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اگر امکان دارد آن را به فارسی ایمیل کنید Journal of Obstetrics and Gynaecology Research - Wiley ... onlinelibrary.wiley.com/.../10.../(ISSN)1447-075... این صفحه را ترجمه کن Journal of Obstetrics an Shibboleth Athens Register Login Home Journals Books Collections Services Subscribe Journal of Obstetrics & Gynaecology Advanced Search Home All Issues Current Issue Early Online Aims & Scope Editorial Board Instructions for Authors Informa Healthcare Volume 35, Number 4 (May 2015) Bookmark and Share Access Indicator: Full access = Full Partial access = Partial Select an article to: Add to Favourites | Track Citations | Email to a Friend | View Summaries | Download Citation Select All REVIEW No Access Fertility sparing management and pregnancy in patients with granulosa cell tumour of the ovaries C. Iavazzo , I. D. Gkegkes , N. Vrachnis Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 331–335. Summary | Full Text | PDF (309 KB) | PDF Plus (328 KB) OBSTETRICS No Access Preparedness of pregnant women for childbirth and the postpartum period: Their knowledge and fear N. Tugut , D. Tirkes , G. Demirel Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 336–340. Summary | Full Text | PDF (130 KB) | PDF Plus (144 KB) No Access Relationships among acylation-stimulating protein, insulin resistance, lipometabolism, and fetal growth in gestational diabetes mellitus women M. Xu , B. Liu , M-F. Wu , H-T. Chen , K. Cianflone , Z-L. Wang Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 341–345. Summary | Full Text | PDF (172 KB) | PDF Plus (198 KB) No Access Is induction of labour by Propess® safe? A comparison of midwife-led versus obstetrician-led labour management Y. Bayoglu Tekin , U. Mete Ural , O. Secilmis Kerimoglu , G. Balik , F. Kir Sahin , E. S. Guvendag Guven Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 346–349. Summary | Full Text | PDF (137 KB) | PDF Plus (149 KB) No Access Peripartum hysterectomy in a tertiary hospital in Western Sydney A. Shamsa , A. Harris , A. Anpalagan Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 350–353. Summary | Full Text | PDF (155 KB) | PDF Plus (175 KB) No Access Relationship between pre-pregnancy maternal BMI with spontaneous preterm delivery and birth weight F. Sharifzadeh , M. Kashanian , S. Jouhari , N. Sheikhansari Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 354–357. Summary | Full Text | PDF (124 KB) | PDF Plus (140 KB) No Access Pregnancy outcomes and prognostic factors in patients with intrahepatic cholestasis of pregnancy R. Madazli , M. A. Yuksel , M. Oncul , A. Tuten , O. Guralp , B. Aydin Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 358–361. Summary | Full Text | PDF (131 KB) | PDF Plus (149 KB) No Access Labour induction with an intermediate-dose oxytocin regimen has advantages over a high-dose regimen B. G. Manjula , R. Bagga , J. Kalra , S. Dutta Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 362–367. Summary | Full Text | PDF (145 KB) | PDF Plus (166 KB) No Access Maternal and fetal blood levels of S100 and ischaemia modified albumin in term intrauterine growth restricted fetuses with abnormal umbilical artery Doppler values M. Kiseli , G. S. Caglar , A. Y. Gursoy , E. D. Ozdemir , H. Ozdemir , R. T. Seker , S. Demirtas Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 368–371. Summary | Full Text | PDF (179 KB) | PDF Plus (199 KB) GYNAECOLOGY No Access Undifferentiated uterine carcinoma: Analysis of eighteen cases I. Üreyen , H. Ilgin , T. Turan , T. Taşçi , A. Karalök , N. Boran , A. Özfuttu , G. Tulunay Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 372–376. Summary | Full Text | PDF (132 KB) | PDF Plus (144 KB) No Access Is quantification of lymphovascular space invasion useful in stage 1B2 cervical carcinomas? J. Scurry , N. F. Hacker , E. Barlow , M. Friedlander , M. Jackson Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 377–381. Summary | Full Text | PDF (779 KB) | PDF Plus (794 KB) No Access The effect of self-aromatherapy massage of the abdomen on the primary dysmenorrhoea H. Sadeghi Aval Shahr , M. Saadat , M. Kheirkhah , E. Saadat Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 382–385. Summary | Full Text | PDF (130 KB) | PDF Plus (149 KB) No Access A prospective study to evaluate the role of laparohysteroscopy in unexplained infertility P. Firmal , R. Yadav , S. Agrawal Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 386–388. Summary | Full Text | PDF (119 KB) | PDF Plus (132 KB) No Access Effect of aerobic exercise on premenstrual symptoms, haematological and hormonal parameters in young women A. El-Lithy , A. El-Mazny , A. Sabbour , A. El-Deeb Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 389–392. Summary | Full Text | PDF (135 KB) | PDF Plus (163 KB) No Access Female genital cutting: A survey among healthcare professionals in Italy D. Surico , R. Amadori , L. B. Gastaldo , R. Tinelli , N. Surico Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 393–396. Summary | Full Text | PDF (544 KB) | PDF Plus (558 KB) No Access The association of the microcystic, elongated and fragmented (MELF) invasion pattern in endometrial carcinomas with deep myometrial invasion, lymphovascular space invasion and lymph node metastasis M. Dogan Altunpulluk , G. Kir , C. S. Topal , H. Cetiner , A. Gocmen Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 397–402. Summary | Full Text | PDF (633 KB) | PDF Plus (663 KB) No Access The impact of the time interval on in-vitro fertilisation success after failure of the first attempt Y. Bayoglu Tekin , S. T. Ceyhan , S. Kilic , C. Korkmaz Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 403–406. Summary | Full Text | PDF (138 KB) | PDF Plus (162 KB) No Access Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence S. Cavkaytar , M. K. Kokanali , H. O. Topcu , O. S. Aksakal , M. Doğanay Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 407–410. Summary | Full Text | PDF (131 KB) | PDF Plus (146 KB) OBSTETRIC CASE REPORTS No Access Breast cancer in pregnancy – enough vigilance? A. Mehta , H. Staley , A. Saleem , N. Agarwal Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 411–411. | Full Text | PDF (107 KB) | PDF Plus (113 KB) No Access False vs True rupture of membranes J. S. Cohain Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 412–413. Summary | Full Text | PDF (624 KB) | PDF Plus (632 KB) No Access Superior mesenteric artery thrombosis: A rare and unknown complication after caesarean section L. Gaujal , E. G. Simon , I. Kellal , A. Bleuzen , F. Perrotin Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 413–414. | Full Text | PDF (2079 KB) | PDF Plus (2088 KB) No Access Severe visual loss following obstetric forceps delivery-related ocular trauma in a neonate K. Shah , R. Roy , S. Guha , M. Bhargava , S. V. Shah , A. Lobo , D. Das , A. K. Majumder Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 415–415. | Full Text | PDF (926 KB) | PDF Plus (932 KB) No Access Amniotic embolism with complement activation in a lupic pregnant woman F. F. Campanharo , E. F. M. Santana , E. Araujo Júnior , S. G. P. Sarmento , F. C. Fernandes , S. Y. Sun , R. Mattar , A. F. Moron Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 416–416. | Full Text | PDF (206 KB) | PDF Plus (211 KB) No Access Placental and infant metastasis of maternal melanoma: A new case S. De Carolis , S. Garofalo , V. A. Degennaro , G. F. Zannoni , S. Salvi , S. Moresi , E. Di Pasquo , G. Scambia Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 417–418. | Full Text | PDF (665 KB) | PDF Plus (678 KB) GYNAECOLOGY CASE REPORTS No Access Endometriosis associated with relapsing ascites and pleural effusions P. S. Hasdemir , N. Ikiz , H. T. Ozcakir , E. Kara , T. Guvenal Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 419–419. | Full Text | PDF (476 KB) | PDF Plus (480 KB) No Access Stromal luteoma of the ovary: A rare ovarian pathology C. Numanoglu , S. Guler , I. Ozaydin , A. Han , V. Ulker , O. Akbayir Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 420–421. | Full Text | PDF (1264 KB) | PDF Plus (1271 KB) No Access Endometrial cancer in a woman with 46,XY pure gonadal dysgenesis D. McGregor , E. Saridogan , E. Benjamin , A. Swamy , G. S. Conway , A. Olaitan Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 422–422. | Full Text | PDF (444 KB) | PDF Plus (447 KB) No Access Cellular schwannoma of the retroperitoneum with cystic degeneration, mimicking an ovarian cyst, with CKAE1/AE3 and desmin expression D. Cabibi , F. Aragona , G. Cucinella , C. Tiberio , G. Calagna , A. Perino Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 423–423. | Full Text | PDF (1748 KB) | PDF Plus (1754 KB) No Access Concomitant therapy with hysterectomy and arterial embolisation for postpartum uterine haemorrhage S. Y. Han , K. H. Ahn , C. H. Lee , S. C. Hong , M. J. Oh , H. J. Kim Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 424–425. | Full Text | PDF (1741 KB) | PDF Plus (1746 KB) No Access Management of narrow introitus with Fenton's operation followed by successful pregnancy in a woman with repaired bladder exstrophy N. Singh , A. Kriplani , R. Mahey , G Kachhawa Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 426–426. | Full Text | PDF (593 KB) | PDF Plus (597 KB) No Access Laparoscopic management of a torted dermoid cyst with prostatic tissue in pregnancy S. Das , C. Guha , S. Honakeri , A. Fleming , D. Uchil Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 427–427. | Full Text | PDF (261 KB) | PDF Plus (268 KB) No Access Unilateral ovarian agenesis with partial ipsilateral tubal agenesis D. Grigoras , L. Pirtea , I. Sas , P. Matusz Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 428–429. | Full Text | PDF (11397 KB) | PDF Plus (11403 KB) No Access A case of heterotopic pregnancy following spontaneous conception E. Tingi , J. Rowland , L. Hanna Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 430–431. | Full Text | PDF (649 KB) | PDF Plus (655 KB) OBSTETRIC SHORT COMMUNICATIONS No Access Consumption of beverages and food during labour in diabetic women S. Kalra , B. Kalra , Y. Gupta Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 432–433. | Full Text | PDF (102 KB) | PDF Plus (104 KB) No Access Clinical significance of adverse outcomes of placental abruption developing at home S. Suzuki Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 433–434. Summary | Full Text | PDF (78 KB) | PDF Plus (81 KB) LETTER TO THE EDITOR No Access Re: Moore EK, Irvine LM. 2014. The impact of maternal age over forty years on the caesarean section rate: six year experience at a busy district general hospital. Journal of Obstetrics and Gynaecology 34:238–240 S. Gerli , A. Favilli , S. Pericoli , G. C. Di Renzo Journal of Obstetrics & Gynaecology May 2015, Vol. 35, No. 4: 435–435. | Full Text | PDF (83 KB) | PDF Plus (89 KB) d Gynaecology Research is pleased to announce the following article awardees. Young Scientists Awardee 2011-2012. Antioxidant ... Ultrasound in Obstetrics & Gynecology - Wiley Online Library onlinelibrary.wiley.com/.../10.../(ISSN)1469-070... این صفحه را ترجمه کن True Reproducibility of UltraSound Techniques (TRUST): systematic review of reliability studies in obstetrics and gynecology M. A. Coelho Neto, P. American Journal of Obstetrics and Gynecology ... www.sciencedirect.com/science/journal/00029378 این صفحه را ترجمه کن The online version of American Journal of Obstetrics and Gynecology at ScienceDirect.com, the world's leading platform for high quality peer-reviewed full-text ... Obstetrics/Gynecology - Medscape Reference emedicine.medscape.com/obstetrics_gynecology این صفحه را ترجمه کن Obstetrics and Gynecology articles covering symptoms, diagnosis, staging, treatment, prognosis, and follow-up. Peer reviewed and up-to-date recommendations ... What Is an OB/GYN? - Pregnancy - HealthCommunities.com www.healthcommunities.com/.../what-is-obgyn.sh... این صفحه را ترجمه کن ۲۰ خرداد ۱۳۸۰ ه.