Well, we know that a lot of the ancient civilizations were first-handedly affected by disease. For example, Native Americans were severely impacted by the spread of pestilence. 90% of their population was completely killed off. I think that would be enough to concern them, don't you think? :P
The Academy of Nutrition and Dietetics (Academy) is the largest association of qualified nutrition and dietetics practitioners, including registered dietitian nutritionists (RDNs), nutrition and dietetic technologists, and registered dietitians (NDTRs).
RDNs combine research, professional growth, and practice to promote innovation and discovery, work with others to address today's and tomorrow's most pressing food and nutrition issues, concentrate on systemic effects across the food, wellness, and health sectors, have a global impact on the eradication of all forms of malnutrition, and strengthen the role of nutrition and dietetics practitioners while increasing workforce capacity and capability. The minimal competent level of nutrition and dietetics practice and professional performance for RDNs is reflected in these standards.
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Consider transfusion if hemoglobin is 8 g/dL or below or if there are symptoms (chest pain, orthostatic hypotension or tachycardia unresponsive to fluid resuscitation, or congestive heart failure).
For inpatients with active acute coronary syndromes and a Hb level less than 8 g/dL, transfusion should be taken into consideration. Adult critical care medical and surgical inpatients with an Hb level less than 10 g/dL may receive a transfusion while receiving sepsis treatment within the first six hours of resuscitation. Acute sickle cell crisis, acute blood loss of more than 30% of blood volume, and symptomatic anemia (which results in shortness of breath, fainting, congestive heart failure, and decreased exercise tolerance) are all indications for transfusion.
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Answer:
According to kin selection, saving the life of your sister-in-law would do the LEAST for improving your inclusive fitness.