How does climate change undermine existing wildlife refuges?

Monitor and apply fix up strategies

Plz will mark! the diagram shows the positions of the sun, moon and earth during spring tides, when the high tides are at their highest and low tides at their lowest. what is it about these positions that causes these high and low tides?

An 88 year-old widow with uterine prolapse and multiple comorbid conditions has been unsuccessful in the use of a pessary for treatment elects to receive colpocleisis (lefort type) to prevent further prolapse and avoid more significant surgery like hysterectomy. the treatment is successful. what are the cpt® and icd-10-cm codes reported for this procedure?