ش. - Obstetrician / Gynecologist Overview. An obstetrician is a physician who has successfully completed specialized education and training in the ... Journal Rankings on Obstetrics and Gynecology www.scimagojr.com/journalrank.php?category... این صفحه را ترجمه کن 5, American Journal of Obstetrics and Gynecology, j, Q1, 1,874, 162, 737 ... 6, BJOG: An International Journal of Obstetrics and Gynaecology, j, Q1, 1,736, 119 ... Obstetrics and Gynecology International — An Open ... www.hindawi.com/journals/ogi/ این صفحه را ترجمه کن Obstetrics and Gynecology International is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies in ... The Society of Obstetricians and Gynaecologists of Canada ... sogc.org/ این صفحه را ترجمه کن Not a member? You can still access the abstracts online. Full access to the latest Journal of Obstetrics and Gynaecology Canada is a benefit of membership. Obstetrics & Gynecology - Editorial Manager® www.editorialmanager.com/ong/ این صفحه را ترجمه کن Obstetrics & Gynecology is the official publication of the American College of Obstetricians and Gynecologists. Popularly known as "The Green Journal," ... Journal | ISUOG www.isuog.org/journal/ این صفحه را ترجمه کن ISUOG's official journal, Ultrasound in Obstetrics and Gynecology (UOG), also known as the White Journal, is recognised as the leading peer-reviewed jou
Lowering Blood Pressure Improves Diastolic Function, Regardless of Regimen فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Lowering Blood Pressure Improves Diastolic Function, Regardless of Regimen Reductions in blood pressure lead to improved diastolic function — regardless of the antihypertensive drugs used — reports a study in Lancet. Researchers sought to determine whether the angiotensin-receptor blocker valsartan would be more effective than other antihypertensives at improving diastolic function. They randomized nearly 400 patients with hypertension and evidence of diastolic dysfunction to receive either the ARB or placebo. The patients also received other classes of antihypertensive agents to lower blood pressure to below 135/80 mm Hg. After 38 weeks, tissue Doppler imaging showed improved diastolic function in both valsartan and placebo recipients, but there was no significant difference between the groups. Authors of an accompanying commentary note that valsartan might have an advantage in patients with more advanced left ventricular remodeling. Nevertheless, they add, "the good news is that lowering blood pressure improves diastolic function, irrespective of the antihypertensive regimen used مدال: Stroke Risk Doubles Within 5 Years After Diabetes Diagnosis فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Stroke Risk Doubles Within 5 Years After Diabetes Diagnosis The risk for stroke is twice as high in patients with newly diagnosed diabetes as in the general population, according to a study in Stroke. Using health databases of a Canadian province, researchers identified some 12,200 adults aged 30 and older with recent diagnoses of type 2 diabetes. During a mean follow-up of about 5 years, 9.1% of the patients had hospital admissions with a stroke-related diagnosis. The rate ratio for stroke was 2.1 for diabetes patients, compared with the general population. The authors write that their results "will help to dispel the notion that macrovascular consequences of diabetes occur only in the long term" and may motivate "both patients and providers to aggressively control cardiovascular risk factors soon after diagnosis." مدال: Weight Management Program Benefits Overweight Children فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Weight Management Program Benefits Overweight Children A family-based program for weight management in pediatric obesity promotes sustained improvements in BMI and insulin resistance, according to a JAMA report. Researchers compared the Bright Bodies weight management program with usual care in some 175 overweight children aged 8 through 16 who were attending a pediatric obesity clinic. Children in the intervention group, along with their adult Icon hamburger menu toggle Menu Home Books & Journals American Journal of Obstetrics & Gynecology American Journal of Obstetrics & Gynecology ISSN: 0002-9378 American Journal of Obstetrics & Gynecology Editors-in-Chief: Ingrid Nygaard, MD, MS, Roberto Romero, MD, DMedSci View full editorial board Supports Open Access Guide for Authors Author instructions Download the 'Author Information Pack' PDF View 'Guide for Authors' online Useful links Read the '8 Reasons Why I Accepted Your Article' blog Download the 'Understanding the Publishing Process' PDF Submit Your Paper Enter your login details for American Journal of Obstetrics & Gynecology below. If you do not already have an account you will need to register here. Username Password I forgot my password Register new account Track Your Paper Check submitted paper Username Password I forgot my password Track accepted paper Once your article has been accepted you will receive an email from Author Services. This email contains a link to check the status of your article. Track your accepted paper Order Journal Sample Issue View Articles Journal Metrics Source Normalized Impact per Paper (SNIP): 1.796ℹSource Normalized Impact per Paper (SNIP): 2014: 1.796 SNIP measures contextual citation impact by weighting citations based on the total number of citations in a subject field. SCImago Journal Rank (SJR): 1.874ℹ SCImago Journal Rank (SJR): 2014: 1.874 SJR is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and a qualitative measure of the journal's impact. Impact Factor: 4.704ℹImpact Factor: 2014: 4.704 The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years. © Thomson Reuters Journal Citation Reports 2015 5-Year Impact Factor: 4.142ℹFive-Year Impact Factor: 2014: 4.142 To calculate the five year Impact Factor, citations are counted in 2014 to the previous five years and divided by the source items published in the previous five years. © Journal Citation Reports 2015, Published by Thomson Reuters The American Journal of Obstetrics and Gynecology, "The Gray Journal", covers the full spectrum of Obstetrics and Gynecology. The aim of the Journal is to publish original research (clinical and translational), reviews, opinions, video clips, podcasts and interviews that will have an impact on the understanding of health and disease and that has the potential to change the practice of women's health care. An important focus is the diagnosis, treatment, prediction and prevention of obstetrical and gynecological disorders. The Journal also publishes work on the biology of reproduction, and content which provides insight into the physiology and mechanisms of obstetrical and gynecological diseases. Benefits to authors We also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services. Please see our Guide for Authors for information on article submission... View full aims and scope This journal supports the following content innovations 3D Radiological Data AudioSlides Journal Insights American Journal of Obstetrics & Gynecology Journal Insights Find out more Recent Articles Recently published articles from American Journal of Obstetrics & Gynecology. Practice Patterns and Postoperative Complications Before and After Food and Drug Administration Safety Communication on Power Morcellation John A. Harris | Carolyn W. Swenson | … Injectable Silk-based Biomaterials for Cervical Tissue Augmentation: An In Vitro Study Joseph E. Brown | Benjamin P. Partlow | … Reproductive Coercion – Uncloaking an Imbalance of Social Power Jeanna Park | Sherry K. Nordstrom | … View all Special Issues Special issues published in American Journal of Obstetrics & Gynecology. 35th Annual Meeting of the Society for Maternal-Fetal Medicine Volume 212, Issue 1, Supplement (2015) 34th Annual Meeting of the Society for Maternal-Fetal Medicine Volume 210, Issue 1, Supplement (2014) 33rd Annual Meeting of the Society for Maternal-Fetal Medicine Volume 208, Issue 1, Supplement (2013) View all Recent Open Access Articles The latest Open Access articles published in American Journal of Obstetrics & Gynecology. Menstrual preconditioning for the prevention of major obstetrical syndromes in polycystic ovary syndrome Ivo Brosens | Giuseppe Benagiano Monitoring human growth and development: a continuum from the womb to the classroom José Villar | Aris T. Papageorghiou | … Exogenous oxytocin modulates human myometrial microRNAs Joanna R. Cook | David A. MacIntyre | … View all Most Cited Articles The most cited articles published since 2010, extracted from Scopus. Noninvasive detection of fetal trisomy 21 by sequencing of DNA in maternal blood: A study in a clinical setting Mathias Ehrich | Cosmin Deciu | ... Non-Invasive Chromosomal Evaluation (NICE) Study: Results of a multicenter prospective cohort study for detection of fetal trisomy 21 and trisomy 18 Mary E. Norton | Herb Brar | ... Risk factors for depressive symptoms during pregnancy: a systematic review Christie A. Lancaster | Katherine J. Gold | ... 