The Rose in Tudor England

A great interest in the rose was the inspiration for this paper. Loved by poet and peasant, king and councillor, philosopher and historian, the rose is unquestionably man\u27s favorite flower. Appearing in war and peace, at funerals and festivals, in religion, art, and literature, it is initimately linked with the lives and customs of many people and has woven a bright pattern through the whole fabric of civilization..

Frequency of preconception education for teenage patients with diabetes attending an academic Pediatric Endocrinology Clinic

Purpose: Diabetes mellitus (DM) in pregnancy produces adverse outcomes with significant human and economic costs. Potential lifetime cost savings of preventative preconception counseling for women with diabetes may reach $4.3 billion (U.S.). Preconception education has been shown in prior research to improve knowledge of reproductive risks in an adolescent diabetic population and to improve future health outcomes. This study assessed the current extent of preconception DM-related reproductive risk education at a tertiary academic medical center to better inform the opportunity for a systematic quality improvement intervention. Methods: We reviewed the electronic medical records (EMR) of females (N=70), ages 16-19, seen in the Pediatric Endocrinology clinic (2013-2016) and diagnosed with type 1 DM, type 2 DM, or insulin resistance. Any reproductive risks education documentation by providers, nursing or educators within Pediatric Endocrinology, or within consults to Nutrition or Obstetrics and Gynecology was reviewed and characterized. Results: According to EMR documentation, patient education for nonreproductive medical needs and complications of DM were consistently present in this population: 96% of patients received general diabetes education with at least 4/8 components. However, documented education regarding DM reproductive risks occurred for only 18% of the same patients while contraceptive use discussion occurred for 20%. Conclusion: The potential benefits of preconception education may include achieving recommended glucose control preceding and during pregnancy with fewer downstream maternal and fetal adverse outcomes. Although limited by the single site, retrospective design and the unknown rate of reproductive education documentation failure, our findings reveal a performance gap of potential downstream medical significance. Recognizing this deficiency provides an opportunity for a population-based intervention to create improved health outcomes

Pregnant women and influenza H1N1

In 2009, uncontained transmission of novel H1N1 influenza rapidly became a worldwide pandemic and concern. Infected pregnant women were identified at high risk for H1N1 influenza complications that included an increased mortality rate that was greater than the general population affected by the disease. Major worldwide effort has been done over the last year to develop a strategy for containment of H1N1 transmission, disease prevention, and vaccination development

An Integrated Early Year Professional Status Pathway Pilot Project: Centre for Early Childhood, Institute of Education

This report aims to introduce a research project that has been built on the basis of an evaluation of a pilot project “An Integrated Early Year Professional Status Pathway”, which is being carried out at the Centre for Early Childhood (CEC) (2008-2010). This paper explains the background of the research, ideas that underpin its theoretical and methodological framework and some of the initial findings. The research team will be producing further reports expanding on the research processes and findings in more detail

Management of pregnancy in patients with exstrophy-epispadias sequence: a case series and literature review

Exstrophy-epispadias sequence is an uncommon diagnosis in which surgical reconstruction has increased quality of life for these patients. As they are entering the reproductive phase of their life, consideration must be made for management of their pregnancies in the context of their genitourinary reconstruction. There have been few case reports of patients with cloacal exstrophy conceiving; therefore, information to guide management of their pregnancies is limited. Here we describe a patient with Omphalocele-Exstrophy-Imperforate Anus-Spinal defects (OEIS) and a patient with a history of bladder exstrophy both with spontaneous pregnancy managed by a multidisciplinary approach and primary cesarean delivery

Compatibility of Gauss maps with metrics

We give necessary and sufficient conditions on a smooth local map of a Riemannian manifold $M^m$ into the sphere $S^m$ to be the Gauss map of an isometric immersion $u:M^m \to R^n$, $n=m+1$. We briefly discuss the case of general $n$ as wellComment: 14 pages, no figure