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Sample records for pregnant japanese woman

  1. An Adult Case of Kawasaki Disease in a Pregnant Japanese Woman: A Case Report

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    Kyoko Kanno

    2011-04-01

    Full Text Available Kawasaki disease is an acute febrile disease predominantly seen in young children. We report a case of Kawasaki disease in a 32-year-old pregnant woman. She developed a generalized erythematous skin rash accompanied by high fever. Bilateral conjunctival congestion, tender cervical lymphadenopathy, an edematous lower lip and peripheral edema followed by desquamation were observed. She was successfully treated with aspirin and intravenous gammaglobulin (1 g/kg/day. Her course was not complicated by coronary artery aneurysm and she delivered a healthy baby. To the best of our knowledge, this is the first case of Kawasaki disease in a pregnant woman. We suggest that Kawasaki disease should be included in the differential diagnosis of a generalized, erythematous skin rash accompanied by high fever in adults.

  2. Japanese Woman Chooses China

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    IN Qianyang Village, Gucheng Township, Bozhou city in Anhui Province, lives Mitsui Yoshie, a 72-year-old Japanese woman. Her Chinese name is Wang Fengying. This is the story of how she decided to spend the rest of her life in China. Mitsui Yoshie was born into a well-to-do family in Kumamoto, Japan. Her father, Mitsui Kichizo, followed her grandfather into the timber business. She and her older brother, Mitsui Seiki, and

  3. Pregnant Woman's Custom in Japan

    OpenAIRE

    1990-01-01

    Foods are one of the important things in order to keep the life of pregnant women in good condition, because they must bring up a new life in their bodies In early Showa Age, the life of Japanese common people was in difficult circumstances. At that time the food life of pregnant women were restricted by various food taboos. For instance, if the pregnant women ate Tororo, brayed yam, she was considered to deliver a baby who had no tooth. They kept many taboos and prayed to their guardian deit...

  4. Respiratory Arrest in an Obese Pregnant Woman with Hyperemesis Gravidarum

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    Ayumi Iwashita

    2015-01-01

    Full Text Available A pregnant, non-Japanese-speaking Peruvian, and, thus, with communication difficulty, suffered hyperemesis gravidarum and had respiratory arrest, requiring cardiopulmonary resuscitation. The obese pregnant woman (prepregnancy weight: 107 kg had vomited and lost 15 kg in bodyweight over appropriately 2 weeks prior to the arrest but had not complained due to communication difficulty, which, together with her obesity, prevented a Japanese obstetrician from noticing her severe condition. 1,000 mL of low potassium fluid plus thiamine was administered. She became unable to stand, suggesting lower-extremity-proximal-muscle weakness, and then respiratory arrest occurred. Hypopotassemia (2.3 mEq/L, pulseless electrical activity, and muscle weakness suggested the presence of severe potassium deficiency, which may have caused respiratory muscle paralysis, leading to the respiratory arrest. Hypercapnea was severer than expected for compensatory hypoventilation, indicating the presence of concomitant severe hypoventilation, which may also have contributed to respiratory arrest. She recovered with electrolyte and volume replacement. Respiratory arrest can occur with hyperemesis gravidarum, and obesity and communication difficulties can prevent the early detection of severe conditions.

  5. Haemodynamic monitoring of the pregnant woman in intensive care.

    OpenAIRE

    Edwards, Sharon

    1998-01-01

    A brief summary of the reasons why a pregnant woman may require intensive care is outlined. The clinical relevance of the physiological changes occurring in pregnancy is discussed. The haemodynamic differences and their relevance to monitoring are highlighted

  6. Ondansetron Exposure Changes in a Pregnant Woman.

    Science.gov (United States)

    Lemon, Lara S; Zhang, Hongfei; Hebert, Mary F; Hankins, Gary D; Haas, David M; Caritis, Steve N; Venkataramanan, Raman

    2016-09-01

    Pregnancy results in many physiologic changes that can alter the pharmacokinetic profiles of medications used during pregnancy. One of the primary factors leading to these pharmacokinetic changes is altered activity of drug-metabolizing enzymes. Ondansetron is a substrate of cytochrome P450 (CYP) 3A4 (primary metabolic pathway), 2D6, and 1A2, all of which are altered during pregnancy. We evaluated the pharmacokinetics of ondansetron at three different gestational time points in a 26-year-old, pregnant, Caucasian woman with normal liver and kidney function, who was maintained on ondansetron 8 mg administered orally 3 times/day throughout her pregnancy. Serial plasma samples were collected from the subject over one 8-hour dosing interval at 14, 24, and 35 weeks' gestation (representing early-, mid-, and late-pregnancy time points, respectively). Ondansetron plasma concentrations were determined using liquid chromatography-tandem mass spectrometry. Ondansetron area under the plasma concentration-time curve decreased progressively across gestation (634 ng hr/ml in early pregnancy, 553 ng hr/ml in mid-pregnancy, and 387 ng hr/ml in late pregnancy), with a corresponding increase in apparent oral clearance (12.6 L/hr in early-pregnancy, 14.5 L/hr in mid-pregnancy, and 20.7 L/hr in late-pregnancy). The decreased area under the plasma concentration-time curve and exposure to ondansetron across gestation is likely due to increased activity of CYP3A4 and CYP2D6 during pregnancy. We were not able to study this patient during the postpartum period; however, as with other CYP3A4 and CYP2D6 substrates, the apparent activities of these isoenzymes are likely return to baseline. To our knowledge, this is the first report to describe ondansetron pharmacokinetics across gestation. Additional pharmacokinetic and pharmacodynamic data are needed to confirm our results and to evaluate clinical impact; however, in the meantime, clinicians should be aware of these pharmacokinetic changes in

  7. A pregnant woman with spontaneous rupture of the uterine artery

    DEFF Research Database (Denmark)

    Jònsdòttir, Fjòla; Pinborg, Anja; Wilken-Jensen, Charlotte

    2014-01-01

    Pregnant women with acute abdominal pain are a clinical challenge. We present a rare but potential life-threatening condition of a pregnant woman with acute abdominal pain. The woman was in gestational week 37 with severe abdominal pain and was admitted to the labour ward. She became haemo......-dynamic instable 24 hours after vaginal delivery, and emergency laparotomi revealed a spontaneous rupture of the right uterine artery. Spontaneous rupture of the uterine artery is rare but should be considered as a possible cause of acute abdominal pain in pregnant women....

  8. Pseudomembranous colitis in a pregnant woman.

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    Mridula, T; Pai, R R; Mathai, A M; Tantry, B V; Adhikari, P

    2010-01-01

    Pseudomembranous colitis in association with pregnancy has not been well described in English literature. Recent studies show a drastic increase in the incidence and severity of Pseudomembranous colitis in pregnant women, who were once thought to be at low risk. We report here a case of Pseudomembranous colitis in a young healthy immunocompetent pregnant lady. An early suspicion of this entity with the characteristic appearance of pseudomembranes on colonoscopy and histology confirmed the diagnosis enabling prompt treatment and complete recovery without any serious consequences.

  9. Simplified pregnant woman models for the fetus exposure assessment

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    Jala, Marjorie; Conil, Emmanuelle; Varsier, Nadège; Wiart, Joe; Hadjem, Abdelhamid; Moulines, Éric; Lévy-Leduc, Céline

    2013-05-01

    In this paper, we introduce a study that we carried out in order to validate the use of a simplified pregnant woman model for the assessment of the fetus exposure to radio frequency waves. This simplified model, based on the use of a homogeneous tissue to replace most of the inner organs of the virtual mother, would allow us to deal with many issues that are raised because of the lack of pregnant woman models for numerical dosimetry. Using specific absorption rate comparisons, we show that this model could be used to estimate the fetus exposure to plane waves.

  10. Epidural abscess caused by Streptococcus milleri in a pregnant woman

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    Bearman Gonzalo

    2005-11-01

    Full Text Available Abstract Background Bacteria in the Streptococcus milleri group (S. anginosus, S. constellatus, and S. intermedius are associated with bacteremia and abscess formation. While most reports of Streptococcus milleri group (SMG infection occur in patients with underlying medical conditions, SMG infections during pregnancy have been documented. However, SMG infections in pregnant women are associated with either neonatal or maternal puerperal sepsis. Albeit rare, S. milleri spinal-epidural abscess in pregnancy has been reported, always as a complication of spinal-epidural anesthesia. We report a case of spinal-epidural abscess caused by SMG in a young, pregnant woman without an antecedent history of spinal epidural anesthesia and without any underlying risk factors for invasive streptococcal disease. Case presentation A 25 year old pregnant woman developed neurological symptoms consistent with spinal cord compression at 20 weeks gestation. She underwent emergency laminectomy for decompression and was treated with ceftriaxone 2 gm IV daily for 28 days. She was ambulatory at the time of discharge from the inpatient rehabilitation unit with residual lower extremity weakness. Conclusion To our knowledge, this is the first reported case of a Streptococcus milleri epidural abscess in a healthy, pregnant woman with no history of epidural anesthesia or invasive procedures. This report adds to the body of literature on SMG invasive infections. Treatment of SMG spinal-epidural abscess with neurologic manifestations should include prompt and aggressive surgical decompression coupled with targeted anti-infective therapy.

  11. A Japanese Woman Takes Root in China

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    MORE than half a century ago, a 15 year-old Japanese girl chose to stay in China during the warridden years and has since rooted herself firmly in the land. She has devoted her life to the Chinese people and contributed greatly to strengthening friendship between the two countries. The girl is Ye Qi, now director of the Cardiology Department and Department for Foreign Nationals of the Sino-Japanese Friendship Hospital in

  12. Pemphigus vulgaris in a pregnant woman and her neonate

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    Ibrahim, Sameera Begum Kader; BM, Yashodhara; Umakanth, Shashikiran; Kanagasabai, Sachchithanatham

    2012-01-01

    A 23-year-old pregnant woman in her second trimester of pregnancy presented with blisters on the face, abdomen and the leg. Based on the clinical presentation and skin biopsy (histopathology and direct immunofluorescence) the diagnosis of pemphigus vulgaris was established. The child born to this patient also had similar skin lesions. The lesions in the mother and the child improved after treatment. The authors report a rare case of pemphigus vulgaris in a pregnant lady and neonatal pemphigus in her child, both of whom were treated successfully. PMID:22744241

  13. Anti-NMDA Receptor Encephalitis in a Pregnant Woman.

    Science.gov (United States)

    Kim, Jiyoung; Park, Seung Ha; Jung, Yu Ri; Park, Soon Won; Jung, Dae Soo

    2015-06-01

    Anti N-methyl-D-aspartate (NMDA) receptor encephalitis is one of the most common types of autoimmune synaptic encephalitis. Anti-NMDA receptor encephalitis commonly occurs in young women with ovarian teratoma. It has variable clinical manifestations and treatment responses. Sometimes it is misdiagnosed as a psychiatric disorder or viral encephalitis. To the best of our knowledge, anti-NMDA receptor encephalitis is a rare condition in pregnant women. We report a case of anti-NMDA receptor encephalitis in a pregnant woman who presented with abnormal behavior, epileptic seizure, and hypoventilation.

  14. Disseminated Mycobacterium avium complex infection in an immunocompetent pregnant woman

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    Kim Woo

    2006-10-01

    Full Text Available Abstract Background Disseminated mycobacterium avium complex (MAC occurs mainly in immunocompromised hosts, which is associated with abnormal cellular immunity. Case presentation A 26-year-old pregnant woman presented with fever and general weakness. Miliary lung nodules were noted on chest X-ray. Under the impression of miliary tuberculosis, anti-tuberculosis medication was administered. However, the patient was not improved. Further work-up demonstrated MAC in the sputum and placenta. The patient was treated successfully with clarithromycin-based combination regimen. Conclusion This appears to be the first case of disseminated MAC in an otherwise healthy pregnant woman. Clinicians should be alert for the diagnosis of MAC infection in diverse clinical conditions.

  15. Mesenteric lymphangioma: A rare intraabdominal finding in a pregnant woman

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    Anju Bansal

    2014-08-01

    Full Text Available Mesenteric cavernous lymphangioma is a rare benign tumor, not often described in literature. The etiopathogenesis of this tumor is largely unknown. Clinically, the presentation is variable and may be asymptomatic or present with subacute or acute abdomen. We describe here a case of 23 - year - old pregnant woman with an asymptomatic abdominal mass which was incidentally detected after ultrasound examination during antenatal visit. The pregnancy was subsequently terminated and the patient underwent surgical excision of the tumor along with intestinal resection. The mass was pathologically diagnosed to be mesenteric cavernous lymphangioma

  16. Pregnant Woman: A Case Report and Review of the Literature

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    Ricardo Figueroa Damián

    1995-01-01

    Full Text Available Background: In the late 1960s, the first isolates of Aeromonas were recovered from human specimens. Presently, there is sufficient evidence to suggest that the different isolates of the genus Aeromonas are human pathogens. The most frequent site of infection is the digestive tract, although extraintestinal infection also occurs. In those cases involving septicemia, most infections occur in individuals with underlying diseases. This report presents the case of a pregnant woman with no underlying disease or signs of immunodeficiency who developed A. hydrophila septicemia at 24 weeks gestation.

  17. [Cerebral venous thrombosis imagiologic features in a pregnant woman].

    Science.gov (United States)

    Ferreira, Maria Madalena; Rios, Ana Cristina; Fragata, Isabel; Baptista, José Tiago; Manaças, Rui; Reis, João

    2011-01-01

    Cerebral venous thrombosis (CVT) is a relatively rare but serious condition potentially reversible upon accurate diagnosis and adequate therapy. The peri-partum state and pregnancy are predisposing factors and TVC accounts for about 6% of maternal deaths. Its clinical symptoms depend on the the thrombus site and extension, and also on the existing collateral vessels network. We present the case of a 33 year-old woman, 13 weeks pregnant, that complained of headaches and whose cranial magnetic resonance imaging revealed a subtotal oclusión of the superior sagittal sinus. We discuss the imaging features of dural venous thrombosis in the acute phase.

  18. Blood Pressure Mobile Monitoring for Pregnant Woman Based Android System

    Science.gov (United States)

    Supriyanti, Retno; Erfayanto, Uji; Ramadani, Yogi; Murdyantoro, Eko; Widodo, Haris B.

    2016-01-01

    Currently, at least 18,000 women die every year in Indonesia due to pregnancy or childbirth. It means that every half hour a woman dies due to pregnancy or childbirth. As a result, every year 36,000 children became orphans. The high maternal mortality rate was put Indonesia on top in ASEAN. The main causes of maternal mortality are high-risk pregnancy. Mothers who have diseases like high blood pressure, pre-eclampsia, diabetes, hyperthyroidism, and already over 40 years old and infectious diseases such as rubella, hepatitis and HIV can be factors that lead to high-risk pregnancy. This paper will discuss the development of a blood pressure monitoring device that is suitable for pregnant women. It is based on convenience for pregnant women to get the equipment that is flexible with her presence. Results indicate that the equipment is in use daily support for pregnant women therefore, one of the causes of maternal mortality can be detected earlier.

  19. Unilateral laterothoracic exanthem in a pregnant woman – case report

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    Anca Chiriac

    2012-10-01

    Full Text Available Unilateral laterothoracic exanthem (ULE (also termed asymmetric periflexural exanthem of childhood APEC has been linked to viral infection, in particular parvovirus B-19, citomegalovirus and Ebstein Barr virus. Its prevalence is higher during spring and winter, most published reports involve white people. The diagnosis is clinical, the virusological tests, in most of the cases, are negative. The exanthem is self-limited, it resolves in four-six weeks, it requires only symptomatic treatment. Our case is particular by the appearance in a pregnant woman to whom we have not succed to identify any virus involved, with wonderful clinical results under no medication.We follow the evolution of the pregnancy.

  20. Chronic Myeloid Leukemia In a Pregnant Woman: A Case Report

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    Aytekin Tokmak

    2015-12-01

    Full Text Available Chronic myeloid leukemia (CML is a rare disease in pregnancy. Our aim is to present a 37 weeks of pregnant woman with chronic myelogenous leukemia. A 27 Years in multigravi (gravida 5, parity: 4, at 37 weeks gestation was admitted with the diagnosis of painful pregnancy and CML. Physical examination findings were normal, complete blood count and peripheral blood smear results were consistent with CML. The patient was diagnosed CML in the 30th week of pregnancy and were treated with hydroxyurea and interferon. Treatment depends on the mother and the fetus did not develop any side effects. Our patient with CML is interesting due to lack of perinatal effects and take the diagnosis at an early age. CML diagnosed during pregnancy requires a multidisciplinary approach and hydroxyurea and interferon treatment on the mother and fetus are at low risk of inducing adverse effects. [Cukurova Med J 2015; 40(4.000: 811-813

  1. Intentional chlorpyrifos poisoning in pregnant woman and subsequent fetal death

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    T H Indu

    2016-01-01

    Full Text Available Organophosphate poisoning is an important medical emergency exist in agriculture-oriented countries such as India. This case report describes the treatment strategies followed for a management of suicidal intoxication of a pregnant woman by chlorpyrifos compound at a secondary care public hospital, Udhagamandalam, India. The patient was unable to perceive fetal movements and had classic clinical symptoms of organophosphate poisoning such as excess salivation and pinpoint pupil. The patient was administered with 2 g of pralidoxime and 10 ampoules of atropine sulfate (1.2 mg each. The fetotoxic evaluation showed fetal death. The antidote given to the patient was according to the criteria given by the World Health Organization. The late admission of the patient may be considered as a reason for fetal death. Psychosocial, educational programs are highly recommended for the population in this region to reduce the number of intentional poisoning attempts.

  2. Peganum harmala L. Intoxication in a Pregnant Woman

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    Mohamed Adnane Berdai

    2014-01-01

    Full Text Available Peganum harmala L. is a plant widely distributed in the Mediterranean region. It is commonly used in traditional medicine in Morocco as sedative and abortifacient but exposes users to the risk of overdose and poisoning. The pharmacologically active compounds of this plant include a number of β-carboline and quinazoline alkaloids responsible of its pharmacological and toxicological effects. We report the case of a 24-year-old woman, 22 weeks pregnant, intoxicated with the seeds of Peganum harmala L. On admission, she had disturbance of consciousness, uterine contraction, and oliguria. Laboratory tests revealed renal failure and liver injury, and she benefited then from hemodialysis. During hospitalization, she was intubated after deterioration of consciousness and presented a spontaneous expulsion of the fetus. After extubation, she kept unusual sequelae: cerebellar ataxia and peripheral polyneuropathy. Physicians in regions using Peganum harmala L. as traditional medicine must be able to detect symptoms of its toxicity, in order to establish early gastrointestinal decontamination. The prognosis of this intoxication is variable; most cases can be managed successfully; but in high doses of intoxication, evolution can be fatal.

  3. The relationship between Helicobacter pylori infection and hyperemesis gravidarum in pregnant woman

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    Leila Ghasempour Shirazi

    2015-06-01

    Conclusion: There is no relationship between helicobacter pylori and hyperemesis gravidarum in pregnant woman. Considering the high prevalence of H. pylori infection in our country, there is a need for studies with more samples and more diagnostic methods.

  4. Zika, dengue, and chikungunya co-infection in a pregnant woman from Colombia

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    Wilmer E. Villamil-Gómez

    2016-10-01

    Full Text Available The clinical findings of a pregnant woman from Colombia with a triple co-infection caused by dengue, chikungunya, and Zika viruses are described. Weekly obstetric ultrasounds from 14.6 to 29 weeks of gestation were normal. She remains under follow-up and management according to the standard guidelines for the management of Zika virus-infected pregnant women.

  5. Pregnant woman with fulminant hepatic failure caused by hepatitis B virus infection:A case report

    Institute of Scientific and Technical Information of China (English)

    Yue-Bo Yang; Xiao-Mao Li; Zhong-Jie Shi; Lin Ma

    2004-01-01

    AIM: To report the experience in successfully treating pregnant women with severe hepatitis.METHODS: Comprehensive medical treatments were performed under strict monitoring.RESULTS: Pregnant woman with severe hepatitis was successfully rescued.CONCLUSION: Vital measures taken in the treatment of pregnant women with severe hepatitis include termination of the pregnancy at a proper time and control of various complications, such as disseminated intravascular coagulation (DIC), hepatorenal syndrome, hepatic encephalopathy and infection.

  6. The pregnant woman and the good Samaritan: can a woman have a duty to undergo a caesarean section?

    Science.gov (United States)

    Scott, R

    2000-01-01

    Although a pregnant woman can now refuse any medical treatment needed by the fetus, the Court of Appeal has acknowledged that ethical dilemmas remain, adverting to the inappropriateness of legal compulsion of presumed moral duties in this context. This leaves the impression of an uncomfortable split between the ethics and the law. The notion of a pregnant woman refusing medical treatment needed by the fetus is troubling and it helps little simply to assert that she has a legal right to do so. At the same time, the idea that a pregnant woman fails in her moral duty unless she accepts any recommended treatment or surgery--however great the burden--is also not without difficulty. This article seeks to find a way between these two somewhat polarized positions by arguing that, instead of being a question primarily about whether legally to enforce moral obligations, the 'maternal-fetal conflict' begins with previously unrecognized difficulties in determining when a woman's prima facie moral rights invoked in the treatment context should 'give way' to the interests of the fetus. This difficulty is mirrored within the law. Thus, how can we tell when a pregnant woman has the moral or legal duty to submit to a caesarean section? Seen in this way, the conflict is a problem which lies at the interface between moral and legal rights and duties, showing that there are important conceptual links between the ethics and the law. Against this background, this article explores the limits of a pregnant woman's right to bodily integrity by focusing upon the idea of her moral duty to aid the fetus through her body. Here we find difficulties in determining the existence and extent of this somewhat extraordinary duty. Such a duty is contrasted with both negative and positive duties toward others in the course of 'general conduct.' Attention to the social context of pregnancy and the refusal of treatment within this is also instructive. Overall, the purpose is to foster understanding and

  7. Fulminant hepatic failure during perinatal period in a pregnant woman with Wilson's disease.

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    Shimono, N; Ishibashi, H; Ikematsu, H; Kudo, J; Shirahama, M; Inaba, S; Maeda, K; Yamasaki, K; Niho, Y

    1991-02-01

    Wilson's disease associated with hepatic failure is not common and the underlying mechanism triggering the event is not known at present. We treated a 28-year-old Japanese woman with Wilson's disease who developed hepatic failure associated with hemolytic crisis just after delivery. She was diagnosed as having Wilson's disease at 12 years of age, at which time she started taking D-penicillamine. She had previously delivered two children without difficulty. When she found out she was pregnant this time, she stopped taking D-penicillamine in contrast to taking it faithfully during her first two pregnancies. On the day of delivery of her full-term baby, jaundice developed accompanied with severe hemolytic crisis. Plasma exchanges and blood transfusion were performed and D-penicillamine administration was started again. She gradually recovered and apparently was following a good clinical course. However, on day 30 the second hemolytic crisis occurred and subsequent liver failure led her to death on day 50. At autopsy her liver was cirrhotic and showed massive necrosis. Prophylactic oral administration of D-penicillamine and careful observation are therefore recommended to prevent hemolytic crisis during the perinatal period.

  8. Internal carotid artery dissection following chiropractic treatment in a pregnant woman with Systemic Lupus Erythematosus

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    Morton Adam

    2012-12-01

    Full Text Available Abstract A case of internal carotid artery dissection in a pregnant woman with Systemic Lupus Erythematosus (SLE immediately following chiropractic treatment is presented. The literature regarding complications of neck manipulation during pregnancy, spontaneous dissection of craniocervical arteries in pregnancy and the postpartum period, and dissection of craniocervical arteries in SLE are reviewed. To the best of the author’s knowledge, this is the first case of carotid artery dissection following chiropractic treatment in a pregnant woman published in the literature.

  9. Urinary excretion of parabens in pregnant Japanese women.

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    Shirai, Sayaka; Suzuki, Yayoi; Yoshinaga, Jun; Shiraishi, Hiroaki; Mizumoto, Yoshifumi

    2013-01-01

    Urinary excretion of free and total (free plus conjugated) forms of methyl, ethyl, n-propyl and n-butyl parabens (MP, EP, PP and BP, respectively) and their metabolite p-hydroxybenzoic acid were measured for 111 pregnant Japanese women. Frequent detection of parabens and their metabolite indicated that exposure takes place daily for pregnant Japanese women. The estrogenic potency of PP was 20 times higher than those of the other 3 parabens for the present subjects when both abundance in the urine and the relative estrogenic activity of each compound was considered. Detection of free parabens suggested dermal exposure, probably from their inclusion in personal care products. No statistical association was found between the anogenital index (birth weight-adjusted AGD) of male offspring and the concentrations of any parabens in the urine of the mothers suggesting that the parabens were not apparently estrogenically active at the exposure level of the present subjects. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. Anti-NMDA Receptor Encephalitis in a Pregnant Woman

    OpenAIRE

    Kim, JiYoung; Park, Seung Ha; Jung, Yu Ri; Park, Soon Won; Jung, Dae Soo

    2015-01-01

    Anti N-methyl-D-aspartate (NMDA) receptor encephalitis is one of the most common types of autoimmune synaptic encephalitis. Anti-NMDA receptor encephalitis commonly occurs in young women with ovarian teratoma. It has variable clinical manifestations and treatment responses. Sometimes it is misdiagnosed as a psychiatric disorder or viral encephalitis. To the best of our knowledge, anti-NMDA receptor encephalitis is a rare condition in pregnant women. We report a case of anti-NMDA receptor ence...

  11. Collaborative care management for a pregnant woman with an ostomy.

    Science.gov (United States)

    Aukamp, Virginia; Sredl, Darlene

    2004-02-01

    Pregnant women with an ostomy face many challenges during the prenatal period. Although these challenges may be present, pregnancy in the ostomate is presented as a continuum of health and wellness in this article. Collaborative care professionals, especially nurses and midwives, are often the most accessible professional sources for health care information, but current research and information on this topic is sparse. Ostomy-related problems that may occur during pregnancy, include: intestinal obstruction, peristomal hernia, pouching problems, including the effect of nausea and vomiting on pouch hydration, stomal retraction, stenosis, or laceration, and stomal prolapse. Three types of ostomies are discussed: continent ileostomies, urostomies and colostomies. A description of the normal characteristic appearance of each is also included. Collaborative care from pre-conception through the post partum period is described with emphasis on teaching self-help techniques such as: special nutritional considerations, how to recognize potential problems, and how to fit and adapt appliances to the changing body form of the patient as the pregnancy progresses. Phenomenologic information about the pregnant ostomate's perceptions about her pregnancy experience is also presented. Psycho-prophylaxis methods of complementary therapy alternatives alleviating nausea and vomiting within pregnancy, as well as the pain of childbirth are also presented. Although nursing/midwifery management of a pregnant ostomy patient is a challenge, those challenges are surmountable and outcomes resemble those found in the general population.

  12. Ectopic Intrauterine Device in the Bladder of a Pregnant Woman

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    Zehra Kurdoglu

    2010-01-01

    Full Text Available Background. Uterine perforation and transvesical migration of an intrauterine device are rare complications. Case. A 28-year-old woman who had an intrauterine device was admitted to our outpatient clinic with complaints of amenorrhea lasting 5 weeks and pelvic pain lasting a year. Transvaginal ultrasonography revealed embedding of the intrauterine device in the bladder. The misplaced device was removed by laparotomy. Conclusion. The followup of intrauterine device localization with transvaginal ultrasonography is essential for early detection of possible serious complications.

  13. Spontaneous renal vein rupture in pregnant woman: a case report

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    Renan Giffoni Rodrigues

    2017-01-01

    Full Text Available Spontaneous perirenalhematoma are serious conditions that demand immediate attention. Although they have been described in the scientific literature since the late nineteenth century, its etiology is not fully understood. The present study reports the case of a 34 year-old patient, 39 weeks pregnant, that had been admitted complaining of acute abdominal pain. Physical examination was unremarkable, as well as the examination of transabdominal ultrasound. Her condition worsened later and she was referred to the operating room for emergency cesarean section for suspected placenta previa. She was identified then hemoperitoneum with bulky retroperitoneal hematoma on the right side.

  14. Symptomatic primary cytomegalovirus infection in a HIV-positive pregnant woman.

    LENUS (Irish Health Repository)

    Bergin, Sarah

    2014-12-01

    We describe a case of symptomatic primary Cytomegalovirus infection in a HIV-positive pregnant woman on antiretroviral treatment with a CD4 count >200 × 10(6)\\/l requiring intravenous ganciclovir. No adverse consequences from ganciclovir or evidence of congenital Cytomegalovirus infection were found.

  15. A 31-year-old pregnant woman with angioedema.

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    Speck, Aimee L; Killen, Paul D; Greenhawt, Matthew J

    2015-01-01

    Angioedema is swelling of the deep layers of the dermis and subcutaneous tissue due to an increase in vascular permeability. Angioedema sometimes occurs concomitantly with urticaria and represents an allergic disease. In other cases, angioedema is not associated with an allergic condition. We present the case of a 31-year-old woman with new-onset angioedema in the setting of her first pregnancy. After detailed history, physical examination, and laboratory evaluation, a cause for her angioedema was found that had not been considered previously and had significant implications for future management, particularly in light of her current pregnancy. Because allergists are commonly called on to evaluate and treat angioedema, we should be aware of the many disease processes that can present with this symptom and be well-versed in the workup of new-onset angioedema.

  16. Absorbed Dose in the Uterus of a Three Months Pregnant Woman Due to 131I

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    Vega-Carrillo, Héctor René; Manzanares-Acuña, Eduardo; Hernández-Dávila, Víctor Martín; Arcos-Pichardo, Areli; Barquero, Raquel; Iñiguez, M. Pilar

    2006-09-01

    The use of 131I is widely used in diagnostic and treatment of patients. If the patient is pregnant the 131I presence in the thyroid it becomes a source of constant exposition to other organs and the fetus. In this study the absorbed dose in the uterus of a 3 months pregnant woman with 131I in her thyroid gland has been calculated. The dose was determined using Monte Carlo methods in which a detailed model of the woman has been developed. The dose was also calculated using a simple procedure that was refined including the photons' attenuation in the woman organs and body. To verify these results an experiment was carried out using a neck phantom with 131I. Comparing the results it was found that the simple calculation tend to overestimate the absorbed dose, by doing the corrections due to body and organs photon attenuation the dose is 0.14 times the Monte Carlo estimation.

  17. Adenomatoid odontogenic tumour mimicking a periapical cyst in pregnant woman.

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    Bhandari, Neha; Kothari, Mohit

    2010-06-01

    Adenomatoid odontogenic tumours (AOT) are uncommon odontogenic lesions characterized histologi-cally by duct-like structures derived from the epithelial component of the lesion and can be distinctly classified into follicular, extrafollicular and extraosseous variants (Neville BW, Damm DD, Allen CM, et al. Adenomatoid Odontogenic Tumor. A Text Book for Oral and Maxillofacial Pathology, 2(nd) edition, 621-3). Most of these tumours develop in the second or third decade of life and have a distinct predilection for women. The follicular variant accounts for 75% of reported cases (Curran AE, Miller EJ, Murrah VA. Adenomatoid odontogenic tumor presenting as periapical disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:557-60) and is associated with the crown of an impacted tooth, commonly the maxillary canine. We present a rare case of extrafollicular AOT mimicking a periapical cyst that originated in a woman in her first trimester of pregnancy and enlarged rapidly thereafter. The lesion was enucleated and sent for histopathology and immunohistochemistry, which revealed AOT with a cystic component with no dependence on oestrogen or progestrone for its growth. This case of AOT introduces us to the unique variation in its presentation and the difficulty in differentiation from periapical disease of inflammatory origin. Copyright © 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

  18. Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause

    OpenAIRE

    Yosuke Baba; Hiroyuki Morisawa; Koyomi Saito; Hironori Takahashi; Kazuma Rifu; Shigeki Matsubara

    2016-01-01

    Hyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 105/7 weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a degenerative myoma was instituted with intravenous antibiotics. The abdominal pain ameliorated, but intestinal obstruction persisted. At 166/7 weeks, we performed laparotomy for release of intestinal...

  19. Successful rescuing a pregnant woman with severe hepatitis E infection and postpartum massive hemorrhage

    Institute of Scientific and Technical Information of China (English)

    Zhan-Sheng Jia; Yu-Mei Xie; Guo-Wu Yin; Jun-Rong Di; Wei-Pin Guo; Chang-Xing Huang; Xue-Fang Bai

    2003-01-01

    AIM: To sum up the experience of the successful therapy for the severe hepatitis of pregnant woman with postpartum massive hemorrhage.METHODS: The advanced therapeutic methods including the bilateral uterine artery embolism, hemodialysis and artificial liver support therapy were performed with comprehensive medical treatments and the course of the successful rescuing the patient was analyzed.RESULTS: Through the hospitalization of about two mouths the patient and her neonatus had gotten the best of care in our department and pediatric department separately. Both of them were discharged in good condition.CONCLUSION: The key points for a successful therapy of the pregnant woman with severe hepatitis are termination of the pregnancy and the control of their various complications. It was suggested that the proper combination of these measures of modern therapy would race against time for renewing of hepatic and renal functions.

  20. Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report

    Directory of Open Access Journals (Sweden)

    Shohei Kawaguchi

    2011-01-01

    Full Text Available Antiphospholipid syndrome is a systemic autoimmune disease with thrombotic tendency. Consensus guidelines for pregnancy with antiphospholipid syndrome recommend low-dose aspirin combined with unfractionated or low-molecular-weight heparin because antiphospholipid syndrome causes habitual abortion. We report a 36-year-old pregnant woman diagnosed with antiphospholipid syndrome receiving anticoagulation treatment. The patient developed left abdominal pain and gross hematuria at week 20 of pregnancy. An initial diagnosis of left ureteral calculus was made. Subsequently abdominal-pelvic computed tomography was required for diagnosis because of the appearance of severe contralateral pain. Computed tomography revealed serious renal hemorrhage, and ureteral stent placement and pain control by patient-controlled analgesia were required. After treatment, continuance of pregnancy was possible and vaginal delivery was performed safely. This is the first case report of serious renal hemorrhage in a pregnant woman with antiphospholipid syndrome receiving anticoagulation treatment and is an instructive case for urological and obstetrical practitioners.

  1. SAR Computation inside Fetus by RF Coil during MR Imaging Employing Realistic Numerical Pregnant Woman Model

    Science.gov (United States)

    Kikuchi, Satoru; Saito, Kazuyuki; Takahashi, Masaharu; Ito, Koichi; Ikehira, Hiroo

    This paper presents the computational electromagnetic dosimetry inside an anatomically based pregnant woman models exposed to electromagnetic wave during magnetic resonance imaging. The two types of pregnant woman models corresponding to early gestation and 26 weeks gestation were used for this study. The specific absorption rate (SAR) in and around a fetus were calculated by radiated electromagnetic wave from highpass and lowpass birdcage coil. Numerical calculation results showed that high SAR region is observed at the body in the vicinity of gaps of the coil, and is related to concentrated electric field in the gaps of human body such as armpit and thigh. Moreover, it has confirmed that the SAR in the fetus is less than International Electrotechnical Commission limit of 10W/kg, when whole-body average SARs are 2W/kg and 4W/kg, which are the normal operating mode and first level controlled operating mode, respectively.

  2. Utero-fetal unit and pregnant woman modeling using a computer graphics approach for dosimetry studies.

    Science.gov (United States)

    Anquez, Jérémie; Boubekeur, Tamy; Bibin, Lazar; Angelini, Elsa; Bloch, Isabelle

    2009-01-01

    Potential sanitary effects related to electromagnetic fields exposure raise public concerns, especially for fetuses during pregnancy. Human fetus exposure can only be assessed through simulated dosimetry studies, performed on anthropomorphic models of pregnant women. In this paper, we propose a new methodology to generate a set of detailed utero-fetal unit (UFU) 3D models during the first and third trimesters of pregnancy, based on segmented 3D ultrasound and MRI data. UFU models are built using recent geometry processing methods derived from mesh-based computer graphics techniques and embedded in a synthetic woman body. Nine pregnant woman models have been generated using this approach and validated by obstetricians, for anatomical accuracy and representativeness.

  3. Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report

    OpenAIRE

    Shohei Kawaguchi; Kouji Izumi; Takahiro Nohara; Tohru Miyagi; Hiroyuki Konaka; Atsushi Mizokami; Eitetsu Koh; Mikio Namiki

    2011-01-01

    Antiphospholipid syndrome is a systemic autoimmune disease with thrombotic tendency. Consensus guidelines for pregnancy with antiphospholipid syndrome recommend low-dose aspirin combined with unfractionated or low-molecular-weight heparin because antiphospholipid syndrome causes habitual abortion. We report a 36-year-old pregnant woman diagnosed with antiphospholipid syndrome receiving anticoagulation treatment. The patient developed left abdominal pain and gross hematuria at week 20 of pregn...

  4. Lumbar disk herniation presented with cauda equina syndrome in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Tayfun Hakan

    2012-01-01

    Full Text Available Despite low back pain being common in pregnancy, cauda equina syndrome is rare. Misdiagnosis and delay in treatment may cause neurological sequelae including urinary and fecal incontinence, sexual dysfunction in patients. A case of cauda equina syndrome in a pregnant woman at 25-week gestation is presented here. The patient underwent an emergency, standard lumbar microdiscectomy under general anesthesia on prone position. Neither the patient nor the baby had any complication related to surgery.

  5. Woman and the Body in Modern Japanese Poetry

    Directory of Open Access Journals (Sweden)

    Toshiko Ellis

    2010-01-01

    Full Text Available The article focuses on the three contemporary Japanese poets Yosano Akiko, Sagawa Chika and Ito Hiromi as examples of women who break away from the conventions of “women’s poetry” and subvert the image of femininity which has been traditionally portrayed in poems written by Japanese women, at the same time that they preserve in their works themes related to the female sex. Taking as connecting point the female body and the way it is positioned in relation to the outside world, the article analyzes how Yosano, Sagawa and Ito -each in her own subversive way– use different languages to explore the female body itself, as well as themes such as female sexuality, love, motherhood and death.

  6. Ontology-Based Clinical Decision Support System for Predicting High-Risk Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Umar Manzoor

    2015-12-01

    Full Text Available According to Pakistan Medical and Dental Council (PMDC, Pakistan is facing a shortage of approximately 182,000 medical doctors. Due to the shortage of doctors; a large number of lives are in danger especially pregnant woman. A large number of pregnant women die every year due to pregnancy complications, and usually the reason behind their death is that the complications are not timely handled. In this paper, we proposed ontology-based clinical decision support system that diagnoses high-risk pregnant women and refer them to the qualified medical doctors for timely treatment. The Ontology of the proposed system is built automatically and enhanced afterward using doctor’s feedback. The proposed framework has been tested on a large number of test cases; experimental results are satisfactory and support the implementation of the solution.

  7. Teorija Dorothy Johnson in zdravstvena nega nosečnice: Dorothy Johnson's theory and nursing care of a pregnant woman:

    OpenAIRE

    Urh, Irma

    1998-01-01

    The article deals with the role of nursing care during antenatal period. Basedon an behavioural model, activities of a nurse intendend to help a pregnant woman and her partner from conception to birth of their child. The article deals with the process of nursing care based on the ideals of Dorothy Johnson's theory for planning and performing nursing care for a particular pregnant women.

  8. Pregnant woman and road safety: experimental crash test with post mortem human subject.

    Science.gov (United States)

    Delotte, Jerome; Behr, Michel; Thollon, Lionel; Arnoux, Pierre-Jean; Baque, Patrick; Bongain, Andre; Brunet, Christian

    2008-05-01

    Trauma affect between 3 and 7% of all pregnancies in industrialized countries, and the leading cause of these traumas is car crashes. The difficulty to appreciate physiologic and anatomic changes occurring during pregnancy explain that majority of studies were not based on anatomical data. We present a protocol to create a realistic anatomical model of pregnant woman using a post mortem human subject (PMHS). We inserted a physical model of the gravid uterus into the pelvis of a PMHS. 3D acceleration sensors were placed on the subject to measure the acceleration on different body segments. We simulated three frontal impact situations at 20 km/h between two average European cars. Two main kinematics events were identified as possible causes of injuries: lap belt loading and backrest impact. Cadaver experiments provide one interesting complementary approach to study injury mechanisms related to road accidents involving pregnant women. This anatomical accuracy makes it possible to progress in the field of safety devices.

  9. Acute pulmonary edema caused by takotsubo cardiomyopathy in a pregnant woman undergoing transvaginal cervical cerclage

    Science.gov (United States)

    Lee, Jae-Young; Kwon, Hyun-Jung; Park, Sang-Wook; Lee, Yu-Mi

    2017-01-01

    Abstract Background: The physiological changes associated with pregnancy may predispose pregnant women to pulmonary edema. Other known causes of pulmonary edema during pregnancy include tocolytic drugs, preeclampsia, eclampsia, and peripartum cardiomyopathy. Methods: We describe a rare case of pulmonary edema caused by takotsubo cardiomyopathy in a pregnant woman at 14 weeks of gestation who was undergoing emergency transvaginal cervical cerclage. Results: Intraoperative chest radiography revealed severe pulmonary edema and echocardiography indicated moderate left ventricular dysfunction with akinesia of the mid to apical left ventricular wall segment, which is reflective of takotsubo cardiomyopathy. Conclusion: With early detection and appropriate management, the patient was stabilized in a relatively short period of time. Based on her clinical signs and symptoms, we suspect that the pulmonary edema was caused by takotsubo cardiomyopathy. PMID:28072695

  10. Sudden Death of a Pregnant Woman in Third Trimester with No Risk Factor

    Directory of Open Access Journals (Sweden)

    Asli Goker

    2012-01-01

    Full Text Available Acute myocardial infarction in pregnancy is rare and life-threatening for both the mother and the fetus. We present the case of a 31-year-old previously healthy woman with no risk factors at 32 weeks of gestation who applied with vomiting, dyspnea and orthopnea. A respiratory arrest developed followed by loss of the fetal viability, cardiac arrest, and failure of resuscitation. We aim to raise awareness about the clinical approach to pregnant patients who are to be considered with a broad spectrum of differential diagnosis.

  11. A RARE CASE OF FETUS WITH SIRENOMELIA TO 34 WKS PREGNANT WOMAN WITH PREVIOUS LSCS

    Directory of Open Access Journals (Sweden)

    Kirti M

    2015-06-01

    Full Text Available We report a rare case of a fetus with Sirenomelia to a pregnant woman from a rural, poor background, wherein early diagnosis of this lethal anomaly has been missed in this era of advanced obstetric care. Sirenomelia is a rare developmental anomaly of caudal region with varying degre e of fusion of lower limbs, resembling Greek mythological character Mermaid. Antenatal diagnosis of this universally lethal condition is desirable, so that early termination of pregnancy can be offered to reduce the associated morbidity. A good understandi ng of this rare condition remains central to effective counseling and management of affected couples. KEYWORDS: Prev LSCS .

  12. Double Invasive Blood Pressure Monitoring for Cesarean Delivery in a Pregnant Woman With Aortic Coarctation.

    Science.gov (United States)

    Barcellos, Bruno Mendonça; Loureiro, Fernanda Martins; Sampaio, Livia Fernandes; de Resende, Marco Antonio Cardoso

    2016-08-01

    Aortic coarctation is a discrete narrowing of the proximal thoracic aorta. It is poorly tolerated during pregnancy because of its association with hypertension, cerebrovascular accident, and aortic rupture. We report a case of severe uncorrected congenital aortic coarctation in a 31-year-old symptomatic pregnant woman at 29 weeks of gestation who underwent successful cesarean delivery with an epidural anesthetic technique. Transthoracic echocardiography showed a gradient of 75 mm Hg. To avoid undiagnosed arterial hypotension and inadequate uteroplacental flow distal to the coarctation, double (radial and femoral) invasive arterial blood pressure measurement was used to monitor both pre- and postcoarctation arterial blood pressure.

  13. A Case of Cerebral Sinus Venous Thrombosis Resulting in Mortality in Severe Preeclamptic Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Hatice Ender Soydinc

    2013-01-01

    Full Text Available Cerebral venous sinus thrombosis (CVST is a rarely encountered condition during pregnancy. A 21-year-old pregnant woman with labour pains was hospitalized in our clinic. Diagnosis of severe preeclampsia was made based on her clinical and laboratory findings. She suffered from convulsive episodes during postpartum period which lead to initiation of treatment for eclampsia. However neurological and radiological examinations were performed after emergence of additional neurological symptoms disclosed the diagnosis of CVST. In this paper, we aimed to present a case with CVST which diagnosis was confused with eclampsia and resulting in maternal mortality.

  14. Complications of banded laparoscopic Roux-en-Y gastric bypass in a 33-week pregnant woman

    Science.gov (United States)

    de Raaff, Christel A.L.; Eshuis, Wietse J.; van Wagensveld, Bart A.; van Veen, Ruben N.

    2016-01-01

    Women desiring pregnancy might fail to conceive due to their obesity. Bariatric surgery has shown to reduce this infertility up to 58% and is therefore considered a successful strategy for morbidly obese infertile women. Nevertheless, when pregnancy has succeeded, surgery-related complications might occur. Banded laparoscopic Roux-en-Y gastric bypass (B-LRYGB) is a relatively new technique in which a band is placed around the small gastric pouch. We report a case of a 30-year-old woman who succeeded to become pregnant after weight loss due to B-LRYGB, but presented with acute abdominal pain in Week 33 of her pregnancy. PMID:27562576

  15. Strontium biokinetic model for the pregnant woman and fetus: application to Techa River studies.

    Science.gov (United States)

    Shagina, N B; Fell, T P; Tolstykh, E I; Harrison, J D; Degteva, M O

    2015-09-01

    A biokinetic model for strontium (Sr) for the pregnant woman and fetus (Sr-PWF model) has been developed for use in the quantification of doses from internal radiation exposures following maternal ingestion of Sr radioisotopes before or during pregnancy. The model relates in particular to the population of the Techa River villages exposed to significant amounts of ingested Sr radioisotopes as a result of releases of liquid radioactive wastes from the Mayak plutonium production facility (Russia) in the early 1950s. The biokinetic model for Sr metabolism in the pregnant woman was based on a biokinetic model for the adult female modified to account for changes in mineral metabolism during pregnancy. The model for non-pregnant females of all ages was developed earlier with the use of extensive data on (90)Sr-body measurements in the Techa Riverside residents. To determine changes in model parameter values to take account of changing mineral metabolism during pregnancy, data from longitudinal studies of calcium homeostasis during human pregnancy were analysed and applied. Exchanges between maternal and fetal circulations and retention in fetal skeleton and soft tissues were modelled as adaptations of previously published models, taking account of data on Sr and calcium (Ca) metabolism obtained in Russia (Southern Urals and Moscow) relating to dietary calcium intakes, calcium contents in maternal and fetal skeletons and strontium transfer to the fetus. The model was validated using independent data on (90)Sr in the fetal skeleton from global fallout as well as unique data on (90)Sr-body burden in mothers and their still-born children for Techa River residents. While the Sr-PWF model has been developed specifically for ingestion of Sr isotopes by Techa River residents, it is also more widely applicable to maternal ingestion of Sr radioisotopes at different times before and during pregnancy and different ages of pregnant women in a general population.

  16. A case of severe Rh (D) alloimmunization pregnant woman delivery an infant with limited treatment.

    Science.gov (United States)

    Xu, Wenhao

    2013-10-01

    A 35-year-old woman with histories of frequent failed pregnancies was pregnant after having five plasma exchange procedures during which she was given Rh (D) positive plasma as replacement and her anti-D antibody titer went from 512 to 1024. Antenatal surveillance of the fetus showed no abnormality. At 36 weeks gestation she delivered an infant who initially had no significant clinical problems but was severely anemic on the following days. Using exchange transfusion and blood transfusions the infant's hemoglobin was normal at 4 months of age. Thus, the Rh (D) status of donor plasma should be considered when used as the replacement in plasma exchange for Rh (D) negative women. Severe Rh (D) alloimmunization pregnant woman may delivery an infant who seem in good condition at birth. If severe Rhesus isoimmunisation of the infant is confirmed, whole blood exchange should be done as early as possible and the infant must be considered to be at risk for late anemia. Clinical judgment plays a vital role in the decision to transfuse red cells or not. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Hybrid 3D pregnant woman and fetus modeling from medical imaging for dosimetry studies

    Energy Technology Data Exchange (ETDEWEB)

    Bibin, Lazar; Anquez, Jeremie; Angelini, Elsa; Bloch, Isabelle [Telecom ParisTech, CNRS UMR 5141 LTCI, Institut TELECOM, Paris (France)

    2010-01-15

    Numerical simulations studying the interactions between radiations and biological tissues require the use of three-dimensional models of the human anatomy at various ages and in various positions. Several detailed and flexible models exist for adults and children and have been extensively used for dosimetry. On the other hand, progress of simulation studies focusing on pregnant women and the fetus have been limited by the fact that only a small number of models exist with rather coarse anatomical details and a poor representation of the anatomical variability of the fetus shape and its position over the entire gestation. In this paper, we propose a new computational framework to generate 3D hybrid models of pregnant women, composed of fetus shapes segmented from medical images and a generic maternal body envelope representing a synthetic woman scaled to the dimension of the uterus. The computational framework includes the following tasks: image segmentation, contour regularization, mesh-based surface reconstruction, and model integration. A series of models was created to represent pregnant women at different gestational stages and with the fetus in different positions, all including detailed tissues of the fetus and the utero-fetal unit, which play an important role in dosimetry. These models were anatomically validated by clinical obstetricians and radiologists who verified the accuracy and representativeness of the anatomical details, and the positioning of the fetus inside the maternal body. The computational framework enables the creation of detailed, realistic, and representative fetus models from medical images, directly exploitable for dosimetry simulations. (orig.)

  18. Automated Software Analysis of Fetal Movement Recorded during a Pregnant Woman's Sleep at Home.

    Science.gov (United States)

    Nishihara, Kyoko; Ohki, Noboru; Kamata, Hideo; Ryo, Eiji; Horiuchi, Shigeko

    2015-01-01

    Fetal movement is an important biological index of fetal well-being. Since 2008, we have been developing an original capacitive acceleration sensor and device that a pregnant woman can easily use to record fetal movement by herself at home during sleep. In this study, we report a newly developed automated software system for analyzing recorded fetal movement. This study will introduce the system and compare its results to those of a manual analysis of the same fetal movement signals (Experiment I). We will also demonstrate an appropriate way to use the system (Experiment II). In Experiment I, fetal movement data reported previously for six pregnant women at 28-38 gestational weeks were used. We evaluated the agreement of the manual and automated analyses for the same 10-sec epochs using prevalence-adjusted bias-adjusted kappa (PABAK) including quantitative indicators for prevalence and bias. The mean PABAK value was 0.83, which can be considered almost perfect. In Experiment II, twelve pregnant women at 24-36 gestational weeks recorded fetal movement at night once every four weeks. Overall, mean fetal movement counts per hour during maternal sleep significantly decreased along with gestational weeks, though individual differences in fetal development were noted. This newly developed automated analysis system can provide important data throughout late pregnancy.

  19. Automated Software Analysis of Fetal Movement Recorded during a Pregnant Woman's Sleep at Home.

    Directory of Open Access Journals (Sweden)

    Kyoko Nishihara

    Full Text Available Fetal movement is an important biological index of fetal well-being. Since 2008, we have been developing an original capacitive acceleration sensor and device that a pregnant woman can easily use to record fetal movement by herself at home during sleep. In this study, we report a newly developed automated software system for analyzing recorded fetal movement. This study will introduce the system and compare its results to those of a manual analysis of the same fetal movement signals (Experiment I. We will also demonstrate an appropriate way to use the system (Experiment II. In Experiment I, fetal movement data reported previously for six pregnant women at 28-38 gestational weeks were used. We evaluated the agreement of the manual and automated analyses for the same 10-sec epochs using prevalence-adjusted bias-adjusted kappa (PABAK including quantitative indicators for prevalence and bias. The mean PABAK value was 0.83, which can be considered almost perfect. In Experiment II, twelve pregnant women at 24-36 gestational weeks recorded fetal movement at night once every four weeks. Overall, mean fetal movement counts per hour during maternal sleep significantly decreased along with gestational weeks, though individual differences in fetal development were noted. This newly developed automated analysis system can provide important data throughout late pregnancy.

  20. First case report of an acute genotype 3 hepatitis E infected pregnant woman living in South-Eastern France.

    Science.gov (United States)

    Anty, R; Ollier, L; Péron, J M; Nicand, E; Cannavo, I; Bongain, A; Giordanengo, V; Tran, A

    2012-05-01

    In European countries, epidemiology of hepatitis E virus (HEV) infection is not well known. Although, seroprevalence of HEV Immunoglobulin G reached a few percent in European women, no acute hepatitis E during pregnancy has been described so far. Here, we report a case of an autochthonous HEV genotype 3 infection in a 41-years-old pregnant woman living in a non-endemic country. The acute hepatitis had a spontaneous good outcome for the mother and the child. In non-endemic areas where Hepatitis E infections are emerging, unexplained cytolysis, whatever its level, in a pregnant woman could be investigated for HEV, using biological molecular and serology tools.

  1. Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause

    Directory of Open Access Journals (Sweden)

    Yosuke Baba

    2016-01-01

    Full Text Available Hyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 105/7 weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a degenerative myoma was instituted with intravenous antibiotics. The abdominal pain ameliorated, but intestinal obstruction persisted. At 166/7 weeks, we performed laparotomy for release of intestinal obstruction, when intraabdominal bleeding of 110 mL existed. Blood tests revealed coagulopathy secondary to vitamin K deficiency. The coagulopathy responded to intravenous vitamin K injection. Coagulopathy due to vitamin K deficiency can occur with hyperemesis gravidarum, and coexisting intestinal obstruction and broad-spectrum antibiotics can aggravate the deficiency.

  2. Intraperitoneal Hemorrhage in a Pregnant Woman with Hyperemesis Gravidarum: Vitamin K Deficiency as a Possible Cause

    Science.gov (United States)

    Baba, Yosuke; Morisawa, Hiroyuki; Saito, Koyomi; Rifu, Kazuma

    2016-01-01

    Hyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 105/7 weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a degenerative myoma was instituted with intravenous antibiotics. The abdominal pain ameliorated, but intestinal obstruction persisted. At 166/7 weeks, we performed laparotomy for release of intestinal obstruction, when intraabdominal bleeding of 110 mL existed. Blood tests revealed coagulopathy secondary to vitamin K deficiency. The coagulopathy responded to intravenous vitamin K injection. Coagulopathy due to vitamin K deficiency can occur with hyperemesis gravidarum, and coexisting intestinal obstruction and broad-spectrum antibiotics can aggravate the deficiency. PMID:27597910

  3. Community Acquired Chronic Arthritis due to Pseudomonas aeruginosa in a Previously Healthy Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Mesut Yilmaz

    2014-01-01

    Full Text Available Septic arthritis caused by Pseudomonas aeruginosa is uncommon in the immunocompetent population, despite its occurrence in younger patients with open injuries and in intravenous drug abusers. Here we report a case of septic arthritis caused by P. aeruginosa. This case is unique for several reasons. First, it is a case of septic arthritis in a pregnant woman with no traditional risk factors reported in the literature including history of prior traumatic events, hospitalisation, or chronic underlying disease. She was suspected of having transient osteoporosis associated with pregnancy to involve both hip joints. Second, this is the first reported case of a community acquired chronic septic arthritis due to P. aeruginosa involving large joints of both upper and lower extremities. The patient was treated successfully with a combination of ceftazidime and amikacin for 4 weeks followed by oral ciprofloxacin 750 mg twice daily for 8 weeks.

  4. Acute respiratory distress syndrome in a pregnant woman with systemic lupus erythematosus: a case report.

    Science.gov (United States)

    Chen, Y-J A; Tseng, J-J; Yang, M-J; Tsao, Y-P; Lin, H-Y

    2014-12-01

    When the disease activity of systemic lupus erythematosus (SLE) is controlled appropriately, a pregnant woman who has lupus is able to carry safely to term and deliver a healthy infant. While the physiology of a healthy pregnancy itself influences ventilatory function, acute pulmonary distress may decrease oxygenation and influence both mother and fetus. Though respiratory failure in pregnancy is relatively rare, it remains one of the leading conditions requiring intensive care unit admission in pregnancy and carries a high risk of maternal and fetal morbidity and mortality, not to mention the complexity caused by lupus flare. We report a case of SLE complicated with lupus pneumonitis and followed by acute respiratory distress during pregnancy. Though there is a high risk of maternal and fetal morbidity and mortality, maternal respiratory function improved after cesarean section and treatment of the underlying causes. The newborn had an extremely low birth weight but was well at discharge.

  5. Anesthesia and Intensive Care Management in a Pregnant Woman with PRES: A Case Report

    Directory of Open Access Journals (Sweden)

    Ismail Demirel

    2012-01-01

    Full Text Available Posterior reversible encephalopathy syndrome (PRES is a temporary condition that is diagnosed clinically, neurologically, and radiologically. Its symptoms vary, and nonspecific headaches, confusion, impairment of consciousness, nausea, vomiting, and visual impairment may occur. Acute hypertension often accompanies these symptoms. Patients can also suffer from convulsions, cortical visual impairment, and coma. Diagnosis can be difficult due to focal neurologic signs. Nevertheless, knowing the clinical risk factors can lead to the right diagnosis. It has been reported that this condition may also occur during organ transplantation, immunosuppressive treatment, and autoimmune diseases and chemotherapy, and also patients with eclampsia. In this paper, a 21-year-old, 31-week pregnant woman, who had been diagnosed with PRES and thanks to early diagnosis and treatment had fully recovered and discharged from the intensive care unit, is presented, and the relevant literature is discussed.

  6. Multiple lacerations in a pregnant woman caused by spontaneously exploding shower screen glass.

    Science.gov (United States)

    Søreide, Kjetil; Søreide, Annbjørg Hegelstad

    2008-11-01

    Injuries caused by glass occur frequently, in particular in children, and make up an estimated 3% to 5% of all emergency visits, most frequently involving lacerations of hands, feet, and face. About 30% to 40% of glass injuries occur at home and often involve so-called architectural glass or bottles and glass containers. Accidents reported in association with showering mostly refer to falls or scalding by hot water. However, an increasing number of shower screens are made of tempered glass, which may potentially brake. Such injuries may be potentially severe, causing laceration of extremity arteries; requiring hospitalization or outpatient treatment for injuries; causing absence from work. These injuries are likely underreported in the medical literature but could have potential medicolegal consequences for the patient. We report a case of multiple lacerations developed in a third-trimester pregnant woman caused by the spontaneous shattering of a shower screen glass and discuss the apparent unawareness to this potential hazard in the scientific literature.

  7. Transient osteoporosis of the hip in a non-pregnant woman.

    Science.gov (United States)

    Reddy, Kanakeya Bachha; Sareen, Atul; Kanojia, Rajesh Kumar; Prakash, Jatin

    2015-06-04

    Transient osteoporosis of the hip is a rare, self-limiting condition, occurring most commonly in middle-aged men, but also sometimes in women, usually in late pregnancy. It is characterised by gradual onset of hip pain aggravated by weight bearing without any associated history of trauma and systemic illness. It is usually of unknown aetiology, but pregnancy is a recognised risk factor for women. Other conditions that can mimic transient osteoporosis of the hip on MRI are osteonecrosis, osteomyelitis and neoplasms. We present a case of a 38-year-old non-pregnant woman with transient osteoporosis of the hip, managed conservatively, leading to a full recovery. Treatment is conservative, including protected weight bearing, physical therapy and non-steroidal analgesics. The patient was completely painless and symptom free at 2-year follow-up. 2015 BMJ Publishing Group Ltd.

  8. The cauda equina syndrome in pregnant woman with a massive disc herniation.

    Science.gov (United States)

    Antón Capitán, B; Malillos Torán, M

    Low back pain during pregnancy is a common cause of medical consultation. Although back pain is very common, the incidence of low back pain secondary to lumbar disk herniation in pregnancy is low (1: 10,000). Cauda equina syndrome from lumbar disk herniation is a serious complication. The delay in diagnosis and treatment can be a cause of chronic disability secondary to neurological sequelae. Numerous cases of disk herniation in pregnancy have been reported, however the association of a cauda equina syndrome as a result of disk herniation is rare. A case is presented of cauda equina syndrome in a pregnant woman at 12-week gestation. Copyright © 2015 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Acute Cardiac Failure in a Pregnant Woman due to Thyrotoxic Crisis

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    Nao Okuda

    2012-01-01

    Full Text Available Introduction. Cardiac failure during pregnancy is usually related to preeclampsia/eclampsia, rarely to hyperthyroidism. While hyperthyroidism can easily lead to hypertensive cardiac failure and may harm the fetus, it is sometimes difficult to distinguish hyperthyroidism from normal pregnancy. Case Presentation. We encountered a case of 41-year-old pregnant woman with hypertensive cardiac failure. Because we initially diagnosed as pre-eclampsia/eclampsia, Caesarian section was performed. However, her symptoms still persisted after delivery. After thyroid function test results taken on the day of admission were obtained on the fourth day, we could diagnose that her cardiac failure was caused by thyrotoxic crisis. Conclusions. Hypertensive cardiac failure due to hyperthyroidism during pregnancy is rare and difficult to diagnose because of similar presentation of normal pregnancy. However, physicians should be aware of the risks posed by hyperthyroidism during pregnancy.