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Icon social media facebook Icon social media linkedin Icon social media twitter Icon social media google plus RELX Group Wordmark caregiver, attended exercise classes twice a week for the first 6 months, and then biweekly for another 6 months. (They also attended behavior modification sessions, although less frequently.) Children in the usual-care group, also accompanied by a caregiver, received diet and exercise counseling at 6-month intervals. At 6 and 12 months, changes in body weight, BMI, percentage of body fat, total cholesterol, and insulin resistance all significantly favored the intervention group. The authors attribute the program's success, in part, to the frequency of contact between families and staff, but they caution that "the expense incurred in operating such a program is substantial." مدال: Epilepsy Doubles Suicide Risk فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Epilepsy Doubles Suicide Risk Epilepsy doubles the risk for suicide, according to a large case-control study published early online in Lancet Neurology. Danish researchers identified some 450,000 people with data in five national health and socioeconomic registries. Even after differences in psychiatric history and socioeconomic status were taken into account, the risk for suicide among patients with epilepsy was twice that of people without epilepsy. Overall, suicide risk was highest among those with both epilepsy and a history of psychiatric disease, particularly affective disorders. In addition, suicide risk was highest in the first 6 months after epilepsy diagnosis and decreased with increasing age, both among those with and those without psychiatric comorbidities. patients with newly diagnosed epilepsy "require special attention" to identify and treat those at risk for suicide. مدال: Middle Age Not Too Late to Lower Cardiac Risk فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Middle Age Not Too Late to Lower Cardiac Risk Adopting a healthy lifestyle after age 45 may confer cardiovascular and mortality benefits even just 4 years later, according to a study in the July edition of the American Journal of Medicine. To study the origin and progression of atherosclerosis, researchers prospectively followed roughly 16,000 adults aged 45 to 64 at baseline. After 6 years, about 1000 had newly adopted an overall healthy lifestyle, defined as four behaviors: eating at least five fruits and vegetables daily, exercising at least 2.5 hours weekly, maintaining a BMI between 18.5 and 30, and not smoking. Some 11,000 were following three or fewer of these behaviors. During the next 4 years, those who had newly adopted all four behaviors had a 40% reduction in all-cause mortality and a 35% reduction in cardiovascular events, compared with those who were following three or fewer healthy behaviors. The authors conclude that adhering to a healthy lifestyle is "extremely worthwhile, and that middle-age is not too late to act." مدال: Self-Monitoring of Glucose in Type 2 Diabetes فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Self-Monitoring of Glucose in Type 2 Diabetes Monitoring had only a minimal effect on glucose control and other measur. Some patients with type 2 diabetes who do not use insulin nevertheless monitor their blood glucose .routinely at home. To determine the effect of self-monitoring, U.K. researchers conducted this randomized trial in patients with reasonably eswell-controlled diabetes who were not taking insulin. A total of 453 adults (mean age, 66) were assigned to one of three groups: (1) usual care without home glucose monitoring; (2) usual care plus home blood glucose monitoring, with instructions to call the doctor for interpretations of results; or (3) the same as group 2 plus additional training in interpreting blood glucose results. At baseline, the mean hemoglobin A1c level was about 7.5%. At 12 months, changes in hemoglobin A1c levels, adjusted for baseline measures, were not significantly different in the three groups. For nearly all other measures (weight, blood pressure, body-mass index), the differences were also not significant. Total cholesterol levels fell significantly more in group 3 than in groups 2 and 1 (by 15.4 mg/dL, vs. 8.5 mg/dL and 6.2 mg/dL). Significantly more mild hypoglycemic episodes occurred in groups 3 and 2 (43 and 33, vs. 14). Comment: These patients with type 2 diabetes had fairly well-controlled blood glucose and were not using insulin. Monitoring blood glucose levels — with or without instruction in interpreting the results — had a minimal effect on glucose control (and on other measures). Based on this study, routine self-monitoring of glucose is unnecessary for such patients. However, for patients with less well-controlled diabetes in whom drug therapies are being adjusted, self-monitoring may have value. مدال: One Soft Drink a Day Raises Risk for Metabolic Syndrome فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر One Soft Drink a Day Raises Risk for Metabolic Syndrome Middle-aged people who drink just one soft drink a day have a substantially increased risk for metabolic syndrome, a Circulation study finds. The results, from the offspring cohort of the Framingham Heart Study, were released early online. The study found that adults drinking one or more soft drinks a day had a 48% higher prevalence of metabolic syndrome than those who drank them infrequently. The incidence of the metabolic syndrome was similarly increased among the cohort over 4 years of follow-up. The study found that both regular and diet soda appear to carry similar metabolic hazards. The authors suggested several possible explanations for the association, including the idea that consuming sweet drinks increases preferences for other sweetened items. They say that lowering the consumption of soft drinks "may be associated with a lowering of the burden of metabolic risk factors in adults." مدال: Renin Inhibitor + ARB Better Than Either Drug Alone at Lowering BP فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Renin Inhibitor + ARB Better Than Either Drug Alone at Lowering BP A renin inhibitor and an angiotensin receptor blocker are more effective at lowering blood pressure when used in combination than alone, reports a Lancet study, but editorialists question the clinical value of this approach. Industry-funded researchers randomized some 1800 patients with mean resting diastolic BP between 95 and 110 mm HG to receive aliskiren, valsartan, both drugs, or placebo. After 4 weeks, doses were titrated to the maximum. After 8 weeks of treatment, patients receiving either drug had lower resting BP than those on placebo, and patients receiving both drugs had lower BP than those on monotherapy. Ambulatory diastolic BP, measured in some 350 patients, fell to a greater extent with combination therapy (mean reduction, 10.3) than with monotherapy (mean reduction, 7.1). The editorialists discuss the risk for hyperkalemia with these agents and argue that the observed BP reductions are less than what one might expect from combining a renin inhibitor with a diuretic or a calcium-channel blocker, as guidelines recommend. They conclude that "because of the potential life-threatening side-effects … this concept of treatment is unlikely to make it to general practice or even to primary prevention in specialist care." مدال: Blood Pressure and Glycemic Control Key to Preventing Diabetic Retinopathy فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Blood Pressure and Glycemic Control Key to Preventing Diabetic Retinopathy Strict blood pressure and glycemic control are effective in reducing vision loss from diabetic retinopathy and remain "the cornerstone in the primary prevention" of the disorder, according to a review published in JAMA. Researchers examined 41 studies with a minimum follow-up of 12 months and 3 meta-analyses. The 10-year Diabetes Control and Complications Trial found that, over 6.5 years of follow-up, intensive glycemic control in patients with type 1 diabetes reduced the incidence of diabetic retinopathy by 76% and progression by 54%, compared with conventional treatment. Tight blood pressure control had a similar effect, with one U.K. study reporting a 34% reduction in progression after 9 years' follow-up. مدال: Head and Neck Tumors Seem Associated with HPV فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Head and Neck Tumors Seem Associated with HPV A commentary in Cancer suggests that oropharyngeal cancers associated with human papillomavirus type 16 could be prevented by vaccinating adolescent boys, in addition to girls, against HPV. The authors point to a "stagnation" in the rate of decline in the incidence of oropharyngeal cancer despite lower tobacco usage. They also cite the younger age at presentation of these cancers and the increasing prevalence of HPV-16 in tumor tissue samples. It's likely, they say, that the mode of viral transmission to oropharyngeal sites is through oral sex. They are concerned "that vaccination programs limited to females will only delay the potential benefit in prevention of [these] cancers, which typically occur in men."Maternal Glucose Level Linked to Childhood Obesity Risk فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Maternal Glucose Level Linked to Childhood Obesity Risk As maternal blood glucose level during pregnancy increases, so does the child's risk for obesity at age 5 to 7 years, reports a study in Diabetes Care. U.S. researchers examined the medical records of nearly 9500 mother-child pairs. During pregnancy, the women were screened for gestational diabetes. In addition, obesity in the offspring was determined when the child was 5 to 7 years old. Overall, the risk for childhood obesity increased significantly as maternal blood glucose level increased; the association was particularly striking for fasting blood glucose. However, after multivariate adjustment, the obesity risk was not increased among children whose mothers had met criteria for gestational diabetes and were likely treated. The authors say their findings "suggest that [gestational diabetes mellitus] treatment may decrease the risk of childhood obesity and provide an additional reason for screening for GDM in pregnancy." مدال: Food Additives Associated with Hyperactivity in Children فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Food Additives Associated with Hyperactivity in Children Common food additives may cause hyperactivity in children in the general population, according to a study published online in Lancet. In a randomized crossover trial, 137 three-year-olds and 130 eight- or nine-year-olds consumed daily drinks of placebo, mix A (sodium benzoate and artificial food coloring), or mix B (similar to mix A, but with additional food coloring) for 6 weeks. Hyperactivity was evaluated using teacher and parent ratings, direct observation, and a computerized test. Compared with placebo in adjusted analyses, mix A was associated with elevated hyperactivity scores among three-year-olds, while mix B was associated with elevated scores among eight- or nine-year-olds. The authors write, "These findings show that adverse effects are not just seen in children with extreme hyperactivity (ie, ADHD), but can also be seen in the general population and across the range of severities of hyperactivity." مدال: Urgent Treatment of TIA or Minor Stroke Cuts Risk for Early Recurrence فروردین ۶, ۱۳۸۹ توسط : admin موضوع: : (English-news) ارسال نظر Urgent Treatment of TIA or Minor Stroke Cuts Risk for Early Recurrence Urgent treatment after a TIA or minor stroke can reduce the 90-day risk for stroke by 80%, Lancet reports. A study examining stroke outcomes was divided into two phases. In the first, 310 patients presenting to primary care with a TIA or minor stroke were referred to a neurovascular clinic, where patients were assessed and treatment recommendations were faxed to the primary care clinician. In phase 2, about 280 patients were sent directly to the neurovascular clinic, where they received appropriate treatment. The median delay to clinic assessment dropped from 3 days in phase 1 to less than a day in phase 2. Likewise, the median delay to treatment fell from 20 days to 1 day. The incidence of stroke within 90 days also fell significantly — from 10% to 2%. Editorialists conclude that patients with TIA or minor stroke "should receive the same urgent attention as is provided for those with acute coronary syndromes مدال: New birTraining[edit] The training period required to practice medicine as an OB/GYN varies by country. In the United Kingdom, training lasts seven years. In the United States, four years in residency are required for MDs and DOs. In Australia, the residency training period is six years, matched only by neurosurgery and maxillofacial surgery. In India, post graduate training in obstetrics and gynecology is in the form of a two-year diploma course (DGO) or a three-year (MD or MS). Some OB/GYN surgeons elect to do further subspecialty training in programs known as fellowships after completing their residency training, although the majority choose to enter private or academic practice as general OB/GYNs. Fellowship training can range from one to four years in duration, and usually has a research component involved with the clinical and operative training. All obstetricians are trained gynecologists, although the reverse is not necessarily true. However, some OB/GYNs may choose to drop the obstetric component of their practice and focus solely on gynecology, especially as they get older. This decision is often based on the double burden of very late hours and, depending on the country, high rates of litigation.