decided not to breastfeed because I would really like to go out and have a good time for a change. A woman states that she is going to bottlefeed her baby because, "I hate milk and I know that to make good breast milk I will have to drink milk. The mother must drink at least 3 glasses of milk per day in order to absorb sufficient quantities of calcium. The mother should consume at least 1 glass of milk per day but should also consume other dairy products like cheese. The mother can consume a variety of good calcium sources like broccoli and fish with bones as well as dairy products. The mother must monitor her protein intake more than her calcium intake because the baby needs the protein for growth. A client asks whether or not there are any foods that she must avoid eating while breastfeeding. Please choose the picture of the breastfeeding baby that shows correct position and latch on. Physiological destruction of fetal red blood cells during the extrauterine period. The nurse informs the parents of a breastfed baby that the American Academy of Pediatrics advises that babies be supplemented with which of the following vitamins?

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Molecular control of healing process As seen above symptoms 7 days pregnant buy 25mg capoten fast delivery, healing involves an orderly sequence of events which includes regeneration and migration of specialized cells symptoms ruptured ovarian cyst order capoten 25mg line, angiogenesis treatment goals for depression order capoten 25 mg free shipping, proliferation of fibroblasts and related cells medications prescribed for pain are termed discount capoten 25 mg with amex, matrix protein synthesis and finally cessation of these processes. These processes, at least in part, are mediated by a series of low molecular weight polypeptides referred to as growth factors. These growth factors have the capacity to stimulate cell division and proliferation. Some of the factors, known to play a role in the healing process, are briefly discussed below. Sources of Growth Factors: Following injury, growth factors may be derived from a number of sources such as: 1. Platelets, activated after endothelial damage, Damaged epithelial cells, Circulating serum growth factors, Macrophages, or Lymphocytes recruited to the area of injury the healing process ceases when lost tissue has been replaced. Damaged Epithelial cells Blood platelets Macrophages Lymphocytes Release of growth factors and cytokines Specialized cell regeneration E. Wound Healing the two processes of healing, described above, can occur during healing of a diseased organ or during healing of a wound. Now, we will discuss skin wound healing to demonstrate the two basic processes of healing mentioned above. Healing of a wound demonstrates both epithelial regeneration (healing of the epidermis) and repair by scarring (healing of the dermis). There are two patterns of wound healing depending on the amount of tissue damage: 1. Healing by second intention 49 these two patterns are essentially the same process varying only in amount. Healing by first intention (primary union) the least complicated example of wound healing is the healing of a clean surgical incision. The wound edges are approximated by surgical sutures, and healing occurs with a minimal loss of tissue. Such healing is referred to, surgically, as "primary union" or "healing by first intention". The incision causes the death of a limited number of epithelial cells as well as of dermal adnexa and connective tissue cells; the incisional space is narrow and immediately fills with clotted blood, containing fibrin and blood cells; dehydration of the surface clot forms the well-known scab that covers the wound and seals it from the environment almost at once. Within 24 hours, neutrophils appear at the margins of the incision, moving toward the fibrin clot. The epidermis at its cut edges thickens as a result of mitotic activity of basal cells and, within 24 to 48 hours, spurs of epithelial cells from the edges both migrate and grow along the cut margins of the dermis and beneath the surface scab to fuse in the midline, thus producing a continuous but thin epithelial layer. Collagen fibers are now present in the margins of the incision, but at first these are vertically oriented and do not bridge the incision. The epidermis recovers its normal thickness and differentiation of surface cells yields a mature epidermal architecture with surface keratinization. During the second week, there is continued accumulation of collagen and proliferation of fibroblasts. At this time, the long process of blanching begins, accomplished by the increased accumulation of collagen within the incisional scar, accompanied by regression of vascular channels. By the end of the first month, the scar comprises a cellular connective tissue devoid of inflammatory infiltrate, covered now by an intact epidermis. The dermal appendages that have been destroyed in the line of the incision are permanently lost. Tensile strength of the wound increases thereafter, but it may take months for the wounded area to obtain its maximal strength. Healing by second intention (secondary union) When there is more extensive loss of cells and tissue, such as occurs in infarction, inflammatory ulceration, abscess formation, and surface wounds that create large defects, the reparative process is more complicated. The common denominator in all these situations is a large tissue defect that must be filled. Regeneration of parenchymal cells cannot completely reconstitute the original architecture. This form of healing is referred to as "secondary union" or "healing by second intention. Inevitably, large tissue defects initially have more fibrin and more necrotic debris and exudate that must be removed. When a large defect occurs in deeper tissues, such as in a viscus, granulation tissue bears the full responsibility for its closure, because drainage to the surface cannot occur. Perhaps the feature that most clearly differentiates primary from secondary healing is the phenomenon of wound contraction, which occurs in large surface wounds. Healing by second intention takes much longer than when it occurs by first intention. Factors that influence wound healing A number of factors can alter the rate and efficiency of healing. These can be classified in to those which act locally, and those which have systemic effects. Most of these factors have been established in studies of skin wound healing but many are likely to be of relevance to healing at other sites. In areas where the skin adheres to bony surfaces, as in injuries over the tibia, wound contraction and adequate apposition of the edges are difficult. For example, the healing of leg wounds in patients with varicose veins is prolonged. Ischemia due to arterial obstruction, often in the lower extremities of diabetics, also prevents healing.

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