  10. Dextrocardia, situs inversus and severe mitral stenosis in a pregnant woman: successful closed commissurotomy.

    Science.gov (United States)

    Said, S A; Veerbeek, A; van der Wieken, L R

    1991-07-01

    A 16-weeks' pregnant woman with situs inversus and dextrocardia underwent successful closed commissurotomy for severe mitral stenosis. The electrocardiogram revealed sinus rhythm with right axis deviation and progressive diminishing of QRS amplitude towards the left precordial leads. The chest X-ray showed dextrocardia with situs inversus. Doppler echocardiography depicted severe mitral stenosis; the mitral valve area increased from 0.9 cm2 pre-operatively to 1.8 cm2 post-operatively with mild increase of mitral regurgitation from grade I to II post-valvotomy. She also had associated mild functional tricuspid insufficiency and moderate pulmonary hypertension. No thrombo-embolic complications occurred intra- or post-operatively. There was no evidence of either clinical or Doppler restenosis. The course of pregnancy was uneventful. At 39 weeks a healthy baby was vaginally delivered. The patient is still free of cardiac symptoms.

  11. Spontaneous Uterine Vessels Rupture in a Pregnant Woman: A Case Report

    Directory of Open Access Journals (Sweden)

    Farahbakhsh

    2015-08-01

    Full Text Available Introduction Hemorrhagic disease during pregnancy is a major cause of hospital admission and maternal mortality in the world. The most leading causes of maternal hemorrhage during pregnancy are abnormal placentation, ectopic pregnancy, molar pregnancy, and preeclampsia. There are a few case reports of spontaneous rupture of uterine vessels in the literature. The diagnosis of this event, which is hazardous to the pregnant women is difficult due to its rarity. Case Presentation Our patient was a 32-year-old primigravid woman presented with abdominal and flank pain. Her gestational age was 30 weeks. During admission in Aria Hospital, she had a significant hemoglobin level drop and developed signs of acute abdomen. Conclusions Laparotomy was performed and fundal uterine vessels rupture was seen and ligated. A 30-week-male fetus was born by cesarean section. Now the fetus is alive with no medical problem.

  12. [Perioperative treatment of a pregnant woman with recent cerebral infarction secondary to noncompaction cardiomyopathy].

    Science.gov (United States)

    Fernández Sánchez, L J; Pérez González, R; Guasch Arévalo, E; Martín Reyes, R; Gilsanz Rodríguez, F

    2006-12-01

    Recent-onset noncompaction of the myocardium is a rare but serious entity with uncertain prognosis. Cerebral infarction is among the forms of presentation, and pregnancy and hypercoagulability increase risk. We report the case of a pregnant woman brought to the emergency department with ischemic cerebral infarction. Investigation demonstrated the cause to be cardiac embolism, and noncompaction of the myocardium was diagnosed. She was stabilized and a few days later underwent elective cesarean section under general anesthesia. Surgery and postoperative recovery were uneventful, and she was transferred for rehabilitation. Myocardial injury and progression to cerebrovascular accident must be prevented in such cases; the patient must be stabilized and antiplatelet and/or anticoagulant therapy initiated before surgery. Hemodynamic stability must be maintained throughout the perioperative period and neonatal depression avoided after delivery. Various approaches are available to be adapted to the patient's situation.

  13. Interpersonal Nurse-Patient Relationship With a Young Schizophrenic Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Renata Marques de Oliveira

    2016-12-01

    Full Text Available The objective of this study was to investigate elements of the personal and psychiatric history, as well as the challenges related to motherhood, of a young schizophrenic female, through person-centered therapeutic interaction. The investigation had an exploratory scope, undertaken in a teaching hospital and data were collected during nondirective interaction on the part of the nurse with a young schizophrenic woman who had been treated in the institution for 10 years. Thematic analysis of the content was undertaken, with emphasis on the nuclei of meaning, identification of the themes and definition of the categories. The patient, called L. in this study, was 30 years old, had a two-year-old child and was three months pregnant when data were collected. Her trajectory was characterized by doubts, fears and uncertainties. The episodes of hospitalization, the coexistence with other patients, and the medications promoted insight into the symptoms, and acceptance of the diagnosis. The main challenge was experiencing pregnancy and the puerperium concomitantly with the psychiatric treatment. The interpersonal relationship established evidenced that, the young woman felling understood and that her needs were attended, overcame several difficulties she had reported and felt fulfilled and integrated into her social environment.

  14. Hemorrhagic syndrome and Acute renal failure in a pregnant woman after contact with Lonomia caterpillars: a case report

    Directory of Open Access Journals (Sweden)

    FAN Hui Wen

    1998-01-01

    Full Text Available A case of a 37-week pregnant woman who developed a hemorrhagic syndrome and acute renal failure after contact with Lonomia caterpillars is reported. The accident also initiated labour and the patient gave birth to an alive child. Some pathophysiological aspects of the genital bleeding and of the acute renal failure are discussed.

  15. Physiological measurements corroborate symptomatic improvement after therapeutic leukapheresis in a pregnant woman with chronic myelogenous leukemia.

    Science.gov (United States)

    Galera, Pallavi; Haynes, Stefanie; Sulmasy, Paula; Bailey, Jeffrey A; Greene, Mindy; Vauthrin, Michelle; Brettler, Doreen; Liebmann, James; Mark Madison, J; Weinstein, Robert

    2016-08-01

    Therapeutic leukapheresis can control the white blood cell count (WBC) of pregnant women with chronic myelogenous leukemia (CML) who have hyperleukocytosis without leukostasis. The medical justification for this treatment has not been objectively documented. We report a 27-year-old woman, diagnosed with CML at 10-week gestation, who developed severe dyspnea on exertion. A workup that included chest CT and echocardiography with a bubble study detected no cardiopulmonary pathology to explain her symptoms, and thus she was referred for leukapheresis. Prior to her first leukapheresis, which lowered her WBC from 154 × 10(3) /μL to 133 × 10(3) /μL, her oxygen saturation (SpO2 ) on room air decreased from 98 to 93% during 100 feet of slow ambulation and she was dyspneic. Just after the leukapheresis, her dyspnea on exertion was much improved and her SpO2 remained at 98% with repeat ambulation. Spirometry and lung volume studies obtained before and after her first leukapheresis demonstrated 32 and 31% improvements in forced vital capacity and forced expiratory volume in 1 s respectively, a 25% increase in functional residual capacity, and a 142% improvement in expiratory reserve volume. Residual volume decreased by almost 20%. Three times in a week, leukapheresis was continued until her WBC was controlled with interferon α-2b approximately 4 weeks later. Her dyspnea had completely resolved. She gave birth by elective caesarean section to a healthy boy at 32 weeks. Corroboration of symptom relief by leukapheresis with physiological data may justify such treatment in pregnant patients with CML. J. Clin. Apheresis 31:393-397, 2016. © 2015 Wiley Periodicals, Inc.

  16. Talassemia β intermediária em gestante Intermediate β thalassemia in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Tatiana M. Sakamoto

    2008-12-01

    Full Text Available A talassemia β é a forma considerada clinicamente a mais importante dentre as talassemias, em virtude do grau de morbidade e mortalidade, em consequência da anemia hemolítica. O presente relato de caso refere-se a uma gestante portadora da talassemia β intermediária, identificada em programa de rastreamento de anemia hemolítica e tem como objetivo demonstrar a importância do diagnóstico precoce e adequado de uma anemia hereditária, durante o pré-natal. Ressalta também a necessidade de orientação aos portadores em relação aos seus descendentes e a eficiência do acompanhamento por uma equipe multidisciplinar especializada.β-thalassemia is clinically the most important form of thalassemia due to its high level of morbidity and mortality as a result of intense hemolytic anemia. The present case report describes the case a pregnant woman who is an intermediate β-thalassemia carrier identified in a screening program for hemolytic anemia. This work aims at showing the importance of correct and early diagnosis of inherited anemia during pregnancy. It also stresses the need of guidance for carriers in respect to their progeny and discusses the efficiency of follow ups by a multidisciplinary team during pregnancy.

  17. Repeated severe neonatal hemolysis due to Rhesus isoimmunization in a pregnant woman.

    Science.gov (United States)

    Chen, Da-Chung; Chang, Yeing-Kuan; Chen, Wei-Hwa; Liu, Jah-Yao

    2002-05-01

    Rhesus (Rh) isoimmunization presenting as severe neonatal hemolytic disease is rare in RhD negative primigravidas of Chinese ethnicity. We report the case of a 32-year-old pregnant Taiwanese woman, RhD negative, who gave birth vaginally to two RhD-positive full-term fetuses 6 years apart. Antenatal follow-up was uneventful and there was no obvious fetal-maternal hemorrhage except at the performance of amniocentesis at the 19th week of the first pregnancy without anti-D immune globulin prophylaxis. Although anti-D immune globulins were administered to the mother within 1 hour after each birth, both of the newborns had severe neonatal hemolysis refractory to phototherapy and were rescued by exchange transfusions. Both of the children were well at age 7-years-old and one-year-old respectively In conclusion, with suspicion of fetal-maternal hemorrhage in RhD-negative pregnancies post amniocentesis, serial monitoring of indirect Coombs titer with appropriate management is mandatory.

  18. Anesthetic management for cesarean delivery in a pregnant woman with polymyositis: A case report and review of literature

    OpenAIRE

    Gunusen, Ilkben; Karaman, Semra; Nemli, Seymen; FIRAT, Vicdan

    2009-01-01

    Introduction Polymyositis which is a rare disease both in general population and in pregnancy is systemic connective tissue disorder characterized by inflammation and degeneration of muscles. There is only a little information relating to the anesthetic management of a pregnant woman with polymyositis. Case presentation In this article, we present anesthetic management of urgent cesarean delivery of a 28-year-old parturient with polymyositis under epidural anesthesia who was diagnosed with po...

  19. Development and application of a tomographic model from CT images for calculating internal dose to a pregnant woman

    Science.gov (United States)

    Shi, Chengyu

    Assessment of radiation dose and possible risk to a pregnant woman and her fetus is an important task in radiation protection. Although stylized models for male and female patients of different ages have been developed, tomographic models for pregnant women have not been developed to date. This dissertation presents an effort to construct a partial-body model of a pregnant woman from a set of CT images. The patient was 30-weeks pregnant, and the CT scan covered the portion of the body between the lower breast and the upper thigh in 70 slices, each 7 mm thick. The image resolution was 512 x 512 pixels in a 48 cm x 48 cm field. The images were carefully segmented to identify 34 organs and tissues, It has been found that the masses are different from the Reference Woman. The characteristics of the resulting model is discussed and compared with one existing stylized mathematical model for pregnant women. Based on this tomographic model, a Monte Carlo code, EGS4-VLSI, was used to derive Specific Absorbed Fractions. Monoenergetic and isotropic photon and electron emitters distributed in different source organs were assumed and the energies ranged from 10 keV to 4 MeV for photons and from 100 keV to 4 MeV for electrons. The results for high energy (>50 keV) photons showed general agreement with previous studies, however, the results for lower energy (women are satisfactory for a very large size patient for most of the photon energies (between 50 keV and 4 MeV). However, a tomographic model has to be used to obtain acceptable dose assessments for electrons. The newly calculated SAF data set can provide the nuclear medicine dosimetry field a new perspective involving internal electrons.

  20. Changes in cytomegalovirus seroprevalence in pregnant Japanese women-a 10-year single center study.

    Science.gov (United States)

    Taniguchi, Kosuke; Watanabe, Noriyoshi; Sato, Anna; Jwa, Seung Chik; Suzuki, Tomo; Yamanobe, Yuji; Sago, Haruhiko; Kozuka, Kazuto

    2014-03-01

    Human cytomegalovirus (CMV) causes congenital infections during pregnancy, and seroepidemiological data are important for estimating the risk of infection. However, only a few reports of CMV seroprevalence exist for pregnant Japanese women. The purpose of this study was to assess CMV seroprevalence in pregnant Japanese women. This cross-sectional study involved pregnant Japanese women who delivered from 2003 to 2012 at our hospital (n=15,616). Among these women, 14,099 (90.3%) underwent tests for the presence of CMV IgG. Those with an equivocal test result were excluded (n=195) from this analysis, leaving a study sample of 13,904 Japanese pregnant women. The prevalence of CMV IgG was also assessed by calendar year, age, and parity. The overall CMV IgG prevalence rate was 66.0%. CMV IgG prevalence significantly decreased over the course of 10 years from 2003 to 2012 (from 69.9% in 2003 to 65.2% in 2012) (p40 years were 1.66 (95%CI: 1.25-2.20), 1.20 (95%CI: 1.07-1.35), 1.16 (95%CI: 1.07-1.26), and 1.44 (95%CI: 1.28-1.62), respectively, compared to women aged 30-35 years. Adjusted odds ratios for CMV IgG positivity for a parity of 1, 2, and ≥3 were 1.14 (95%CI: 1.06-1.23), 1.52 (95%CI: 1.32-1.77), and 2.54 (95%CI: 2.69-3.84), respectively, compared to nulliparous women. We found that 34% of pregnant Japanese women were susceptible to CMV infection. Calendar year, maternal age, and parity were significantly associated with changes in CMV seroprevalence among this population. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. Physical Spouse Abuse in a 28-Week-Pregnant Woman: A Case Report.

    Science.gov (United States)

    Memarian, Azadeh; Ameri, Maryam; Shakeri, Mozhgan; Mehrpisheh, Shahrokh

    2016-05-01

    In some relationships, pregnancy is a risk factor for intimate partner violence (IPV). We present a case of a 34-year-old, 28-week-pregnant woman who was admitted to the emergency department with multiple traumas due to IPV. Her husband had hit her with a power cable after abusing methamphetamine. There were multiple ecchymoses and lacerations on her body. On questioning, the patient revealed a low socioeconomic status. The couple had been married for five years, and the abuse began 11 months earlier, after the husband became addicted to methamphetamines. In this instance of abuse, the husband was suspicious of the wife's pregnancy and believed that the child had been fathered by another man. Her husband's methamphetamine abuse had resulted in previous incidences of non-physical IPV, but, in the present incident, the combination of abuse coupled with partner jealousy resulted in physical abuse. During admission, there were no significant changes to the patient's health, and the fetus was deemed to be healthy and unharmed. After discharge, the patient decided to divorce her abusive husband. Screening and counseling for interpersonal and domestic violence is especially recommended during pregnancy to protect the mother and her fetus. In Iranian civil law, IPV is regarded as "osr-o-haraj" or severe and intolerable hardship, and women may cite it as grounds for divorce in cases such as spousal drug addiction and certain forms of spousal abuse. When intimate partner assault is repeated and petition for khula is presented to the courts, the court can order the man to divorce his wife and, if he refuses, the court judge can grant the khula without the husband's consent.

  2. Physical Spouse Abuse in a 28-Week-Pregnant Woman: A Case Report

    Directory of Open Access Journals (Sweden)

    Azadeh Memarian

    2016-05-01

    Full Text Available In some relationships, pregnancy is a risk factor for intimate partner violence (IPV. We present a case of a 34-year-old, 28-week-pregnant woman who was admitted to the emergency department with multiple traumas due to IPV. Her husband had hit her with a power cable after abusing methamphetamine. There were multiple ecchymoses and lacerations on her body. On questioning, the patient revealed a low socioeconomic status. The couple had been married for five years, and the abuse began 11 months earlier, after the husband became addicted to methamphetamines. In this instance of abuse, the husband was suspicious of the wife’s pregnancy and believed that the child had been fathered by another man. Her husband’s methamphetamine abuse had resulted in previous incidences of non-physical IPV, but, in the present incident, the combination of abuse coupled with partner jealousy resulted in physical abuse. During admission, there were no significant changes to the patient’s health, and the fetus was deemed to be healthy and unharmed. After discharge, the patient decided to divorce her abusive husband. Screening and counseling for interpersonal and domestic violence is especially recommended during pregnancy to protect the mother and her fetus. In Iranian civil law, IPV is regarded as “osr-o-haraj” or severe and intolerable hardship, and women may cite it as grounds for divorce in cases such as spousal drug addiction and certain forms of spousal abuse. When intimate partner assault is repeated and petition for khula is presented to the courts, the court can order the man to divorce his wife and, if he refuses, the court judge can grant the khula without the husband’s consent.

  3. Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm

    National Research Council Canada - National Science Library

    Aminimoghaddam, Soheila; Karisani, Narmin; Mazloomi, Maryam; Rahimi, Maryam

    2016-01-01

    .... We report a woman who experienced an incomplete abortion and undiagnosed hypothyroidism who was referred to the oncologist with the suspicion of metastatic gestational trophoblastic neoplasm (GTN...

  4. related Factors of chronic Energy Deficiency at Pregnant Woman in kamoning and Tambelangan Sub District, Sampang District, West Java

    Directory of Open Access Journals (Sweden)

    Vita Kartika Mahirawati

    2015-01-01

    Full Text Available background:Pregnant woman who suffered Chronic Energy Deficiency (CED has delivered babies with low birth weight and increased the risk for mortality. The objective of this research was to analyze the related factors of CED at pregnant woman. Method:A Cross sectional design was used. A random sample of pregnant women who registered in kohort. has taken 104 people as the samples. Collecting data using questionnaires (quantitative and secondary data obtain through kohort register during 2012–2013 and profile of Dinkes 2012, conducted during 6 (six months 2013 in Puskesmas Kamoning and Tambelangan. The data were analyzed descriptively and statistically using Chi Square test. result: The socio-economic factors: 35.5% mother’s education mostly elementary school graduates. 29.4 % didn’t graduate from elementary school. The majority of their husband (39.2% work as farm worker with income less than 1 million rupiah per month. The maternal factors: the average age between 21 until 34 years old (70.6%. The age of marriage mostly under 17 years old (41.1% and most of them (31.4% have their first pregnancy in the age between 18 until 21 years old. The most pregnant women (54.9% ate 3 times/day. 70.6% pregnant women with CED suffered from anemia; 66.7% of them took irow tablets every day. conclusion:economic factors social conditions associated with the incidence of maternal CED husband is education and maternal work status, whereas maternal factors are gestational age, hemoglobin levels in the blood and consumption of iron pills. recommendation:Areas programme and sectorce, should be involved to reduce the CED prevalence.

  5. Overweight increases risk of trimester hypothyroxinaemia in iodine-deficient pregnant woman

    NARCIS (Netherlands)

    Gowachirapant, S.; Boonstra, A.; Winichagoon, P.; Zimmerman, M.B.

    2014-01-01

    Hypothyroxinaemia early in pregnancy may impair fetal brain development. Increased body weight has been associated with low thyroxine concentrations in non-pregnant women. In pregnant women, morbid maternal obesity is a risk factor for thyroid dysfunction. But whether lesser degrees of overweight th

  6. Overweight increases risk of trimester hypothyroxinaemia in iodine-deficient pregnant woman

    NARCIS (Netherlands)

    Gowachirapant, S.; Boonstra, A.; Winichagoon, P.; Zimmerman, M.B.

    2014-01-01

    Hypothyroxinaemia early in pregnancy may impair fetal brain development. Increased body weight has been associated with low thyroxine concentrations in non-pregnant women. In pregnant women, morbid maternal obesity is a risk factor for thyroid dysfunction. But whether lesser degrees of overweight

  7. Overweight increases risk of trimester hypothyroxinaemia in iodine-deficient pregnant woman

    NARCIS (Netherlands)

    Gowachirapant, S.; Boonstra, A.; Winichagoon, P.; Zimmerman, M.B.

    2014-01-01

    Hypothyroxinaemia early in pregnancy may impair fetal brain development. Increased body weight has been associated with low thyroxine concentrations in non-pregnant women. In pregnant women, morbid maternal obesity is a risk factor for thyroid dysfunction. But whether lesser degrees of overweight th

  8. Management of a pregnant woman with multiple erythrocyte alloantibodies – Case report

    Directory of Open Access Journals (Sweden)

    Andreja Hrašovec Lampret

    2012-12-01

    Conclusion: HDFN is still considered an unpredictable disease. By the help of modern pro‑cedures for monitoring of immunised pregnant women also those pregnant women with mulip‑le, clinically significant erythrocyte alloantibod‑ies can be successfully managed in the course of pregnancy.

  9. Acute pulmonary edema caused by takotsubo cardiomyopathy in a pregnant woman undergoing transvaginal cervical cerclage: A case report.

    Science.gov (United States)

    Lee, Jae-Young; Kwon, Hyun-Jung; Park, Sang-Wook; Lee, Yu-Mi

    2017-01-01

    The physiological changes associated with pregnancy may predispose pregnant women to pulmonary edema. Other known causes of pulmonary edema during pregnancy include tocolytic drugs, preeclampsia, eclampsia, and peripartum cardiomyopathy. We describe a rare case of pulmonary edema caused by takotsubo cardiomyopathy in a pregnant woman at 14 weeks of gestation who was undergoing emergency transvaginal cervical cerclage. Intraoperative chest radiography revealed severe pulmonary edema and echocardiography indicated moderate left ventricular dysfunction with akinesia of the mid to apical left ventricular wall segment, which is reflective of takotsubo cardiomyopathy. With early detection and appropriate management, the patient was stabilized in a relatively short period of time. Based on her clinical signs and symptoms, we suspect that the pulmonary edema was caused by takotsubo cardiomyopathy.

  10. BIOFEEDBACK APPLICATION FOR PREGNANT WOMAN TRAINING UNDER MONITORING OF MOTHER – FETUS SYSTEM CONDITION

    Directory of Open Access Journals (Sweden)

    A. A. Khlopova

    2013-01-01

    Full Text Available Raining influence with biofeedback on system mother fetus was investigated. The technique of biofeedback training for the pregnant women was developed, which had main objective to control of parameters of vegetative nervous system by means of breath. The technique was tested on a group of pregnant wo men on term of a gestation of 32–35 weeks. It is established: change of a functional condition of mother influences level of sympathetic regulation of a heart rhythm of a fetus.

  11. Seroprevalence of Anti-Toxoplasma gondii Antibodies Among Pregnant Woman in South Khuzestan, Iran.

    Science.gov (United States)

    Yad Yad, Mohammad Jafar; Jomehzadeh, Nabi; Jafar Sameri, Maryam; Noorshahi, Nooshin

    2014-05-01

    Acute toxoplasmosis may lead to congenital toxoplasmosis with fetal complications outcome during pregnancy. Anti- Toxoplasma gondii antibody seroprevalence is unclear in pregnant women of south of Khuzestan province, since limited data about T. gondii seroepidemiology has been published in pregnant women of this area (Abadan, Shadegan, Khoramshar). The aim of this study was to clarify the status of T. gondii seroprevalence in pregnant women of south of Khuzestan province. In this cross-sectional study, 501 full-term pregnant women were included. This study was carried out in Taleghani teaching hospital for six 6 months from May to October 2011. Informed consents signed by the patients were obtained. Blood IgG and IgM were measured using ELISA technique. The data was analyzed by SPSS 13 (Chicago, IL, USA). Chi-square test was used for comparison. The participants' age range was 15 to 45 years (average: 27.4 ± 13). Of the 501 pregnant women, 70.65 % (n = 354) were seronegative for T. gondii IgG and IgM antibodies. There were statistical relationships between IgG seroprevalence and age, as well as IgG seroprevalence and cat holding. There was high percentage of seronegative (70.65 %) IgG and IgM antibodies in full-term pregnant women. They were susceptible to acute toxoplasmosis; thus, prenatal screening was recommend in our province after cost-beneficial analyses.

  12. Changes in pelvic shape among Japanese pregnant women over the last 5 decades.

    Science.gov (United States)

    Narumoto, Keiichiro; Sugimura, Motoi; Saga, Kozue; Matsunaga, Youichi

    2015-11-01

    Pelvic shape affects the progression of labor. The gynecoid-type pelvis has been the most common in women, but a previous study reported that the anthropoid type has increased in Japan. The purpose of this study was to examine: (i) the current prevalence of different pelvic shapes in Japanese pregnant women; and (ii) the changes in the prevalence of the pelvic shapes over the past 50 years. We conducted a cross-sectional study using descriptive analysis for the prevalence of the pelvic shape and a historical comparison to assess the changes in the proportions of pelvic shapes with Japanese data from the 1960s to the 1980s. We reviewed a total of 517 delivery records from May 2010 to August 2012 at a rural Japanese hospital where prenatal X-ray pelvimetry had been routinely performed as local practice. We analyzed the readings of the digital imaging data in pregnant women who underwent X-ray pelvimetry. We identified the X-ray data in 326 Japanese pregnant women. The prevalence of the anthropoid, gynecoid and flat types was 151 (46.3%), 142 (43.6%), and 33 (10.1%), respectively. There were no differences in the maternal characteristics according to the pelvic shapes. The prevalence of the anthropoid-type pelvis has increased by approximately 40% and that of the gynecoid type has decreased by 20% since the 1960s. The prevalence of the anthropoid-type pelvis have significantly increased in Japan. Identifying a determinant of this phenomenon requires further research. © 2015 Japan Society of Obstetrics and Gynecology.

  13. Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm

    Science.gov (United States)

    Aminimoghaddam, Soheila; Mazloomi, Maryam; Rahimi, Maryam

    2016-01-01

    Hypothyroidism is a common health issue worldwide with varying clinical manifestations. We report a woman who experienced an incomplete abortion and undiagnosed hypothyroidism who was referred to the oncologist with the suspicion of metastatic gestational trophoblastic neoplasm (GTN). A 29-year-old woman with incomplete abortion was referred to an oncologist for possible GTN due to persistent active vaginal bleeding, an elevated beta human chorionic gonadotropin (hCG), abnormal cervical inspection exam, abnormal liver function tests, ovarian enlargement, ascites, and a pleural effusion. She was found to have hypothyroidism in further work-up. She was managed with thyroid hormone replacement therapy and her condition improved after 6 weeks. Complete resolution of the ovarian mass and pericardial and pleural effusion was achieved. This case describes an important experience; hypothyroidism should be considered in the differential diagnosis of any woman with an incomplete abortion presenting with an ovarian mass. Evaluation and correct diagnosis are important to prevent mismanagement. PMID:27034864

  14. Breaking bad news to a pregnant woman with a fetal abnormality on ultrasound.

    Science.gov (United States)

    Greiner, Andrea L; Conklin, Jona

    2015-01-01

    Ultrasound is a common procedure performed in pregnancy. Most obstetric patients have an ultrasound between 18 and 20 weeks' gestation. While there is debate regarding the utility of this ultrasound, it has become a routine part of prenatal care. Discovery of a fetal anomaly on ultrasound is most commonly an unexpected, emotionally devastating event for pregnant women. Counseling these women about the ultrasound findings requires empathy and sensitivity. This task falls on the physicians caring for pregnant women: maternal-fetal medicine specialists, radiologists, generalist obstetricians, and family medicine physicians. Their training regarding breaking bad news is varied. Therefore, the purpose of this article is to provide a framework to break bad news of an anomalous fetus for physicians caring for pregnant women using the SPIKES protocol. The SPIKES acronym stands for setting, perception, invitation, knowledge, empathize, summary, and strategy.

  15. Pregnant woman with fatal complication after laparoscopic Roux-en-Y gastric bypass

    DEFF Research Database (Denmark)

    Renault, Kristina; Gyrtrup, Hans Jørgen; Damgaard, Karen

    2012-01-01

    In Europe, an increasing number of women have bariatric surgery; therefore, obstetricians are likely to encounter these patients. We report a 22-year-old woman, who had previously undergone uncomplicated laparoscopic Roux-en-Y gastric bypass. She was admitted with severe abdominal pain at 35 week...

  16. [Occupational toxic exposure in the pregnant woman. 1: principles fo individual risk assessment ].

    Science.gov (United States)

    Testud, F; Lambert-Chhum, R; Bellemin, B; Descotes, J

    2001-12-01

    Many women of childbearing age are occupationally exposed to chemicals and concerned with the ensuing risk when pregnant. To describe the principles of individual risk assessment to be applied in pregnant women or women wishing to become pregnant that are exposed to chemicals at the workplace. Each request for risk assessment is based on a comprehensive review of the hazards of the handled products together with a thorough evaluation of the actual exposure at the workplace. A toxicological advice is then written to the gynecologist or the general practitioner in charge of the patient. When the exposure is estimated to be hazardous for the pregnancy, either total withdrawal, avoidance of certain activities or improvements of individual protective devices are recommended. The outcome of the pregnancy is systematically followed-up. An objective assessment of toxic risks in pregnant women exposed to chemicals at the workplace can be done. Thus, patients who must be withdrawn or benefit from improvements of their workstation can be selected.

  17. [Occupational toxic exposure and the pregnant woman. 2: results of a prospective study of 100 pregnancies].

    Science.gov (United States)

    Testud, F; Lambert-Chhum, R; Bellemin, B; Descotes, J

    2001-12-01

    Many women of childbearing age are occupationally exposed to chemicals and concerned with the ensuing risk when pregnant. To present the results of a prospective follow-up study of 100 pregnant women and to discuss them after a brief overview of the published data on this topic. Since January 1996 the Lyon Poison Center has been conducting a prospective follow-up of all request concerning pregnant women occupationally exposed to chemicals. A thorough evaluation of the hazards of the handled products and of the actual exposure at the workplace is done for each patient. A toxicological advice is given and the outcome of the pregnancy is followed-up. One hundred pregnant women were included between January 1996 and December 2000. Based on the nature of the handled products, two groups have been identified: the first included 73 women exposed to organic solvents and the second 27 women exposed to miscellaneous. When the exposure was considered potentially hazardous for the pregnancy, either withdrawal from the workstation (19 cases), avoidance of certain activities (9 cases) or improvement of individual protective measures (29 cases) was recommended. In 43% of the cases, the occupational exposure was not considered hazardous to the outcome of the pregnancy. No increase of adverse outcome was identified: 4 miscarriages and 96 living births were observed, with 2 major malformations and 1 minor malformation. Occupational exposure to chemicals was not found to affect adversely the outcome of these 100 pregnancies.

  18. An Unusual Case of Urinary Tract Infection in a Pregnant Woman With Photobacterium damsela

    Directory of Open Access Journals (Sweden)

    Jesus R. Alvarez

    2006-01-01

    Full Text Available We describe a case of a urinary tract infection with an unusual pathogen, Photobacterium damsela, in a pregnant female. This pathogen has been described as having a virulent life threatening nature, so a detailed history and prompt treatment is needed.

  19. Isolated large vulvar varicose veins in a non-pregnant woman

    Directory of Open Access Journals (Sweden)

    Abdullah M Al Wahbi

    2016-09-01

    Full Text Available Vulvar varicosities are often asymptomatic, and they may be associated with varicose veins of the lower extremity. Also, they may be a part of pelvic congestion syndrome and usually occur during pregnancy. We present a case of a huge isolated and disfiguring vulvar varicosities in a non-pregnant women managed successfully by combination of surgery and sclerotherapy.

  20. Isolated large vulvar varicose veins in a non-pregnant woman

    Science.gov (United States)

    Al Wahbi, Abdullah M

    2016-01-01

    Vulvar varicosities are often asymptomatic, and they may be associated with varicose veins of the lower extremity. Also, they may be a part of pelvic congestion syndrome and usually occur during pregnancy. We present a case of a huge isolated and disfiguring vulvar varicosities in a non-pregnant women managed successfully by combination of surgery and sclerotherapy.

  1. Development of a pregnant woman phantom using polygonal mesh, for dosimetric evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Cabral, Manuela O.M.; Vieira, Jose W., E-mail: manuela.omc@gmail.com [Universidade Federal de Pernambuco (DEN/UFPE), Recife, PE (Brazil). Departamento de Energia Nuclear; Leal Neto, Viriato, E-mail: viriatoleal@yahoo.com.br [Instituto Federal de Educacao, Ciencia e Tecnologia de Pernambuco (IFPE), Recife, PE (Brazil); Lima, Fernando R.A., E-mail: falima@cnen.gov.br [Centro Regional de Ciencias Nucleares do Nordeste (CRCN-NE/CNEN-PE), Recife, PE (Brazil)

    2014-07-01

    Due to the embryo/fetus radiosensitivity the accurate estimation of the absorbed dose distribution in the abdominal area is an additional problem caused by the exposure of pregnant women to ionizing radiation in medical applications. This paper reports the construction and insertion of a fetal representation in a female geometry by means of 3D modeling techniques. In order to characterize an ECM the Grupo de Dosimetria Numerica (GDN) is using, mainly, simulators emitting gamma sources and voxel phantoms coupled to a MC code. The phantoms are predominantly constructed from stacks of magnetic resonance images (MRI), computed tomography (CT) (obtained from scans of real patients) or from 3D modeling techniques. Due to the difficulty of obtaining medical images of pregnant women, 3D objects in several formats (.obj, .max, .blend, etc.) were acquired for anatomical representation of a non-pregnant adult. To construct a fetal representation, the 3D modeling technique called Poly Modeling (polygon mesh) was used inside of the software Autodesk 3ds Max 2014 (free student version). Information about the radiosensibility of organs included in the abdominal area will be used to fit and use the pregnant phantom in numerical dosimetry. For this, the phantom will be voxelized and the masses of organs of interest will be adjusted according to data provided by International Commission on Radiological Protection (ICRP). Finally, the phantom will be coupled to a MC code creating a MCE that will serve as base for the construction of several other models involving pregnant women submitted to ionizing radiation. (author)

  2. Hepatic infarction in a pregnant woman with antiphospholipid syndrome and triple antibody positivity: A case report focusing on catastrophic antiphospholipid syndrome.

    Science.gov (United States)

    Kim, Ji-Hye; Yee, Cheonga; Kuk, Jin-Yi; Choi, Suk-Joo; Oh, Soo-Young; Roh, Cheong-Rae; Kim, Jong-Hwa

    2016-09-01

    Pregnant women with antiphospholipid syndrome (APS) carry a high risk of arterial or venous thrombosis. Such thrombotic conditions occur more frequently in patients with triple positivity to antiphospholipid antibodies or with high antibody titers. Hepatic infarction is a rare complication in pregnant women with APS, and it sometimes mimics HELLP syndrome. This report describes a preeclamptic pregnant woman with APS who had high titers of three antiphospholipid antibodies. She experienced severe epigastric pain with elevated liver enzymes; in addition, she had tachycardia and tachypnea. The clinical findings suggested hepatic infarction and pulmonary thromboembolism, a partial manifestation of catastrophic APS. Therefore, she underwent emergent cesarean section at 25+2 weeks of gestation. After the delivery, her laboratory test indicated HELLP-like features, and computed tomography confirmed hepatic infarction and pulmonary micro-thromboembolism. Here, we report a case of a partial manifestation of catastrophic APS in a pregnant woman with triple antibody positivity, including a brief literature review.

  3. Conversion of atrial fibrillation with ajmaline in a pregnant woman with Wolff-Parkinson-White syndrome.

    Science.gov (United States)

    Mozo de Rosales, F; Moreno, J; Bodegas, A; Melchor, J C; Fernández LLebrez, L; Aranguren, G

    1994-07-01

    Pregnancy is related to an increased frequency of arrhythmias in asymptomatic patients with Wolff-Parkinson-White syndrome, which might lead to sudden death. A 40-year-old woman, with Wolff-Parkinson-White syndrome which was not diagnosed until pregnancy, presented in the 34th week with an atrial fibrillation, with high risk criteria for ventricular fibrillation. Intravenous ajmaline was given to convert the tachyarrhythmia to sinus rhythm. We obtained an excellent maternal control with no maternal or fetal adverse effects.

  4. Anguish, Yearning, and Identity: Toward a Better Understanding of the Pregnant Hispanic Woman's Prenatal Care Experience.

    Science.gov (United States)

    Fitzgerald, Elizabeth Moran; Cronin, Sherill Nones; Boccella, Sarah Hess

    2016-09-01

    The purpose of this phenomenological study was to seek a better understanding of needs and access issues among pregnant, low-income Hispanic women. Hispanic women who attended a community prenatal education program participated in follow-up focus groups to explore their experiences regarding prenatal education, pregnancy resources, access to, and satisfaction with, the care available to them. Focus groups were facilitated by a leader, bilingual in English and Spanish, with knowledge of the Hispanic culture. Sessions were audiotaped, then translated into English for transcription. Data were analyzed according to guidelines by Colaizzi and three themes emerged: pregnant Hispanic women experienced a sense of anguish (la angustia) from questions and unknowns rampant during pregnancy, leading to a yearning (el anhelo) to learn and understand more, but with a desire to do so without sacrificing native identity (la identidad). Implications of these themes for improving prenatal care for this population are explored.

  5. Multiple autoimmune antibody limbic encephalitis: a case in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Meha Goyal

    2015-03-01

    Full Text Available Autoimmune limbic encephalitis is most commonly associated with antibodies against the N-methyl-D-aspartate receptor (NMDAR, among other neuronal cell surface receptors. Here, a case of a pregnant female with limbic encephalitis in the presence of multiple additional autoimmune antibodies is described. The patient was a 36-year-old female who presented with 4 days of confusion, hallucinations, hypersexuality, disinhibition, and pressured speech. The patient's work-up detected the presence of anti-NMDAR antibodies, anti-glutamic acid decarboxylase antibodies, and a yet uncharacterized neuronal autoantibody. The patient was also found to be pregnant. No evidence of ovarian or other pelvic malignancy was discovered. Symptomatic control was achieved with plasma exchange.

  6. [Successful treatment of acute promyelocytic leukemia in a pregnant woman by using all-trans retinoic acid].

    Science.gov (United States)

    Tsuda, H; Doi, H; Inada, T; Shirono, K

    1994-07-01

    A 34-year-old woman was admitted because of pancytopenia with DIC in the 28th week of pregnancy. Bone marrow aspirate demonstrated 81.2% abnormal cells which showed Auer bodies and faggot formation. Chromosomal analysis demonstrated an abnormality, t (15; 17). The patient was diagnosed as having acute promyelocytic leukemia (APL) and started to receive treatment with all-trans retinoic acid (ATRA) 70 mg/body/day per os. She had a cesarean section and gave birth to a female infant in the 29th week of pregnancy. An increase of WBC counts was observed on the 9th hospital day, then chemotherapy with anti-cancer agents was performed additionally. Complete remission was achieved on the 27th hospital day. Management of pregnant patients with APL could be improved by using ATRA instead of conventional combinations of cytotoxic agents.

  7. Spontaneous Rupture of Uterine Artery in a 14-Week Pregnant Woman

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    João Paulo Mancusi de Carvalho

    2016-01-01

    Full Text Available We report a case of uterine artery rupture in a woman at 14 weeks’ gestation who presented with abdominal pain, tachycardia, and hypotension and underwent a diagnostic laparoscopy. During this procedure, a spontaneous rupture of the left uterine artery was diagnosed and the surgery was converted into a laparotomy. The artery was bound to its origin and to its distal uterine portion. The patient exhibited excellent postoperative recovery and was discharged two days after the surgery. The pregnancy continued without other maternal or fetal complications, and the patient delivered a healthy newborn via cesarean section at 39 weeks of gestation.

  8. Anti-G with concomitant anti-C and anti-D: A case report in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Rabeya Yousuf

    2017-01-01

    Full Text Available The G antigen of Rh blood group system is present in almost all D-positive or C-positive red cells but absent from red cells lacking D and C antigens. The differentiation of anti-D and anti-C from anti-G is not necessary for routine transfusion; however, during pregnancy, it is important because anti-G can masquerade as anti-D and anti-C with initial antibody testing. The false presence of anti-D will exclude the patient from receiving anti-D immunoglobulin (RhIG when the patient actually is a candidate for RhIG prophylaxis. Moreover, patients with positive anti-D or anti-G are at risk of developing hemolytic disease of the fetus and newborn and need close monitoring. Thus, proper identification allows the clinicians to manage patients properly. This case report highlights a rare case of anti-G together with anti-D and anti-C in a pregnant woman. This report disseminates knowledge on identification of anti-G and its importance in pregnant women.

  9. [Anaesthetic management of excision of a cervical intraspinal tumor with intraoperative neurophysiologic monitoring in a pregnant woman at 29 weeks].

    Science.gov (United States)

    Guerrero-Domínguez, R; González-González, G; Rubio-Romero, R; Federero-Martínez, F; Jiménez, I

    2016-05-01

    The intraoperative neurophysiological monitoring is a technique used to test and monitor nervous function. This technique has become essential in some neurosurgery interventions, since it avoids neurological injuries during surgery and reduces morbidity. The experience of intraoperative neurophysiological monitoring is limited in some clinical cases due to the low incidence of pregnant women undergoing a surgical procedure. A case is presented of a 29-weeks pregnant woman suffering from a cervical intraspinal tumour with intense pain, which required surgery. The collaboration of a multidisciplinary team composed of anaesthesiologists, neurosurgeons, neurophysiologists and obstetricians, the continuous monitoring of the foetus, the intraoperative neurophysiological monitoring, and maintaining the neurophysiological and utero-placental variables were crucial for the proper development of the surgery. According to our experience and the limited publications in the literature, no damaging effects of this technique were detected at maternal-foetal level. On the contrary, it brings important benefits during the surgery and for the final result. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Obstetrical Management of an Extremely Overweight Pregnant Woman (184 kg bw with Special Attention on Thromboprophylaxis

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    Boldizsar Horváth

    2013-01-01

    Full Text Available The 27-year-old pregnant woman has been overweight since her childhood. Endocrinological assessments did not confirm hormonal disease. Her pregnancy was without complication. A signs of intrauterine distress were observed and elective caesarean section was performed under heparin protection because of anatomy unsuitable for delivery per vias naturals. The mother’s bodyweight was 184 kg. By monitoring the change in fX activity LMWH treatment (Enoxaparin initiated with a dose of 120 mg twice daily and then the dose was gradually elevated to 200 mg twice daily thereby achieving the lower range of the desired therapeutic effect. Apart from mild disorder of wound healing, the recovery was free of complication. The patient suffered from thrombophilia (extremely overweight, pregnant, thrombophlebitis under the knee, surgery, and postoperative immobilization. In case of quite extreme bodyweight there is no dosage recommendation or clinical practice for LMWH. Because of the extreme overweight and the therapeutic dose titration test of heparin, monitoring of fX activity by measurement of inhibition, dosage of heparin other than the recommended (abdominal wall instead of upper arm SC, and the very fluctuating heparin dosage which is well correlating with clinical practice, it is reasonably expected that this case will take interest.

  11. Obstetrical Management of an Extremely Overweight Pregnant Woman (184 kg bw) with Special Attention on Thromboprophylaxis.

    Science.gov (United States)

    Horváth, Boldizsar; Skrapits, Judit; Bódis, József

    2013-01-01

    The 27-year-old pregnant woman has been overweight since her childhood. Endocrinological assessments did not confirm hormonal disease. Her pregnancy was without complication. A signs of intrauterine distress were observed and elective caesarean section was performed under heparin protection because of anatomy unsuitable for delivery per vias naturals. The mother's bodyweight was 184 kg. By monitoring the change in fX activity LMWH treatment (Enoxaparin) initiated with a dose of 120 mg twice daily and then the dose was gradually elevated to 200 mg twice daily thereby achieving the lower range of the desired therapeutic effect. Apart from mild disorder of wound healing, the recovery was free of complication. The patient suffered from thrombophilia (extremely overweight, pregnant, thrombophlebitis under the knee, surgery, and postoperative immobilization). In case of quite extreme bodyweight there is no dosage recommendation or clinical practice for LMWH. Because of the extreme overweight and the therapeutic dose titration test of heparin, monitoring of fX activity by measurement of inhibition, dosage of heparin other than the recommended (abdominal wall instead of upper arm SC), and the very fluctuating heparin dosage which is well correlating with clinical practice, it is reasonably expected that this case will take interest.

  12. Pregnant woman with an extremely small uterus due to pelvic irradiation in childhood.

    Science.gov (United States)

    Watanabe, Takashi; Matsubara, Shigeki; Saito, Yutaka; Usui, Rie; Mugishima, Hideo; Suzuki, Mitsuaki

    2012-03-01

    A female cancer survivor, having suffered malignant lymphoma during childhood and received radio- and chemotherapy, became pregnant. Her uterus was extremely small and in the 22nd week of gestation, acute uterine contractions occurred, leading to preterm delivery and resulting in the death of the infant. Pelvic irradiation in childhood was considered to have caused a small uterus and thus brought on preterm delivery. The younger the patient, the more vulnerable the uterus is to irradiation. The exposure dose to the uterus in pediatric cancer patients should therefore be reduced, especially in younger patients. The cooperation of pediatric cancer specialists and obstetricians is necessary to preserve the future fertility of female cancer survivors.

  13. Initial Feasibility of a Woman-Focused Intervention for Pregnant African-American Women

    Directory of Open Access Journals (Sweden)

    Hendrée E. Jones

    2011-01-01

    Full Text Available African-American women who use crack are vulnerable to HIV because of the complex social circumstances in which they live. Drug-abuse treatment for these women during pregnancy may provide time for changing risk behaviors. This paper examines the initial 6-month feasibility of a women-focused HIV intervention, the Women's CoOp, adapted for pregnant women, relative to treatment-as-usual among 59 pregnant African-American women enrolled in drug-abuse treatment. At treatment entry, the women were largely homeless, unemployed, practicing unsafe sex, and involved in violence. Results indicated marked reductions in homelessness, use of cocaine and illegal drugs, involvement in physical violence, and an increase in knowledge of HIV from baseline to 6-month followup for both conditions. Findings suggest that the Women's CoOp intervention could be successfully adapted to treat this hard-to-reach population. Future studies should examine the efficacy of the pregnancy-adapted Women's CoOp for women not enrolled in drug-abuse treatment.

  14. SAR exposure from UHF RFID reader in adult, child, pregnant woman, and fetus anatomical models.

    Science.gov (United States)

    Fiocchi, Serena; Markakis, Ioannis A; Ravazzani, Paolo; Samaras, Theodoros

    2013-09-01

    The spread of radio frequency identification (RFID) devices in ubiquitous applications without their simultaneous exposure assessment could give rise to public concerns about their potential adverse health effects. Among the various RFID system categories, the ultra high frequency (UHF) RFID systems have recently started to be widely used in many applications. This study addresses a computational exposure assessment of the electromagnetic radiation generated by a realistic UHF RFID reader, quantifying the exposure levels in different exposure scenarios and subjects (two adults, four children, and two anatomical models of women 7 and 9 months pregnant). The results of the computations are presented in terms of the whole-body and peak spatial specific absorption rate (SAR) averaged over 10 g of tissue to allow comparison with the basic restrictions of the exposure guidelines. The SAR levels in the adults and children were below 0.02 and 0.8 W/kg in whole-body SAR and maximum peak SAR levels, respectively, for all tested positions of the antenna. On the contrary, exposure of pregnant women and fetuses resulted in maximum peak SAR(10 g) values close to the values suggested by the guidelines (2 W/kg) in some of the exposure scenarios with the antenna positioned in front of the abdomen and with a 100% duty cycle and 1 W radiated power.

  15. Initial feasibility of a woman-focused intervention for pregnant african-american women.

    Science.gov (United States)

    Jones, Hendrée E; Berkman, Nancy D; Kline, Tracy L; Ellerson, Rachel Middlesteadt; Browne, Felicia A; Poulton, Winona; Wechsberg, Wendee M

    2011-01-01

    African-American women who use crack are vulnerable to HIV because of the complex social circumstances in which they live. Drug-abuse treatment for these women during pregnancy may provide time for changing risk behaviors. This paper examines the initial 6-month feasibility of a women-focused HIV intervention, the Women's CoOp, adapted for pregnant women, relative to treatment-as-usual among 59 pregnant African-American women enrolled in drug-abuse treatment. At treatment entry, the women were largely homeless, unemployed, practicing unsafe sex, and involved in violence. Results indicated marked reductions in homelessness, use of cocaine and illegal drugs, involvement in physical violence, and an increase in knowledge of HIV from baseline to 6-month followup for both conditions. Findings suggest that the Women's CoOp intervention could be successfully adapted to treat this hard-to-reach population. Future studies should examine the efficacy of the pregnancy-adapted Women's CoOp for women not enrolled in drug-abuse treatment.

  16. The information system of pregnant womans' health nutritious based on android (Case study: Puskesmas Mopah Merauke)

    Science.gov (United States)

    Letsoin, Sri Murniani Angelina; Kolyaan, Yuliana; Cahyadi, Dedy

    2017-02-01

    The cause of maternal mortality can be divided into two, the direct cause and indirect cause. One of the indirect causes is too difficult to reach health services and the lack of pregnancy knowledge. On the other hand, Android smartphone development of communications technology has increased compared to users of other devices, e.g. blackberry, which has dropped from 11.5% to 4.8% while the android market share has grown from 46.9% up to 68.1%. This increasing is being an opportunity for the software developers to design some software based on Android. The aim of this study was to facilitate the pregnant women to find out some information about the nutritional health, abstinence, calculate gestational age and nutrition based on the period of pregnancy. The information system was designed by using UML, the Eclipse IDE with the java programming language, MySQL as the database. The testing results showed that the nutrition information system based on android could help pregnant women to obtain health nutrition information such as nutrition, calories, dietary restrictions that should be avoided during the first month to the nine month of pregnancy, and the calculation of gestation.

  17. Food-induced acute generalized exanthematous pustulosis in a pregnant woman.

    Science.gov (United States)

    Valkova, Sonya

    2006-01-01

    A 21-year-old woman of Romany origin, in the third trimester of her fourth pregnancy, was admitted to the hospital because of a generalized erythematous and pustular eruption and desquamation involving her face, neck, trunk, and extremities. The skin changes were accompanied by fever (100.4 degrees F [38 degrees C]) and malaise. The patient was convinced that the dermatitis was induced by the consumption of "spoilt" pork sausage (bad smell, changed taste) approximately 24 hours earlier. Clinical examination revealed a woman with phototype III skin, black eyes, and black hair, in good general health. Widespread, symmetrical, moderately intense erythema and isolated or coalescing targetoid lesions studded with discrete, pinhead-sized, nonfollicular pustules in the center or at the periphery were distributed over her face, trunk, groins, and upper and lower extremities (Figures 1). On the neck and abdomen, lamellar desquamation was observed (Figure 2). Palms, soles, scalp, mucous membranes, hair, and nails were not affected. Nikolsky's sign was negative. The patient complained of very slight skin burning and itching. The pregnancy was proceeding without any complications and her obstetric status was normal. The woman had neither any accompanying diseases, nor previous personal or family history of psoriasis, nor any known allergies. She had taken no systemic medication (not even vitamins). She had three pregnancies; two ended with the delivery of healthy babies and one of them was aborted at her will. Laboratory studies revealed leukocytosis (13.2 x 109/L), neutrophilia (8 x 109/L), anemia (hemoglobin, 108 g/L), and an elevated erythrocyte sedimentation rate (68-110 mm/h). The results from the following investigations were normal: urinalysis, renal and hepatic function, serum albumin, Ca, Na, K, aspartate aminotransferase titer, cryoprotein, hepatitis B surface antigen, and serum markers for syphilis. Bacterial and fungal cultures of pustular content were sterile. A

  18. Abdominal Wall Desmoid Tumor in a Pregnant Woman and Cesarean Section Managment

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    M Mojibian

    2013-08-01

    Full Text Available Increased risk of sporadic desmoid tumor occurs in increased estrogen level (pregnancy and surgical incisions (abdominal and thorasic. The frequency of desmoid tumors in the general population is 2.4 to 4.3 cases. The case is 30 year old woman with history of previous cesarean section. In fourth month of pregnancy,ultrasonography revealed a 5×7 cm mass in lower segment of the uterus(leiomyoma. The tumor diameter was 20 cm in term gestation. The time of cesarean , incision of skin was done above the umbilicus and below the sternum and incision of uterus was done from fondus vertically down. After delivery, the mass which was separated from uterus and located in the abdominal wall was extracted. The histological investigation diagnosed a desmoid tumor.

  19. Toxoplasmic encephalitis in an HIV infected pregnant woman: successful outcome for both mother and child

    Directory of Open Access Journals (Sweden)

    Susie Andries Nogueira

    Full Text Available This report describes a case of Toxoplasma encephalitis during pregnancy of an HIV infected woman who was severely immunosuppressed (CD4: 17 cells/mm3, had a high viral load (RNA PCR:230,000 copies/ml, was treated with sulfadiazine, pyrimethamine and folinic acid for toxoplasmosis and was being treated with highly potent antiretroviral drugs (AZT, 3TC and nelfinavir for HIV infection. The newborn was born through an elective C-section, received six weeks of AZT according to the 076 protocol and was clinically normal at birth. Subsequently he had two RNA PCR negatives for HIV, seroreverted and had no clinical or laboratory evidence of congenital toxoplasmosis. Despite the concerns of the use of these combined therapies on the foetus during pregnancy, their efficacy illustrates that keeping the mother alive and in good health is an important strategy to protect the unborn child from acquiring these two infections.

  20. Acute splenic sequestration in a pregnant woman with homozygous sickle-cell anemia

    Directory of Open Access Journals (Sweden)

    Carolina Bastos Maia

    Full Text Available CONTEXT Homozygous (SS sickle-cell anemia complicated by acute splenic sequestration in adults is a rare event, and it has never been reported during pregnancy. CASE REPORT A 25-year-old woman with homozygous (SS sickle-cell disease was hospitalized at 32 weeks' of gestation presenting weakness, abdominal pain, fever and hemoglobin of 2.4 g/dl. Abnormal fetal heart rate was detected by means of cardiotocography, and 5 units of packed red cells were transfused. Cesarean was performed at 37 weeks. Both mother and baby were discharged in a good general condition. CONCLUSION This case report demonstrates the importance of immediate blood transfusion for treatment of fetal distress in cases of splenic sequestration during pregnancy. This treatment is essential for avoiding maternal and fetal complications.

  1. Toxoplasmic encephalitis in an HIV infected pregnant woman: successful outcome for both mother and child

    Directory of Open Access Journals (Sweden)

    Susie Andries Nogueira

    2002-08-01

    Full Text Available This report describes a case of Toxoplasma encephalitis during pregnancy of an HIV infected woman who was severely immunosuppressed (CD4: 17 cells/mm3, had a high viral load (RNA PCR:230,000 copies/ml, was treated with sulfadiazine, pyrimethamine and folinic acid for toxoplasmosis and was being treated with highly potent antiretroviral drugs (AZT, 3TC and nelfinavir for HIV infection. The newborn was born through an elective C-section, received six weeks of AZT according to the 076 protocol and was clinically normal at birth. Subsequently he had two RNA PCR negatives for HIV, seroreverted and had no clinical or laboratory evidence of congenital toxoplasmosis. Despite the concerns of the use of these combined therapies on the foetus during pregnancy, their efficacy illustrates that keeping the mother alive and in good health is an important strategy to protect the unborn child from acquiring these two infections.

  2. `Stalkitis` in a pregnant 32-year-old woman: A rare cause of diabetes insipidus

    Energy Technology Data Exchange (ETDEWEB)

    Leggett, D.A.C.; Anderson, R.J. [Wesley Hospital, Brisbane, QLD (Australia); Hill, P.T. [Ballow Chambers, Brisbane, QLD (Australia)

    1999-02-01

    A case of lymphocytic infundibulo-neurohypophysitis (LINH) or `stalkitis` in a 32-year-old woman who presented with diabetes insipidus (DI) during pregnancy is reported here. The diagnosis was made with MR imaging. The clinical and radiological features of this rare disorder and the differential diagnosis of infundibular mass lesions are discussed. The differentiation from lymphocytic adenohypophysitis (LAH) is made. No improvement of the DI accompanying LINH is achieved with trans-sphenoidal surgery. Hence, recognition of typical cases with MR imaging and appropriate medical management avoids unnecessary neurosurgery. This is the second reported case of LINH during pregnancy and may suggest an association. Copyright (1999) Blackwell Science Pty Ltd 11 refs., 3 figs.

  3. Iatrogenic aspergillus infection of the central nervous system in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Lokuhetty Menaka

    2009-07-01

    Full Text Available A healthy postnatal woman succumbed to fulminant iatrogenic Aspergillus infection of the central nervous system, following accidental inoculation into the subarachnoid space at spinal anesthesia, during an outbreak of Aspergillus meningitis in Sri Lanka. Autopsy revealed extensive Aspergillus meningitis and culture confirmed Aspergillus fumigatus. The thalamic parenchyma in the brain was invaded by fungal hyphae producing necrotizing angitis with thrombosis, thalamic infarcts and fungal abscesses. The directional growth of fungal hyphae from the extra-luminal side of blood vessels towards the lumen favored extension from the brain parenchyma over hematogenous spread. The spinal parenchyma was resistant to fungal invasion in spite of the heavy growth within the spinal meninges and initial inoculation at spinal level. Modulation of the immune response in pregnancy with depression of selective aspects of cell-mediated immunity probably contributed to rapid spread within the subarachnoid space, to involve the brain parenchyma leading to clinical deterioration and death.

  4. Cannabis, the pregnant woman and her child: weeding out the myths.

    Science.gov (United States)

    Jaques, S C; Kingsbury, A; Henshcke, P; Chomchai, C; Clews, S; Falconer, J; Abdel-Latif, M E; Feller, J M; Oei, J L

    2014-06-01

    To review and summarise the literature reporting on cannabis use within western communities with specific reference to patterns of use, the pharmacology of its major psychoactive compounds, including placental and fetal transfer, and the impact of maternal cannabis use on pregnancy, the newborn infant and the developing child. Review of published articles, governmental guidelines and data and book chapters. Although cannabis is one of the most widely used illegal drugs, there is limited data about the prevalence of cannabis use in pregnant women, and it is likely that reported rates of exposure are significantly underestimated. With much of the available literature focusing on the impact of other illicit drugs such as opioids and stimulants, the effects of cannabis use in pregnancy on the developing fetus remain uncertain. Current evidence indicates that cannabis use both during pregnancy and lactation, may adversely affect neurodevelopment, especially during periods of critical brain growth both in the developing fetal brain and during adolescent maturation, with impacts on neuropsychiatric, behavioural and executive functioning. These reported effects may influence future adult productivity and lifetime outcomes. Despite the widespread use of cannabis by young women, there is limited information available about the impact perinatal cannabis use on the developing fetus and child, particularly the effects of cannabis use while breast feeding. Women who are using cannabis while pregnant and breast feeding should be advised of what is known about the potential adverse effects on fetal growth and development and encouraged to either stop using or decrease their use. Long-term follow-up of exposed children is crucial as neurocognitive and behavioural problems may benefit from early intervention aimed to reduce future problems such as delinquency, depression and substance use.

  5. Gastric cancer in a pregnant woman presenting with low back pain and bilateral erythematous breast hypertrophy mimicking primary inflammatory breast carcinoma.

    Science.gov (United States)

    Mandato, Vincenzo Dario; Pirillo, Debora; Gelli, Maria Carolina; Cavina, Maurizio; La Sala, Giovanni Battista

    2011-02-01

    This report describes the first case of a pregnant woman presenting low-back pain and breast pain associated with bilateral erythematous breast hypertrophy, proving to be the result of metastatic disease from a gastric carcinoma. A 30-year-old pregnant woman was admitted complaining of persistent severe low back pain, breast pain and concomitant bilateral erythematous breast hypertrophy, mimicking primary inflammatory breast carcinoma. During the caesarean section, widespread disease was found and finally metastatic gastric cancer was detected. Pregnant women with gastric cancer may present symptoms that are considered common during pregnancy. Common symptoms that present warning characteristics, such as the persistent severe pain observed in the presented case, should be carefully investigated as they may be the only warning signs and symptoms of rare ominous conditions such as gastric cancer.

  6. The prolongation of somatic support in a pregnant woman with brain-death: a case report

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    Amaral Eliana

    2006-04-01

    Full Text Available Abstract Background Medical literature has increasingly reported cases of maternal brain death during pregnancy. This is a rare situation which demands the decision and, depending on the gestational age, the implementation of a set of measures to prolong the homeostasis of the human body after brain death for the purpose of maintaining the foetus alive until its viability. Case presentation A 40 year old woman suffered an intracranial haemorrhage during the 25th week of pregnancy. Despite neurosurgical drainage of a gross intraparenchymatous haematoma, the patient developed brain death. Upon confirmation of this diagnosis, she received full ventilatory and nutritional support, vasoactive drugs, maintenance of normothermia, hormone replacement and other supportive measures required to prolong gestation and improve the survival prognosis of her foetus. All decisions regarding the patient's treatment were taken in consensus with her family. She also received corticosteroids to accelerate foetal lung maturity. During the twenty-five days of somatic support, the woman's condition remained stable; however, during the last seven days the foetus developed oligohydramnios and brain-sparring, which led the medical team to take the decision to perform a Caesarean section at that moment. After delivery, the patient's organs were removed for donation. The male infant was born weighing 815 g, with an Apgar score of 9 and 10 at the first and fifth minutes, respectively. The infant was admitted to the neonatal intensive care unit, but did not require mechanical ventilation and had no major complications. He was discharged at 40 days of life, with no sequelae and weighing 1850 g. Conclusion These results are in accordance with findings from previous studies and case reports suggesting the appropriateness and safety of extended somatic support during pregnancy under certain circumstances. They also suggest the need for prompt diagnosis of brain death before the

  7. Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman

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    Masaki Sekiguchi

    2014-01-01

    Full Text Available Calyceal diverticula are congenital, nonsecretory abnormalities in which the transitional cell-lined cavity communicates with the renal collecting system. Here we present the case of a calyceal diverticular abscess during pregnancy. A 40-year-old primiparous woman developed the abscess at 23 weeks of gestation, with right flank pain and a 37.8°C fever. A transabdominal ultrasound revealed a 12×10 cm cystic mass in the right kidney. She was initially diagnosed with a simple renal cyst infection, and intravenous antibiotics were initiated. Percutaneous drainage was started at 26 weeks of gestation. When urine excretion from the cyst was confirmed by dye test using indigotindisulfonate sodium, the patient was diagnosed with a calyceal diverticular abscess. She gave birth to a 2,870 g healthy male at 38 weeks of gestation. Percutaneous drainage with low-dose antimicrobial therapy could thus allow for the continued pregnancy of women with a calyceal diverticular abscess until full term.