[citation needed] This combined training prepares the practicing OB/GYN to be adept at the surgical management of the entire scope of clinical pathology involving female reproductive organs, and to provide care for both pregnant and non-pregnant patient. Subspecialties[edit] Examples of subspecialty training available to physicians in the US are: Maternal-fetal medicine – an obstetrical subspecialty, sometimes referred to as perinatology, that focuses on the medical and surgical management of high-risk pregnancies and surgery on the fetus with the goal of reducing morbidity and mortality. Reproductive endocrinology and infertility – a subspecialty that focuses on the biological causes and interventional treatment of infertility Gynaecological oncology – a gynaecologic subspecialty focusing on the medical and surgical treatment of women with cancers of the reproductive organs Female pelvic medicine and reconstructive surgery – a gynaecologic subspecialty focusing on the diagnosis and surgical treatment of women with urinary incontinence and prolapse of the pelvic organs. Sometimes referred to by laypersons as "female urology" Advanced laparoscopic surgery Family planning – a gynaecologic subspecialty offering training in contraception and pregnancy termination (abortion) Paediatric and adolescent gynaecology Menopausal and geriatric gynaecology Of these, only the first four are truly recognized sub-specialties by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Obstetrics and Gynecology (ABOG). The other subspecialties are recognized as informal concentrations of practice. To be recognized as a board-certified subspecialist by the American Board of Obstetrics and Gynecology or the American Osteopathic Board of Obstetrics and Gynecology, a practitioner must have completed an ACGME or AOA-accredited residency and obtained a Certificate of Added Qualifications (CAQ) which requires an additional standardized examination.[1][2] Additionally, physicians of other specialties may become trained in Advanced Life Support in Obstetrics (ALSO), a short certification that equips them to better manage emergent OB/GYN situations. Recent shortage in US[edit] From 2000 through 2004, American medical school graduates were increasingly choosing not to specialize in obstetrics.[3] This led to a critical shortage of obstetricians in some states and often fewer health care options for women — although it did not lead to higher average salaries.[4] However, beginning in 2004, increasing state legislation mandating tort reform combined with the ACGME's decision to limit resident work hours led to a gradual resurgence in the number of medical students choosing OB/GYN as a specialty. In the medical residency match for 2007, only six spots in OB/GYN training programmes remained vacant throughout the entire United States; a record low number, and one that puts OB/GYN on par in terms of competitiveness with some other surgical specialties.[5] According to the Association of American Medical Colleges report "The State of Women in Academic Medicine," 83 percent of OB/GYN residents are female.[6] Salary[edit] The salary of an obstetrician varies by country. In the United States, the salary ranges from $200,000 to $339,738.[citation needed] Country Annual salary (US$) United Kingdom 187,771[7] United States 226,369 History[edit] Two midwives assisting a woman in labour on a birth chair in the 16th century, from a work by Eucharius Rößlin. Prior to the 18th century, caring for pregnant women in Europe was confined exclusively to women, and rigorously excluded men. The expectant mother would invite close female friends and family members to her home to keep her company.[8] Skilled midwives managed all aspects of the labour and delivery. The presence of physicians and surgeons was very rare and only occurred once a serious complication had taken place and the midwife had exhausted all measures to manage the complication. Calling a surgeon was very much a last resort and having men deliver women in this era whatsoever was seen as offending female modesty.[9][10] Before the 18th century[edit] Obstetrics prior to the 18th and 19th centuries was not recognized as a specific specialty. However, the subject matter and interest in the female reproductive system and sexual practice can be traced back to Ancient Egypt[11] Soranus of Ephesus sometimes is called the most important figure in ancient gynecology. Living in the late first century A.D. and early second century he studied anatomy and had opinions and techniques on abortion, contraception –most notably coitus interruptus– and birth complications. After the death of Soranus, techniques and works of gynecology declined but very little of his works were recorded and survived to the late 18th century when gynecology and obstetrics reemerged.[12] and Ancient Greece.[13] 18th century[edit] The 18th century marked the beginning of many advances in European midwifery. These advances in knowledge were mainly regarding the physiology of pregnancy and labour. By the end of the century, medical professionals began to understand the anatomy of the uterus and the physiological changes that take place during labour. The introduction of forceps in childbirth also took place during the 18th century. All these medical advances in obstetrics were a lever for the introduction of men into an arena previously managed and run by women—midwifery.[14] The addition of the male-midwife is historically a significant change to the profession of obstetrics. In the 18th century medical men began to train in area of childbirth and believed with their advanced knowledge in anatomy that childbirth could be improved. In France these male-midwives were referred to as "accoucheurs". This title was later on lent to male-midwives all over Europe. The founding of lying-hospitals also contributed to the medicalization and male-dominance of obstetrics. These lying-hospitals were establishments where women would come to have their babies delivered, which had prior been unheard of since the midwife normally came to home of the pregnant woman. This institution provided male-midwives or accoucheurs with an endless number of patients to practice their techniques on and also was a way for these men to demonstrate their knowledge.[15] Many midwives of the time bitterly opposed the involvement of men in childbirth. Some male practitioners also opposed the involvement of medical men like themselves in midwifery, and even went as far as to say that men-midwives only undertook midwifery solely for perverse erotic satisfaction. The accoucheurs argued that their involvement in midwifery was to improve the process of childbirth. These men also believed that obstetrics would forge ahead and continue to strengthen.[9] 19th century[edit] Even 18th century physicians expected that obstetrics would continue to grow, the opposite happened. Obstetrics entered a stage of stagnation in the 19th century, which lasted until about the 1880s.[8] The central explanation for the lack of advancement during this time was substantially due to the rejection of obstetrics by the medical community. The 19th century marked an era of medical reform in Europe and increased regulation over the medical profession. Major European institutions such as The College of Physicians and Surgeons considered delivering babies ungentlemanly work and refused to have anything to do with childbirth as a whole. Even when Medical Act 1858 was introduced, which stated that medical students could qualify as doctors, midwifery was entirely ignored. This made it nearly impossible to pursue an education in midwifery and also have the recognition of being a doctor or surgeon. Obstetrics was pushed to the side.[16] By the late 19th century the foundation of modern day obstetrics and midwifery began develop. Delivery of babies by doctors became popular and readily accepted, but midwives continued to play a role in childbirth. Midwifery also changed during this era due to increased regulation and the eventual need for midwives to become certified. Many European countries by the late 19th century were monitoring the training of midwives and issued certification based on competency. Midwives were no longer uneducated in the formal sense.[17] As midwifery began to develop so did the profession of obstetrics near the end of the century. Childbirth was no longer unjustifiably despised by the medical community as it once had been at the beginning of the century. But the specialty was still behind in its development stages in comparison to other medical specialities, and remained a generality in this era. Many male physicians would deliver children but very few would have referred to themselves as obstetricians. The end of the 19th century did mark a significant accomplishment in the profession with the advancements in asepsis and anesthesia, which paved the way for the mainstream introduction and later success of the Caesarean Section.[17][18] Before the 1880s mortality rates in lying-hospitals would reach unacceptably high levels and became an area of public concern. Much of these maternal deaths were due to Puerperal fever, at the time commonly known as childbed fever. In the 1800s Dr. Ignaz Semmelweis noticed that women giving birth at home had a much lower incidence of childbed fever than those giving birth by physicians in lying-hospitals. His investigation discovered that washing hands with an antiseptic solution before a delivery reduced childbed fever fatalities by 90%.[19] So it was concluded that it was physicians who had been spreading disease from one laboring mother to the next. Despite the publication of this information, doctors still would not wash. It was not until the 20th century when advancements in aseptic technique and the understanding of disease would play a significant role in the decrease of maternal mortality rates among many populations. History of obstetrics in America[edit] The development of obstetrics as a practice for accredited doctors happened at the turn of the 18th century and thus was very differently developed in Europe and in the Americas due to the independence of many countries in the Americas from European powers. "Unlike in Europe and the British Isles, where midwifery laws were national, in America, midwifery laws were local and varied widely".