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Sample records for pregnant woman amy

  1. The homeless pregnant woman.

    Science.gov (United States)

    Esen, Umo I

    2017-09-01

    Women who are pregnant and homeless constitute a unique group at significant risk of adverse foetal and maternal outcomes. Despite this heightened risk profile, social housing support to this group of women is less than satisfactory. Concerted effort and more collaborative working is needed by all who provide social, and healthcare services to homeless pregnant women, to improve the lot of these women. Clear definitions and legislative provisions in respect of the homeless will go a long way in reducing ambiguity and close loopholes which currently act to deny the homeless pregnant woman social housing support at a time when it is most needed.

  2. Jaundice in a pregnant woman.

    Science.gov (United States)

    Ibrahimi, Sophiane; Mroué, Abbas Ali; Francois, Erik; Jagodzinski, Robert

    2017-01-01

    A 34-year-old woman in the 22nd week of gestation presented with generalized pruritis and weight loss since the first trimester of pregnancy. Physical examination revealed cutaneous scratch lesions, jaundice, and hepatomegaly. Blood tests revealed cholestasis with elevated direct bilirubinemia. Auto-antibody and viral hepatitis tests were negative. Liver ultrasound was normal. The initial diagnosis was cholestasis of pregnancy. However despite treatment with ursodeoxycholic acid, the patient did not improve. Delivery was by cesarean section at the 26th week of pregnancy for obstetrical reasons. A new liver ultrasound showed a heterogeneous nodular mass. Nuclear magnetic resonance (NMR) of the liver showed an 11-cm mass centered on the hilum, dilated intrahepatic bile ducts, involvement of the hepatic veins, and hilar adenopathy. A liver biopsy revealed fibrolamellar hepatocellular carcinoma (FHC). © Acta Gastro-Enterologica Belgica.

  3. Pregnant woman mode for absorbed fraction calculations

    International Nuclear Information System (INIS)

    Cloutier, R.J.; Snyder, W.S.; Watson, E.E.

    1977-01-01

    The most radiation-sensitive segment of our population is the developing fetus. Until recently, methods available for calculating the dose to the fetus were inadequate because a model for the pregnant woman was not available. Instead, the Snyder and Fisher model of Reference Man, which includes a uterus, was frequently used to calculate absorbed fractions when the source was in various organs of the body and the nongravid uterus was the target. These values would be representative of the dose to the embryo during the early stages of pregnancy. Unfortunately, Reference Man is considerable larger than Reference Woman. The authors recently reported on the design of a Reference Woman phantom that has dimensions quite similar to the ICRP Reference Woman. This phantom was suitable for calculating the dose to the embryo during early stages of pregnancy (0 to 3 mo.), but was not suitable for the later stages of pregnancy because of the changing shape of the mother and the displacement of several abdominal organs brought about by the growth of the uterus and fetus. The models of Reference Woman that were subsequently developed for each month of pregnancy are described. The models take into account the growth of the uterus and fetus and the repositioning of the various abdominal organs. These models have been used to calculate absorbed fractions for the fetus as a target and the gastrointestinal tract as a source of radiation for twelve photon energies ranging from 10 keV to 4 MeV

  4. 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...

  5. Incisional scar evisceration of fallopian tube in a pregnant woman ...

    African Journals Online (AJOL)

    Background: Herniation of pelvic and solid abdominal structures like the fallopian tubes especially in pregnancy is extremely rare. We report a case of an eviscerated fallopian tube through an incisional hernia in a pregnant woman. There has been no such report in literature at the time of report. Case presentation: A case of ...

  6. Tropical Splenomegaly Syndrome in a pregnant woman: A good ...

    African Journals Online (AJOL)

    The patient was diagnosed as a case of tropical splenomegaly syndrome or hyperreactive malarial splenomegaly through exclusion criteria. Before the woman got pregnant she was given a course of chloroquine. Patient was given supportive treatment: normal saline IV fluid, vitamin B12, iron and folate. On admission she ...

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

    Directory of Open Access Journals (Sweden)

    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.

  8. Maria Edgeworth's Angelina, or L'amie Inconnue: queer materiality and the woman writer's grotesque body.

    Science.gov (United States)

    Gonda, Caroline

    2013-01-01

    Despite its many similarities to her better-known novel Belinda, Maria Edgeworth's Angelina is not usually read as a work about lesbianism--even though it begins with the heroine eloping to live with another woman. This article explores same-sex relationships in Angelina and suggests reasons for the work's comparative neglect by lesbian criticism. It examines the process by which the heroine's "unknown friend," the novelist Araminta, moves from being "nobody," a textual construct, to a woman all too thoroughly and grotesquely embodied; and it discusses the role of queer objects, including literary texts, in that process of embodiment.

  9. 21-Year-Old Pregnant Woman with MODY-5 Diabetes

    Directory of Open Access Journals (Sweden)

    Anastasia Mikuscheva

    2017-01-01

    Full Text Available The term “Maturity-Onset Diabetes of the Young” (MODY was first described in 1976 and is currently referred to as monogenic diabetes. There are 14 known entities accounting for 1-2% of diabetes and they are frequently misdiagnosed as either type 1 or type 2 diabetes. MODY-5 is an entity of monogenic diabetes that is associated with genitourinary malformations and should be considered by obstetricians in pregnant women with a screen positive for diabetes, genitourinary malformations, and fetal renal anomalies. Correct diagnosis of monogenic diabetes has implications on managing patients and their families. We are reporting a case of a 21-year-old pregnant woman with a bicornuate uterus, fetal renal anomalies, and a family history of diabetes that were suggestive of a MODY-5 diabetes.

  10. Oligohydramnios in a pregnant Pakistani woman with Plasmodium vivax malaria

    OpenAIRE

    Binello, Nicolò; Brunetti, Enrico; Cattaneo, Federico; Lissandrin, Raffaella; Malfitano, Antonello

    2014-01-01

    In the Western world, the diagnosis and management of Plasmodium vivax malaria in pregnant women can be challenging, and the pathogenesis of adverse outcomes for both the mother and the foetus is still poorly known. The authors describe the case of a 29-year-old Pakistani woman at the 29th week of her second pregnancy, who was admitted to the Hospital following the abrupt onset of fever. At the time of admission, she had been living in Italy without travelling to any malaria-endemic areas for...

  11. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  13. Preoperative Emboli in a Pregnant Woman with Myxoma

    Directory of Open Access Journals (Sweden)

    Freidoun Sabzi

    2016-07-01

    Full Text Available The left atrium is the most common location of myxomas, which are benign tumors. Only a few cases of myxomas in pregnancies have been reported. Our thorough medical literature search showed only 17 reported cases in the course of pregnancy. Myxomas during pregnancy and in the preterm period constitute a serious phenomenon that can mimic an early sign of a life-threatening pathology like severe mitral stenosis. We describe a 33-year-old woman, who presented with acute dyspnea to a gynecology center and was referred to our hospital for further evaluation of pulmonary embolism. Transthoracic echocardiography showed a huge left atrial myxoma, and computed tomography scan illustrated paradoxical pulmonary embolism in the left upper lung lobe via a large patent foramen ovale. The tumor required urgent cardiac surgery. In this article, we review causes of dyspnea in pregnancy and the cardiovascular effects of myxomas in pregnancy. We also describe the pathophysiological effects of cardiopulmonary bypass on the mother, fetus, and the feto-placental system during open-heart surgery. We performed a successful surgical resection of a myxoma in a pregnant woman. Given the rarity of such cases, individual multidisciplinary assessment and management strategies are essential.

  14. Oligohydramnios in a pregnant Pakistani woman with Plasmodium vivax malaria.

    Science.gov (United States)

    Binello, Nicolò; Brunetti, Enrico; Cattaneo, Federico; Lissandrin, Raffaella; Malfitano, Antonello

    2014-04-23

    In the Western world, the diagnosis and management of Plasmodium vivax malaria in pregnant women can be challenging, and the pathogenesis of adverse outcomes for both the mother and the foetus is still poorly known. The authors describe the case of a 29-year-old Pakistani woman at the 29th week of her second pregnancy, who was admitted to the Hospital following the abrupt onset of fever. At the time of admission, she had been living in Italy without travelling to any malaria-endemic areas for eight months. She was diagnosed with vivax malaria after a thin blood smear revealed the presence of plasmodial trophozoites and gametocytes and treated accordingly. Due to the onset of oligohydramnios, she underwent caesarian section at the 31st week of pregnancy with no further complications. Histological examination of the placenta showed no evidence of plasmodial infection, but was inconclusive. It is unclear whether oligohydramnios is a complication of pregnancy-related Plasmodium vivax malaria. Given the long latency of hypnozoites, every febrile pregnant patient with a previous stay in an endemic area should be screened for malaria with a thick and a thin blood smear.

  15. Peganum harmala L. Intoxication in a Pregnant Woman

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  17. 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

  18. the unbooked pregnant woman: experience from a rural tertiary ...

    African Journals Online (AJOL)

    user

    pregnant women who presented at the University of Uyo Teaching Hospital over a five year period. Five ... of preventive medicine and an important component of maternal health. The range of activities covered by ANC includes nutrition,.

  19. Pain Management in the Opioid-Dependent Pregnant Woman.

    Science.gov (United States)

    Safley, Rebecca R; Swietlikowski, Jamie

    Opioid dependence is an epidemic in the United States, and the percentage of pregnant women who are opioid dependent has increased dramatically in the last decade. Pain management, already a concern for intrapartum and postpartum care, is complicated in the context of opioid dependence. This clinical review surveys the literature on pain management in opioid-dependent pregnant women to summarize current consensus and evidence to guide clinical practice. Points of consensus for pain management in opioid-dependent pregnant women include continual opioid maintenance therapy throughout the pregnancy and the postpartum period; adequate management of acute pain; the contraindication of opioid agonist-antagonists for pain management; and the need for interdisciplinary teams using a multimodal approach to provide optimal care to opioid-dependent pregnant women.

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

    DEFF Research Database (Denmark)

    Kothari, Mohit; Bhandari, Neha

    2010-01-01

    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...

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

    OpenAIRE

    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 rev...

  2. CLINICAL COURSE OF HIV-ASSOCIATED TUBERCULOSIS IN THE PREGNANT WOMAN AND NEWBORN

    Directory of Open Access Journals (Sweden)

    A. V. Nesterenko

    2016-01-01

    Full Text Available The article describes the clinical case of TB/HIV coinfection in the pregnant woman and newborn. The discussion of the management tactics included main issues on which treatment success depended on: the right choice of chemotherapy regimen, correct decision on the time of delivery due to life-threatening conditions of the mother, timely diagnostics of tuberculosis in the newborn. It is necessary to develop cross-disciplinary guidelines by professional medical communities on the management of pregnant women with TB/HIV coinfection which will allow enhancing the quality of medical care to pregnant women and newborns at all stages of follow-up.

  3. 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...... 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....

  4. Case Report: Multiple Sclerosis in a Pregnant Afro-Caribbean Woman

    African Journals Online (AJOL)

    Case Report: Multiple Sclerosis in a Pregnant Afro-Caribbean Woman. Abiola I Balogun. Abstract. No Abstract Available Archives of Ibadan Medicine Vol.1(1) 2000: 21-22. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/aim.v1i1.34534.

  5. A Pregnant Woman with Spina Bifida: Need for a Multidisciplinary Labor Plan

    Directory of Open Access Journals (Sweden)

    Mary Angela O’Neal

    2017-10-01

    Full Text Available Women with spina bifida present both obstetrical and anesthesia challenges. They are more likely to require a caesarian delivery and traditionally neuraxial anesthesia has been avoided due to concerns of worsening neurologic disability. The case of a pregnant woman with a history of a surgically corrected lipomeningocele and tethered cord is presented to illustrate the need for a comprehensive labor plan.

  6. A Giant Hydronephrosis Mistakenly Diagnosed as Ovarian Tumor in a Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Rajendra B. Nerli

    2016-01-01

    Full Text Available We report a case of giant hydronephrosis that was wrongly diagnosed as an ovarian cyst and explored in a pregnant woman. Giant hydronephrosis are uncommon and need to be kept in mind as a differential diagnosis while making a clinical diagnosis.

  7. 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.