  8. Refractory High Intracranial Pressure following Intraventricular Hemorrhage due to Moyamoya Disease in a Pregnant Caucasian Woman

    Science.gov (United States)

    Montiel, Virginie; Grandin, Cécile; Goffette, Pierre; Fomekong, Edward; Hantson, Philippe

    2009-01-01

    Intraventricular hemorrhage during pregnancy is usually followed by a poor recovery. When caused by moyamoya disease, ischemic or hemorrhagic episodes may complicate the management of high intracranial pressure. A 26-year-old Caucasian woman presented with generalized seizures and a Glasgow Coma Score (GCS) of 3 during the 36th week of pregnancy. The fetus was delivered by caesarean section. The brain CT in the mother revealed bilateral intraventricular hemorrhage, a callosal hematoma, hydrocephalus and right frontal ischemia. Refractory high intracranial pressure developed and required bilateral ventricular drainage and intensive care treatment with barbiturates and hypothermia. Magnetic resonance imaging and cerebral angiography revealed a moyamoya syndrome with rupture of the abnormal collateral vascular network as the cause of the hemorrhage. Intracranial pressure could only be controlled after the surgical removal of the clots after a large opening of the right ventricle. Despite an initially low GCS, this patient made a good functional recovery at one year follow-up. Management of refractory high intracranial pressure following moyamoya related intraventricular bleeding should require optimal removal of ventricular clots and appropriate control of cerebral hemodynamics to avoid ischemic or hemorrhagic complications. PMID:20508823

  9. Refractory High Intracranial Pressure following Intraventricular Hemorrhage due to Moyamoya Disease in a Pregnant Caucasian Woman

    Directory of Open Access Journals (Sweden)

    Virginie Montiel

    2009-02-01

    Full Text Available Intraventricular hemorrhage during pregnancy is usually followed by a poor recovery. When caused by moyamoya disease, ischemic or hemorrhagic episodes may complicate the management of high intracranial pressure. A 26-year-old Caucasian woman presented with generalized seizures and a Glasgow Coma Score (GCS of 3 during the 36th week of pregnancy. The fetus was delivered by caesarean section. The brain CT in the mother revealed bilateral intraventricular hemorrhage, a callosal hematoma, hydrocephalus and right frontal ischemia. Refractory high intracranial pressure developed and required bilateral ventricular drainage and intensive care treatment with barbiturates and hypothermia. Magnetic resonance imaging and cerebral angiography revealed a moyamoya syndrome with rupture of the abnormal collateral vascular network as the cause of the hemorrhage. Intracranial pressure could only be controlled after the surgical removal of the clots after a large opening of the right ventricle. Despite an initially low GCS, this patient made a good functional recovery at one year follow-up. Management of refractory high intracranial pressure following moyamoya related intraventricular bleeding should require optimal removal of ventricular clots and appropriate control of cerebral hemodynamics to avoid ischemic or hemorrhagic complications.

  10. Insertion of self-expanding metal stent for treatment of malignant obstruction in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Noelia Alonso-Lázaro

    2014-03-01

    Full Text Available Colorectal cancer (CRC is the second most frequent cancer both in incidence and mortality in women, especially in those over 60 years of age. Diagnosis in women at gestational age is rare, so its incidence during pregnancy is low. However, an increase in its diagnosis is expected during the next years because of the raise in the average age of pregnancy. In most cases, the diagnosis is delayed because symptoms related to CRC can be attributed to pregnancy itself. Up to 30 % of CRC cases may present as an intestinal obstruction. In this situation, the main objective is to solve the clinical emergency in the safest way for mother and fetus, together with performing an accurate diagnostic approach to offer the best possible therapeutic management knowing the limitations and difficulties related to pregnancy. The self-expanding metallic stent (SEMS can be particularly useful in colon obstruction in a pregnant patient with CRC because it allows solving the acute condition providing time to perform a more accurate staging study and to prepare the patient for surgery, thus reducing both post-surgical morbidity and mortality. We report on the case of a patient who early in the second trimester of pregnancy presented with an acute colonic obstruction due to CRC which was successfully managed with the placement of a self-expanding metal stent.

  11. Severe hypercholesterolemia associated with primary biliary cirrhosis in a 44-year-old Japanese woman

    Institute of Scientific and Technical Information of China (English)

    Tatsuo Kanda; Osamu Yokosuka; Hiroshige Kojima; Fumio Imazeki; Keiich Nagao; Ichiro Tatsuno; Yasushi Saito; Hiromitsu Saisho

    2004-01-01

    A 44-year-old woman developed jaundice and was diagnosed as stage Ⅱ of primary biliary cirrhosis (PBC). She showed a severely high total cholesterol level. This article focuses on atypical presentations of PBC and the need to test the total cholesterol level of PBC patients.

  12. Community Norms and Human Rights: Supervising Haitian Colleagues on Interpersonal Psychotherapy (IPT) With a Depressed and Abused Pregnant Woman.

    Science.gov (United States)

    Verdeli, Helen; Therosme, Tatiana; Eustache, Eddy; Hilaire, Olissaint St; Joseph, Benissois; Sönmez, Cemile Ceren; Raviola, Giuseppe

    2016-08-01

    After the 2010 Haiti earthquake, Zanmi Lasante, a local health care organization, implemented a collaborative stepped-care model to address depression in community and primary care settings in rural Haiti. Specialized community health workers, the ajans santé, collaborate with local psychologists and primary care doctors to offer home-based evaluation, support, and follow-up. The services include brief interpersonal psychotherapy (IPT) and/or medication to persons who met locally defined criteria for depression. A cross-national (Haiti-United States) expert mental health team has been overseeing the program. The present IPT supervision case of a severely depressed, physically abused, and pregnant young woman illustrates the U.S.-based supervisor's internal struggle to reconcile awareness of and respect for local norms while maintaining a human rights-based framework. It also highlights the critical role of community health workers in addressing the mental health treatment gap in regions plagued by extreme poverty and adversity. © 2016 Wiley Periodicals, Inc.

  13. Helen Kim as New Woman and Collaborator: A Comprehensive Assessment of Korean Collaboration under Japanese Colonial Rule

    Directory of Open Access Journals (Sweden)

    AhRan Ellie Bae

    2017-02-01

    Full Text Available Although almost seventy years has passed since Korea's liberation from Japanese rule, the issue of collaboration still haunts Korea today. Attempts to resolve this issue have tended to focus attention on the traitorous actions of "collaborators" without considering the gray areas that surround their actions such as the circumstances that influenced the accused to commit their alleged traitorous acts and the intentions that drove their decisions. Helen Kim, as a "new woman" and an educator, valued the necessity of providing education for women. Yet, her efforts to realize this goal, to the contrary, forced her into actions that would later be used to construct a reputation as a Japanese collaborator. Korea's nationalist historiography has a tendency to polarize this issue by categorizing a "collaborator" as either a traitor or a patriot. However, when we take a closer look at these collaborators' lives, we discover that most collaboration happened in gray areas where it is often difficult to clearly draw a line between treason and collaboration. Helen Kim's case suggests that the issue of collaboration cannot be fully explained by nationalist historiography's framework and we must give attention to these gray areas. Through her story I hope to complicate the issue of collaboration by raising questions that address the gray areas that surround the actions of "collaborators." In doing so, I hope to challenge the nationalist historiography's propensity to oversimplify this issue and present a more nuanced understanding of it.

  14. [Attitudes of pregnant Japanese women and folic acid intake for the prevention of neural tube defects: a nationwide Internet survey].

    Science.gov (United States)

    Sato, Yoko; Nakanishi, Tomoko; Chiba, Tsuyoshi; Umegaki, Keizo

    2014-01-01

    Folic acid intake is recommended for pregnant women because it significantly reduces the risk of neural tube defects (NTD) in the fetus. However, the risk of NTD remains medium in Japan. In this study, the attitudes of pregnant Japanese women and factors related to folic acid intake for the prevention of NTD were evaluated using a nationwide survey. An Internet-based questionnaire was conducted on 2,367 pregnant Japanese women who were registrants of a Japanese social research company in January 2012; 1,236 of these women responded. In the questionnaires, the knowledge regarding the folate intake (i.e., name of folic acid, the risk of NTD, recommended doses, and timing), actual intake of folic acid, demographic factors (i.e., age, geographical area, gestational age, and birth order), and intake of dietary supplements were surveyed. Eighty-five percent of respondents consumed folate, which was mostly obtained through dietary folic acid supplements during the first month of pregnancy or after. Factors associated with loss of folic acid intake until 3 months of pregnancy included lack of knowledge, failure to consume dietary supplements, younger age, and multigravida. Many pregnant women in Japan consumed folic acid. However, most of them started supplementation after pregnancy recognition, which is too late to reduce the risk of NTD. Alternative strategies to increase the efficacy of folic acid intake, such as recommending folic acid-enriched foods, promoting folic acid fortification efforts, and providing access to practical information, are necessary.

  15. Hemolytic–uremic syndrome with acute encephalopathy in a pregnant woman infected with epidemic enterohemorrhagic Escherichia coli: characteristic brain images and cytokine profiles

    OpenAIRE

    Ito, M.; Shiozaki, A; Shimizu, M; Saito, S

    2015-01-01

    A food-poisoning outbreak due to enterohemorrhagic Escherichia coli (EHEC) occurred in Toyama, Japan. The case of a 26-year-old pregnant woman with hemolytic–uremic syndrome who developed acute encephalopathy due to EHEC infection after eating raw meat is presented herein. On day 2 following admission, a cesarean section was performed because of a non-reassuring fetal status. Fecal bacterial culture confirmed an O111/O157 superinfection. Intensive care therapies including continuous hemodiafi...

  16. Unexpected depletion in plasma choline and phosphatidylcholine concentrations in a pregnant woman with bipolar affective disorder being treated with lithuim, haloperidol and benztropine: a case report

    OpenAIRE

    2008-01-01

    Abstract Introduction Patients with bipolar affective disorder can be effectively managed with pharmacological intervention. This case report describes a pregnant woman with a ten-year history of bipolar affective disorder that was being treated with lithium, haloperidol and benztropine. Case presentation The patient had a normal pregnancy, but developed an elevated blood pressure and started to lose weight at 36 weeks of gestation. During pregnancy, plasma concentrations of choline and phosp...

  17. Hypokalemia-Induced Rhabdomyolysis as a result of Distal Renal Tubular Acidosis in a Pregnant Woman: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Manasawee Srisuttayasathien

    2015-01-01

    Full Text Available Rhabdomyolysis in pregnancy is a rare occurrence. The manifestation of distal renal tubular acidosis (RTA for the first time during adulthood is uncommon. According to a review of the literature, pregnancy may predispose individuals to rhabdomyolysis due to hypokalemia. A reduction in interstitial potassium ions could decrease muscular blood flow and lead to muscle injury. This report describes the case of a pregnant woman with rhabdomyolysis induced by hypokalemia resulting from distal RTA. The patient subsequently delivered a healthy newborn.

  18. Molecular analysis of Dirofilaria repens removed from a subcutaneous nodule in a Japanese woman after a tour to Europe

    Directory of Open Access Journals (Sweden)

    Suzuki Jun

    2015-01-01

    Full Text Available A premature female Dirofilaria species, subsequently identified as Dirofilaria repens by its morphological features and mitochondrial 12S ribosomal RNA (12S rRNA gene sequence, was removed from a subcutaneous nodule of the right temporal region of the head in a Japanese woman 2 years after she noticed swelling of her left calf following an insect sting during a tour to Europe; headache symptoms were noticed a few months later. The sequences of the mitochondrial 12S rRNA and cytochrome c oxidase subunit I genes from the organism were almost identical to those of sequences AM779772 (100% homology, 337/337 and AM749233 (99.8% homology, 536/537 of D. repens isolated from humans in Italy. However, the phylogenetic position of the 18S rRNA-internal transcribed spacer 1-5.8S rRNA region was in the same cluster as that of sequence JX290195 of Dirofilaria sp. “hongkongensis” (96.7% homology, 348/360, which was recently reported from Hong Kong as a novel Dirofilaria species. Information on regional genetic variation in D. repens isolated from animals and humans remains scarce. We report the detailed genetic features of this filaria as a reference isolate from a specific endemic area, to enrich the genetic database of D. repens.

  19. Animal-type malignant melanoma associated with nevus of Ota in the orbit of a Japanese woman: a case report.

    Science.gov (United States)

    Nitta, Keisuke; Kashima, Tomoyuki; Mayuzumi, Hideyasu; Akiyama, Hideo; Miyanaga, Tomomi; Hirato, Junko; Kishi, Shoji

    2014-06-01

    We present a patient with an animal-type malignant melanoma associated with the nevus of Ota in the orbit who showed a good prognosis after a combination of orbital extirpation, chemotherapy, stereotactic radiotherapy, and gamma knife. A 42-year-old Japanese woman presented with two tumors, one pathologically diagnosed as right-sided intraconal animal-type malignant melanoma and the other intracranially, presumed to be of the same pathogenesis and both were considered to have arisen from the nevus of Ota. She underwent an extirpation of the orbit, chemotherapy (DAV therapy, which is a combination of dacarbazine, nimustine, and vincristine), stereotactic radiotherapy (54 Gy in 27 fractions), and gamma knife (marginal dose was 17 Gy, target volume was 0.2 ml). She has been alive for 33 months since the extirpation, with no sign of local recurrence, new metastasis, nor enlargement of the intracranial tumor. Not just combination therapy but also the low malignancy of animal-type melanoma may have contributed toward the good prognosis.

  20. Meeting the health and social care needs of pregnant asylum seekers; midwifery students' perspectives: part 3; "the pregnant woman within the global context"; an inclusive model for midwifery education to address the needs of asylum seeking women in the UK.

    Science.gov (United States)

    Haith-Cooper, Melanie; Bradshaw, Gwendolen

    2013-09-01

    to describe the conceptualisation and development of an inclusive educational model. The model is designed to facilitate pre-registration midwifery students' learning around the health and social care needs of pregnant women seeking asylum in the United Kingdom. current literature has identified a concern about the standard of maternity care experienced by asylum seeking women accessing maternity services in the United Kingdom. In response to this, a doctorate study was undertaken which focused on examining the way in which a group of midwifery students approached the provision of care for asylum seekers. This study revealed difficulties that these students had both in identifying these women's needs and also in the wider care issues in practice. Consequently, one of the recommendations was to ameliorate these difficulties through midwifery education. the key findings from this study were used together with relevant supporting literature to construct "the pregnant woman within the global context" model for midwifery education. The model is designed to facilitate a holistic assessment of need rather than focusing on the physical assessment at the expense of other aspects of care. It incorporates wider factors, on a global level, which could impact on the health and social care needs of a pregnant woman seeking asylum. It also prompts students to consider the influence of dominant discourses on perceptions of asylum seek;ing and is designed to encourage students' to question these discourses. this model can be used in midwifery education to prepare students in caring for pregnant women seeking asylum. It may be especially helpful when students have close contact with pregnant women seeking asylum, for example through caseloading. Further research is recommended to evaluate the effectiveness of this model in enhancing the care of asylum seeking women in the United Kingdom. Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.

  1. Hemolytic–uremic syndrome with acute encephalopathy in a pregnant woman infected with epidemic enterohemorrhagic Escherichia coli: characteristic brain images and cytokine profiles

    Directory of Open Access Journals (Sweden)

    M. Ito

    2015-05-01

    Full Text Available A food-poisoning outbreak due to enterohemorrhagic Escherichia coli (EHEC occurred in Toyama, Japan. The case of a 26-year-old pregnant woman with hemolytic–uremic syndrome who developed acute encephalopathy due to EHEC infection after eating raw meat is presented herein. On day 2 following admission, a cesarean section was performed because of a non-reassuring fetal status. Fecal bacterial culture confirmed an O111/O157 superinfection. Intensive care therapies including continuous hemodiafiltration and plasma exchange were performed. After the operation, the patient developed encephalopathy for which steroid pulse therapy was added. Her condition improved gradually and she was discharged 55 days after delivery.

  2. Thyroid dose of I-131 absorbed by the internal organs of a pregnant woman; Dosis tiroidea de I-131 absorbida por los organos internos de una embarazada

    Energy Technology Data Exchange (ETDEWEB)

    Arcos P, A.; Manzanares A, E.; Vega C, H.R.; Leon, C.L. de [Cuerpo Academico de Radiobiologia de la Universidad Autonoma de Zacatecas (Mexico)]. e-mail: emanz_44@yahoo.com

    2007-07-01

    The use of nuclear techniques, for diagnosis or treatment, generates stress in the patient and its relatives. During the pregnancy some sufferings related with the thyroid gland can be presented. If the patient is pregnant, OEP or NOEP, the stress comes from the fear to that the product can it turns affected. The dose is calculated that the Iodine 131, captured by the thyroid of a woman with three months of pregnancy, it deposits in the brain, stomach, heart, kidneys, liver, lungs, ovaries, pancreas, thymus, spleen and in the uterus. The thymus is the organ that receives the biggest dose. (Author)

  3. Diffuse Venous Malformation of the Uterus in a Pregnant Woman with Klippel-Trénaunay Syndrome Diagnosed by DCE-MRI

    Directory of Open Access Journals (Sweden)

    Nana Yara

    2016-01-01

    Full Text Available Background. We experienced a rare case of a pregnant woman with Klippel-Trénaunay syndrome complicated with diffuse venous malformation of the uterus. This is the first report on the usefulness of dynamic contrast-enhanced-MRI for the diagnosis of diffuse venous malformation of the uterus. Case Presentation. A 23-year-old woman presented with convulsions and talipes equinus position of both lower limbs at 11 weeks of gestation. At 27 weeks, ultrasonography demonstrated tubular echolucent spaces throughout the myometrium. Dynamic MRI at 37 weeks revealed that the myometrial lesion was enhanced slowly and showed homogeneous enhancement even on a 10 min delayed image. Taken together with unilateral foot hypertrophy, varices, and port-wine stain, the patient was diagnosed as having Klippel-Trénaunay syndrome complicated with diffuse venous malformation of the pregnant uterus. The patient underwent elective cesarean section because of severe dystonia. The lower uterine segment was thickened and heavy venous blood flow was observed at the incision. Histological diagnosis of the myometrial biopsy specimen was venous malformation. Conclusions. Both diffuse venous malformation and Klippel-Trénaunay syndrome during pregnancy can involve considerable complications, in particular, massive bleeding during labor. Women who suffer from this syndrome should be advised about the risk of complications of pregnancy.

  4. Diffuse Venous Malformation of the Uterus in a Pregnant Woman with Klippel-Trénaunay Syndrome Diagnosed by DCE-MRI.

    Science.gov (United States)

    Yara, Nana; Masamoto, Hitoshi; Iraha, Yuko; Wakayama, Akihiko; Chinen, Yukiko; Nitta, Hayase; Kinjo, Tadatsugu; Aoki, Yoichi

    2016-01-01

    Background. We experienced a rare case of a pregnant woman with Klippel-Trénaunay syndrome complicated with diffuse venous malformation of the uterus. This is the first report on the usefulness of dynamic contrast-enhanced-MRI for the diagnosis of diffuse venous malformation of the uterus. Case Presentation. A 23-year-old woman presented with convulsions and talipes equinus position of both lower limbs at 11 weeks of gestation. At 27 weeks, ultrasonography demonstrated tubular echolucent spaces throughout the myometrium. Dynamic MRI at 37 weeks revealed that the myometrial lesion was enhanced slowly and showed homogeneous enhancement even on a 10 min delayed image. Taken together with unilateral foot hypertrophy, varices, and port-wine stain, the patient was diagnosed as having Klippel-Trénaunay syndrome complicated with diffuse venous malformation of the pregnant uterus. The patient underwent elective cesarean section because of severe dystonia. The lower uterine segment was thickened and heavy venous blood flow was observed at the incision. Histological diagnosis of the myometrial biopsy specimen was venous malformation. Conclusions. Both diffuse venous malformation and Klippel-Trénaunay syndrome during pregnancy can involve considerable complications, in particular, massive bleeding during labor. Women who suffer from this syndrome should be advised about the risk of complications of pregnancy.

  5. Experience of nursing care of pregnant woman with premature rupture of membranes%胎膜早破孕妇的护理体会

    Institute of Scientific and Technical Information of China (English)

    毛秀琴

    2015-01-01

    Objective:To investigate the cause of premature rupture of membranes,to take effective nursing measures to reduce its harm.Methods:36 cases of pregnant women with premature rupture of membranes were selected.They were given effective treatment and nursing.We observed the effect.Results:Taking effective nursing measures for pregnant woman with premature rupture of membranes at duration of pregnancy could obtain satisfactory clinical effects.Conclusion:The correct treatment for pregnant woman with premature rupture of membranes,good nuring for premature rupture of membranes and active prevention of complications can reduce maternal puerperal infection and neonatal mortality rate.%目的:探讨胎膜早破的原因,采取有效的护理措施减少对母婴的危害。方法:收治胎膜早破孕妇36例,实施有效的治疗和护理,观察效果。结果:对妊娠期胎膜早破不同孕周的孕妇采取合理有效的护理措施可取得满意的临床效果。结论:正确处理胎膜早破的孕妇,做好胎膜早破的护理,积极预防并发症发生,可减少孕妇产褥感染率及新生儿病死率。

  6. I am a woman and i'm pregnant: body image of women in Taiwan during the third trimester of pregnancy.

    Science.gov (United States)

    Chang, Shiow-Ru; Chao, Yu-Mei Yu; Kenney, Nancy J

    2006-06-01

    Women's body image in late pregnancy and its relationship to the assumption of the maternal role have not been fully addressed in transitional cultures like that of Taiwan. The purpose of this qualitative study was to explore body image and body satisfaction of women in Taiwan during the third trimester of pregnancy. Eighteen women in the 29th to 39th week of pregnancy who were receiving prenatal examinations at clinics at a medical center in Taipei, Taiwan, took part in open-ended, face-to-face interviews concentrating on the women's reactions to the changes in their bodies. Interviews were analyzed using a phenomenological approach. Two major themes central to women's experience of their bodies during late pregnancy were identified. One theme, "My body: where did it go?" reflects women's use of nonpregnant adult female standards of beauty to assess their pregnant bodies and their hope of regaining their "feminine self" after childbirth. The other theme, "My body = my baby's body," reflects women's view of the changes in their bodies as an indication of their baby's health and growth and as a sign of their adequacy as mothers. Conflict between "what is good for me as a woman" and "what is good for my child or for me as a mother" is very apparent when examining women's experience of late pregnancy. Awareness of the complexity of body-related experiences of pregnant women will help to identify sources of stress and concern that may interfere with the pregnant woman's self-identity, her social functioning, and even her experience of birth itself, and may help health care professionals provide better social support and care for women approaching the end of pregnancy.

  7. [Vaginal colonization of the Streptococcus agalactiae in pregnant woman in Tunisia: risk factors and susceptibility of isolates to antibiotics].

    Science.gov (United States)

    Ferjani, A; Ben Abdallah, H; Ben Saida, N; Gozzi, C; Boukadida, J

    2006-05-01

    Streptococcus agalactiae or Group B Streptococcus (GBS) is one of the main bacterial causes of serious infections in newborns. We have evaluated prospectively GBS vaginal colonization in pregnant women and we have tried to determine the risk factors of the colonization by GBS and the particularities of the different isolated strains. We have screened 300 pregnant women with vaginal and anal sample in a same swab. Thirty nine (13%) pregnant women are colonized by SGB, 0% in the first trimester, 10.2% in the second trimester and 17% in the third trimester. Different factors are associated significantly with GBS colonization: past history of infection in newborns, genital infection during pregnancy and parity The highest rates of resistance are found in tetracycline (97.4%), erythromycin (51.3%) and lincomycin (46.2%). All the strains were susceptible to amoxicilin and pristinamycin.

  8. Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation.

    Science.gov (United States)

    Gopčević, A; Rode, B; Vučić, M; Horvat, A; Širanović, M; Gavranović, Ž; Košec, V; Košec, A

    2017-06-24

    Maternal brain death during pregnancy remains an exceedingly complex situation that requires not only a well-considered medical management plan, but also careful decision-making in a legally and ethically delicate situation. Management of brain dead pregnant patients needs to adhere to special strategies that support the mother in a way that she can deliver a viable and healthy child. Brain death in pregnant women is very rare, with only a few published cases. We present a case of a pregnant woman with previously diagnosed multiple brain cavernomas that led to intracranial hemorrhage and brain stem death during the 21st week of pregnancy. The condition that can unequivocally be proven, using tests that do not endanger viability of the fetus, is brain stem death, diagnosed through absence of cranial reflexes. The patient was successfully treated until delivery of a healthy female child at 29weeks of gestation. The patient received continuous hormone substitution therapy, fetal monitoring and extrinsic regulation of maternal homeostasis over 64days. After delivery, the final diagnosis of brain death was established through multi-slice computer tomography pan-angiography. This challenging case discusses ethical and medical circumstances arising from a diagnosis of maternal brain death, while showing that prolongation of somatic life support in a multidisciplinary setting can result in a successful pregnancy outcome. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Comparative study on thyroid health conditions between urban pregnant woman and rural pregnant women in Zhoushan City%舟山新区城乡孕妇甲状腺健康状况对比研究

    Institute of Scientific and Technical Information of China (English)

    花晓艳; 徐海耿

    2015-01-01

    Objective To investigate the difference in thyroid healthy situation between urban pregnant women and rural pregnant women in Zhoushan City and the related influencing factors. Methods Urban pregnant women and rural pregnant women chosen by similar age were surveyed by questionnaires. Their thyroid conditions were assayed by B-ultrasonography, and serum levels of thyroid hormone were detected by DXI800. The influencing factors were analyzed by Binary Logistic regression. Results In late pregnancy group, serum level of TT3 in urban pregnant woman was lower than that in rural pregnant women (1. 80 ± 0. 14nmol/L vs 2. 06 ± 0. 12nmol/L), and the difference was significant (F= -6. 26,P<0. 05). For urban pregnant women passive smoking was risk factor (OR=2. 28,95%CI:1. 58-4. 58, P<0.05), while for rural pregnant women risk factor included annual income (OR =2. 23,95%CI:1. 28 -4. 36,P <0. 05) and passive smoking (OR=3. 38, 95%CI:1. 18-8. 74,P<0. 01). Conclusion Strengthening monitor on TT3 level and adjusting living habit and environment of pregnant woman, especially rural pregnant women, are important measures for prevention and control of thyroid disease in Zhoushan City.%目的:调查和了解舟山城镇和乡村间孕妇甲状腺健康状况的差异及相关影响因素。方法按年龄频数进行匹配抽取舟山城镇和乡村地区孕妇,开展流行病学问卷调查、甲状腺B超检查、甲状腺素测定,Logistic回归分析影响因素并进行对比分析。结果在晚孕组中,城镇孕妇的三碘甲腺原氨酸(TT3)水平(1.80±0.14nmol/L)显著低于乡村组(2.06±0.12nmol/L),差异具有统计学意义(F=-6.26,P<0.05)。城镇孕妇中,被动吸烟是危险因素,≥6年的优势比是<6年的2.28倍(95%CI:1.58~4.58,P<0.05);乡村孕妇中,年收入是危险因素,≥50000元的优势比是<50000元的2.23倍(95%CI:1.28~4.36,P<0.05),被动吸烟是危险因素,≥6年的优势比是<6年的3.38倍(95%CI:1.18~8.74,P<0.01)。结

  10. What's a Pregnant Woman to Eat? A Review of Current USDA Dietary Guidelines and MyPyramid

    OpenAIRE

    2006-01-01

    The purpose of this article is to clarify the nutritional recommendations for pregnant women in light of the new Food Guide Pyramid, known as “MyPyramid,” along with the Dietary Guidelines for Americans 2005 and recommendations by the Institute of Medicine. The differences between the Food Guide Pyramid (introduced in 1992) and the more recent, color-coded MyPyramid (introduced in 2005) are discussed. A list of nutritional recommendations for pregnant women is presented, which may serve as a ...

  11. Oocyte donation is associated with an increased risk of complications in the pregnant woman and the fetus

    DEFF Research Database (Denmark)

    Bach Storgaard, Marianne; Lauesgaard, Sara Sofia Malchau; Loft, Anne

    2017-01-01

    In Denmark, oocyte donation is allowed for women below 46 years of age if sperm from the woman's husband/partner is used, thus assuring genetic relationship with one parent. New legislation has provided more donors implying both shorter waiting time until treatment and more pregnancies achieved w...

  12. Association between Lactobacillus species and bacterial vaginosis-related bacteria, and bacterial vaginosis scores in pregnant Japanese women

    Directory of Open Access Journals (Sweden)

    Yamada Hideto

    2007-11-01

    Full Text Available Abstract Background Bacterial vaginosis (BV, the etiology of which is still uncertain, increases the risk of preterm birth. Recent PCR-based studies suggested that BV is associated with complex vaginal bacterial communities, including many newly recognized bacterial species in non-pregnant women. Methods To examine whether these bacteria are also involved in BV in pregnant Japanese women, vaginal fluid samples were taken from 132 women, classified as normal (n = 98, intermediate (n = 21, or BV (n = 13 using the Nugent gram stain criteria, and studied. DNA extracted from these samples was analyzed for bacterial sequences of any Lactobacillus, four Lactobacillus species, and four BV-related bacteria by PCR with primers for 16S ribosomal DNA including a universal Lactobacillus primer, Lactobacillus species-specific primers for L. crispatus, L. jensenii, L. gasseri, and L. iners, and BV-related bacterium-specific primers for BVAB2, Megasphaera, Leptotrichia, and Eggerthella-like bacterium. Results The prevalences of L. crispatus, L. jensenii, and L. gasseri were significantly higher, while those of BVAB2, Megasphaera, Leptotrichia, and Eggerthella-like bacterium were significantly lower in the normal group than in the BV group. Unlike other Lactobacillus species, the prevalence of L. iners did not differ between the three groups and women with L. iners were significantly more likely to have BVAB2, Megasphaera, Leptotrichia, and Eggerthella-like bacterium. Linear regression analysis revealed associations of BVAB2 and Megasphaera with Nugent score, and multivariate regression analyses suggested a close relationship between Eggerthella-like bacterium and BV. Conclusion The BV-related bacteria, including BVAB2, Megasphaera, Leptotrichia, and Eggerthella-like bacterium, are common in the vagina of pregnant Japanese women with BV. The presence of L. iners may be correlated with vaginal colonization by these BV-related bacteria.

  13. Hemolytic-uremic syndrome with acute encephalopathy in a pregnant woman infected with epidemic enterohemorrhagic Escherichia coli: characteristic brain images and cytokine profiles.

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    Ito, M; Shiozaki, A; Shimizu, M; Saito, S

    2015-05-01

    A food-poisoning outbreak due to enterohemorrhagic Escherichia coli (EHEC) occurred in Toyama, Japan. The case of a 26-year-old pregnant woman with hemolytic-uremic syndrome who developed acute encephalopathy due to EHEC infection after eating raw meat is presented herein. On day 2 following admission, a cesarean section was performed because of a non-reassuring fetal status. Fecal bacterial culture confirmed an O111/O157 superinfection. Intensive care therapies including continuous hemodiafiltration and plasma exchange were performed. After the operation, the patient developed encephalopathy for which steroid pulse therapy was added. Her condition improved gradually and she was discharged 55 days after delivery. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  14. Unexpected depletion in plasma choline and phosphatidylcholine concentrations in a pregnant woman with bipolar affective disorder being treated with lithuim, haloperidol and benztropine: a case report

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    Gossell-Williams Maxine

    2008-02-01

    Full Text Available Abstract Introduction Patients with bipolar affective disorder can be effectively managed with pharmacological intervention. This case report describes a pregnant woman with a ten-year history of bipolar affective disorder that was being treated with lithium, haloperidol and benztropine. Case presentation The patient had a normal pregnancy, but developed an elevated blood pressure and started to lose weight at 36 weeks of gestation. During pregnancy, plasma concentrations of choline and phosphatidylcholine are increased to meet the demands of the foetus. However, our findings in this case included depletion of plasma choline and phosphatidylcholine concentrations. Other unusual outcomes included low placental weight and low infant birth weight. Conclusion This report suggests that the pharmacological management of this patient could possibly account for the findings.

  15. Rapid-Sequence Intubation in the Left-Lateral Tilt Position in a Pregnant Woman with Premature Placental Abruption Utilizing a Videolaryngoscope

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    Kenta Nakao

    2015-04-01

    Full Text Available Case - A 24-year-old pregnant woman was admitted to our hospital with decreased fetal heart rate. Obstetric examination revealed premature placental abruption; emergent caesarean section was planned under general anesthesia. On entering the operating room, the patient showed severe vital sign deterioration (blood pressure, 75/45 mm Hg; heart rate, 142 beats per minute. As left uterine displacement may worsen the premature placental abruption, the patient was placed in the left-lateral tilt position by rotating the operating table to release compression on the inferior vena cava by theuterus. To avoid circulatory collapse, rapid-sequence intubation was performed in this position. Tracheal intubation was performed with the Pentax-AWS Airwayscope (AWS videolaryngoscope, AWS; HOYA, Japan to obtain a good laryngeal view and minimize stress from laryngoscopy. After sufficient oxygenation, 120 mg of thiopental was administered. A second anesthesiologist performed cricoid pressure and 50 mg of rocuronium was administered after confirming loss of consciousness. This was followed by insertion of the AWS with a thin intlock into the mouth. Tracheal intubation was performed uneventfully. Discussion - Rapid-sequence intubation in the left-lateral tilted position with the AWS videolaryngoscope may be beneficial for pregnant women with vital sign deterioration.

  16. Quality of life evaluation in Japanese pregnant women with striae gravidarum: A cross-sectional study

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    Yamaguchi Kotomi

    2012-08-01

    Full Text Available Abstract Background Striae gravidarum is a physiological skin change that many pregnant women experience during pregnancy. The striae are often accompanied by a reddish purple color during pregnancy, and then lose pigmentation and become atrophic in the long term after pregnancy. Striae gravidarum seems to be undesirable to many pregnant women. However, the impact of striae gravidarum on pregnant women who experience it has not been clarified. The aim of this study was to evaluate the impact of striae gravidarum on the generic and dermatology-specific quality of life (QOL of pregnant women. Methods A cross-sectional study was conducted at three private clinics in a typical urban area in Japan. We recruited 447 pregnant women at 36 weeks of gestation; One hundred and ninety-nine pregnant women at 36 weeks of gestation participated in the study and 179, consisting of 94 primiparae and 85 multiparae, were analyzed. We used and assessed Davey’s score for striae gravidarum, World Health Organization Quality of Life assessment questionnaire for generic QOL, and Skindex-29 for dermatology-specific QOL. Results The prevalence of striae gravidarum was 39.1% (27.7% in primiparae, and 51.8% in multiparae. Although there were no differences in generic QOL scores between the presence and absence of striae gravidarum and with their severity, the whole group of pregnant women and the multiparae group showed significant differences in scores on emotion of Skindex-29 between the presence and absence of striae gravidarum (p = 0.012 and p = 0.011. Pregnant women with severe striae gravidarum showed significantly higher scores on emotion of Skindex-29 compared with those with absent or mild striae gravidarum (p p = 0.005. Conclusions There was no difference in generic QOL of pregnant women between the presence and absence of striae gravidarum, although the occurrence and severity of striae gravidarum influenced their dermatology-specific QOL

  17. Membranous Nephropathy with an Enhanced Granular Expression of Thrombospondin Type-1 Domain-containing 7A in a Pregnant Woman.

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    Iwakura, Takamasa; Fujigaki, Yoshihide; Katahashi, Naoko; Sato, Taichi; Ishigaki, Sayaka; Tsuji, Naoko; Naito, Yoshitaka; Isobe, Shinsuke; Ono, Masashi; Sakao, Yukitoshi; Tsuji, Takayuki; Ohashi, Naro; Kato, Akihiko; Miyajima, Hiroaki; Yasuda, Hideo

    2016-01-01

    A 30-year-old woman with proteinuria first noted at 26 weeks of gestation was admitted to undergo further evaluation. A renal biopsy revealed membranous nephropathy (MN). There was no evidence of any secondary MN. Prednisolone was initiated 6 months after delivery. Four months later, her urine protein became negative. Enhanced granular staining for thrombospondin type-1 domain-containing 7A (THSD7A) in the glomeruli was retrospectively detected in a biopsy specimen. A literature review revealed that 60% of cases of THSD7A-related MN occurred in women of childbearing age. Therefore, THSD7A-related MN should be considered in female patients presenting with idiopathic MN in childbearing age.

  18. Myxofibrosarcoma of the Breast in a Young Pregnant Woman: A Case Report and Review of the Literature

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    Fatemeh Nili

    2017-01-01

    Full Text Available Sarcomas of the breast are rare and comprise less than 1% of mammary cancers. Myxofibrosarcoma as an unusual variant of malignant fibrous histiocytoma in the breast and during pregnancy has not previous been reported in the literature. We present the case of a 32-year-old woman with a rapidly growing subcutaneous left breast mass that appeared during her first pregnancy. After ultrasonography and core needle biopsy, she underwent a modified radical mastectomy. Pathologic examination revealed a multinodular subcutaneous mass with characteristic microscopic features consistent with myxofibrosarcoma. Immunohistochemistry findings supported the diagnosis and excluded other differential diagnoses. There has been no consensus about proper management and surveillance in these rare groups of malignancies, however wide local excision and adjuvant treatment for moderate and high grade tumors are recommended.

  19. Safety and immunogenicity of a delta inulin-adjuvanted inactivated Japanese encephalitis virus vaccine in pregnant mares and foals.

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    Bielefeldt-Ohmann, Helle; Prow, Natalie A; Wang, Wenqi; Tan, Cindy S E; Coyle, Mitchell; Douma, Alysha; Hobson-Peters, Jody; Kidd, Lisa; Hall, Roy A; Petrovsky, Nikolai

    2014-12-17

    In 2011, following severe flooding in Eastern Australia, an unprecedented epidemic of equine encephalitis occurred in South-Eastern Australia, caused by Murray Valley encephalitis virus (MVEV) and a new variant strain of Kunjin virus, a subtype of West Nile virus (WNVKUN). This prompted us to assess whether a delta inulin-adjuvanted, inactivated cell culture-derived Japanese encephalitis virus (JEV) vaccine (JE-ADVAX™) could be used in horses, including pregnant mares and foals, to not only induce immunity to JEV, but also elicit cross-protective antibodies against MVEV and WNVKUN. Foals, 74-152 days old, received two injections of JE-ADVAX™. The vaccine was safe and well-tolerated and induced a strong JEV-neutralizing antibody response in all foals. MVEV and WNVKUN antibody cross-reactivity was seen in 33% and 42% of the immunized foals, respectively. JE-ADVAX™ was also safe and well-tolerated in pregnant mares and induced high JEV-neutralizing titers. The neutralizing activity was passively transferred to their foals via colostrum. Foals that acquired passive immunity to JEV via maternal antibodies then were immunized with JE-ADVAX™ at 36-83 days of age, showed evidence of maternal antibody interference with low peak antibody titers post-immunization when compared to immunized foals of JEV-naïve dams. Nevertheless, when given a single JE-ADVAX™ booster immunization as yearlings, these animals developed a rapid and robust JEV-neutralizing antibody response, indicating that they were successfully primed to JEV when immunized as foals, despite the presence of maternal antibodies. Overall, JE-ADVAX™ appears safe and well-tolerated in pregnant mares and young foals and induces protective levels of JEV neutralizing antibodies with partial cross-neutralization of MVEV and WNVKUN.

  20. Muerte cerebral en una embarazada y sobrevida del feto Brain death in a pregnant woman and fetus survival

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    Raúl Mejía

    2008-12-01

    Full Text Available Se presenta el caso de una mujer de 29 años de edad que a consecuencia de una hemorragia cerebelosa presentó un cuadro de muerte cerebral mientras cursaba la 17 semana de su embarazo. Durante 56 días se mantuvo con sostén vital artificial, corrección de déficit hormonal, nutrición enteral y tratamiento de las infecciones. Durante la 25 semana de embarazo, por paro cardíaco se debió practicar una cesárea, naciendo un niño de 450 gramos. Se realizó una revisión de los casos similares publicados y se discuten algunos aspectos médicos, éticos y legales derivados de esta situación.A 29 year old woman suffered massive brain injury after a cerebellum hemorrhage at 17 weeks' gestation. Several hours later, and after brainstem test, she was declared brain dead. She was supported with intensive care during 56 days. After a cardiac arrest, on week 25, a 450 g infant was delivered through a cesarean section. The somatic support of mother and fetus according to the expected physiologic changes after brain death and its ethical implications are discussed.

  1. Healthy education of pregnant woman school%浅谈孕妇学校健康教育的创新

    Institute of Scientific and Technical Information of China (English)

    彭文斌; 张小庄

    2010-01-01

    Founding a School for Pregnant Women is a good way for launching health education, eliminating or reducing the risk element affecting pregnancy period,raising awareness of health care and achieving the goal of eugenics.The School should pay more attention to the unhealthy .women for the special requirements ,Carrying on content innovation and management innovation is the way leads to sustainable development, which can make health care as the center for the purpose of reproductive health care.%通过开办孕妇学校开展健康教育,消除或减轻影响妊期的危险因素,提高健康保健意识,达到优生的目的 .孕妇学校应重视非健康状态孕妇的特殊需求,不断地进行内容创新和管理创新才能持续的发展,实现"以保健为中心,以保障生殖健康为目的 "的服务宗旨.

  2. Granulocytic sarcoma causing cord compression in a pregnant woman with acute myeloid leukemia and t(8;21).

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    Al-Sobhi, Enaam M; Jeha, Talal M; Al-Taher, Mohammad I

    2008-11-01

    Chloroma or granulocytic sarcomas (GSs) are solid tumors originating from myeloid precursors. Most frequently they occur in acute myeloid leukemia (AML), myeloproliferative disorder, and myelodysplasia. It may involve any organ system, but mostly it affects the bone and soft tissue of the head and neck. Granulocytic sarcoma resulting in spinal cord compression is rare. The association between t(8;21), and GS has been reported. In spite of the fact that t(8;21) is considered to be associated with good prognosis, patients with GS and spinal cord compression had less favorable prognosis than other AML patients with t(8;21). Radiotherapy, chemotherapy, and surgical decompression are the accepted methods of therapy. However, aggressive therapy such as transplantation may be warranted early in the therapeutic strategy. Pregnancy associated with AML is rare. In our research, only one case of pregnancy with GS and AML has been previously reported. We are reporting a pregnant female diagnosed with AML/M2 with t(8;21) at the first trimester, who relapsed with GS, and cord compression at full term. She had a normal baby, and achieved second remission post-chemotherapy. Unfortunately, shortly after this she had a relapse, and died.

  3. Relationship between Changes in Fatty Acid Composition of the Erythrocyte Membranes and Fatty Acid Intake during Pregnancy in Pregnant Japanese Women.

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    Kitamura, Yohei; Kogomori, Chieko; Hamano, Hirokazu; Maekawa, Iwao; Shimizu, Takashi; Shiga, Seigo

    2017-01-01

    Docosahexaenoic acid (DHA) is an important nutrient required by pregnant women and fetuses. Several studies suggest that fatty acid composition changes during pregnancy. However, the association of longitudinal changes in erythrocyte fatty acid composition and dietary fatty acid intake during pregnancy is not well understood. We assessed the relationship between fatty acid composition of the erythrocyte membranes and fatty acid intake at each trimester in pregnant Japanese women. We conducted a prospective hospital-based cohort study. We investigated fatty acid composition of the erythrocyte membranes and intake of fatty acids during the three trimesters in 178 healthy, pregnant Japanese women. The eicosapentaenoic acid and arachidonic acid percentage of the erythrocyte membranes significantly decreased. The percentages of linoleic acid and α-linolenic acid significantly increased during pregnancy. The DHA percentage in the erythrocyte membranes decreased from the second to the third trimester. The DHA percentage in the erythrocyte membranes positively correlated with DHA intake in the third trimester. In pregnant Japanese women, the fatty acid composition of the erythrocyte membranes markedly changed throughout pregnancy. The DHA intake in the third trimester may be insufficient to maintain DHA percentage in the maternal erythrocyte membranes. © 2017 S. Karger AG, Basel.

  4. A brain-dead pregnant woman with prolonged somatic support and successful neonatal outcome: A grand rounds case with a detailed review of literature and ethical considerations.

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    Said, Abuhasna; Amer, Al Jundi; Masood, Ur Rahman; Dirar, Abdallah; Faris, Chedid

    2013-07-01

    There are increased reports in the medical literature of brain death during pregnancy. In these rare cases, the decision was either to consider discontinuing homeostatic support and mechanical ventilation with an understanding that the fetus then will also die, or to continue full support in an attempt to prolong pregnancy for the purpose of maintaining the fetus alive until maturity. We report the first case in the United Arab Emirates and in literature of somatic support that extended up to 110 days with the successful delivery of a viable fetus. A 35-year-old woman suffered intracranial hemorrhage during the 16(th) week of pregnancy that lead to brain death despite maximal surgical and medical management. Upon confirmation of this diagnosis, the patient received full ventilatory and homeostatic support required to prolong gestation and improve the survival prognosis of her fetus. The status of the patient was discussed in a multidisciplinary approach and with the full involvement of her family. Somatic support continued until the patient was 32 of weeks gestation. Obstetric complications of the patient were frequently assessed and managed. Lower segment cesarean section (LSCS) was then performed. A preterm male in breech presentation was delivered with an average weight of 750 gm, and an Apgar score of 6, 7, and 9 at 1, 5, and 10 minutes, respectively. Prolonging somatic support in a pregnant woman with brain death to allow fetal survival resulted in a successful outcome in terms of saving the life of the fetus. The results are consistent with previous published case reports in the literature on the appropriateness and safety of such a strategy that involved an intensive multidisciplinary approach. Despite being a tragedy, maternal death can represent an opportunity to save the life of the fetus and for organ donation. Consensus future recommendations that can guide the management of similar conditions may also be adapted, especially with the growing medical

  5. Aerobic physical exercise in the third trimester in pregnant woman with Hashimoto`s thyroiditis: A case report

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    Bubnjević Ksenija

    2017-01-01

    Full Text Available Introduction. Physical exercise and thyroid function affect the course and outcome of pregnancy. Pregnancy conversely has an effect on exercise and the secretion of thyroid hormones. It is recommended that pregnant women without medical or obstetric complications engage in physical exercise, as correct exercise and suitable hormonal therapy reduce the risk of a negative course and outcome of the pregnancy. Case report. A 33- year-old marathon runner with diagnosed Hashimoto’s thyroiditis continued to run until she was ready to give birth. The recorded parameters were body mass, and scope and intensity of running. In the third trimester, additional recorded parameters were blood pressure, pulse, blood glucose, prolactin, cortisol and thyroid hormones [thyroxine (T4 and thyroid-stimulating hormone (TSH]. Foetus growth and development, as well as the status of the subject’s health, were monitored at regular endocrinological and gynaecological examinations. There was an expected increase in body mass during pregnancy, which resulted in a reduction in the running distance and intensity. TSH, cortisol and prolactin blood levels were increased. Statistically, significant correlation has been obtained between TSH and the intensity of running (r = 0.864; p = 0.027. Using the method of cardiotocography (CTG, the average pulse rate in the lower reference range has been recorded (118 bpm. The delivery was induced at the scheduled date. There were no complications in the course and outcome of the pregnancy. Conclusion. Moderate to light aerobic physical exercise had no negative effect on the course and the outcome of the pregnancy in the subject with Hashimoto’s thyroiditis. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175037

  6. Enfermedad hipertensiva en la gestante: Resultados de un servicio Hypertensive disease in the pregnant woman: Results of a service

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    Vivian Asunción Álvarez Ponce

    2008-09-01

    Full Text Available La preeclampsia constituye una de las principales causas de mortalidad materna en el mundo. Se realizó un estudio retrospectivo, longitudinal y descriptivo en el Hospital Docente Ginecoobstétrico de Guanabacoa de los años 2004 y 2005, de todas las gestantes que ingresaron en la Sala de Cuidados Perinatales, clasificadas como hipertensas, y que tuvieron su parto en igual período. El grupo estudio correspondió a 71 pacientes. Se tomó como grupo control igual número de gestantes que tuvieron su parto en el mismo período, y que no eran hipertensas ni presentaron la enfermedad durante la gestación. Predominó la preeclampsia como entidad única o asociada a una hipertensión crónica. Entre los factores de riesgo fueron más frecuentes la nuliparidad con un 45,1 %, el sobrepeso y la obesidad (22,5 y 25,4 % respectivamente, lo cual resultó de gran significación estadística. Fue significativa la diferencia en el parto por cesárea (77,5 % en el grupo estudio, en relación con el parto transpelviano. También el bajo peso tuvo diferencias estadísticas significativas (21,1 %. La morbilidad materna fue baja.Preeclampsia is one of the main causes of maternal mortality in the world. A retrospective, longitudinal and descriptive study was conducted in the Gynecoobstetric Hospital of Guanabacoa in 2004 and 2005. All the expectants admitted in the Perinatal Care Ward that were classified as hypertensive and that delivered in the same period were studied. The study group was composed of 71 patients. The same number of pregnant women that gave birth during this period were included in the control group. They were not hypertensive and and they did not suffer from this disease during pregnancy. Preeclampsia predominated as a unique entity or associated with chronic hypertension.The most common risk factors were nuliparity with 45.1 %, overweight and obesity (22.5 and 25.4 %, respectively, which had a great statistical significance. In the study group

  7. The onset of antineutrophil cytoplasmic antibody-associated vasculitis immediately after methimazole was switched to propylthiouracil in a woman with Graves' disease who wished to become pregnant.

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    Kimura, Moritsugu; Seki, Toshiro; Ozawa, Hideki; Ishihara, Toru; Komatsu, Masamichi; Tajiri, Sakurako; Yanagi, Hidetaka; Nishina, Makoto; Noh, Jaeduk Yoshimura; Fukagawa, Masafumi; Takagi, Atsushi

    2013-01-01

    Propylthiouracil (PTU) is recommended as a first-line antithyroid drug (ATD) during first trimester organogenesis in pregnancy because recent evidence suggests that methimazole (MMI) may be associated with congenital anomalies. However, PTU more commonly causes myeloperoxidase (MPO)-antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, which usually occurs during prolonged treatment, compared with MMI. We report a case of MPO-ANCA-associated vasculitis in a 35-year-old woman with Graves'disease. Although her thyroid function could be maintained euthyroid by MMI, her ATD was switched to PTU because she wished to become pregnant. The patient presented with flu-like symptoms 8 days after starting PTU and developed hemoptysis and dyspnea at 22 days. Her MPO-ANCA titer was 21 ELISA units (EUs) before PTU treatment but increased to 259 EUs at 22 days after PTU treatment. Her clinical condition improved with the discontinuation of PTU and with immunosuppressive therapy. This case indicated that MPO-ANCA vasculitis occurred within several weeks after the initiation of PTU and that this side effect could be caused by the change from MMI to PTU. Thus, our clinical observation suggests that patients treated with PTU should be carefully monitored for MPO-ANCA titers and variable manifestations of MPO-ANCA-associated vasculitis regardless of the period of administration.

  8. The association of maternal ABO blood group with gestational diabetes mellitus in Japanese pregnant women.

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    Shimodaira, Masanori; Yamasaki, Teruyuki; Nakayama, Tomohiro

    2016-01-01

    To investigated the association between the ABO blood group and gestational diabetes mellitus (GDM). A retrospective case-control study was conducted using data from 5424 Japanese pregnancies. GDM screening was performed in the first trimester using a casual blood glucose test and in the second trimester using a 50-g glucose challenge test. If the screening was positive, a 75-g oral glucose tolerance test was performed for a GDM diagnosis, which was defined according to the International Association of Diabetes and Pregnancy Study Groups. Logistic regression was used to obtain the odds ratio (OR) and 95% confidence interval (CI) adjusted for traditional risk factors. Women with the A blood group (adjusted OR: 0.34, 95% CI: 0.19-0.63), B (adjusted OR: 0.35, 95% CI: 0.18-0.68), or O (adjusted OR: 0.39, 95% CI: 0.21-0.74) were at decreased risk of GDM compared with those with group AB. Women with the AB group were associated with increased risk of GDM as compared with those with A, B, or O (adjusted OR: 2.73, 95% CI: 1.64-4.57). ABO blood groups are associated with GDM, and group AB was a risk factor for GDM in Japanese population. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  9. Monetary Diet Cost is Associated with not only Favorable but also Unfavorable Aspects of Diet in Pregnant Japanese Women: The Osaka Maternal and Child Health Study.

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    Murakami, Kentaro; Miyake, Yoshihiro; Sasaki, Satoshi; Tanaka, Keiko; Ohya, Yukihiro; Hirota, Yoshio

    2009-05-12

    While several observational studies in European countries have shown that higher monetary diet cost is associated with healthier diets, information on the relationship of cost to diet quality in other countries is sparse, including Japan. This cross-sectional study examined the association between monetary diet cost and dietary intake in a group of pregnant Japanese women. Subjects were 596 pregnant Japanese housewives. Dietary intake was estimated using a validated, self-administered, comprehensive diet history questionnaire. Monetary diet cost was calculated using retail food prices. Values of monetary diet cost and nutrient and food intake were energy-adjusted using the density method. Monetary diet cost was associated positively with the intake of protein, total fat, saturated fatty acids, dietary fiber, cholesterol, sodium, potassium, calcium, magnesium, iron, vitamins A, D, E, C, and folate, and inversely with that of carbohydrate. For foods, cost was associated positively with the intake of potatoes, pulses and nuts, fish and shellfish, meat, dairy products, vegetables, and fruits, and inversely with that of rice and bread. No association was seen for noodles, confectioneries and sugars, fats and oils, or eggs. Cost was also associated inversely with dietary energy density. In conclusion, monetary diet cost was associated with not only favorable aspects of diet, including a higher intake of dietary fiber, key vitamins and minerals, fruits, and vegetables and lower dietary energy density, but also unfavorable aspects, including a higher intake of fat and sodium and lower intake of carbohydrate and rice, in a group of pregnant Japanese women.

  10. Investigation and Evaluation of Folic Acid in Pregnant Woman from a Hospital%某院孕妇叶酸应用情况的调查与评价

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    严丽华; 杨琼; 冯慧萍

    2013-01-01

    OBJECTIVE: To investigate and analyze rational use of folic acid in pregnant woman from a hospital in Hubei province, and to provide reference for the formulation of correct medication regimen for pregnant woman. METHODS: 151 pregnant woman were collected from the hospital during Dec. 2011-May 2012; the application of folic acid was investigated, and the correlation of diagnose with dosage and duration was analyzed. RESULTS: Among 151 pregnant woman, the utilization ratio of folic acid was 7% before pregnancy, 64% in early pregnancy, 5% in middle pregnancy and 2% in late pregnancy; 19% and 3% in pregnant woman suffering from threatened abortion and anemia; the dosage and duration of folic acid was correlated with diagnose. CONCLUSION: The amount of folic acid is inadequate before pregnancy, in middle and late pregnancy, and keep normal level in early pregnancy; diagnose and treatment regimen and amount of folic acid is in line with the standards basically.%目的:为制定孕妇服用叶酸的正确方案提供参考.方法:选择2011年11月-2012年5月该院孕妇151名,对其叶酸的使用情况进行调查,并分析医师的诊断与孕妇服用剂量、持续时间的相关性.结果:151名孕妇中,孕前、孕早期、孕中期和孕晚期叶酸使用率分别为7%、64%、5%和2%,先兆流产与贫血孕妇的叶酸使用率分别为19%和3%;孕妇服用叶酸的剂量和持续时间均与医师的诊断有相关性.结论:该院孕妇在孕前、孕中期和孕晚期叶酸的使用率偏低,孕早期正常;医师的诊断、治疗方案与叶酸的服用剂量基本符合国家食品药品监督管理局相关标准.

  11. [Methodology for Estimating the Risk of Adverse Drug Reactions in Pregnant Women: Analysis of the Japanese Adverse Drug Event Report Database].

    Science.gov (United States)

    Sakai, Takamasa; Ohtsu, Fumiko; Sekiya, Yasuaki; Mori, Chiyo; Sakata, Hiroshi; Goto, Nobuyuki

    2016-01-01

    Safety information regarding drug use during pregnancy is insufficient. The present study aimed to establish an optimal signal detection method to identify adverse drug reactions in pregnant women and to evaluate information in the Japanese Adverse Drug Event Report (JADER) database between April 2004 and November 2014. We identified reports on pregnant women using the Standardised MedDRA Queries. We calculated the proportional reporting ratio (PRR) and reporting odds ratio (ROR) of the risk factors for the two known risks of antithyroid drugs and methimazole (MMI) embryopathy, and ritodrine and fetal/infant cardiovascular events. The PRR and ROR values differed between all reports in the JADER database and those on pregnant women, affecting whether signal detection criteria were met. Therefore we considered that reports on pregnant women should be used when risks associated with pregnancy were determined using signal detection. Analyses of MMI embryopathy revealed MMI signals [PRR, 159.7; ROR, 669.9; 95% confidence interval (CI), 282.4-1588.7] but no propylthiouracil signals (PRR, 1.98; ROR, 2.0; 95%CI, 0.3-15.4). These findings were consistent with those of reported risks. Analyses of fetal/infant cardiovascular events revealed ritodrine signals (PRR, 2.1; ROR, 2.1; 95%CI, 1.4-3.3). These findings were also consistent with reported risks. Mining the JADER database was helpful for analyzing adverse drug reactions in pregnant women.

  12. Determination of reference intervals of glycated albumin and hemoglobin A1c in healthy pregnant Japanese women and analysis of their time courses and influencing factors during pregnancy.

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    Hiramatsu, Yuji; Shimizu, Ikki; Omori, Yasue; Nakabayashi, Masao

    2012-01-01

    Glycemic control is an important issue in gestational diabetes mellitus (GDM) and in diabetic pregnant women. We determined the reference intervals of glycated albumin (GA) and hemoglobin A1c (HbA1c) as glycemic control markers in healthy Japanese pregnant women and analyzed their time courses and factors that influence these variables during pregnancy. 676 women were screened for the present study. After the exclusion of non-pregnant and puerperal women, 574 women were studied to determine the reference intervals. HbA1c, GA, casual plasma glucose, urinary glucose, urinary protein, and body mass index (BMI) (non-pregnancy) were measured. HbA1c levels significantly decreased in the second trimester of pregnancy and increased in the third trimester, while GA levels significantly decreased towards the third trimester. Casual plasma glucose levels decreased in the first trimester and subsequently remained constant. The reference intervals of GA and HbA1c in the healthy pregnant women were 11.5-15.7% and 4.5-5.7%, respectively. GA levels were lower (ppregnant women with proteinuria. In the obese group, GA levels were lower (ppregnant women were determined. Strict glycemic control is essential to reduce perinatal complications. GA appears to be a useful marker for pregnant women, since it can be measured easily and changes rapidly and markedly.

  13. 45 CFR 46.204 - Research involving pregnant women or fetuses.

    Science.gov (United States)

    2010-10-01

    ... benefit to the pregnant woman, the prospect of a direct benefit both to the pregnant woman and the fetus... the fetus then the consent of the pregnant woman and the father is obtained in accord with...

  14. Can Stress Lower a Woman's Fertility?

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_161057.html Can Stress Lower a Woman's Fertility? Greatest impact is around ... HealthDay News) -- New research seems to confirm that stress lowers a woman's chances of becoming pregnant, particularly ...

  15. Validation of a food frequency questionnaire for Japanese pregnant women with and without nausea and vomiting in early pregnancy.

    Science.gov (United States)

    Ogawa, Kohei; Jwa, Seung-Chik; Kobayashi, Minatsu; Morisaki, Naho; Sago, Haruhiko; Fujiwara, Takeo

    2017-05-01

    No previous study has shown the validity of a food frequency questionnaire (FFQ) in early pregnancy with consideration of nausea and vomiting during pregnancy (NVP). The aim of this study was to evaluate the validity of a FFQ in early pregnancy for Japanese pregnant women. We included 188 women before 15 weeks of gestation and compared estimated nutrient intake and food group intake based on a modified FFQ with that based on 3-day dietary records (DRs). Spearman's rank correlation coefficients, adjusting energy intake and attenuating within-person error, were calculated. Subgroup analysis for those with and without NVP was conducted. We also examined the degree of appropriate classification across categories between FFQ and DRs through division of consumption of nutrients and food groups into quintiles. Crude Spearman's correlation coefficients of nutrients ranged from 0.098 (sodium) to 0.401 (vitamin C), and all of the 36 nutrients were statistically significant. In 27 food groups, correlation coefficients ranged from -0.015 (alcohol) to 0.572 (yogurt), and 81% were statistically significant. In subgroup analysis, correlation coefficients in 89% of nutrients and 70% of food groups in women with NVP and 97% of nutrients and 74% of food groups in women without NVP were statistically significant. On average, 63.7% of nutrients and 60.4% of food groups were classified into same or adjacent quintiles according to the FFQ and DRs. The FFQ is a useful instrument, regardless of NVP, for assessing the diet of women in early pregnancy in Japan. Copyright © 2016 The Authors. Production and hosting by Elsevier B.V. All rights reserved.

  16. Validation of a food frequency questionnaire for Japanese pregnant women with and without nausea and vomiting in early pregnancy

    Directory of Open Access Journals (Sweden)

    Kohei Ogawa

    2017-05-01

    Full Text Available Background: No previous study has shown the validity of a food frequency questionnaire (FFQ in early pregnancy with consideration of nausea and vomiting during pregnancy (NVP. The aim of this study was to evaluate the validity of a FFQ in early pregnancy for Japanese pregnant women. Method: We included 188 women before 15 weeks of gestation and compared estimated nutrient intake and food group intake based on a modified FFQ with that based on 3-day dietary records (DRs. Spearman's rank correlation coefficients, adjusting energy intake and attenuating within-person error, were calculated. Subgroup analysis for those with and without NVP was conducted. We also examined the degree of appropriate classification across categories between FFQ and DRs through division of consumption of nutrients and food groups into quintiles. Results: Crude Spearman's correlation coefficients of nutrients ranged from 0.098 (sodium to 0.401 (vitamin C, and all of the 36 nutrients were statistically significant. In 27 food groups, correlation coefficients ranged from −0.015 (alcohol to 0.572 (yogurt, and 81% were statistically significant. In subgroup analysis, correlation coefficients in 89% of nutrients and 70% of food groups in women with NVP and 97% of nutrients and 74% of food groups in women without NVP were statistically significant. On average, 63.7% of nutrients and 60.4% of food groups were classified into same or adjacent quintiles according to the FFQ and DRs. Conclusions: The FFQ is a useful instrument, regardless of NVP, for assessing the diet of women in early pregnancy in Japan.