[20] American surgeons are responsible for many of the advancements of Gynecology and Obstetrics –these two fields overlapped greatly as they both gained attention in the medical field– at the end of the nineteenth century through the development of such procedures as the ovariotomy. These procedures then were shared with European surgeons who replicated the surgeries. It should be noted that this was a period when antiseptic, aseptic or anesthetic measures were just being introduced to surgical and observational procedures and without these procedures surgeries were dangerous and often fatal. Following are two surgeons noted for their contributions to these fields include Ephraim McDowell and James Marion Sims. Ephraim McDowell developed a surgical practice in 1795 and performed the first ovariotomy in 1809 on a 47-year-old widow who then lived on for thirty-one more years. He had attempted to share this with John Bell whom he had practiced under who had retired to Italy. Bell was said to have died without seeing the document but it was published by an associate in Extractions of Diseased Ovaria in 1825. By the mid-century the surgery was both successfully and unsuccessfully being performed. Pennsylvanian surgeons the Attlee brothers made this procedure very routine for a total of 465 surgeries–John Attlee performed 64 successfully of 78 while his brother William reported 387– between the years of 1843 and 1883. By the middle of the nineteenth century this procedure was successfully performed in Europe by English surgeons Sir Spencer Wills and Charles Clay as well as French surgeons Eugène Koeberlé, Augeste Nélation and Jules Peau.[21] J. Marion Sims was the surgeon responsible for being the first treating a vesicovaginal fistula [21]–a condition linked to many caused mainly by prolonged pressing of the fetus against the pelvis or other causes such as rape, hysterectomy, or other operations– and also having been doctor to many European royals and the 20th President of the United States James A. Garfield after he had been shot. Sims does have a controversial medical past. Under the beliefs at the time about pain and the prejudice towards African people, he had practiced his surgical skills and developed skills on slaves.[22] These women were the first patients of modern gynecology. One of the women he operated on was named Anarcha, the woman he first treated for a fistula.[23] Historical role of gender[edit] Women and men inhabited very different roles in natal care up to the 18th century. The role of a physician was exclusively held by men who went to university, an overly male institution, who would theorize anatomy and the process of reproduction based on theological teaching and philosophy. Many beliefs about the female body and menstruation in the 17th and 18th centuries were inaccurate; clearly resulting from the lack of literature about the practice.[24] Many of the theories of what caused menstruation prevailed from Hippocratic philosophy.[25] Midwives of this time were those assisted in the birth and care of both born and unborn children, and as the name suggests this position held mainly by women. During the birth of a child, men were rarely present. Women from the neighborhood or family would join in on the process of birth and assist in many different ways. The one position where men would help with the birth of a child would be in the sitting position, usually when performed on the side of a bed to support the mother.[26] Men were introduced into the field of obstetrics in the nineteenth century and resulted in a change of the focus of this profession. Gynecology directly resulted as a new and separate field of study from obstetrics and focused on the curing of illness and indispositions of female sexual organs. This had some relevance to some conditions as menopause, uterine and cervical problems, and childbirth could leave the mother in need of extensive surgery to repair tissue. But, there was also a large blame of the uterus for completely unrelated conditions. This led to many social consequences of the nineteenth century.[24] See also[edit] Theriogenology Andrology Urology Obstetric Hospitalist References[edit] Jump up ^ Welcome to the American Board of Obstetrics and Gynecology Web Site: Certification of Obstetricians and Gynecologists Jump up ^ "Eligibility/Board Eligibility". American Osteopathic Board of Obstetrics and Gynecology. 2012. Retrieved 19 September 2012. Jump up ^ Bower, Amanda, "Today's Lesson: Switch Specialty." Time. June 9, 2003. Vol. 161, Issue 23, p. 58, 1/2p, 1c. Jump up ^ Physicians' Earnings: Our exclusive survey Jump up ^ NRMP: Selected Data Tables 2006 Jump up ^ Molly Gamble (2014). "10 specialties with the most female residents". Becker's Hospital Review. Retrieved 15 December 2014. Jump up ^ Obstetrician working in United Kingdom, UK Salary, SalaryExpert.com, Retrieved on 2009-03-23 ^ Jump up to: a b Gelis, Jacues. History of Childbirth. Boston: Northern University Press, 1991: 96-98 ^ Jump up to: a b Bynum, W.F., & Porter, Roy, eds. Companion Encyclopedia of the History of Medicine. London and New York: Routledge, 1993: 1050-1051. Jump up ^ Carr, Ian., "University of Manitoba: Women's Health." May 2000, accessed May 20, 2012, http://www.neonatology.org/pdf/dyingtohaveababy.pdf Jump up ^ McGrew, Roderick E. Encyclopedia of Medical History. New York: McGraw-Hill Book Company, 1985. 122. Jump up ^ McGrew, Roderick E. Encyclopedia of Medical History. New York: McGraw-Hill Book Company, 1985. 123. Jump up ^ Hufnagel, Glenda Lewin. A History of Women's Menstruation from Ancient Greece to the Twenty-First Century: Psychological, Social, Medical, Religious, and Educational Issues. Lewiston: Edwin Mellen Press, 2012. 15. Jump up ^ Bynum, W.F., & Porter, Roy, eds. Companion Encyclopedia of the History of Medicine. London and New York: Routledge, 1993: 1051-1052. Jump up ^ Encyclopedia of Children and Childhood in History and Society, "Obstetrics and Midwifery." accessed May 21, 2012, http://www.faqs.org/childhood/Me-Pa/Obstetrics-and- Midwifery.html Jump up ^ Bynum, W.F., & Porter, Roy, eds. Companion Encyclopedia of the History of Medicine. London and New York: Routledge, 1993: 1053-1055. ^ Jump up to: a b Drife, J., "The start of life: a history of obstetrics," Postgraduate Medical Journal 78 (2002): 311-315, accessed May 21, 2012. doi: 10.1136/pmj.78.919.311. Jump up ^ Low, James., "Caesarean section-past and present," Journal of obstetrics and gynecology Canada 31, no. 12 (2009): 1131-1136, accessed May 20, 2012. http://www.sogc.org/jogc/abstracts/full/200912_Obstetrics_2.pdf Jump up ^ Caplan, Caralee E. (1995). "The Childbed Fever Mystery and the Meaning of Medical Journalism". McGill Journal of Medicine 1 (1). Jump up ^ Roth, Judith. "Pregnancy & Birth: The History of Childbearing Choices in the United States."Human Service Solutions. Accessed February 14th, 2014. http://www.ourbodiesourselves.org/ ^ Jump up to: a b McGrew, Roderick E. Encyclopedia of Medical History. New York: McGraw-Hill Book Company, 1985. 125. Jump up ^ International Wellness Foundation." Dr. J Marion Sims: The Father of Modern Gynecology." February 12th, 2014. www.mnwelldir.org/docs/history/biographies/marion_sims.htm Jump up ^ International Wellness Foundation. "Anarcha The Mother of Gynecology." March 28th, 2014. www.mnwelldir.org/docs/history/biographies/marion_sims.htm ^ Jump up to: a b McGrew, Roderick E. Encyclopedia of Medical History. New York: McGraw-Hill Book Company, 1985. 123-125. Jump up ^ Hufnagel, Glenda Lewin. A History of Women's Menstruation from Ancient Greece to the Twenty-First Century: Psychological, Social, Medical, Religious, and Educational Issues. Lewiston: Edwin Mellen Press, 2012. 16. Jump up ^ Gelis, Jacues. History of Childbirth. Boston: Northern University Press, 1991: 130. Bibliography[edit] Llewellyn-Jones, Derek, Fundamentals of Obstetrics and Gynecology, 7th ed., Mosby, 1999. Further reading[edit] Lane, J (July 1987). "A provincial surgeon and his obstetric practice: Thomas W. Jones of Henley-in-Arden, 1764-1846". Medical History 31 (3): 333–48. doi:10.1017/s0025727300046895. PMC 1139744. PMID 3306222. Stockham, Alice B. Tokology. A Book for Every Woman. o.O., (Kessinger Publishing) o.J. Reprint of Revised Edition Chicago, Alice B. Stockham & Co. 1891 (first edition 1886). ISBN 1-4179-4001-8 External links[edit] [1] International Federation of Gynaecology and Obstetrics (FIGO) BJOG: An International Journal of Obstetricians and Gynaecologists World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI) [show] v t e Medicine [show] v t e Obstetrical surgery and other procedures (ICD-9-CM V3 72–75, ICD-10-PCS 1) Authority control NDL: 00570143 Categories: ObstetricsGynaecologyMedical specialtiesMedical doctors by specialty Navigation menu Create accountLog inArticleTalkReadEditView history Main page Contents Featured content Current events Random article Donate to Wikipedia Wikipedia store Interaction Help About Wikipedia Community portal Recent changes Contact page Tools What links here Related changes Upload file Special pages Permanent link Page information Wikidata item Cite this page Print/export Create a book Download as PDF Printable version Languages العربیة Español فارسی Français Galego 한국어 မြန်မာဘာသာ 日本語 Norsk bokmål Occitan Português Română Русский ไทย Українська 中文 Edit links This page was last modified on 23 August 2015, at 04:39. 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This year we decided to do a "Tió" for our kids. It was great fun having the kids give it many different kinds of food and watch it magically disappear the next morning (extra points for creative placement of leftovers).
Our youngest was really scared though when we started to sing the song and wack it with a stick and was telling us to stop hurting the poor log. After the candy appeared he got over it pretty quickly.
All in all, I think this is a tradition that we´ll keep. The caganer in the nativity scene is also "un must" as they say here.

subset: commoncrawl


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Azshara was once a Highborne Night Elf and former Queen of the Kaldorei. She was once believed to be the most powerful spell caster of all time, a talent only surpassed by her beauty. In fact, it was her vanity and thirst for power which led to her eventual downfall. Over the years, she's had many forms and representations throughout Warcraft lore.
It's been said Mannoroth flinched when he detected her power, and even Illidan Stormrage was taken aback after gaining his new sight.
From the time she awoke at the bottom of the sea, she ordered an imperial palace be built to rival her home in Azshara. Here she resides and rules all naga at the bottom of a massive abyssal sea trench where she reigns as the Empress of Nazjatar.
In Cata, four Darkscale Priestesses surround the [Horn of the Ancients] in Southern Darkshore. Killing them will cause Queen Azshara to appear as you witness some dialogue between Malfurion and herself. It's revealed she's primarily responsible for the troubles in Darkshore, as she attempts to divert Malfurion's attention from Hyjal. I can't help thinking she looks more like Medusa or a recycled Lady Vashj model.