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

    International Nuclear Information System (INIS)

    Vega-Carrillo, Hector Rene; Manzanares-Acuna, Eduardo; Hernandez-Davila, Victor Martin; Arcos-Pichardo, Areli; Barquero, Raquel; Iniguez, M. Pilar

    2006-01-01

    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

  9. An anatomically realistic whole-body pregnant-woman model and specific absorption rates for pregnant-woman exposure to electromagnetic plane waves from 10 MHz to 2 GHz

    International Nuclear Information System (INIS)

    Nagaoka, Tomoaki; Togashi, Toshihiro; Saito, Kazuyuki; Takahashi, Masaharu; Ito, Koichi; Watanabe, Soichi

    2007-01-01

    The numerical dosimetry of pregnant women is an important issue in electromagnetic-field safety. However, an anatomically realistic whole-body pregnant-woman model for electromagnetic dosimetry has not been developed. Therefore, we have developed a high-resolution whole-body model of pregnant women. A new fetus model including inherent tissues of pregnant women was constructed on the basis of abdominal magnetic resonance imaging data of a 26-week-pregnant woman. The whole-body pregnant-woman model was developed by combining the fetus model and a nonpregnant-woman model that was developed previously. The developed model consists of about 7 million cubical voxels of 2 mm size and is segmented into 56 tissues and organs. This pregnant-woman model is the first completely anatomically realistic voxel model that includes a realistic fetus model and enables a numerical simulation of electromagnetic dosimetry up to the gigahertz band. In this paper, we also present the basic specific absorption rate characteristics of the pregnant-woman model exposed to vertically and horizontally polarized electromagnetic waves from 10 MHz to 2 GHz

  10. SOCIODEMOGRAPHIC PROFILE AND HABITS OF LIFE OF PREGNANT WOMEN FOR CONDUCTING THE PHARMACOTHERAPEUTIC MONITORING OF A PREGNANT WOMAN

    Directory of Open Access Journals (Sweden)

    Rivelilson Mendes de Freitas

    2013-09-01

    Full Text Available The main activity of pharmaceutical care is to detect drug related problems (DRP. The gestation by their biological peculiarities, makes the woman and fetus at particular exposed to DRPs, among which stand out the ones associated with consumption of drugs. The aim of the study was the pharmacotherapeutic monitoring (PTM of a pregnant women hypertensive service users prenatal Institute of Perinatology Social as well as identify, record and solve DRPs. A study was conducted an exploratory quantitative approach, using the Dáder methodology. During the first phase, we interviewed 62 woman. At this phase was observed predominantly Perfil de gestantes e acompanhamento farmacoterapêutico of women in the age group 21-30 years and living with her husband and son that do not consume alcohol, do not smoke and do not perform physical activity. Of these, 99% used at least one drug, and the drugs most commonly used prescription vitamins, minerals and antianemics and medications used by self-medication, dipyrone. Already during the second phase of the study was the pharmacotherapeutic monitoring of a pregnant woman hypertensive selected between interviewed and identified four Negative Outcomes Associated of Drug (NOAD. After the process of pharmaceutical intervention, we obtained 100% efficiency, which demonstrates the need for pharmacist with the team of health service in prenatal care.

  11. Sociodemographic profile and habits of life of pregnant women for conducting the pharmacotherapeutic monitoring of a pregnant woman

    Directory of Open Access Journals (Sweden)

    Rivelilson Mendes de Freitas

    2014-01-01

    Full Text Available The main activity of pharmaceutical care is to detect drug related problems (DRP. The gestation by their biological peculiarities, makes the woman and fetus at particular exposed to DRPs, among which stand out the ones associated with consumption of drugs. The aim of the study was the pharmacotherapeutic monitoring (PTM of a pregnant women hypertensive service users prenatal Institute of Perinatology Social as well as identify, record and solve DRPs. A study was conducted an exploratory quantitative approach, using the Dáder methodology. During the first phase, we interviewed 62 woman. At this phase was observed predominantly of women in the age group 21-30 years and living with her husband and son that do not consume alcohol, do not smoke and do not perform physical activity. Of these, 99% used at least one drug, and the drugs most commonly used prescription vitamins, minerals and antianemics and medications used by self-medication, dipyrone. Already during the second phase of the study was the pharmacotherapeutic monitoring of a pregnant woman hypertensive selected between interviewed and identified four Negative Outcomes Associated of Drug (NOAD. After the process of pharmaceutical intervention, we obtained 100% efficiency, which demonstrates the need for pharmacist with the team of health service in prenatal care

  12. Approach to a Pregnant Woman with Anti D + Anti C Reactivity Pattern: A Diagnostic Conundrum.

    Science.gov (United States)

    Rai, Preeti; Sharma, Geetika; Singh, Deeksha; Garg, Jyoti

    2017-09-01

    The Rhesus G antigen is present on all RBCs that are C+ and also on most D+ RBCs. Due to this co-distribution of G with either C or D antigen, it mimics a reactivity pattern of anti C + anti D on Indirect Antiglobulin Test (IAT), though the role of Anti G in causing Hemolytic Disease of Newborn (HDN) is controversial. The differentiation of anti D, anti C, and anti G is essential particularly in pregnant females. We hereby report a rare case of anti G with anti D and anti C in a pregnant woman with emphasis on approach to identify anti D+C+G and its implications.

  13. 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.

  14. 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.

  15. A mathematical model of the nine-month pregnant woman for calculating specific absorbed fractions

    International Nuclear Information System (INIS)

    Watson, E.E.; Stabin, M.G.

    1987-01-01

    Existing models which allow calculation of internal doses from radionuclide intakes by both men and women are based on a mathematical model of Reference Man. No attempt has been made to allow for the changing geometric relationships that occur during pregnancy which would affect the doses to the mother's organs and to the fetus. As pregnancy progresses, many of the mother's abdominal organs are repositioned, and their shapes may be somewhat changed. Estimation of specific absorbed fractions requires that existing mathematical models be modified to accommodate these changes. Specific absorbed fractions for Reference Woman at three, six and nine months of pregnancy should be sufficient for estimating the doses to the pregnant woman and the fetus. This report describes a model for the pregnant woman at nine months. An enlarged uterus was incorporated into a model for Reference Woman. Several abdominal organs as well as the exterior of the trunk were modified to accommodate the new uterus. This model will allow calculation of specific absorbed fractions for the fetus from photon emitters in maternal organs. Specific absorbed fractions for the repositioned maternal organs from other organs can also be calculated. 14 refs.; 2 figs

  16. A mathematical model of the nine-month pregnant woman for calculating specific absorbed fractions

    International Nuclear Information System (INIS)

    Watson, E.E.; Stabin, M.G.

    1986-01-01

    Existing models that allow calculation of internal doses from radionuclide intakes by both men and women are based on a mathematical model of Reference Man. No attempt has been made to allow for the changing geometric relationships that occur during pregnancy which would affect the doses to the mother's organs and to the fetus. As pregnancy progresses, many of the mother's abdominal organs are repositioned, and their shapes may be somewhat changed. Estimation of specific absorbed fractions requires that existing mathematical models be modified to accommodate these changes. Specific absorbed fractions for Reference Woman at three, six, and nine months of pregnancy should be sufficient for estimating the doses to the pregnant woman and the fetus. This report describes a model for the pregnant woman at nine months. An enlarged uterus was incorporated into a model for Reference Woman. Several abdominal organs as well as the exterior of the trunk were modified to accommodate the new uterus. This model will allow calculation of specific absorbed fractions for the fetus from photon emitters in maternal organs. Specific absorbed fractions for the repositioned maternal organs from other organs can also be calculated. 14 refs., 2 figs

  17. Mathematical models of the pregnant woman at the end of the first trimester

    International Nuclear Information System (INIS)

    Watson, E.E.; Stabin, M.G.; Eckerman, K.F.; Cristy, M.; Ryman, J.C.; Davis, J.F.

    1989-01-01

    Most calculations of absorbed doses from radionuclides in the body are based on a mathematical model of Reference Man with no consideration of persons of different sizes nor of the different geometric relationships of organs as in women and children. This is inappropriate for the pregnant woman, particularly as the pregnancy progresses. Many of the mother's abdominal organs are repositioned and their shapes changed. Existing mathematical models need to be modified to reflect these changes and improve the accuracy of absorbed dose estimates. Models of the pregnant woman at the end of the first and third trimester have been developed. These models are modifications of the adult female model that is part of the Oak Ridge National Laboratory phantom series. The models for both the three- and nine-month models were patterned after anatomic information appearing in obstetric texts and reports. The three-month model incorporated changes in the size and shape of the uterus as well as in the urinary bladder, the small intestine, and portions of the large intestine. The changes in the Reference Woman model to approximate the nine-month model are much more extensive. Many organs including the uterus plus contents, stomach, small intestine, upper and lower large intestine, pelvis, urinary bladder, and liver were remodeled. The outside of the trunk also had to be enlarged to accommodate the uterus. Volumes for the mother's organs were maintained at the values proposed for the Reference Woman phantom. The uterine contents at nine-months were divided into fetal soft tissues, fetal skeleton, and other tissues within the uterus so that estimates of specific absorbed fractions can be calculated for various sections of the fetus as well as for the total fetus

  18. 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.

  19. Magnetic Resonance Imaging of the Lung as an Alternative for a Pregnant Woman with Pulmonary Tuberculosis.

    Science.gov (United States)

    Schloß, Manuel; Heckrodt, Jan; Schneider, Christian; Discher, Thomas; Krombach, Gabriele Anja

    2015-05-01

    We report a case of a pregnant 21-year-old woman with pulmonary tuberculosis in which magnetic resonance imaging of the lung was used to assess the extent and characteristics of the pathological changes. Although the lung has been mostly ignored in magnetic resonance imaging for many decades, today technical development enables detailed examinations of the lung. The technique is now entering the clinical arena and its indications are increasing. Magnetic resonance imaging of the lung is not only an alternative method without radiation exposure, it can provide additional information in pulmonary imaging compared to other modalities including computed tomography. We describe a successful application of magnetic resonance imaging of the lung and the imaging appearance of post-primary tuberculosis. This case report indicates that magnetic resonance imaging of the lung can potentially be the first choice imaging technique in pregnant women with suspected pulmonary tuberculosis.

  20. Thyroid dose of I-131 absorbed by the internal organs of a pregnant woman

    International Nuclear Information System (INIS)

    Arcos P, A.; Manzanares A, E.; Vega C, H.R.; Leon, C.L. de

    2007-01-01

    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)

  1. Persistent fever during treatment of a pregnant woman with acute pyelonephritis

    Directory of Open Access Journals (Sweden)

    Hasan Tahsin Gozdas

    2017-01-01

    Full Text Available Acute pyelonephritis is a serious infection in pregnancy. It is presented with fever, shaking chills and flank pain. Intravenous hydration and antimicrobial therapy are sufficient in the treatment unless pyelonephritis is complicated. In case of fever persisting for more than 48 h despite appropriate antimicrobial treatment, a possible complication such as urinary tract obstruction, abscess or phlegmon should be considered. Here, we present an 18-year-old pregnant woman with acute pyelonephritis whose persistent fever returned to normal after double-J ureteral stent was placed even if she had no finding of such a complication.

  2. 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.

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

    International Nuclear Information System (INIS)

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

    2015-01-01

    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. (paper)

  4. Evidence-based nursing care management for the pregnant woman with an ostomy.

    Science.gov (United States)

    Sredl, Darlene; Aukamp, Virginia

    2006-01-01

    Pregnancy presents many problems without working through additional problems in coping with an ostomy. Yet many women with an ostomy do get pregnant and do deliver healthy babies. Evidence-based nursing is of the utmost importance, as there is little published information on this topic. Because of the scarcity of pregnant subjects within the ostomy category, most studies, by necessity, select a purposive subject base. Therefore, other information sources regarding nursing management of the pregnant woman with an ostomy take on considerably more importance. This article explores other forms of evidence that can be used in managing the care of pregnant ostomy patients and specifically how nurses can integrate various sources of information in designing an evidence-based nursing care plan. Nonpharmacologic forms of relaxation therapy, easily used by nurses, such as mindfulness-based stress reduction, guided imagery, and hypnosis, are also identified as some ways nurses can relieve anxiety and experiential stress associated with pregnancy in women who have an ostomy.

  5. Fetal dose reduction in head and neck radiotherapy of a pregnant woman

    International Nuclear Information System (INIS)

    Moeckli, R.; Pache, G.; Valley, J.F.; Ozsahin, M.; Mirimanoff, R.O.; Azria, D.

    2004-01-01

    Background and purpose: a pregnant woman was referred for post-operative radiotherapy of a malignant schwannoma in the head and neck region. A best-treatment plan was devised in order to minimize the fetal dose. Material and methods: the fetal dose resulting from radiological examinations was determined according to international protocols, that resulting from radiotherapy was calculated according to recommendation 36 of the American Association of Physicists in Medicine (AAPM) Task Group. Pre-treatment dosimetry was performed with an anthropomorphic phantom. Several alternative treatment plans were evaluated. The use of a multileaf collimator (MLC) and a virtual wedge (VW) was compared to cerrobend blocks (CB) and physical wedge (PW). In-vivo dosimetry was performed using a vaginal probe containing thermoluminescent dosimeters (TLD). Results: the total fetal dose resulting from diagnostic and radiotherapy procedures was estimated to be 36 mGy. The technique based on MLC and VW was elected for patient treatment. Measurements for this configuration resulted in a fetal dose reduction of 82%. The shielding of the patient's abdomen further reduced the fetal dose by 42%. Conclusion: the use of VW and MLC for the treatment of a pregnant woman is highly recommended. Each case should be individually studied with pre-treatment and in-vivo dosimetry. (orig.)