  17. Validity and reproducibility of folate and vitamin B(12) intakes estimated from a self-administered diet history questionnaire in Japanese pregnant women.

    Science.gov (United States)

    Shiraishi, Mie; Haruna, Megumi; Matsuzaki, Masayo; Murayama, Ryoko; Sasaki, Satoshi; Murashima, Sachiyo

    2012-03-15

    No validated dietary questionnaire for assessing folate and vitamin B(12) intakes during pregnancy is available in Japan. We evaluated the validity and reproducibility of intakes of folate and vitamin B(12) estimated from a self-administered diet history questionnaire (DHQ) in Japanese pregnant women. A sample of 167 healthy subjects with singleton pregnancies in the second trimester was recruited at a private obstetric hospital in metropolitan Tokyo from June to October 2008 (n = 76), and at a university hospital in Tokyo from June 2010 to June 2011 (n = 91). The dietary intakes of folate and vitamin B(12) were assessed using the DHQ. The serum concentrations of folate and vitamin B(12) were measured as reference values in the validation study. To assess the reproducibility of the results, 58 pregnant women completed the DHQ twice within 4-5 week interval. Significantly positive correlations were found between energy-adjusted intakes and serum concentrations of folate and vitamin B(12) (r = 0.286, p Japanese pregnant women.

  18. Complicaciones maternas y neonatales en una mujer gestante con derivación biliopancreática Maternal and neonatal complications in a pregnant woman with biliopancreatic diversion

    Directory of Open Access Journals (Sweden)

    J. Ocón

    2010-02-01

    Full Text Available La derivación biliopancreática (DBP es una técnica bariátrica que puede dar lugar a la aparición de complicaciones nutricionales como malnutrición calóricoproteica y déficits de vitaminas liposolubles. Algunas mujeres en edad fértil son sometidas a DBP por lo que es frecuente que la gestación ocurra con posterioridad. La vitamina A tiene una función esencial en la diferenciación y crecimiento celular durante el desarrollo embrionario. Aunque la DBP ha demostrado tener efectos beneficiosos en algunas complicaciones obstétricas y reproductivas como la infertilidad y la macrosomía, hay estudios que han sugerido una relación entre malnutrición materna y desarrollo de complicaciones fetales o neonatales. Presentamos el caso de una mujer gestante con una malnutrición severa asociada a un déficit de vitamina A como consecuencia de una DBP. La paciente dio a luz a un recién nacido prematuro, con bajo peso al nacimiento y con importantes malformaciones oculares y renales. Revisamos y discutimos la probable relación entre efectos adversos neonatales y la existencia de malnutrición y déficit de vitamina A durante la gestación.Biliopancreatic diversion (BPD is a bariatric technique which can lead to the development of nutritional complications such as protein-calorie malnutrition and deficiencies in fat-soluble vitamins. Many women in childbearing age undergone DBP, pregnancy frequently occurs afterwards. Vitamin A is essential for the differentiation and growth of cell during embryonic development. Although BPD has shown beneficial effects in some obstetric and reproductive complications as infertility and macrosomia, several reports suggest a link between maternal malnutrition and fetal or neonatal complications. We present the case of a pregnant woman with a severe malnutrition associated with vitamin A deficiency as a result of a BPD. The patient delivered a premature infant, with low birth weight and significant eye and kidney

  19. Monetary Diet cost is Associated with not only Favorable but also Unfavorable Aspects of Diet in pregnant Japanese Women: The Osaka Maternal and child Health study

    Directory of Open Access Journals (Sweden)

    Yukihiro Ohya

    2009-01-01

    Full Text Available While several observational studies in European countries have shown that higher monetary diet cost is associated with healthier diets, information on the relationship of cost to diet quality in other countries is sparse, including Japan. This cross-sectional study examined the association between monetary diet cost and dietary intake in a group of pregnant Japanese women. Subjects were 596 pregnant Japanese housewives. Dietary intake was estimated using a validated, self-administered, comprehensive diet history questionnaire. Monetary diet cost was calculated using retail food prices. Values of monetary diet cost and nutrient and food intake were energy-adjusted using the density method. Monetary diet cost was associated positively with the intake of protein, total fat, saturated fatty acids, dietary fiber, cholesterol, sodium, potassium, calcium, magnesium, iron, vitamins A, D, E, C, and folate, and inversely with that of carbohydrate. For foods, cost was associated positively with the intake of potatoes, pulses and nuts, fish and shellfish, meat, dairy products, vegetables, and fruits, and inversely with that of rice and bread. No association was seen for noodles, confectioneries and sugars, fats and oils, or eggs. Cost was also associated inversely with dietary energy density. In conclusion, monetary diet cost was associated with not only favorable aspects of diet, including a higher intake of dietary fiber, key vitamins and minerals, fruits, and vegetables and lower dietary energy density, but also unfavorable aspects, including a higher intake of fat and sodium and lower intake of carbohydrate and rice, in a group of pregnant Japanese women.

  20. Maternal Uncontrolled Anxiety Disorders Are Associated With the Increased Risk of Hypertensive Disorders in Japanese Pregnant Women

    OpenAIRE

    Suzuki, Shunji; Shinmura, Hiroki; Kato, Masahiko

    2015-01-01

    Background We examined the risk of hypertensive disorders in relation to maternal depressive and anxiety disorders which were diagnosed before or during early pregnancy in Japanese women. Methods We reviewed the obstetric records of all Japanese singleton deliveries at ≥ 22 weeks’ gestation managed at the Japanese Red Cross Katsushika Maternity Hospital between 2009 and 2014. Potential risk factors for hypertensive disorders with maternal depressive and anxiety disorders were selected as foll...

  1. 北京市海淀区孕产妇增补叶酸现状分析%An analysis of the status of pregnant woman consuming folic acid in Haidian District, Beijing

    Institute of Scientific and Technical Information of China (English)

    毛康娜; 李丹丹; 周钰

    2013-01-01

    目的 了解北京市海淀区孕产妇增补叶酸现状,寻找促使更多待孕妇女增补叶酸的方法.方法 采用问卷调查方式,便利抽样调查859名海淀区孕产妇.结果 44.4%的孕产妇从孕前3个月及以前开始增补叶酸,55.6%的孕产妇没有从孕前3个月开始增补叶酸.结论 海淀区待孕妇女增补叶酸现状不容乐观.加强电视等媒体宣传是提高待孕妇女增补叶酸的有效方法.%Objective; To investigate the status of pregnant woman consuming folic acid in Haidian District, Beijing, and to look for the method to impele more women who will be pregnant to consume folic acid. Methods: Using questionnaires, surveyed 859 pregnant women through convenience sampling. Results:44. 4 percent of pregnant women begun to consume folic acid three months or more before pregnancy, the others were not. Conclusion:The status is still far from optimistic in Haidian district. The effective way is to strengthen the publicity on television and other media.

  2. Estimation of eicosapentaenoic acid and docosahexaenoic acid intakes in pregnant Japanese women without nausea by using a self-administered diet history questionnaire.

    Science.gov (United States)

    Shiraishi, Mie; Haruna, Megumi; Matsuzaki, Masayo; Murayama, Ryoko; Yatsuki, Yuko; Sasaki, Satoshi

    2013-06-01

    Eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) intakes during pregnancy affect fetal development and maternal mental health; therefore, an accurate assessment of EPA and DHA intakes is required. We hypothesized that a self-administered diet history questionnaire (DHQ) that was developed for non-pregnant adults could be used for estimating EPA and DHA intakes in pregnant Japanese women; thus, we evaluated the validity and reproducibility of the DHQ during pregnancy. We recruited 262 healthy participants with singleton pregnancies during their second trimester at a university hospital in Tokyo between June 2010 and July 2011. Plasma concentrations of EPA and DHA were measured as reference values. Fifty-eight women completed the DHQ twice, within a 4- to 5-week period to assess the reproducibility of the results. Among the participants without pregnancy-associated nausea (n = 180), significantly positive correlations were observed between energy-adjusted intakes and plasma concentrations of EPA (r(s) = 0.388), DHA (r(s) = 0.264), and EPA + DHA (r(s) = 0.328). More than 60% of the participants without nausea fell into the same or adjacent quintiles according to energy-adjusted intakes and plasma concentrations of EPA, DHA, and EPA + DHA. Meanwhile, among the participants with nausea, a low correlation for EPA and no correlation for DHA and EPA + DHA were found. Intraclass correlation coefficients for the 2-time DHQ measurements were 0.691 (EPA) and 0.663 (DHA). The results indicate that the DHQ has an acceptable level of validity and reproducibility for assessing EPA, DHA, and EPA + DHA intakes in pregnant Japanese women without nausea. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Validity and reproducibility of folate and vitamin B12 intakes estimated from a self-administered diet history questionnaire in Japanese pregnant women

    Directory of Open Access Journals (Sweden)

    Shiraishi Mie

    2012-03-01

    Full Text Available Abstract Background No validated dietary questionnaire for assessing folate and vitamin B12 intakes during pregnancy is available in Japan. We evaluated the validity and reproducibility of intakes of folate and vitamin B12 estimated from a self-administered diet history questionnaire (DHQ in Japanese pregnant women. Methods A sample of 167 healthy subjects with singleton pregnancies in the second trimester was recruited at a private obstetric hospital in metropolitan Tokyo from June to October 2008 (n = 76, and at a university hospital in Tokyo from June 2010 to June 2011 (n = 91. The dietary intakes of folate and vitamin B12 were assessed using the DHQ. The serum concentrations of folate and vitamin B12 were measured as reference values in the validation study. To assess the reproducibility of the results, 58 pregnant women completed the DHQ twice within 4-5 week interval. Results Significantly positive correlations were found between energy-adjusted intakes and serum concentrations of folate and vitamin B12 (r = 0.286, p p = 0.004, respectively. After excluding the participants with nausea (n = 121, the correlation coefficient for vitamin B12 increased to 0.313 (p = 0.001. When participants were classified into quintiles based on intakes and serum concentrations of folate and vitamin B12 , approximately 60% were classified in the same or adjacent quintile. The intraclass correlation coefficients of the two-time DHQ were 0.725 for folate and 0.512 for vitamin B12 . Conclusion The present study indicated that the DHQ had acceptable validity and reproducibility for assessing folate and vitamin B12 intakes in Japanese pregnant women.

  4. 两种参考值用于诊断妊娠期妇女甲状腺功能的差异%Difference of two references value in the diagnosis of thyroid function of pregnant woman

    Institute of Scientific and Technical Information of China (English)

    魏慧生

    2015-01-01

    Objective:To explore and analyze the difference of two references value in the diagnosis of thyroid function of pregnant woman.Methods:180 pregnant woman with thyroid dysfunction were selected.Two references of hypothyroidism and subclinical hypothyroidism were compared.Results:In the diagnosis of hypothyroidism and subclinical hypothyroidism,the 3 stage diagnose accordance rates were compared(P<0.05).The diagnose accordance rate of adult standard was significantly lower than the diagnose accordance rate of ATA standard(P<0.05).Conclusion:ATA standard diagnosis can help to enhance and improve the diagnosis level of pregnant women with hypothyroidism,subclinical hypothyroidism disease.It has a good clinical significance.%目的:探讨与分析两种参考值用于诊断妊娠期妇女甲状腺功能的差异。方法:收治伴有甲状腺功能异常妊娠妇女180例,以甲状腺功能减退与亚临床甲状腺功能减退两种参考值进行对比。结果:甲减及亚甲减诊断中,3期诊断符合率比较(P<0.05);成人标准诊断符合率明显低于ATA标准诊断符合率(P<0.05)。结论:ATA标准诊断能有助于提高和改善孕妇合并甲减、亚甲减疾病诊断水平,具有良好的临床指导意义。

  5. Co-existence of Endometriotic Cyst of the Ovary and Arias-Stella Reaction in a Non-Pregnant Woman: Report of a Rare Case.

    Science.gov (United States)

    Harikrishnan, Volga; Esaki, Muthuvel; Srinivasan, Chitra; Arockiasamy, Parimala; Ethirajan, Shanthi

    2016-03-01

    Endometriosis is defined as presence of endometrial tissue outside the uterus. It can occur anywhere in the ovary. In the ovary it is usually presented as cyst, termed as endometriotic cyst or Chocolate cyst. Arias-Stella reaction is usually seen in gestational endometrium or in ectopic gestation site and rarely in non-pregnant uterus with hormonal intake. Co-existence of endometriosis and Arias-Stella reaction is very rare. We present a very rare case of endometriotic cyst of the ovary exhibiting Arias -Stella reaction which was seen in of non pregnant patient without any history of hormonal intake.

  6. Sibling number and prevalence of allergic disorders in pregnant Japanese women: baseline data from the Kyushu Okinawa Maternal and Child Health Study

    Directory of Open Access Journals (Sweden)

    Arakawa Masashi

    2011-07-01

    Full Text Available Abstract Background Although an inverse relationship between number of siblings and likelihood of allergic disorders has been shown in many epidemiological studies, the biological mechanism underlying this phenomenon has not yet been identified. There is no epidemiological research regarding the sibling effect on allergic disorders in Japanese adults. The current cross-sectional study examined the relationship between number of siblings and prevalence of allergic disorders among adult women in Japan. Methods Subjects were 1745 pregnant women. This study was based on questionnaire data. The definitions of wheeze and asthma were based on criteria from the European Community Respiratory Health Survey whereas those of eczema and rhinoconjunctivitis were based on criteria from the International Study of Asthma and Allergies in Childhood. Adjustment was made for age, region of residence, pack-years of smoking, secondhand smoke exposure at home and at work, family history of asthma, atopic eczema, and allergic rhinitis, household income, and education. Results The prevalence values of wheeze, asthma, eczema, and rhinoconjunctivitis in the past 12 months were 10.4%, 5.5%, 13.0%, and 25.9%, respectively. A significant inverse exposure-response relationship was observed between the number of older siblings and rhinoconjunctivitis, but not wheeze, asthma, or eczema (P for trend = 0.03; however, the adjusted odds ratio (OR for having 2 or more older siblings was not significant although the adjusted OR for having 1 older sibling was statistically significant (adjusted OR = 0.71 [95% CI: 0.56-0.91]. Number of total siblings and number of younger siblings were not related to wheeze, asthma, eczema, or rhinoconjunctivitis. Conclusions This study found a significant inverse relationship between the number of older siblings and the prevalence of rhinoconjunctivitis among pregnant Japanese women. Our findings are likely to support the intrauterine programming

  7. Research progress on needs of pregnant and lying in woman in China on perinatal health education%我国孕产妇围生期健康教育需求的研究进展

    Institute of Scientific and Technical Information of China (English)

    蒋红梅; 王琼

    2014-01-01

    It reviewed the pregnant and lying in woman in China on perina-tal health education needs at different stages,and put forward the status quo and development model of perinatal health education.It is helpful to develop the appropriate health education style and promote maternal and infant health.%综述了孕产妇在围生期不同阶段对健康教育的需求及围生期健康教育的现状和发展模式,提示应根据孕产妇不同阶段的需求,制定恰当的健康教育的计划,促进母婴的健康。

  8. High fetal irradiation: about one pregnant woman receiving infra diaphragmatic radiotherapy for Hodgkin lymphoma; Irradiation foetale elevee: a propos d'une femme dont la grossesse etait meconnue irradiee en sous-diaphragmatique pour un lymphome hodgkinien

    Energy Technology Data Exchange (ETDEWEB)

    Moreau, M.V.; Brunaud, C.; Marchesi, V.; Hoffstetter, S.; Peiffert, D. [Centre Alexis-Vautrin, Service de Radiotherapie, 54 - Vandoeuvre-les-Nancy (France); Bologna, S. [Centre Hospitalier Universitaire Nancy-Brabois, Service d' Hematologie, 54 - Vandoeuvre-les-Nancy (France)

    2007-12-15

    We report the case of a 19-year-old young woman for whom was discovered a pregnancy at the end of the irradiation for a Hodgkin lymphoma (stage IV bone Bb), initially treated by chemotherapy. The radiotherapy delivered 36 Gy in infra-diaphragmatic volumes (lumbo-aortic, spleen, L5), beginning in a pregnant patient for less than 4 amenorrhea weeks. The calculated received fetal dose (literature data, measurement with software T.P.S., measurement on phantom) is high: it's between 2.8 and 5 Gy. With a current follow-up of 4 years since the radiotherapy's end, the patient is in complete remission and her child presents with a normal development for the age, in spite of the infra diaphragmatic irradiation. (authors)

  9. Progress on Prevention and Treatment of Toxoplasmosis in Pregnant Woman%孕妇弓形虫病防治研究进展

    Institute of Scientific and Technical Information of China (English)

    王鑫磊; 李倩; 张莉; 李海龙

    2016-01-01

    Toxoplasmosis is a worldwide zoonotic parasitic disease caused by Toxoplasma gondii ,has been described as the most widespread zoonotic infection of humans and other animals.Most pregnant women infectes with T.gondii show latent infection,no obvious symptoms.The vertical transmission of T.gon-dii affects fetal health,causes premature birth,miscarriage,stillbirth,malformations or other adverse pregnancy phenomena.This paper elaborated effects on pregnant women infecting T.gondii from epide-miology,infection factors,immunology,diagnosis and treatment,which provided a reference for the pre-vention and control of toxoplasmosis in pregnant women.%弓形虫病是一种世界性分布的人兽共患寄生虫病,在人和动物中广泛传播。孕妇感染弓形虫后多表现为隐性感染,无明显的临床表现,但该虫可通过垂直传播影响胎儿发育,造成早产、流产、畸形和死胎等不良妊娠现象。论文对弓形虫病流行病学、感染因素、免疫学、诊断和治疗等方面阐述弓形虫感染对孕妇的影响,为孕妇弓形虫病的防治提供参考。

  10. Maternal and fetal outcomes in pregnant Japanese women with inflammatory bowel disease: our experience with a series of 23 cases

    Science.gov (United States)

    Minami, Naoki; Matsuura, Minoru; Koshikawa, Yorimitsu; Yamada, Satoshi; Honzawa, Yusuke; Yamamoto, Shuji

    2017-01-01

    Background/Aims Our physicians work to expand the possibilities to treat female patients with inflammatory bowel disease (IBD) who wish to become pregnant. Although many drugs, including 5-aminosalicylate (5-ASA), corticosteroids, immunomodulators, and biologics, are used safely during pregnancy, few reports have described the therapeutic regimen throughout pregnancy and the management of patients who relapse during pregnancy precisely. The aim of this study was to assess the management of patients with IBD during pregnancy. Methods We identified 19 patients (five with Crohn's disease and 14 with ulcerative colitis [UC]) who became pregnant with a total of 23 pregnancies between May 2005 and May 2015 by reviewing the medical records of Kyoto University Hospital. The following data were collected: the maternal variables, the IBD treatment type, the disease activity, the pregnancy outcome, and the mode of delivery. Results Among the 19 patients, 18 had become pregnant after being diagnosed with IBD, while one had developed UC newly after pregnancy. Throughout the gestation, all patients were treated with probiotics, 5-ASA, prednisolone, cytapheresis, or infliximab. The relapse rate during pregnancy was 21.7% (5/23 cases). The five patients who experienced a relapse were able to pursue their pregnancy after intensification of their treatments. There were no adverse fetal or neonatal problems, except in one case that required an emergency Caesarean section because of placental dysfunction and in which a very low-birth-weight infant was born preterm. Conclusions Our present data confirmed that even if the disease flares up during pregnancy, good pregnancy outcomes can be achieved with an optimal intensification of the patient's treatment.

  11. Hyperhemolytic Syndrome complicating a Delayed Hemolytic Transfusion Reaction due to anti-P1 alloimmunization, in a pregnant woman with HbO-Arabβ-thalassemia

    Directory of Open Access Journals (Sweden)

    Zoe Bezirgiannidou

    2016-10-01

    Full Text Available Abstract Background: Hyperhemolytic Syndrome or Hyperhemolytic Transfusion Reaction (HHTR, a life-threatening subset of Delayed Hemolytic Transfusion Reaction (DHTR is characterized by destruction of both transfused and autologous erythrocytes evidenced by a fall in post transfusion hemoglobin below the pre-transfusion level. Case report: We describe a case of DHTR due to anti-P1 alloimmunization manifesting with hyperhemolysis in a 30-year-old Greek Pomak woman with thalassemia intermedia (HbO-Arab/β-thalassemia, during the11th week of her first gestation. She was successfully managed with avoidance of further transfusions and administration of IVIG and corticosteroids. Conclusion: A high index of suspicion for HHTR is of vital importance among clinicians especially since optimal methods for its prevention and treatment remain yet to be defined. Early recognition of HHTR leading to prompt cessation of additional transfusions and initiation of immunosuppressive treatment can be life-saving, especially in clinical settings where limited therapeutic options are available, such as in pregnancy.

  12. A case of cardiac tamponade due to an isolated abscess in the ascending aorta of a pregnant woman with a history of intravenous substance abuse.

    Science.gov (United States)

    Shattuck, Brandy; Livingstone, John

    2017-06-01

    We describe the case of a 23-year-old white female, 10-12 weeks pregnant, with a history of intravenous drug use and a recently diagnosed pneumonia, who was found deceased in her bed after a night of sleep. Although postmortem serum toxicology tested positive for alprazolam, tetrahydrocannabinol, and morphine, the ultimate cause of death was determined to be cardiac tamponade secondary to an isolated abscess in the ascending aorta. The patient had several risk factors for aortic rupture and cardiac tamponade including intravenous drug use, pneumonia, and pregnancy. However, an autopsy of the patient showed an isolated abscess of the ascending aorta without evidence of infective endocarditis, coronary artery rupture, aortic aneurysm, or aortic dissection making this an unusual case of cardiac tamponade. The aim of this case report is to encourage providers to obtain a tissue culture of any aortic abscesses so that the organisms involved can be identified. The identification of such organisms may help guide antimicrobial treatment in similar presentations in the future.

  13. Educación de la inteligencia emocional, social y espiritual de la mujer embarazada / Education of emotional, social and spiritual intelligence of the pregnant woman

    Directory of Open Access Journals (Sweden)

    Carballo Vargas, Sonia

    2008-04-01

    Full Text Available Resumen: La presente propuesta se basa en la investigación “La educación del niño y la niña menores de tres años. Un estudio sobre la percepción que tienen las madres acerca de manejo de limites con sus hijos e hijas”, que se realizó durante el 2006 y el 2007 en el Instituto de Investigaciones en Educación de la Universidad de Costa Rica. Parte de la tarea consistió en analizar las percepciones de un grupo de mujeres sobre el embarazo que estaban viviendo. Los resultados obtenidos que se presentan se enmarcan dentro de este artículo, los cuales son el fundamento para la propuesta “Educar las habilidades de la inteligencia emocional de la mujer embarazada”.Abstract: The present proposal is based on the research paper “The education of children below age 3. A study on mothers’ perception on handling limits with their children”, written during 2006 and 2007 at Instituto de Investigaciones en Educación (Institute of Research in Education at Universidad de Costa Rica. Part of the research work dealt with the analysis of a group of women’s perceptions during pregnancy. The results are presented within this article; as a basis for the proposal “Educating the skills of emotional intelligence in pregnant women”.

  14. Valvoplastia mitral percutânea de urgência em gestante Emergency percutaneous balloon mitral valvoplasty in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Luiz A. Gubolino

    1997-07-01

    Full Text Available Gestante com 33 anos na 28ª semana e sinais de óbito fetal foi admitida em caráter de urgência com quadro de edema pulmonar agudo secundário à estenose mitral grave. Com o insucesso do tratamento medicamentoso intensivo, a paciente foi submetida à valvoplastia mitral percutânea de emergência com melhora imediata. O agravamento subseqüente do quadro, atribuído ao óbito fetal, foi tratado através parto cesáreo com melhora clínica considerável. A paciente teve alta hospitalar no 10º dia, e 11 meses após o procedimento, encontra-se em classe funcional I, sem uso de medicação e com sinais ecocardiográficos de estenose mitral leve (área valvar: 2,0 cm².We report the case of a 33-year-old woman in the 28th week of pregnancy and with signs of fetal death, admitted to hospital in an emergency due to pulmonary edema secondary to severe mitral valve stenosis. Intensive medical treatment was unsuccessful and the patient was submitted to an emergency percutaneous balloon mitral valvoplasty with prompt clinical improvement. Subsequent clinical deterioration secondary to fetal death was managed by cesarean section resulting in clinical estabilization. The patient was discharged 10 days after admission and at 11 months after the procedure she had mild symptons without drug therapy and echocardiographic signs of mild residual mitral stenosis (mitral valve area: 2,0cm².

  15. 孕妇临产前焦虑心理与分娩方式的相关性分析%Analysis the Correlation of Pregnant Woman Anxious Psychology Bofore Parturient and Delivery Mode

    Institute of Scientific and Technical Information of China (English)

    杨兴华

    2015-01-01

    目的:分析孕妇临产前焦虑心理与分娩方式的相关性。方法研究对象取2014年5月~2015年5月我院孕妇87例,按照临产前是否有焦虑心理将其分两组。对照组52例无焦虑心理;实验组35例有焦虑心理。比较两组分娩方式,分析焦虑与分娩方式之间的相关性。结果实验组重度焦虑9例,16例中度焦虑,10例轻度焦虑。组间相比,实验组自然分娩率低,剖宫产率高,P<0.05,差异具有统计学意义。结论孕妇临产前焦虑心理与分娩方式有相关性,应加强针对性心理疏导。%Objective To analysis the psychological anxiety before the pregnant woman in labor and mode of delivery relevance.MethodsSelected 87 cases of pregnant women from May 2014 to May 2015 in our hospital, according to whether anxiety mental labor before, were divided into two groups. the control group had 52 cases who had anxiety and psychological, the experimental group had 35 cases who had no psychological anxiety. Mode of delivery were compared, analyzed the correlation between anxiety and mode of delivery.ResultsThe experimental group of severe anxiety in 9 cases, 16 cases of moderate anxiety, 10 cases of mild anxiety. Compared between the two groups, the experimental group of low natural childbirth, cesarean section rate,P<0.05, had difference statistically signiifcance.Conclusion Pregnant women in labor and mode of delivery of psychological anxiety are very relevant, should strengthen the relevance of psychological counseling.

  16. 妊娠糖尿病血糖水平对孕妇及胎儿影响的研究%Study on the Effect of Gestational Diabetes Glucose Levels on Pregnant Woman and Fetus

    Institute of Scientific and Technical Information of China (English)

    卢芷兰; 高崚; 程湘

    2014-01-01

    Objective:To study the effect of gestational diabetes mellitus ( GDM) with different blood glucose levels on pregnant woman and fetus .Method: 83 cases of gestational diabetes mellitus as GDM group, 120 cases of healthy pregnant woman as control group , the two groups were observed between patho-logical pregnancy , perinatal complications and delivery methods , and compared the different blood glucose levels in gestational diabetes mellitus pregnant outcome .Result:The pregnancy-induced hypertension , pre-mature rupture of membranes , polyhydramnios , prematurity , neonatal distress , hyperbilirubinemia , a huge incidence of child and cesarean section in GDM group and the control group were statistically significant ( P<0.05) , which was higher in GDM group;different levels of glycemic control in patients with pregnancy-in-duced hypertension , premature rupture of membranes , neonatal distress , hyperbilirubinemia , a huge inci-dence rate of children with poor glycemic in GDM groups were higher than other groups .Conclusion: The relationship between GDM hyperglycemia and pregnancy complications closely relation , serious harm to the health of mother and infant .The early intervention has important clinical significance in prevention of blood glucose control on adverse pregnancy outcomes .%目的:研究妊娠糖尿病( GDM)不同血糖控制水平对孕妇及胎儿的影响。方法:83例妊娠糖尿病为GDM组,120例健康体检孕妇为对照组,观察两组病理妊娠、围产儿并发症及分娩方式差异,并比较不同血糖控制水平妊娠糖尿病孕妇妊娠结局情况。结果:GDM组妊高症、胎膜早破、羊水过多、早产、新生儿窘迫、高胆红素血症、巨大儿发生率及剖宫产与对照组均有统计学差异(P<0.05),均高于对照组;GDM组血糖控制>7.8mmoL/L水平患者妊高症、胎膜早破、新生儿窘迫、高胆红素血症、巨大儿发生率均高于其他两组。结论

  17. The effect of body mass index change on perinatal outcome of pregnant woman with gestational diabetes mellitus%妊娠期糖尿病孕妇BMI的变化对围生结局的影响

    Institute of Scientific and Technical Information of China (English)

    金莉娅; 张玉芳; 吕玲

    2014-01-01

    目的:探讨妊娠期糖尿病( GDM)孕妇妊娠前体质量指数( BMI)及妊娠期BMI增幅对围生结局的影响。方法264例GDM患者,根据妊娠前体质量指数,分为正常组(18.5<BMI<23)、超重组(23<BMI<25)、肥胖组( BMI>25),又按早孕至终止妊娠前体质量BMI增幅,分为<4组、4~6组、>6组。详细记录围生并发症的发生及不良妊娠结局。结果肥胖组子痫前期、早产发生率、剖宫产率显著高于正常组,差异有统计学意义(P<0.05)。 BMI增幅4~6组子痫前期、羊水过多、胎膜早破、胎儿窘迫、早产和新生儿低血糖的发生率均明显低于BMI增幅>6组,差异均有统计学意义( P<0.05)。BMI增幅>6组胎膜早破及巨大儿的发生率明显高于<4组,差异均有统计学意义(P<0.05)。结论妊娠前肥胖及妊娠期体质量增加过多可增加GDM孕妇发生不良妊娠结局危险性,GDM孕妇妊娠期体质量指数总增幅应控制在合适范围内以减少不良妊娠结局的发生和改善母儿结局。%[ ABSTRACT] Objective To explore the effect of pregestational and gestational body mass index ( BMI) increase on perinatal out-come of pregnant women with gestational diabetes mellitus ( GDM ) .Methods 264 pregnant woman with GDM were divided into nor-mal group (18.525) in light of pregestational BMI or group A (6) based on BMI increase from early pregnancy to termination of pregnancy.The details of perinatal complication occurrence and adverse pregnancy outcomes were recorded respectively.Results The incidence of pre-eclampsia and premature delivery and cesarean section rate in the obesity group were significantly higher than in the normal group( P<0.05).The incidence of preeclampsia, polyhydramnios, premature rupture of fetal membranes, fetal distress, premature delivery and neonatal hypoglycaemia in group B were significantly lower than in group C (P<0.05).The

  18. Dietary meat and fat intake and prevalence of rhinoconjunctivitis in pregnant Japanese women: baseline data from the Kyushu Okinawa Maternal and Child Health Study.

    Science.gov (United States)

    Miyake, Yoshihiro; Tanaka, Keiko; Okubo, Hitomi; Sasaki, Satoshi; Arakawa, Masashi

    2012-03-27

    Dietary fat exerts numerous complex effects on proinflammatory and immunologic pathways. Several epidemiological studies have examined the relationships between intake of fatty acids and/or foods high in fat and allergic rhinitis, but have provided conflicting findings. The current cross-sectional study investigated such relationships in Japan. Study subjects were 1745 pregnant women. The definition of rhinoconjunctivitis was based on criteria from the International Study of Asthma and Allergies in Childhood. Information on dietary factors was collected using a validated self-administered diet history questionnaire. Adjustment was made for age; gestation; region of residence; number of older siblings; number of children; smoking; secondhand smoke exposure at home and at work; family history of asthma, atopic eczema, and allergic rhinitis; household income; education; and body mass index. The prevalence of rhinoconjunctivitis in the past 12 months was 25.9%. Higher meat intake was significantly associated with an increased prevalence of rhinoconjunctivitis: the adjusted odds ratio between extreme quartiles was 1.71 (95% confidence interval: 1.25-2.35, P for trend = 0.002). No measurable association was found between fish intake and rhinoconjunctivitis. Intake of total fat, saturated fatty acids, monounsaturated fatty acids, n-3 polyunsaturated fatty acids, α-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid, n-6 polyunsaturated fatty acids, linoleic acid, arachidonic acid, and cholesterol and the ratio of n-3 to n-6 polyunsaturated fatty acid intake were not evidently related to the prevalence of rhinoconjunctivitis. The current results suggest that meat intake may be positively associated with the prevalence of rhinoconjunctivitis in young adult Japanese women.

  19. Dietary meat and fat intake and prevalence of rhinoconjunctivitis in pregnant Japanese women: baseline data from the Kyushu Okinawa Maternal and Child Health Study

    Directory of Open Access Journals (Sweden)

    Miyake Yoshihiro

    2012-03-01

    Full Text Available Abstract Background Dietary fat exerts numerous complex effects on proinflammatory and immunologic pathways. Several epidemiological studies have examined the relationships between intake of fatty acids and/or foods high in fat and allergic rhinitis, but have provided conflicting findings. The current cross-sectional study investigated such relationships in Japan. Methods Study subjects were 1745 pregnant women. The definition of rhinoconjunctivitis was based on criteria from the International Study of Asthma and Allergies in Childhood. Information on dietary factors was collected using a validated self-administered diet history questionnaire. Adjustment was made for age; gestation; region of residence; number of older siblings; number of children; smoking; secondhand smoke exposure at home and at work; family history of asthma, atopic eczema, and allergic rhinitis; household income; education; and body mass index. Results The prevalence of rhinoconjunctivitis in the past 12 months was 25.9%. Higher meat intake was significantly associated with an increased prevalence of rhinoconjunctivitis: the adjusted odds ratio between extreme quartiles was 1.71 (95% confidence interval: 1.25-2.35, P for trend = 0.002. No measurable association was found between fish intake and rhinoconjunctivitis. Intake of total fat, saturated fatty acids, monounsaturated fatty acids, n-3 polyunsaturated fatty acids, α-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid, n-6 polyunsaturated fatty acids, linoleic acid, arachidonic acid, and cholesterol and the ratio of n-3 to n-6 polyunsaturated fatty acid intake were not evidently related to the prevalence of rhinoconjunctivitis. Conclusions The current results suggest that meat intake may be positively associated with the prevalence of rhinoconjunctivitis in young adult Japanese women.

  20. The Fu Takes Care of the Young to Care Organization File the Influence of the Construction Upon the Age Pregnant Woman of Gao Chan Yun%妇幼保健机构档案建设对高产孕龄产妇的影响

    Institute of Scientific and Technical Information of China (English)

    武美莉

    2015-01-01

    Take care of the young to care a business development in the Fu in, the organization file construction has a very im-portant position.Particularly age pregnant woman of Gao Chan Yun, pass file construction, can provide Fu to take care of the young to care for pregnant woman, social service function.Care at the age pregnant woman of Gao Chan Yun in, the abundant information of file has to act for a function.Pass information-based means, promote the management, business work that the age pregnant wom-an of Gao Chan Yun cares, well develop an information to drill, integrate file resources advantage, raise economic efficiency, social efficiency, help the Fu to take care of the young to care business of positive, healthy development.%在妇幼保健事业发展中,机构档案建设具有十分重要的地位。尤其是高产孕龄产妇,通过档案建设,可为产妇提供妇幼保健、社会服务功能。在高产孕龄产妇保健中,档案的丰富信息具有不可替代作用。通过信息化手段,促进高产孕龄产妇保健的管理、业务工作,充分发挥信息作用,整合档案资源优势,提高经济效益、社会效益,促进妇幼保健事业的良性、健康发展。

  1. Fascitis nodular cervical en paciente gestante: revisión de la literatura y presentación de un caso Cervical nodular fasciitis in a pregnant woman: Review of the literature and presentation of a new case

    Directory of Open Access Journals (Sweden)

    Manuel Acosta-Feria

    2010-09-01

    Full Text Available La fascitis nodular es una lesión benigna rara, de crecimiento rápido, cuya patogenia es aún desconocida. Si bien a nivel de cabeza y cuello aparece en un 20% de los casos, su aparición en pacientes gestantes es extremadamente rara. Presentamos el segundo caso descrito en la literatura en el cual está presente dicha asociación. Mujer de 25 años y gestante de 13 semanas, con una tumoración retroauricular derecha de 3 cm de diámetro, 3 meses de evolución y rápido crecimiento. No presentaba parálisis facial ni dolor en la exploración inicial. Tras la exéresis quirúrgica de la lesión, el diagnóstico anatomopatológico definitivo de ésta, fue de fascitis nodular. Tras 2 años desde la intervención quirúrgica no se ha evidenciado recidiva de la tumoración, llevándose el embarazo a término sin presentar complicaciones ni para la madre ni para el feto.The nodular fasciitis is a rare benign lesion of rapid growth, whose pathogenesis is still unknown. While at the head and neck appeared in 20% of cases, its occurrence in pregnant patients is extremely rare. We report the second case described in the literature in which this association is present. Woman of 25 years and 13 weeks pregnant, who had a right auricular tumour 3 cm in diameter, 3 months of development and rapid growth. No facial paralysis or pain in the initial exploration. After surgical resection of the lesion, the final pathological diagnosis of the same was nodular fasciitis. After two years since the surgery, there was no evidence of recurrence of the tumour, taking ad términun pregnancy without complications or the mother or the fetus.

  2. Analysis of D-dimer level of normal pregnancy and pregnancy hypertension syndrome pregnant woman%正常妊娠与妊娠高血压综合征孕妇D-二聚体水平分析

    Institute of Scientific and Technical Information of China (English)

    李明兰

    2014-01-01

    Objective:To analyze the difference of D-dimer level of normal pregnancy and pregnancy hypertension syndrome pregnant woman,and to explore the influence of hypertension on D-two dimer level of pregnant women.Methods:128 pregnant women were selected from March 2010 to October 2013.According to with hypertension or not,they were divided into the pregnancy induced hypertension syndrome group(60 cases) and the normal pregnancy group(68 cases),at the same time,70 healthy women were selected as the control group.We compared the plasma D-dimer level of the three groups.Results:The D-dimer level of pregnancy induced hypertension group and normal pregnancy group were significantly higher than those of the control group(P<0.05,P<0.01).The D-dimer level of pregnancy induced hypertension group were significantly higher than that of normal pregnancy group(P<0.05);between the different degree pregnancy induced hypertension,the plasma D-dimer level had significant difference(P<0.05).Conclusion:The plasma D-dimer content of normal pregnancy is increased,and the blood is become hypercoagulable state.Patients with hypertensive disorders in pregnancy have the pathological changes of the coagulation system,and the plasma D-dimer level is higher than that of normal pregnancy.We suggest that we should examine the plasma D-dimer level of patients with hypertension of pregnancy,and understand the existence of thrombotic diseases,to protect the health of mother and infant.%目的:分析正常妊娠与妊娠高血压综合征孕妇血浆D-二聚体水平差异,探讨高血压对妊娠期妇女D-二聚体水平的影响。方法:2010年3月-2013年10月收治妊娠期孕妇128例,按照是否合并高血压分为妊娠期高血压综合征组(60例)和正常妊娠组(68例),另选择同期健康女性70例作为对照组。对比3组血浆D-二聚体水平。结果:妊娠高血压组、正常妊娠组D-二聚体水平显著高于对照组(P<0.05,P<0.01)。妊娠高血压

  3. Antitubercular drug poisoning in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Rahul Dutta

    2010-01-01

    Full Text Available A 20-year-old female in her third month of pregnancy, presented with generalised tonic clonic seizures, metabolic acidosis and coma following suicidal ingestion of antitubercular medication. We successfully managed the case with pyridoxine, sodium bicarbonate and mechanical ventilation.

  4. Cytomegalovirus Retinitis in an Immunocompetent Pregnant Woman

    African Journals Online (AJOL)

    Cytomegalovirus (CMV) is a beta-herpes virus. It belongs ... common virus that results in opportunistic infections ... ganciclovir therapy, and 2 weeks later blurred vision .... Barr Virus Viral Capsid Antigen Antibody, IgM: Immunoglobulin M, IgG: ...

  5. Goodpasture syndrome in a pregnant woman.

    Science.gov (United States)

    Vasiliou, D Marie; Maxwell, Cynthia; Shah, Prakeshkumar; Sermer, Mathew

    2005-11-01

    Goodpasture syndrome, an immunologic disorder characterized by glomerulonephritis and pulmonary hemorrhage, rarely presents in pregnancy. We describe a patient who was diagnosed with Goodpasture syndrome in her second trimester. She required daily hemodialysis, intermittent plasmapheresis, and immunosuppressive therapy. Her pregnancy was complicated by hypertension, and she delivered a low birth weight neonate prematurely at 26 4/7 weeks of gestation by cesarean due to nonreassuring fetal status. Deterioration in the fetal status may have been secondary to complications of hypertension, in addition to prematurity. Goodpasture syndrome in pregnancy may be associated with significant maternal and fetal morbidity.

  6. Genetic association of aromatic hydrocarbon receptor (AHR) and cytochrome P450, family 1, subfamily A, polypeptide 1 (CYP1A1) polymorphisms with dioxin blood concentrations among pregnant Japanese women

    OpenAIRE

    Kobayashi, Sumitaka; Sata, Fumihiro; Sasaki, Seiko; Ban, Susumu; Miyashita, Chihiro; Okada, Emiko; Limpar, Mariko; Yoshioka, Eiji; Kajiwara, Jumboku; TODAKA, Takashi; Saijo, Yasuaki; Kishi, Reiko

    2013-01-01

    Dioxins are metabolized by cytochrome P450, family 1 (CYP1) via the aromatic hydrocarbon receptor (AHR). We determined whether different blood dioxin concentrations are associated with polymorphisms in AHR (dbSNP ID: rs2066853), AHR repressor (AHRR; rs2292596), CYP1 subfamily A polypeptide 1 (CYP1A1; rs4646903 and rs1048963), CYP1 subfamily A polypeptide 2 (CYP1A2; rs762551), and CYP1 subfamily B polypeptide 1 (CYP1B1; rs1056836) in pregnant Japanese women. These six polymorphisms were detect...

  7. Clinical analysis of re-pregnant woman after caesarean birth for delivery way%剖宫产术后再次妊娠分娩方式的临床分析

    Institute of Scientific and Technical Information of China (English)

    曾礼新

    2015-01-01

    Objective To study the delivery way of the re-pregnant woman after caesarean birth. Methods The clinical data of 68 cases of delivery in women of secondary pregnancy after cesarean from January 1,2009 to December 31, 2012 in our hospital were analysed,30 women were applied vaginal delivery (VBAC group),38 women were applied re-peated cesarean section(RCS group).After the two different delivery way,the postpartum hemorrhage quantity,postpartum infection rate, neonatal birth weight and 5 min Apgar scoreof,hospitalization time between the two groups were com-pared. Results Postpartum hemorrhage quantity,postpartum infection rate,hospitalization time,the incidence of neonatal respiratory complications,hospital fees,nursing satisfaction,abdominal cavity adhesion rate,incision healing rate,maternal good recovery rate in VBAC group significantly lower than those of RCS group,the difference was significant (P0.05). Conclusion Pregnant women with pregnancy cesarean section again after cesarean section should be the preferred option of vaginal delivery,in the case of vaginal delivery indications and no indications for cesarean sec-tion,can improve the safety of pregnancy outcome.%目的:分析剖宫产术后再次妊娠的分娩方式。方法回顾性分析2009年1月1日~2012年12月31日本院收治的68例剖宫产术后再次妊娠分娩产妇的临床资料,30例选择阴道试产(VBAC组),38例实施再次剖宫产(RCS组),比较两种不同分娩方式后两组产妇的产后出血量、产后感染率、新生儿体重、新生儿5 min Apgar 评分、住院时间等指标。结果 VBAC组的产后出血量、产后感染率、住院时间、新生儿呼吸系统并发症发生率、住院费用、护理满意度、腹腔粘连率、切口甲级愈合率及出院时产妇恢复良好率均显著低于RCS组,差异有统计学意义(P0.05)。结论剖宫产术后再次妊娠的孕妇无剖宫产指征并符合阴道试产条件,应优先选择

  8. Genetic association of aromatic hydrocarbon receptor (AHR) and cytochrome P450, family 1, subfamily A, polypeptide 1 (CYP1A1) polymorphisms with dioxin blood concentrations among pregnant Japanese women.

    Science.gov (United States)

    Kobayashi, Sumitaka; Sata, Fumihiro; Sasaki, Seiko; Ban, Susumu; Miyashita, Chihiro; Okada, Emiko; Limpar, Mariko; Yoshioka, Eiji; Kajiwara, Jumboku; Todaka, Takashi; Saijo, Yasuaki; Kishi, Reiko

    2013-06-07

    Dioxins are metabolized by cytochrome P450, family 1 (CYP1) via the aromatic hydrocarbon receptor (AHR). We determined whether different blood dioxin concentrations are associated with polymorphisms in AHR (dbSNP ID: rs2066853), AHR repressor (AHRR; rs2292596), CYP1 subfamily A polypeptide 1 (CYP1A1; rs4646903 and rs1048963), CYP1 subfamily A polypeptide 2 (CYP1A2; rs762551), and CYP1 subfamily B polypeptide 1 (CYP1B1; rs1056836) in pregnant Japanese women. These six polymorphisms were detected in 421 healthy pregnant Japanese women. Differences in dioxin exposure concentrations in maternal blood among the genotypes were investigated. Comparisons among the GG, GA, and AA genotypes of AHR showed a significant difference (genotype model: P=0.016 for the mono-ortho polychlorinated biphenyl concentrations and toxicity equivalence quantities [TEQs]). Second, we found a significant association with the dominant genotype model ([TT+TC] vs. CC: P=0.048 for the polychlorinated dibenzo-p-dioxin TEQs; P=0.035 for polychlorinated dibenzofuran TEQs) of CYP1A1 (rs4646903). No significant differences were found among blood dioxin concentrations and polymorphisms in AHRR, CYP1A1 (rs1048963), CYP1A2, and CYP1B1. Thus, polymorphisms in AHR and CYP1A1 (rs4646903) were associated with maternal dioxin concentrations. However, differences in blood dioxin concentrations were relatively low.

  9. Follow-up of pregnant woman 16 years after exposure in Xinzhou radiation accident%山西忻州事故中孕妇受照后第16年随访

    Institute of Scientific and Technical Information of China (English)

    张照辉; 王文学; 张淑兰; 贾廷珍; 刘青杰; 梁莉; 苏旭; 马力文; 秦斌; 陈森

    2010-01-01

    Objective To investigate the late effect of radiation on child-bearing women,through observing "Fang",a 19-week-pregnant woman at age of 23,who was exposed to 60Co radiation in Shanxi Xinzhou radiation accident in November,1992 and diagnosed as moderate bone marrow type acute radiation sickness and recovered after 16 year of follow-up treatment.Methods Clinical data including medical history,physical examination,laboratory data,imaging findings and consulting relevant departments were reviewed.Results The followed-up woman "Fang" often felt weak and caught cold after recovery.When she was 32 years old (9 years after radiation),her hair turned grey,but without hair loss.Her menstrual quantity was lessened since 31 years old (8 years after radiation).She was remarried and pregnant twice in the same year.At the first time she underwent artificial abortion and the second child suffered from intrauterine death after 6 months of pregnancy.The physical examination found bilateral degree Ⅰ thyroid enlargement and sparse armpit hair.The laboratory test showed the increased levels of triiodothyronine,thyroxine and anti-thyroid peroxidase antibody (TMAb) and the decreased thyroid stimulating hormone (TSH).Unstable chromosome aberrations were totally lost and stable aberrations in chromosomes were detected by fluorescence in situ hybridization (FISH).The dose estimated with the residue chromosome aberration was 0.76 Gy.Other laboratory results were normal.Ultrasonic test showed diffuse lesion in bilateral thyroid and multiple cystic nodules in right lobe of thyroid,which was considered to be nodular goiter.The examination of bone mineral density (BMD) showed osteoporosis from the second to the fourth lumber vertebra.There were no diseases associated with radiation based on the consultation from related departments.Conclusions Intrauterine death after 6 months of pregnancy might be associated with the previous exposure.There is no evidence of malignant tumor,but non

  10. Abdômen agudo em gestante tratada de obesidade por cirurgia bariátrica: relato de caso Acute abdomen in pregnant woman treated for bariatric surgery for obesity: case report

    Directory of Open Access Journals (Sweden)

    Belmiro Gonçalves Pereira

    2010-10-01

    Full Text Available A cirurgia bariátrica vem sendo considerada, na atualidade, uma alternativa ao tratamento de obesidade mórbida refratária a tratamentos clínicos convencionais. As cirurgias mais usadas, radicais e invasivas, apresentam resultados melhores e mais rápidos, porém estão mais sujeitas a complicações clínicas e cirúrgicas, como obstruções e suboclusões intestinais. Gestações em mulheres que se submetem a este tipo de cirurgia são cada vez mais frequentes e as complicações relacionadas cada vez mais descritas. Apresentamos o caso clínico de mulher grávida previamente submetida à cirurgia bariátrica que desenvolveu quadro de suboclusão com intussuscepção intestinal. Essa complicação extremamente grave requer muita atenção para seu diagnóstico, utilizando-se exames de imagem e laboratório não empregados usualmente durante a gravidez. A gestação confunde e dificulta sua interpretação, além de o único tratamento de bom resultado ser invasivo, a laparotomia exploradora, ser indesejável no período. A morbidade e mortalidade materna, fetal e perinatal costumam ser elevadas. No caso descrito, o parto ocorreu de forma espontânea nas primeiras horas de internação, antes de o procedimento cirúrgico ser executado. A evolução foi boa e paciente e recém-nascido, embora prematuro, evoluíram bem e tiveram alta em boas condições.Bariatric surgery is currently considered as an alternative for the treatment of morbid obesity refractory to conventional clinical treatments. The surgeries more frequently used, which are radical and invasive, yield better and faster results, but are subject to clinical and surgical complications such as intestinal obstructions and subocclusions. Pregnancies in women submitted to this type of surgery are increasingly frequent, and the related complications have been increasingly reported. We present the case of a pregnant woman previously submitted to bariatric surgery who developed

  11. Controle de polidrâmnio recorrente em gestante portadora do HIV-1: relato de caso Recurrent polyhydramnios management in an HIV-1 infected pregnant woman: a case report

    Directory of Open Access Journals (Sweden)

    Geraldo Duarte

    2004-04-01

    Full Text Available A redução da transmissão vertical (TV do vírus da imunodeficiência humana tipo 1 (HIV-1 utilizando a profilaxia com a zidovudina (AZT representa significativo avanço na assistência pré-natal e obstétrica destas pacientes. Condutas obstétricas invasivas são contra-indicadas em gestantes portadoras do HIV-1, em face do risco de aumento da taxa de TV deste vírus. Os autores relatam um caso de polidrâmnio recorrente em gestante portadora do HIV-1, que exigiu drenagem por amniocentese. Foram realizadas quatro punções ao longo da gestação, na 23ª, 26ª, 27ª e 29ª semanas, todas guiadas por ultra-sonografia, drenando, respectivamente, 1.800, 1.450, 1.700 e 1.960 mL de líquido amniótico claro em cada punção. Com 30 semanas e 5 dias de gestação a paciente apresentou trabalho de parto pré-termo, evoluindo para parto vaginal de recém-nato (RN pesando 1.690 g e medindo 43 cm. O RN evoluiu com diagnóstico de nefropatia perdedora de sódio, tendo três aferições de reação em cadeia de polimerase para HIV-1 negativas. Os autores ilustram uma opção no manejo de situações que envolvam gestantes portadoras do HIV-1 que necessitem de procedimentos obstétricos invasivos, utilizando AZT endovenoso (2 mg/kg previamente ao procedimento, medida que apresentou excelente resultado no caso descrito, evitando a infecção perinatal pelo HIV-1.The reduction of mother-to-child transmission (MTCT of the HIV-1 using zidovudine (ZDV represents a cornerstone in the prenatal and obstetrical care to these patients. The invasive fetal and obstetric procedures are proscribed in HIV-1 infected pregnant patients, to avoid the increased risk of MTCT of this virus. The authors present a case of an HIV-1 infected woman with recurrent polyhydramnios. Four ultrasound-guided amniotic punctures were performed in the 23rd, 26th, 27th and 29th weeks of gestation, each one draining the respective volumes of 1,800, 1,450, 1,700 and 1,960 ml of clear amniotic

  12. 40 CFR 26.1203 - Prohibition of research involving intentional exposure of any human subject who is a pregnant...

    Science.gov (United States)

    2010-07-01

    ... intentional exposure of any human subject who is a pregnant woman (and therefore her fetus), a nursing woman... Exposure of Human Subjects who are Children or Pregnant or Nursing Women § 26.1203 Prohibition of research involving intentional exposure of any human subject who is a pregnant woman (and therefore her fetus),...

  13. Korean students' attitude toward role language in Japanese

    OpenAIRE

    鄭, 惠先

    2008-01-01

    Kinsui(2003) defines a locution or speech pattern which has some peculiar association with some character, for example, man or woman, as role language. Non-Japanese residing in Japan and using Japanese as a second language will acquire the knowledge of Japanese role language. In this paper, an attitude-survey concerning role language of Japanese was done towards both Koreans learning Japanese and Japanese. Three conclusions are drawn from this survey: (1) Korean examinees try to understand th...

  14. How I Got Pregnant

    Directory of Open Access Journals (Sweden)

    Dwyer, James

    2014-04-01

    Full Text Available This short story raises ethical issues about a woman’s request for medical assistance to get pregnant. In this fictional account, a 34-year-old woman has been trying to get pregnant for the last year. Her husband would like to keep trying for one more year, but the woman loses patience. She visits an ob-gyn and requests artificial insemination. She does not intend to tell her husband about this medical assistance. The doctor has helped single women, lesbian couples, and married couples with pregnancies, but he feels conflicted by this request. The doctor and the woman discuss their concerns and plans. Then they decide on a course of action. In a creative way, this story aims to bring to life ethical issues about assisted reproduction, complex relationships, individual choice, non- judgmental attitudes, deception, confidentiality, genetic connections, and social parents. But this story is not a textbook case that illustrates a clearly defined ethical issue. On the contrary, the story shows that some common ethical ideas don’t quite fit the characters’ experiences and the readers’ reactions.

  15. Oral Mucosal Disorders in Pregnant versus Non-Pregnant Women

    Directory of Open Access Journals (Sweden)

    Fahimeh Rezazadeh

    2014-12-01

    Full Text Available The effects of pregnancy on the Oral Mucosa Disorder (OMD have been sporadically documented in some developed countries. Less known is the status of OMD during pregnancy in less developed/developing countries. Iran is no exception. This study assesses the prevalence of OMD in 200 pregnant women and compares the findings with the findings from a 200 non-pregnant woman of similar age distribution in Iran. The participants had been referred to a clinic to receive reproductive age-related services. Participants suffering from systemic chronic diseases, those on medications/drugs, smokers, needing biopsies, and those with urgent Oral Mucosal Lesion (OML treatments were excluded from the study. Oral mucosal of all 400 participants were examined. The participants’ age ranges were from 17 to 47; with the average age of 33.14 for one group; and 30.23 for the other group. Both groups had the same level of formal education. Out of 400 examined women; 62 had lesions, including 47 pregnant (23.5%; and 15 non-pregnant (7.5% women. This result shows that the OMD rate of occurrence was significantly higher among the pregnant women. Higher OML prevalence in pregnant women, as compared to the non-pregnant women, indicates the importance of timely oral examination of pregnant women and subsequent treatment plans for them.

  16. Causes of abortion in pregnant women applying with vaginal bleeding and pain: fetal- maternal causes

    OpenAIRE

    Çevik, Semra Akköz; Başer, Mürüvvet

    2013-01-01

    Abstract Objective: Aim of this study was to investigate causes of abortion in pregnant woman applying with vaginal bleeding and pain and diagnosed abortion to Gaziantep 75. year maternatiy hospital.Material and method: This study was conducted on pregnant woman applying with vaginal bleeding and pain and diagnosed abortion to Gaziantep 75. Year maternatiy hospital between 13 September- 29 December 2009 and total 53 pregnant woman were used as a materials( in the first and second trimester). ...

  17. Technical characteristics of JaPanese woman wrestling team  ̄ Taking 2014 Wrestling World Cup as an example%日本女子摔跤队技术运用特征分析--以2014年女子摔跤世界杯为例

    Institute of Scientific and Technical Information of China (English)

    孙健; 路海; 康士华

    2015-01-01

    Japanese woman wrestling team is the world top team. With the methods of literature, video observation, mathematical statistics, comparative analysis and expert interview,an analysis was made on Japanese woman wrestling team,champion of 2014 womenˊs Wrestling World Cup,in order to provide reference and suggestions for Chinaˊs preparation for the 2016 Brazil Olympic Games. The results showed that the main means of scoring is to hold the single leg or both legs;they have improved the offensive and defensive abilities of folding arms and embracing neck and shoulders in order to adapt to the European wrestling holding and adhesion;they have strengthened the cohesion of standing and kneeling,ground holds scoring strengthened. As the world top team,Japanese woman wrestling team has formed the technical characteristics of varied and changing skill,realistic fake,active and quick moving,fast technical coherence and cohesion with strong sense of timing.%日本女子摔跤队是世界女子摔跤的强队,通过文献资料、录像观察、数理统计、比较分析、专家访谈等方法,针对2014年获得女子摔跤世界杯冠军的日本队进行研究与分析,为中国女子摔跤队备战2016年巴西奥运会提供参考与建议。结果表明:日本女子摔跤队以抱单腿与抱双腿为站立角斗的主要得分手段;为了适应欧洲女子摔跤运动员的插捧和粘连的摔法,提高了抱臂类和搂肩颈把位的攻防能力;加强了站立与跪撑的衔接,跪撑得分能力明显加强;日本女子摔跤队作为世界一流强队,形成了手法多变、假动作逼真,积极主动、移动迅速,技术连贯、动作衔接快,运用技术动作的时机感强的技术风格与特点。

  18. 孕妇免疫规划健康教育效果及影响因素分析%Effect and Influence Factors on Health Education of National Immunization Programme in Pregnant Woman

    Institute of Scientific and Technical Information of China (English)

    陈伟; 李永成; 朱向军; 高志刚; 丁亚兴; 万丽霞; 张之伦

    2012-01-01

    Objective To analysis the effect and influence factors of health education of national immunization program ( NIP) on awareness rate and behavior change in pregnant women. Methods Experimental study of epidemiology was used to divide all pregnant women into intervention group with health education and control group) each group included 720 pregnant women. The relevant awareness rate about NIP was gotten before and after the intervention program) and the status in the first year of their babies vaccination were followed up in order to evaluate the intervention effect of the health education program. Results Before intervention, there was no significant difference in the awareness rates between intervention group (14.41% ) and control group (11.38%)(X2=1.45) P>0.05). After intervention, the awareness rate for intervention group and control group was 42.72% and 12.89% respectively, there was significant difference (X2=161.98, P0.05). However, health education intervention (odds ratio, OR=2A\\, 95%confidence interval, CI. 1.76-3.30) and high education level of pregnant (OR=1.29, 95% CI: 1.06-1.54) were associated with coverage of NIP vaccine vaccination. Conclusions The intervention program of health education can increase the awareness rate of pregnant women and vaccination rate of their children. The ways of health education program in pregnant women should be recommended.%目的 评价孕妇免疫规划健康教育的认知与行为干预的效果及影响因素.方法 采用流行病学试验研究方法,将720名孕妇作为干预组进行免疫规划知识健康教育,另外选择720名孕妇作为对照组,不对其进行健康教育.对两组人群干预前后的免疫规划认知情况进行问卷调查,并随访其胎儿出生后1年内的预防接种情况,评价干预效果及影响因素.结果 干预前干预组与对照组的全部国家免疫规划(National Immunization Program,NIP)疫苗种类知晓率分别为14.41%、11.38

  19. Japanese; Japanese Proverbs.

    Science.gov (United States)

    Defense Language Inst., Washington, DC.

    The proverbs and expressions listed in this supplementary Japanese language text are grouped as follows: (1) 161 general proverbs and expressions; (2) 42 slang expressions; and (3) 73 expressions concerning the body. Each entry appears in transliteration as well as in Japanese orthography, with its English gloss. (AMM)

  20. How a Married Woman`s Characteristics Affect her Contraceptive Behavior?

    Science.gov (United States)

    Khan, Rana Ejaz Ali; Khan, Tasnim

    In Pakistan, population growth rate is 2.2% and Total Fertility Rate (TFR) is as high as 5.4. It is the result of low Contraceptive Prevalence Rate (CPR) of only 28%. Due to low CPR, women have high rate of unwanted births in Pakistan. In this study using probit estimation on primary data, we have analyzed the woman=s characteristics responsible for low contraceptive prevalence among married women in urban areas of Punjab (Pakistan). For the purpose one thousand married women in the age group of 15-49 years, who were not currently pregnant were interviewed from urban areas of Bahawalpur and Lahore. The individual characteristics of married women were focused, although household characteristics, socio-economic conditions of the community where woman is living, religious and cultural factors are also important. It is found that age of woman, education of woman, woman`s status, her economic activity, income level and age at marriage were found major determinants of contraceptive prevalence in women. The policies towards the education of women, status of women, labor force participation of women and legal interventions towards the increase in marriage age are stressed to increase the CPR.

  1. Antenatal management of recurrent fetal goitrous hyperthyroidism associated with fetal cardiac failure in a pregnant woman with persistent high levels of thyroid-stimulating hormone receptor antibody after ablative therapy.

