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Having a good disaster-recovery plan in place is small comfort to users if they are experiencing regular interruptions in service Centralizing computing resources makes it that much more important to incorporate a high degree of resilience into a design Companies must take a global view of the entire infrastructure and make the following assessments: Identify single points of failure Even if the database server is clustered, what happens if the WAN connection fails Implement redundancy in critical system components If one server is good, two are better If possible, they should carry balanced loads or, at the very least, have an identical backup server to put online in case one fails (a cold spare ) Implement Citrix EdgeSite with alerting and escalations Even when multiple redundant solutions are in place, it is important to have visibility to when one part of the redundancy has failed.

So it could be said that the portion of the TCP protocol that handles connection setup and teardown is mapped to the OSI session layer, while the transport portion of TCP maps to the OSI transport layer Examples of session layer protocols include:.

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We have seen many instances where the primary resource went down and failed over to the backup with no visibility, and when the backup eventually failed, a critical failure occurred Citrix EdgeSite is covered in depth in 12 Establish a regular testing schedule for all redundant systems Many organizations have backup plans that fail when called upon Therefore, it is important to test and document the backup systems until you are comfortable that they can be relied upon in a time of crisis Establish support-escalation procedures for all systems before there is an outage Document the support phone numbers, customer account information, and what needs to be said to get past the first tier of support Review the vendor service levels for critical components, and assess where the vendor may need to supplement them or have spare parts on hand.

Figure 10-9 The query for the sales report now has a filter added to it, and the filter is marked to be used as a parameter.

Part III:

Is the vendor capable of meeting their established service level What is the recourse if they fail to perform as promised Is support available somewhere else Is the cost of having an extra, preconfigured unit on hand in case of failure justified.

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specific compared to the nonpregnant woman. In pregnancy, the appendix is commonly upwardly displaced. Vague pain on the right side of the abdomen is the most consistent clinical symptom of acute appendicitis in the pregnant woman, and there should be a high index of suspicion for appendicitis for any abdominal pain What is the first-line imaging modality in pregnant women with suspected appendicitis What are potential consequences of a ruptured appendix MRI. an appendiceal CT may be used if an MRI is not feasible; it is also more accurate than a graded compression ultrasonography Preterm labor, maternal and fetal sepsis which may lead to fetal neurologic injury, and spontaneous abortion/fetal demise Appendectomy is the gold standard. Laparoscopic appendicitis is being used more frequently, especially in the first half of the pregnancy Increased estrogens cause an increase in cholesterol saturation, which, in addition to biliary stasis and decreased gallbladder contraction, lead to more gallstones 7%. Motor vehicle accidents account for 40%, falls account for 30%, direct assaults to the maternal abdomen (20%), and others (10%) Automobile accidents Death to the mother Abruptio placentae Admit for observation for at least 24 hours Monitor mother; an fetal well-being should be obtained (nonstress test, BPP, FHR monitor) If bleeding is present, obtain Rh status by using the Kleihauer-Betke test. For the woman who is

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