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OBJECTIVE:: Examine frequency, timing, and reasons for maternal postpartum rehospitalizations and acute care visits 1 year postpartum after a high-risk pregnancy. STUDY DESIGN:: Secondary analysis of data collected during a randomized clinical trial of advanced practice nurses gives transitional care for women with high-risk pregnancies. The 171 women were primarily African American, never married, Medicaid eligible, diagnosed with pregestational diabetes (20), gestational diabetes (23), either diagnosed (48) or at risk (44) for preterm labor, and chronic hypertension (36). RESULTS:: Of the total rehospitalizations (17%) and acute care visits (32%), over one third occurred in the first 8 weeks postpartum. Chronic hypertensives and gestational diabetics had the highest rate of rehospitalization and proportion of acute care visits. Six women were rehospitalized for subsequent pregnancies. CONCLUSION:: Women with high-risk pregnancies have continued high health care resource use over the first postpartum year demonstrating the need for more intensive patient education and follow-up to improve outcomes and reduce resource use. Journal of Perinatology (2002) 22, 566–571 doi:10.1038/sj.jp.7210796 [ABSTRACT FROM AUTHOR]

eLearning systems have become a very important part of teaching, both as web-based systems for online education and as auxiliary tools for face-to-face study, where they provide an additional learning support for on-campus learners. To insure the sustainability of an eLearning system on both individual and social levels, we have to cover many aspects of sustainability requirements: human, technical, economic, and environmental. This paper provides a systematic literature review of the sustainability meta-requirements for eLearning systems to identify open problems and to present the state of the art of this research area. We analysed 124 papers, so we identified 18 high-level sustainability requirements for eLearning systems. [ABSTRACT FROM AUTHOR]