  6. First report of human parechovirus type 3 infection in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Makiko Shinomoto

    2017-06-01

    Full Text Available Human parechovirus type 3 (HPeV3 can cause serious conditions in neonates, such as sepsis and encephalitis, but data for adults are lacking. The case of a pregnant woman with HPeV3 infection is reported herein. A 28-year-old woman at 36 weeks of pregnancy was admitted because of myalgia and muscle weakness. Her grip strength was 6.0 kg for her right hand and 2.5 kg for her left hand. The patient’s symptoms, probably due to fasciitis and not myositis, improved gradually with conservative treatment, however labor pains with genital bleeding developed unexpectedly 3 days after admission. An obstetric consultation was obtained and a cesarean section was performed, with no complications. A real-time PCR assay for the detection of viral genomic ribonucleic acid against HPeV showed positive results for pharyngeal swabs, feces, and blood, and negative results for the placenta, umbilical cord, umbilical cord blood, amniotic fluid, and breast milk. The HPeV3 was genotyped by sequencing of the VP1 region. The woman made a full recovery and was discharged with her infant in a stable condition.

  7. 'Every pregnant woman needs a midwife'--the experiences of HIV affected women in maternity care.

    Science.gov (United States)

    Kelly, Carmel; Alderdice, Fiona; Lohan, Maria; Spence, Dale

    2013-02-01

    'Every pregnant woman needs a midwife'-the experiences of HIV affected women in Northern Ireland. to explore HIV positive women's experiences of pregnancy and maternity care, with a focus on their interactions with midwives. a prospective qualitative study. regional HIV unit in Northern Ireland. 22 interviews were conducted with 10 women at different stages of their reproductive trajectories. the pervasive presence of HIV related stigma threatened the women's experience of pregnancy and care. The key staff attributes that facilitated a positive experience were knowledge and experience, empathy and understanding of their unique needs and continuity of care. pregnancy in the context of HIV, whilst offering a much needed sense of normality, also increases woman's sense of anxiety and vulnerability and therefore the need for supportive interventions that affirm normality is intensified. A maternity team approach, with a focus on providing 'balanced care' could meet all of the woman and child's medical needs, whilst also emphasising the normalcy of pregnancy. Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.

  8. 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.)

  9. 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.

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

    International Nuclear Information System (INIS)

    Bibin, Lazar; Anquez, Jeremie; Angelini, Elsa; Bloch, Isabelle

    2010-01-01

    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.)

  11. 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.

  12. Current densities in a pregnant woman model induced by simultaneous ELF electric and magnetic field exposure

    International Nuclear Information System (INIS)

    Cech, R; Leitgeb, N; Pediaditis, M

    2008-01-01

    The pregnant woman model SILVY was studied to ascertain to what extent the electric current densities induced by 50 Hz homogeneous electric and magnetic fields increase in the case of simultaneous exposure. By vectorial addition of the electric current densities, it could be shown that under worst case conditions the basic restrictions recommended by ICNIRP (International Commission on Non-Ionizing Radiation Protection) guidelines are exceeded within the central nervous system (CNS) of the mother, whereas in sole field exposure they are not. However, within the foetus the induced current densities do not comply with basic restrictions, either from single reference-level electric fields or from simultaneous exposure to electric and magnetic fields. Basic limits were considerably exceeded

  13. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  15. 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.

  16. Primary Ewing's Sarcoma/Primitive Neuroectodermal Tumor of Kidney with Caval Involvement in a Pregnant Woman.

    Science.gov (United States)

    Ding, Yinghui; Huang, Zhenlin; Ding, Yafei; Jia, Zhankui; Gu, Chaohui; Xue, Rui; Yang, Jinjian

    2016-01-01

    In this article, we report the case of a woman in whom was found an abdominal mass during pregnancy and who underwent nephrectomy and extraction of the emboli after delivery. The kidney had a volume of 15 × 10 × 8 cm and pathological diagnosis was primary Ewing's sarcoma. The patient was treated with conventional chemotherapy for 1 year after surgery, at which time multiple metastases were found. From this case, we surmise that hormonal changes that occur during pregnancy may accelerate the growth of Ewing's sarcoma of the kidney, suggesting that renal tumors in pregnant women demand serious attention and that anti-cancer treatment should begin as soon as possible. © 2016 S. Karger AG, Basel.

  17. Follow-up of pregnant woman 16 years after exposure in Xinzhou radiation accident

    International Nuclear Information System (INIS)

    Zhang Zhaohui; Zhang Shulan; Jia Tingzhen; Liu Qingjie; Liang Li; Su Xu; Ma Liwen; Qin Bin; Chen Sen; Wang Wenxue

    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 60 Co 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 quantitiy 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

  18. Concurrent pyogenic granuloma and bullous impetigo of a pregnant woman's finger.

    Science.gov (United States)

    Qin, Rosie; Cohen, Philip R

    2017-03-15

    Bullous impetigo is a superficial skininfection caused by Staphylococcus aureus (S.aureus). Pyogenic granuloma is a common benigntumor frequently associated with prior trauma.Bullous impetigo and pyogenic granuloma may occurin pregnant women. The features of a pregnant womanwith pyogenic granuloma and bullous impetigoconcurrently present in a lesion on her finger aredescribed. PubMed was used to search the followingterms: bullous impetigo, pregnancy, and pyogenicgranuloma. All papers were reviewed; relevantarticles, along with their references, were evaluatedResults: A red ulcerated nodule with a collaretteof epithelium around the tumor and surroundingbullae appeared on the fifth digit of the left hand of a31-year-old woman who was at 36 weeks gestation. Abacterial culture grew methicillin sensitive S. aureus.An excisional biopsy was performed. Histologicfindings revealed not only a benign vascular tumorwith an infiltrate of mixed inflammatory cells, butalso an intraepidermal blister. She received oralantibiotics and there was complete resolution of thefinger lesion and infection with preservation of digitfunction. Albeit uncommon, pyogenic granulomaand bullous impetigo may concurrently occur in thesame lesion. Therapeutic intervention should focuson treating both the benign skin tumor and theinfection.

  19. 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.

  20. The case of the pregnant woman from the medieval site of “Preko Slatine” in Omoljica

    Directory of Open Access Journals (Sweden)

    Đukić Ksenija

    2017-01-01

    Full Text Available The paper presents the case of the pregnant woman discovered at the medieval necropolis of “Preko Slatine” in Omoljica, a village near Pančevo. The necropolis is dated to the period of the 12th-13th century AD. It deals with a woman aged 25-30 (probably around 28 years old in the advanced stages of pregnancy, discovered in grave No. 13. This paper presents the possible conditions that led to the death of this woman, but also the problems faced by anthropologists when they attempt to resolve individual cases like this. In paleodemographic research, the mortality rate of pregnant woman is an important element of a population’s progress. Pregnant woman mortality is considered an adequate criterion for the social and sanitation conditions of a community and a sensitive indicator of health care and, sometimes, the skill level possessed by midwives or doctors. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. III 45005: Functional, functionalized and advanced nano materials, Grant no. 177007: Romanization, urbanization and transformation of urban centers of civil, military and residential character in Roman provinces on the territory of Serbia and Grant no. 177021: Urbanization processes and development of medieval society

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

    Science.gov (United States)

    ... getting pregnant? Share Facebook Twitter Pinterest Email Print Can you promote a healthy pregnancy before getting pregnant? ... getting pregnant, following a health care provider's advice can reduce the risk of problems during pregnancy and ...

  2. Presentation and Management of Pyogenic Liver Abscess in a 23-Week Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Beril Yüksel

    2013-01-01

    Full Text Available Pyogenic liver abscess during pregnancy is an extremely rare condition. We report a case of 33-year-old, 23-week pregnant woman with pyogenic liver abscess. She was still in the hospital for medical observation of fever, when a sudden episode of tachycardia with a pulse of 210 beats per minute and tachypnea with a respiratory rate of 30 breaths per minute was encountered. At that moment, her fever was 39.6°C (103.28 Fahrenheit. The abdominal ultrasound stated a calcific echogenic mass with a measure of 6 cm in the liver region. Given the sonographic characteristics noted, a liver abscess was suspected. Our case was successfully treated with an ultrasound guided percutaneous aspiration of the abscess and a wide spectrum antibiotic. At 38 weeks of gestation, an elective cesarean delivery was performed. The female neonate weighed 3200 g with APGAR scores of 9 and 9 at the first and fifth minutes, respectively.

  3. 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.

  4. 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.

  5. SEXUALITY EXPERIENCE IN PREGNANT WOMAN AT PONDOK AREN TANGERANG HEALTH CENTER

    OpenAIRE

    Vike Dwi Hapsari; Sari Sudarmiati

    2017-01-01

    Introduction: Pregnancy is an important event in women life. Various physical and psychological changes may affect pregnant women, particularly on sexuality. Along with the growing size of uterus in pregnant women, it can lead to discomfort and diffi culty for sexual intercourse. The aimed of this tudy was to understand sexuality experience among pregnant women. Method: This was qualitative research with phenomenological approach. Five participants involved in this study using purposive sampl...

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

    International Nuclear Information System (INIS)

    Shi Chengyu

    2004-01-01

    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 from above liver to below pubic symphysis in 70 slices, each 7 mm thick. The image resolution was 512x512 pixels in a 48 cmx48 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 are 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 (<50 keV) photons showed differences of up to several hundred percent for some source and target organs. For electron results, several tens of percent differences were found. Those differences can be explained by mass differences and the relative geometry differences between source and target organs. In summary, the stylized models for pregnant 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

  7. 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.

  8. 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.

  9. The Cause of Unexpected Acute Abdomen and Intra-Abdominal Hemorrhage in 24-Week Pregnant Woman: Bochdalek Hernia

    Directory of Open Access Journals (Sweden)

    Yavuz Savas Koca

    2016-01-01

    Full Text Available Bochdalek hernia (BH is the most common type of congenital diaphragm hernia and is rarely seen in adults. In adult patients, BH often remains asymptomatic or presents with nondiagnostic symptoms and may lead to complications, though rarely. The necrosis and perforations occurring in the hernia may lead to mortality. In this report, we present a 34-year-old pregnant woman at 24 gestational weeks who presented with Bochdalek hernia causing gastric volvulus associated with perforation and intra-abdominal hemorrhage associated with splenic rupture.

  10. A ruptured uterus in a pregnant woman not in labor | Punguyire ...

    African Journals Online (AJOL)

    This rare case of survival after the rupture of an unscarred uterus in a grand multiparous woman from a remote village in Ghana illustrates how systemic transportation issues and limited access to advanced medical care put women with obstetric complications at risk. The usual clinical presentation of ruptured uteri and ...

  11. 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 weeks...

  12. Adverse fetal outcome in road accidents: Injury mechanism study and injury criteria development in a pregnant woman finite element model.

    Science.gov (United States)

    Auriault, F; Thollon, L; Pérès, J; Behr, M

    2016-12-01

    This study documents the development of adverse fetal outcome predictors dedicated to the analysis of road accidents involving pregnant women. To do so, a pre-existing whole body finite element model representative of a 50th percentile 26 weeks pregnant woman was used. A total of 8 accident scenarios were simulated with the model positioned on a sled. Each of these scenarios was associated to a risk of adverse fetal outcome based on results from real car crash investigations involving pregnant women from the literature. The use of airbags and accidents involving unbelted occupants were not considered in this study. Several adverse fetal outcome potential predictors were then evaluated with regard to their correlation to this risk of fetal injuries. Three predictors appeared strongly correlated to the risk of adverse fetal outcome: (1) the intra uterine pressure at the placenta fetal side area (r=0.92), (2) the fetal head acceleration (HIC) (r=0.99) and (3) area of utero-placental interface over a strain threshold (r=0.90). Finally, sensitivity analysis against slight variations of the simulation parameters was performed and assess robustness of these criteria. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Approach to a Pregnant Woman with Anti D + Anti C Reactivity Pattern: A Diagnostic Conundrum

    OpenAIRE

    Rai, Preeti; Sharma, Geetika; Singh, Deeksha; Garg, Jyoti

    2017-01-01

    The Rhesus G antigen is present on all RBCs that are C+ and also on most D+ RBCs. Due to this co-distribution of G with either C or D antigen, it mimics a reactivity pattern of anti C + anti D on Indirect Antiglobulin Test (IAT), though the role of Anti G in causing Hemolytic Disease of Newborn (HDN) is controversial. The differentiation of anti D, anti C, and anti G is essential particularly in pregnant females. We hereby report a rare case of anti G with anti D and anti C in a pregnant woma...