    Science.gov (United States)

    Matsumoto, Tadashi; Miyakoshi, Kei; Saisho, Yoshifumi; Ishii, Tomohiro; Ikenoue, Satoru; Kasuga, Yoshifumi; Kadohira, Ikuko; Sato, Seiji; Momotani, Naoko; Minegishi, Kazuhiro; Yoshimura, Yasunori

    2013-01-01

    High titer of maternal thyroid-stimulating hormone receptor antibody (TRAb) in patients with Graves' disease could cause fetal hyperthyroidism during pregnancy. Clinical features of fetal hyperthyroidism include tachycardia, goiter, growth restriction, advanced bone maturation, cardiomegaly, and fetal death. The recognition and treatment of fetal hyperthyroidism are believed to be important to optimize growth and intellectual development in affected fetuses. We herein report a case of fetal treatment in two successive siblings showing in utero hyperthyroid status in a woman with a history of ablative treatment for Graves' disease. The fetuses were considered in hyperthyroid status based on high levels of maternal TRAb, a goiter, and persistent tachycardia. In particular, cardiac failure was observed in the second fetus. With intrauterine treatment using potassium iodine and propylthiouracil, fetal cardiac function improved. A high level of TRAb was detected in the both neonates. To the best of our knowledge, this is the first report on the changes of fetal cardiac function in response to fetal treatment in two siblings showing in utero hyperthyroid status. This case report illustrates the impact of prenatal medication via the maternal circulation for fetal hyperthyroidism and cardiac failure.

  2. Enrichment of Fetal Nucleated Red Blood Cell in Peripheral Blood of Pregnant Woman by Joint Use of Density Gradient Centrifugation and Keihuaer Acid-fast Staining%密度梯度离心结合Keihuaer抗酸染色法富集孕妇外周血中FNRBC的研究

    Institute of Scientific and Technical Information of China (English)

    何国平; 刘雨生; 童先宏; 郑圣霞; 张荣; 王念念; 吴丽敏; 周桂香

    2009-01-01

    Objective To investigate and establish a simple, rapid and lower-cost method to enrich fetal nucleated red blood cell(FNRBC) in peripheral blood of pregnant woman. Methods About 10 ml of peripheral blood sample from 18 pregnant women with gestational weeks arranged from 8 to 16 was collected, and then subjected to the discontinuous density gradient centrifugation. After the primary cell isolation, Keihuaer acid-fast staining method was used to mark the isolated cells previously spread on the slides. The special morphocytology and colour staining of FNRBC could be distinctly distinguished from the surrounding mother cells. Following that, the special antibody against fetal hemoglobin was further used to validate the fetus-originated characteristics for the positive FNRBC staining slides.Results After dealing with Keihuaer acid-fast staining, the cytoplasm of positive FNRBC was stained to be scarlet,nucleolus to be blue,while the cytoplasm of mother cells were colorless. The positive FNRBC were detected in 14 of 18 healthy pregnant women, average 1 to 6 cells per case,the positive rate was 77.8%. The same experimental results was further validated with the special antibody against fetal hemoglobin immunocytochemical staining,the diagnose accordance rate was 100.0%. Conclusions The density gradient centrifugation,together with Keihuaer acid-fast staining were highly special for the enrichment of FNRBC in peripheral blood of pregnant woman. The practical operation of this method was simple,fast and the future investigations would hopefully prove its worth in the clinical application of noninvasive prenatal diagnosis of gene disorders.%目的 探索建立一种简便、快速、较低成本的用于孕妇外周血胎儿有核红细胞(FNRBC)富集的实验方法.方法 采集18名孕周在8~16周的孕妇外周血10 ml,经Percoll不连续密度梯度离心初步分离后,运用Keihuaer抗酸染色法对玻片上的细胞进行染色标记,显微镜下观察、辨

  3. Alexia with agraphia of kanji (Japanese morphograms).

    Science.gov (United States)

    Kawamura, M; Hirayama, K; Hasegawa, K; Takahashi, N; Yamaura, A

    1987-01-01

    The case of the right-handed young Japanese woman with alexia with agraphia of kanji (the Japanese morphograms) due to a small circumscribed haematoma in the left posterior inferior temporal gyrus is described. Her chief complaint was the inability to read and write kanji. Detailed examination showed that her alexia with agraphia was much more predominant for kanji than kana (the Japanese syllabograms). These facts suggest that the processing of kanji and kana involves different intrahemispheric mechanisms. Images PMID:3668562

  4. Acute splenic sequestration in a pregnant woman with homozygous sickle-cell anemia Sequestro esplênico agudo em uma mulher grávida com anemia falciforme homozigótica

    Directory of Open Access Journals (Sweden)

    Carolina Bastos Maia

    2013-04-01

    Full Text Available CONTEXT Homozygous (SS sickle-cell anemia complicated by acute splenic sequestration in adults is a rare event, and it has never been reported during pregnancy. CASE REPORT A 25-year-old woman with homozygous (SS sickle-cell disease was hospitalized at 32 weeks' of gestation presenting weakness, abdominal pain, fever and hemoglobin of 2.4 g/dl. Abnormal fetal heart rate was detected by means of cardiotocography, and 5 units of packed red cells were transfused. Cesarean was performed at 37 weeks. Both mother and baby were discharged in a good general condition. CONCLUSION This case report demonstrates the importance of immediate blood transfusion for treatment of fetal distress in cases of splenic sequestration during pregnancy. This treatment is essential for avoiding maternal and fetal complications. CONTEXTO Anemia falciforme homozigótica (SS complicada por sequestro esplênico agudo em adultos é evento raro, e nunca foi relatado durante a gravidez. RELATO DO CASO Uma mulher de 25 anos, portadora de doença falciforme homozigótica (SS, com 32 semanas de gestação, foi internada apresentando fraqueza, dor abdominal, febre e hemoglobina de 2,4 g/dl. Frequência cardíaca fetal anormal foi detectada pela cardiotocografia e a paciente recebeu 5 unidades de concentrado de hemácias. Cesariana foi realizada com 37 semanas. Mãe e filho receberam alta em bom estado geral. CONCLUSÃO Este relato de caso demonstra a importância da transfusão imediata para o tratamento de sofrimento fetal nos casos de sequestro esplênico durante a gestação. Este tratamento é imprescindível para se evitarem complicações maternas e fetais.

  5. Valvoplastia mitral percutânea em paciente gestante guiada apenas pelo ecocardiograma transesofágico Percutaneous mitral valvuloplastry in a pregnant woman guided only by the transesophageal echocardiography

    Directory of Open Access Journals (Sweden)

    José A. Mangione

    2007-03-01

    Full Text Available A estenose da válvula mitral é a lesão de válvula mais comum durante a gravidez. Apesar de um tratamento clínico eficaz e de uma anatomia valvular favorável, de acordo com o critério de Wilkins e Block [score de Wilkins-Block], a intervenção percutânea em pacientes sintomáticas mostra-se muito importante. Nessas pacientes, recomenda-se evitar ao máximo a exposição aos raios X para proteger o feto dos efeitos deletérios da radiação ionizante. Neste relato de caso, uma paciente de 24 anos, grávida, com grave estenose mitral (área valvular de 0,9 cm², foi submetida com sucesso a um tratamento percutâneo com ETE-guiado, sem o uso de raios X.Mitral valve stenosis is the most common valve lesion in pregnancy. In spite of an optimized clinical treatment and a favorable valve anatomy according to Wilkins and Block score, in symptomatic patients, percutaneous intervention is shown to be of great importance. In these patients, avoiding x-ray exposure as much as possible is recommended so as to protect the fetus from the deleterious effects of ionizing radiation. In this case report, a 24-year old pregnant patient with severe mitral stenosis (valve area of 0.9 cm² was successfully submitted to a TEE-guided percutaneous treatment, without the use of x-ray.

  6. I'm Pregnant. Should I Get a Flu Shot?

    Science.gov (United States)

    ... are breastfeeding during flu season. Pregnancy leads to changes in a woman's body. The immune system becomes a bit weaker. That makes it easier for pregnant women to catch whatever bug is going around. ...

  7. 心理护理及认知行为联合对产妇焦虑抑郁及疼痛程度的影响%Effect of the combination of psychological nursing and cognitive behavior in the treatment of depression and anxiety in pregnant woman

    Institute of Scientific and Technical Information of China (English)

    刘文秀; 张凤娣; 林美红

    2014-01-01

    ObjectiveTo evaluate effect of the combination of psychological nursing and cognitive behavior in the treatment of depression and anxiety in pregnant woman.Methods 146 pregnant woman were included in this study. Based on the sequence of enrollment, they were randomly divided into two groups: the therapy group (73 patients) receiving psychological nursing and cognitive behavior and the control group (73 patients) receiving usual care besides the same basic operative treatment in the two groups. Collected the maternal birth data of two groups, evaluated the effect of the combination of psychological nursing and cognitive behavior in the treatment of depression and anxiety in pregnant woman. ResultsIn the experiential group of 73 patients,0 cases was Ⅰ level painful,in the rate of 0, 44 cases were Ⅱ level painful,in the rate of 60.2%,20 cases were Ⅲ level painful,in the rate of 27.3%,9 cases were Ⅳ level painful,in the rate of 12.3%. In another group of 73 patients,0 cases was Ⅰ level painful,in the rate of 0,3 cases were Ⅱ level painful,in the rate of 4.1%,11 cases were Ⅲ level painful,in the rate of 15.0%,70 cases were IV level painful,in the rate of 80.8%.,the pain situation and mental health level were significant differences(P<0.05). Conclusion The combination of psychological nursing and cognitive behavior have good effect in the treatment of depression and anxiety in pregnant woman, which is worthy of promotion.%目的:研究心理护理以及认知行为联合对于产妇焦虑抑郁和疼痛程度的影响。方法将我院收治的146例产妇作为观察对象,随机分为观察组和对照组,观察组产妇给予心理护理和认知行为干预,对照组产妇仅给予常规护理,统计两组产妇的分娩数据,评价不同护理方法对于防止妊娠期焦虑抑郁和疼痛的的临床效果。结果观察组73例产妇中,Ⅰ级疼痛的有0人,占比0,Ⅱ级疼痛44人,占比60.2%,Ⅲ级疼痛20人,占比27

  8. Birth Preparedness and Complication Readiness among Pregnant Women in Duguna Fango District, Wolayta Zone, Ethiopia: e0137570

    National Research Council Canada - National Science Library

    Merihun Gebre; Abebe Gebremariam; Tsedach Alemu Abebe

    2015-01-01

    .... Objective This study was conducted to assess birth preparedness and complication readiness and its associated factors among pregnant woman in Duguna Fango District in Wolayta Zone, South Ethiopia...

  9. 胎心监护变异减速与脐带缠颈孕妇体位变化的相关研究%Correlation research on the embryo heart monitoring variable deceleration and the umbilical cord entangle the neck pregnant woman body posture change

    Institute of Scientific and Technical Information of China (English)

    梁爱兰; 丁敏芳; 李永翠

    2012-01-01

    目的 探讨胎心监护变异减速与脐带缠颈孕妇体位变化的关系.方法 把我院孕36 w后胎心监护出现变异减速的316例孕妇随机分成两组,左侧卧位胎心监护有变异减速的166例孕妇,采取半卧位或右侧卧位,为观察组;单以左侧卧位进行胎心监护的150例孕妇为对照组.观察两组胎心监护曲线图、脐带缠颈例数、分娩方式及围产儿情况.结果 观察组与对照组相比,正常图形较多,轻度变化减速(MVD)、重变异减速(SVD)、脐带缠颈发生率较少,胎儿窘迫、新生儿窒息率减少,差异均有极显著性(P< 0.01);两组分娩方式无显著差异.结论 左侧卧位胎心监护有变异减速的孕妇,改变体位后,胎心监护曲线可恢复正常,脐带压迫解除,甚至使缠绕的脐带松脱,胎儿窘迫、新生儿窒息减少.%Objective To explore the correlation between the embryo heart monitoring variable deceleration (VD) and the umbilical cord entangle the neck pregnant woman body posture changes.Methods 316 cases of 36 w pregnant women with fetus heart rate monitoring (i.e.embryo to supervise) and the VD were randomly divide into two groups,those with left side decubitus embryo heart monitoring still having the VD,166patients adopted half decubitus or right flank position as the observation group,other 150 pregnant women who carried on the embryo heart monitoring by only left side decubitus were selected as the control group.Embryo heart monitoring diagram of curves and B ultra sieves were observed in two groups to find out the belt to entangle the neck example number,the childbirth way and encircles produced the situation.Results The observation group and the control group were compared,the normal graph formation rate increased,the mild variable deceleration (MVD),the severe variable deceleration (SVD),the umbilical cord entangles the neck formation rate reduced,the fetal distress,the newborn suffocates rate decreased(P< 0.01); there was no

  10. Zika and Pregnancy: What Pregnant Women Need to Know

    Centers for Disease Control (CDC) Podcasts

    2016-06-13

    As a pregnant woman, you may have questions about Zika. Learn more about what Zika is, what it means for pregnant women, and how you can protect your pregnancy.  Created: 6/13/2016 by National Center on Birth Defects and Developmental Disabilities (NCBDDD).   Date Released: 6/13/2016.

  11. Pregnant? Drugs and Alcohol Can Hurt Your Unborn Baby.

    Science.gov (United States)

    Department of Agriculture, Washington, DC.

    This brochure, directed towards pregnant women, describes the dangers of alcohol, street drugs, smoking, and prescription drugs or over-the-counter medicines. It presents a story (in the mother's words) of a woman who took drugs to get high while pregnant and the ill effects on her son. The brochure claims being drug free means being a better…

  12. Woman in Combat

    Science.gov (United States)

    1988-08-01

    caper was "Nancy Hart’s dinner party". Five 0 Tories, who had just shot a neighbor, forced their way into her home, demanding a meal. Nancy Hart fed... Barbara and Umlauf, Hana. The Good Housekeeping Woman’s Almanan. New York: Newspaper Enterprise Association, Inc., 1977. Miller, Donald L. An Album of

  13. A Young Woman Millionaire

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    ZHANG Can is a young woman who likes to laugh. She is also the founder of a business kingdom worth 400 million yuan. Certainly, there were points in her career that were no laughing matter, but now she is general manager of Beijing Dyne Group Corporation. "She’s simply amazing—beyond description," say her friends.

  14. Things Japanese.

    Science.gov (United States)

    Shigeta, Jessie M.

    Presented in this booklet are brief descriptions of items and activities that are symbolic of Japanese culture. Some of the items and activities described include Japanese musical instruments and records, toys and crafts, traditional clothing and accessories, and food utensils. Several recipes for Japanese dishes are provided. Lists of pertinent…

  15. Things Japanese.

    Science.gov (United States)

    Shigeta, Jessie M.

    Presented in this booklet are brief descriptions of items and activities that are symbolic of Japanese culture. Some of the items and activities described include Japanese musical instruments and records, toys and crafts, traditional clothing and accessories, and food utensils. Several recipes for Japanese dishes are provided. Lists of pertinent…

  16. [Spontaneous hemothorax revealing Wegener's vasculitis in a pregnant woman].

    Science.gov (United States)

    Serhane, Hind; Yassine, Msougar; Amro, Lamyae

    2016-01-01

    Spontaneous hemothorax is a rare condition. Its causes are multiple but sometimes they remain unknown. In some patients, thoracotomy may be the only means to determine hemothorax origin. Vasculitis have not been reported as a common cause of spontaneous hemothorax. Pregnancy does not appear to have causal or aggravating effect on spontaneous hemothorax or on vasculitis. We here report the peculiar case of a young patient presenting during pregnancy with spontaneous hemothorax secondary to Wegener's vasculitis. The latter was diagnosed by pleural biopsy performed during exploratory thoracotomy and confirmed by ANCA assays.

  17. Amphetamines, the pregnant woman and her children: a review.

    Science.gov (United States)

    Oei, J L; Kingsbury, A; Dhawan, A; Burns, L; Feller, J M; Clews, S; Falconer, J; Abdel-Latif, M E

    2012-10-01

    The objective of this study is to review and summarize available evidence regarding the impact of amphetamines on pregnancy, the newborn infant and the child. Amphetamines are neurostimulants and neurotoxins that are some of the most widely abused illicit drugs in the world. Users are at high risk of psychiatric co-morbidities, and evidence suggests that perinatal amphetamine exposure is associated with poor pregnancy outcomes, but data is confounded by other adverse factors associated with drug-dependency. Data sources are Government data, published articles, conference abstracts and book chapters. The global incidence of perinatal amphetamine exposure is most likely severely underestimated but acknowledged to be increasing rapidly, whereas exposure to other drugs, for example, heroin, is decreasing. Mothers known to be using amphetamines are at high risk of psychiatric co-morbidity and poorer obstetric outcomes, but their infants may escape detection, because the signs of withdrawal are usually less pronounced than opiate-exposed infants. There is little evidence of amphetamine-induced neurotoxicity and long-term neurodevelopmental impact, as data is scarce and difficult to extricate from the influence of other factors associated with children living in households where one or more parent uses drugs in terms of poverty and neglect. Perinatal amphetamine-exposure is an increasing worldwide concern, but robust research, especially for childhood outcomes, remains scarce. We suggest that exposed children may be at risk of ongoing developmental and behavioral impediment, and recommend that efforts be made to improve early detection of perinatal exposure and to increase provision of early-intervention services for affected children and their families.

  18. Pheochromocytoma in a Pregnant Woman With Prior Traumatic Aortic Injury

    National Research Council Canada - National Science Library

    Malinowski, Ann Kinga; Maxwell, Cynthia; Sermer, Mathew; Rubin, Barry; Gandhi, Shital; Silversides, Candice K

    2015-01-01

    .... Prazosin and phenoxybenzamine achieved α-blockade with subsequent addition of labetalol for β-blockade. Concerns for aortic dissection led to endovascular aortic repair at 30 2/7 weeks of gestation...

  19. Renal Cell Carcinoma in a Pregnant Woman With Horseshoe Kidney

    Directory of Open Access Journals (Sweden)

    Anna Scavuzzo

    2017-07-01

    Full Text Available To our knowledge, this is the first reported case of renal cell carcinoma in kidney horseshoe diagnosed in the second trimester of pregnancy. We performed open radical nephrectomy when the pregnancy was completed. Kidney cancer is rare during pregnancy and the symptoms can be mimic urinary infection. The diagnosis and its management can be a challenge.

  20. Adenomatoid odontogenic tumour mimicking a periapical cyst in pregnant woman

    DEFF Research Database (Denmark)

    Kothari, Mohit; Bhandari, Neha

    2010-01-01

    EJ, Murrah VA. Adenomatoid odontogenic tumor presenting as periapical disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:557-60) and is associated with the crown of an impacted tooth, commonly the maxillary canine. We present a rare case of extrafollicular AOT mimicking a periapical...

  1. Japanese Competitiveness and Japanese Management.

    Science.gov (United States)

    Minabe, Shigeo

    1986-01-01

    Analyzes and compares Japanese and American industrial policy and labor practices. Proposes that certain aspects of the Japanese system be adapted by American businesses for purpose of increasing international competitiveness. Proposes specific actions and plans for both the Japanese and American systems. (ML)

  2. House While Woman Grows

    Directory of Open Access Journals (Sweden)

    Şengül Öymen Gür

    2013-12-01

    Full Text Available Discourses on woman/space relations boomed in the 90s. The fundamental reason was to give support to the Feminist Movement. This trend which has had feeble effect on architectural design remained controversial. The comprehensive research expounded in this article which was based on an open-ended questionnaire that targeted at determining the gender roles at home, applied to female subjects who simulated the national demographics, clearly demonstrated that the home experience of an average Turkish woman basically consists of kitchens; the female who runs the house does not really have a place for herself at home. However she does not perceive her restrained, secondary role an issue worthy of struggling to change and she grants spaces for recreation and study to the male. The well-established civil laws conducive for equality has not changed this disturbing situation and do not seem to do so in the near future.

  3. Woman Swims Atlantic

    Institute of Scientific and Technical Information of China (English)

    贾庆文

    2009-01-01

    Jennifer Figge pressed her toes into the Caribbean sand, excited and exhausted as she touched land this week for the first time in almost a month. Reaching a beach in Trinidad, she became the first woman on record to s,Mm across the Atlantic Ocean-a dream she'd had since the early 1960s, when a stormy trans-Atlantic flight got her thinking she could wear a life vest and swim the rest of the way if needed.

  4. Effection of hepatitis B virus infection on pregnant woman with gestational diabetes mellitus and their newborn%乙型肝炎病毒感染对妊娠期糖尿病孕妇及新生儿的影响

    Institute of Scientific and Technical Information of China (English)

    伊诺; 姜秀娟; 梁东竹; 刘敏; 许艳丽; 许仲婷; 周明书; 付丽华

    2015-01-01

    B virus (HBV) infection on gestational diabetes mellitus (GDM) incidence and the outcomes of pregnant woman and their newborn.Methods Pregnant women with HBV infection of 6 311 cases were analyzed, retrospectively. They had done their prenatal examination and delivery in the Department of Obstetrics and Gynecology, Beijing Ditan Hospital, Capital Medical University during 1st January 2011 to 31st October 2014. They 6 311 cases were divided into two groups according to their liver function. Group A (with nomal liver function, chronic HBV carriers or inactive HBsAg carriers) with 5 264 cases and group B (with abnomal liver function, chronic hepatitis B) with 1 047 cases. The GDM incidence and the age of women in two groups were compared. And, the pregnancy and childbirth of women diagnosed GDM in two groups were compared. The weight, asphyxia and deformity of their newborn were also compared.Results The average age in group A was (29.08 ± 4.29). The averageage in group B was (29.73 ± 3.61). The difference were statistically signiifcant in two groups (t = 4.589,P <0.001). Total of 1 906 pregnant women were diagnosed as GDM, which 1 548 in group A and 358 in group B. The incidence of GDM in two groups were 29.41% (1 548/5 264) and 34.19% (358/1 047), respectively. The difference of GDM incidence were signiifcantly different in the two groups (χ2 = 9.488, P = 0.002). The liver function and age were risk factors for GDM through analysis of Logistic regression (P = 0.009). There were signiifcant differences in age, preterm birth, gestational hypertension disease, fetal intrauterine distress and cesarean delivery of pregnant women with GDM in the two groups (t= 2.683,χ2= 15.930, 4.613, 22.114 and 38.992;P = 0.007, 0.000, 0.032, 0.000 and 0.000). There were no significant differences in amniotic lfuid, fetal intrauterine growth restriction, stillbirth/stillbirth, premature rupture of membranes, midwifery and postpartum hemorrhage of pregnant women with GDM in the

  5. A mulher japonesa vivenciando o câncer cérvico-uterino: um estudo de caso com abordagem da fenomenologia social La mujer japonesa vivenciando el cáncer cervico-uterino: un estudio del caso con abordaje fenomenológía social A japanese woman going through cervical uterine cancer: a case study with the social phenomenology approach

    Directory of Open Access Journals (Sweden)

    Rosa Yuka Sato Chubaci

    2005-06-01

    Full Text Available Trata-se de estudo sobre a experiência de uma mulher japonesa, com câncer cérvico-uterino, realizado em um hospital da cidade de Osaka-Japão, no qual se utilizou o "estudo de caso" com abordagem da Fenomenologia Social de Alfred Schütz. Objetivou-se conhecer o significado da doença e da hospitalização para essa mulher, buscando compreender os motivos que envolvem a sua ação. Por meio da análise dos dados, foi possível compreender que o processo da hospitalização deve ser visto respeitando, além da característica individual, o mundo cultural que nos remete às ações humanas e que exerce influência importante no comportamento e atitude em relação à doença e hospitalização.Se trata de un estudio sobre la experiencia de una mujer japonesa, con cáncer cérvico-uterino, realizado en un hospital de la ciudad de Osaka-Japón, en el cual se utilizó el "estudio de caso" con abordaje de la Fenomenología Social de Alfred Schütz. El objetivo fue conocer el significado de la enfermedad y de la hospitalización para esa mujer, buscando comprender los motivos que involucran su acción. Por medio del análisis de los datos, fue posible comprender que el proceso de la hospitalización debe ser visto respetan-do, además de la característica individual, el mundo cultural que nos remite a las acciones humanas y que ejerce influencia importante en el comportamiento y actitud en relación a la enfermedad y hospitalización.This is the study of the experience of a Japanese woman with cervical uterine cancer carried out in a hospital in the city of Osaka, Japan, using Alfred Schütz's "case study" with the Social Phenomenology approach. The aim was to grasp the meaning of the disease and of hospitalization for this woman, and to try to understand the reasoning around her action. Through the analysis of the data, it was possible to understand that the hospitalization process has to be seen respecting, in addition to individual

  6. Woman's lot in India.

    Science.gov (United States)

    Goyal, S K

    1980-01-26

    I read Dr. Rao's article on attitudes to women and nutrition programmes in India (Dec. 22/29, p. 1357) with considerable interest. In India parents have to save a lot of money to be able to give a dowry when a daughter marries. In addition they are expected to spend considerable sums when their daughters' children are born and when the grandchildren in turn marry. The task of looking after elderly parents--and of discharging their responsibilities if they themselves are unable to do so--falls upon the sons. In India daughters rarely help out their parents in this way, and the parents will not usually agree to accept help from daughters if they have a son who is prepared to discharge the sacred duty of helping parents in time of need. Once she marries, a daughter's obligations to her parents cease while their obligations to her extend even further to include her husband, children, and in-laws. No wonder the birth of a girl is rarely a cause of celebration in India. The main cause for the plight of women in India is poverty. In most Indian families, the woman of the house will consume less than anyone of nutritious items such as milk, cheese, meat, fish, and butter. Whenever the family's meagre resources are shared out, whether for food, for education, for medical care, it is the males who are given preference. This unequal distribution takes place with the full approval of the woman of the house. Food is normally allocated by the woman, and when food is scarce they tend to favour sons over daughters. Readers in the West may feel that women get the worst possible deal in India. However, although parents do not normally spend as much on the education of their daughters as they do on their sons, in the long run daughters very often get more than their fair share of the family's fortunes because of the dowry system and other social customs.

  7. The Woman in Pieces

    Directory of Open Access Journals (Sweden)

    Everardo Rocha

    2013-10-01

    Full Text Available This article aims to analyze the representation of the feminine identity in advertising. It explores the notion of social identity as a category that is experienced in the tension between classification and value. It also discusses the logic by which ads elaborate an image and, while in this process, transform the woman into a silent and fragmented body. In this article, I follow the anthropological tradition of symbolic systems analysis, and with it contribute to the debate concerning social representations throughout mass communication in general and, particularly, in advertising.

  8. Assessment of self-esteem in pregnant women using Rosenberg's Self-Esteem Scale

    National Research Council Canada - National Science Library

    Maçola, Ligia; do Vale, Ianê Nogueira; Carmona, Elenice Valentim

    2010-01-01

    .... Data collection was performed using the Rosenberg's Self-esteem Scale; unsatisfactory self-esteem was related to socio-demographic and health variables of the pregnant woman, and to the presence or absence of support systems...

  9. Pregnant and other works

    Directory of Open Access Journals (Sweden)

    Elinor Carucci

    2013-01-01

    Full Text Available I have been photographing my children, Eden and Emmanuelle since I got pregnant in 2003. I photograph as a mother, from a mother's point of view, showing the different aspects of motherhood as I see them; the beautiful and the ugly, the magic and the frustration, the extremes that live side by side when you are a mother. I try to photograph them all. Crying, sadness, anxiety, mourning the body I will never have again, the woman I will never be again. The strong physical connection to the children, erotic at times, something I found out many mothers experience but do not talk about much. With my images I try to sing a love song to my children, they are my inspiration. Their love, sadness, joy and neediness are for me the most meaningful moments of my life, the moments I want to photograph and preserve. Those images are taken from my life, they are very personal, they are about being a mother, being a child, the intensity of raising a child. This work is about the essence of being human.

  10. Heart failure in pregnant women: is it peripartum cardiomyopathy?

    Science.gov (United States)

    Dennis, Alicia Therese

    2015-03-01

    Peripartum cardiomyopathy is a rare but important cause of maternal morbidity and mortality. Women with peripartum cardiomyopathy often present with symptoms and signs of heart failure. The diagnosis of peripartum cardiomyopathy is made after all other causes of heart failure are excluded. Emphasis is on the immediate recognition of an unwell pregnant or recently pregnant woman, early diagnosis with the use of echocardiography, and the correct treatment of heart failure.

  11. The effect of Sopfrology childbirth method training, Kegel training and Lamaze respiratory training on depression and sexual life of perinatal pregnant woman%联想分娩、Lamaze呼吸与Kegel运动三联训练对围产期孕妇抑郁及性生活质量的干预作用

    Institute of Scientific and Technical Information of China (English)

    田丽娟; 李春晓; 满冬梅

    2014-01-01

    Objective To study the effect of Sopfrology childbirth method training,Kegel training and Lamaze respiratory training (SLK training) on depression and sexual life of perinatal pregnant woman..Methods The women in 24 weeks of pregnancy who came to the clinic to receive the pregancy test were divided into study group(n=232) and control group(n=126) according whether they voluntered to participate the study.All the women in two group were subjected to regular prenatal care and the women in study group received SLK training additionally.The depression,pelvic floor muscle tension and female sexual function index were evaluated by Self Rating Depression Scale(SDS),the Pelvic Floor Muscle Examination Grading Standards and the Female Sexual Function Inventory (FSFI) respectively.Results 6 months after delivery,the incidence of depression,SDS score,pelvic floor muscle tension score and live index standard rate in study group and the control group respectivelywere(10.3% vs 18.3%),((43.6±5.1) vs(45.3±6.3)),((3.36±0.33) vs(2.46±0 89)),(81.5% vs 65.9%),and the differences were statistically significant(P<0.05).Conclusion SLK training program for perinatal women has the effects of preventing,treating prenatal depression and postpartum depression,improves pregnancy index and the quality of sexual life,worthy of further study.%目的 探讨联想分娩、Lamaze呼吸与Kegel运动三联训练(SLK训练)对围产期抑郁(Perinatal depression,PND)及产后性生活质量的作用.方法 妊娠24周前来本院产科门诊孕检的单胎初产妇,按照是否自愿参加SLK训练分为研究组(n=232)和对照组(n=126),2组孕妇均接受常规产前保健,研究组额外进行SLK训练.应用抑郁自评量表(SDS)、国际盆底肌检查分级标准、女性性功能指数(The female sexual function inventory,FSFI),评定抑郁、盆底综合肌张力及性功能指数(The female sexual function inventory,FSFI).结果 分娩后6个月,研究

  12. 重大医患纠纷事件网络舆情观点异化过程分析*-以“8.10湘潭孕妇死亡事件”为例%Online Public Opinion Alienation Analysis of Significant Doctor-patient Dispute Cases:Taking Xiangtan Pregnant Woman Event as an Example

    Institute of Scientific and Technical Information of China (English)

    张敏; 刘晓彤; 夏宇

    2016-01-01

    [目的/意义]针对频繁通过网络渠道造势的医闹事件,科学分析和有效控制观点异化现象以帮助医疗系统摆脱长期陷入“污名化”的不利境地是重大医疗纠纷事件网络舆情管理的关键环节。[方法/过程]选取“8.10湘潭孕妇死亡事件”为实证研究对象,采用网络爬虫软件抓取新浪微博相关议题的网络舆情文本信息,遵循扎根理论开放译码、主轴译码和选择译码等三个主要步骤归纳得到“信息源—信息接收者”“事件认知”“感知情绪”及“观点形成”4个主范畴,并在此基础上构建了观点异化过程的概念研究模型。[结果/结论]分析结果显示,认知、情绪和观点异化之间存在强相关关系,信息接受者的认知则取决于信息源。因此,信源信息对于舆情异化起着根本性的作用,在重大医疗纠纷事件的网络舆情管理中需要重点监控信源信息。%Purpose/Significance] The frequently-happened doctor-patient disputes that build up their momentum on Internet have caused great loss to social stability and welfare, and scientificly analyzing and effectively controlling opinion alienation phenomenon can to some extent help the medical system get rid of stigma, which is the key process in online public opinion management of major doctor-pa-tient disputes. [ Method/Process] Taking Xiangtan Pregnant Woman Event as the empirical research case, using Web crawler software to grab online public opinion text information about this event from Sina Micro-blog, and applying Open Coding, Axial Coding and Selec-tive Coding of Grounded Theory, we get four main categories, including "information sources -information receivers","event cogni-tion","perceived emotion", and "opinion formation of". Then, a model demonstrating the process of online public opinion alienation is built based on these four categories. [ Result/Conclusion] It is founded that there are strong

  13. Prevalence of musculoskeletal dysfunctions among Indian pregnant women.

    Science.gov (United States)

    Ramachandra, Preetha; Maiya, Arun G; Kumar, Pratap; Kamath, Asha

    2015-01-01

    Pregnancy triggers a wide range of changes in a woman's body leading to various musculoskeletal dysfunctions. Most commonly reported musculoskeletal discomforts by pregnant women are low back pain and symphysis pubis pain. The culture and the environmental factors may influence the discomforts experienced by a pregnant woman. There is a dearth of literature in India, regarding the common musculoskeletal dysfunctions experienced by a pregnant woman, and hence this study. A questionnaire to identify the musculoskeletal dysfunction was developed; content was validated and was translated to local languages through parallel back translation. 261 primiparous pregnant women participated in the study and filled the questionnaire in their native language. Among the musculoskeletal dysfunctions reported by the pregnant women, 64.6% reported calf muscle cramps, 37.1% reported foot pain, and 33.7% experienced low back pain in their third trimester. In the second trimester, common musculoskeletal dysfunctions experienced by the women were that of calf pain (47.8%), low back pain (42%), and pelvic girdle pain (37%). Musculoskeletal dysfunctions and general discomforts very commonly affect the activities of daily living of pregnant women. Understanding the common discomforts during various trimesters of pregnancy will help to develop a comprehensive program for prevention and cure.

  14. Doula birth support for incarcerated pregnant women.

    Science.gov (United States)

    Schroeder, Carole; Bell, Janice

    2005-01-01

    The objective of this study was to provide trained labor support (doulas) to pregnant women in jail. A multiagency intervention project provided doula birth services to pregnant women in urban jails. Program evaluation included interviews with women and written satisfaction surveys of providers and correctional officers. A convenience sample of 18 incarcerated women received doula services. A doula visited each woman in jail antepartum to review expectations for labor and birth; during hospitalization, the doula provided continuous support throughout labor and birth. Doulas visited women postpartum to review birth events. Surveys administered to providers and officers demonstrated high satisfaction with the program. Qualitative interviews with 14 women indicated unanimous support for the services and documented women's major concerns. Findings support offering doula services to all pregnant women in custody and expanding doula services to include early and comprehensive intervention coordinated by nurses.

  15. Assisting pregnant women to prepare for disaster.

    Science.gov (United States)

    Ewing, Bonnie; Buchholtz, Susan; Rotanz, Richard

    2008-01-01

    Disasters are natural or man-made life-altering events that require preplanning to save lives. Pregnant women are a particularly vulnerable population in such events, because they have special physical and psychosocial needs. Preparations made for labor and birth might have to be drastically altered in the event of an emergency, especially if a woman is separated from her familiar healthcare providers and facilities. The issue of breastfeeding also must be considered in disaster planning for pregnant women, along with occurrences such as food shortages and outbreak of illnesses caused by overcrowding of displaced persons. Recent events such as hurricane Katrina have demonstrated that maternal/child nurses need to become more aware of disaster planning and help to empower pregnant women with knowledge of how to handle their special needs in times of crisis.

  16. Current approach for urinary system stone disease in pregnant women

    Directory of Open Access Journals (Sweden)

    Orcun Celik

    2016-01-01

    Full Text Available Urinary system stones can be classified according to size, location, X-ray characteristics, aetiology of formation, composition, and risk of recurrence. Especially urolithiasis during pregnancy is a diagnostic and therapeutic challenge. In most cases, it becomes symptomatic in the second or third trimester. Diagnostic options in pregnant women are limited due to the possible teratogenic, carcinogenic, and mutagenic risk of foetal radiation exposure. Clinical management of a pregnant urolithiasis patient is complex and demands close collaboration between patient, obstetrician and urologist. We would like to review current diagnosis and treatment modalities of stone disease of pregnant woman.

  17. Current approach for urinary system stone disease in pregnant women.

    Science.gov (United States)

    Celik, Orcun; Türk, Hakan; Cakmak, Ozgur; Budak, Salih; Ekin, Rahmi Gokhan; Keskin, Mehmet Zeynel; Yildiz, Guner; Ilbey, Yusuf Ozlem

    2016-01-14

    Urinary system stones can be classified according to size, location, X-ray characteristics, aetiology of formation, composition, and risk of recurrence. Especially urolithiasis during pregnancy is a diagnostic and therapeutic challenge. In most cases, it becomes symptomatic in the second or third trimester. Diagnostic options in pregnant women are limited due to the possible teratogenic, carcinogenic, and mutagenic risk of foetal radiation exposure. Clinical management of a pregnant urolithiasis patient is complex and demands close collaboration between patient, obstetrician and urologist. We would like to review current diagnosis and treatment modalities of stone disease of pregnant woman.

  18. Fulminant hepatic failure from hepatitis E in a non-pregnant female traveller.

    Science.gov (United States)

    Chris, Robert B; Keystone, Jay S

    2016-04-01

    A non-pregnant Canadian woman returning from India presented with a 1-week history of jaundice and malaise. Subsequently, she developed fulminant hepatic failure caused by hepatitis E virus (HEV). HEV can cause fulminant hepatic failure, most commonly in pregnant women and those with chronic liver disease; however, all travellers are at risk.

  19. Acceptability of woman-delivered HIV self-testing to the male partner, and additional interventions: a qualitative study of antenatal care participants in Malawi

    Directory of Open Access Journals (Sweden)

    Augustine Talumba Choko

    2017-01-01

    Conclusions: Woman-delivered HIV self-testing through ANC was acceptable to pregnant women and their male partners. Feedback on additional linkage enablers will be used to alter pre-planned trial arms.

  20. 定期产检对早发型重度子痫前期母儿结局的影响%Influence of regular antenatal examination on outcomes of perinatal infant and pregnant woman with early onset severe pre-eclampsia

    Institute of Scientific and Technical Information of China (English)

    吴小春; 唐丽娟

    2015-01-01

    Objective To explore the influence of regular antenatal examination during pregnancy on outcomes of perinatal infant and pregnant woman with early onset severe pre-eclampsia ( EOSP) .Methods A retrospective analysis was conducted on the clinical data of 146 cases of EOSP who set up card, hospitalized and gave birth in Lanxi City Maternal and Child Health Hospital during the period of June 2000 to June 2013.The cases were divided into control group without regular antenatal examination (97 cases) and observation group with regular antenatal examination (49 cases) .The general data, complications and perinatal outcomes of two groups were compared.Results In the control group primiparas accounted for 57.73%, which was significantly lower than that in the observation group (85.71%) (χ2 =11.551,P0.05).The perinatal mortality of the control group was 37.11%, which was significantly higher than that of the observation group (18.37%) (χ2 =5.366,P<0.05).Conclusion Regular prenatal examination has positive significance for early detection of EOSP.Patients detected early can control the disease through effective interventions for gaining more time for expectant treatment, and thereby to reduce perinatal mortality.%目的:探讨孕期定期产检对早发型重度子痫前期( EOSP)母儿结局的影响。方法回顾分析2000年6月至2013年6月于兰溪市妇幼保健院妇产科门诊建卡产检、住院治疗并分娩的146例EOSP患者的临床资料,依据孕期是否定期产检分为未定期产检的对照组(97例)与定期产检的观察组(49例),比较两组孕产妇的一般资料与并发症发生情况以及围生儿结局。结果对照组中初产妇占57.73%,明显低于观察组的85.71%(χ2=11.551,P<0.05);对照组有子痫前期病史者占4.12%,明显低于观察组的16.33%(χ2=6.426,P<0.05);对照组患者的最高收缩压、舒张压平均值为(178.32±23.75) mm

  1. Caring for the woman with acute fatty liver of pregnancy.

    Science.gov (United States)

    Holub, Karen; Camune, Barbara

    2015-01-01

    Acute fatty liver of pregnancy, although rare, is usually a third trimester of pregnancy occurrence that may be life threatening for both the pregnant woman and the fetus. Often, the onset resembles gastroenteritis or cholecystitis and correct diagnosis is delayed. Because it can also present with preeclampsia and eclampsia, it may be mistakenly diagnosed as hemolysis, elevated liver enzymes, low platelet syndrome. This article presents diagnostic differences between liver conditions that can complicate pregnancy and management strategies for treating and maintaining the well-being of pregnant women, fetuses, and infants who are affected by acute fatty liver of pregnancy. Early recognition and rapid intervention from antepartum diagnosis through delivery and the postpartum period are required by the nursing team and medical providers to reduce maternal and neonatal morbidity and mortality.

  2. Happiness and related factors in pregnant women.

    Science.gov (United States)

    Jayasvasti, Kanthika; Kanchanatawan, Buranee

    2005-09-01

    Pregnancy is a crisis in the human life cycle as an important turning point in aspects of anatomical, physiological and psychosocial changes. An unhappy pregnanus could influence the fetal growth and development and sense of maternal competence as well as bonding with the fetus which profoundly affect the nurture of the infant after delivery. The authors'purposes were to study happiness and related factors in pregnant women having antenatal care at King Chulalongkorn Memorial Hospital. Four hundred and thirty-eight pregnant women from the antenatal clinic at King Chulalongkorn Memorial Hospital were randomly selected to complete a set of questionnaires that consisted of personal information, pregnant information, The Oxford Happiness Questionnaire (OHQ), The Maudsley Personality Inventory (MPI) and The Marital Satisfaction Scale (MSS). Prevalence of happiness level was classified by descriptive analysis. Unpaired t-test, ANOVA and Pearson's Product Moment Correlation analyzed related factors to happiness in pregnant woman. Also Stepwise Multiple Regression Analysis was used to define predictive factors for happiness in pregnant women. The sample had a high level of happiness of 57.3%. Significant related factors to happiness were age between 31-35 years, high education level, high individual and family income, having saving deposition, no drug abuse, improved marital relationship, no conflict with relatives, extrovert and stable personality types and no concerns about post-partum body image. Four predictive factors for happiness in pregnant women were extrovert personality, stable personality, high family income and improved marital relationship. Level of happiness in pregnant women could be predicted by type of personality, family income and marital relationship.

  3. A comprehensive tool for image-based generation of fetus and pregnant women mesh models for numerical dosimetry studies

    Science.gov (United States)

    Dahdouh, S.; Varsier, N.; Serrurier, A.; De la Plata, J.-P.; Anquez, J.; Angelini, E. D.; Wiart, J.; Bloch, I.

    2014-08-01

    Fetal dosimetry studies require the development of accurate numerical 3D models of the pregnant woman and the fetus. This paper proposes a 3D articulated fetal growth model covering the main phases of pregnancy and a pregnant woman model combining the utero-fetal structures and a deformable non-pregnant woman body envelope. The structures of interest were automatically or semi-automatically (depending on the stage of pregnancy) segmented from a database of images and surface meshes were generated. By interpolating linearly between fetal structures, each one can be generated at any age and in any position. A method is also described to insert the utero-fetal structures in the maternal body. A validation of the fetal models is proposed, comparing a set of biometric measurements to medical reference charts. The usability of the pregnant woman model in dosimetry studies is also investigated, with respect to the influence of the abdominal fat layer.

  4. Prevalence of Musculoskeletal Dysfunctions among Indian Pregnant Women

    Directory of Open Access Journals (Sweden)

    Preetha Ramachandra

    2015-01-01

    Full Text Available Background and Objectives. Pregnancy triggers a wide range of changes in a woman’s body leading to various musculoskeletal dysfunctions. Most commonly reported musculoskeletal discomforts by pregnant women are low back pain and symphysis pubis pain. The culture and the environmental factors may influence the discomforts experienced by a pregnant woman. There is a dearth of literature in India, regarding the common musculoskeletal dysfunctions experienced by a pregnant woman, and hence this study. Method. A questionnaire to identify the musculoskeletal dysfunction was developed; content was validated and was translated to local languages through parallel back translation. 261 primiparous pregnant women participated in the study and filled the questionnaire in their native language. Results. Among the musculoskeletal dysfunctions reported by the pregnant women, 64.6% reported calf muscle cramps, 37.1% reported foot pain, and 33.7% experienced low back pain in their third trimester. In the second trimester, common musculoskeletal dysfunctions experienced by the women were that of calf pain (47.8%, low back pain (42%, and pelvic girdle pain (37%. Conclusion. Musculoskeletal dysfunctions and general discomforts very commonly affect the activities of daily living of pregnant women. Understanding the common discomforts during various trimesters of pregnancy will help to develop a comprehensive program for prevention and cure.

  5. Young Woman Tames Wild Animals

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    ON Shanghai’s acrobatic stage, the audience held its breath while it watched a lion put its front paws on the shoulders of a dainty and beautiful young woman and licked her face with its red tongue. The girl was perfectly calm, even smiling. This legendary woman is Zhang Xiuhong, a lion-tamer in the Shanghai Acrobatic Troupe. I Fear the Lion When she was 11, Zhang Xiuhong joined the Shanghai Acrobatic Troupe Soon afterward, she was assigned to work as a lion-tamer. The first animal she tamed was a lion cub. From the

  6. [Growing old as a woman].

    Science.gov (United States)

    Boyer-Weinmann, Martine

    2014-01-01

    Growing old as a woman. Since Diderot, a classic writer, and his friend Sophie Volland with whom he corresponded, debated the difference between the "handsome old man" and "beautiful old age", or a hypothetical "beautiful old woman", the representations of growing old have changed, to the benefit of women. Has the considerable contribution of female writers to the debate played a role? In what ways does literature, through its figurations of the ages of life, provide a valuable perspective of the contemporary mutations of the view of old age?

  7. IMAGE OF A CHIEF WOMAN

    Directory of Open Access Journals (Sweden)

    Aleksandra KOLESNIKOVA

    2014-01-01

    Full Text Available The paper considered a trend showing the women who strive to get leading posts increase in numbers every year. However, on the other hand, stereotypes persist on women as a staffer unable to perform the executive du-ties. The study examined the working men and women who told their mind on an image of a chief woman; how the image correlated to a concept of an ideal woman. The authors have carried out a qualitative survey thereto with the sentence completion technique applied.

  8. Dental awareness and oral health of pregnant women in Poland

    Directory of Open Access Journals (Sweden)

    Ewelina Gaszyńska

    2015-06-01

    Full Text Available Objectives: The level of dental awareness of a pregnant woman affects the sanitary condition of her own teeth and the health of the child to be born. Poor oral health is considered to be a probable risk factor for the pre-term birth or low birth weight. The aim of this work was to assess the level of oral health knowledge that determines oral health condition of pregnant women in Poland. Material and Methods: Empirical data were obtained from the National Monitoring of Oral Health and Its Determinants, financed by the Ministry of Health. This socio-epidemiological study assessed oral health status and dental health awareness, which affects that status. Study subjects included 1380 pregnant women at the age ranging from 15 to 44, randomly-selected from urban and rural environments. Dental health status was recorded in the clinical examination sheets supplied by the World Health Organization, and the socio-medical data were recorded in the questionnaire interview sheets. Results: Almost 3/4 of the pregnant women evaluated their dental health as unsatisfactory or poor. Over 60% of the pregnant women rated their knowledge and practical skills concerning care of their own teeth and of the child to be born as limited, inadequate or none. Only 40% of the pregnant women provided right answers to the questions about dental issues. Conclusions: Low oral health awareness results in poor oral health status of the study subjects. A statistical pregnant woman has a total of 13 teeth showing the symptoms of tooth decay or caries. Over 70% of the pregnant women developed gingivitis or periodontitis. There is an urgent need in Poland to make the European principle of treating pregnant women as a dentally vulnerable group obligatory.

  9. An unusual case of disseminated toxoplasmosis in a previously healthy pregnant patient: radiographic, CT, and MRI findings.

    Science.gov (United States)

    Paruthikunnan, Samir; Shankar, Balasubramanyam; Kadavigere, Rajagopal; Prabhu, Mukhyaprana; Narayanan, Ramakrishna; Jain, Harshwardhan

    2014-11-01

    Toxoplasmosis is a ubiquitous protozoal infection that during pregnancy commonly affects the fetus severely, with maternal infection usually being mild self-limiting. Disseminated toxoplasmosis in a healthy pregnant woman has, to the best of our knowledge, not been reported before. We present a case of disseminated toxoplasmosis involving pulmonary, central nervous system, and lymph nodes in a pregnant woman and imaging findings on radiography, computed tomography, and magnetic resonance imaging.

  10. Anestesia para cesariana em gestante com hipoplasia de aorta distal: relato de caso Anestesia para cesárea en embarazada con hipoplasia de aorta distal: relato de caso Anesthesia for cesarean section on a pregnant woman with hypoplasia of the distal aorta: case report

    Directory of Open Access Journals (Sweden)

    Leonardo de Andrade Reis

    2008-02-01

    ón de fármacos a través del catéter peridural posibilitó alcanzar un nivel anestésico adecuado para la realización de la operación.BACKGROUND AND OBJECTIVES: Maternal vascular anomalies, potentially severe for the fetus, can jeopardize uterine perfusion, which demands more caution by the anesthesiology team. The objective of this report was to demonstrate the anesthetic conduct for a cesarean section on a pregnant woman with hipoplasia of the distal aorta, just below the renal arteries, with stenosis of the renal artery and absence of the iliac arteries. CASE REPORT: This is a 30-year old patient, weighing 54 kg, on her second pregnancy, with a history of an uncomplicated cesarean section. During the gestational echocardiography on the 12th week, it was observed an interruption of the distal aorta, just below the renal arteries. The patient was referred for coronary angiography, which demonstrated hypoplasia of the distal aorta, just below the renal arteries, and absence of the iliac arteries. During the clinical investigation, the patient remained asymptomatic, except for hypertension and claudication during great efforts. She underwent continuous epidural anesthesia and the dose of the anesthetic was titrated as needed for the cesarean section. Initially, 50 mg of 0.5% bupivacaine without vasoconstrictor and 10 µg of sufentanil were administered. After 15 minutes, anesthesia was complemented with 25 mg of 0.5% bupivacaine, which was enough to achieve an adequate level of blockade. The cesarean section was performed without intercurrences, and the fetus was born in good clinical conditions. CONCLUSION: The use of continuous epidural block in fractionated doses demonstrated to be a safe anesthetic technique for this procedure because it reduces the risks of maternal hypotension, inherent to the spinal block, and also minimized the placentary transference of drugs, which is the case with general anesthesia. Titration of drugs through the epidural catheter allowed

  11. [Recommendations for the diagnosis, treatment and follow-up of the pregnant woman and child with Chagas disease. Sociedad Española de Infectología Pediátrica. Sociedad de Enfermedades Infecciosas y Microbiología Clínica. Sociedad Española de Ginecología y Obstetricia].

    Science.gov (United States)

    González-Tomé, María Isabel; Rivera Cuello, Mercedes; Camaño Gutierrez, Isabel; Norman, Francesca; Flores-Chávez, María Delmans; Rodríguez-Gómez, Leire; Fumadó, Victoria; García-López Hortelano, Milagros; López-Vélez, Rogelio; González-Granado, Luis Ignacio; García-Burguillo, Antonio; Santos Sebastian, María Del Mar; Avila Arzanegui, Olatz

    2013-10-01

    Congenital transmission of Chagas disease now occurs in areas where the disease is non-endemic, and also from one generation to another. According to epidemiological data from Latin America, the prevalence of the disease in pregnant women is 0.7%-54%, and the prevalence of vertical transmission is around 5%-6%. Congenital T. cruzi infection is an acute infection in newborns that should be treated with anti-parasitic therapy. The treatment of pregnant women could also have an impact on the control of the disease. This article has been prepared following the recommendations suggested by a group of experts in Infectious Diseases, Microbiology, Gynaecology and Paediatrics. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  12. [Surrogate Motherhood and Woman Dignity].

    Science.gov (United States)

    Aparisi Miralles, Ángela

    2017-01-01

    Motherhood by subrogation is an issue that directly affects human rights and, ultimately, human dignity. Therefore, if we want to give an adequate response to this issue, it is essential to reflect on how this practice affects the dignity and rights of the people involved in it and, more specifically, the pregnant mother. This study tries to show how in relation to the latter, maternity by subrogation directly contradicts some basic requirements of human dignity, since it reifies, instrumentalizes, convert into an object of commerce, and disregards the personal uniqueness of pregnant women.

  13. Every Woman's Right to Learn

    Science.gov (United States)

    Ward, Jane; Turner, Cheryl; Watts, Jane; Eldred, Jan

    2011-01-01

    As people celebrate the 100th anniversary of International Women's Day this year, NIACE has organised an event, "Every woman's right to learn," that will offer an opportunity for educators and learners to celebrate women's progress and achievements in and through learning, to find one's hopes and aspirations for the future and work…

  14. Woman Breast-Feeds Baby

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    Since ancient times, there have been many legends about maternal love, but few relics reflect that. This pottery figurine, unearthed from a brick tomb in 1954 in Chenjiadashan, Changsha is at present China’s only historic relic showing maternal love. The pottery figurine is 12 cm. in height. The woman dressed in asymmetrical

  15. Rethinking Japanese Language Pedagogy.

    Science.gov (United States)

    Larson, Phyllis

    2003-01-01

    Discusses the work of Seiichi Makino, a scholar of Japanese, noting that his work in establishing the Japanese proficiency guidelines helped make it appear that Japanese language teaching was part of mainstream American language teaching. (Author/VWL)

  16. Who is telling pregnant women about listeriosis?

    Science.gov (United States)

    Smith, Mary Anne E; MacLaurin, Tanya L

    2011-01-01

    During pregnancy, a woman's immune system is compromised and she is at an increased risk of infection and illness. In particular, the risk of contracting foodborne listeriosis is 20 times greater for pregnant women than for other women of reproductive age. Considering the negative effects of listeriosis on the developing fetus and that more than 380,000 babies were born in Canada in 2010, listeriosis is an important public health concern. And yet, in Canada, it is not clear who is responsible for educating pregnant women on the importance of safe food handling and the avoidance of high-risk foods. Not all women attend prenatal education classes and the circle of care during pregnancy is highly variable. Physicians, however, are very often included in the care circle and may represent a consistent, reliable and trustworthy source of food safety information. At present, only one province has prenatal records that prompt physicians to counsel pregnant women on food safety issues, though all include some assessment of nutrition, diet or supplement use. Improving provincial and territorial prenatal records may be one important way of helping to ensure that critical food safety information is reaching pregnant Canadians.

  17. Professional practice among woman dentist

    OpenAIRE

    2011-01-01

    Objective: This review aims to give an inside view of professional career of a women dentist, addresses the unique demands of being a woman dentist, and highlight ways to address these issues. Materials and Methods: The Medline database, scholarly literature, and informal literature were considered for this review. Results: Working hours of female dentists do not differ significantly from the working hours of their male counterparts, until they have children. The female dentists’ working hour...

  18. A Woman with Eight Roles

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    THEY say that a woman's work is never done but I wonder how many women fulfill eight roles at the same time? My family is a special and somewhat unusual union. Five generations living together under one roof is rare anywhere but is very rare in Gongqing City, Jiangxi Province. As well as my vocation - Manager of the Gongqing Branch of the People's Insurance Company of China - I inhabit seven roles under that roof: wife, grand-

  19. [A woman with iris heterochromia].

    Science.gov (United States)

    Birker, I L; Boons, L S T M; Luyten, G P M

    2016-01-01

    A 20-year-old woman with congenital iris heterochromia presented with loss of vision of her right eye. We made de diagnosis of a large 'uvea melanoma' and enucleated the eye. Pathological examination showed an underlying oculodermal melanocytosis (ODM). The life-time risk of uveal melanoma in the general population is 0.7:100,000, but 1:400 in patients with ODM. Therefore, annual fundoscopy is recommended in these patients.

  20. She Does Not Look Like a Woman

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    EVERY time a man of dignified bearing sees me, he will say, "Hu Meili, I don’t like you." "Why?" I’d ask him. "You don’t look like a woman," he’d say. But, what does "like a woman" mean? What "should" a woman look like? You

  1. On the Feminism in French Lieutenant's Woman

    Institute of Scientific and Technical Information of China (English)

    苏琴

    2010-01-01

    Sarah in The French Lieutenant's Woman has been regarded as a representative of feminism in modern literature field.Undoubtedly, Sarah is an independent woman ahead of her time.The paper is attempted to focus on the feminism in The French Lieutenant's Woman from many aspects and analyze the reasons of such kind of feminism.

  2. Vowel Reduction in Japanese

    Institute of Scientific and Technical Information of China (English)

    Shirai; Setsuko

    2009-01-01

    This paper reports the result that vowel reduction occurs in Japanese and vowel reduction is the part of the language universality.Compared with English,the effect of the vowel reduction in Japanese is relatively weak might because of the absence of stress in Japanese.Since spectral vowel reduction occurs in Japanese,various types of researches would be possible.

  3. Woman in Khalil Motran\\'s poem

    OpenAIRE

    zahra soleymanpoor; mansore zarkub

    2015-01-01

    Woman in Motran's poem -Abstract This article explains the issue of woman in two fields of social and romance. In social case, Motran defends the rights of woman and considers her as a human with its rights and one of the two major factors in the society. Woman is a basic and essential party in building the social and even political body of the society, at Motran's point of view. The woman in his explanation, encourages the man for the revolution against the cruel government...

  4. High-risk pregnancy in a woman with Marfan syndrome, a bicuspid aortic valve, and a dilated aortic sinus

    DEFF Research Database (Denmark)

    Groth, Kristian Ambjørn; Greisen, Jacob Raben; Nielsen, Birgitte Bruun;

    2015-01-01

    A 29-year-old woman with Marfan syndrome, a bicuspid aortic valve, and a dilated aortic sinus (5.2 cm) presented herself in clinic 14 weeks pregnant. She was advised to discontinue the pregnancy due to risk of dissection; however, she decided to continue. She was treated with labetalol (300 mg...

  5. Spinal subarachnoid hematoma in a woman with HELLP syndrome: a case report

    OpenAIRE

    Fujimaki Hisako; Nakazawa Toshiyuki; Ueno Masaki; Imura Takayuki; Saito Wataru; Takahira Naonobu; Takaso Masashi

    2012-01-01

    Abstract Introduction Subarachnoid hemorrhages of spinal origin are extremely rare during pregnancy. We present the case of a patient with hemolytic anemia, elevated liver enzymes and low platelet count (the so-called HELLP syndrome), a potentially life-threatening complication associated with pre-eclampsia, who presented with an idiopathic spinal subarachnoid hematoma. Case presentation At 29 gestational weeks, a 35-year-old Japanese woman was diagnosed with HELLP syndrome based on bilateral...

  6. Pregnancy complicated by haemorrhagic ascites in a woman with newly diagnosed HIV.

    Science.gov (United States)

    Morgan, Catrin; Nicholls, Kate; Gangat, Nusraat; Sansome, Stafford

    2016-07-29

    A young pregnant Zambian woman was referred from a district hospital in South Zambia to the university teaching hospital, Lusaka with severe anaemia and ascites. The ascites had developed over a month and the woman was currently 15 weeks pregnant. Further workup revealed that the patient was HIV-positive and the ascitic tap showed haemorrhagic fluid. After being reviewed by multiple doctors, the cause of the haemorrhagic ascites remained unclear; therefore, the decision was made to do a laparotomy. The laparotomy revealed haemoperitoneum and a large cyst attached to the liver containing 5 L of bloodstained fluid. The histopathology report revealed features consistent with a giant haemangioma. There were many barriers to accessing optimum healthcare in this case. These included limited access to blood, poor communication resulting in the patient being unaware of her HIV status and lack of patient education about HIV. 2016 BMJ Publishing Group Ltd.

  7. Woman abuse and pregnancy outcome among women in Khoram Abad, Islamic Republic of Iran.

    Science.gov (United States)

    Khodakarami, N; Naji, H; Dashti, M G; Yazdjerdi, M

    2009-01-01

    We carried out a descriptive analysis on the pregnancy outcome in 313 pregnant women abused, 160 non-abused). Abuse was statistically significantly correlated with mean weight gain during pregnancy, mean frequency of the prenatal care, prolonged labour (dystocia), premature rupture of membrane, low mean birth weight and mean gestational age at birth. Given the high likelihood that a woman will access health care services during her pregnancy, physicians providing prenatal care are in a strategic position to screen for partner abuse.

  8. A case of well-established breastfeeding for a 61-year-old woman after menopause

    DEFF Research Database (Denmark)

    Emmersen, P.B.; Kronborg, V.H.; Illeborg, L.

    2008-01-01

    During recent years, an increasing number of women who have become pregnant after fertility treatment, including oocyte transplantation, have presented at obstetric departments. A number of these women want to breastfeed their children even though they are postmenopausal. However, whether this is...... this is possible has remained doubtful, and any possible special needs in establishing their breastfeeding are not described. The experience of establishing breastfeeding in a postmenopausal woman aged 61 years is reported Udgivelsesdato: 2008/5...

  9. [Labor epidural analgesia for a woman with a pityriasis versicolor in the lumbar region].

    Science.gov (United States)

    Dubar, G; Omarjee, M; Viguié, C; Barbarot, S; Mignon, A

    2011-01-01

    Epidural analgesia is usually contraindicated in case of infection at the site of needle insertion. Tinea versicolor is a benign superficial cutaneous fungal infection caused by the proliferation of a skin commensal yeast of low pathogenicity. We report the case of a pregnant woman with a tinea versicolor in the lumbar region, who benefited from a labor epidural analgesia, realised with reinforced antiseptic measures. No neurological or infectious complication occurred.

