As a reminder, all of DCFS child care facility licensing functions transferred to the Louisiana Department of Education (LDE) on October 1, 2014.This is in conjunction with Act 868 of the 2014 Legislative session. Questions regarding actions after October 1, 2014, should be directed to LDE.s a reminder, all of DCFS child care facility licensing functions transferred to the Louisiana Department of Education (LDE) on October 1, 2014.
Measuring Brachial Pressure. 1  1. Ask the patient to lie down in a face-up position. 2  2. Locate the brachial artery. 3  3. Wrap the blood pressure cuff around the patientâs left arm.  4. Inflate the cuff to find the systolic blood pressure of the 1  arm. 5. Deflate the cuff.
The retrograde filling of the forearm veins via the collateral vein in the upper arm led to venous hypertension of the forearm and the hand. Fig. 2. Fistulogram showing a stenosis just proximal to anastomosis site.There is also evidence of collateral vessel filling the deep brachial veins.e describe the case of a patient on long term haemodialysis, who presented with symptoms and signs of venous hypertension limited to the hand and forearm. This was caused by an effective venous outflow stenosis of a right brachioaxillary graft and retrograde flow via a collateral vein into the forearm.