The impact of prior preeclampsia on the risk of superimposed preeclampsia and other adverse pregnancy outcomes in patients with chronic hypertension

OBJECTIVE: We sought to compare the rates of superimposed preeclampsia and adverse outcomes in women with chronic hypertension with or without prior preeclampsia.STUDY DESIGN: We conducted secondary analysis of 369 women with chronic hypertension (104 with prior preeclampsia) enrolled at 12-19 weeks as part of a multisite trial of antioxidants to prevent preeclampsia (no reduction was found). Outcome measures were rates of superimposed preeclampsia and other adverse perinatal outcomes.RESULTS: Prepregnancy body mass index, blood pressure, and smoking status at enrollment were similar between groups. The rates of superimposed preeclampsia (17.3% vs 17.7%), abruptio placentae (1.0% vs 3.1%), perinatal death (6.7% vs 8.7%), and small for gestational age (18.4% vs 14.3%) were similar between groups, but preterm delivery <37 weeks was higher in the prior preeclampsia group (36.9% vs 27.1%; adjusted risk ratio, 1.46; 95% confidence interval, 1.05-2.03; P = .032).CONCLUSION: In women with chronic hypertension, a history of preeclampsia does not increase the rate of superimposed preeclampsia, but is associated with an increased rate of delivery at <37 weeks.

»How much Brunelleschi?«. Matthew Cohen und sein Phantom-Architekt von San Lorenzo in Florenz

Matthew Cohen hat in San Lorenzo ein mittelalterliches Proportionssystem nachgewiesen und deshalb Brunelleschi als Architekten dieser Kirche ausgeschlossen, da Brunelleschi in Sto. Spirito Proportionen verwendete, die der Renaissanceästhetik entsprechen. Cohen hält den Prior von San Lorenzo, Matteo Dolfini, für den maßgeblichen Architekten. Seine Deutung wird jedoch durch die vorhandenen Dokumente und den Baubefund widerlegt. Ab 1418 wurde – unter der Leitung Brunelleschis! – kein völliger Neubau in Angriff genommen, sondern lediglich ein Anbau, der sich nahtlos an den Altbau von San Lorenzo anfügte. Auf diese Weise erklären sich die mittelalterlichen Proportionen. Erst ab 1465 wurde Alt-San Lorenzo durch einen Neubau ersetzt.

»How much Brunelleschi?«. Matthew Cohen und sein Phantom-Architekt von San Lorenzo in Florenz

Matthew Cohen hat in San Lorenzo ein mittelalterliches Proportionssystem nachgewiesen und deshalb Brunelleschi als Architekten dieser Kirche ausgeschlossen. Würde der Entwurf von Brunelleschi stammen, dann wären - wie in Sto. Spirito - Proportionen zu erwarten, die der Renaissanceästhetik entsprechen. Cohen hält den Prior von San Lorenzo, Matteo Dolfini, für den maßgeblichen Architekten. Seine Deutung wird jedoch durch die vorhandenen Dokumente und den Baubefund widerlegt. Ab 1418 wurde – unter der Leitung Brunelleschis! – kein völliger Neubau in Angriff genommen, sondern lediglich ein Anbau, der sich nahtlos an den Altbau von San Lorenzo anfügte. Auf diese Weise erklären sich die mittelalterlichen Proportionen. Erst ab 1465 wurde Alt-San Lorenzo durch einen Neubau ersetzt.

Monumens de l'histoire de France, en estampes et dessins ...

The present 30 volumes seem to have remained with the Dukes of Leuchtenberg, until the ducal library was acquired for sale in 1935 by the dealers Ulrich Hoepli (Milan) and Braus-Riggenbach (Basel). The volumes are not complete, as leaves have been wholly or partly removed throughout; this is particularly evident in preliminary volumes 2 and 10 and volume 75. Prints and the relatively small number of drawings are mostly French, with some German, Dutch and English, and are mostly of the 17th or 18th centuries. They are mounted generally on rectos of leaves, often with hand-written captions. Large prints are occasionally bound in directly; these are often folded. The engraved general title page (bearing the date 1788) appears at the beginning of each volume; below the printed title a hand-written volume number and brief title describing the volume's contents usually appear. In many volumes the title leaf is followed by a hand-written contents leaf listing the section titles, which are also written individually throughout the volume on leaves with etched decorative frames. Sections are numbered continuously throughout the work as a whole. Numbering of the leaves, when present, appears in black ink within each volume at top center recto. Printmakers include B. & J. Audran, Francesco Bartolozzi, Abraham Bosse, Stefano della Bella, Jacques Callot, François Chéreau, Wenceslaus Hollar, Romeyn de Hooghe, Raymond La Fage, Sébastien Le Clerc, Pierre Lepautre, Claude Mellan, Bernard Picart, and Simon Thomassin. There are also early color prints by Gautier-Dagoty and Jean-Baptiste Morret.