  10. Physiological reactivity of pregnant women to evoked fetal startle.

    Science.gov (United States)

    DiPietro, Janet A; Voegtline, Kristin M; Costigan, Kathleen A; Aguirre, Frank; Kivlighan, Katie; Chen, Ping

    2013-10-01

    The bidirectional nature of mother-child interaction is widely acknowledged during infancy and childhood. Prevailing models during pregnancy focus on unidirectional influences exerted by the pregnant woman on the developing fetus. Prior work has indicated that the fetus also affects the pregnant woman. Our objective was to determine whether a maternal psychophysiological response to stimulation of the fetus could be isolated. Using a longitudinal design, an airborne auditory stimulus was used to elicit a fetal heart rate and motor response at 24 (n=47) and 36 weeks (n=45) of gestation. Women were blind to condition (stimulus versus sham). Maternal parameters included cardiac (heart rate) and electrodermal (skin conductance) responses. Multilevel modeling of repeated measures with 5 data points per second was used to examine fetal and maternal responses. As expected, compared to a sham condition, the stimulus generated a fetal motor response at both gestational ages, consistent with a mild fetal startle. Fetal stimulation was associated with significant, transient slowing of maternal heart rate coupled with increased skin conductance within 10s of the stimulus at both gestational ages. Nulliparous women showed greater electrodermal responsiveness. The magnitude of the fetal motor response significantly corresponded to the maternal skin conductance response at 5, 10, 15, and 30s following stimulation. Elicited fetal movement exerts an independent influence on the maternal autonomic nervous system. This finding contributes to current models of the dyadic relationship during pregnancy between fetus and pregnant woman. © 2013.

  11. What is a Woman? What is a Woman?

    Directory of Open Access Journals (Sweden)

    Maria Conceição Monteiro

    2008-04-01

    Full Text Available A primeira parte, principal interesse desta resenha – e que constitui, sem dúvida, um livro per se (assim o considera a própria autora –, compõese de dois ensaios: “What is a Woman? Sex, Gender, and the Body in Feminist Theory” e “‘I am a Woman’: The Personal and the Philosophical”. Aqui Moi discute as tendências dominantes no pensamento feminista contemporâneo, optando pelo que chama “feminismo de liberdade”, que tem como base o trabalho filosófico e feminista de Simone de Beauvoir, em The Second Sex, dado que, segundo enfatiza a ensaísta, a liberdade é a concepção fundamental do feminismo de sua referência francesa.

  12. Comparison of Ankle Proprioception Between Pregnant and Non Pregnant Women

    OpenAIRE

    Preetha R; John Solomon M

    2011-01-01

    Pregnant women report falls especially during their third trimester. Physiological changes along with ligament laxity can affect the joint proprioception in this population. This study was conducted to compare the ankle proprioception between pregnant and non pregnant women. Thirty pregnant and 30 non pregnant women were included in the study and the position of ankles were recorded by a digital camera placed 60 cms away from the feet of the subject. UTHSCSA Image tool software version 3.0. w...

  13. The Woman in the Mirror: Imaging the Filipino Woman in Short Stories in English by Filipino Woman Authors

    Directory of Open Access Journals (Sweden)

    Veronico Nogales Tarrayo

    2015-03-01

    Full Text Available This paper attempted to draw the image of the Filipino woman as depicted by female protagonists in selected short stories in English (1925-1986 written by Filipino woman authors. Specifically, the paper aimed to answer the following questions: (1 How are female protagonists depicted in the selected short stories written by Filipino woman authors? What are their virtues, vices, passions, and struggles?; and (2 What roles do these female protagonists play in the Philippine society? A virtue displayed by the most female characters is having a sense of responsibility. Most of the woman characters are passionate in preserving their relationship with their loved ones or keeping the peace among the family members. The Filipino woman, in the short stories, has projected varied images which could be categorized as martyr, social victim, homemaker, mother, and fighter. The Filipino woman is a product of her time and milieu – heterogeneous in looks, psyche, and roles in the society.

  14. 16S rRNA gene-based metagenomic analysis reveals differences in bacteria-derived extracellular vesicles in the urine of pregnant and non-pregnant women.

    Science.gov (United States)

    Yoo, Jae Young; Rho, Mina; You, Young-Ah; Kwon, Eun Jin; Kim, Min-Hye; Kym, Sungmin; Jee, Young-Koo; Kim, Yoon-Keun; Kim, Young Ju

    2016-02-05

    Recent evidence has indicated that bacteria-derived extracellular vesicles (EVs) are important for host-microbe communication. The aims of the present study were to evaluate whether bacteria-derived EVs are excreted via the urinary tract and to compare the composition of bacteria-derived EVs in the urine of pregnant and non-pregnant women. Seventy-three non-pregnant and seventy-four pregnant women were enrolled from Dankook University and Ewha Womans University hospitals. DNA was extracted from urine EVs after EV isolation using the differential centrifugation method. 16S ribosomal RNA (16S rRNA) gene sequencing was performed using high-throughput 454 pyrosequencing after amplification of the V1-V3 region of the 16S rDNA. The composition of 13 taxa differed significantly between the pregnant and non-pregnant women. At the genus level, Bacillus spp. EVs were more significantly enriched in the urine of the pregnant women than in that of the non-pregnant women (45.61% vs 0.12%, respectively). However, Pseudomonas spp. EVs were more dominant in non-pregnant women than in pregnant women (13.2% vs 4.09%, respectively). Regarding the compositional difference between pregnant women with normal and preterm delivery, EVs derived from Ureaplasma spp. and the family Veillonellaceae (including Megasphaera spp.) were more abundant in the urine of preterm-delivered women than in that of women with normal deliveries. Taken together, these data showed that Bacillus spp. EVs predominate in the urine of pregnant women, whereas Pseudomonas spp. EVs predominate in the urine of non-pregnant women; this suggests that Bacillus spp. EVs might have an important role in the maintenance of pregnancy.

  15. A woman with forearm amyotrophy.

    Science.gov (United States)

    Sagui, Emmanuel; Correa, Eléonore; Ricobono, Diane; Bregigeon, Michel; Brosset, Christian

    2009-01-01

    We present the case of a 33-year-old woman with benign sporadic monomelic amyotrophy of the distal part of the arm, called Hirayama disease. Clinical features included forearm amyotrophy sparing the brachioradialis muscle, cold paresis and causalgia. Neck magnetic resonance imaging was normal in neutral and flexion position. Electromyography showed denervated patterns in the extensor digitorum communis, and conduction studies ruled out multifocal motor neuropathy. Motor evoked potentials were normal. Serum IgG anti-GM1 antibodies were moderately raised but were negative 8 months later. Outcome was favourable within 15 months, with partial motor recovery. Pathogenesis remains controversial: neck flexion induced myelopathy via chronic anterior horn ischaemia due to forward displacement of the posterior wall of the dura mater, or benign variant of lower motor neuron disease? Whatever the pathomechanism is, the clinical features and outcome are the same.

  16. Etilolgy analysis of pregnancies complicated with thrombocytopenia and its influence to outcomes of pregnant woman and infant%妊娠合并血小板减少症的病因学分析及其对母儿结局的影响

    Institute of Scientific and Technical Information of China (English)

    张惠珍

    2012-01-01

    Objective To observe the effect of gestational thrombocytopenia on outcome of pregnancy and the etiology of pregnancies complicated with thrombocytopenia. Methods The Clinical data of 64 pregnant women with thrombocytopenia were analyzed retrospectively. According to the minimal level of platelets in pregnancy, the patients were divided into 4 groups: group I [platelets count was (50-100)×109/L, n=20];group II [platelets count was (30-50)×109/L, n=16];group Ⅲ [platelets count was (10-30)×109/L, n = 15];group Ⅲ[platelets count was (0-10)×109/L, n=13]. The etiology of pregnancies complicated with thrombocytopenia, demographic data such as pregnancy complications, treatment and outcomes of the patients in each group were analyzed. Results The major complications of pregnant women with thrombocytopenia were pregnancy associated thrombocytopenia (PAT), hypertensive disorder complicating pregnancy (HDCP) and idiopathic thrombo-cytopenic purpura (ITP), and PAT about 45.3%, which was the major cause of pregnant women with thrombocytopenia. Medical complications in pregnancy and puerperium of these patients were HDCP, anemia, preterm delivery, postpartum hemorrhage and puerperal infection. With the aggravation of thrombocytopenia, the morbidity of anemia, preterm delivery and postpartum hemorrhage were increasing. There were significant differences in the morbidity among the four groups (P < 0.05), and the morbidity of thrombocytopenia of neonatus increased with the aggravation of thrombocytopenia of their mother (P < 0.05). Conclusion The etiology of pregnancies complicated with thrombocytopenia is complex. With the aggravation of thrombocytopenia in pregnancy, the risk of anemia, premature delivery, postpartum hemorrhage and neonatal thrombocytopenia are increasing. While the perinatal outcomes may be improved with the close perinatal care.%目的 观察妊娠期血小板减少症的病因及其对母儿结局的影响.方法 回顾性分析我院收治的

  17. The dilemma for Japanese students

    DEFF Research Database (Denmark)

    Martinsen, Anders

    2014-01-01

    The Japanese job hunting system inhibits Japanese students from studying abroad. A Japanese professor says it is a huge dilemma for the students.......The Japanese job hunting system inhibits Japanese students from studying abroad. A Japanese professor says it is a huge dilemma for the students....

  18. The dilemma for Japanese students

    DEFF Research Database (Denmark)

    Martinsen, Anders

    2014-01-01

    The Japanese job hunting system inhibits Japanese students from studying abroad. A Japanese professor says it is a huge dilemma for the students.......The Japanese job hunting system inhibits Japanese students from studying abroad. A Japanese professor says it is a huge dilemma for the students....

  19. Pharmacological Treatment for Pregnant Women who Smoke Cigarettes

    Directory of Open Access Journals (Sweden)

    Koren G

    2003-09-01

    Full Text Available Abstract Smoking has been associated with several concerns in pregnancy including miscarriage, preterm delivery and stillbirth. Unfortunately, approximately 12% of the pregnant population continue to smoke cigarettes, suggesting a need for additional therapy beyond behavioural change. This paper reviews the literature on the use of nicotine replacement therapy and bupropion (Zyban® in the pregnant human population, the pharmacokinetics of nicotine in the pregnant woman, and current guidelines for smoking cessation for pregnant patients. There are currently four studies that have investigated the use of nicotine patch, three for nicotine gum, and registry and preliminary reports for bupropion. These studies did not show any adverse pregnancy outcomes with the use of pharmacological aid for smoking cessation. All the nicotine replacement therapy studies, with the exception of one randomized-controlled nicotine patch trial had small sample sizes and looked at short-term use of drug in the third trimester. Two studies have examined the pharmacokinetics of nicotine in the pregnant woman. The results from these studies reveal greater nicotine metabolism in pregnant individuals who continue to smoke during pregnancy. Current guidelines from several organizations uniformly recommend that Nicotine Replacement Therapy should be considered if non-pharmacological therapies have been unsuccessful. Bupropion is recommended in pregnancy if the benefits outweigh the risks. There is a need for further studies on the safety and effectiveness of Nicotine Replacement therapy and bupropion in pregnancy. However, considering the current research and guidelines, pharmacological cessation aids should be considered if non-pharmacological therapies have not been effective.

  20. Reinspiring Japanese Educational Objectives.

    Science.gov (United States)

    Wada, Shuji

    1993-01-01

    Provides a brief overview of the history of modern Japanese education, its early modernization, and the policy of intertwining the Japanese ideology with Western technology. Proposes the establishment of a new Buddhist-inspired philosophy of education. (GLR)

  1. English Loanwords in Japanese.

    Science.gov (United States)

    Kay, Gillian

    1995-01-01

    Examines the historical and cultural contexts of word borrowing from English into Japanese, processes of nativization, and functions served by English loanwords. Notes that linguistic and cultural borrowing is to some extent kept separate from native language and culture, resulting in a Japanese/Western dichotomy in Japanese life and language. (20…

  2. Consulta de enfermagem: estratégia de abordagem à gestante na perspectiva de gênero Consulta de enfermería: estrategia de abordaje a la mujer embarazada en la perspectiva de género Nursing appointment: a strategy of approaching to the pregnant woman in the perspective of the gender

    Directory of Open Access Journals (Sweden)

    Fernanda Beheregaray Cabral

    2005-12-01

    Full Text Available Relato de uma prática assistencial desenvolvida no ambulatório de um hospital geral, de caráter filantrópico, no interior do Rio Grande do Sul, no período de 1999 a 2001. Esta prática foi implementada por meio de consultas de enfermagem às mulheres gestantes, sendo subsidiada por referenciais de gênero. Ressalta-se a importância dos profissionais da saúde ampliarem a abordagem à mulher, além da gestação. E se confirma a influência dos referenciais de gênero, como um dos determinantes da condição de vida e de saúde das mulheres assistidas, apontando o pré-natal como um espaço que pode viabilizar o empoderamento e a promoção da autonomia e cidadania femininas.Se relata una prática asistencial desarrollada en el ambulatorio de un hospital general, de caracter filantropico, en el interior de Rio Grande del Sur, en el período de 1999 a 2001. Esta práctica fue implementada por medio de consultas de enfermería a las mujeres embarazadas, siendo subsidiada por referenciales de genero. Ressaltó la importancia de que los professionales de salud amplíen el abordaje a la mujer más alla de la gestación, y confirmó la influencia de referenciales de género como uno de los determinantes de la condición de vida y de salud de las mujeres asistidas, apuntando el prenatal como un espacio que puede viabilizar el empoderamiento y la promoción de la autonomía y de la ciudadanía femeninas.An assistance practice developed in the emergency department of a general hospital has been reported in the article. The general hospital is a philanthropic one, located in the interior of Rio Grande do Sul estate and this practice happened from 1999 to 2001 and wad implemented by means for nursing appointments for pregnant women. It was subsidied by references of gender. The importance of health professionals are broadering the approach for women after pregnancy was confirmed as a one of the determinat factors in life conditions and health of those

  3. Listeria monocytogenes infection in pregnant guinea pigs is associated with maternal liver necrosis, a decrease in maternal serum TNF-alpha concentrations, and an increase in placental apoptosis

    Science.gov (United States)

    Listeriosis, resulting from Listeria monocytogenes infection, primarily targets the elderly, immunocompromised persons and pregnant women; the latter accounting for one-third of the 2500 cases reported annually. When a pregnant woman is exposed to this food borne pathogen, her risk of having a stil...

  4. 妊高征孕妇24h尿蛋白水平与肾脏叶间动脉血流动力学检测的研究%Analysis of the dynamics of IRA blood flow and 24 hour urine protein of PIH pregnant woman

    Institute of Scientific and Technical Information of China (English)

    回丽妹

    2012-01-01

    目的 研究妊娠高血压综合征(PIH)孕妇肾脏叶间动脉(IRA)的血流动力学及24h尿蛋白水平变化规律,探讨它们在预测围产期结局中的诊断价值及对孕妇肾损害的评估.方法 选取2010年11月~2011年9月来河北工程大学检查的妊娠晚期妇女,正常妊娠妇女96例(对照组),妊高征患者110例.应用彩超检测孕妇肾脏叶间动脉的PI、RI及S/D,测量双顶径、股骨长度及超声体重,并结合患者24h尿蛋白水平,应用SPSS16.0软件进行统计分析.结果 轻度组与对照组PI、RI及S/D值的比较差异无统计学意义(P>0.05);中度组与轻度组RI值的比较差异无统计学意义(P>0.05);其他各组间的比较差异均有统计学意义(P<0.05);各组之间24h蛋白尿水平比较差异有统计学意义(P<0.05);孕妇肾脏叶间动脉RI与24h尿蛋白水平呈正相关(r=0.491,P<0.05).重度组与轻度组及对照组双顶径、股骨长,超声体重的比较差异均有统计学意义(P<0.05).结论 妊高征孕妇的肾脏叶间动脉的血流阻力增高,造成相应程度的肾损害.与测定24h尿蛋白水平相结合对肾损害的程度判断更为准确.随血压的升高,胎儿双顶径、股骨长,超声体重逐渐减小,胎儿宫内发育迟缓,预测围产期结局不良.%OBJECTIVE To study the law of variation in the dynamics of IRA blood flow and 24 hour urine protein of the PIH pregnant women, in order to explore its value in predicting its outcome and renal impair in perinatal period. METHODS From December 2010-September 2011, in the hospital of Hebei University of Engineering, selected 96 cases of normally junior pregnant women as the control group and 110 PIH patients as the subject group. Checked with color Doppler ultrasound, PI, RI and S/D of IRA, measured the values of BPD, FL and ultrasound indicated body weight. Combined with 24 hour urine protein of PIH patients. Their clinical manifestations and ultrasonographic signs were

  5. "Bionic Woman" (2007): Gender, Disability and Cyborgs

    Science.gov (United States)

    Quinlan, Margaret M.; Bates, Benjamin R.

    2009-01-01

    This paper explores a representation of overlapping categories of gender, disability and cyborgs in "Bionic Woman" (2007). The television show "Bionic Woman" (2007) is a popular culture representation that uniquely brings together these categories. Three themes emerged from an analysis of blogger discourse surrounding the show. The themes reveal…

  6. "Bionic Woman" (2007): Gender, Disability and Cyborgs

    Science.gov (United States)

    Quinlan, Margaret M.; Bates, Benjamin R.

    2009-01-01

    This paper explores a representation of overlapping categories of gender, disability and cyborgs in "Bionic Woman" (2007). The television show "Bionic Woman" (2007) is a popular culture representation that uniquely brings together these categories. Three themes emerged from an analysis of blogger discourse surrounding the show. The themes reveal…

  7. serum lipid profile in non-pregnant and pregnant hausa

    African Journals Online (AJOL)

    DR. AMINU

    Body weight and height of each subject were taken to calculate body mass index ... contribute in unraveling the serum lipid profile among pregnant and non pregnant Hausa - Fulani women in ... Changes in loudness were not considered.

  8. Infection with Hepatitis C Virus among HIV-Infected Pregnant Women in Thailand

    Directory of Open Access Journals (Sweden)

    Denise J. Jamieson

    2008-01-01

    Full Text Available Objective. The purpose of this study was to describe the epidemiology of coinfection with hepatitis C virus (HCV and HIV among a cohort of pregnant Thai women. Methods. Samples from 1771 pregnant women enrolled in three vertical transmission of HIV studies in Bangkok, Thailand, were tested for HCV. Results. Among HIV-infected pregnant women, HCV seroprevelance was 3.8% and the active HCV infection rate was 3.0%. Among HIV-uninfected pregnant women, 0.3% were HCV-infected. Intravenous drug use by the woman was the factor most strongly associated with HCV seropositivity. Among 48 infants tested for HCV who were born to HIV/HCV coinfected women, two infants were HCV infected for an HCV transmission rate of 4.2% (95% 0.51–14.25%. Conclusions. HCV seroprevalence and perinatal transmission rates were low among this Thai cohort of HIV-infected pregnant women.

  9. A Case of Nuclear Protein in Testis Midline Carcinoma Arising From the Submandibular Gland Duct in a Pregnant Patient.

    Science.gov (United States)

    Cho, Younghoon; Keam, Bhum Suk; Jung, Kyeong Cheon; Kim, Bo Hae

    2017-09-01

    This report describes the first reported case of a nuclear protein in testis midline carcinoma (NMC) arising from the submandibular gland (SMG) duct in a pregnant woman. A 29-year-old pregnant woman presented with a left-side mass in the floor of the mouth. An NMC arising from the SMG duct was confirmed by excisional biopsy examination. Intensive treatment, including surgery and chemotherapy, was provided without termination of the pregnancy. Additional chemotherapy and radiotherapy were provided after delivery. The treatment was successful. Neither the patient nor her infant had any complications and the patient remained disease free 20 months after her initial surgery. This report describes the successful diagnosis and treatment of a rare presentation of an NMC of the SMG duct in a pregnant woman. Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  10. Travelers' Health: Pregnant Travelers

    Science.gov (United States)

    ... Zika is present and take precautions to avoid sexual transmission of the virus. If travel cannot be avoided, pregnant women should strictly follow steps to prevent mosquito bites. Additional information, including the most current list of countries and territories where Zika virus is a risk, ...

  11. Bile Acid Determination after Standardized Glucose Load in Pregnant Women

    Science.gov (United States)

    Adams, April; Jacobs, Katherine; Vogel, Rachel Isaksson; Lupo, Virginia

    2015-01-01

    Objective Intrahepatic cholestasis of pregnancy (ICP) is a rare liver disorder, usually manifesting in the third trimester and associated with increased perinatal morbidity and mortality. The hallmark laboratory abnormality in ICP is elevated fasting serum bile acids; however, there are limited data on whether a nonfasting state affects a pregnant woman's total bile acids. This study assesses fasting and nonfasting bile acid levels in 10 healthy pregnant women after a standardized glucose load to provide insight into the effects of a glucose load on bile acid profiles. Study Design Pilot prospective cohort analysis of serum bile acids in pregnant women. A total of 10 healthy pregnant women from 28 to 32 weeks' gestation were recruited for the study before undergoing a glucose tolerance test. Total serum bile acids were collected for each subject in the overnight fasting state, and 1 and 3 hours after the 100-g glucose load. Results There was a statistically significant difference between fasting versus 3-hour values. There was no statistically significant difference between fasting versus 1-hour and 1-hour versus 3-hour values. Conclusion There is a difference between fasting and nonfasting total serum bile acids after a 100-g glucose load in healthy pregnant women. PMID:26495178

  12. Well-Woman Task Force: Components of the Well-Woman Visit.

    Science.gov (United States)

    Conry, Jeanne A; Brown, Haywood

    2015-10-01

    The Patient Protection and Affordable Care Act of 2010 includes strong well-woman health care provisions as a means of optimizing preventive health care across a woman's lifetime. In 2013, The American College of Obstetricians and Gynecologists convened a task force of leading professional associations representing women's health clinicians to develop age-specific well-woman health care guidelines with a goal of improving health outcomes. The charge of the Well-Woman Task Force was to provide guidance to women and clinicians with age-appropriate recommendations for a well-woman visit. Evidence-based guidelines, evidence-informed guidelines, and uniform expert agreement formed the foundation for the final recommendations. The resulting list of recommendations, "Components of the Well-Woman Visit," identifies needs across a woman's lifespan and is intended for use by any provider who cares for adolescents or women.

  13. Disabled Woman Heads Beijing Fans Association

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    THE next time you go to a football match in Beijing, look around the edge of the field. You might see a young woman in a wheelchair cheering her favorite team. Wu Jinghong is more than a handicapped person, more than a woman football fan. She is the head of the Beijing Football Fans Association, a group more than 1,000 members strong. Wu alone started the association in 1988 and because she is a woman, encouraged other women fans to openly support their favorite teams.

  14. The responsibility objection to abortion: rejecting the notion that the responsibility objection successfully refutes a woman's right to choose.

    Science.gov (United States)

    McDaniel, Ian

    2015-05-01

    This article considers the objection to abortion that a woman who voluntarily engages in sexual activity is responsible for her fetus and so cannot have an abortion. The conclusion argued for is that the conceptions of responsibility that can ground the objection that are considered do not necessitate a requirement on the part of a pregnant woman to carry her pregnancy to term. Thus, the iterations of the responsibility objection presented cannot be used to curtail reproductive choice. © 2014 John Wiley & Sons Ltd.

  15. Un-Autobiographical Autobiographies: Investigating the Life-Stories of Ten Elderly Nisei Christian Women at a Local Japanese American Church

    Science.gov (United States)

    Okamura, Naoki

    2010-01-01

    Traise Yamamoto, a professor of English and a scholar of biographical studies, made the following remark in her book "Masking Selves, Making Subjects" (1999). She wrote, "Nisei (second-generation Japanese American) women's autobiographies are frustratingly un-autobiographical" (103). Yamamoto, who is a Japanese-American woman herself, saw the lack…

  16. Pregnant at work: time for prenatal care providers to act.

    Science.gov (United States)

    Karkowsky, Chavi Eve; Morris, Liz

    2016-09-01

    Fifty years ago, when a woman became pregnant, she was expected to stop working. Today, however, most women who work are the primary, sole, or co-breadwinner for their families, and their earnings during pregnancy are often essential to their families' economic well-being. Medical data about working during pregnancy are sparse but generally show that both low-risk and high-risk women can tolerate work-related duties well, although some work accommodations (eg, providing a chair for sitting, allowing snacks, or modifying the work schedule) may be necessary. However, some employers refuse to accommodate pregnant women who need adjustments. This can result in a woman being forced to make the choice between working without accommodations and losing her income and health insurance or even her job. Prenatal care providers can play an important role by implementing changes in their own practice, shaping public policy, and conducting research to increase protections for pregnant women and to ensure that they receive medically recommended accommodations while continuing to earn income for their growing families.

  17. [Thyroid myopathy in an aged woman].

    Science.gov (United States)

    Oscuro, F; Antico, C N; Calvanese, A; Chianese, U; Gallo, M

    1994-08-01

    The case is reported of an old woman with a myopathy syndrome. Upon differential diagnosis this myopathy was attributed to hypothyroidism. Treatment with low doses of L-thyroxine lead to complete remission of the clinical and serologic syndrome.

  18. Divorce May Shrink an Older Woman's Waistline…

    Science.gov (United States)

    ... fullstory_163508.html Divorce May Shrink an Older Woman's Waistline… … while marriage may widen it, study suggests ... News) -- Divorce can be plenty stressful for older women. But it doesn't translate into the weight ...

  19. “The Mysterious Other”: Carter’s Japanese Reflections

    Directory of Open Access Journals (Sweden)

    Anna Pasolini

    2012-11-01

    As it has been argued, Carter’s perspective is that of a Western tourist, looking down on Japanese culture and society with an imperial gaze. However, this very point of view proves to be both problematic and productive, for her being a Western foreigner (the imperial Eye, combines with her being a woman, a subject who speaks from an unprivileged position, the subordinated Other in her homeland. Moreover, as Carter declared, she did not know nor was able to learn the Japanese language, thus being forced –and willing- to observe reality with sharpened senses in order to name everything anew, starting from her self-perception of what it means to be a woman and to act as one.   Thus, the author fills in Japanese empty signs with brand new meanings and begins to build up a new system of signification from the ambivalent perspective of a foreign woman, whose otherwise underprivileged position is empowered by the fact of being British. Her impressions of the Japanese world and her reasonings about gendered identities are then conveyed though the powerful, omnipresent image of the mirror. In Carter’s wor(-dsk mirrors and reflections are at the same time both the means which make disruptive and original models and performances possible and effective ways to represent them, since it is through the reflection/projection of Japanese culture into the Western one and through the mirroring of the female subject in the other’s eyes, that female subjectivity is endowed with a new –subversive- potential.

  20. Being with woman: claiming midwifery space.

    Science.gov (United States)

    Hunter, Louise

    2015-03-01

    Being 'with woman' is characterised as presence, a spiritual concept which is nevertheless bound up with physical space. In this article, the work of the American philosopher Judith Butler is used to explore the interplay between space and relationships in midwifery practice. Butler argues that relationships based on mutual recognition and respect define the actions possible within physical space. In midwifery, being with woman creates a therapeutic space necessary for the wellbeing and empowerment of women and midwives alike.

  1. Woman in Robert Frost’s Poems

    Institute of Scientific and Technical Information of China (English)

    许辉

    2014-01-01

    Most studies of Robert Frost usually focus on his great arts in describing the rural and folksy things, and this thesis is to have a tentative reading of Robert Frost from the feminism perspective. It will shed light on the poet ’s view towards woman by analyzing woman characters in his dialogic poems and his subtle use of pronouns and other semantic strategies.

  2. Uterine prolapse in a primigravid woman.

    Science.gov (United States)

    Kim, Jeong Ok; Jang, Shin A; Lee, Ji Yeon; Yun, Nae Ri; Lee, Sang-Hun; Hwang, Sung Ook

    2016-05-01

    Uterine prolapse during pregnancy is an uncommon condition. It can cause preterm labor, spontaneous abortion, fetal demise, maternal urinary complication, maternal sepsis and death. We report the case of uterine prolapse in a 32-year-old healthy primigravid woman. She had no risk factors associated with uterine prolapse. She was conservatively treated, resulting in a successful vaginal delivery. This report is a very rare case of uterine prolapse in a young healthy primigravid woman, resulting in a successful vaginal delivery.

  3. Japanese Encephalitis: Frequently Asked Questions

    Science.gov (United States)

    ... the vaccine, what should I do? What is Japanese encephalitis? Japanese encephalitis (JE) is a potentially severe disease. ... cause inflammation of the brain (encephalitis). Where does Japanese encephalitis occur? JE occurs in Asia and parts of ...

  4. Yellow nail syndrome, pincer nails, colon cancer and polyps in a 76 year-old-woman

    Directory of Open Access Journals (Sweden)

    Vitorino Modesto dos Santos

    2015-11-01

    Full Text Available The yellow nail syndrome is a scarcely described condition characterized by dystrophic yellowish nails, respiratory disturbances and lymphedema; while the pincer nail deformity is characterized by thickening and excessive transverse curvature of the nail plate. The objective of this case study is to report a 76-year-old Japanese descent woman with yellow nail syndrome and pincer nails, intestinal polyps, and sigmoid colon adenocarcinoma. Both the yellow nail syndrome and pincer nails may develop in association with malignancies, either by chance or by some etiopathogenic mechanism not well-known.

  5. LINGUISTICS AND JAPANESE READING.

    Science.gov (United States)

    CROWLEY, DALE P.

    THE PRINCIPLES OF STRUCTURAL LINGUISTICS, THE DEVELOPMENT OF JAPANESE ORTHOGRAPHY, AND THE PSYCHOLOGY OF LEARNING ARE USED AS A BASIS FOR DEVELOPMENT OF A LINGUISTICALLY ORIENTED COURSE IN JAPANESE READING. THE FIRST PART OF THE TEXT IS DEVOTED TO THE RELATION BETWEEN READING AND LINGUISTICS. THE SECOND PART GIVES BACKGROUND MATERIAL ON JAPANESE…

  6. The Japanese American Story.

    Science.gov (United States)

    Fukei, Budd

    This book presents a view of the Japanese American experience from the time of their immigration to this country in the 1800s to their acculturation into American society in the 1970s. Topics dealt with include the prejudice and mistrust experienced by the Japanese immigrants in this country, particularly their evacuation and internment in…

  7. Yokohama Pidgin Japanese Revisited

    Directory of Open Access Journals (Sweden)

    Andrei A. AVRAM

    2014-12-01

    Full Text Available The paper is an overview of the structural features of the phonology, morphology, syntax and vocabulary of Yokohama Pidgin Japanese, an under researched contact language. The data examined are from a corpus which includes records not analyzed in previous work on this 19th century variety of pidginized Japanese.

  8. Japanese Media in English.

    Science.gov (United States)

    Tanaka, Sachiko Oda

    1995-01-01

    Describes the use of English in the media in Japan, focusing on the role and history of English-language newspapers, radio, and television programs, as well as the proliferation of English-language films shown in Japanese cinemas. Discusses the implications of English in the Japanese media. (20 references) (MDM)

  9. Cardiac Arrest in a Pregnant Patient Diagnosed with Bochdalek Hernia

    Directory of Open Access Journals (Sweden)

    Pinar Karabacak

    2016-09-01

    Full Text Available Bochdalek hernia is thought to be the result of a defect of the pleuroperitoneal fold and the septum transversum fusion in the 8th week of gestation. The majority of these patients present with respiratory distress after delivery; asymptomatic progress until adulthood is an extremely rare clinical occurrence. The adult form of a Bochdalek hernia accompanying pregnancy is a rare entity. A 39-year-old, 24-week pregnant patient applied to Emergency service with epigastric pain and vomiting. Abdominal ultrasonography was planned due to the abdominal pain; sudden cardiopulmonary arrest occurred during the procedure. In this case report, congenital diaphragmatic hernia in a young pregnant woman who underwent cardiac arrest is presented.

  10. Sexual positions and sexual satisfaction of pregnant women.

    Science.gov (United States)

    Lee, Jian Tao; Lin, Chao Ling; Wan, Gwo Hwa; Liang, Ching Chung

    2010-01-01

    The purpose of this study was to investigate the sexual positions and sexual satisfaction of women during pregnancy. The authors sampled pregnant women (N = 215) from outpatients registered at the antepartum clinic of a medical center in northern Taiwan. The authors gathered data on recent sexual satisfaction, general sexual satisfaction, and sexual position using a self-report, structured questionnaire. The results showed that coital frequency decreased from the first to third trimester (p sexual position for pregnant women (67.6%) was man on top, face-to-face. Sexual position did not change significantly by trimester. More women with more sexual satisfaction than women with poor sexual satisfaction tended to adopt the woman-on-top, face-to-face, and abdominal-supportive sexual positions.

  11. Smoking habits of pregnant women in Brisbane, Australia.

    Science.gov (United States)

    Counsilman, J J; Mackay, E V

    1985-11-01

    A survey of postpartum women in Brisbane revealed that many gave up smoking just before or shortly after becoming pregnant, and that many of the remainder reduced their rate of consumption. Husbands who smoked showed no comparable changes in behaviour. Thus apparently many couples were aware of the dangers to the fetus of active smoking by the woman, but not of the dangers of her passive inhalation of smoke. Other significant findings included (i) increasing rates of consumption during successive pregnancies, (ii) high degrees of conformity for most habits (e.g. use of filters), and (iii) stronger addiction and earlier starting ages among heavy smokers than light smokers.

  12. Onset of Graves' disease during pregnancy in a woman with established hypothyroidism.

    Science.gov (United States)

    Alberiche, María; Sánchez-Hernández, Rosa María; López Mérida, Xabier; Wägner, Ana María

    2017-01-01

    Pregnancy strongly influences the thyroid gland and its function. Thyroid guidelines recommend a 30 to 50% increase of the preconceptional levothyroxine dose in women with hypothyroidism, when pregnancy is diagnosed. A 33 year-old, 8-week pregnant woman with hypothyroidism, presents with a 2-week history of palpitations, sweating, nervousness and fatigue. Physical examination shows tachycardia (108 bpm), distal tremors and diffuse goiter. After biochemical confirmation of hyperthyroidism, her levothyroxine dose is reduced and finally interrupted. Propylthiouracil is started and maintained until after the delivery of a healthy baby at week 40. Two weeks postpartum, hyperthyroidism worsens and propylthiouracil is replaced by methimazole. Eighteen months after delivery 7.5 mCi 131Iodine was given. Two months later, hypothyroidism developed and levothyroxine was initiated. Although conversion of Hashimoto's hypothyroidism into Graves' disease is exceptional in pregnancy, pregnant women with autoimmune hypothyroidism should ideally have their TSH concentrations measured before empirically increasing their levothyroxine dose.

  13. AN ETHNOGRAPHY STUDY OF NUTRITIONAL CONDITIONS OF PREGNANT WOMEN IN BANTEN INDONESIA

    Directory of Open Access Journals (Sweden)

    Setyowati

    2010-06-01

    Full Text Available Maternal mortality in childbirth in developing countries is still high. The study describes the qualitative methods used to examine the knowledge, attitude, beliefs and behaviour related to nutrition and nutritional supplementation of pregnant women. The role of village midwives and cadres’ in relation to nutrition education resulted in improving nutritional behaviour of pregnant women to some extent, but poverty and culture restricted the ability of pregnant women to access better food. The study shows that the position of pregnant woman is low within the hierarchy of both the health care system and the power structures of the broader community. Husbands, mothers-in-law, village midwives, cadres and village leaders all have more power in determining nutrition during pregnancy. However, some women tried to eat better and more nutritious food in secret, thereby subverting culture and the authority of husbands and mothers-in-law.

  14. Melissa Rowland and the rights of pregnant women.

    Science.gov (United States)

    Minkoff, Howard; Paltrow, Lynn M

    2004-12-01

    On March 11, 2004, the State of Utah charged Melissa Rowland with the murder of her stillborn fetus, claiming that the death resulted from her rejection of the advice of her physicians to have a cesarean delivery. Although Ms. Rowland avoided the homicide charge by pleading guilty to lesser child endangerment charges, the approach taken by the State raises important and troubling issues regarding the autonomy rights of pregnant women, as well as their right to speak on behalf their unborn children. We use this case to review relevant ethical principals and legal precedents. We conclude that if Ms. Rowland is to be judged legally culpable for the death of her fetus, then the courts must first create a new and significant exception to the doctrine of informed consent and the common law and constitutional principles upon which it is based. Such a precedent could introduce a substantial disparity between the rights of pregnant women and those of all other persons. We would argue that a better means of assuring the health interests of the pregnant woman and the fetus in similar circumstances is through advocacy by obstetricians for pregnant women's fully realized rights, including the right to informed consent.

  15. The Role of Learner Subjectivity in Second Language Sociolinguistic Competency: Western Women Learning Japanese.

    Science.gov (United States)

    Siegal, Meryl

    1996-01-01

    Examines the intersection of learner identity, social position, and second-language acquisition. The article, which focuses on a case study of a white woman learning Japanese in Japan, presents a conversation between the learner and her professor to show the dynamic coconstruction of identity and sociolinguistic proficiency within conversational…

  16. MODERN JAPANESE, A BASIC READER. VOLUME II, JAPANESE TEXTS.

    Science.gov (United States)

    HIBBETT, HOWARD; ITASAKA, GEN

    VOLUME II OF THIS INTRODUCTION TO WRITTEN JAPANESE CONTAINS 60 READING PASSAGES IN JAPANESE SCRIPT TO BE USED WITH THE VOCABULARY AND NOTES IN VOLUME I. THE READINGS ARE GRADED AND HAVE BEEN SELECTED TO REPRESENT GOOD MODERN JAPANESE USAGE. THE BEGINNING LESSONS ARE IN EASY INFORMAL STYLES AND ARE CONCERNED WITH THE JAPANESE LANGUAGE AND CULTURE.…

  17. Alice Walker’s Womanism in Meridian

    Institute of Scientific and Technical Information of China (English)

    GAN Lin

    2015-01-01

    Meridian is one of Alice Walker’s early work. It tells a story that happened in the American south during the 1960s and early 70s’. It describes the life of the main character, Meridian Hill, a black woman from a southern town, who got out of the oppression of white society, and ends up in participate in Civil Rights Movement. The paper firstly illustrates the soul of womanism—anti-sexism, anti-racism, sisiterhood as well as the maternity love, then analyzes how these theories permeated into the novel—Meridian. The paper paid attention to the function of this novel on the improvement of Alice Walker ’s womanism. In proving that womanism not only permeates into Meridian, but also improved womanism from many perspectives, it comes to the conclusion that Meridian is a novel to improve Alice Walker’s womanism, it serves as the good novel to highlight the African Culture, and made a great contribution for the encouragement of black women to seek for freedom in the society.

  18. THE PREGNANT MAN

    Directory of Open Access Journals (Sweden)

    M.Arulmani

    2014-09-01

    Full Text Available This scientific research article focus that the “Human Ancestor” lived in “Mars Planet‟ in the early universe shall be considered having distinguished genetic characteristics compared to “Modern Human” living in earth Planet especially in reproduction of population. This research further focus that MALE PARENT shall be considered as “become pregnant” and responsible for child birth. During the course of “Space” and “Time” of expanding universe the mars populations consider have descended to Earth planet due to varied climatic condition and FEMALE PARENT become pregnant and responsible for child birth at later stage of “Nuclear age”

  19. Conditions and life experiences of indigent pregnant women living in the northwest metropolitan of San José

    Directory of Open Access Journals (Sweden)

    Mónica Granados Hernández

    2013-10-01

    Full Text Available The aim of this paper is to present the results of an investigation into the conditions and life experiences ofindigent women. Involved four indigent pregnant women. The investigation was prompted by aphenomenological, qualitative design. The data collection was carried out by applying depth interviews, usingrecording for repeated observations, then the data were analyzed and contrasted with the framework. Among themost important characteristics that form a profile of a indigent pregnant woman found common factors:alcoholism, drug addiction, prostitution, physical violence, sexual and psychological and crime. We conclude thatthe conditions of life are intertwined with the life experiences of homeless pregnant women, from the conditionwhich determines their profile.

  20. The woman I love and the woman I cannot live without.

    Science.gov (United States)

    Bergmann, Martin S

    2013-10-01

    The relationship between love and the symbiotic phase of childhood is explored from a new angle in terms of a conflict between "the woman I love" and "the woman I cannot live without." Love requires dependency, but it can also lead to giving up independent existence; then it becomes inimical to the relationship.

  1. Malignant Phylloides Tumor of Breast in a Pregnant Woman with Coincidental Nulliparous Vaginal Prolapse

    Directory of Open Access Journals (Sweden)

    Sabyasachi Ray

    2011-12-01

    Full Text Available Malignant phylloides tumor is a relatively rare and rapidly growing tumor of the breast. Presentation during pregnancy is uncommon. Reports regarding malignancy in these tumors differ greatly in incidence, and most of them are stromal malignancies. We report this case in which 24-year old primigravid patient in the 36th week of her pregnancy had a malignant phylloides tumor of breast with sudden growth and fine needle aspiration cytology of the breast was positive for malignancy. Ultimately after her caesarean delivery, excision biopsy was in favor of a malignant process. Pregnancy with nulliparous prolapse is also a rare condition. Those conditions are not associated with each other, but presence of two rare conditions in the same time in the same person is unique.

  2. Nosocomial methicillin-resistant Staphylococcus aureus endocarditis with splenic abscess in a pregnant woman.

    Science.gov (United States)

    Ozkurt, Zulal; Erkut, Bilgehan; Kadanali, Ayten; Ates, Azman; Yekeler, Ibrahim

    2005-10-01

    A 36-year-old, 7-week-gravida patient with catheter-related nosocomial infective endocarditis due to methicillin-resistant Staphylococcus aureus (MRSA) is presented in this paper. The patient was admitted to our hospital because of carbon monoxide intoxication. After 14 days, MRSA catheter-related bacteremia developed. The central venous catheter was immediately removed, and teicoplanin therapy was started. Because of persistent fever, leukocytosis, and high C-reactive protein values, endocarditis was suspected. A transesophageal echocardiogram revealed 19-mm vegetation on her mitral valve, confirming the diagnosis of endocarditis. Gentamicin and rifampicin were added to the therapy regimen, and the dose of teicoplanin was increased to 12 mg/kg-day. After 8 days, a splenic abscess was detected by ultrasonography. Vegetation excision, mitral valve replacement by open-heart surgery and splenectomy were performed in the same operation. Antibiotherapy was continued for 6 weeks after surgery, and the patient's condition improved. The development of endocarditis could be prevented by proper clinical practices.

  3. Stereological analysis of terminal villi of the placentas of pregnant woman with sideropenic anemia

    Directory of Open Access Journals (Sweden)

    Melisa Lelic

    2014-08-01

    Full Text Available Iron deficiency, causing maternal sideropenic anemia, is one of the most frequent nutritive disorder that develops during the pregnancy. We collected 30 placentas from anemic mothers and 30 placentas from mothers belonging to the control group. Terminal villi (magnification 10x and terminal villi capillaries (magnification 40x were stereologically analyzed and numerically determined.In the placentas from anemic mothers we noted the values a terminal villi: volume density 0,43 mm0, surface density 24.13 mm-1, total volume 185.57 cm3 and total surface 10.27 m2; b capillaries of terminal villi: volume density 0.53 mm0 and total volume 224.18 cm3. In the placentas from mothers belonging to the control group we observed the following values a terminal villi: volume density 0.44 mm0, surface density 22.27 mm-1, total volume 200.17 cm3 and total surface 10.15 m2; b capillaries of terminal villi: volume density 0.42 mm0 and total volume 197.00 cm3. Compared with the control group anemic mothers' placentas have a significant higher values of surface density of terminal villi (p<0.05, volume density (p <0.01 and absolute volume (p<0.0001 of terminal villi capillaries, and significant lower values of absolute volume of terminal villi (p<0.05.In anemic mothers’ placentas, the total volume of terminal villi changes disproportionately to the total surface of terminal villi with statistically significant increase of terminal villi capillaries compared with control group. 

  4. A case of probable esomeprazole-induced transient liver injury in a pregnant woman with hyperemesis

    Directory of Open Access Journals (Sweden)

    Thomas B

    2016-12-01

    Full Text Available Binny Thomas,1-3 Mahmoud Mohamed,1,3,4 Moza Al Hail,1-3 Fatma Alzahra Y Awwad,1 Ramy M Wahba,1 Sabir B Hassan,1 Khalid Omar,1 Wessam El Kassem,1 Palivalappila Abdul Rouf1 1Hamad Medical Corporation, Doha, Qatar; 2Robert Gordon University, Aberdeen, Scotland, UK; 3Qatar University, Doha, 4Weill Cornell Medical College, Ar-Rayyan, Qatar Abstract: We report a case of 22-year-old primigravida presented to Women’s Hospital – Hamad Medical Corporation emergency with severe epigastric pain, nausea, and vomiting. On admission, she was dehydrated with remarkably worsening symptoms. Laboratory findings revealed significantly elevated liver enzymes with unknown etiology. Her past medical history showed an admission for nausea and vomiting 3 weeks previously and she was discharged on antiemetics, and esomeprazole for the first time. Due to the predominantly elevated liver enzymes, the clinical pharmacist discussed the possibility of esomeprazole-induced adverse effects and suggested to suspend esomeprazole based on the evidence from literature review. The liver enzymes showed a substantial improvement within days after the discontinuation of the drug; however, a rechallenge was not done since it could have adversely affected the mother or the fetus. Using the Naranjo Adverse Drug Reaction Probability scales, the adverse reaction due to esomeprazole was classified as “probably”. Keywords: hyperemesis, drug-induced liver injury, esomeprazole, adverse drug reaction, ADR, proton pump inhibitor

  5. Pregnant woman with an intracranial meningioma – case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Dumitrescu Bogdan Constantin

    2014-12-01

    Full Text Available It is about a 33-year-old female, with a 36 weeks uncomplicated pregnancy and with signs of increased intracranial pressure. Hours after admission and an obstetric evaluation, uterine contraction started and the patient was taken to the delivery room, where she presented a partial motor seizure on the left side with secondary generalization and urine emission. A caesarean section was performed without fetal or maternal complications. The urgent MRI gadolinium-enhanced brain scan revealed a 39/50/54 mm tumoral mass having an aspect of an anterior third falx cerebri meningioma. The patient was transferred to our neurosurgical department and afterwards surgery was performed with gross total removal of the tumoral mass. Histological examination revealed atypical meningioma with direct invasion into the adjacent brain parenchyma. A week later she was discharged from the hospital in good condition. One month after surgery, a contrastenhanced magnetic resonance imaging of the brain did not reveal any signs of tumor recurrence or residual tumor. Our recommendation is for postpartum surgery when is possible. Urgent neurosurgical interventions should be made in case of patients with malignant tumors, active hydrocephalus or benign intracranial tumor such as meningioma associated with signs of impending herniation, progress

  6. Protection of pregnant woman in working place: during pregnancy and maternity leaving

    Directory of Open Access Journals (Sweden)

    Sabina Sernia

    2014-09-01

    Full Text Available This paper outlines an operating procedure aimed to protect female employees during pregnancy and breast feeding period, whilst they carry out various activities which may expose them and their baby to health hazards. This method, developed by the Coordinating Physician of “Sapienza” University of Rome Occupational Medical Centre (OMC, is a practical tool to be used for Risk Assessment in research laboratories, for informing and addressing the heads of departments of various organizations on the main regulatory requirements aiming to protect female employees. This paper consists of two parts: a Outline of Risks; b Job Duties. At last, the work fitness (referring to Legislative Decree no. 151/01 given by OMC in the last five years, (2009 to 2013 to the employees/equivalent are examined and described, to illustrate the effectiveness of this methodology aiming to promote and protect health and reproduction.

  7. Lateral rectus myositis mimicking an abducens nerve palsy in a pregnant woman.

    Science.gov (United States)

    Haslinda, Abd-Rahim; Shatriah, Ismail; Azhany, Yaakub; Nik-Ahmad-Zuky, Nik-Lah; Yunus, Rohaizan

    2014-01-01

    Myositis is a rare unknown inflammatory disorder of the skeletal muscle tissue. Generalized inflammatory myopathies, polymyositis, and dermatomyositis have been reported during pregnancy. Isolated orbital myositis in pregnancy has not been previously described in the literature. The authors report a case of left isolated orbital myositis in a primigravida at 38 weeks gestation affecting the patient's left lateral rectus muscle. MRI of the orbit was consistent with the diagnosis. She showed remarkable clinical improvement with oral corticosteroids therapy.

  8. Biphasic synovial sarcoma in a 19-year-old pregnant woman: a case report.

    Science.gov (United States)

    Adameşteanu, Mădălina Olivia; Scurtu, Răzvan; Lascăr, Ioan; Vâlcu, Marek; Popescu, Şerban Arghir; Sebe, Ioana Teona

    2015-01-01

    Synovial sarcoma is a rare malignant tumor of mesenchymal multipotent cells. We hereby present a case of synovial sarcoma of the upper left thigh. A 19-year-old patient was referred to our clinic by another hospital in Bucharest, Romania, for a soft tissue mass in the left upper thigh. Local examination of the left thigh revealed a 15÷13 cm, ovoid, painful upon touch, soft tissue mass occupying the proximal-medial aspect of the thigh. Bilateral inguinal nodes' enlargement was noticed. Upon suspecting regional node involvement, the surgical team decided to perform left limb amputation due to tumor size and the proximity to major arterial and nervous trunks as well as the femoral shaft, making curative surgery and 'free of disease' resection margins improbable. The patient refused the operation. The surgical team (plastic surgeon, orthopedic surgeon) decided to attempt limb-sparing surgery. After tumor resection, free-of-disease surgical margins were achieved. The pathological examination as well as the immunohistochemistry (IHC) diagnosed a large biphasic synovial sarcoma warranting oncologic treatment. The association between tumor growth and pregnancy poses important therapeutic problems, such as the use of preoperative chemotherapy, potential pregnancy termination, limb amputation versus limb salvage intervention and types of protocols of chemotherapy or radiotherapy indicated.

  9. Significance of serological monitoring in a Bombay Rh (D) negative phenotype pregnant woman: a case report.

    Science.gov (United States)

    Jain, Ashish; Kumawat, Vijay; Patil, Sandeep S; Kumar, Praveen; Marwaha, Neelam; Sharma, Ratti Ram

    2012-12-01

    A 32 year old Indian female was referred to our hospital at 32 weeks of gestation because of difficulty in blood group determination and further antenatal care. The results of cell and serum grouping of her blood sample were suggestive of Bombay (O(h)) Rh (D) negative phenotype. An indirect antiglobulin test (IAT) using a pool of red cells from two Bombay Rh (D) positive blood donors gave negative result using the tube as well as the gel technique (LISS-Coombs Card, BioRad, Switzerland), thus ruling out anti-D antibody in her serum. The anti-H titer was 16 (tube technique) and with dithiothreitol (DTT) treated patient's serum the antibody screening was negative suggestive of IgM type of anti-H antibodies. Within the patient's family, only one member (younger sister) was of O(h) phenotype and also was Rh (D) negative. The baby was born vaginally at 38+6 weeks of gestation and was non-hydropic with a packed cell volume (PCV) of 55%. The baby's blood group was AB Rh (D) negative and the cord blood direct antiglobulin test (DAT) was negative. Thus, a careful serological testing of O(h) phenotype antenatal women especially with Rh (D) negative phenotype is of utmost importance in determining the isoimmunization status. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. [What would you do with a 29-weeks pregnant woman with generalised pruritus?].

    Science.gov (United States)

    Moreno, B; López Faraldo, A

    2014-10-01

    Intrahepatic cholestasis of pregnancy is a reversible disease of variable frequency. The pathophysiology involves an increase of the bile acids in the fetal blood of the mother and the fetus. The high concentrations of the bile acids cause maternal pruritus and high perinatal morbimortality. Primary Care physicians in close contact with the patient must have a high index of suspicion when faced with typical symptoms of cholestasis, such as generalized pruritus in women in the second or third trimester of gestation to be able to act on the consequences. Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  11. Mitral valve endocarditis due to Abiotrophia defectiva in a 14th week pregnant woman.

    Science.gov (United States)

    Botta, Luca; Merati, Roberto; Vignati, Gabriele; Orcese, Carlo Andrea; De Chiara, Benedetta; Cannata, Aldo; Bruschi, Giuseppe; Fratto, Pasquale

    2016-01-01

    Infective endocarditis during pregnancy carries a high mortality risk, both for the mother and for the foetus and requires a multidisciplinary team in the management of complicated cases. We report our experience with a 39-year old patient, affected by an acute active mitral endocarditis due to Abiotrophia defectiva at the 14th gestational week, strongly motivated to continue the pregnancy. Our patient successfully underwent mitral valve replacement with a normothermic high-flow cardiopulmonary bypass under continuous intraoperative foetal monitoring. Caesarean section occurred at the 38th gestational week. The delivery was uneventful and both the mother and child are doing well at the 16-month follow-up.

  12. Pseudoxantoma elasticum, as a repetitive upper gastrointestinal hemorrhage cause in a pregnant woman

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Pseudoxantoma elasticum is a rare, hereditary,multisystemic disease affecting the skin, eye, and cardiovascular system. A twenty-eight-year-old female has presented to emergency unit with the complaint of gastrointestinal hemorrhage. This patient, who had been monitored in the gastroenterology clinic more than 10 times in the past 8 years, noted a repetitive hemorrhage during her previous pregnancy in her history. The examination of the patient revealed the following signs and symptoms: atrophy in the epithelium of the retina pigment; typical angioid streaks and peau d'orange finding in the fundus; thinning of the retinal nerve fiber in OCT (optic coherence tomography);bilateral and reticular papillary lesions with yellowish-color in the neck region (plucked chicken appearance);presence of bleeding foci in fundus; and nephrocalcinosis in kidneys. In light of these symptoms, the patient was diagnosed with pseudoxantoma elasticum. Skin biopsy confirmed the pseudoxantoma elasticum diagnose. PXE is an uncommon, hereditary disease. Early diagnosis of pseudoxantoma elasticum cases, is important for minimalizing systemic complications and informing the other family members through genetic counseling.

  13. Antibiotic use among dutch pregnant woman and the development of toddler asthma : The influence of confounding

    NARCIS (Netherlands)

    Mulder, Bianca; Pouwels, Koen B.; Schuiling-Veninga, Nynke C.M.; Bos, Jens; De Vries, Tjalling W.; Jick, Susan S.; Hak, Eelko

    2014-01-01

    Background: Recent studies have reported an increased risk of asthma in children after prenatal exposure to antibiotics, notably during third trimester due to altered vaginal bacterial flora. Associations could have been influenced by unmeasured confounders. Objectives: To assess the association bet

  14. Critical care in obstetrics: beyond saving the life of a Pregnant woman

    OpenAIRE

    Rojas-Suarez José Antonio

    2011-01-01

    Hace solo 10 años atrás, el término medicina crítica en obstetricia eraprácticamente desconocido en nuestro país, reservado quizás para unosescasos escenarios, que temerosamente se asomaban en las puertasde las unidades de cuidados intensivos de algunas de las instituciones,tradicionalmente conocidas como polivalentes, irrumpiendo consu confusa fisiología en el sagrado y místico templo de la medicinacritica, contrariando a todos los profesionales que de alguna maneratenían que ver con el mane...

  15. What Can a Woman Do to Promote a Healthy Pregnancy Before She Gets Pregnant?

    Science.gov (United States)

    ... can reduce the risk of complications such as neural tube defects (NTDs) —abnormalities that can occur in the ... number of cases of spina bifida and other neural tube defects. MMWR, 41 (No. RR-14), 1–7. ...

  16. Circulating angiogenic factors in a pregnant woman on intensive hemodialysis: a case report.

    Science.gov (United States)

    Akbari, Ayub; Hladunewich, Michelle; Burns, Kevin; Moretti, Felipe; Arkoub, Rima Abou; Brown, Pierre; Hiremath, Swapnil

    2016-01-01

    Bien que peu probable, une grossesse chez les patientes sous dialyse chronique survient en de rares occasions. Dans ces cas très précis, l’hémodialyse intensive est considérée comme le traitement offrant les meilleures chances de survie pour l’enfant à naitre. Chez les patientes enceintes souffrant d’insuffisance rénale chronique, mais non dialysée, les facteurs antiangiogéniques circulants améliorent le pronostic de la grossesse. Les données sont toutefois limitées en ce qui concerne le cas de patientes enceintes sous dialyse. Nous discutons du cas d’une patiente avec un historique de néphrite interstitielle et dont la transplantation rénale a échoué après 8 ans en raison d’une glomérulite extra-membraneuse. Elle avait à ce moment entrepris une dialyse à raison de trois séances par semaine. La patiente est tombée enceinte six semaines après le début du traitement par dialyse et a dès lors été transférée au traitement par l’hémodialyse intensive. Le bébé, une fille de 2 012 kg en parfaite santé, est né par césarienne à 35 semaines de gestation, car la mère souffrait d’hypertension. Deux facteurs antiangiogéniques ; le facteur de croissance placentaire PIGF ainsi que la tyrosine kinase sFlt-1, ont été dosés à 32, 33 et 34 semaines de gestation de même qu’une, deux et trois semaines postpartum. Les taux mesurés se situaient à des niveaux attendus chez les patients souffrant d’insuffisance rénale chronique et n’indiquaient pas de prééclampsie. L’étude de ce cas particulier vient enrichir la documentation existante en regard de l’utilisation de l’hémodialyse intensive chez les patientes enceintes. Ce cas précis laisse croire qu’il est sécuritaire pour l’enfant à naitre d’amorcer une telle procédure dès les premières semaines de la grossesse chez une femme souffrant d’insuffisance rénale chronique. Ce cas montre également que dans ces conditions, les concentrations sériques des facteurs antiangiogéniques s’avèrent similaires à celles rapportées pour une femme enceinte ne souffrant d’aucune néphropathie, à l’exception du PIGF dont la concentration est sensiblement plus élevée chez la patiente dialysée.

  17. Management of prolactinoma with cabergoline treatment in a pregnant woman during her entire pregnancy

    Directory of Open Access Journals (Sweden)

    Sukhwinder Kaur Bajwa

    2011-01-01

    Full Text Available Management of prolactinoma in pregnancy is a big challenge for the treating obstetrician as prolactin levels are normally raised in pregnancy and this creates a possibility of missing the diagnosis of prolactinoma. Women with micro adenomas and intrasellar macro adenomas do not require serial magnetic resonance imaging (MRI or visual field testing as required in macro adenomas with extrasellar extension. A strict and vigil monitoring during each trimester for any clinical signs and symptoms related to tumor will suffice for the diagnosis of enlarging prolactinoma and for any active intervention required thereof. Dopamine agonists are the first choice of drugs to treat these tumors during pregnancy. Cabergoline is reported to be more effective and better tolerated as compared to traditional bromocriptine, with minimal risk of spontaneous abortion, congenital malformations or menstrual abnormalities. We are reporting a patient with macro prolactinoma who was treated successfully throughout her pregnancy with cabergoline. We achieved a very good control of prolactinoma without any significant alteration of dose and also without any adverse effects. We convey that cabergoline can be a first choice drug to treat macro prolactinomas in pregnancy also.

  18. Uterine prolapse in a 19 year old pregnant woman: a case report

    Science.gov (United States)

    Toy, Harun; Camuzcuoğlu, Hakan; Aydın, Halef

    2009-01-01

    It is well-known that multiparity and advanced age are major risk factors for pelvic organ prolapse which can rarely complicate pregnancy. We present the youngest case of uterine prolapse during pregnancy. She admitted with ruptured membranes at the 36th week of gestation and irreducible prolapse. As the edematous and thick, trapped and ulcerated cervix was not reducible, labor was obstructed due to cervical dystocia and a cesarean delivery was decided. A live male infant weighing 3100 gram was delivered. The prolapsed uterus recovered spontaneously following the cesarean operation. Uterine prolapse during pregnancy should be managed conservatively. It seems to be essential to perform elective cesarean section because of the risk of possible obstructed labor. We observed a rapid recovery of the anatomy, probably due to the young age. PMID:24591867

  19. Insulinoma in a third-trimester pregnant woman combined with pre-eclampsia

    DEFF Research Database (Denmark)

    Christiansen, Poul Erik; Vestergaard, Henrik

    2008-01-01

    week due to slurred speech, weakness and slow reaction patterns. An electroencephalogram and computed tomography scan of the brain and blood samples were normal. Blood pressure was 170-145/110-95 mmHg, albuminuria was moderate and there was moderate edema of the ankles. Labor started spontaneously...... the third day, 62 h after of hospitalization, and the patient gave birth to a healthy girl with no neonatal problems. Fourteen hours after delivery, the patient became comatose and developed universal clonic seizures. At the same time plasma glucose was...

  20. Protect Your Baby for Life: When a Pregnant Woman Has Hepatitis B

    Science.gov (United States)

    ... or eating utensils, or drinking glasses. Hugging and kissing You can hug and kiss your baby, family ... cannot give anyone Hepatitis B from hugging and kissing them. Also, Hepatitis B is not spread through ...

  1. The Legal Rights of Pregnant Students and Pregnant Employees.

    Science.gov (United States)

    Evers, Irving C.

    This speech presents an analysis of court cases dealing with the rights of pregnant students and pregnant employees. The discussion of these rights, such as the right to maternity leave, focuses around the Civil Rights Act of 1964 and its implications for equal employment opportunity. The court cases discussed consider the application of the equal…

  2. Vaccinations for pregnant women.

    Science.gov (United States)

    Swamy, Geeta K; Heine, R Phillips

    2015-01-01

    In the United States, eradication and reduction of vaccine-preventable diseases through immunization has directly increased life expectancy by reducing mortality. Although immunization is a public priority, vaccine coverage among adult Americans is inadequate. The Institute of Medicine, the Community Preventive Services Task Force, and other public health entities have called for the development of innovative programs to incorporate adult vaccination into routine clinical practice. Obstetrician-gynecologists are well suited to serve as vaccinators of women in general and more specifically pregnant women. Pregnant women are at risk for vaccine-preventable disease-related morbidity and mortality and adverse pregnancy outcomes, including congenital anomalies, spontaneous abortion, preterm birth, and low birth weight. In addition to providing direct maternal benefit, vaccination during pregnancy likely provides direct fetal and neonatal benefit through passive immunity (transplacental transfer of maternal vaccine-induced antibodies). This article reviews: 1) types of vaccines; 2) vaccines specifically recommended during pregnancy and postpartum; 3) vaccines recommended during pregnancy and postpartum based on risk factors and special circumstances; 4) vaccines currently under research and development for licensure for maternal-fetal immunization; and 5) barriers to maternal immunization and available patient and health care provider resources.