It's later revealed that the Queen would like nothing more than the total destruction of the Elemental Lord Neptulon, because that would leave her free to rule over the oceans in his stead.
Queen Azshara's Dressing Gown is one of the rare items discovered through Night Elf Archaeology. I'm happy to say I have at least one of these on my account.
Azshara was born with golden eyes, which were quite rare in night elves before the Great Sundering. Golden eyes were commonly regarded as a sign of future greatness.
In the new Well of Eternity, she's been rendered a couple of ways. The image above shows an earlier version, believed to be based on a popular piece of artwork. As you can see she has dark blue hair, rather than moonlight silver, blue eyes rather than golden, and a skin tone that's almost grey, rather than deep violet. This was later changed as Azshara got a brand new texture, fitting the description of the novel.
I must say, these days she's looking rather hot. By the way, I would so wear that outfit. Just saying! ;)


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Research into material evidence of early Qur'anic Textual history is an emerging field. In Week 2, we looked at the material evidence of the Birmingham Qur'an and other Qur'an manuscripts, including an examination of the handwriting (palaeography) and the material features of Qur'an manuscripts (codicology).
Coming up
This week we will look at how radiocarbon dating and other scientific techniques can provide a key layer of additional information about a manuscript that adds to the material evidence.
In 2013, following the launch of The Coranica Project, which investigates physical evidence of early Qur'anic texts, the Cadbury Research Library decided to have this manuscript radiocarbon dated in order to enhance scholarly understanding. In 2017 the University commissioned further scientific work on the manuscript to examine whether there is any hidden writing that could not be seen with the naked eye. This process, called multi-spectral imaging, examines the manuscript through different wavelengths of light. The results showed no hidden text within the manuscript, proving that it is not a palimpsest.
By the end of this week you will:
- Have an understanding of how radiocarbon dating can be used to date manuscripts
- Understand how modern technology can be used to analyse manuscripts
- Identify techniques and preservation methods used in the conservation and care of manuscripts
- Consider how such primary sources can be a resource for research
© University of Birmingham


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Apr 11, 2017
Why do we do some of the things we do? What mysteries lie beneath human behavior, including bad behavior?
How can some people make decisions that harm themselves and others, and still live with themselves? How can people who do horrible things look themselves in the mirror? How do sociopaths slip that far into such a dark place?
And, even if we are good people, how do we do sometimes do bad things without feeling bad about them?
This session deals with the issue of the "broken moral compass."
We'll talk about:
Join us in this exciting discovery of our own hearts and the deep recesses of the human condition. It'll help you understand yourself and others better, leading to better relationships with people and with God.


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Yesterday I paid off one of my student loans (1 down, 3 to go)! It felt amazing and energizing. In the last two years we've managed to eliminate our car payments, pay off all our credit cards and medical bills. We are proud to say that we repaid all our debts before we could come under the radar of moorcroft debt recovery group.
This has been quite a lifestyle switch for us. Actually, it happened even before we started to pay off debt. When Sam and I were first married we used to go out a lot and yes, spend quite a bit of money. Not crazy extravagant, of course, but we liked to have a good time.
I bought a new Subaru Crosstrek. Sam bought a used Toyota (but still in great condition). We were renting and looked at houses in Milwaukee, but with property tax we couldn't find anything for less than $250k. We decided to move closer to Sam's work a few towns over. So we settled on a cute little 1943 Cape Cod with a $170k mortgage, which seemed pretty reasonable, especially for the great location. (Cedarburg is an adorable town.)
We went out to dinner a few times per week. We both enjoyed wine and beer (a little too much). We had cable, Netflix and video games. We belonged to gyms we never used.
Then over the next four years, we made some major lifestyle changes. Surprisingly, these changes not only saved us money–they transformed our lives in all kinds of ways. We buckled down and got serious about our health, our life and our finances. Here are the changes we made to help us pay off debt (and live happier, healthier lives too)!
You can trust that we maintain strict editorial integrity in our writing and assessments; however, we receive compensation when you click on links to products from our partners and get approved. Here's how we make money.
1. Quit Drinking
Our reasons for quitting drinking were many. It wasn't a healthy lifestyle for either of us. Both of us have a hard time with moderation and at the time simply "cutting back" just wasn't working. It was making it hard to get up and have energy. It was causing me to gain weight. I could tell it was affecting my work performance. So we quit together. It wasn't a big deal with a lot of fanfare. We just stopped.
Since we quit drinking, according to my I Am Sober app, we've saved about $15,000. It sounds like a ton, but if you figure 4-5 nights a week at $40/night it adds up very fast.
Not only that, but it's given both of us a lot more time! I can't believe how much more time I have now to do the things around the house I want to get done, to cook, to wake up in the morning refreshed and work out! Is it hard? Yeah, sometimes. Sometimes I feel kind of lame or left out. Sometimes I wish I could just have one, but I know I can't. Quitting together really helped and I know I don't ever want to go back.
Plus, I lost 20 pounds when I stopped drinking. I started working out more. My blood pressure went down (it used to be 140/110, now 108/68). I know cutting out occasionally moderate alcohol isn't necessary for everyone, but I was amazed at how much it helped us save and how much better we felt.
Lesson: Give up bad habits and use the savings (money and energy) to pay off debt!
2. Went Vegan
Again, this isn't something everyone is ready to do. I totally get that! But it was one of the big money-saving changes Sam and I made and it really worked for us.
Here's the deal: meat is expensive. Dairy is also expensive. If you buy organic, free-range, local stuff (which we tried to) it's even more expensive. The special eggs I used to buy at the local market were $4.50 a dozen! At some point, it was cheaper to just cut it out.
Of course, we didn't necessarily go vegan for the savings, but it's been a nice bonus and I can definitely say our grocery bill has gone way down since we went vegan. We joined a CSA and even though it costs about $400/year we easily save that amount on produce during the summer months. We grow vegetables in our garden too.
At this point, I think I can pretty much make any dish vegan. Chances are it will end up costing much less overall than meat. Additionally, I also felt much better–my cholesterol went from pre-hypercholesterolemia to "the best results" my doctor claimed she'd seen in months! "Whatever you're doing–keep doing it!" Plus, vegan living is better for the environment. So, plusses all around!
Lesson: Cut back on meat and dairy to save on your food expenses.
3. Ate At Home (Almost Always)
I know, we sound so boring, right? You know what? We love boring (and honestly, I am NEVER bored)! So, one of our biggest pay-down-debt-and-save-money tricks was to stop going out to eat.
We used to love going out to eat so much that the local restaurants KNEW us. For real. They knew our order when we'd walk in and some of the staff knew us by name. La Chimenea would have our drinks ready before we'd even sit down. The takeout place down the street would know "General Tso's Tofu" the moment they picked up the phone.
I started cooking at home and doing a big weekend food prep. At first it took me a few hours (2-3) on Sundays to prepare meals for the week. Now, I've got it down to a science and can prepare most of our dishes for the week in about 45 minutes. I spend 5 minutes at night packing our lunches and putting breakfasts in our bags for work.
The savings is HUGE. When I did the math, I'm a little embarrassed to admit that some months we spent $500 going out to eat. For a teacher and someone who worked for a non-profit, that is just ridiculous. We weren't living within our means, and our budget was suffering. Plus, eating at home is healthier too. Between quitting drinking, going vegan and eating at home, I have never had more energy or felt better. I am NEVER sick (and neither is Sam, despite working with kids all day). I lost the weight I wanted to and I saved a ton of money.
Lesson: Eat at home more often and prepare weeknight meals on the weekends to save money.
4. Used the Debt Snowball Method
When we started paying off our debt, we used the Dave Ramsey Total Money Makeover snowball method. We took all of our bills and debt and organized it. I sorted it all out by amount-owed and then looked at our minimum payments.
Because we had organized our budget, I knew exactly how much extra I could afford to put toward our bills (at the time it was about $300, mostly cut out of our "going out to eat/drink" and grocery bills). I paid minimums on all my bills except the smallest one. I put the "extra" $300 toward the smallest debt, which paid it off in no time.
Then, the next month we put $300 + the minimum payment from that smallest debt toward the next debt. Once it was paid off, we kept rolling up. Eventually we were paying over $1500 per month toward our debt–which paid off all our credit cards, medical bills and vehicles in two years. Now we're tackling my student loans (down to $20k from $40k) and then we'll work on our mortgage.
The snowball method is the most effective debt pay off method I've ever found. It's motivating, fast and satisfying. If you haven't checked it out, I highly recommend it!
Lesson: Pay down debt fast, using the snowball method.
5. Simplified
We also freed up money to put toward our debt and living expenses by simplifying. We went through our bills and cut out a lot of the "extra" stuff. We got rid of cable and opted for Netflix and Amazon Prime instead (we have a smart TV so we could stream without needing any special equipment).
We cut out gym memberships and classes that we rarely used. We didn't renew subscriptions. We combined services wherever we could–like opting for a family plan on Spotify. We cleaned out our closets and our basement and sold items we weren't using on Craigslist and eBay. We consigned some of our clothes too.
Additionally, we simplified our social lives too. When we were going out frequently, we had a lot of "bar friends," and when we stopped going out, it was amazing how much some of these relationships dwindled. Yet, we had some very good friends, who we really focused on budgeting our time with. I made sure to cultivate and focus on my close friendships that really mattered. We also started to host friends for game nights, go on runs or walks together and have potluck get-togethers rather than going out.
Lesson: Simplify your lifestyle to what really matters–you'll save (and even earn) money!
6. Started Running
Does running save you money and help you pay off debt? Yup. Running happens to be one of the least expensive ways to get and stay in shape. It requires no extra equipment, special classes or gym. You simply need shoes and pavement. That's it.
I used to belong to a gym and paid for spin classes. Yes, it was motivating because I knew I was losing out on money if I didn't go. HOWEVER, there were still plenty of times I put it off or let other activities get in the way. When we moved to Cedarburg, my gym wasn't close by. If I felt like working out in the mornings, I'd have to get up even earlier before work.