Recueil des edits, declarations, et arrests du Conseil, concernant les Gens de la Religion prétenduë Réformée, lesquels ont été registrez en la Cour de Parlement, depuis l'année 1664 jusqu' à present.

Mode of access: Internet.

Specimens of the British poets; with biographical and critical notices, and An essay on English poetry.

v.I. List of authors. Essay on English poetry. General index.--v.II. Chaucer, 1400, to Beaumont, 1628.--v.III. Drayton, 1631, to Phillips, 1664.--v.IV. Shirley, 1666, to Prior, 1721.--v.V. Sewell, 1726, to Carey, 1763.--v.VI. Churchill, 1764, to Johnson, 1784.--v.VII. Whitehead, 1785, to Anstey, 1805. Armorial book-plate (v.2-6): John Blackwood, Edinburgh.

The principles of Gothic ecclesiastical architecture, with an explanation of technical terms, and a centenary of ancient terms, together also with notices of the internal arrangement of churches prior to, and the changes therein in and from, the reign of Edward VI.,

Mode of access: Internet.

Prior Antithrombotic Use is Associated with Favorable Mortality and Functional Outcomes in Acute Ischemic Stroke

Sources of Funding The GWTG-Stroke program is currently supported in part by a charitable contribution from Bristol-Myers Squibb/Sanofi Pharmaceutical Partnership and the American Heart Association Pharmaceutical Roundtable. GWTG-Stroke has been funded in the past through support from Boehringer-Ingelheim and Merck. These funding agencies did not participate in design or analysis, manuscript preparation, or approval of this study.

Driving and licensing experiences of learner drivers in two Australian states prior to major changes in the licensing laws

The learner licence is an important component of the graduated driver licensing system. This research describes the driving and licensing experiences of learner drivers in Queensland and New South Wales licensed prior to the changes made to the system in mid-2007. The sample consisted of 392 participants who completed a telephone interview just after they obtained their provisional licence. The results suggest that learner drivers in the two states had many similar experiences when they were obtaining a learner licence. However, once a learner licence was obtained, there were differences in the amount of practice, the supervisor learners practised with, the type of vehicle they used and the amount of unlicensed driving. This paper provides important baseline descriptive data that can be used to measure the impact of the changes that were introduced to the learner licence phase in mid-2007 in both of these states.

Managing hostile environments : journalists and media workers : learning to survive the world's difficult, remote and hostile environments

The aim of this research is to examine the changing nature of risks that face journalists and media workers in the world's difficult, remote and hostile environments, and consider the 'adequacy' of managing hostile environment safety courses that some media organizations require prior to foreign assignments. The study utilizes several creative works and contributions to this area of analysis, which includes a documentary film production, course contributions, an emergency reference handbook, security and incident management reviews and a template for evacuation and contingency planning. The research acknowledges that employers have a 'duty of care' to personnel working in these environments, identifies the necessity for pre-deployment training and support, and provides a solution for organizations that wish to initiate a comprehensive framework to advise, monitor, protect and respond to incidents. Finally, it explores the possible development of a unique and holistic service to facilitate proactive and responsive support, in the form of a new profession of 'Editorial Logistics Officer' or 'Editorial Safety Officer' within media organizations. This area of research is vitally important to the profession, and the intended contribution is to introduce a simple and cost-efficient framework for media organizations that desire to implement pre-deployment training and field-support – as these programs save lives. The complete proactive and responsive services may be several years from implementation. However, this study demonstrates that the facilitation of Managing Hostile Environment (MHE) courses should be the minimum professional standard. These courses have saved lives in the past and they provide journalists with the tools to "cover the story, and not become the story."