  3. [A woman with a special cervix].

    NARCIS (Netherlands)

    Hamont, D. van; Bekkers, R.L.M.; Struik-van der Zanden, P.H.

    2011-01-01

    A 40-year-old woman (nulligravida) presented with abnormal cervical cytology. At colposcopy a double external uterine os was discovered with a levonorgestrel intra uterine contraceptive device placed in the opening on the left side. Ultrasound revealed an uterus bicornis bicollis. Despite frequent

  4. Woman in Khalil Motran\\'s poem

    Directory of Open Access Journals (Sweden)

    zahra soleymanpoor

    2015-02-01

    In explaining the subject of woman, his genre is romanticism that proposes the highest emotions and senses of the poet. Sometimes he uses the story poems to imply the romance. He uses this method even to explain the social and political subject to increase the influence.

  5. Sherry Red Owl, Stands at Dawn Woman

    Science.gov (United States)

    Crazy Bull, Cheryl

    2014-01-01

    This article introduces Sherry Red Owl, also known as "Stands at Dawn Woman," because she greets each day as a new opportunity and has spent her life working at new things. She worked at Sinte Gleska University (SGU) during its founding years, taught at an elementary school when few Native teachers were employed in the school systems,…

  6. [A young woman with acute abdominal pain

    NARCIS (Netherlands)

    Mooij, R.; Dillen, J. van

    2013-01-01

    A 17-year-old woman was operated in a Tanzanian hospital because of a suspected ruptured ectopic pregnancy. During laparatomy an interstitial ectopic pregnancy with an intact gestational sac was found. The ectopic pregnancy had ruptured into the abdominal cavity.

  7. Excessive libido in a woman with rabies.

    OpenAIRE

    Dutta, J. K.

    1996-01-01

    Rabies is endemic in India in both wildlife and humans. Human rabies kills 25,000 to 30,000 persons every year. Several types of sexual manifestations including excessive libido may develop in cases of human rabies. A laboratory proven case of rabies in an Indian woman who manifested excessive libido is presented below. She later developed hydrophobia and died.

  8. Fatal Monocytic Ehrlichiosis in Woman, Mexico, 2013

    Science.gov (United States)

    Sosa-Gutierrez, Carolina G.; Solorzano-Santos, Fortino; Walker, David H.; Torres, Javier; Serrano, Carlos A.

    2016-01-01

    Human monocytic ehrlichiosis is a febrile illness caused by Ehrlichia chaffeensis, an intracellular bacterium transmitted by ticks. In Mexico, a case of E. chaffeensis infection in an immunocompetent 31-year-old woman without recognized tick bite was fatal. This diagnosis should be considered for patients with fever, leukopenia, thrombocytopenia, and elevated liver enzyme levels. PMID:27088220

  9. [A woman with a rare vascular malformation

    NARCIS (Netherlands)

    Koning, G.G.; Vries, M. de

    2015-01-01

    A 30-year-old woman with trisomy 8 syndrome and coagulopathy was diagnosed with a malformation of the vena cava superior. This is a rare anatomical variation, which originates from a non-development of Marshall's ligament during the 8th week of gestation (prevalence: 0.3%).

  10. Clostridium septicum Empyema in an Immunocompetent Woman

    Directory of Open Access Journals (Sweden)

    Alexander B. Granok

    2010-01-01

    Full Text Available We report a case of a Clostridium septicum empyema in an immunocompetent woman following operation for an incarcerated internal hernia. The patient was successfully treated with pleural decortication and an extended course of postoperative antibiotics. This is the first report of such an infection in the medical literature.

  11. A Seoul Woman Professor’s Guest

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    IT must have been our fate to meet. On the first day I arrived at the Korean University in the Republic of Korea, as a visiting professor from China’s Qinghua University, I got a phone call. "Are you Professor Zhao?" A South Korean woman asked me in Chinese. "Yes."

  12. A Tibetan Woman Has Conquered Mt. Qumolangma

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    KUN Sang, which means "perfect" in Tibetan, is the name of an ordinary Tibetan woman. Obviously, it contains her parents’ wishes for her. Kun Sang, the heroine of this article, is a mountaineer and conqueror of the highest peak of the world.

  13. Paraurethral leiomyoma in a postmenopausal woman

    DEFF Research Database (Denmark)

    Shim, Susy; Borg, Camilla Skovvang; Majeed, Huda Galib

    2015-01-01

    Leiomyomas are benign tumors extending from smooth muscle cells and only few cases of paraurethral leiomyomas have been described in the literature. They are often seen in the reproductive age and around 50% of the cases are asymptomatic. We describe a 59-year-old woman with a solid mobile tumor...

  14. Immature ovarian teratoma in a postmenopausal woman

    DEFF Research Database (Denmark)

    Ornvold, K; Detlefsen, G U; Horn, T

    1987-01-01

    We report the first case of immature ovarian teratoma occurring after menopause in a 57-year-old, 3 years postmenopausal woman. Within one year after resection of the teratoma she developed peritoneal botryoid rhabdomyosarcoma, which probably originated from initially unrecognized rhabdomyoblasts...

  15. Carrie Chapman Catt and Woman Suffrage.

    Science.gov (United States)

    Hardesty, Carolyn, Ed.

    1989-01-01

    Most of the material for this issue of the "Goldfinch," which explores the life of Carrie Chapman Catt, came from the archives of the State Historical Society of Iowa. Carrie Chapman Catt (1859-1947) was an Iowan who advocated woman suffrage and spent 26 years actively working for that cause. The issue contains a biography of Catt, and…

  16. Travelers' Health: Japanese Encephalitis

    Science.gov (United States)

    ... Awaiting FDA assessment Abbreviation: IM, intramuscular; FDA, US Food and Drug Administration 1 If potential for JE virus exposure continues. Table 3-07. Risk for Japanese encephalitis (JE), by country 1 COUNTRY AFFECTED AREAS ...

  17. How the Japanese work.

    Science.gov (United States)

    Chambers, D W

    1998-01-01

    The Japanese do not work harder or even use different approaches so much as they aim for a different result--one that balances process and results and extends the definition of quality beyond the product itself to include cost and convenience to the customer as well. Ten methods of the Japanese kaizen culture of work are presented with applications and contrasts to American dentistry.

  18. Teaching Japanese Popular Culture

    Directory of Open Access Journals (Sweden)

    Deborah Shamoon

    2010-04-01

    Full Text Available Japanese popular culture has arrived on American college campuses as never before. Student interest in Japanese manga (comic books, anime (animated films and television shows, and video games drives much of the enrollment in Japanese courses and Japanese majors and minors. In response to student interest, as well as the establishment of popular culture as a topic of serious academic scholarship, the demand for courses on Japanese popular culture has never been higher. Yet the number of scholars specializing in the study of popular culture is still relatively small. This can potentially create problems, as faculty teach outside their expertise, and perhaps face an uncomfortable situation in which the students know more about the topic than the professor. In this article, I will offer some suggestions and advice for faculty creating a popular culture course for the first time, based on my experiences teaching undergraduates at the University of Notre Dame. The course I developed reflects my background in Japanese literature and film, and is but one example of many possible approaches to the topic. The sample syllabus and list of resources at the end of this article provide citations for all text and media sources mentioned.

  19. Is Economic Status Really Important for a Woman Important for a Woman

    Institute of Scientific and Technical Information of China (English)

    谌嘉琳

    2015-01-01

    <正>Simone de Beauvoir said,"A woman is not born but made."Then,what makes women?Culture?Parental teaching?Social environments?...When women are born,they are told they are a girl and brought up in the way that girls grow up.Gradually,an invisible and powerful voice is rooted in their mind,"I’m a girl and that I’ll be a woman or housewife."

  20. Sedentary behavior patterns in non-pregnant and pregnant women.

    Science.gov (United States)

    Hawkins, Marquis; Kim, Youngdeok; Gabriel, Kelley Pettee; Rockette-Wagner, Bonny Jane; Chasan-Taber, Lisa

    2017-06-01

    Sedentary behavior has been associated with adverse health outcomes among pregnant women; however, few studies have characterized sedentary behavior patterns in this population. We described patterns of accelerometer-determined indicators of sedentary behavior among a national sample of US pregnant (n = 234) women and non-pregnant (n = 1146) women participating in the NHANES 2003-06 cycles. We included women with ≥ 4 days of accelerometer wear of ≥ 10 h/day. A count threshold of sedentary behavior as: 1) total accumulated sedentary time by bout length categories; 2) accumulated sedentary time within discrete bout length categories; 3) mean, median, and usual bout length; and 4) and bout frequency. Both non-pregnant and pregnant women spent up to 60% of their accelerometer wear time in sedentary behavior depending on the minimum bout threshold applied. Sedentary time was higher among pregnant women compared to non-pregnant women when lower bout thresholds (i.e. 10 min or less) were applied. The majority of total sedentary time was accumulated in bouts lasting sedentary bouts (i.e., ≥ 30 min) per day, which accounted for nearly 20% of total accumulated sedentary time. When applying a minimum threshold of at least 15 min, sedentary time increased across pregnancy trimesters, while sedentary time was similar across trimesters when using lower thresholds. These findings provide the first characterization of accelerometer-determined indicators of sedentary behavior in pregnant women. The minimum bout threshold applied influenced estimates of sedentary time and patterns sedentary time accumulation across pregnancy trimesters.

  1. Comparison of postmenopausal endogenous sex hormones among Japanese, Japanese Brazilians, and non-Japanese Brazilians

    Directory of Open Access Journals (Sweden)

    Maciel Maria

    2011-02-01

    Full Text Available Abstract Background Differences in sex hormone levels among populations might contribute to the variation in breast cancer incidence across countries. Previous studies have shown higher breast cancer incidence and mortality among Japanese Brazilians than among Japanese. To clarify the difference in hormone levels among populations, we compared postmenopausal endogenous sex hormone levels among Japanese living in Japan, Japanese Brazilians living in the state of São Paulo, and non-Japanese Brazilians living in the state of São Paulo. Methods A cross-sectional study was conducted using a control group of case-control studies in Nagano, Japan, and São Paulo, Brazil. Participants were postmenopausal women older than 55 years of age who provided blood samples. We measured estradiol, estrone, androstenedione, dehydroepiandrosterone sulfate (DHEAS, testosterone and free testosterone by radioimmunoassay; bioavailable estradiol by the ammonium sulfate precipitation method; and sex hormone-binding globulin (SHBG by immunoradiometric assay. A total of 363 women were included for the present analyses, comprising 185 Japanese, 44 Japanese Brazilians and 134 non-Japanese Brazilians. Results Japanese Brazilians had significantly higher levels of estradiol, bioavailable estradiol, estrone, testosterone and free testosterone levels, and lower SHBG levels, than Japanese. Japanese Brazilians also had significantly higher levels of bioavailable estradiol, estrone and DHEAS and lower levels of SHBG and androstenedione than non-Japanese Brazilians. Levels of estradiol, testosterone and free testosterone, however, did not differ between Japanese Brazilians and non-Japanese Brazilians. These differences were observed even after adjustment for known breast cancer risk factors. We also found an increase in estrogen and androgen levels with increasing body mass index, but no association for most of the other known risk factors. Conclusions We found higher levels of

  2. [Assistance to the climacteric woman: new paradigms].

    Science.gov (United States)

    Lorenzi, Dino Roberto Soares De; Catan, Lenita Binelli; Moreira, Karen; Artico, Graziela Rech

    2009-01-01

    Population aging is a demographic reality for Brazil. Consequently, in the next years it is expected a progressive increase in seeking health care services in the country by women with complaints related to climacterium. Parallel to it, assistance at this part of woman's life has been going through a paradigm shift which has imposed to health professionals a change of attitude in relation to this stage of woman's life. Today it is acknowledged that the climacterium is influenced by biological, psychosocial and cultural factors, whose knowledge is fundamental for planning a more qualified and humanized care. This article proposes a reflection on the paradigm shifts in assistance at climacterium, highlighting important aspects as multidisciplinarity and interdisciplinarity, so as to serve better this portion of population, and provide it with more integrated and individualized care, bringing together knowledge and sensitivity, and always aiming at a better quality of life.

  3. Oscar Wilde and the scarlet woman.

    Science.gov (United States)

    Hanson, E

    1997-01-01

    In the late nineteenth century, England was embroiled in a political debate over the importation of Roman Catholic rituals into the Anglican Church, not to mention the re-establishment of the Roman Church itself in Great Britain. Victorian anti-Catholic rhetoric draws upon the figure of the Whore of Babylon to depict the Roman Catholic Church as the Scarlet Woman, a femme fatale who perverts Christianity and seduces Englishmen with elaborate rituals and lascivious whisperings in the confessional. In writing Salomé, Oscar Wilde played ironically on the hysterical eroticism of the No Popery movement by mining the paradox of biblical sensuality. He invested his play with a biblical wealth of archaic metaphors and gestures that took their cues from The Song of Songs and The Book of Revelation. He became the ecclesiastical dandy that evangelicals feared most, a poet enamored of the Scarlet Woman, a would-be convert who exposed the scandal of Christianity as art.

  4. The Woman Who“Manages Weather”

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    TENG Youlian, a Miao woman and the chief director of the Meteorological Bureau of Mayang County, Hunan, is one of the most reliable people in the area. The local people affectionately refer to Teng as "the woman who manages weather," because she and her meteorological bureau can forecast weather precisely, and predict rainstorms and floods in advance. Several times, they have been able to greatly reduce the losses for Mayang County caused by disastrous floods. Though only a junior high school graduate, and one who had never formally learned meteorology, Teng studied very hard to gain practical knowledge after she transferred to the meteorological bureau in 1969; gradually, she became familiar with the work. In 1981, she became a technician in weather forecasting, and was promoted to assistant engineer in 1988. She worked diligently and carefully; in 1989, she set a record

  5. Vulvar pityriasis versicolor in an immunocompetent woman.

    Science.gov (United States)

    Day, Tania; Scurry, James

    2014-07-01

    To report a case of isolated vulvar pityriasis versicolor in a 24-year-old healthy woman. A 24-year-old woman presented with variable color change on the vulva of 8 months in duration. Areas of tan and white skin were observed on the mons pubis. The pubic hair had been shaved. Initially, the paler areas were deemed abnormal suggesting vitiligo, but the biopsy showed normal skin including normal numbers of melanocytes. Subsequently, biopsy of the tan area showed pityriasis versicolor. She was successfully treated with topical 2% ketoconazole, with gradual fading of lesions. With increased body awareness and the current popularity of pubic hair removal, young women may consult clinicians about color changes on the vulva. Clinicians should be aware that vulvar pityriasis versicolor may occur in healthy women with no other skin involvement.

  6. [Aged woman's vulnerability related to AIDS].

    Science.gov (United States)

    Silva, Carla Marins; Lopes, Fernanda Maria do Valle Martins; Vargens, Octavio Muniz da Costa

    2010-09-01

    This article is a systhematic literature review including the period from 1994 to 2009, whose objective was to discuss the aged woman's vulnerability in relation to Acquired Imunodeficiency Syndrome (Aids). The search for scientific texts was accomplished in the following databases: Biblioteca Virtual em Saúde, Scientific Eletronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE). The descriptors used were vulnerability, woman and Aids. Eighteen texts were analyzed, including articles in scientific journals, thesis and dissertations. As a conclusion, it was noted that aged women and vulnerability to Aids are directly related, through gender characteristics including submission and that were built historical and socially. We consider as fundamental the development of studies which may generate publications accessible to women, in order to help them see themselves as persons vulnerable to Aids contagion just for being women.

  7. Births per U.S. woman? Depends on race, ethnicity.

    Science.gov (United States)

    Haub, C

    1993-09-01

    A profile of mothers giving birth is presented for the US for 1990 based on race and ethnicity. Some of the complexities involved in compiling racial and ethnic data are described. The total fertility rate was 2.1 for all American women, 1.1 for Japanese Americans, and 3.2 for Hawaiians and Mexican Americans. The number of births per woman was derived from state birth registration data, which culls data from preadmission hospital forms filled out by the mother. The denominator of the birth rate comes from the number of women in the specified age group as determined by the Census. The problem arises from self-reports themselves. Consistency between recording systems has been improved since 1989 when births were counted based on mother's race and ethnicity. There have been greater percentages of interracial births for which race of both parents were known, and the trend was for 15% of the births for race of the father not to be reported in 1990. The data revealed that in 1990, Mexican Americans and Hawaiians had the highest birth rate of 3.2, which was comparable to developing countries in Latin America. The other Hispanic group was another high fertility group for a developed country. Low fertility was found among Japanese, Chinese, and Cuban Americans. The actual numbers revealed that non-Hispanic whites constitute 2.6 million out of 4.2 million children born in the US. 595,100 were Hispanics, 661,700 were non-Hispanic blacks, 142,000 were Asian or Pacific Islander, and less than 40,000 were American Indian. Teenage pregnancy was considerable among the ethnic populations: nearly 25% of African Americans, and about 20% of American Indians, Puerto Ricans, Hawaiians, and Mexican Americans having births to women under 20 years of age. The birthing patterns were different among minority groups. Hispanic women had early childbearing and continued childbearing throughout the reproductive years. Black and American Indian women tended to complete childbearing early. Asian

  8. In-depth Medical Nutrition Therapy for a Woman with Diabetes: From Pregnancy to Delivery

    Science.gov (United States)

    2016-01-01

    Diabetes in pregnancy is associated with higher rates of miscarriage, pre-eclampsia, preterm labor, and fetal malformation. To prevent these obstetric and perinatal complications, women with diabetes have to control levels of blood sugar, both prior to and during pregnancy. Thus, individualized medical nutrition therapy for each stage of pregnancy is essential. We provided in-depth medical nutrition therapy to a 38-year-old pregnant woman with diabetes at all stages of pregnancy up to delivery. She underwent radiation therapy after surgery for breast cancer and was diagnosed with diabetes. At the time of diagnosis, her glycated hemoglobin level was 8.3% and she was planning her pregnancy. She started taking an oral hypoglycemic agent and received education regarding the management of diabetes and preconception care. She became pregnant while maintaining a glycated hemoglobin level of less than 6%. We provided education program for diabetes management during the pregnancy, together with insulin therapy. She experienced weight loss and ketones were detected; furthermore, she was taking in less than the recommended amount of foods for the regulation of blood sugar levels. By giving emotional support, we continued the counseling and achieved not only glycemic control but also instilled an appreciation of the importance of appropriate weight gain and coping with difficulties. Through careful diabetes management, the woman had a successful outcome for her pregnancy, other than entering preterm labor at 34 weeks. This study implicated that the important things in medical nutrition therapy for pregnant women with diabetes are frequent follow-up care and emotional approach through the pregnancy process. PMID:27812519

  9. Repeated pregnancy in a woman with uterine prolapse from a rural area in Nepal.

    Science.gov (United States)

    Pantha, Sandesh

    2011-05-01

    Pelvic organ prolapse is common in rural women in Nepal. Pregnancy in a woman with pelvic organ prolapse is uncommon and rarely continues beyond the second trimester. If it proceeds after that, the uterus usually ascends with progression of pregnancy and becomes abdominal, leaving little trace of prolapse. Pregnancy continuing to term with uterine prolapse is very rare. The case reported here is of a pregnant woman from a remote district in Nepal who had nine pregnancies and at 38 weeks of pregnancy presented at the district hospital with severe uterine prolapse, a large cervical ulcer and the baby's foot protruding from the cervix. Air transport was the only means of reaching the nearest hospital with emergency obstetric care, 200 km away. The baby was delivered stillborn at the airport by the auxiliary nurse-midwife who accompanied her. Her husband was counselled for and had a vasectomy. The woman was fitted with a ring pessary but could not afford to go to the nearest town for surgery for the prolapse. People in remote areas of Nepal often seek medical advice very late. This and the lack of education, low utilisation of family planning services, and lack of skilled birth attendance and safe delivery centres at local level contribute to high maternal morbidity and mortality. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  10. Woman Sacrifices All for Family, Community

    Institute of Scientific and Technical Information of China (English)

    JENNIFER; LIM

    1995-01-01

    YUAN Shuguo, 82, is an amiable and kind woman. Despite many years of hardship and frustration, she has brought up and educated four children. Even her granddaughter is married. Many of Yuan’s burdens have been lifted from her shoulders and she now lives a content life with her husband. Yet deep in her heart, there will always be one regret. This is her story, in her own words.

  11. Reconstructive metroplastic myomectomy of an infertile woman

    OpenAIRE

    Nader Esmailpoor; Mitra Ahmad Soltani

    2011-01-01

    Background: While myoma is the most common pelvic mass of women, most women do not seek screening tests for uterine myoma and if they have any fibroid they are not volunteer for its surgical removal. Case: We present here a novel technique of vascular skeletonization to preserve uterus, making pregnancy possible for an infertile woman with a large uterine myoma, situated in the uterine lower segment. Conclusion: Vascular skeletonization to preserve vessels for a case of myomectomy helped pres...

  12. [A young woman with severe hyponatremia].

    Science.gov (United States)

    Renard, C; Garcia, C; Perret, M-R; Vest, P; El Jahiri, Y; Fuilla, C

    2004-01-01

    We report here the case of a young woman, who came by herself at the emergency department, presenting with a severe hyponatremia (106 mmol/L), as shown by her initial biological report. The biological comment leads us to review the hyponatremia considering on one hand osmolarity and on the other hand volemia. Patient's tests results showed hyponatremia with hypoosmolarity and isovolemia, due to her potomania. At last, the authors expose the main guidelines for the correction of hyponatremia.

  13. Woman Mayor Devotes Herself to Her People

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    SHI Lijun used to be the Deputy Secretary of the Municipal Party Committee of Zibo in Shandong Province. When she stood before the 257 deputies to the People’s Congress in Laiwu on January 12, 1993, she perceived the anticipation and skepticism in their eyes. Although the deputies voted her into office as the first woman mayor of this city because of her past achievement in her official career, they still wanted to know what she would say

  14. African Woman Gets No.2 UN Post

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    With a pledge to work for an inte-grated UN, former Tanzanian Foreign Minister Asha-Rose Migiro was sworn in as UN deputy secretary gen-eral on February 5, making her the first woman from the African conti-nent to hold such a powerful posi-tion in the world body.Migiro’s appointment early last month was widely seen as a signal of new UN Secretary General Ban Ki Moon’s reform initia-

  15. Pregnant women in vehicles: Driving habits, position and risk of injury.

    Science.gov (United States)

    Auriault, F; Brandt, C; Chopin, A; Gadegbeku, B; Ndiaye, A; Balzing, M-P; Thollon, L; Behr, M

    2016-04-01

    This study proposed to broadly examine vehicle use by pregnant women in order to improve realism of accident simulations involving these particular occupants. Three research pathways were developed: the first consisted in a questionnaire survey examining the driving habits of 135 pregnant women, the second obtained measurements of 15 pregnant women driving position in their own vehicle from the 6th to the 9th month of pregnancy by measuring distances between body parts and vehicle parts, and the third examined car accidents involving pregnant occupants. Results obtained indicate that between 90% and 100% of pregnant women wore their seat belts whatever their stage of pregnancy, although nearly one third of subjects considered the seat belt was dangerous for their unborn child. The measurements obtained also showed that the position of the pregnant woman in her vehicle, in relation to the various elements of the passenger compartment, changed significantly during pregnancy. In the studied accidents, no correlation was found between the conditions of the accident and the resulting fetal injury. Results reveal that pregnant women do not modify significantly the seat setting as a function of pregnancy stage. Only the distance between maternal abdomen and steering wheel change significantly, from 16 cm to 12 cm at 6 and 9 month respectively. Pregnant women are mainly drivers before 8 months of pregnancy, passengers after that. Car use frequency falls down rapidly from 6 to 9 months of pregnancy. Real crashes investigations indicate a low rate of casualties, i.e. 342 car accidents involving pregnant women for a period of 9 years in an approximately 1.7 million inhabitants area. No specific injury was found as a function of stage of pregnancy.

  16. Pregnant? Don't Smoke!

    Science.gov (United States)

    ... this? Submit Button Past Emails Pregnant? Don't Smoke! Language: English Español (Spanish) Recommend on Facebook Tweet ... cancer, heart disease, and stroke. But women who smoke during pregnancy put themselves and their developing babies ...

  17. Coffee to Go: Woman "Thinks" First Cup in 15 Years

    Science.gov (United States)

    ... turn Javascript on. Feature: NIBIB Robotics Coffee to Go: Woman "Thinks" First Cup in 15 Years Past ... Athlete Stands Again…On His Own! / Coffee to Go: Woman "Thinks" First Cup in 15 Years Spring ...

  18. Japanese Outbound Market to Singapore

    OpenAIRE

    Aw, Yeow Keng

    2007-01-01

    This research examines Japanese tourists' perceptions of Image of Singapore and attempts to apply motivational theories to attract Japanese tourists not only to come but stay longer in Singapore. For the analysis, data were collected via a questionnaires-based survey among the 650 Japanese tourists at Singapore Changi Airport, Departure Hall. The purpose of survey is to find out Japanese tourists' perceptions of Singapore as a travel destination, their satisfactions toward Singapore and like...

  19. Centering in Japanese Discourse

    CERN Document Server

    Walker, M; Côté, S; Walker, Marilyn; Iida, Masayo; Cote, Sharon

    1996-01-01

    In this paper we propose a computational treatment of the resolution of zero pronouns in Japanese discourse, using an adaptation of the centering algorithm. We are able to factor language-specific dependencies into one parameter of the centering algorithm. Previous analyses have stipulated that a zero pronoun and its cospecifier must share a grammatical function property such as {\\sc Subject} or {\\sc NonSubject}. We show that this property-sharing stipulation is unneeded. In addition we propose the notion of {\\sc topic ambiguity} within the centering framework, which predicts some ambiguities that occur in Japanese discourse. This analysis has implications for the design of language-independent discourse modules for Natural Language systems. The centering algorithm has been implemented in an HPSG Natural Language system with both English and Japanese grammars.

  20. Effects of maternal vitamin D status on pregnancy outcomes, health of pregnant women and their offspring.

    Science.gov (United States)

    Skowrońska-Jóźwiak, Elzbieta; Lebiedzińska, Katarzyna; Smyczyńska, Joanna; Lewandowski, Krzysztof C; Głowacka, Ewa; Lewiński, Andrzej

    2014-01-01

    Pregnancy increases the demand for vitamins, including vitamin D. Data on effects of vitamin D deficiency for pregnant woman and fetus available in Poland are scarce. The aim of this study was to evaluate vitamin D3 concentration in pregnant women and its influence on pregnancy course, health of pregnant women and their offspring. The study included 102 healthy pregnant women, aged 21 to 40 years, mean 30.5±4.9 years. Women were divided into three groups based on 25(OH)D serum concentration in the third trimester of pregnancy: Group I - with sufficient 25(OH)D serum concentration (>30 ng/ml), Group II - with vitamin D3 insufficiency (20-30 ng/ml), Group III - with serious vitamin D deficiency (vitamin D concentrations were found only in 31.2% of women, however in winter months only in 16%. Bacterial vaginosis was significantly more common in women with vitamin D deficiency and insufficiency (pvitamin D status and the incidence of gestational diabetes, preeclampsia, mode of delivery and size of newborns. A relationship between vitamin D deficiency and insufficiency during pregnancy and subsequent incidence of respiratory infections in children (pvitamin D supplementation in pregnant women in Poland is insufficient, particularly in winter. 2. Vitamin D deficiency in pregnant women fosters development of bacterial vaginosis during pregnancy and recurrent respiratory infections in children, suggestive of the role of vitamin D in prevention of infections.

  1. The Ideal Man and Woman According to University Students

    Science.gov (United States)

    Weinstein, Lawrence; Laverghetta, Antonio V.; Peterson, Scott A.

    2009-01-01

    The present study determined if the ideal man has changed over the years and who and what the ideal woman is. We asked students at Cameron University to rate the importance of character traits that define the ideal man and woman. Subjects also provided examples of famous people exemplifying the ideal, good, average, and inferior man and woman. We…

  2. Alice Walker's Womanism Colored in The Color Purple

    Institute of Scientific and Technical Information of China (English)

    蒋慧慧

    2009-01-01

    In her famous novel The Color Purple,Alice Walker's womanism is colored by four kinds of conseiousness-female consciousness,racial consciousness,root-seeking consciousness,and universal consciousness.It is owing to the womanism that the heroine celie grown from an abused woman to an independent selfhood.

  3. The Ideal Man and Woman According to University Students

    Science.gov (United States)

    Weinstein, Lawrence; Laverghetta, Antonio V.; Peterson, Scott A.

    2009-01-01

    The present study determined if the ideal man has changed over the years and who and what the ideal woman is. We asked students at Cameron University to rate the importance of character traits that define the ideal man and woman. Subjects also provided examples of famous people exemplifying the ideal, good, average, and inferior man and woman. We…

  4. When normal and deviant identities collide: Methodological considerations of the pregnant acafan

    Directory of Open Access Journals (Sweden)

    Mary Ingram-Waters

    2010-09-01

    Full Text Available In this article, I examine how my visibly pregnant body influenced my experience as a field researcher at a fan convention, interviewing amateur fan fiction authors who write Harry Potter male-pregnancy fan fiction. Despite my efforts at carefully cultivating an identity as an acafan (a researcher who identifies as both a fan and a scholar of fandom, my identity as a pregnant woman was most salient throughout my fieldwork. I argue that because of the particular genre of fan fiction, male pregnancy (mpreg, which my participants engaged with, my status as a normative, heterosexual, publicly pregnant woman negatively affected the research process: my interactions with my interviewees deviated from my expectations in ways that shaped the data I collected. When I analyzed my field notes, I found a strong correlation between interviewees' recognition of my pregnancy and interviewees' experience of stigma associated with authors of mpreg. This research contributes to several bodies of work: the interplay between online and real-life identities, the role of the researcher in field research, and the role of pregnant researchers.

  5. Japanese VLBI Network

    CERN Document Server

    Doi, A; Harada, K; Nagayama, T; Suematsu, K; Sugiyama, K; Habe, A; Honma, M; Kawaguchi, N; Kobayashi, H; Koyama, Y; Murata, Y; Omodaka, T; Sorai, K; Sudou, H; Takaba, H; Takashima, K; Wakamatsu, K; Doi, Akihiro; Fujisawa, Kenta; Harada, Keiichiro; Nagayama, Takumi; Suematsu, Kousuke; Sugiyama, Koichiro; Habe, Asao; Honma, Mareki; Kawaguchi, Noriyuki; Kobayashi, Hideyuki; Koyama, Yasuhiro; Murata, Yasuhiro; Omodaka, Toshihiro; Sorai, Kazuo; Sudou, Hiroshi; Takaba, Hiroshi; Takashima, Kazuhiro; Wakamatsu, Ken-ichi

    2006-01-01

    We present the basic features and the activities of Japanese VLBI network (JVN), a newly-established VLBI network with baselines ranging from 50 to 2560 km spreading across the Japanese islands, and capable of observing at 6.7, 8.4, and 22 GHz. We show a number of results of JVN observations: 8.4-GHz continuum images of a Giga-hertz Peaked Spectrum (GPS) source and radio-loud Narrow-Line Seyfert 1 galaxies (NLS1s), the spatial and velocity structures of water masers in NML Cygni as well as methanol masers in Cep A, and demonstrative observations with the bigradient phase referencing.

  6. Japanese Rinzai Zen Buddhism

    DEFF Research Database (Denmark)

    Borup, Jørn

    or "spiritual" aspects. This book investigates the contemporary living reality of the largest Japanese Rinzai Zen Buddhist group, Myōshinji. Drawing on textual studies and ethnographic fieldwork, Jørn Borup analyses how its practitioners use and understand their religion, how they practice their religiosity...... and how different kinds of Zen Buddhists (monks, nuns, priest, lay people) interact and define themselves within the religious organization. Living Zen portrays a living Zen Buddhism being both uniquely interesting and interestingly typical for common Buddhist and Japanese religiosity...

  7. Prenatal care in a primary healthcare center for imprisoned pregnant women

    Directory of Open Access Journals (Sweden)

    Maria do Carmo Silva Fochi

    2014-06-01

    Full Text Available This experience report aimed to describe the prenatal care undertaken in a primary care center in the non-metropolitan area of the State of São Paulo, offered to the female prison population. The data and related information refer to the period June 2010 – June 2012. The article describes the construction of the work process by the local team, the dynamics of providing the attendance, the human resources involved and the consultations undertaken. The prenatal care provided to the pregnant women made it possible to investigate the pluralized universe of imprisoned women and their needs resulting from the condition of being pregnant in the prison environment. Thus, decent attendance to the prison population’s health - a human and constitutional right - is considered important, so as to avoid physical, emotional and social problems, which in the pregnant woman may be passed on to her child.

  8. JAPON MİTOLOJİSİNDE KADIN İMGESİ / WOMAN IMAGE IN JAPANESE MYTHOLOGY

    Directory of Open Access Journals (Sweden)

    Okan Haluk Akbay

    2015-01-01

    Full Text Available Mitolojiler, bir toplumun düşünsel yapılanma ve kültürel özelliklerini yansıtması bakımından oldukça önemli kaynaklardır. Mitolojik anlatılarda geçen karakterler, bir toplumun kültürünü ve düşünce yapısını anlamak için önemli ipuçları sunar.Bu makale, Japon mitolojisinde geçen önemli kadın figürlerini ele almayı amaçlamaktadır. Bu bağlamda, Japon mitolojisinin en önemli kaynağı kabul edilen Kojiki isimli eserde geçen beş önemli kadın figürünün mitoloji içindeki oynadıkları rol ve karakteristik özellikleri ana hatlarıyla irdelenmeye çalışılacaktır.

  9. Loiasis in a Japanese Traveler Returning from Central Africa.

    Science.gov (United States)

    Kobayashi, Tetsuro; Hayakawa, Kayoko; Mawatari, Momoko; Itoh, Makoto; Akao, Nobuaki; Yotsu, Rie R; Sugihara, Jun; Takeshita, Nozomi; Kutsuna, Satoshi; Fujiya, Yoshihiro; Kanagawa, Shuzo; Ohmagari, Norio; Kato, Yasuyuki

    2015-06-01

    We encountered a probable case of loiasis in a returned traveler from Central Africa. A 52-year-old Japanese woman presented to our hospital complaining of discomfort in her eyes and skin. She reported having frequently visited Central Africa over many years and having been extensively exposed to the rainforest climate and ecosystem. Although no microfilariae were found in her blood, there was an elevated level of IgG antibodies against the crude antigens of Brugia pahangi, which have cross-reactivity with Loa loa. She was treated with albendazole for 21 days, after which the antigen-specific IgG level decreased and no relapse occurred.

  10. Economic Evaluation of Health Services Costs During Pandemic Influenza A (H1N1 Pdm09 Infection in Pregnant and Non-Preg¬nant Women in Spain

    Directory of Open Access Journals (Sweden)

    María MORALES-SUÁREZ-VARELA

    2016-04-01

    Full Text Available Background: The healthcare and socio-economic burden resulting from influenza A (H1N1 pdm09 in Spain was considerable. Our aim was to estimate and compare the management (resource utilization and economic healthcare impact in an at-risk group of unvaccinated pregnant women with an unvaccinated group of non-pregnant woman of childbearing age (15-44 yr old.Methods: We addressed this question with a longitudinal, observational, multicentre study. Inputs were the requirements in managing both groups of women. Outcome measures were healthcare costs. Direct healthcare (including medical utilisation, prescriptions of antivirals, medication, diagnostic tests, and hospitalisation costs and indirect (productivity loss costs were considered. Unit of cost was attributed to the frequency of health service resources utilisation. The mean cost per patient was calculated in this group of women.Results: We found that the influenza clinical pattern was worse in non-pregnant women as they had a high medical risk of 20.4% versus 6.1% of pregnant women. Non-pregnant required more antipyretics and antibiotics, and needed more health service resource utilisation (338 medical visits in non-pregnant women vs. 42 in pregnant women. The total cost of non-pregnant women was higher (€4,689.4/non-pregnant and €2,945.07/pregnant.Conclusions: Cost per (H1N1 pdm09 was lower for pregnant women, probably due to more preventive measures adopted for their protection in Spain. The highest costs were incurred by hospitalisations/day and work absenteeism for non-pregnant than for pregnant women. These data will allow better future pandemic influenza planning. Keywords: Pandemic influenza A (H1N1, Costs, Health services, Pregnant women, Spain

  11. Administration of praziquantel to pregnant and lactating women.

    Science.gov (United States)

    Olds, G Richard

    2003-05-01

    Praziquantel (PZQ) is the safest of all anti-helminthics and now forms the backbone for all national control programs against schistosomiasis (Med. Res. Rev. 3 (1983) 147-200; Bull. WHO 57 (1979) 767-771; Wegner, D.H.G, Therapeutic Drugs (1991), Churchill Livingstone; Adv. Intern. Med. 32 (1987) 193-206; Drugs 42 (1991) 379-405; Pharmac. Ther. 68 (1995) 35-85; Ann. Intern. Med. 110 (1989) 290-296). Despite its lack of known toxicity, the drug was not tested on pregnant or lactating women prior to release. It is currently listed as Pregnancy Category B by the US FDA, which is a drug presumed safe based in animal studies. Unfortunately, this has been interpreted by most national control programs and WHO (1998) to exclude lactating and pregnant women from treatment. In fact, some experts advocate excluding adolescent girls from mass treatment campaigns over this issue. As a result, a large number of women living in endemic countries are currently left untreated or have treatment significantly delayed. A review of the current known toxicology of PZQ, combined with over two decades of clinical experience with this drug, suggest very low potential for adverse effects on either the mother or her unborn child. In contrast, significant animal and human data are presented in this review that suggest both the pregnant woman and her unborn fetus suffer morbid sequella from schistosomiasis. A double-blind placebo-controlled trial that could resolve this issue would require a very large and expensive study and in light of the above facts might not now be ethically appropriate. The author concludes that pregnant women should be treated with PZQ, that women of childbearing age should be included in all mass treatment programs and that lactating women are not systematically excluded from treatment.

  12. A young woman with abdominal distension

    Science.gov (United States)

    Appleby, Richard; Saroya, Haseeb; Postgate, Aymer; Meer, Ziad

    2014-01-01

    We present the case of a 34-year-old woman with haemorrhagic ascites and an extrinsic rectal mass on endoscopy. Endometrioma was subsequently confirmed by laparoscopy and biopsy. Intestinal endometriosis is common, and often mimics other gastrointestinal pathology. Haemorrhagic ascites or intestinal masses are rare presentations of endometriosis, and this is the only reported case of both occurring together. Endometriosis and ascites are more common in women of African descent, and although histological diagnosis requires laparoscopy, MRI has a high negative predictive value; 95% for intestinal endometriosis. Re-accumulation of ascites were prevented by starting a gonadotrophin antagonist. PMID:24717582

  13. Primary Meningococcal Polyarthritis in an Adult Woman

    Directory of Open Access Journals (Sweden)

    José Celso Giordan Cavalcanti Sarinho

    2015-01-01

    Full Text Available Primary joint infection caused by the Gram-negative bacteria Neisseria meningitidis is rare. Normally, joint involvement comes secondary to meningitis or severe sepsis caused by this agent. When primary arthritis is seen, monoarthritis is the most common presentation. A meningococcal polyarthritis is described in less than 10 case reports according to current literature. This case report aims to briefly review this rare clinical event in an adult woman with no previous history of rheumatological disease. Early diagnosis of polyarthritis caused by meningococcal bacteria usually present a good prognosis when properly treated.

  14. The Secret and Curious Histories of Wonder Woman & Wonder Woman, a multiple book review:

    OpenAIRE

    Reyns-Chikuma, Chris

    2016-01-01

    Any search for references on « Wonder Woman » would show hundreds of articles but only 3 or 4 « serious » books. After the brief, yet forerunning, references in Trina Robbins’s various books on Women and Comics, in 2000, Les Daniels, one of the greatest fans-specialists of comics, published Wonder Woman, the Complete History (San Francisco Chronicle Books). Although the text is interesting, Daniels’ book is first and foremost useful for its many gorgeous illustrations. The text is relatively ...

  15. The Secret and Curious Histories of Wonder Woman & Wonder Woman, a multiple book review:

    OpenAIRE

    Reyns-Chikuma, Chris

    2016-01-01

    Any search for references on « Wonder Woman » would show hundreds of articles but only 3 or 4 « serious » books. After the brief, yet forerunning, references in Trina Robbins’s various books on Women and Comics, in 2000, Les Daniels, one of the greatest fans-specialists of comics, published Wonder Woman, the Complete History (San Francisco Chronicle Books). Although the text is interesting, Daniels’ book is first and foremost useful for its many gorgeous illustrations. The text is relatively ...

  16. Japanese Experiences: "Hentai" Narratives

    Science.gov (United States)

    Kama, Amit

    2011-01-01

    For those acquainted with Japanese lesbian, gay, bisexual, and transgender (LGBT) issues, "Queer Voices from Japan" can be good reading. But with only 1 of its 22 chapters informative for researchers, those interested in LGBT youth studies will only indirectly gain insight into a non-Western perspective on youth and sexuality.

  17. On Japanese Children's Books.

    Science.gov (United States)

    Watanare, Shigeo

    This report, given at a special meeting held in Tehran, presents data and facts concerning yearly publications (books, magazines, and textbooks), translations, and illustrations of Japanese children's literature. The report then discusses at length recent trends in children's literature and library activities for children in the past, present, and…

  18. Reflections on Japanese Education.

    Science.gov (United States)

    Pegels, Joyce

    1979-01-01

    Describes the educational system in Japan and outlines a secondary level social studies unit. Topics include the agricultural, industrial, artistic, and religious aspects of Japan. The author observed a genuine "term spirit" among Japanese students, greater respect for school property, and a heightened awareness for the value of education. (KC)

  19. Japanese Experiences: "Hentai" Narratives

    Science.gov (United States)

    Kama, Amit

    2011-01-01

    For those acquainted with Japanese lesbian, gay, bisexual, and transgender (LGBT) issues, "Queer Voices from Japan" can be good reading. But with only 1 of its 22 chapters informative for researchers, those interested in LGBT youth studies will only indirectly gain insight into a non-Western perspective on youth and sexuality.

  20. Woman State Councilor—Peng Peiyun

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    PENG Peiyun, 65, born on December 25, 1929, is a native of Liuyang, Hunan Province. She is now a State Councilor, Minister of the State Family Planning Commission and Chairwoman of the Work Committee on Women and Children under the State Council. When she was 15 years old, she was admitted to the famous Southwest United University (which operated during the War of Resistance Against Japanese Aggression), entering a new world with a strong academic and democratic atmosphere. She was thirsty for knowledge and new ideas and took an

  1. Listerial Rhombencephalitis in an Immunocompetent Woman

    Directory of Open Access Journals (Sweden)

    Piotr Czupryna

    2014-01-01

    Full Text Available Listeriosis usually affects immunocompromised patients including elderly people and pregnant women, but it may also affect otherwise healthy individuals. In our report, we present a case of a rare and very severe form of listeriosis-rhombencephalitis in a 61-year-old female with no history of immunosuppression, who, because of history, clinical picture, and laboratory results as well as negative cultures, was at first diagnosed with viral encephalitis. This paper underlines that Listeria monocytogenes infection should be taken into consideration in case of lymphocytic encephalitis even in immunocompetent patients. Typical MRI picture may be crucial in establishing a proper diagnosis as the lab results may be misleading.

  2. Listerial Rhombencephalitis in an Immunocompetent Woman

    Science.gov (United States)

    Zajkowska, Agata; Garkowski, Adam; Pancewicz, Sławomir; Guziejko, Katarzyna; Moniuszko, Anna; Zajkowska, Joanna

    2014-01-01

    Listeriosis usually affects immunocompromised patients including elderly people and pregnant women, but it may also affect otherwise healthy individuals. In our report, we present a case of a rare and very severe form of listeriosis-rhombencephalitis in a 61-year-old female with no history of immunosuppression, who, because of history, clinical picture, and laboratory results as well as negative cultures, was at first diagnosed with viral encephalitis. This paper underlines that Listeria monocytogenes infection should be taken into consideration in case of lymphocytic encephalitis even in immunocompetent patients. Typical MRI picture may be crucial in establishing a proper diagnosis as the lab results may be misleading. PMID:25126431

  3. Five-year follow-up of a woman with pregnancy and lactation-associated osteoporosis and vertebral fractures

    Directory of Open Access Journals (Sweden)

    Sato Y

    2012-04-01

    Full Text Available Jun Iwamoto1, Yoshihiro Sato2, Mitsuyoshi Uzawa3, Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, 2Department of Neurology, Mitate Hospital, Fukuoka, 3Department of Orthopaedic Surgery, Keiyu Orthopaedic Hospital, Gunma, JapanAbstract: We report the 5-year follow-up of a young woman who developed vertebral fractures after pregnancy and lactation and was treated with active vitamin D hormone. A 32-year-old Japanese woman consulted us because of acute lower back pain caused by L2 and L5 vertebral fractures after pregnancy and lactation. Following cessation of breast-feeding, analgesia, bed rest, and wearing of a hard brace, her lower back pain disappeared within 2 months. After 5 years of treatment with alfacalcidol 1 µg daily, the lumbar spine (L1, L3, L4 bone mineral density increased by 21.4% following vigorous reductions in bone turnover markers. No osteoporotic fractures occurred, and the vertebral fractures healed. The patient experienced no side effects, including hypercalcemia. Thus, the present case report shows long-term changes in bone turnover markers and lumbar spine bone mineral density, as well as long-term safety of alfacalcidol treatment in a young woman with pregnancy and lactation-associated osteoporosis and vertebral fractures.Keywords: young woman, pregnancy, alfacalcidol, bone mineral density, osteoporosis, vertebral fracture

  4. Two successful pregnancies in a woman with chronic myeloid leukemia exposed to nilotinib during the first trimester of her second pregnancy: case study

    OpenAIRE

    2009-01-01

    Abstract The occurrence of chronic myeloid leukemia in pregnancy is rare and its management poses a clinical challenge for physicians treating these patients. We report a 30-year-old woman with chronic myeloid leukemia who became pregnant twice successfully. Philadelphia-positive CML in its chronic phase was diagnosed at 16 weeks of her first gestation. At that time, she received no treatment throughout her pregnancy. At 38 weeks of gestation, a normal infant was delivered by cesarean section...

  5. [The first woman surgeons in the Netherlands].

    Science.gov (United States)

    Mulder, M; De Jong, E

    1997-01-01

    This article describes the position of woman surgeons in the Netherlands. In 1913 the first woman, Heleen Robert, was accepted as member of the Dutch Society of Surgery. Three others, Jeanne Knoop, Frieda van Hasselt and Rosalie Wijnberg, followed during the next ten years. The nomination of Rosalie Wijnberg caused a turbulent discussion as she was working as a gynaecologist and not as a surgeon. One can wonder about this argument as other members were gynaecologists too. It seems that the male attitudes towards women were changing as more women entered the male dominated field. Nevertheless, from 1931 on, the year in which the registration of specialists was created, a number of women succeeded in obtaining a registration in surgery. Four of them were interviewed: dr. D.A.E. Norel, A.G. Wiersum-de Kwaadsteniet, J. Leeksma-Lievense and A.A. Fierstra. The general opinion still is that surgery is not a female profession. At the moment there are some twenty women working as general surgeon compared to a seven hundred men.

  6. The Needs of the Spanish Speaking Mujer [Woman] in Woman-Manpower Training Programs.

    Science.gov (United States)

    Nieto-Gomez, Anna

    Although the Spanish Speaking woman is usually considered to be outside the labor market, 36 percent of the 52 percent Spanish Speaking women were in the labor force in March 1972. These women suffer economic-sexist discrimination due to ascription of work according to sex and race by a racial-sexual hierarchy existing within the traditional…

  7. Am I a Woman? The Normalisation of Woman in US History

    Science.gov (United States)

    Schmidt, Sandra J.

    2012-01-01

    The curriculum of US History has improved substantially in its presentation of women over the 40 years since Trecker's 1971 study of US History textbooks. While studies show increased inclusions, they also suggest that women have not yet claimed their own place in the school curriculum. This paper seeks to better understand the woman who is…

  8. Emotional changes occurring in women in pregnancy, parturition and lying-in period according to factors exerting an effect on a woman during the peripartum period

    Directory of Open Access Journals (Sweden)

    Beata Pięta

    2014-09-01

    Full Text Available [b]Introduction[/b]. Pregnancy, parturition and childcare, which are important moments in a woman’s life, are connected with many emotional states of a future mother, a pregnant woman and a lying-in woman. The perinatal period is the time when the risk of psychological disorders in a pregnant woman may increase by even several times. [b]Objective.[/b] The objective of the study was recognition of the main emotional and psychological changes in pregnant women, those in labour and lying-in, according to the factors occurring during the peripartum period. [b]Material and method[/b]. The study was conducted in the form of a survey and covered a group of 108 mothers who were hospitalized in gynaecological-obstetric and obstetric wards in the Karol Marcinkowski Gynaecological-Obstetric University Hospital in Poznań. [b]Results[/b]. There are a number of factors which may exert a negative effect on the emotions of women in pregnancy, parturition, and during lying-in. The study showed that there is a close relationship between the occurrence of these factors and emotional states of the mothers after giving birth. [b]Conclusion[/b]. Special attention should be given to women in whom already during pregnancy factors arise which may have a negative impact on their mental state. Emotions during pregnancy, parturition and lying-in are often quite extreme, and achieve a high intensity, as well being very variable within a short period of time.

  9. Torsion of the uterus with myomas in a postmenopausal woman – case study and review of the literature

    OpenAIRE

    2014-01-01

    Introduction : Torsion of the uterus is defined as a rotation of more than 45° around the long axis of the uterus; 2/3 of cases are dextrorotations. The extent of rotation usually ranges from 45° to 180°. Objective: The purpose of the article was to present a case study of a postmenopausal woman with uterine torsion and myomas and to review the articles discussing the problem of rotated non-pregnant uterus. Material and methods : The article analyses the course of an extremely uncom...

  10. Benign giant mediastinal schwannoma presenting as cardiac tamponade in a woman: a case report

    Directory of Open Access Journals (Sweden)

    Sekiya Mitsuaki

    2011-02-01

    Full Text Available Abstract Introduction Mediastinal schwannomas are typically benign and asymptomatic, and generally present no immediate risks. We encountered a rare case of a giant benign posterior mediastinal schwannoma, complicated by life-threatening cardiac tamponade. Case presentation We report the case of a 72-year-old Japanese woman, who presented with cardiogenic shock. Computed tomography of the chest revealed a posterior mediastinal mass 150 cm in diameter, with pericardial effusion. The cardiac tamponade was treated with prompt pericardial fluid drainage. A biopsy was taken from the mass, and after histological examination, it was diagnosed as a benign schwannoma, a well-encapsulated non-infiltrating tumor, originating from the intrathoracic vagus nerve. It was successfully excised, restoring normal cardiac function. Conclusion Our case suggests that giant mediastinal schwannomas, although generally benign and asymptomatic, should be excised upon discovery to prevent the development of life-threatening cardiopulmonary complications.

  11. Detraditionalisation: Japanese Students in the USA.

    Science.gov (United States)

    Ueno, Junko

    2001-01-01

    Focuses on the identity formation of Japanese students temporarily living in the United States. The students were enrolled in Japanese Saturday school and in American public schools. Student interviews reveal a mixture of Japanese and American characteristics. Suggests Japanese students do not reject either culture--Japanese or American--but that…

  12. Prioritizing Pregnant Women’s Preferences to Receive Health Information Before and During Pregnancy in Semnan in 2014 - 2015

    Directory of Open Access Journals (Sweden)

    Kahouei

    2016-01-01

    Full Text Available Background Given that family health is tied to women health, illness, or death of a woman has an adverse effect on the health of her child, family, and community; awareness of women’s preferences in receiving health information can help to improve and modify the methods of informing and providing appropriate services to them, and also makes pregnant women training more efficient and more effective. Objectives The aim of this study is to prioritize the preferences of women before and during pregnancy on receiving health information. Patients and Methods This descriptive study was performed on pregnant women who had referred to health care centers affiliated to Semnan University of Medical Sciences, Iran in 2014. An anonymous self-administered questionnaire was developed. Results The results showed that 17.5% (n = 35 of the participants reported their information needs about physical health to become pregnant, 36% (n = 72 psychological readiness for pregnancy and 57.5% (n = 115 domestic violence and its impact on the health of the mother and fetus. Number of previous delivery had a negative and significant relationship with the pregnant women’s preferences (B = - 1.31, P < 0.001. Conclusions It is concluded that the most of pregnant women are oblivious to their health for getting pregnant and some of them experience symptoms of mental disorders in reproductive age. The findings show that domestic violence is a hidden and persistent epidemic among the pregnant women. Women, who had more previous delivery, needed this information less.

  13. Anesthesic treatment for an urgent cesarean in a pregnant patient suffering from morbid obesity. A case report.

    Directory of Open Access Journals (Sweden)

    Bárbara Cabezas Poblet

    2008-04-01

    Full Text Available Morbid obesity is not a condition frequently found in patients under surgical treatment. However, its prevalence in the last decades tends to rise which may have a profound impact in the anesthetic morbid-mortality. These risks are increased in the case of pregnant patients. For these reasons a case of a pregnant woman is presented. She is suffering from morbid obesity when was announced to be surgically treated in emergency due to a cesarean at the University Hospital Dr. Gustavo Aldereguía Lima in Cienfuegos.

  14. Anesthesic treatment for an urgent cesarean in a pregnant patient suffering from morbid obesity. A case report.

    OpenAIRE

    Bárbara Cabezas Poblet; Rolando Espin González; Práxedes Rojas Santana

    2008-01-01

    Morbid obesity is not a condition frequently found in patients under surgical treatment. However, its prevalence in the last decades tends to rise which may have a profound impact in the anesthetic morbid-mortality. These risks are increased in the case of pregnant patients. For these reasons a case of a pregnant woman is presented. She is suffering from morbid obesity when was announced to be surgically treated in emergency due to a cesarean at the University Hospital Dr. Gustavo Aldereguía ...

  15. Frequency and Risk Indicators of Tooth Decay among Pregnant Women in France: A Cross-Sectional Analysis

    OpenAIRE

    2012-01-01

    INTRODUCTION: Little is known on the prevalence of tooth decay among pregnant women. Better knowledge of tooth decay risk indicators during pregnancy could help to develop follow-up protocols for women at risk, along with better prevention strategies. The aim of this study was to assess the frequency of tooth decay and the number of decayed teeth per woman in a large sample of pregnant women in France, and to study associated risk indicators. METHODS: A secondary cross-sectional analysis of d...

  16. Utility of the NavX® Electroanatomic Mapping System for Permanent Pacemaker Implantation in a Pregnant Patient with Chagas Disease

    Directory of Open Access Journals (Sweden)

    Alejandro Velasco, MD

    2013-01-01

    Full Text Available Chagas disease is a highly prevalent zoonosis in Mexico, Central, and South America. Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age. We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker. Using an electroanatomic navigation EnSite NavX® system the pacemaker was successfully implanted with minimal fluoroscopic exposure. This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.

  17. Preservative Monitoring of a Greek Woman with Hydrops Fetalis due to Parvovirus B19 Infection

    Directory of Open Access Journals (Sweden)

    Zacharias Fasoulakis

    2017-01-01

    Full Text Available Primate erythroparvovirus 1 (parvovirus B19 is a member of the Erythrovirus genus of the Parvoviridae family and it is one of the few members of the family known to be pathogenic in human. B19 infection is common and widespread with the virus being associated with numerous rheumatologic and haematologic manifestations. More specifically, maternal infection with parvovirus B19 during pregnancy can cause severe anemia which may lead to nonimmune hydrops or fetal demise, as a result of fetal erythroid progenitor cells infection with shortened half-life of erythrocytes. We present a rare case reported in the Greek population, of subclinical transient reticulocytopenia due to B19 parvovirus infection, in an asymptomatic pregnant woman, without medical history of hemoglobinopathy, and with the presence of hydrops fetalis during the third trimester of her pregnancy.

  18. Pregnancy after Uterine Artery Embolization: A Case Report in a Woman with Leiomyomata

    Directory of Open Access Journals (Sweden)

    Helena Isabel Lopes

    2015-01-01

    Full Text Available Background. Several pregnancies have been reported after embolization of uterine artery. This procedure is an accepted nonsurgical treatment for symptomatic uterine fibroids but its safety in women desiring future childbearing is not well established. Case Report. We present a 40-year-old woman with leiomyomata who became pregnant after previously undergone uterine artery embolization for three times. The placenta was previa and the fetus was in transverse position. She had a cesarean delivery of an appropriately grown fetus at 37 weeks, which was followed by uterine atony requiring hysterectomy. Conclusion. Although pregnancy-related outcomes remain understudied, the available reports evidence that pregnancies after uterine artery embolization may be at significantly increased risk for postpartum hemorrhage, cesarean delivery, abnormal placentation, and malpresentation. In patients who are undergoing this type of treatment and contemplating pregnancy, the possibility of adverse complications should be taken in consideration and women should be appropriately advised.

  19. A Successful Mother and Neonate Outcome for a Woman with Essential Thrombocytosis and FV Leiden Heterozygosity

    Directory of Open Access Journals (Sweden)

    Marianna Politou

    2016-01-01

    Full Text Available Essential thrombocytosis (ET and FV Leiden heterozygosity represent an acquired and hereditable hypercoagulable state, respectively. An uncommon case of coexistence of ET and FV Leiden heterozygosity in a 36-year-old pregnant woman and her successful pregnancy outcome is described. She was considered to be at high risk of thrombosis during her pregnancy and she was treated with both prophylactic dose of LMWH and aspirin daily throughout her pregnancy and for a 6-week period postpartum. The efficacy of the anticoagulation treatment was monitored in various time points not only by measuring anti-Xa levels and D-Dimers but also with new coagulation methods such as rotation thromboelastometry and multiplate. Global assessment of coagulation using additional newer laboratory tests might prove useful in monitoring coagulation pregnancies at high risk for thrombosis.

  20. The African Well Woman's Clinic at Guy's and St Thomas' Hospital Trust.

    Science.gov (United States)

    Momoh, C

    1998-03-01

    In September 1997, the Guy's and St. Thomas' Hospital Trust opened its African Well Woman's Clinic to provide counseling and support to pregnant survivors of female genital mutilation. The clinic offers deinfibulation to women at 18-20 weeks' gestation. The clinic is operated by a qualified specialist midwife with the support of a female obstetrician/gynecologist. While it is only open the first Monday of every month, the clinic has already served 33 infibulated immigrants from Somalia, one from Ethiopia, three from Sudan, and three from Eritrea. In addition, the clinic has seen five women from Nigeria and four from Sierra Leone with clitoridectomy. A December 1997 survey conducted by clinic staff revealed that health care workers felt they needed more information about female genital mutilation. Therefore, the clinic organizes lectures for medical and midwifery students and other health care workers.

  1. Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis

    Directory of Open Access Journals (Sweden)

    Akl C. Fahed

    2012-11-01

    Full Text Available Pregnancy in women with homozygous familial hypercholesterolemia (FH has been rarely reported and might pose risks on the mother and her fetus. Although most reported cases remained on low-density lipoprotein (LDL apheresis, there are no clear guidelines regarding the management of this entity. We report the first case of an uncomplicated pregnancy in a 24-year-old homozygous FH woman who was not maintained on LDL apheresis. FH expresses a wide variability in the phenotype, and management of homozygous FH cases who desire to become pregnant should be individualized based on preconceptional assessment with frequent antenatal follow-up. Decisions on management should be made after weighing the risks versus benefits of LDL apheresis.

  2. Fetal/Neonatal Thyrotoxicosis in a Newborn From a Hypothyroid Woman With Hashimoto Thyroiditis.

    Science.gov (United States)

    Kiefer, Florian W; Klebermass-Schrehof, Katrin; Steiner, Manuel; Worda, Christof; Kasprian, Gregor; Diana, Tanja; Kahaly, George J; Gessl, Alois

    2017-01-01

    Fetal/neonatal thyrotoxicosis is a rare but potentially life-threatening condition. It is most commonly observed in poorly controlled Graves disease during pregnancy. Here we describe a fetus/newborn patient with thyrotoxicosis who was born of a woman with Hashimoto thyroiditis and levothyroxine-treated hypothyroidism. Transplacental passage of stimulating thyrotropin (TSH) receptor antibodies, which were measured by a cell-based bioassay, was the underlying mechanism of fetal/neonatal thyrotoxicosis, although the mother had no history of hyperthyroidism. Diagnosis and management of fetal hyperthyroidism can be challenging. TSH receptor antibody testing should be considered in pregnant women with any history of autoimmune thyroid disease and symptoms of fetal hyperthyroidism.

  3. Growth hormone treatment during pregnancy in a growth hormone-deficient woman

    DEFF Research Database (Denmark)

    Müller, J; Starup, J; Christiansen, J S

    1995-01-01

    Information on the course and outcome of pregnancies in growth hormone (GH)-deficient patients is sparse, and GH treatment during pregnancy in such women has not been described previously. We have studied fetal growth and serum levels of GH, insulin-like growth factor I (IGF-I) and IGF binding...... protein 3 (IGFBP-3) during pregnancy, as well as birth weight and hormone levels after delivery in a 25-year-old woman with idiopathic, isolated GH deficiency diagnosed at the age of 7 years. As part of a clinical trial, the patient was treated with 2 IU/M2 GH for a period of 5 years. At this time she...... became pregnant after donor insemination. The GH treatment was continued until variant GH production from the placenta was evident. Serum levels of GH, IGF-I and IGFBP-3 were measured monthly during pregnancy after 3 days off GH therapy. Abdominal ultrasound was performed five times. Hormonal levels were...

