I noticed a cool feature of the bleeding heart flower. As it matures, each blossom undergoes a two-stage opening of its interestingly shaped petals.
The young blossom, shown upper left, doesn't have any openings to either its pistil (the pollen-receiving structure) nor the anther (the pollen-producing structure).
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Upper right shows a middle-aged blossom which has unfurled the first set of petals. This provides an opening that an insect could enter the flower to gain access to the pistils (containd inside the 'heart' of the flower).
As the flower ages futher, another set of petals open, revealing the anthers (lower left). At lower right is another shot of the same blossom, taken from the side to illustrate the exposed anthers.
I theorize that this approach gives the bleeding heart plant an evolutionary reproductive advantage. By exposing each part of the flower in series, it encourages cross-plant pollination. An insect visiting a young blossom may carry pollen from another plant, but can't pick up pollen from the self-same blossom. This grants an advantage to the offspring, which will have a more genetic variation, and will therefore be more likely to weather future selective pressures. Should this plant be out of range of any other individuals, self pollination is still possible (either from one older blossom to a younger one) or via one older blossom to itself.
Given this morphology I'd further hypothesize that the blossom might have two sources of nectar (one in each compartment) to encourage pollinators to visit both the anthers and the pistils.
—-
Update: I was feeling guilty, as I hadn't actually dissected a flower when I wrote the above text. I wasn't really sure where the pistil was. Well, I think that it is right next to the anthers (in the 'drop'), not inside the 'heart' of the flower as I'd speculated — at least in a mature flower. So my hypothesis may be invalid, or only partially correct (if, for example, the pistil elongates as the flower matures. It is rather a puzzle… why would the flower partially open, but keep the anther and pistil under wraps? I may have to do more investigation.)
Expires On
June 18, 2019
Completion Time
60 minutes
Topic(s)
Anticoagulation Mgmt
Scroll to the Bottom of this Information to Begin this Course
This activity is jointly provided by theAlbert Einstein College of Medicine and Montefiore Medical Center in Joint Providership with PlatformQ Health Education, LLC. 2d sledding mac os.
Supported by an independent educational grant from Portola Pharmaceuticals, Inc.
Credit Available
- Physicians — maximum of 1.0 AMA PRA Category 1 Credit(s)™
All other health care professionals completing this course will be issued a statement of participation.
Target Audience
This activity is intended for US‐based hospitalists (including those in emergency medicine, intensive care, and surgery), internal medicine and primary care providers, cardiologists, nurse practitioners, physician assistants, nurses, pharmacists, and other health care providers who care for patients at risk of thromboembolic events.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Stratify risk for major bleeding in patients requiring anticoagulation
- Summarize clinical efficacy and safety data of current and emerging reversal agents for NOAC‐associated bleeds
- Apply clinical standard of care in the management of bleeding from access to selective anticoagulation reversal agents to effective overall supportive bleeding management strategies
- Employ best practices for anticoagulation therapy reintroduction
Faculty
Christian T. Ruff, MD, MPH
Director of General Cardiology
Brigham and Women's Hospital
Assistant Professor of Medicine
Harvard Medical School
Investigator
TIMI Study group
Elaine Hylek, MD, MPH
Georges madness mac os. Professor of Medicine
Boston University School of Medicine
Physician Accreditation Statement
The activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Albert Einstein College of Medicine and PlatformQ Health Education, LLC. Albert Einstein College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. What can i do at home？ mac os.
Physician Credit Designation
Live Internet Activity
Albert Einstein College of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Enduring Material
Albert Einstein College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Date (almost) anything sim mac os. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosures of Conflicts of Interest
Presenter
Christian T. Ruff, MD, MPH
- Consulting Fee: Bayer, Bristol Myers Squibb, Boehringer Ingelheim, Daiichi Sankyo, Janssen, MedImmune, Pfizer, Portola
- Contracted Research: Boehringer Ingelheim, Daiichi Sankyo, MedImmune
Elaine Hylek, MD, MPH
- Consulting Fee: Boehringer Ingelheim, Bristol Myers Squibb/Pfizer, Janssen, Medtronic Portola
- Scientific Symposia Lecture: Boehringer Ingelheim, Bristol Myers Squibb/Pfizer
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Peer Reviewers
- Henny Billett, MD: Consulting Fees: Kedrion, BPL Advisory, Bayer
Contracted Research: Janssen - Victor B. Hatcher, PhD: No disclosures to report relevant to this activity
Providers
Einstein-Montefiore Center for Continuing Medical Education
The Center for Continuing Medical Education (CCME) staff at Albert Einstein College of Medicine has no disclosures to report relevant to this activity.
PlatformQ Health Education, LLC
Hamsa Jaganathan, Medical Director has nothing to disclose relevant to this activity.
Alissa Yost, Senior Program Manager has nothing to disclose relevant to this activity.
Method of Participation
There are no fees to participate in this activity. To receive credit, participants must (1) read the target audience, learning objectives, and disclosure statements, (2) complete the educational activity online, and (3) complete the posttest and activity evaluation. It is estimated that this module will take approximately 1 hour to complete. To receive AMA PRA Category 1 Credit(s)™, participants must receive a minimum score of 70% on the posttest.