Running is simple. I can run whenever, wherever. All I need is my running shoes (and a sports bra, because well, just because). Running helps me clear my head. It gives me more energy and I feel better whenever I run.
Lesson: Exercise doesn't need to cost money.
7. Used Bikes & Scooters
Sam bought a vintage Honda Express moped. It's a cute little motorized bike, and when he got it I thought he was completely nuts. It seemed like just another "toy" we didn't need (he paid about $500 for it). It turns out I was completely wrong.
The Honda gets great gas mileage and it's perfect for running errands. Sam teaches less than five miles from our house, so he can bike or ride the moped to work in the spring and fall. He pretty much only needs to drive his truck during the worst winter months. This saves a ton on wear and tear.
The moped is great for getting around town. We have free music in the park downtown and many festivals, where it's easy to take the moped and go. In fact, it works so well, I got jealous and so we bought a pretty blue one for me too! Between our mopeds and our regular bikes, we almost never need to use our cars (except on my commute to and from work). We save on gas and only need to get our cars serviced a couple times per year.
Lesson: Bike to save on transportation–minimize wear and tear on your car.
8. Worked Side Jobs
One of the biggest helpers when it came to paying off our debt? Both of us work side jobs. Because we had more free time and energy, we were both able to pick up extra work. Sam started coaching golf in the spring. In the summers he got a job working for the pool across from our house.
I picked up a consulting job as a bookkeeper/VA for my previous employer. I could work online at night or on the weekends. Then, I also started to pick up some freelance writing gigs. The writing turned into an amazing full time opportunity and last May, I left my non-profit job and started as Creative Director for a content marketing company (that I previously freelanced with).
Sam started to do graphic design. He initially started it as just a fun hobby on the side, but he enjoyed it so much that he was able to turn it into a really lucrative side business. He was able to quit coaching and the pool and now earns a healthy extra income by designing websites, logos and fun shirts.
Side jobs aren't always the most fun. In fact, it can seem daunting to pick up a part time gig, especially if you're working full time. My biggest takeaway from my side job experience is to find a side job you enjoy, can do from home, or aligns with one of your hobbies.
Lesson: Find extra ways to earn money by using your talents and free time!
9. Focused on the "Important Stuff"
Our biggest lifestyle change was simply that we reprioritized. Our social lives changed, the way we spent money changed and we really shifted to keeping our eye on what really makes us happy. When we were spending money all the time, living beyond our means, going out…there was something missing. It was like, we were always chasing some satisfaction.
Slowing down, becoming healthier–exercising, eating better, simplifying–it sounds less dramatic, but it's also way more satisfying. We both work hard but when I'm writing or helping a client plan their creative vision for their website? It doesn't feel like work. When Sam's helping kids living healthier lives by teaching fitness and gym, or when he's working on graphic designs? It's fun! None of it really feels like work.
My takeaway from all of this is to focus on what really matters. We're both homebodies. We just like to work in our garden, hang out in our yard and snuggle with our pets. We enjoy spending time together and with our close friends. We're passionate about finding ways to inspire others and help them live healthier lifestyles (and keep the the planet healthy too)! When we focus on what really matters, life becomes simple–easy.
We followed our plan to pay off our debt, and it's working! We've stopped chasing "MORE" and started to find satisfaction with what we already have. In the end, that's what really counts.
Lesson: Focus on what matters to you: find purpose and the rest falls into place.


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It's been a while since I posted so I thought I would reminisce about one of my favorite destinations in Thailand – Koh Phi Phi. On our first stint in Phi Phi we were there for 2 nights. We took the ferry there from Koh Lanta, which took around an hour. Craig slept all the way there and for someone who told me he can't sleep on public transport, he is exceptionally good at it!
We got to the harbor, grabbed our bags, and as soon as we disembarked, we were blown away. The ocean views, the long boats, the shopping stalls, it was all so picturesque and we fell in love straight away.
We walked up the pier and found a gentleman from our hotel who put our backpacks in a huge trolley and took them to the hotel for us. We booked a stay in a hotel called Papaya, we were in a sea view room.
We had to walk up a lot of stairs and I mean a lot of stairs but it was worth it for the view. They'd even written on the steps to say how many calories you burned on the way up!
We arrived at our sea view room and were not disappointed. They were the best views to date. East to west unspoiled panoramic views of the entire island; lush green foliage, beaches, boats. You could see everything. It was like a postcard.
I had burnt my left leg really badly in Koh Lanta (blisters and everything) so I was on a mission for some more pants to keep my legs protected, as I was borrowing Craig's til I could buy my own. My legs were layered in burn gel to keep the pain at bay and we had a wander down to the shopping stalls.
2x Ray-Ban glasses, 1 Adidas tee, 1 Chang Beer vest, 1 pair of pants, 1 sun hat and 1 snapback later, we decided to go for some food.
Food and Drinks
We were going to do the all you can eat BBQ near the harbor but we got there too early (and we thought it was quite pricey), so we grabbed a huge pizza slice each (80B) and sat by the beach to watch the long boats and get some photos. We found a place selling food for 80B, so we fuelled up there (pad thai for Craig, yellow curry for me) and slowly made our way back to the hotel, turns out the amount we spent on pizza and curries was less than the cost of just one of us getting the buffet!
We went out a bit later to find some bars and to see what Phi Phi had to offer. We started at an Irish bar which was offering 150B buckets of G&T, so we had one of those.
We went down to the beach and found a place called Slinky's, it had fire performers, insane music (a Ghostbusters techno mix made an appearance two or three times, much to mine and Craig's delight). I had a wine and received a free shot for doing the limbo.
They had other games on the beach featuring extreme musical chairs and double dutch skipping (with the ropes and the floor set of fire). It was awesome to watch the performers do their thing. We went back to the Irish bar and I received some amazing family news from home, so I celebrated from the other side of the world by getting another G&T bucket!
We went to a bar called the Reggae bar which allowed you to take part in a Thai Boxing fight and win free drinks. To gain entry, all you had to do was buy a drink and you were in for the night. If our sunburn wasn't so bad we probably would have given it a go! It was very entertaining to watch.
After that, we bought another 2 huge slices of pizza and eventually went to bed at 3 am.
Cheeky Monkeys
Breakfast was brought to our room by the hotel staff the next day. Orange juice, coffee, fresh fruit and yogurt and a warm bread roll with butter. Yum. Craig was feeling a bit fragile after the night before, so I wrote in my journal whilst sat on the balcony whilst he had a lie in.
Once he perked up we found a laundromat and dropped off all our clothes to be washed. It was our last full day before we went to Ao Nang for Craig's 30th. We already decided we were going to come back to Koh Phi Phi after Ao Nang as we underestimated how much the island would have to offer.
We did some more shopping and a guy at one of the stalls recommended a trip to the Phi Phi Viewpoint for sunset. We got back to the hotel, showered, changed and then headed to the viewpoint. All of a sudden we heard raised voices and shouting, turns out scores of monkeys had decided to pay the hotel a visit! A few people had left their balcony doors open and the monkeys had gone inside people's rooms. They were ripping open packets of nuts, opening bottles of beer and eating and drinking everything that they could. Thankfully our balcony door was locked so none of our food or beer was stolen! Once they'd had their fill, they vanished as quickly as they appeared. After watching the entertainment, we headed to the viewpoint.
The stairway to Heaven
We were absolutely knackered by the time we got to the viewpoint, it was red hot and we were sweating. We had only packed 1 bottle of water, big mistake, however, the sunset was gorgeous. The viewpoint was littered with people but the sunset was amazing all the same, just not as peaceful as we anticipated. We went to a restaurant called Cosmic, as it sells pizza as well as curries and we couldn't decide what we wanted. We ended up going all out. Massaman Curry w/ rice, vegetable stir-fry in Oyster sauce w/ rice, garlic bread, and a pizza. The staff thought they were taking the food to the wrong table as we had ordered so much. We ate it all, whilst they watched, gobsmacked.
We went back to the room to do our least favorite activity. Packing.
We got rid of quite a lot of clothes to make room for all the stuff we bought in Phi Phi. Craig bought more vests and I bought an additional pair of elephant pants, because, if you didn't buy elephant pants, did you even go to Thailand?
We backed up all our memory cards onto our HDD to make more space for more footage. We are feeling very organized for our trip to Ao Nang, as we were leaving we were already looking forward to coming back!


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Thursday morning, 08.30, Kensington Apartment 1A. Catherine (Kate), Duchess of Cambridge, is getting out of the shower. She hopes her slimline gin & lime body gel scent will linger through the evening's SportsAid dinner she is hosting, as it is her turn to do bedtime so she won't have time to wash later. She is keeping an eye on Charlotte on the built-in CCTV monitor in the corner of the bathroom. 'Shouty', as her parents call her, is in the master bedroom, clambering over the 9-tog duvet Camilla has lent them for the summer and chewing her brand new pearl-encrusted Jellycat.
Kate cinches the angora dressing gown belt round her waist and shoves her hair into a leopard print scrunchie as she enters the bedroom.
"What on earth can I give them?" she says to William, who is doing a few stretches in front of the mirror. "They're all on special training diets before the Brazil Olympics. Honestly, it's like Pip's new book party all over again. But I daren't ask her for advice because she'll just suggest funeral breakfast fare."
Kate's sister's recent book launch for Mourning – a companion to Celebrate – was quite depressing as it seemed every dietary requirement under the sun had to be catered for. Carole's Party Pieces plates had groaned under the weight of Kate's sibling's specialist supper.
"Why don't you ask Zara?" Will says kindly.
"Could she help?"
"Well, she and auntie Anne appeared on A Question of Sport in the early noughties. They ought to know something."
"Hmm. Yes. And now she has an 'early naughty' of her own," muses Kate, throwing Will a cheeky glance as she refers to his niece, Mia. "She's quite hard to feed, too. I think you might have something there, Will."
Her husband looks pleased. "Great. I'm off to practice my Bhutanese for a bit but I'll pop back." He gives Kate a kiss on the nose and strides out.
