Nuchal scan

See Article History Tactics, in warfare, the art and science of fighting battles on land, on sea, and in the air. It is concerned with the approach to combat; the disposition of troops and other personalities; the use made of various arms, ships, or aircraft; and the execution of movements for attack or defense. This article discusses the tactics of land warfare. For treatment of tactics on sea, see naval warfare , and for tactics in air combat, see air warfare. Fundamentals Evolution of the term The word tactics originates in the Greek taxis, meaning order, arrangement, or disposition—including the kind of disposition in which armed formations used to enter and fight battles. From this, the Greek historian Xenophon derived the term tactica, the art of drawing up soldiers in array. Likewise, the Tactica, an early 10th-century handbook said to have been written under the supervision of the Byzantine emperor Leo VI the Wise, dealt with formations as well as weapons and the ways of fighting with them.

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Team news and match stats Jason Cummings nets Hibs’ winner against Falkirk on the opening day of the season. Lennon will have to do without first-choice keeper Ofir Marciano, who is waiting on the results of an MRI scan after picking up a knee injury in a training session while on international duty with Israel. Ross Laidlaw will start between the posts instead for the Hibees, who may also be without Scotland squad-member John McGinn.

Marvin Bartley is the most likely midfielder to step in should McGinn not make it, with Dylan McGeouch unlikely to be risked from the start as he continues his recuperation from a hamstring strain. Striker Jason Cummings is in contention despite receiving a red-card in a development squad game midweek against Kilmarnock, although in-form Martin Boyle is set to keep his place alongside Grant Holt in attack.

Midfielder Danny Handling is unavailable due to his long-standing knee injury and James Keatings remains on the sidelines with a partial tear of his medial ligament. Probable Hibs team

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Triploidy Other defects with normal karyotype[ edit ] In fetuses with a normal number of chromosomes, a thicker nuchal translucency is associated with other fetal defects and genetic syndromes. The scan is obtained with the fetus in sagittal section and a neutral position of the fetal head neither hyperflexed nor extended, either of which can influence the nuchal translucency thickness. It is important to distinguish the nuchal lucency from the underlying amniotic membrane.

Among those fetuses whose nuchal translucency exceeds the normal values, there is a relatively high risk of significant abnormality. Further, other, non-trisomic abnormalities may also demonstrate an enlarged nuchal transparency. This leaves the measurement of nuchal transparency as a potentially useful first trimester screening tool. Abnormal findings allow for early careful evaluation of chromosomes and possible structural defects on a targeted basis.

How to define a normal or abnormal nuchal translucency measurement can be difficult. The use of a single millimeter cutoff such as 2. Thus for even greater accuracy of predicting risks, the outcome of the nuchal scan may be combined with the results of simultaneous maternal blood tests. In pregnancies affected by Down syndrome there is a tendency for the levels of human chorionic gonadotropin hCG to be increased and pregnancy-associated plasma protein A PAPP-A to be decreased.

The advantage of nuchal scanning over the previous use of just biochemical blood profiling is mainly the reduction in false positive rates.

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