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With the use of Internet Protocols (IPs) and the National Emergency Number Association (NENA) standards, ESInets are. engineered, managed networks that are hierarchical, or a ânetwork-of-networksâ supporting local, regional, state and national. arenas to deliver emergency call services.
Medical Definition of MELENA. : the passage of dark tarry stools containing decomposing blood that is usually an indication of bleeding in the upper part of the alimentary canal and especially the esophagus, stomach, and duodenumâcompare hematochezia. â meÂ·leÂ·nic \mÉ-ËlÄ-nik\ adjective.weet. : the passage of dark tarry stools containing decomposing blood that is usually an indication of bleeding in the upper part of the alimentary canal and especially the esophagus, stomach, and duodenumâcompare hematochezia.