Course Viewing Requirements
Jetlag 2017 mac os. Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above
Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above.
Disclaimer
The material is prepared based on a review of multiple sources of information but is not exhaustive of the subject matter. Therefore, health care professionals and other individuals should review and consider other publications and materials about the subject matter other than relying solely on the information contained in this material.
The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by Albert Einstein College of Medicine, CardioCareLive, PlatformQ Health Education, LLC or the program grantor. Reasonable efforts have been made to present educational subject matter in a balanced, unbiased fashion and in compliance with regulatory requirements. Each participant must use his/her personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.
Contact Information
For any technical issues or issues with your CME Certificate, please contact CardioCareLive at 877-394-1306 or at Support@CardioCareLive.com
Completion Time
60 minutes
Topic(s)
Anticoagulation Mgmt
Scroll to the Bottom of this Information to Begin this Course
This activity is jointly provided by theAlbert Einstein College of Medicine and Montefiore Medical Center in Joint Providership with PlatformQ Health Education, LLC. 2d sledding mac os.
Supported by an independent educational grant from Portola Pharmaceuticals, Inc.
Credit Available
- Physicians — maximum of 1.0 AMA PRA Category 1 Credit(s)™
All other health care professionals completing this course will be issued a statement of participation.
Target Audience
This activity is intended for US‐based hospitalists (including those in emergency medicine, intensive care, and surgery), internal medicine and primary care providers, cardiologists, nurse practitioners, physician assistants, nurses, pharmacists, and other health care providers who care for patients at risk of thromboembolic events.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Stratify risk for major bleeding in patients requiring anticoagulation
- Summarize clinical efficacy and safety data of current and emerging reversal agents for NOAC‐associated bleeds
- Apply clinical standard of care in the management of bleeding from access to selective anticoagulation reversal agents to effective overall supportive bleeding management strategies
- Employ best practices for anticoagulation therapy reintroduction
Faculty
Christian T. Ruff, MD, MPH
Director of General Cardiology
Brigham and Women's Hospital
Assistant Professor of Medicine
Harvard Medical School
Investigator
TIMI Study group
Elaine Hylek, MD, MPH
Georges madness mac os. Professor of Medicine
Boston University School of Medicine
Physician Accreditation Statement
The activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Albert Einstein College of Medicine and PlatformQ Health Education, LLC. Albert Einstein College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. What can i do at home？ mac os.
Physician Credit Designation
Live Internet Activity
Albert Einstein College of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Enduring Material
Albert Einstein College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Date (almost) anything sim mac os. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosures of Conflicts of Interest
Presenter
Christian T. Ruff, MD, MPH
- Consulting Fee: Bayer, Bristol Myers Squibb, Boehringer Ingelheim, Daiichi Sankyo, Janssen, MedImmune, Pfizer, Portola
- Contracted Research: Boehringer Ingelheim, Daiichi Sankyo, MedImmune
Elaine Hylek, MD, MPH
- Consulting Fee: Boehringer Ingelheim, Bristol Myers Squibb/Pfizer, Janssen, Medtronic Portola
- Scientific Symposia Lecture: Boehringer Ingelheim, Bristol Myers Squibb/Pfizer
Bleeding Mask
Peer Reviewers
- Henny Billett, MD: Consulting Fees: Kedrion, BPL Advisory, Bayer
Contracted Research: Janssen - Victor B. Hatcher, PhD: No disclosures to report relevant to this activity
Providers
Einstein-Montefiore Center for Continuing Medical Education
The Center for Continuing Medical Education (CCME) staff at Albert Einstein College of Medicine has no disclosures to report relevant to this activity.
PlatformQ Health Education, LLC
Hamsa Jaganathan, Medical Director has nothing to disclose relevant to this activity.
Alissa Yost, Senior Program Manager has nothing to disclose relevant to this activity.
Method of Participation
There are no fees to participate in this activity. To receive credit, participants must (1) read the target audience, learning objectives, and disclosure statements, (2) complete the educational activity online, and (3) complete the posttest and activity evaluation. It is estimated that this module will take approximately 1 hour to complete. To receive AMA PRA Category 1 Credit(s)™, participants must receive a minimum score of 70% on the posttest.
Course Viewing Requirements
Jetlag 2017 mac os. Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above
Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above.
Disclaimer
The material is prepared based on a review of multiple sources of information but is not exhaustive of the subject matter. Therefore, health care professionals and other individuals should review and consider other publications and materials about the subject matter other than relying solely on the information contained in this material.
The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by Albert Einstein College of Medicine, CardioCareLive, PlatformQ Health Education, LLC or the program grantor. Reasonable efforts have been made to present educational subject matter in a balanced, unbiased fashion and in compliance with regulatory requirements. Each participant must use his/her personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.
Contact Information
For any technical issues or issues with your CME Certificate, please contact CardioCareLive at 877-394-1306 or at Support@CardioCareLive.com
Accredited Provider: Montefiore Medical Center, CCME, 3301 Bainbridge Avenue, Bronx, New York 10467, or via phone at (718) 920-6674, or via fax to (718) 798-2336, or via email to cme@montefiore.org
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