Kate wanders into George's bedroom, where nanny Maria something-or-other is discussing palace size with the third-in-line to the throne.
"Why is this one so tiny?" asks George, looking sceptically at the Hamley's replica of a three storey town house.
"It's not that small, really. And When you grow up, yours will be bigger," sighs Maria.
"Like Mummy and Daddy's flat here," George says, somewhat disparagingly, "or like Nag-Nag?"
"George!" Kate interrupts, shaking her head with disappointment. "NOT Nag-Nag. I've told you before. Maria," she turns to the nanny, who is folding George's Judo suit. "I need to speak to Zara about tomorrow's dinner menu. Is there any chance you could look after the three cousins while we have a natter?"
Maria, who is paid by the hour and not per child, sighs. She'll have to take them to soft play or something, she decides. "Yes, that's fine," she sighs. "Harry's just had a bouncy castle set up next door. He says it helps him to de-stress and visualise. I'll take them all there."
"Does it look like Buckingham Palace?" George says hopefully.
"No. It looks like Bodo's Schloss," says Maria, tiredly, referring to the nightclub at the bottom of Harry's garden. "Harry said the planners wouldn't have it any other way."
10.30am. Zara arrives, looking frazzled. She hands her daughter over to Maria gratefully, and Kate leads her through the marbled hallway to the kitchen, kicking Charlotte's teething rings under a corgi statue as she goes. Charles insisted Kate and Wills display the statues as a 'thank you' to the Queen for providing them with their London home and there is a small stone dog in every room. Maria and Lupo have almost come to terms with them, though they do feel rather hounded.
"Mia's Shetland pony was supposed to be hypo-allergenic but she's come out in a terrible rash," sighs Zara.
"Are you sure it isn't chicken pox?" asks Kate worriedly, "I've heard there's a lot about. Poor Mia," she says as William enters.
"What's the matter, darling?"
"She said, 'poor Mia', not 'poor me'," says Zara with feeling.
"Zara, we need your help," Kate pleads. "What do athletes on special diets eat?"
Zara looks pleased. "Are you asking because I'm so fit?"
"Well, it's really because you appeared on A Question of Sport …"
"Yes," says Kate, hastily cutting across William. "And because your family looks so healthy. And we know Mia can be a little tricky."
She thinks back to January, when Mia turned two. Despite the Tindalls' best efforts, Mia ate nothing but pink iced mice, then crawled across the floor as her sugar high peaked, mewing, "Mia cat. Mia cat." It was rather disconcerting and Mike was very close to ringing an insurance comparison website to order a stuffed Russian rodent or London Zoo to order a live one in the hopes of stopping Mia's squeaking.
"Well, in my experience, what works for children will work for athletes," says Zara confidently. Kate hands her a biro and the back of a Petits Filous family pack and she starts to scribble. A little while passes, during which Will checks his golf equipment is in place as he has a feeling one or other of the SportsAid representatives will want to inspect his balls. Kate paces up and down, awaiting Zara's menu with considerable excitement. At last, it is done.
"Here," says Zara with pride. "See what you think."
Kate and Will descend on the table and devour the words in front of them.
Kate's SportsAid Dinner Menu
Dairy-free Dairylea slices with pineapple chunks on mini javelin sticks
Rice cakes with small boxes of raisins
Chocolate milk
"That … that's it?" asks Kate, worriedly.
"That's probably enough food for them all, to be honest," says Zara briskly. "Almost every food group is covered there. I think you'll find protein, vitamin C and carbs. Done."
Kate and Will look at each other doubtfully.
"What if they don't like something?"
"Easy," says Zara, reaching into her bag. "Give them what any good mother and athlete has on hand at all times. A banana."


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The behaviour of home prices has a very strong influence on financial and economic stability. A strong reminder of this: the recent recession, which began in the U.S. in 2008 before spreading to other countries.
In recent years, home prices in some major centres in Ontario have grown at rates well above historical averages. This has led to overvaluation1, where prices exceed what fundamental indicators like population, income and interest rates would support.
About 40%2 of all Ontario household assets are tied up in households' principal residence. In addition, Ontario households have been borrowing against their home equity. This is clear in home equity line of credit (HELOC) balances, which have been rising over the past few years. A significant downturn in prices could therefore have severe negative effects on the broader Ontario economy and financial system.
In this CMHC Housing Market Insight, we take a close look at Ontario home prices. More specifically, we try to answer this question: Are Ontario home prices going through a correction, or a bust phase? For the purposes of the report, a bust phase is defined as a more serious correction:
- that lasts at least 4 quarters
- during which there is a minimum cumulative 10% drop in inflation-adjusted prices
In this report, we look at both fundamental and technical indicators to come to our conclusion. Fundamental indicators include:
- the stage of the economic cycle
- growth in incomes
- population
- interest rates
- balance between demand and supply
Technical indicators, meanwhile, are tools that help forecast future price movements by examining only past price movements.
1CMHC Housing Market Assessment, 2018 Q1
2Statistics Canada's Survey of Financial Security, 2016


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It's official! TruTV has renewed At Home with Amy Sedaris for a second season! That's right, we're on track to get 10 more glorious episodes. Production is slated to begin later this year–which, of course, means that we likely won't get another October premiere, but hey, it's coming back!
More details to come!


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The Indian School of Business (ISB), Hyderabad has invited applications for admissions into full time Fellow Program in Management (FPM) in the business disciplines of Accounting, Financial Economics, Information Systems, Marketing, Operations Management, Organisational Behaviour and Strategy for the year 2016.
Interested candidates must have an undergraduate/postgraduate degree in areas such as business, economics, engineering, computer sciences, mathematics, physics or the arts.
Selection Procedure:
The candidates will be selected on the basis of outstanding intellectual ability, motivation, faculty recommendations and personal characteristics required for an international academic career.
Standard postgraduate entry tests (GMAT/ GRE/ CAT/ GATE/ JRF) will be used to assess general ability and, if necessary, proficiency in English.
All applicants are required to take one of the following tests before submitting their application. Applications will not be considered without a valid test score.
- Graduate Record Examination General Test (GRE) administered by the Educational Testing Service (ETS), Princeton, USA. Or
- Graduate Management Admission Test (GMAT) administered by Pearson VUE, Bloomington, USA. or
How to apply:
- Candidates can apply online on the official website for the fellowship.
- Application fee of Rs 3000 is to be paid.
Important dates:
Last date of application: September 7, 2015


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Short Let Space offers a wide range of holiday cottages, apartments, houses and serviced apartments across Oxford and Oxfordshire. Let us find you the right accommodation in Oxford for your short or long stay. Our space is your home, for a few nights, a few weeks, or longer…….Book your Oxford accommodation online through our secure website.
Web: www.shortletspace.com
Tel: 01993 811 711
Email: email@example.com
Address: 5 The Quadrangle, Banbury Road, Woodstock, Oxfordshire, OX20 1LH
Open Mon-Fri: 9am-5pm


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2017 NASPA Religious, Secular, and Spiritual Identities Convergence
Spirituality and Religion in Higher Education
March 2, 2017
The beginning of a new year always brings about feelings of excitement and anticipation for me. I'm always making a list of things I'm looking forward to or pushing myself to achieve in the new year. One of the things I'm most looking forward is a chance to gather at the UCLA Meyer and Renee Luskin Conference Center, May 22-24, 2017, for the 2017 NASPA Religious, Secular, and Spiritual Identities Convergence. #RSSIConvergence is a gathering designed for professionals and students working in higher education, featuring amazing conversations and specialists who are leading the discussion on what is means to support the religious and non-religious identities of students in higher education. We want you to be there, to engage in the conversation that is so needed in higher education and to bring about your unique experiences so that we can all learn from one another.
With many more speakers to come, we are excited that Dr. Jamie Washington, president and founder of the Washington Consulting Group and well-known diversity speaker and professional will be among the keynote speakers alongside Dr. Mamta Accadadi, vice president for student affairs at Rollins College, and John Hoffman, associate professor of educational leadership, director of the doctor of educational leadership program and the chair of the Department of Educational Leadership at California State University, Fullerton. Dr. Peter Laurence, a well-known interfaith activist, and organizer for over 30 years will host a preconference session on the history of the movement since Education as Transformation, a historic 1998 conference held at Wellesley College, to the present.
Now you may be asking, how can I get more involved? Well, of course, you should come, and you will find all the information you need on registration here. But beyond that, this gathering is designed to help you showcase your work on campus.
If you are in the LA area, or if you are simply a very enthusiastic volunteer, NASPA is also seeking to have a number of individuals who would help as an On-Site Conference Volunteer.
As an on-site volunteer, you would with assist with the opening of the 2017 NASPA Religious, Secular, and Spiritual Identities Convergence conference in Los Angeles, CA. You would assist the Executive Planning Committee and NASPA with on-site logistics and conference check-in. We ask for you to be within close driving distance of the conference location, UCLA Meyer and Renee Luskin Conference Center, Los Angeles, California. Various shifts will be available between May 22-24, 2017.
There are many organizations as well who might benefit from participation in the convergence. Expected participants will include chaplains, campus ministers, student affairs professionals, students, and others who all are seeking to enhance the campus climate to support these identities. If your organization works or could potentially work with these individuals, the convergence might be an invaluable opportunity to help your organization further itself. We thus encourage and welcome those who might wish to become a Conference Sponsor
If you would like to exhibit at or sponsor the 2017 NASPA Religious, Secular, and Spiritual Identities Convergence, fill out the exhibitor and sponsor application form.
I'm personally very excited for this gathering, and you should be too! At such an important time in higher education and in the life of this country, the work of supporting religious, secular, and spiritual identities on campus is clear and ever present. For those already engaged in this work, the opportunity to offer your expertise awaits. For those new in the field or navigating the challenges of this work, this is your moment to come together to what will be an important and timely gathering. A convergence of ideas, thoughts, and work is just over four months away!