  14. 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.

  15. Saved from a fatal flight: A ruptured splenic artery aneurysm in a pregnant woman

    Directory of Open Access Journals (Sweden)

    Anke C. Heitkamp

    2015-01-01

    Conclusion: In case of pregnant women with acute abdomen and hypovolemia, emergency physicians, surgeons, anesthesiologists, and gynecologists should be aware of the possibility of a ruptured SAA, apart from more common causes like placental abruption, placenta percreta, or uterine rupture. Early recognition and prompt multidisciplinary treatment might save the life of mother and child.

  16. [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.

  17. [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.

  18. 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)

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

    International Nuclear Information System (INIS)

    Cabral, Manuela O.M.; Vieira, Jose W.; Lima, Fernando R.A.

    2014-01-01

    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)

  20. Sunburn as a Cause of Unexpected Neutrophilia in a Healthy Pregnant Woman

    OpenAIRE

    Harper, Robert

    2018-01-01

    Background. Neutrophilia has a broad differential diagnosis and represents a systemic response to an infection or other inflammatory pathologies. Case. A 31-year-old woman, Gravida 3, Para 2 at 28 weeks of gestation, presented to the day assessment unit following routine blood tests that showed an unexpected marked neutrophilia. The underlying cause of the neutrophilia was sunburn. The sunburn recovered and her neutrophil count spontaneously normalised. Conclusion. Clinicians can add sunburn ...

  1. Sunburn as a Cause of Unexpected Neutrophilia in a Healthy Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Robert Harper

    2018-01-01

    Full Text Available Background. Neutrophilia has a broad differential diagnosis and represents a systemic response to an infection or other inflammatory pathologies. Case. A 31-year-old woman, Gravida 3, Para 2 at 28 weeks of gestation, presented to the day assessment unit following routine blood tests that showed an unexpected marked neutrophilia. The underlying cause of the neutrophilia was sunburn. The sunburn recovered and her neutrophil count spontaneously normalised. Conclusion. Clinicians can add sunburn to the broad differential diagnosis of neutrophilia.

  2. Determination of mercury and methylmercury in Vietnamese pregnant woman head hair

    International Nuclear Information System (INIS)

    Nguyen Tac Anh; Ho Manh Dung; Le Tat Mua; Vu Tien Ha

    1992-01-01

    As a participant to the Coordinated Research Program (CRP) on the Assessment of Environmental Exposure to Mercury in Selected Human Populations as Studied by Nuclear and Other Techniques since 1 July 1992, the Vietnamese started to carry out work on project ''Determination of Mercury and Methylmercury in Vietnamese Pregnant Women Head Hair''. This study is aimed at making a concrete survey of hair mercury levels in groups of women as monitored continuously from early pregnancy to post-natal period. The obtained data could be of great usefulness for further investigation on potential health risks in pregnant women and their babies as related to degree of mercury pollution in the environment. 2 figs, 7 tabs

  3. 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. © The Author(s) 2015.

  4. Bed rest from the perspective of the high-risk pregnant woman.

    Science.gov (United States)

    Gupton, A; Heaman, M; Ashcroft, T

    1997-01-01

    To describe the experience of prolonged bed rest from the perspective of women during high-risk pregnancies. A focused ethnographic study that used interviews, participant diaries, and field notes as data sources. Participants were obtained from an acute-care hospital antepartum unit and an antepartum home care program. Twenty-four women with complications of pregnancy requiring prolonged bed rest (range, 7-50 days). A model of the stress process in pregnant women on bed rest emerged from the data analysis. Stressors were grouped into situational (sick role, lack of control, uncertainty, concerns regarding fetus's well-being, and being tired of waiting), environmental (feeling like a prisoner, being bored, and having a sense of missing out), and family (role reversal and worry about older children) categories. Two main mediators of stress were social support and coping. Families, friends, and professionals were perceived as sources of support. Women used coping strategies, such as keeping a positive attitude, taking it 1 day at a time, doing it for the baby, getting used to it, setting goals, and keeping busy. Manifestations of stress were evidenced by adverse physical symptoms, emotional reactions, and altered social relationships. Prolonged bed rest is a stressful experience for pregnant women at high risk. Understanding the stress process in pregnant women confined to bed rest may assist nurses in developing interventions to reduce stressors and enhance mediators.

  5. [Anomalous pulmonary venous return in a pregnant woman identified by cardiac magnetic resonance].

    Science.gov (United States)

    Souto, Fernanda Maria; Andrade, Stephanie Macedo; Barreto, Ana Terra Fonseca; Souto, Maria Júlia Silveira; Russo, Maria Amélia; de Mendonça, José Teles; Oliveira, Joselina Luzia Menezes; Gonçalves, Luiz Flávio Galvão

    2014-06-01

    Anomalous pulmonary venous return (APVR) is a rare cardiac anomaly defined as one or more pulmonary veins draining into a structure other than the left atrium, with venous return directly or indirectly to the right atrium. The most common form is partial APVR, in which one to three pulmonary veins drain into systemic veins or into the right atrium. We report the case of a woman diagnosed with partial APVR by magnetic resonance imaging during pregnancy. Copyright © 2013 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

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

    International Nuclear Information System (INIS)

    Leggett, D.A.C.; Anderson, R.J.; Hill, P.T.

    1999-01-01

    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

  7. Pulmonary Arteriovenous Malformation (AVM Causing Tension Hemothorax in a Pregnant Woman Requiring Emergent Cesarean Delivery

    Directory of Open Access Journals (Sweden)

    Nidhi Sood

    2011-01-01

    Full Text Available Pulmonary arteriovenous malformations (PAVMs, although most commonly congenital, are usually detected later in life. We present a case of a 25-year-old woman with no previous history of AVM or telangiectasia, who presented with life-threatening hypoxia, hypotension, and pleuritic chest pain in 36th week of gestation. Chest tube placement revealed 4 liters of blood. Patient was subsequently found to have bleeding pulmonary AVM as the source of hemothorax. Successful embolisation of the bleeding vessel followed by thoracoscopic evacuation of the organized clot relieved the hypoxia. Further screening for AVM revealed large splenic AVM for which patient underwent splenectomy in the coming months.

  8. Irradiation of pregnant woman. Necessity of a prolonged follow up. Report of 3 cases

    International Nuclear Information System (INIS)

    Lagrange, J.L.; Costa, A.; Chauvel, P.; Hery, M.; Lalanne, C.M.; Mariani, R.

    1986-01-01

    Therapeutic irradiation for cancer in pregnant women is exceptional. We report three cases of children irradiated in such circumstances. During the pregnancy, the fetuses received 50, 40 and 17 cGy. Two children are normal several years later, while one has growth impairment. In vivo dosimetry and dosimetry with a phantom must be performed before such irradiation to determine fetal irradiation and to evaluate the risks. As effects may not show up until a certain time has elapsed, prolonged follow-up is necessary. The rarity of these cases justifies creation of a registry [fr

  9. Domestic violence in pregnancy: prevalence and characteristics of the pregnant woman.

    Science.gov (United States)

    Almeida, Fátima Susana Jesus; Coutinho, Emília Carvalho; Duarte, João Carvalho; Chaves, Cláudia Margarida Balula; Nelas, Paula Alexandra Batista; Amaral, Odete Pereira; Parreira, Vitória Castro

    2017-08-01

    To determine the prevalence of domestic violence (physical, psychological or sexual) during pregnancy and to characterise these women. Pregnant women are not immune to domestic violence and therefore may be subject to any form of physical, psychological or sexual violence by partners. Health professionals' knowledge and awareness are important in the identification and intervention of pregnant women who experience domestic violence. Quantitative, descriptive, correlational study, using a nonprobabilistic convenience sample consisting of a total of 852 postpartum women, of whom 370 were experiencing domestic violence according to the criteria adopted through the modified scale of prevalence, applied between February-June 2012 in two Portuguese public health institutions. Authorisation was given by the Ethics Committees/Administration Councils of both institutions involved and the National Committee of Data Protection. The prevalence of DV during pregnancy was 43·4% (physical violence - 21·9%; psychological violence - 43·2%; and sexual violence - 19·6%). These women had the following profile: immigrant (OR = 5·70; IC95% 3·32-9·78), non-Caucasian (OR = 6·27; IC95% 3·76-10·46), single/divorced/widowed (OR = 2·28; IC95% 1·70-3·05), academic qualifications up to year 9 (OR = 4·94; IC95% 3·31-7·37); between 10-12 years of schooling (OR = 2·36; IC95% 1·70-3·29); unemployed (OR = 2·01; IC95% 1·50-2·69); and with a monthly income domestic violence. This is associated with certain sociodemographic factors identified in the study. Psychological violence was the most prevalent during pregnancy. Knowledge of the prevalence and characteristics of pregnant women who experience domestic violence is of paramount importance in planning appropriate strategies for their needs during pregnancy. Results indicate the need for nurses to intervene when warning signs of domestic violence against pregnant women are detected. © 2017 John Wiley & Sons Ltd.

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

    Directory of Open Access Journals (Sweden)

    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. 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.

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

    Science.gov (United States)

    Yousuf, Rabeya; Mustafa, Ahmad Nasirudin; Ho, Siew-Ling; Tang, Yee-Loong; Leong, Chooi-Fun

    2017-01-01

    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.

  13. [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.

  14. Follow-up study of a pregnant woman 16 years after exposure in the Xinzhou radiation accident

    International Nuclear Information System (INIS)

    Zhang Zhaohui; Liang Li; Zhang Shu-lan; Jia Tingzhen; Liu Qingjie; Ma Liwen; Su Xu; Liu Ying; Chen Sen; Qing Bin; Cao Baoshan; Xiao Yu; Ying Wenchen; Zhang Yu; Wang Wenxue; Wang Zuoyuan

    2011-01-01

    To investigate the late effects of radiation on child-bearing women, a follow-up study was performed on a 39-year-old survivor 16 years after a 60 Co radiation accident. The woman, Fang, was 19 weeks pregnant at the time of exposure. Physical examinations, a full range of clinical laboratory and imaging tests, as well as cytogenetic analyses were conducted to evaluate Fang's current health conditions. Fang shows the appearance of premature ageing and has a decreased menstrual period. Laboratory studies and imaging tests suggest nodular goitre disease and osteoporosis. Otherwise, no apparent abnormalities were found in the major organs. No malignant tumours were detected by either tumour markers or imaging tests. However, the existence of chromosome aberrations warrants long-term follow-up for tumour incidence in the future. Fang became pregnant 8 years after the accident, but suffered a miscarriage due to the death of the foetus at 6 months into the pregnancy. In conclusion, our findings suggest that the intrauterine death of the foetus might be associated with the previous exposure. There is no evidence of malignant tumours as of the date of the follow-up study. Non-cancerous diseases, i.e. thyroid disease and osteoporosis, which may be related to radiation exposure, are the major manifestations of the long-term effects of the accident. (note)

  15. 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. Copyright © 2013 Wiley Periodicals, Inc.

  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. 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.

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

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    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.

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

    Science.gov (United States)

    Maia, Carolina Bastos; Nomura, Roseli Mieko Yamamoto; Igai, Ana Maria Kondo; Fonseca, Guilherme Hencklain; Gualandro, Sandra Menosi; Zugaib, Marcelo

    2013-01-01

    Homozygous (SS) sickle-cell anemia complicated by acute splenic sequestration in adults is a rare event, and it has never been reported during pregnancy. 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. 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

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    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.