  4. Quitting Smoking While Pregnant: What Works

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_160106.html Quitting Smoking While Pregnant: What Works Nicotine patches, Zyban helped 4 out ... of nicotine patches or the drug Zyban helps pregnant women quit smoking before and after they give birth, a new ...

  5. Conservative coloprotectomy for the sexually active woman.

    Science.gov (United States)

    Entman, S S; Coleman, J L; Wilson, G

    1982-07-01

    The procedure described herein, capitalizes on a knowledge of the relationships between the pelvic viscera, its autonomic innervation and its tissue support. Operative time is shorter, not only because of the presence of a simultaneous second surgical team, but also because the improved exposure and use of bloodless planes facilitates dissection and reduces blood loss. The careful treatment of the cul-de-sac peritoneum helps protect the autonomic innervation of the pelvis, preserving the function of the bladder and sexual response. Preserving the perineal body and obliterating the dead space behind the posterior vaginal wall with the levator ani muscle provides a muscular cushion for the vagina, preserving maximum coital function. For the woman who is sexually active, these are important goals. Her improved sense of well-being following successful surgical therapy of the disease will result in increasing libido, and her successful adaptation to her new condition will be influenced favorably by her ability to function sexually.

  6. Abordagem anestésica de grávida com malformação arteriovenosa cerebral e hemorragia subaracnoidea durante a gravidez: relato de caso Abordaje anestésico de embarazada con malformación arteriovenosa cerebral y hemorragia subaracnoidea durante el embarazo: relato de caso Anesthetic approach of pregnant woman with cerebral arteriovenous malformation and subarachnoid hemorrhage during pregnancy: case report

    Directory of Open Access Journals (Sweden)

    Catarina Santos Carvalho

    2013-04-01

    de 39 semanas, sana antes del embarazo, con antecedentes de HSA a las 22 semanas de gestación que se manifestó por medio de cefaleas, vómitos y mareos, sin la pérdida de la consciencia u otros déficits a la hora de su entrada en el servicio de urgencia. La resonancia magnética (RM arrojó MAV frontal izquierda. Después de un breve período de ingreso para la estabilización y el diagnóstico, se decidió mantener el embarazo y el acompañamiento ambulatorio multidisciplinario por neurocirugía y obstetricia en consulta de alto riesgo. Se optó por realizar la cesárea electiva a las 39 semanas bajo anestesia epidural lumbar. En el intraoperatorio ocurrió un episodio de hipotensión que fue rápidamente revertido con fenilefrina. El Índice de Apgar del recién nacido fue de 10/10. El catéter epidural fue usado para la analgesia postoperatoria, que también cursó sin intercurrencias. CONCLUSIONES: Son muy raros los casos publicados de abordaje anestésico de embarazadas con MAV sintomáticas. Todas las decisiones tomadas por el equipo multidisciplinario, desde optar por continuar con el embarazo, hasta el momento ideal para intervenir la MAV, pasando por el tipo de anestesia y analgesia, fueron sopesadas en función del riesgo de daño cerebral. Desde el punto de vista anestésico, los autores enfatizan la necesidad de estabilidad hemodinámica.BACKGROUND AND OBJECTIVES: Subarachnoid hemorrhage (SAH during pregnancy is a rare event, and about half the cases are due to arteriovenous malformations (AVM. The authors describe the anesthetic approach of a 39 week pregnant patient scheduled for cesarean section, with a history of SAH due to AVM at 22 week gestation. CASE REPORT: 39 week pregnant patient, healthy prior to pregnancy, with a history of SAH at 22 week gestation, manifested by headache, vomiting, and dizziness without loss of consciousness or other deficits on admission to the emergency room. Magnetic resonance imaging (MRI revealed a left frontal AVM

  7. PRRSV and the pregnant female

    Science.gov (United States)

    The Pregnant Gilt Model (PGM) is substantially complete and has provided substantive deliverables for the swine industry in Canada and beyond. The success of the PGM was largely dependent on a team of more than 30 researchers, students and technicians, along with external collaborators and instituti...

  8. Asymptomatic bacteriuria in pregnant women.

    Science.gov (United States)

    Thakur, Achala; Baral, Ratna; Basnet, Pritha; Rai, Rubina; Agrawal, Ajay; Regmi, Mohan Chandra; Uprety, Dhruba Kumar

    2013-01-01

    Asymptomatic bacteriuria is the significant presence of bacteria in urine of an individual without symptoms. The aim of the study is to determine the prevalence of asymptomatic bacteriuria in pregnant women. This study was a prospective study conducted in the department of Obstetrics and Gynaecology at B. P. Koirala Institute of Health Sciences. The duration of the study was six months from January to June 2012. A total of 600 pregnant women were enrolled. All women were clinically identified to have no signs and symptoms of UTI. Clean catch midstream urine sample was collected from each patient into a sterile vial. The urine samples were examined for microscopic and culture sensitivity test. Out of 600 pregnant women, 52 were positive for significant bacteriuria with a prevalence rate of 8.7%. There was a significant difference in prevalence of asymptomatic bacteriuria with respect to trimester (p=0.005). Age did not show any significant difference in the prevalence of asymptomatic bacteriuria (p=0.807). There was not any significant difference in the prevalence of asymptomatic bacteriuria with respect to parity (p=0.864) and booking status (p=0.397). Escherichia coli (35%), Acinetobacter species (15%), Enterococcus species (12%) and Klebsiella pneumoniae (10%) were the common isolates. Most of the isolates were sensitive either to Nitrofurantoin, Norfloxacin or Amikacin. Asymptomatic bacteriuria is common in pregnancy. Urine culture sensitivity should be carried out routinely on all pregnant patients in order to prevent the dangerous complications associated with it.

  9. Reducing Smoking among Pregnant Adolescents.

    Science.gov (United States)

    Duffy, Joanne; Coates, Thomas J.

    1989-01-01

    Describes psychosocial intervention designed to reduce smoking in a group of pregnant teenagers. Five modules are presented, each being designed to heighten awareness of the issue; provide motivational messages; enhance the adolescent's social skills; and teach specific smoking-cessation skills. (Author/NB)

  10. The relationship between media literacy and health literacy among pregnant women in health centers of Isfahan.

    Science.gov (United States)

    Akbarinejad, Farideh; Soleymani, Mohammad Reza; Shahrzadi, Leila

    2017-01-01

    The ability to access, analyze, evaluate, and convey information in various forms of media including print and nonprint requires media literacy, but the capacity to obtain, process, and understand basic information and services needed for appropriate decisions regarding health, considered an important element in a woman's ability to participate in health promotion and prevention activities for herself and her children, is needed to a level of health literacy. The purpose of this study was to determine the relationship between media literacy and health literacy among pregnant women in health centers in Isfahan. This study used a descriptive correlation study. Data collection tools include Shahin media literacy and functional health literacy in adults' questionnaires. The population include pregnant women in health centers of Isfahan (4080 people). Ten out of the 351 health centers in Isfahan were selected as cluster. Data were analyzed using both descriptive and inferential statistics. Media literacy of respondents in the five dimensions was significantly lower than average 61.5% of pregnant women have inadequate health literacy, 18.8% had marginal health literacy, and only 19.7% of them have had adequate health literacy. There was a significant positive relationship between media literacy and health literacy among pregnant women. This study showed that the majority of pregnant women covered by health centers had limited health literacy and media literacy. Since one of the basic requirements for the utilization of health information is needed for adequate media literacy, promotion of media literacy is necessary for the respondents.

  11. [Regional inequalities of health status of pregnant women in Hungary - Long-term series analysis].

    Science.gov (United States)

    Moravcsik-Kornyicki, Ágota; Kósa, Zsigmond; Gyulai, Anikó; Jávorné Erdei, Renáta; Kósa, Karolina

    2017-07-01

    Monitoring the health status of populations is essential for good health policy decisions. This is particularly true in maternal and child health where targeted and timely interventions may have long-term consequences. Our objective was to describe changes in the health status of pregnant women at the national and county level during the period of 1997-2012. Data were extracted from the mandatory annual reports of district nurses responsible for primary maternal care. Information on the smoking status of expecting mothers, special care during pregnancy, pregnant women entering into maternity care after 28 weeks of pregnancy, borne woman without district nurse care were analysed using Microsoft Excel and STATA 13.0. The mean prevalence of smoking was 13.8% among pregnant women during the investigation period. The ratio of smoking pregnant women was higher (ppregnants requiring special care was higher (ppregnant women entered into care only after the 28th week of the pregnancy. Women who were registered by district nurses and gave birth less than 1% did not participate in pregnant nursing. National data hide significant regional disparities within the country which should be amended by targeted interventions, taking into account the large regional inequalities in the country. Orv Hetil. 2017; 158(29): 1131-1142.

  12. The prevalence of parvovirus B19 infection among pregnant women of Ardabil in 2013.

    Science.gov (United States)

    Habibzadeh, Shahram; Peeri-Doghaheh, Hadi; Mohammad-Shahi, Jafar; Mobini, Elham; Shahbazzadegan, Samira

    2016-06-01

    Trans-placental transmission of parvovirus B19 during pregnancy can causes adverse outcomes. Regarding its importance in prenatal care, we decided to study prevalence of parvovirus B19 infection among pregnant woman in Ardabil, Iran. In a community based study with a cluster sampling, 350 pregnant women that attended in health care centers in Ardabil were selected. Serum samples were collected and Anti-B19 specific IgG was detected using commercial enzyme-linked immunosorbent assays (Euroimmune Elisa kit, Germany). Furthermore, a questionnaire filled for all participants during samples collection. 64.6% (226/350) of participants were Ardabil citizen and the rest were from rural area (124/350). Anti-B19-specific IgG antibody was detected in 69.1% of pregnant women (242/350). Participants' ages ranged from 15 to 34 years with average of 23 years. According to our study, seroprevalence of IgG antibodies had positive significant correlation with the participants' age (r=0.268) but there were no significant relations between B19 seropositivity and living area, family member, number of commensals, number of living children, and the amount of hemoglobin (p>0.05). Approximately, one-third of the participants were at risk of primary B19 infection. Therefore, health education of pregnant women and screening of infected pregnant women is recommended to prevent fetal complications.

  13. [Assessment of self-esteem in pregnant women using Rosenberg's Self-Esteem Scale].

    Science.gov (United States)

    Maçola, Ligia; do Vale, Ianê Nogueira; Carmona, Elenice Valentim

    2010-09-01

    The objective of this descriptive, cross-sectional study was to evaluate the self-esteem of 127 pregnant women seen in a prenatal care program conducted in a public school hospital. Data collection was performed using the Rosenberg's Self-esteem Scale; unsatisfactory self-esteem was related to socio-demographic and health variables of the pregnant woman, and to the presence or absence of support systems. Descriptive and univariate statistical analysis were used to assess possible associations. Pregnant women who had low scores for self-esteem were 60% of all subjects. As for the sociodemographic data, women with fewer years of education presented higher frequency of lower self-esteem scores, which disagrees with other studies. Pregnant women who report having an unplanned pregnancy presented higher prevalence of low self-esteem than those who reported having planned their pregnancy. The lack of support from the partner to look after the baby was also associated to the pregnant women's low self-esteem. Other associations between variables were not statistically significant.

  14. Suicide of Japanese Youth.

    Science.gov (United States)

    Iga, M

    1981-01-01

    The uniquely intense stress due to the Examination Hell (shiken jigoku) not only generates a basic drive for Japan's economic success but also contributes to a high rate of young people's suicide. This paper discusses the major factors in the intensity of Japanese stress on both institutional and psychological levels. The social structural factors which convert stress to suicide are analyzed in terms of weak ego; restraint on aggression; a lack of social resources; and views of life, death and suicide. Japanese views of life, death and suicide are treated in terms of Absolute phenomenalism, the original form of Shintoism, to which Buddhism and Confucianism have been adjusted in Japan. Japanese phenomenalism affects suicide through its three aspects: animism, present-time oriented small groupism, and the absolute acceptance of the established social order. Confusion and conflict since World War II have increased anomic suicides; however, elements of fatalistic suicide (due to excessive formal or informal social regulations) and altruistic suicide (due to excessive formal or informal social regulations) and altruistic suicide (due to strong social integration) are evident. Suicide is still a highly institutionalized adjustment mechanism in Japan.

  15. INFECTIOUS MYXOMATOSIS (SANARELLI) IN PREGNANT RABBITS

    Science.gov (United States)

    Sprunt, Douglas H.

    1932-01-01

    Pregnancy in rabbits alters the reactivity of the tissues to the virus of infectious myxomatosis. The livers of pregnant animals with the myxoma have a central acidophilic necrosis. Secondary lesions in the lungs are much more numerous and larger in the pregnant than in the non-gravid animals. In like manner the lesions in the spleen are more extensive in the pregnant rabbit. On the other hand the skin lesions of the pregnant animal are decreased in size. PMID:19870088

  16. Immediate Needs and Concerns among Pregnant Women During and after Typhoon Haiyan (Yolanda).

    Science.gov (United States)

    Sato, Mari; Nakamura, Yasuka; Atogami, Fumi; Horiguchi, Ribeka; Tamaki, Raita; Yoshizawa, Toyoko; Oshitani, Hitoshi

    2016-01-25

    Pregnant and postpartum women are especially vulnerable to natural disasters. These women suffer from increased risk of physical and mental issues including pregnant related problems. Typhoon Haiyan (Yolanda), which hit the Philippines affected a large number of people and caused devastating damages. During and after the typhoon, pregnant women were forced to live in particularly difficult circumstances. The purpose of this study was to determine concerns and problems regarding public health needs and coping mechanisms among pregnant women during and shortly after the typhoon. This study employed a cross-sectional design utilizing focus group discussions (FGDs). Participants were 53 women (mean age: 26.6 years old; 42 had children) from four affected communities who were pregnant at the time of the typhoon. FGDs were conducted 4 months after the typhoon, from March 19 to 28, 2014, using semi-structured interviews. Data were analyzed using the qualitative content analysis. Three themes were identified regarding problems and concerns during and after the typhoon: 1) having no ideas what is going to happen during the evacuation, 2) lacking essentials to survive, and 3) being unsure of how to deal with health concerns. Two themes were identified as means of solving issues: 1) finding food for survival and 2) avoiding diseases to save my family. As the pregnant women already had several typhoon experiences without any major problems, they underestimated the catastrophic nature of this typhoon. During the typhoon, the women could not ensure their safety and did not have a strong sense of crisis management. They suffered from hunger, food shortage, and poor sanitation. Moreover, though the women had fear and anxiety regarding their pregnancy, they had no way to resolve these concerns. Pregnant women and their families also suffered from common health problems for which they would usually seek medical services. Under such conditions, the pregnant woman cooperated with

  17. Monte carlo simulation of pregnant female phantoms and dose assessment of fetus and pregnant female from diagnostics x-ray at abdomen examination

    Energy Technology Data Exchange (ETDEWEB)

    Kim, W. R.; Lee, C. S.; Lee, J. K. [Hanyang Univ., Seoul (Korea, Republic of)

    2001-10-01

    Mathematical phantoms of representing the adult female at 0,3,6 and 9 months of gestation were constructed, and organ doses and effective doses were calculated in standard irradiation environment and abdomen X-ray examination. Phantoms were based on the data set of ORNL and MCNP4B, a general-purposed Monte Carlo code was used for dose calculation. Firstly, organ doses and effective doses of pregnant female and fetus for 0.4 and 0.8MeV broad parallel beam incident from AP and PA direction were calculated. Then, the same calculations were performed in abdomen AP X-ray examination. As gestation period went by, effective doses of pregnant woman decreased because major organs were shielded by expanded uterus. Fetus of 9 month is lower than that of 6 month because of shielding effect of placement for AP irradiation.

  18. Correlation of psychological symptoms with cortisol and CRP levels in pregnant women with metabolic syndrome.

    Science.gov (United States)

    Bjelanović, Vedran; Babić, Dragan; Hodžić, Damir; Bjelanović, Ana; Krešić, Tanja; Dugandžić-Šimić, Ana; Orešković, Slavko

    2015-12-01

    In pregnancy occurs series of physiological, organic and psychological changes in the female organism. Particularly are significant hormonal and metabolic changes. Elevated cortisol levels are reduced by linking the transport of globulin (transcortin). Triglycerides were increased 50% and other lipids from 20 to 30%. The values of CRP were slightly elevated in the third trimester of pregnancy (10-15 mg/L). To investigate the association of psychological symptoms with the level of cortisol and CRP in women with metabolic syndrome. From 1646 pregnant women cross-sectional, prospective study included 180 pregnant women divided into three groups by applying the inclusion and exclusion criteria. Research methods are laboratory and clinical tests and questionnaires. Every pregnant woman have been made complete laboratory findings and determined cortisol in 8 and 17 hours using the chemiluminescent immunoassay method. All pregnant women filled in several questionnaires: socio-demographic, obstetrical-gynecological, standardized psychometric questionnaire (SCL 90-R), a questionnaire syndrome of depression according to ICD 10 and Beck self depression scale. The study was conducted from August 2011 to mid-November 2012. From the total of 1646 hospitalized pregnant women, 176 pregnant women had a BMI>30 and 120 of them were tested, but 60 had criteria for MS. The concentration of morning and afternoon cortisol is increased in pregnant women with the metabolic syndrome Obese pregnant women have a statistically higher level and morning and afternoon cortisol levels than women with normal body weight and without the metabolic syndrome, but these differences are smaller than in the case of pregnant women with the metabolic syndrome. CRP is significantly higher in women with metabolic syndrome. CRP concentration is significantly higher in obese pregnant women compared to pregnant women with normal weight and without the metabolic syndrome, but it is lower than in pregnant women

  19. A study on Nikkei Hawaiian Japanese

    OpenAIRE

    Yamashita, Akemi

    2012-01-01

    Japanese language use overseas has its history of more than one hundred years. Hawaii is one of the areas where Japanese language is used in daily life among Nikkei citizens of Japanese descent. Japanese language overseas shows changes and diversity. Some common points were found in Japanese language used overseas even if the local languages are different such as in Brazil (Portuguese), Hawaii (English), Taiwan (Chinese) etc. The cause of change in Japanese can roughly be divided into two. On...

  20. First time pregnant women's experiences in early pregnancy

    Directory of Open Access Journals (Sweden)

    Modh Carin

    2011-04-01

    Full Text Available Background: There are few studies focusing on women's experiences of early pregnancy. Medical and psychological approaches have dominated the research. Taking women's experiences seriously during early pregnancy may prevent future suffering during childbirth. Aim: To describe and understand women's first time experiences of early pregnancy. Method: Qualitative study using a phenomenological hermeneutic approach. Data were collected via tape-recorded interviews in two antenatal care units in Sweden. Twelve first time pregnant women in week 10–14, aged between 17 and 37 years participated. Results: To be in early pregnancy means for the women a life opening both in terms of life affirming and suffering. The central themes are: living in the present and thinking ahead, being in a change of new perspectives and values and being in change to becoming a mother. Conclusions: The results have implications for the midwife's encounter with the women during pregnancy. Questions of more existential nature, instead of only focusing the physical aspects of the pregnancy, may lead to an improvement in health condition and a positive experience for the pregnant woman.

  1. Starring the physiotherapist in the comprehensive health of pregnant

    Directory of Open Access Journals (Sweden)

    Patricia Guzmán Carrasco

    2013-03-01

    Full Text Available Increasingly frequent settlement demand by pregnant women as urinary incontinence problems or musculoskeletal pain suffered during this period, which they should continue with their work life as long as possible, so that calls for quality of care often is not.Therefore, to think today, that the role of physiotherapy before the pregnant woman is prepared by learning some exercises at partum, is to limit the intervention of the therapist as an integral member of a multidisciplinary team that can do a job well as preventive care and education in a program of comprehensive health care for women. In this vital stage where they need a progressive and constant adaptation to physiological and anatomical changes throughout pregnancy.The purpose of this protocol is to facilitate the performance of the physiotherapist to prevent and treat musculoskeletal problems like incontinence both, which may occur in the gestational period and cause serious disorders permanently even at the mother.Following these rules will contribute to raising awareness of women to adopt safe practices and postures to prevent back and pelvic pain, learning exercises to relieve these pains if they occur, strengthen the pelvic floor to prevent urinary incontinence and therapeutic measures posture at the onset of carpal tunnel syndrome and other problems such as cramps, vascular and joint instability.

  2. Amniocentesis in HIV pregnant women: 16 years of experience.

    Science.gov (United States)

    Simões, Mafalda; Marques, Catarina; Gonçalves, Ana; Pereira, Ana Paula; Correia, Joaquim; Castela, João; Guerreiro, Cristina

    2013-01-01

    The iatrogenic risk of HIV vertical transmission, calculated in initial epidemiologic studies, seemed to counterindicate invasive prenatal diagnosis (PND) procedures. The implementation of highly active antiretroviral therapy (HAART) represented a turning point in PND management, owing to a rapid and effective reduction of maternal viral load (VL). In the present study, we identified cases of vertical transmission in HIV-infected pregnant women who did amniocentesis in the second trimester of pregnancy (n = 27), from 1996 to 2011. We divided our sample into Group A--women under HAART when submitted to amniocentesis (n = 20) and Group B--women without antiretroviral therapy before amniocentesis (n = 7). We had 1 case of vertical transmission in Group B. Preconceptional or early first trimester HIV serology is essential to avoid performing an amniocentesis without antiretroviral therapy or viral suppression. When there is an indication for amniocentesis in an HIV-infected pregnant woman, it should be done if the patient is on HAART and, if possible, when VL is undetectable. Nowadays, with combined first trimester screening test to select pregnancies with high risk of aneuploidies, advanced maternal age is a less frequent indication to perform PND invasive procedures, representing an outstanding gain in prenatal diagnosis of this population.

  3. Telephone smoking cessation quitline use among pregnant and non-pregnant women.

    Science.gov (United States)

    Bombard, Jennifer M; Farr, Sherry L; Dietz, Patricia M; Tong, Van T; Zhang, Lei; Rabius, Vance

    2013-08-01

    To describe characteristics, referrals, service utilization, and self-reported quit rates among pregnant and non-pregnant women enrolled in a smoking cessation quitline. This information can be used to improve strategies to increase pregnant and non-pregnant smokers' use of quitlines. We examined tobacco use characteristics, referral sources, and use of services among 1,718 pregnant and 24,321 non-pregnant women aged 18-44 years enrolled in quitline services in 10 states during 2006-2008. We examined self-reported 30-day quit rates 7 months after enrollment among 246 pregnant and 4,123 non-pregnant women and, within groups, used Chi-square tests to compare quit rates by type of service received. The majority of pregnant and non-pregnant callers, respectively, smoked ≥10 cigarettes per day (62 %; 83 %), had recently attempted to quit (55 %; 58 %), smoked 5 or minutes after waking (59 %; 55 %), and lived with a smoker (63 %; 48 %). Of callers, 24.3 % of pregnant and 36.4 % of non-pregnant women were uninsured. Pregnant callers heard about the quitline most often from a health care provider (50 %) and non-pregnant callers most often through mass media (59 %). Over half of pregnant (52 %) and non-pregnant (57 %) women received self-help materials only, the remainder received counseling. Self-reported quit rates at 7 months after enrollment in the subsample were 26.4 % for pregnant women and 22.6 % for non-pregnant women. Quitlines provide needed services for pregnant and non-pregnant smokers, many of whom are uninsured. Smokers should be encouraged to access counseling services.

  4. Successful live birth in a woman with resistant ovary syndrome following in vitro maturation of oocytes.

    Science.gov (United States)

    Li, Yu; Pan, Ping; Yuan, Ping; Qiu, Qi; Yang, Dongzi

    2016-09-06

    Resistant ovary syndrome (ROS) is a rare endocrine disorder characterized with hypergonadotrophic hypogonadism. Infertility is a common complaint of woman presenting with ROS, and little progress has been made in term of reproduction with the patient's own gamete. So far only one case report of live birth has been reported after in vitro maturation (IVM) of oocytes in a patient suffering from ROS in 2013. A secondary infertile woman of 33 years-old was manifested with oligomenorrhea and markedly increased gonadotropin levels around postmenopausal range, but had normal antral follicle count, normal serum inhibin B and anti-Müllerian hormone levels. She had normal karyotype of 46,XX and normal thyroid function. There were no abnormal findings in some autoantibody assays and FSH receptor sequencing. After oral contraceptive pills combined with triptorelin depot were administered, her gonadotropin levels reduced but it showed no response to high doses of exogenous gonadotropins (hp-HMG 300IU/d for 15 days). Then endometrium was prepared with estradiol valerate and IVM from small antral follicles were performed. Five immature oocytes were retrieved. Twenty-four hours after IVM culture, 3 oocytes matured to metaphase II stage and were inseminated by intracytoplasmic sperm injection using her husband's sperm. Two top-quality embryos were transferred and one embryo was cryopreserved. The patient got pregnant and delivered a healthy boy at term. IVM using their own oocytes could be an available treatment for infertile women with ROS.

  5. PREVALENCE OF ANAEMIA IN PREGNANT WOMEN ATTENDING A PRIMARY HEALTH CENTRE IN BARPETA DISTRICT, ASSAM

    Directory of Open Access Journals (Sweden)

    Dhritishna

    2016-05-01

    Full Text Available BACKGROUND Anaemia in pregnancy has serious adverse effects on the health of the mother and the developing foetus. OBJECTIVES The study aims to estimate the prevalence of anaemia in pregnant woman attending the Nagaon Primary Health Centre (PHC in Barpeta district, Assam. METHODS A cross-sectional study was carried out from 1 April, 2014 to 1 May, 2014. 100 pregnant women attending Nagaon PHC were interviewed using a predesigned and pretested interview schedule followed by a short clinical examination for pallor and laboratory estimation of haemoglobin. Sahli’s (Acid Haematin method was used for haemoglobin estimation. Haemoglobin level below the cut-off 11 g/dL was used to label a pregnant woman as anaemic and further classified as mild (10-10.9 g/dL, moderate anaemia (7-9.9 g/dL and severe anaemia (<7 g/dL. RESULTS 77% women were suffering from anaemia. Out of these, 57 %were mildly anaemic and 20% were moderately anaemic. Women of younger age groups, greater parity, a gap less than 3 years between subsequent pregnancies, less education and practising Hinduism had a greater prevalence of anaemia. CONCLUSION Awareness about the serious consequences that anaemia can lead to and advocacy of a proper iron-rich diet, regular intake of IFA tablets and purification of water to prevent infestation by parasites can help in reduction of anaemia.

  6. The Japanese Education System is a Failure, Say Some Japanese.

    Science.gov (United States)

    Bracey, Gerald W.

    1997-01-01

    A Japanese editorial in an English-language daily harshly criticized Japanese education's failure to enhance students' spirit of independence; develop critical and artistic thinking skills; and promote social awareness and an international viewpoint. The United States finished fourth out of 60 in the (unpublicized) International Math Olympiad.…

  7. Adapting an evidence-based HIV prevention intervention for pregnant African-American women in substance abuse treatment

    Directory of Open Access Journals (Sweden)

    Winona Poulton

    2011-02-01

    Full Text Available Wendee M Wechsberg1, Felicia A Browne1, Winona Poulton1, Rachel Middlesteadt Ellerson1, Ashley Simons-Rudolph1, Deborah Haller2,  1RTI International,* Research Triangle Park, NC, USA; 2Columbia University College of Physicians and Surgeons, New York, NY, USA,  *RTI International is a trade name of Research Triangle InstituteAbstract: An adaptation of an evidence-based, woman-focused intervention designed to reduce HIV risk behaviors was conducted for pregnant, African-American women in substance abuse treatment in North Carolina. The intervention adaptation process included focus groups, expert panels, and the filming of women who spoke about their experiences with pregnancy, drug use, sex risk behaviors, HIV testing and treatment, need for substance abuse treatment, violence, and victimization. The assessment instrument was adapted for pregnant women and the intervention was organized into a 4-session PowerPoint presentation, with an additional session if a woman tested positive for HIV. All sessions and assessment instrument were installed on laptop computers for portability in treatment programs. We pilot tested our adaptation with 59 pregnant African-American women who had used an illicit drug within the past year and were enrolled in substance abuse treatment. At baseline, 41% were currently homeless, 76% were unemployed, 90% had not planned their current pregnancy, and approximately 70% reported drug use since finding out about the pregnancy. This sample of participants rated the intervention sessions and were highly satisfied with their experience, resulting in a mean satisfaction score of 6.5 out of 7. Pregnant African-American women who use drugs need substance abuse treatment that they do not currently access. Woman-focused HIV interventions help to address intersecting risk behaviors and need for treatment prevalent among this vulnerable group.Keywords: African-American woman, HIV prevention pregnancy, drug use, violence, sexual

  8. Outcome of Anesthesia and Open Heart Surgery in Pregnant Patients

    Directory of Open Access Journals (Sweden)

    Golamali Mollasadeghi

    2007-06-01

    Full Text Available Background: Cardiovascular disease is an important non-obstetric cause of maternal and fetal /neonatal morbidity and mortality during pregnancy. For a pregnant woman with cardiac disease, the potential inability of the maternal cardiovascular system to contend with normal pregnancy-induced physiologic changes may produce deleterious effects on both mother and fetus. To determine the most frequent surgical indications of maternal and fetal mortality, we studied 15 cases of severe cardiac disease in pregnant women who required cardiac surgical procedures. Methods: In this descriptive study, fifteen pregnant women who underwent cardiac surgery were studied. Maternal age ranged from 27 to 36 years, and gestational age varied from 4 to 22 weeks. Most of the patients were in New York Heart Association Classes II and III. Opioid- based anesthesia with fentanyl citrate (50µ/kg or sufentanil (5µ/kg plus low dose of thiopental were used for the induction of anesthesia. During non-pulsatile cardio-pulmonary bypass, core temperature was between 28-36 °C, average CBP time was 61.2±22 min, average aortic cross-clamp time was 34.13±14 min, and mean pump pressure was maintained between 65-80 mmHg. Results: Ten patients had severe mitral valve disease (66.6%, three had aortic valve disease (20%, one had subvalvular aortic stenosis (6.7%, and the remaining one had left atrial myxoma (6.7%. There were five fetal deaths (33.3% and one maternal death (6.7%. Conclusion: It seems that open heart surgery in the first trimester is very hazardous for the fetus and may lead to fetal death. If possible, surgery should be carried out in the second trimester of pregnancy. The recommendations are simply guidelines because research data and clinical experience in this area are limited.

  9. Angustia e mulher // Anguish and woman

    Directory of Open Access Journals (Sweden)

    Elisabeth da Rocha Miranda

    2012-06-01

    Full Text Available O artigo visa discutir, a partir dos postulados por Freud e Lacan, a possibilidade de uma angústia específica à mulher. Não há universal feminino e a posição feminina de um sujeito é referida ao modo como ele se relaciona com o gozo, isto é, situando-se do lado do gozo não-todo fálico. A questão seria então melhor formulada: haveria uma angustia específica da não-toda fálica? A angústia nas mulheres pode ser experimentada em aspectos diferentes; a angústia da mulher histérica cuja defesa é a inveja do pênis e a eternização da reivindicação fálica; a angústia da mãe que presentifica a possibilidade da perda do filho enquanto falo. Mas a angústia própria à mulher, ao não-toda fálica, é esta que tem relação direta com o S(A com a falta no Outro, com o gozo experimentado como infinito. // The article tries to discuss, based on Freud and Lacan premises, the possibility of a specific anguish in women. There is neither a female universe nor a female position in an individual more referred to the manner as it is related to the jouissance (sexual pleasure; i.e., being beside no- quite phallic jouissance. The question, then, would be better asked: would there be a no-quite phallic specific anguish? The anguish in women can be experimented in different aspects; the anguish of the hysterical woman whose defense is the envy of the penis and the perpetuation of the phallic claim; the anguish of a mother who thinks about the possibility of losing her child as phallus. But the proper anguish of woman, no-quite phallic, is that which is directly related to S(A the lack in the Other, with the jouissance experimented as infinite.

  10. Meeting the health and social needs of pregnant asylum seekers: midwifery students' perspectives. Part 2: Dominant discourses and approaches to care.

    Science.gov (United States)

    Haith-Cooper, Melanie; Bradshaw, Gwendolen

    2013-08-01

    Pregnant women seeking asylum in the United Kingdom appear particularly vulnerable, having complex health and social care needs and could benefit from a woman centred approach to midwifery care. This article is the second of three parts and reports on the findings from one objective of a wider doctorate study. It focuses on exploring midwifery students' perceptions of how to approach the care of pregnant women seeking asylum. Although the design of the study is explored in article one, in this context, the data was subject to critical discourse analysis to meet this objective. Key words and phrases were highlighted which appeared to reveal power and ideology implicit in the language used when discussing midwifery care of the pregnant woman seeking asylum. Dominant discourses were identified which appeared to influence the way in which care was approached and the possible sources of these discourses critically analysed. The findings suggest an underpinning ideology around following policies and guidelines to meet the physical needs of the woman at the expense of her other holistic needs. Despite learning to adopt a woman centred approach in theory, once in practice some students appear to be socialised into (re)producing these dominant medical and managerial discourses with "midwifery discourse" being marginalised. In addition, some students appeared to have difficulty understanding how to adopt a woman centred approach and the importance of considering the woman's context and its impact on care. These findings have implications for midwifery educators and this article identifies that the recent Nursing and Midwifery Council requirement for students to undertake a caseloading activity could provide the opportunity for them to adopt a consistent woman centred approach in practice, rejecting dominant medical and managerial discourses. However, these discourses appear to influence midwives caring for women more widely and will be difficult to challenge. Copyright

  11. Lakota Woman: Authentic Culture on Film or Exploitation?

    Science.gov (United States)

    Merritt, Judy

    1994-01-01

    Reviews the movie "Lakota Woman," the story of Mary Crow Dog, a young woman who gave birth to her first child during the American Indian Movement's occupation of Wounded Knee, South Dakota, in 1973. Although the majority of the crew and cast were Native Americans, many subtleties and nuances of American Indian culture were overlooked.…

  12. [Assistance to the woman in labor: some psychosocial aspects].

    Science.gov (United States)

    Barbieri, Doroty Leite; Tsunechiro, Maria Alice

    1983-04-01

    The woman in labor and the natural parturition process are considered within a psychosocial context, in order to provide for childbirth in hospital environment a aspect more humanized. Some aspects are pointed out as to influencing the hospital process and the behavior of the woman in labor, such as: hospital admission, emotional reactions and feelings relatives to labor and delivery and others.

  13. The Creation of Man and Woman in Early Jewish Literature

    NARCIS (Netherlands)

    Ruiten, J.T.A.G.M. van; Luttikhuizen, G P

    2000-01-01

    J.T.A.G.M. van Ruiten, “The Creation of Man and Woman in Early Jewish Literature,” in The Creation of Man and Woman: Interpretations of the Biblical Narratives in Jewish and Christian Traditions (ed. Gerard P. Luttikhuizen; Themes in Biblical Narrative 3; Leiden, Boston, and Köln: Brill, 2000), 34-6

  14. Asymptomatic bacteriuria among pregnant women

    OpenAIRE

    Sudha Biradar Kerure; Rajeshwari Surpur; Sheela S. Sagarad; Sneha Hegadi

    2013-01-01

    Background: Urinary tract infections (UTIs) are the most common bacterial infections during pregnancy. Asymptomatic bacteriuria (ASB) is a major risk factor for the development of urinary tract infections during pregnancy and with further risk of preterm birth & pyelonephritis if untreated. Aims & Objectives: This study was carried out to determine the prevalence of asymptomatic bacteriuria (ASB) in pregnant women & to isolate, identify and establish antimicrobial susceptibility of pathogens....

  15. The Japanese feudalism

    Directory of Open Access Journals (Sweden)

    Martha Loaiza Becerra

    2012-10-01

    Full Text Available This paper explores some peculiarities of Japanese feudalism following postwar theoretical debate that came out of academic circles in Japan as well in Europe and the United States. Contemporary thought schools influenced by historical materialism from Marxism have pointed out that feudalism effectively happened in Japan since 12th Century until 16th Century. Gradual changes and transitions, in the same way as the European case, are the key to explain main economic changes that caused the emergence of capitalism in Japan.

  16. Developmental Sentence Scoring for Japanese

    Science.gov (United States)

    Miyata, Susanne; MacWhinney, Brian; Otomo, Kiyoshi; Sirai, Hidetosi; Oshima-Takane, Yuriko; Hirakawa, Makiko; Shirai, Yasuhiro; Sugiura, Masatoshi; Itoh, Keiko

    2013-01-01

    This article reports on the development and use of the Developmental Sentence Scoring for Japanese (DSSJ), a new morpho-syntactical measure for Japanese constructed after the model of Lee's English Developmental Sentence Scoring model. Using this measure, the authors calculated DSSJ scores for 84 children divided into six age groups between 2;8…

  17. Counseling Japanese Men on Fathering

    Science.gov (United States)

    Seto, Atsuko; Becker, Kent W.; Akutsu, Motoko

    2006-01-01

    The authors review an article (J. Yamamoto & F. Tagami, 2004) published in the "Japanese Journal of Counseling Science" that described changes in contemporary Japanese family structures and illustrated a therapy process with a father to enhance the father-son relationship. Implications for the counseling profession in working with…

  18. The modern Japanese color lexicon.

    Science.gov (United States)

    Kuriki, Ichiro; Lange, Ryan; Muto, Yumiko; Brown, Angela M; Fukuda, Kazuho; Tokunaga, Rumi; Lindsey, Delwin T; Uchikawa, Keiji; Shioiri, Satoshi

    2017-03-01

    Despite numerous prior studies, important questions about the Japanese color lexicon persist, particularly about the number of Japanese basic color terms and their deployment across color space. Here, 57 native Japanese speakers provided monolexemic terms for 320 chromatic and 10 achromatic Munsell color samples. Through k-means cluster analysis we revealed 16 statistically distinct Japanese chromatic categories. These included eight chromatic basic color terms (aka/red, ki/yellow, midori/green, ao/blue, pink, orange, cha/brown, and murasaki/purple) plus eight additional terms: mizu ("water")/light blue, hada ("skin tone")/peach, kon ("indigo")/dark blue, matcha ("green tea")/yellow-green, enji/maroon, oudo ("sand or mud")/mustard, yamabuki ("globeflower")/gold, and cream. Of these additional terms, mizu was used by 98% of informants, and emerged as a strong candidate for a 12th Japanese basic color term. Japanese and American English color-naming systems were broadly similar, except for color categories in one language (mizu, kon, teal, lavender, magenta, lime) that had no equivalent in the other. Our analysis revealed two statistically distinct Japanese motifs (or color-naming systems), which differed mainly in the extension of mizu across our color palette. Comparison of the present data with an earlier study by Uchikawa & Boynton (1987) suggests that some changes in the Japanese color lexicon have occurred over the last 30 years.

  19. The Japanese Language: An Introduction.

    Science.gov (United States)

    Backhouse, A. E.

    This guide provides an overview of the salient features of the Japanese language from the perspective of the beginning-level English-speaking learner. Chapters address these topics: the Japanese language and its historic and cultural setting; phonology (sounds and syllables, word accentuation; loanwords; connected speech); writing (scripts,…

  20. A GLOSSARY OF JAPANESE NEOLOGISMS.

    Science.gov (United States)

    BAILEY, DON C.

    THIS GLOSSARY COMPRISES A LIST OF USEFUL NEW WORDS AND PHRASES IN CURRENT USE NOT FOUND IN JAPANESE-ENGLISH DICTIONARIES, SPECIFICALLY KENKYUSHA'S NEW JAPANESE-ENGLISH DICTIONARY, 1954 EDITION, WHICH HAS SERVED AS THE MODEL IN MOST RESPECTS FOR THE FORMAT AND STYLE. ROMANIZATION OF THE ORTHOGRAPHY FOLLOWS A MODIFIED HEPBURN SYSTEM AND THE JAPANESE…

  1. EXPERIMENTAL PARACOCCIDIOIDOMYCOSIS IN PREGNANT RATS

    Science.gov (United States)

    LOTH, Eduardo Alexandre; CECATTO, Vanessa; BIAZIM, Samia Khalil; FERREIRA, José Henrique Fermino; DANIELLI, Caroline; GENSKE, Rodrigo Daniel; GANDRA, Rinaldo Ferreira; de FRANCO, Marcello Fabiano

    2015-01-01

    Paracoccidioidomycosis (PCM), caused by the dimorphic fungus Paracoccidioides brasiliensis (Pb), is the most prevalent systemic mycosis in Latin America. There are few reports in the literature about the disease damages during pregnancy and the consequences to the fetuses and breeding. This study evaluated the implications of PCM during pregnancy on offspring and mothers in Wistar rats. Groups of rats were submitted to systemic Pb infection, by intraperitoneal infusion, and mated 30 days after the infection date. Immediately after birth, rats and neonates were sacrificed to obtain organs for standard histological examination, morphometric analysis, fungi recovery by plating (CFU) and dosing of anti-Pb antibodies by ELISA. There were no stillbirths or miscarriages, however, the fetuses from infected pregnant rats had lower body and organ weight but the fertility rate was 100%. The largest number of CFU was recovered from the organ of pregnant rats, the pathological examination revealed more severe infection in the same group, further on the largest number of granulomas and fungal field. It can be concluded that the PCM was more severe in the group of pregnant rats, with implications to the weight of offspring. PMID:27049707

  2. EXPERIMENTAL PARACOCCIDIOIDOMYCOSIS IN PREGNANT RATS.

    Science.gov (United States)

    Loth, Eduardo Alexandre; Cecatto, Vanessa; Biazim, Samia Khalil; Ferreira, José Henrique Fermino; Danielli, Caroline; Genske, Rodrigo Daniel; Gandra, Rinaldo Ferreira; Franco, Marcello Fabiano de

    2015-12-01

    Paracoccidioidomycosis (PCM), caused by the dimorphic fungus Paracoccidioides brasiliensis (Pb), is the most prevalent systemic mycosis in Latin America. There are few reports in the literature about the disease damages during pregnancy and the consequences to the fetuses and breeding. This study evaluated the implications of PCM during pregnancy on offspring and mothers in Wistar rats. Groups of rats were submitted to systemic Pb infection, by intraperitoneal infusion, and mated 30 days after the infection date. Immediately after birth, rats and neonates were sacrificed to obtain organs for standard histological examination, morphometric analysis, fungi recovery by plating (CFU) and dosing of anti-Pb antibodies by ELISA. There were no stillbirths or miscarriages, however, the fetuses from infected pregnant rats had lower body and organ weight but the fertility rate was 100%. The largest number of CFU was recovered from the organ of pregnant rats, the pathological examination revealed more severe infection in the same group, further on the largest number of granulomas and fungal field. It can be concluded that the PCM was more severe in the group of pregnant rats, with implications to the weight of offspring.

  3. EXPERIMENTAL PARACOCCIDIOIDOMYCOSIS IN PREGNANT RATS

    Directory of Open Access Journals (Sweden)

    Eduardo Alexandre LOTH

    2015-12-01

    Full Text Available Paracoccidioidomycosis (PCM, caused by the dimorphic fungus Paracoccidioides brasiliensis (Pb, is the most prevalent systemic mycosis in Latin America. There are few reports in the literature about the disease damages during pregnancy and the consequences to the fetuses and breeding. This study evaluated the implications of PCM during pregnancy on offspring and mothers in Wistar rats. Groups of rats were submitted to systemic Pb infection, by intraperitoneal infusion, and mated 30 days after the infection date. Immediately after birth, rats and neonates were sacrificed to obtain organs for standard histological examination, morphometric analysis, fungi recovery by plating (CFU and dosing of anti-Pb antibodies by ELISA. There were no stillbirths or miscarriages, however, the fetuses from infected pregnant rats had lower body and organ weight but the fertility rate was 100%. The largest number of CFU was recovered from the organ of pregnant rats, the pathological examination revealed more severe infection in the same group, further on the largest number of granulomas and fungal field. It can be concluded that the PCM was more severe in the group of pregnant rats, with implications to the weight of offspring.

  4. Asymptomatic bacteriuria among pregnant women

    Directory of Open Access Journals (Sweden)

    Sudha Biradar Kerure

    2013-04-01

    Full Text Available Background: Urinary tract infections (UTIs are the most common bacterial infections during pregnancy. Asymptomatic bacteriuria (ASB is a major risk factor for the development of urinary tract infections during pregnancy and with further risk of preterm birth & pyelonephritis if untreated. Aims & Objectives: This study was carried out to determine the prevalence of asymptomatic bacteriuria (ASB in pregnant women & to isolate, identify and establish antimicrobial susceptibility of pathogens. Methods: A total of 500 pregnant women were studied over a period of one year. Clean catch midstream urine sample was collected into a sterile container & then subjected to culture method. Results: Significant bacteriuria was noted in 45 patients (9%. 3% patients had insignificant bacteriuria. Growth of contaminants was noted in 8%. 80% samples were sterile with no growth. E. coli was the most common etiological agent, followed by Staphylococcus aureus. Conclusions: Asymptomatic bacteriuria is not uncommon in antenatal patients. All pregnant women should be screened by urine culture to detect asymptomatic bacteriuria at their first visit to prevent overt UTI & other complications in both mother & fetus. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 213-216

  5. Asymptomatic bacteriuria among pregnant women

    Directory of Open Access Journals (Sweden)

    Paul Erhunmwunse Imade

    2010-06-01

    Full Text Available Background: Asymptomatic bacteriuria is the significant presence of bacteria in the urine of an individual without symptoms. In pregnancy, the apparent reduction in immunity of pregnant women tends to encourage the growth of pathogens. Aim: This study was carried out to determine the prevalence of asymptomatic bacteriuria in pregnant women attending a primary health centre in Benin City, Nigeria. Materials and Methods: A total of 1,228 pregnant women were recruited for this study. All subjects were clinically identified to have no signs and symptoms of UTI. Clean catch midstream urine sample was collected from each patient into sterile universal container. The urine samples were examined microscopically and by cultural method. Identification of isolates was by standard microbiological technique. Result: A total of 556 (45.3% were positive for significant bacteriuria. There was a significant difference in the prevalence of asymptomatic bacteriuria with respect to age (P < 0.0001. Trimester did not show any significant difference (P = 0.2006 in the prevalence of asymptomatic bacteriuria. Escherichia coli was the most predominant organism followed closely by Staphylococcus aureus. Ciprofloxacin, Ceftriaxone and Augmentin were found to be the most effective antibiotics against the urinary isolates. Conclusion: Asymptomatic bacteriuria is not uncommon among antenatal patients in the population studied. Routine urine cultural test should be carried out on all antenatal patients in order to identify any unsuspecting infection. This measure will go a long way in reducing maternal and obstetric complications associated with pregnancy.

  6. Asymptomatic bacteriuria among pregnant women

    Directory of Open Access Journals (Sweden)

    Paul Erhunmwunse Imade

    2010-01-01

    Full Text Available Background: Asymptomatic bacteriuria is the significant presence of bacteria in the urine of an individual without symptoms. In pregnancy, the apparent reduction in immunity of pregnant women tends to encourage the growth of pathogens. Aim : This study was carried out to determine the prevalence of asymptomatic bacteriuria in pregnant women attending a primary health centre in Benin City, Nigeria. Materials and Methods: A total of 1,228 pregnant women were recruited for this study. All subjects were clinically identified to have no signs and symptoms of UTI. Clean catch midstream urine sample was collected from each patient into sterile universal container. The urine samples were examined microscopically and by cultural method. Identification of isolates was by standard microbiological technique. Result: A total of 556 (45.3% were positive for significant bacteriuria. There was a significant difference in the prevalence of asymptomatic bacteriuria with respect to age (P < 0.0001. Trimester did not show any significant difference (P = 0.2006 in the prevalence of asymptomatic bacteriuria. Escherichia coli was the most predominant organism followed closely by Staphylococcus aureus. Ciprofloxacin, Ceftriaxone and Augmentin were found to be the most effective antibiotics against the urinary isolates. Conclusion : Asymptomatic bacteriuria is not uncommon among antenatal patients in the population studied. Routine urine cultural test should be carried out on all antenatal patients in order to identify any unsuspecting infection. This measure will go a long way in reducing maternal and obstetric complications associated with pregnancy.

  7. Imaging Pregnant and Lactating Patients.

    Science.gov (United States)

    Tirada, Nikki; Dreizin, David; Khati, Nadia J; Akin, Esma A; Zeman, Robert K

    2015-10-01

    As use of imaging in the evaluation of pregnant and lactating patients continues to increase, misperceptions of radiation and safety risks have proliferated, which has led to often unwarranted concerns among patients and clinicians. When radiologic examinations are appropriately used, the benefits derived from the information gained usually outweigh the risks. This review describes appropriateness and safety issues, estimated doses for imaging examinations that use iodizing radiation (ie, radiography, computed tomography, nuclear scintigraphy, and fluoroscopically guided interventional radiology), radiation risks to the mother and conceptus during various stages of pregnancy, and use of iodinated or gadolinium-based contrast agents and radiotracers in pregnant and lactating women. Maternal radiation risk must be weighed with the potential consequences of missing a life-threatening diagnosis such as pulmonary embolus. Fetal risks (ie, spontaneous abortion, teratogenesis, or carcinogenesis) vary with gestational age and imaging modality and should be considered in the context of the potential benefit of medically necessary diagnostic imaging. When feasible and medically indicated, modalities that do not use ionizing radiation (eg, magnetic resonance imaging) are preferred in pregnant and lactating patients. Radiologists should strive to minimize risks of radiation to the mother and fetus, counsel patients effectively, and promote a realistic understanding of risks related to imaging during pregnancy and lactation.

  8. Some Manifestations of Japanese Exclusionism

    Directory of Open Access Journals (Sweden)

    Liang Morita

    2015-08-01

    Full Text Available The Japanese subscribe to ethnic nationalism, which is an ideology with the aim to develop an ethnically exclusive and homogeneous nationhood. One manifestation of ethnic nationalism is the belief that Japan is, or should be, a mono-ethnic society. Ethnic nationalism is manifested in the exclusionary attitude or opinion of the Japanese. In the context of foreigners living in Japan, the exclusionary attitude or opinion of the Japanese often translates into the insistence that foreigners should do things the Japanese way. This is unfriendly to foreigners living in Japan, to say the least. This article illustrates how unwelcoming and inconvenient Japanese exclusionism can be by using two examples that directly affect foreigners: housing and discrimination against foreigners.

  9. Craving and Withdrawal Symptoms During Smoking Cessation: Comparison of Pregnant and Non-Pregnant Smokers.

    Science.gov (United States)

    Berlin, Ivan; Singleton, Edward G; Heishman, Stephen J

    2016-04-01

    Although pregnant smokers are aware of the negative peri- and postnatal health consequences of smoking, the cessation rate in pregnancy is low, raising the question of why pregnant smokers have difficulty quitting. Reasons might be that pregnant smokers experience more intense craving and withdrawal symptoms than non-pregnant smokers. We compared craving and withdrawal in 306 pregnant smokers versus 93 non-pregnant women using data from two smoking cessation trials. Complete data were analyzed using pre-quit and post-quit (2 weeks after quit date) craving and withdrawal measured by the 12-item French Tobacco Craving Questionnaire (FTCQ-12) and French Minnesota Nicotine Withdrawal Scale (FMNWS). Pregnant smokers started smoking and smoked regularly earlier and succeeded far less at quitting smoking by week 2 than the general population of smokers (11% versus 43%). Post-quit date FTCQ-12 general score was higher in pregnant smokers compared to comparison groups, and was driven by elevated emotionality and expectancy. FMNWS decreased significantly less among pregnant smokers than among non-pregnant smokers. Insufficient reduction of craving and withdrawal symptoms in response to a quit attempt may partially explain why pregnant smokers may have more difficulty quitting than non-pregnant smokers. Because this was a historical comparison, findings are preliminary; however, they might foster further investigation of differences in craving and withdrawal symptoms in pregnant versus non-pregnant smokers.

  10. Woman to Woman: Coming Together for Positive Change--Using Empowerment and Popular Education to Prevent HIV in Women

    Science.gov (United States)

    Romero, Lisa; Wallerstein, Nina; Lucero, Julie; Fredine, Heidi Grace; Keefe, Joanna; O'Connell, JoAnne

    2006-01-01

    HIV risk is the product of social, cultural, economic, and interpersonal forces that create sex-role definitions and expectations that can lead to gender inequalities in health. Woman to Woman: Coming Together for Positive Change is an HIV/AIDS prevention intervention that takes into account that choices and actions may be constrained by poverty,…

  11. "You Have Come a Long Way Woman": A Sparkle Slogan without Realistic Meaning for Woman Status in Jordan

    Science.gov (United States)

    Khudeir, Dua'a Ibrahim

    2017-01-01

    This research paper discusses woman status in the country of Jordan in terms of rights, equality and personal liberties, freedom of choice in particular. It argues that, although Jordan is working hard to be open to Western values and civilization; however, it lags behind when it comes to woman liberty and equality. Jordan is a patriarchal…

  12. Resultative Predicates in Japanese

    Directory of Open Access Journals (Sweden)

    Kaori Takamine

    2007-12-01

    Full Text Available Washio (1997; 1999 observes that resultative predicates are divided into two different groups, strong and weak resultatives, depending on ‘patienthood’ of the object. This typology of resultatives seems to capture a point of crosslinguistic variation in resultatives; Japanese has weak but not strong resultatives, while English has both. Washio also observes that there is another group of examples that bears a superficial resemblance to resultatives but constitutes a different phenomenon, hence spurious resultatives. The difference between weak and strong resultatives is made in terms of the ‘affectedness’ of the verb. Thus the typology of resultatives proposed by Washio is semantically grounded. In this paper, I propose: (i a fine-grained distinction for Washio’s weak resultatives: (ii a syntactic analysis of the different resultative types. On the basis of syntactic evidence, I argue that there are two types of weak resultatives, an adjunct of VP and a complement of VP within the vP projection. I also argue that spurious resultatives are structurally higher than weak resultatives in Japanese.

  13. MRI in Japanese encephalitis

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, S. [Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India). Dept. of Radiology; Misra, U.K. [Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India). Dept. of Neurology; Kalita, J. [Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India). Dept. of Neurology; Salwani, V. [Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India). Dept. of Radiology; Gupta, R.K. [Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India). Dept. of Radiology; Gujral, R. [Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India). Dept. of Radiology

    1997-03-01

    We document the MRI features in seven patients with Japanese encephalitis. MRI was carried out on a 1.5 T system within 10-60 days of onset. In all the patients MRI revealed bilateral thalamic lesions, haemorrhagic in five. Signal changes were present in the cerebrum in four patients, the midbrain and cerebellum in three each, the pons in two and the basal ganglia in one. The lesions were haemorrhagic in three of the four patients with lesions in the cortex, two of the three with lesions in the midbrain and cerebellum, but the pontine lesions were haemorrhagic in both patients. Spinal cord involvement was seen in one of the three patients who underwent MRI. In two patients MRI was repeated 3 years after the onset, showing marked reduction in abnormal signal; and all the lesions gave low signal on both T1- and T2-weighted images. Bilateral thalamic involvement, especially haemorrhagic, may be considered characteristic of Japanese encephalitis, especially in endemic areas. (orig.)

  14. Telephone Smoking Cessation Quitline Use Among Pregnant and Non-pregnant Women

    OpenAIRE

    Bombard, Jennifer M.; Farr, Sherry L.; Dietz, Patricia M.; Tong, Van T.; Zhang, Lei; Rabius, Vance

    2013-01-01

    To describe characteristics, referrals, service utilization, and self-reported quit rates among pregnant and non-pregnant women enrolled in a smoking cessation quitline. This information can be used to improve strategies to increase pregnant and non-pregnant smokers’ use of quitlines. We examined tobacco use characteristics, referral sources, and use of services among 1,718 pregnant and 24,321 non-pregnant women aged 18–44 years enrolled in quitline services in 10 states during 2006–2008. We ...

  15. Basic English Writers' Japanese-English Wordbook.

    Science.gov (United States)

    Daniels, F. J.

    The author of this Japanese-English wordbook suggests that it may be used by Japanese writers of English, by those translating from Japanese into English, and by learners of Japanese, in addition to its main intended uses as an aid to the preparation of teaching material and as a work of reference for teachers. A translator will need to supplement…

  16. Evaluation of a goiter epidemic degree among pregnant women in natural iodine deficiency region

    Directory of Open Access Journals (Sweden)

    V Petrova

    2005-03-01

    Full Text Available Objectives: the aim of the study was to investigate clinical features of thyroid function in pregnant woman in the region of natural iodine deficiency. Methods: serum thyroid stimulating hormone (TSH, free thyroxin (fT4 concentrations, urine excretion of iodine were measured. The structure and volume of thyroid gland were defined by palpation and ultrasonography. The 150 pregnant women (50 in every trimester were included in study. Results: median of urine iodine excretion was 72.5 mkg/l, that confirm mild iodine deficiency in the region. During pregnancy median of urine excretion of iodine is significantly lower in third trimester (51.0 mkg/l, than in first (93.0 mkg/l and in second (86.1 mkg/l. The goiter was registered more often in third trimester of pregnancy. The level of fT4 was decreased in third trimester of pregnancy. Key words: iodine deficiency, goiter, hypothyroidism pregnancy.

  17. Coerced sexual intercourse within marriage: a clinic-based study of pregnant Palestinian refugees in Lebanon.

    Science.gov (United States)

    Khawaja, Marwan; Hammoury, Nadwa

    2008-01-01

    This study examines the correlates of forced sexual intercourse among pregnant refugee women attending an antenatal clinic in Sidon, Lebanon. A total of 349 pregnant women were interviewed during a clinic visit for a prenatal check-up during the months of June and July 2005. The Abuse Assessment Screen was used to identify cases of abuse. The outcome variable was whether the woman was forced to have sexual intercourse during the past year. One-quarter of women (26.2%) reported having forced sexual intercourse. Associations between forced sexual intercourse and sociodemographic risk factors were assessed using odds ratios from logistic regression models. Low educational levels and reported fear of husband were significant risk factors for sexual abuse, adjusting for other relevant variables. Age, parity, length of marriage, place of residence, undesired pregnancy, gestational age, consanguinity, and physical violence during last year were not associated with forced sexual intercourse.

  18. Mapping the social determinants of substance use for pregnant-involved young Aboriginal women.

    Science.gov (United States)

    Shahram, Sana Z; Bottorff, Joan L; Oelke, Nelly D; Kurtz, Donna L M; Thomas, Victoria; Spittal, Patricia M; And For The Cedar Project Partnership

    2017-12-01

    There is a dearth of knowledge about the social determinants of substance use among young pregnant-involved Indigenous women in Canada from their perspectives. As part of life history interviews, 17 young pregnant-involved Indigenous women with experiences with substances completed a participant-generated mapping activity CIRCLES (Charting Intersectional Relationships in the Context of Life Experiences with Substances). As women created their maps, they discussed how different social determinants impacted their experiences with pregnancy and substance use. The social determinants identified and used by women to explain determinants of their substance use were grouped into 10 themes: traumatic life histories; socioeconomic status; culture, identity and spirituality; shame and guilt; mental wellness; family connections; romantic and platonic relationships; strength and hope; mothering; and the intersections of determinants. We conclude that understanding the context and social determinants of substance use from a woman-informed perspective is paramount to informing effective and appropriate programs to support young Indigenous women who use substances.

  19. The influence of power on HIV risk among pregnant women in rural Haiti.

    Science.gov (United States)

    Kershaw, Trace S; Small, Maria; Joseph, Gabriel; Theodore, Melanie; Bateau, Reginald; Frederic, Rikerdy

    2006-05-01

    Given that condom use is not directly under a woman's control, the sexual division of power may play an important role in sexual behavior among pregnant women. We assessed the influence of factors related to the theory of gender and power (e.g., relationship power, abuse history, and sexual communication) on sexual behavior (e.g., two or more partners in the year prior to pregnancy, condom use, condom-use intentions, and STI diagnosis) among 196 pregnant women recruited from five community dispensaries in rural Haiti. Results showed that gender and power factors significantly related to sexual behavior. Gender and power factors were most significant for condom use and intention to use condoms, accounting for 18 and 25% of the variance above and beyond HIV knowledge and demographic covariates, respectively. These results suggest the need to create prevention interventions that restore power imbalances, provide support for women suffering abuse, and strengthen communication skills.

  20. Development and piloting the Woman Centred Care Scale (WCCS).

    Science.gov (United States)

    Brady, Susannah; Bogossian, Fiona; Gibbons, Kristen

    2017-06-01

    In midwifery we espouse a woman centred care approach to practice, yet in midwifery education no valid instrument exists with which to measure the performance of these behaviours in midwifery students. To develop and validate an instrument to measure woman centred care behaviours in midwifery students. We identified four core concepts; woman's sphere, holism, self-determination and the shared power relationship. We mapped 18 individual descriptive care behaviours (from the Australian National Competency Standards for the Midwife) to these concepts to create an instrument to articulate and measure care behaviours that are specifically woman centred. Review by expert midwifery clinicians ensured face, content and construct validity of the scale and predictive validity and reliability were tested in a simulated learning environment. Midwifery students were video recorded performing a clinical skill and the videos were reviewed and rated by two expert clinicians who assessed the woman centred care behaviours demonstrated by the students (n=69). Test and re-test reliability of the instrument was high for each of the individual raters (Kappa 0.946 and 0.849 respectively pcentred care behaviours (Kappa 0.470, pstudents who had repeated exposures to higher levels of simulation fidelity demonstrated higher levels of woman centred care behaviours. The WCCS has implications for education and the wider midwifery profession in recognising and maintaining practice consistent with the underlying philosophy of woman centred care. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.