  2. A case of pulmonary carcinoid tumour in a pregnant woman successfully treated with bronchoscopic (electrocautery) therapy

    Science.gov (United States)

    Binesh, Fariba; Samet, Mohammad; Bovanlu, Taghi Roshan

    2013-01-01

    We present an uncommon case of a carcinoid tumour of the bronchus that was diagnosed during pregnancy in a 28-year-old woman. The patient was admitted at the emergency department with massive haemoptysis. Owing to the patient's critical condition, she underwent urgent flexible bronchoscopy. Bleeding was controlled by local injection of 500 mg tranexamic acid and electrocautery. After the bleeding has stopped, multiple specimens were taken. Histological examination confirmed typical carcinoid tumour. Owing to repeated haemoptysis, she was treated with bronchoscopic (electrocautery) therapy, and, after delivery, she underwent pulmonary lobectomy. Only a few similar cases were found in the literature reporting bronchopulmonary carcinoid tumour during pregnancy and we could not find any similar case which was treated by electrocautery. PMID:23608865

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

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    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. Haemophilus influenzae type B genital infection and septicemia in pregnant woman: a case report

    Directory of Open Access Journals (Sweden)

    Hosuru Subramanya Supram

    2014-06-01

    Full Text Available Haemophilus influenzae (H. influenzae type B a non-motile, aerobic, gram negative cocobacillus is a commensal of upper respiratory tract. Genitourinary infection due to H. influenzae has been reported but bacteremia associated with such infection appears to be rare. We report a case of 19 years young primigravida with complaints of amenorrhea of 32 weeks and 5 days, pyrexia, abdominal pain and blood stained discharge per vaginum. H. influenzae type B was recovered from the genital tract as well as blood of the mother indicating maternal septicemia. Septicemia caused by H. influenzae type B in pregnant women following vaginal colonization and infection is rare. It has been reported in many parts of world over the years; to the best of our knowledge this is the first reported case from Nepal. H. influenzae should be considered as a potential maternal, fetal, and neonatal pathogen.

  5. 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.

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

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    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.

  8. Prenatal Effects of Zika Virus and Management of the Pregnant Woman.

    Science.gov (United States)

    Eloundou, Solange N; Sheffield, Jeanne S

    2016-09-01

    The identification of Zika virus as a significant teratogen has raised international concern, causing the World Health Organization to declare a Public Health Emergency of International Concern. This has allowed a global mobilization of experts in tropical infectious diseases, obstetrics, pediatrics, virology, public health policy, reproductive health, bioethics, and germ cell research to name just a few. This worldwide crisis has also raised awareness of health care disparities and concerns regarding the ability of families and societies to shoulder the long-term financial burden that the follow-up of affected children will require. There is now strong biologic evidence of causality between Zika virus and microcephaly and other neurologic abnormalities identified. Multiple national and international organizations have collaborated to develop guidelines for the management of pregnant women who reside in or who are exposed to Zika virus, whether from travel to affected areas or via sexual contact with an infected individual. These guidelines are updated frequently as data are made available. Testing algorithms are available and though testing is fraught with interpretation issues, the development of better diagnostic tests is ongoing. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  9. [Behaviour and attitudes towards the sexuality of the pregnant woman during the last trimester. Phenomenological study].

    Science.gov (United States)

    Panea Pizarro, Isabel; Domínguez Martin, Ana Teresa; Barragán Prieto, Vanessa; Martos Sánchez, Almudena; López Espuela, Fidel

    2018-04-13

    To explore the life experiences on sexual relationships in the third trimester of pregnancy in primiparous women. Phenomenological qualitative study, SITE: Cáceres (Extremadura). Primiparous women in the third trimester of their pregnancy. We use theoretical sampling, was conducted on pregnant primiparous. The study included 15 participants. The data was collected using in-depth interviews, that were voiced recorded and later transcribed. The analysis was made using Giorgi's proposal. The results show three main points. Fear of doing damage, mediated by the obstetric history and the desire to have the long-awaited child. Exploring new routes: forms of sexual expression are modified by the physical changes, the fears, and the mobility. Highlighting the importance of other displays of affection and love (kisses and caresses). The Sex Taboo: lack of information against sexuality during pregnancy is still common. Women in the third trimester of their pregnancy put aside their sexual appetite and that of their partners, and concentrate in the wellbeing of their new born baby. It highlights the role of the mother before the couple. The more desired and difficult the pregnancy has been, the more the sexual life is reduced. The Health Professionals must advise and inform the couples with an open-minded attitude. Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Subchondral Insufficiency Fracture of the Femoral Head in a Pregnant Woman with Pre-existing Anorexia Nervosa.

    Science.gov (United States)

    Kasahara, Kyoko; Mimura, Tomohiro; Moritani, Suzuko; Kawasaki, Taku; Imai, Shinji; Tsuji, Shunichiro; Kimura, Fuminori; Murakami, Takashi

    2018-05-01

    Subchondral insufficiency fracture (SIF) is a fragility fracture secondary to osteoporosis that leads to collapse of the femoral head with no evidence of osteonecrosis. SIF of the femoral head has been reported in adults of varying ages and both sexes, but it has never been reported to occur in pregnant women. Herein, we describe a 40-year-old primiparous patient with pre-existing anorexia nervosa who developed SIF of the femoral head in the third trimester. At 29 weeks of gestation, the patient complained of sudden pain on walking in both hips. Despite the bed rest, her hip pain increased; consequently, cesarean section was performed at 36 weeks. After delivery, plain radiographs showed that the left femoral head was collapsed. Dual-energy X-ray absorptiometry indicated that the patient was osteoporotic. The magnetic resonance imaging (MRI) of her hips showed the findings that were compatible with SIF. Her left hip pain worsened during follow-up, and a radiograph showed progressive collapse of the left femoral head. The patient then underwent left bipolar hip arthroplasty 18 months after delivery, and she was diagnosed with SIF histopathologically. This is the first report of SIF in a pregnant woman that may reflect pregnancy-associated osteoporosis. SIF in pregnancy might be overlooked or misdiagnosed because the MRI findings have several overlaps with those of other hip disorders. Precise diagnosis of SIF in pregnancy may contribute to a better outcome by avoiding early arthroplasty in young women and appropriate evaluation of the osteopenic status of the patient.

  11. Use of High-Flow Nasal Cannula Oxygen Therapy in a Pregnant Woman with Dermatomyositis-Related Interstitial Pneumonia

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    Tomohiro Shoji

    2017-01-01

    Full Text Available A 33-year-old pregnant woman was referred to our hospital with respiratory distress at 30 weeks of gestation. Chest computed tomography (CT scans revealed pulmonary infiltrates along the bronchovascular bundles and ground-glass opacities in both lungs. Despite immediate treatment with steroid pulse therapy for suspected interstitial pneumonia, the patient’s condition worsened. Respiratory distress was slightly alleviated after the initiation of high-flow nasal cannula (HFNC oxygen therapy (40 L/min, FiO2 40%. We suspected clinically amyopathic dermatomyositis (CADM complicating rapidly progressive refractory interstitial pneumonia. In order to save the life of the patient, the use of combination therapy with immunosuppressants was necessary. The patient underwent emergency cesarean section and was immediately treated with immunosuppressants while continuing HFNC oxygen therapy. The neonate was treated in the neonatal intensive care unit. The patient’s condition improved after 7 days of hospitalization; by this time, she was positive for myositis-specific autoantibodies and was diagnosed with interstitial pneumonia preceding dermatomyositis. This condition can be potentially fatal within a few months of onset and therefore requires early combination immunosuppressive therapy. This case demonstrates the usefulness of HFNC oxygen therapy for respiratory management as it negates the need for intubation and allows for various treatments to be quickly performed.

  12. Influência do conteúdo vaginal de gestantes sobre a recuperação do estreptococo do grupo B nos meios de transporte Stuart e Amies Influence of vaginal environment of pregnant women on the recovery of group B streptococcus in Stuart and Amies transport media

    Directory of Open Access Journals (Sweden)

    José Antonio Simões

    2005-11-01

    Full Text Available OBJETIVO: avaliar a influência do meio vaginal de gestantes na sobrevivência do estreptococo do grupo B (EGB mantido por 8, 24 e 48 horas nos meios de transporte Amies e Stuart. MÉTODOS: foram coletados três swabs vaginais de 30 gestantes atendidas no Ambulatório de Pré-Natal do Centro de Atenção Integral à Saúde da Mulher (CAISM, Universidade Estadual de Campinas (UNICAMP. O primeiro swab foi mergulhado diretamente no meio seletivo de Todd-Hewitt; o segundo foi utilizado para a realização da bacterioscopia corada pelo Gram e o terceiro foi mergulhado em 2 mL de solução salina à qual foram acrescentados 200 µL de uma suspensão contendo EGB na concentração de 1-2 x 10(8 unidades formadoras de colônia. Desta última suspensão de EGB, foram colhidos três swabs do meio Amies e três do meio Stuart, os quais foram mantidos em temperatura ambiente por 8, 24 e 48 horas, para posterior semeadura em ágar sangue. A leitura do crescimento das placas foi realizada após 24 horas de incubação e classificada semiquantitativamente (0-3 cruzes de acordo com o número de colônias observadas. A análise estatística foi efetuada com o teste exato de Fisher. RESULTADOS: a recuperação do EGB nos meios de transporte Amies e Stuart após 48 horas de estocagem foi de 97 e 87%, respectivamente. Em um dos quatro casos em que não houve a recuperação do EGB após 48 horas de armazenamento, o pH vaginal foi superior a 4,5 e em dois casos havia a presença de vaginose citolítica. CONCLUSÕES: ambos os meios de transporte mostraram-se adequados para a recuperação do EGB em gestantes até 48 horas após a coleta. As características do meio vaginal não influenciaram a recuperação do EGB no presente estudo.PURPOSE: to evaluate the influence of vaginal environment of pregnant women on group B streptococcus (GBS survival after 8, 24 e 48 h in Amies and Stuart transport media. METHODS: Three vaginal samples were collected from 30 pregnant

  13. Amniocentesis in the HIV-Infected Pregnant Woman: Is There Still Cause for Concern in the Era of Combination Antiretroviral Therapy?

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    Nisha Andany

    2013-01-01

    Full Text Available The current standard of care in Canadian obstetrical practice is to offer pregnant women the opportunity for prenatal investigation to diagnose congenital abnormalities. Prenatal amniocentesis is Canada’s most commonly practiced invasive procedure for the diagnosis of chromosomal and single gene disorders. The potential risk of intrapartum HIV transmission during amniocentesis raises several ethical concerns and limits the availability of prenatal genetic testing for HIV-positive pregnant women. Complete virological suppression with antiretroviral therapy may alleviate the risk of mother-to-child transmission during amniocentesis and increase accessibility of this important diagnostic tool in the HIV-positive population. The present report describes a case involving a 32-year-old HIV-positive pregnant woman whose plasma viral load was undetectable on antiretroviral therapy; she underwent successful prenatal amniocentesis without transmission of HIV to her infant.

  14. 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.

  15. 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)

    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)

  16. Maternal and Fetal Recovery After Severe Respiratory Failure: A Case Report of Air Transportation of a Pregnant Woman on ECMO Using the CentriMag Transporter System.

    Science.gov (United States)

    Kaliyev, Rymbay; Kapyshev, Timur; Goncharov, Alex; Lesbekov, Timur; Pya, Yuri

    2015-01-01

    Use of extracorporeal membrane oxygenation (ECMO) for severe cardiopulmonary failure has increased because of improved outcomes. A specially designed ECMO transport system allows for safe transport of patients over long distances. We report a 28-year-old pregnant woman (26 weeks gestation) with acute respiratory distress syndrome in whom ECMO support was necessary for survival, and she was transported to another facility 1,155 km away with the aid of the portable ECMO system. Transport was uneventful, and the patient's condition remained stable. Acute respiratory distress syndrome improved gradually until the patient was discharged from the hospital with excellent maternal and fetal outcome.

  17. [Is it ethically acceptable to invite a pregnant woman to enroll in a clinical trial with Tdap if it could entail not being vaccinated with Tdap before delivery?

    Science.gov (United States)

    Dal-Ré, Rafael

    2017-02-01

    Pertussis incidence has increased in recent years, especially among infants aged <2months. A number of Spanish regions have started a vaccination program with Tdap vaccine to all pregnant women in the third trimester of pregnancy. An observational study has shown that this strategy reduces the number of cases of pertussis by 90% in infants aged <2months. Mathematical models showed that a cocooning strategy (i.e. vaccination of the mother at immediate postpartum, and other adults and adolescents who have close contact with the newborn and caregivers) will reduce the incidence of pertussis by 70% in infants aged <2months. It is intended to conduct a clinical trial in which 340 pregnant women will receive Tdap vaccine, whereas another 340 pregnant woman will be vaccinated soon after delivery. Vaccination with Tdap will be offered to all partners and caregivers of the newborn. After assessing both the ethical and scientific reasons supporting the trial, it is concluded that it is ethically and legally acceptable to invite pregnant women living in communities where Tdap vaccination has been implemented to participate in the trial. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  18. Amie Sluiter | NREL

    Science.gov (United States)

    dollar, cross-laboratory U.S. Department of Energy research projects. Excellent technical writing skills managing personnel and technical oversight. She is highly organized, with a technical background that lends itself to project participation and technical monitoring. Biofuels Sample Characterization Amie began

  19. [The AMY experiment

    International Nuclear Information System (INIS)

    1989-01-01

    The AMY experiment is one of three major experiments at TRISTAN which is studying the states the matter produced in electron positron annihilations in the center of mass energy range of 50--65GeV. It provides information between the lower energy facilities such as PEP and PETRA and the new facilities SLC and LEP which are designed to operate in the region of the Z 0 mass near 90GeV. In the region of the AMY experiment, interaction cross sections are near their minimum of about 100pb, making it difficult to acquire large data samples during typical running cycles. This last year has seen an accumulation of about 10---12pb -1 of integrated luminosity in the energy range from 58 to 61.7GeV. Despite this limited data sample, the AMY experiment has been extremely active in attempting to extract the minimum amount of information from the data. Some of the most significant results are discussed in this paper. 9 refs

  20. "When a woman is pregnant, her grave is open": health beliefs concerning dietary practices among pregnant Kalenjin women in rural Uasin Gishu County, Kenya.

    Science.gov (United States)

    Riang'a, Roselyter Monchari; Nangulu, Anne Kisaka; Broerse, Jacqueline E W

    2017-12-16

    Reducing malnutrition remains a major global challenge especially in low- and middle-income countries. Lack of knowledge on the motive of nutritional behaviour could ultimately cripple nutrition intervention outcomes. The purpose of this study was to investigate how health beliefs influence nutritional behaviour intention of the pregnant Kalenjin women of rural Uasin Gishu County in Kenya. The study findings provide useful information for culturally congruent nutrition counselling and intervention. In this qualitative study semi-structured interviews were conducted with 42 pregnant and post-natal (with children less than one year) Kalenjin women in selected rural public health facilities of Uasin Gishu County Kenya. Furthermore, key informant interviews took place with 6 traditional birth attendants who were also pregnancy herbalists, two community health workers and one nursing officer in charge of Maternal and Child Health (MCH) for triangulation and provision of in-depth information. Content analysis of interview transcripts followed a grounded theory (Protection Motivation Theory) approach, using software MAXQDA version 12.1.3. Abstracted labour (big babies and lack of maternal strength), haemorrhage (low blood), or having other diseases and complications (evil or bad food) were the major perceived health threats that influence nutritional behaviour intention of the pregnant Kalenjin women in rural Uasin Gishu County in Kenya. The pregnancy nutritional behaviour and practices of the Kalenjin women in rural Uasin Gishu County act as an adaptive response to the perceived health threats, which seem to be within the agency of pregnant women. As a result, just giving antenatal nutritional counselling without addressing these key health assumptions that underlie a successful pregnancy outcome is unlikely to lead to changes in nutritional behaviour.

  1. Spontaneous Fundal Uterine Rupture in a Pregnant Woman at 32 Weeks Gestation who had Two Previous Cesarean Sections

    Directory of Open Access Journals (Sweden)

    Metin Kaba

    2017-08-01

    Full Text Available Spontaneous uterine rupture during pregnancy can cause severe complications, even maternal and fetal demise. We report successful management of a spontaneous fundal uterine rupture in a 32 week pregnant who had undergone two previous cesarean sections due to preterm delivery. We explain causes of spontaneous uterine rupture and the management of this rare event in the presented case report.

  2. Asymptomatic significant bacteriuria in the non-pregnant woman. II. Response to treatment and follow-up.

    Science.gov (United States)

    Asscher, A W; Sussman, M; Waters, W E; Evans, J A; Campbell, H; Evans, K T; Williams, J E

    1969-03-29

    Short courses of nitrofurantoin and ampicillin produced an immediate cure in 80% of adult non-pregnant bacteriuric women. Of the subjects so treated, 55% remained cured at the end of one year. Over the same follow-up period 36% of untreated bacteriuric women developed a spontaneous remission of bacteriuria. Treatment failed to prevent the development of symptomatic infection, and the reinfections which followed successful treatment were more commonly associated with the development of symptoms than the persistent or relapsing infections in untreated or unsuccessfully treated subjects.It is concluded that a search for bacteriuria in non-pregnant women is unlikely to be of value as a preventive measure, since in many instances it fails to detect urinary tract infection at an early stage and since treatment by methods suitable for large-scale use is ineffective.

  3. The PROMIS model to highlight the importance of the foetus to the validation of a pregnant woman model

    OpenAIRE

    AURIAULT, Florent; THOLLON, Lionel; PERES, Jérémie; DELOTTE, J; KAYVANTASH, K; BRUNET, Christian; BEHR, Michel

    2013-01-01

    The percentage of trauma during pregnancy related to road accident is between 50% and 75%. This type of trauma can result in premature birth or even foetal loss. To analyse and understand the injury mechanisms in pregnant women involved in a car accident, several studies proposed computational or physical tools to simulate accidents. Specific dummy and numerical models have been proposed and validated using experimental data from post-mortem human surrogate (PMHS) scaled with the equal-stress...

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

    Science.gov (United States)

    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.

  5. Polynomial Chaos decomposition applied to stochastic dosimetry: study of the influence of the magnetic field orientation on the pregnant woman exposure at 50 Hz.

    Science.gov (United States)

    Liorni, I; Parazzini, M; Fiocchi, S; Guadagnin, V; Ravazzani, P

    2014-01-01

    Polynomial Chaos (PC) is a decomposition method used to build a meta-model, which approximates the unknown response of a model. In this paper the PC method is applied to the stochastic dosimetry to assess the variability of human exposure due to the change of the orientation of the B-field vector respect to the human body. In detail, the analysis of the pregnant woman exposure at 7 months of gestational age is carried out, to build-up a statistical meta-model of the induced electric field for each fetal tissue and in the fetal whole-body by means of the PC expansion as a function of the B-field orientation, considering a uniform exposure at 50 Hz.

  6. 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...... with donated oocytes. Oocyte donation pregnancies have increased risks of pre-eclampsia, post-partum bleeding, caesarean section, low birth weight and preterm birth, and since these risks are aggravated in multiple pregnancies, single embryo transfer is recommended....

  7. [Malaria and intestinal parasitosis in pregnant woman at Abobo district (Abidjan, Côte d'Ivoire)].

    Science.gov (United States)

    Coulibaly, G; Yao, K P; Koffi, M; Ahouty, B A; Louhourignon, L K; N'Cho, M; N'Goran, E K

    2017-05-01

    A prospective study was carried out from 2010 to 2012 at the Hôpital Général d'Abobo (HGA) in Abidjan, in order to determine the impact of infectious and parasitic diseases on child cognitive development. Blood samples were examined by means of thick drop and blood smear; as for stool by direct examination and concentration by formalin-ether method. We evaluated the prevalence, the parasite load of malaria and gastrointestinal parasites; then we investigated the risk factors for these disorders. Overall, 331 pregnant women in the last trimester of their pregnancy were enrolled. The plasmodic index was 3.9% with infestation specific rates of P. falciparum from 100%. Concerning digestive protozoa, it has been observed 71.3% of nonpathogenic, against 9.7 % of pathogens, either an overall prevalence of 51.4% of digestive parasites. The calculated average parasitic loads revealed 3089.2 tpz/μl of blood (95 % CI: 591.1-5587.3) for malaria, 6.5 eggs per gram of stool (95 % CI: 0.4-13.4) for intestinal helminths and one parasite by microscopic field for protozoa (common infestation). It has been shown that the occurrence of malaria has been linked to the non-use of impregnated mosquito nets (x 2 = 0.012; p = 0.018), not to age. No link could be established between the presence of digestive parasites and the age of pregnant women, or socioeconomic conditions (level of education, profession, type of toilet). Malaria is less common in pregnant women while the rate of digestive parasites remains high.

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Ami - The chemist's amanuensis.

    Science.gov (United States)

    Brooks, Brian J; Thorn, Adam L; Smith, Matthew; Matthews, Peter; Chen, Shaoming; O'Steen, Ben; Adams, Sam E; Townsend, Joe A; Murray-Rust, Peter

    2011-10-14

    The Ami project was a six month Rapid Innovation project sponsored by JISC to explore the Virtual Research Environment space. The project brainstormed with chemists and decided to investigate ways to facilitate monitoring and collection of experimental data.A frequently encountered use-case was identified of how the chemist reaches the end of an experiment, but finds an unexpected result. The ability to replay events can significantly help make sense of how things progressed. The project therefore concentrated on collecting a variety of dimensions of ancillary data - data that would not normally be collected due to practicality constraints. There were three main areas of investigation: 1) Development of a monitoring tool using infrared and ultrasonic sensors; 2) Time-lapse motion video capture (for example, videoing 5 seconds in every 60); and 3) Activity-driven video monitoring of the fume cupboard environs.The Ami client application was developed to control these separate logging functions. The application builds up a timeline of the events in the experiment and around the fume cupboard. The videos and data logs can then be reviewed after the experiment in order to help the chemist determine the exact timings and conditions used.The project experimented with ways in which a Microsoft Kinect could be used in a laboratory setting. Investigations suggest that it would not be an ideal device for controlling a mouse, but it shows promise for usages such as manipulating virtual molecules.

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

    Directory of Open Access Journals (Sweden)

    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.

  11. THE SPECIFIC FEATURES OF THE COURSE OF PULMONARY TUBERCULOSIS AND ITS THERAPEUTIC EFFICIENCY IN A PREGNANT WOMAN

    Directory of Open Access Journals (Sweden)

    M. V. Pavlova

    2014-01-01

    Full Text Available Therapy in pregnant women with tuberculosis always presents certain difficulties and sets regarding not only the status of the mother, but also that of her baby. Tuberculosis and pregnancy have been mostly recently considered to be incompatible. The presented clinical case provides evidence that therapy can be performed during pregnancy and can yield a good clinical result in the course of a specific process in the mother and in the adequate intrauterine development in the baby. There is a need for adequate combination therapy with regard to the susceptibility of isolated Mycobacterium tuberculosis, the status of the mother and the baby, and the constant patient monitoring by a phthisiatrician and an obstetrician/gynecologist.

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

    Directory of Open Access Journals (Sweden)

    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.

  13. Acute renal failure due to mesangial proliferative glomerulonephritis in a pregnant woman with primary Sjögren's syndrome.

    Science.gov (United States)

    Adam, Fatma Ulku; Torun, Dilek; Bolat, Filiz; Zumrutdal, Aysegul; Sezer, Siren; Ozdemir, Fatma Nurhan

    2006-02-01

    The most common form of renal involvement in Sjögren's syndrome (SS) is tubulointerstitial nephritis. Renal dysfunction is usually mild and subclinical. Glomerulonephritis (GMN) is rare in patients with SS. We report a 28-year-old multigravida patient with primary Sjögren's syndrome (pSS) and associated manifestations, who presented with acute renal failure in the 20th week of her fifth pregnancy. The complaints and clinical findings, positive Schirmer's test, findings of dry eye on ophthalmologic examination, and the salivary gland biopsy were compatible with SS. The patient exhibited no other clinical or laboratory findings indicative of other collagenous disease and/or rheumatoid arthritis. She refused renal biopsy, hesitating for fear of fetal loss; thus, based on the clinical and laboratory findings indicating rapidly progressive GMN and vasculitis, prednisolone, plasmapheresis, and one dose of cyclophosphamide were administered during the pregnancy. Hemodialysis five times weekly was performed. At the 28th week of gestation, she underwent a cesarean section due to early rupture of membranes and fetal distress. A healthy male boy was delivered. The renal biopsy performed 2 weeks after labor revealed mesangial proliferative glomerulonephritis. After the fourth cyclophosphamide treatment, her urinary output increased and she was discharged from the hemodialysis program. She remains in follow-up at our outpatient clinic free of hemodialysis for 4 months. This is the first report of mesangial proliferative GMN requiring dialysis in a pregnant pSS patient that has featured good maternal and fetal outcomes.

  14. Serial blood donations for intrauterine transfusions of severe hemolytic disease of the newborn with the use of recombinant erythropoietin in a pregnant woman alloimmunized with anti-Ku.

    Science.gov (United States)

    Lydaki, Evaggelia; Nikoloudi, Irene; Kaminopetros, Petros; Bolonaki, Irene; Sifakis, Stavros; Kikidi, Katerina; Koumantakis, Evgenios; Foundouli, Kaliopi

    2005-11-01

    The management of a pregnant woman with the rare Ko phenotype and anti-Ku is a special challenge, because matched blood is extremely rare and the possibility of severe hemolytic disease of the newborn is high. A 30-year-old woman with rare Ko (Knull) phenotype presented at 18 weeks of gestation with positive indirect agglutination test results. She had anti-Ku due to previous blood transfusion, one pregnancy, and two abortions. During this pregnancy, anti-Ku titers ranged from 1024 to 4096. At the 26th week of gestation ultrasound showed a hydropic fetus and urgent intrauterine exchange transfusion was performed with the maternal red blood cells (RBCs). Recombinant human erythropoietin (rHu-EPO) and intravenous (IV) iron were administered to the mother to ensure an adequate supply of matched RBCs for intrauterine transfusions and possible perinatal hemorrhage. Intrauterine transfusions were repeated every 1 to 3 weeks. By 35 weeks 2 days of gestation, the mother had donated 4 units of blood, and four intrauterine transfusions had been performed. Cesarean section was then decided and a healthy male newborn was born. He was treated with phototherapy but without exchange transfusions. By the 15th day of life rHu-EPO was administrated to the newborn because of anemia. The maternal RBCs completely disappeared from the child's blood by Day 100. As shown in this case, treatment with rHu-EPO and IV Fe has effectively increased the mother's capacity to donate RBCs for autologous use and intrauterine transfusions, with no adverse effects to the mother or the child.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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

  17. AMI: Augmented Michelson Interferometer

    Science.gov (United States)

    Furió, David; Hachet, Martin; Guillet, Jean-Paul; Bousquet, Bruno; Fleck, Stéphanie; Reuter, Patrick; Canioni, Lionel

    2015-10-01

    Experiments in optics are essential for learning and understanding physical phenomena. The problem with these experiments is that they are generally time consuming for both their construction and their maintenance, potentially dangerous through the use of laser sources, and often expensive due to high technology optical components. We propose to simulate such experiments by way of hybrid systems that exploit both spatial augmented reality and tangible interaction. In particular, we focus on one of the most popular optical experiments: the Michelson interferometer. In our approach, we target a highly interactive system where students are able to interact in real time with the Augmented Michelson Interferometer (AMI) to observe, test hypotheses and then to enhance their comprehension. Compared to a fully digital simulation, we are investigating an approach that benefits from both physical and virtual elements, and where the students experiment by manipulating 3D-printed physical replicas of optical components (e.g. lenses and mirrors). Our objective is twofold. First, we want to ensure that the students will learn with our simulator the same concepts and skills that they learn with traditional methods. Second, we hypothesis that such a system opens new opportunities to teach optics in a way that was not possible before, by manipulating concepts beyond the limits of observable physical phenomena. To reach this goal, we have built a complementary team composed of experts in the field of optics, human-computer interaction, computer graphics, sensors and actuators, and education science.

  18. Hb Agenogi [β90(F6)Glu→Lys (GAG>AAG) HBB: c.271G>A)] in a Pregnant Thai Woman.

    Science.gov (United States)

    Panyasai, Sitthichai; Thongsuk, Pollawat; Pornprasert, Sakorn

    2016-01-01

    Hb Agenogi [β90(F6)Glu→Lys (GAG>AAG) HBB: c.271G>A)] is a very rare β-globin chain variant. We report for the first time this hemoglobinopathy in a pregnant 20-year-old Thai woman. She was seen by an obstetrician at her 14th week of gestation. She was pale and had an inflammatory lesion of her lower left leg. The hemoglobin (Hb) analysis by high performance liquid chromatography (HPLC) and low pressure liquid chromatography (LPLC) showed a peak of abnormal Hb at the C window. On capillary electrophoresis (CE), the abnormal Hb peak was observed at electrophoretic zone 4 that corresponded to the Hb E (HBB: c.79G>A) peak. Direct DNA sequencing revealed a GAG>AAG mutation at codon 90 of the β-globin gene. Thus, even though Hb Agenogi is very rare, it can be found in Thai people. The knowledge and understanding of this hemoglobinopathy will be used to assist in diagnosis, management and counseling for patients.

  19. Short-term starvation with a near-fatal asthma attack induced ketoacidosis in a nondiabetic pregnant woman: A case report.

    Science.gov (United States)

    Wei, Kuang-Yu; Chang, Shan-Yueh; Wang, Sheng-Huei; Su, Her-Young; Tsai, Chen-Liang

    2016-06-01

    Life-threatening refractory metabolic acidosis due to starvation ketoacidosis is rarely reported, even among nondiabetic pregnant women, and may be overlooked. Furthermore, stressful situations may increase the acidosis severity.In the present case, a nondiabetic multiparous woman was admitted for a near-fatal asthma attack and vomiting during the third trimester of pregnancy. She was intubated and rapidly developed high anion gap metabolic acidosis. We diagnosed the patient with starvation ketoacidosis based on vomiting with concomitant periods of stress during pregnancy and the absence of other causes of high anion gap metabolic acidosis. She responded poorly to standard treatment, although the ketoacidosis and asthma promptly resolved after an emergency caesarean section. The patient and her baby were safely discharged.Short-term starvation, if it occurs during periods of stress and medication, can result in life-threatening ketoacidosis, even among nondiabetic women during the third trimester of pregnancy. Awareness of this condition may facilitate prompt recognition and proactive treatment for dietary and stress control, and emergent interventions may also improve outcomes.

  20. Decision Making Processes for a Pregnant Woman Admitted to the Accident and Emergency Department Requiring Emergency Diagnostic X-ray – A Case Study

    Directory of Open Access Journals (Sweden)

    S. Ismanto

    2017-07-01

    Full Text Available The objective of this study is to apply the decision-making processes for a pregnant woman who was involved in a motor vehicle accident and admitted to a private middle-class hospital in the capital of Indonesia requiring radiologic X-ray examination.  It also aims to examine and evaluate the patient who was in her 20th week of gestation in order to provide her with the best emergency care, diagnostic investigations and treatments.The descriptive, normative and prescriptive models of decision-making are demonstrated. The descriptive model used intuition, while the normative model used decision trees as decision options and lastly the prescriptive decision used the information processing theory (IPT to decide on the best emergency care, diagnostic investigations and treatments for the patient. The IPT dominated the decision-making process; hence an X-ray examination was done that was safe for the fetus and the childbearing mother. Decision option was not used since the patient was in pain and could not understand much of the procedure that was explained.  Intuition helped in the decision-making in order to ensure safe and effective practice.

  1. Prevalence and determinants of unintended pregnancy among pregnant woman attending ANC at Gelemso General Hospital, Oromiya Region, East Ethiopia: a facility based cross-sectional study.

    Science.gov (United States)

    Mohammed, Faiza; Musa, Abdulbasit; Amano, Abdella

    2016-08-17

    Unintended pregnancy is among the major public health problems that predispose women to maternal death and illness mainly through unsafe abortion and poor maternity care. The level of unintended pregnancy is high in developing countries. Hence, the purpose of this study is to assess the prevalence of unintended pregnancy and the associated factors among pregnant woman attending antenatal care at Gelemso General Hospital, East Ethiopia. A facility-based cross-sectional study was conducted from January 10 to April 13, 2015 among women who had attended antenatal care at Gelemso General Hospital. A systematic random sampling technique was used to select a sample of 413 participants. Data were collected via face-to-face interview using a structured and pre-tested questionnaire. Bivariate and multivariate analyses were made to check the associations among the variables and to control the confounding factors. Out of the 413 pregnancies, 112 (27.1 %) were unintended of which 90(21.9 %) were mistimed, and 22(5.2 %) were unwanted. Multivariate analysis revealed that single, divorced/widowed marital statuses, having more than 2 children, and having no awareness of contraception were significantly associated with unintended pregnancy. Over a quarter of women had an unintended pregnancy, a rate which is lower than previously reported. Designing and implementing strategies that address contraceptive needs of unmarried, divorced and widowed women, creating awareness of contraceptives at community level and reinforcing postnatal contraceptive counseling to all mothers giving birth at health institution is recommended to reduce the rate of the unintended pregnancy among parous women.

  2. Chorioamnionitis caused by Serratia marcescens in a healthy pregnant woman with preterm premature rupture of membranes: A rare case report and review of the literature.

    Science.gov (United States)

    Erenberg, Miriam; Yagel, Yael; Press, Fernanda; Weintraub, Adi Y

    2017-04-01

    The incidence of chorioamnionitis varies widely. The highest incidence is reported in preterm deliveries. Among preterm deliveries, chorioamnionitis usually occurs after preterm premature rupture of membranes (PPROM). To date, only five cases of chorioamnionitis due to Serratia marcescens were reported. Here we present a case of a pregnant woman with chorioamnionitis due to Serratia marcescens who delivered a premature neonate at 28 weeks and four days of gestation. We also conducted a review of the literature in order to identify and characterize the clinical presentation and outcomes of this rare infection. A 36 year old female (gravida 9, para 6) was admitted with cervical effacement of 16mm and intact membranes at gestational age of 25 weeks and five days. One week following her admission PPROM was noticed. Treatment with the standard antibiotic regimen for PPROM was initiated. Thirteen days after the diagnosis of PPROM (28 weeks and four days) she developed chills, abdominal pain, sub febrile fever, tachycardia, leukocytosis and fetal tachycardia, and a clinical diagnosis of chorioamnionitis was made. An urgent CS was performed. In the first post-operative day the patient developed surgical sight infection. Cultures obtained from the purulent discharge of the wound, as well as cultures from the placenta and uterine cavity that were obtained during surgery grew Serratia marcescens. The patient was treated with Meropenem for six days, with a good clinical response. We present a rare case of nosocomialy acquired Serratia marcescens chorioamnionitis in a patient with PPROM. This case emphasizes the need for good infection control measures. Our favorable outcome together with the scares reports in the literature, add insight into this type of rare infection. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Up-regulated expression of Tim-3/Gal-9 at maternal-fetal interface in pregnant woman with recurrent spontaneous abortion.

    Science.gov (United States)

    Li, Jing; Li, Fan-fan; Zuo, Wei; Zhou, Yuan; Hao, Hai-yan; Dang, Jing; Jiang, Min; He, Meng-zhou; Deng, Dong-rui

    2014-08-01

    The relationship between T cell immunoglobulin domain and mucin domain protein 3 (Tim-3)/Galectin (Gal)-9 pathway and recurrent spontaneous abortion (RSA) was studied. Thirty-one pregnant women with RSA and 27 normal early gravidas were investigated to detect the levels of Tim-3 and Gal-9 in villi and deciduas by Western blotting. Meanwhile, the concentration of interleukin (IL)-4 and IL-12 in peripheral blood plasma was determined by ELISA in 25 healthy fertile non-pregnant controls, the normal early gravidas and pregnant women with RSA mentioned above, respectively. It was found that the relative expression levels of Tim-3 and Gal-9 in villi and deciduas were significantly increased in pregnant women with RSA as compared with those in the normal early gravidas. The concentration of IL-4 in peripheral blood plasma of pregnant women with RSA was lower than that of the normal early gravidas (Ppregnant controls (Ppregnant women with RSA was significantly higher than that of the normal early gravidas (Ppregnant controls (P<0.05). It was suggested that the overexpression of Tim-3/Gal-9 pathway may be related to the pathogenesis of RSA.

  4. 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.

  5. [Medical practice in support of hypertension as risk factor kidney in general medical practice, and primary prevention in children in schools, and the pregnant woman in Annaba (Algeria)].

    Science.gov (United States)

    Rayane, R

    2014-06-01

    To study medical practice in the management of hypertension as a factor in renal risk in general medical practice and primary prevention in children at school, and pregnant women under prenatal monitoring. The longitudinal study, observational over a year, focused on medical practice in schools, maternal health and medical practice among 100 physicians (general practitioner and specialist practitioner) in Annaba (Algeria). In children in schools, measurement of blood pressure is never done on the grounds because this gesture is considered unnecessary in 100% of cases. In pregnant women, the measurement of blood pressure is not performed in more than 26% of pregnant women because it is deemed unnecessary by the midwife in 89% of pregnant women and default material in 11% of they. In current medical practice, 69% of doctors routinely take blood pressure. For the rest, represented mainly by specialists, it is the patient who does not justify. Sixty-two percent of physicians, that is hypertension, above 140/90mmHg, and 15% of physicians that is hypertension, above 145/95mmHg. Among the physicians, 58.7% did not use urinary strip, either, because they think that this review should be done in a laboratory (64.8%), or because the urinary strip are not available at even consulting (35.2%). Inadequacies in the coverage (care) of the HTA are real. Their effects on the progress of prevalence of the renal insufficiency chronic terminal treated are possibly important. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  6. 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)

  7. El riñón y el aparato excretor urinario en la embarazada. Consideraciones básicas The kidney and the urinary excretory system in the pregnant woman. Basic considerations

    Directory of Open Access Journals (Sweden)

    Abelardo Toirac Lamarque

    2013-02-01

    Full Text Available Los cambios en la estructura y función del aparato urinario que suceden durante el proceso reproductivo, son relevantes y garantizan la normalidad evolutiva de la preñez. Sin embargo, las complicaciones en el embarazo, parto y puerperio, además de las afecciones congénitas o adquiridas, pueden dañar la calidad de vida, e incluso la vida, del binomio madre-perinato. En esta revisión bibliográfica los autores describieron importantes aspectos del tema relacionados con la embriología, la anatomía, la fisiología, las modificaciones anatomofisiológicas, la exploración clínica y paraclínica y las enfermedades del tracto urinario. Asimismo, se consideraron la evolución del embarazo en la nefrópata, la estrecha correlación del riñón con la preeclampsia y la eclampsia, y las enfermedades crónicas no transmisibles de apreciable repercusión en la gestante (diabetes mellitus, hipertensión arterial crónica, hemoglobinopatías de tipo S rasgo S y enfermedades del colágeno. Finalmente, se reseñaron brevemente algunos elementos sobre los tumores renales en las embarazadas y los fundamentales medios terapéuticos como hemodiálisis, trasplante de riñón y trasplante de riñón y páncreas.The changes in the structure and function of the urinary system taking place during the reproductive process are outstanding and they guarantee the progressive normality of pregnancy. However, complications in the pregnancy, childbirth and puerperium, besides the congenital or acquired disorders, can damage the life quality, and even life, of the mother-perinate binomial. In this literature review the authors described important aspects of the topic related to the embryology, anatomy, physiology, and the anatomical and physiologic modifications, the clinical and paraclinical examinations and diseases of the urinary tract. Likewise, the progress of pregnancy in the pregnant woman with nephropathy, the closed correlation of kidney with preeclampsia and

  8. Nondiabetic ketoacidosis in a pregnant woman due to acute starvation with concomitant influenza A (H1N1) and respiratory failure.

    Science.gov (United States)

    Skalley, G; Rodríguez-Villar, S

    2018-02-28

    Threatening refractory metabolic acidosis due to short-term starvation nondiabetic ketoacidosis is rarely reported. Severe ketoacidosis due to starvation itself is a rare occurrence, and more so in pregnancy with a concomitant stressful clinical situation. This case report presents a nondiabetic woman admitted in intensive care for respiratory failure type 1 during the third trimester of pregnancy with a severe metabolic acidosis refractory to medical treatment. We diagnosed the patient with acute starvation ketoacidosis based on her history and the absence of other causes of high anion gap metabolic acidosis after doing a rigorous analysis of her acid-base disorder. Crown Copyright © 2018. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. 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”.

  10. The risk of missed abortion associated with the levels of tobacco, heavy metals and phthalate in hair of pregnant woman: A case control study in Chinese women.

    Science.gov (United States)

    Zhao, Ranran; Wu, Yuelian; Zhao, Fangfang; Lv, Yingnan; Huang, Damin; Wei, Jinlian; Ruan, Chong; Huang, Mingli; Deng, Jinghuan; Huang, Dongping; Qiu, Xiaoqiang

    2017-12-01

    To assess the association between exposure to the tobacco, heavy metals and phthalate on early pregnancy and missed abortion.42 women with missed abortion and 57 matched controls (women with normal pregnancies) were recruited between March and May 2012, from the Department of Gynecology and Obstetrics, First Affiliated Hospital of Guangxi Medical University and the People Hospital of Guangxi Zhuang Autonomous Region. The questionnaire survey was carried on to learn about the basic conditions, as well as smoking history of all participants. The levels of tobacco, heavy metal, and phthalate exposure were compared between the 2 groups by measuring nicotine, cocaine, cadmium (Cd), manganese (Mn), plumbum (Pb) and dimethyl phthalate (DMP), diethyl phthalate (DEP), dibutyl phthalate (DBP), butyl benzyl phthalate (BBP), di-2-ethyl hexyl phthalate (DEHP) in the hair samples.Out results showed that significant differences in age (P = .042), premarital examination (P = .041), passive smoking (P = .021), and heavy metal exposure (P = .022) were found in the case group compared to the control. In addition, the concentration of nicotine (P = .037), cotinine (P = .018), Cd (P = .01), Pb (P = .038) and DEHP (P = .001) in the hair were significantly higher in the case group. Furthermore, logistic analysis revealed that age [Odds Ratio (OR) 1.172, 95% confidence interval (CI) 1.036-1.327], Cd (OR 8.931, 95% CI 2.003-39.811), Cotinine (OR 4.376, 95% CI 1.159-16.531), DEHP (OR 1.863, 95% CI 1.103-3.146) were important factors contributing to the missed abortion (P < .05).It was demonstrated that high gestational age, passive smoking, heavy metals, and the phthalate exposure were the risk factors for missed abortion, while the premarital health examination was a protective factor. Avoiding these harmful substances before getting pregnant and during the early stages of pregnancy, might help prevent missed abortions. Copyright © 2017 The Authors

  11. 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.

  12. Hematological Characterizations and Molecular Diagnostic Aspects of Hb Wiangpapao [α44(CE2)Pro→Ser (α1), CCG>TCG; HBA1: c.133C>T], a New α-Globin Variant Found in a Pregnant Thai Woman.

    Science.gov (United States)

    Panyasai, Sitthichai; Pornprasert, Sakorn

    2017-03-01

    We report the hematological parameters and provide a rapid molecular analysis method for detection of Hb Wiangpapao [α44(CE2)Pro→Ser, CCG>TCG; HBA1: c.133C>T], a new α-globin variant found in a pregnant Thai woman. Her red cell indices were measured by an automated blood counter. The results were: red blood cell (RBC) count 4.03 × 10 12 /L, Hb 13.1 (g/dL), packed cell volume (PCV) 0.39 L/L, mean corpuscular volume (MCV) 97.0 fL, mean corpuscular hemoglobin (Hb) (MCH) 32.5 pg, mean corpuscular Hb concentration (MCHC) 33.4 g/dL, and RBC distribution width (RDW) 9.4%. The Hb typing by high performance liquid chromatography (HPLC) showed 13.6% abnormal Hb at a retention time of 2.20 min. that was difficult to distinguish from Hb A. On the capillary electrophoresis (CE) electropherogram, this hemoglobinopathy peak did not separate from the Hb A peak. DNA sequencing showed a C>T transition at the first position of codon 44 (CCG>TCG) of the α1-globin gene that led to a substitution of proline for serine. This mutation has not been recorded in the public databases. Therefore, we named it Hb Wiangpapao as it was first discovered in the Wiangpapao District, Chiang Rai, Thailand. The multiplex allele-specific polymerase chain reaction (ASPCR) for detection of Hb Wiangpapao was developed and revealed a 510 bp specifically amplified fragment. The better understanding of hematological characterizations and the newly developed multiplex ASPCR for diagnosis of Hb Wiangpapao are useful for genetic counseling and family education.

  13. Cytomegalovirus Retinitis in an Immunocompetent Pregnant Woman

    African Journals Online (AJOL)

    Isfahan University of Medical Sciences, 2Feiz Hospital Eye Research Center, Isfahan University of Medical Sciences, 3Department of. Gynecology ... Based on these reports, reduction of fever and knowing ... reported yellow cloudy retinal lesions which centered .... vaccines in pregnancy: What is known about their safety?

  14. 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.

  15. AMIE Camera System on board SMART-1

    Science.gov (United States)

    Josset, J. L.; Beauvivre, S.; Amie Team

    The Advanced Moon micro-Imager Experiment AMIE on board ESA SMART-1 the first European mission to the Moon launched on 27th September 2003 is an imaging system with scientific technical and public outreach oriented objectives The science objectives are to image the Lunar Poles permanent shadow areas ice deposit eternal light crater rims ancient Lunar Non-mare volcanism local spectro-photometry and physical state of the lunar sur-face and to map high latitudes regions south mainly at far side South Pole Aitken basin The technical objectives are to perform a laserlink experiment detec-tion of laser beam emitted by ESA Tenerife ground station flight demonstration of new technologies and on-board autonomy navigation The public outreach and educational objectives are to promote planetary exploration We present the AMIE instrument and perfomances with respect to the first results

  16. 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

  17. Automated material interface (AMI) for mini-environment technology

    International Nuclear Information System (INIS)

    Wolf, M.; Fleming, J.; Mueller, R.; Pulaski, L.

    1993-01-01

    The Automated Material Inter-face or AMI presented here is a new method of automating the input/output of materials or products into mini-environments. The AMI concept and hardware, and preliminary data are presented to show that neither the automation hardware nor the product isolation carrier contribute any significant contamination to the product during the I/O process. Budgetary estimates are presented which support the AMI concept for cost effective manufacturing of advanced semiconductors and disk media

  18. Computational assessment of pregnant woman models exposed to uniform ELF-magnetic fields: compliance with the European current exposure regulations for the general public and occupational exposures at 50 Hz

    International Nuclear Information System (INIS)

    Liorni, Ilaria; Parazzini, Marta; Fiocchi, Serena; Ravazzani, Paolo; Douglas, Mark; Capstick, Myles; Kuster, Niels

    2016-01-01

    The Recommendation 1999/529/EU and the Directive 2013/35/EU suggest limits for both general public and occupational exposures to extremely low-frequency magnetic fields, but without special limits for pregnant women. This study aimed to assess the compliance of pregnant women to the current regulations, when exposed to uniform MF at 50 Hz (100 μT for EU Recommendation and 1 and 6 mT for EU Directive). For general public, exposure of pregnant women and fetus always resulted in compliance with EU Recommendation. For occupational exposures, (1) Electric fields in pregnant women were in compliance with the Directive, with exposure variations due to fetal posture of 40 % in head tissues, (3) Electric fields in fetal CNS tissues of head are above the ICNIRP 2010 limits for general public at 1 mT (in 7 and 9 months gestational age) and at 6 mT (in all gestational ages). (authors)

  19. Evolution of the ATLAS Metadata Interface (AMI)

    CERN Document Server

    Odier, Jerome; The ATLAS collaboration; Fulachier, Jerome; Lambert, Fabian

    2015-01-01

    The ATLAS Metadata Interface (AMI) can be considered to be a mature application because it has existed for at least 10 years. Over the years, the number of users and the number of functions provided for these users has increased. It has been necessary to adapt the hardware infrastructure in a seamless way so that the Quality of Service remains high. We will describe the evolution of the application from the initial one, using single server with a MySQL backend database, to the current state, where we use a cluster of Virtual Machines on the French Tier 1 Cloud at Lyon, an ORACLE database backend also at Lyon, with replication to CERN using ORACLE streams behind a back-up server.

  20. ATLAS Metadata Interface (AMI), a generic metadata framework

    CERN Document Server

    Fulachier, Jerome; The ATLAS collaboration

    2016-01-01

    The ATLAS Metadata Interface (AMI) is a mature application of more than 15 years of existence. Mainly used by the ATLAS experiment at CERN, it consists of a very generic tool ecosystem for metadata aggregation and cataloguing. We briefly describe the architecture, the main services and the benefits of using AMI in big collaborations, especially for high energy physics. We focus on the recent improvements, for instance: the lightweight clients (Python, Javascript, C++), the new smart task server system and the Web 2.0 AMI framework for simplifying the development of metadata-oriented web interfaces.

  1. ATLAS Metadata Interface (AMI), a generic metadata framework

    Science.gov (United States)

    Fulachier, J.; Odier, J.; Lambert, F.; ATLAS Collaboration

    2017-10-01

    The ATLAS Metadata Interface (AMI) is a mature application of more than 15 years of existence. Mainly used by the ATLAS experiment at CERN, it consists of a very generic tool ecosystem for metadata aggregation and cataloguing. We briefly describe the architecture, the main services and the benefits of using AMI in big collaborations, especially for high energy physics. We focus on the recent improvements, for instance: the lightweight clients (Python, JavaScript, C++), the new smart task server system and the Web 2.0 AMI framework for simplifying the development of metadata-oriented web interfaces.

  2. ATLAS Metadata Interface (AMI), a generic metadata framework

    CERN Document Server

    AUTHOR|(SzGeCERN)573735; The ATLAS collaboration; Odier, Jerome; Lambert, Fabian

    2017-01-01

    The ATLAS Metadata Interface (AMI) is a mature application of more than 15 years of existence. Mainly used by the ATLAS experiment at CERN, it consists of a very generic tool ecosystem for metadata aggregation and cataloguing. We briefly describe the architecture, the main services and the benefits of using AMI in big collaborations, especially for high energy physics. We focus on the recent improvements, for instance: the lightweight clients (Python, JavaScript, C++), the new smart task server system and the Web 2.0 AMI framework for simplifying the development of metadata-oriented web interfaces.

  3. Evolution of the architecture of the ATLAS Metadata Interface (AMI)

    Science.gov (United States)

    Odier, J.; Aidel, O.; Albrand, S.; Fulachier, J.; Lambert, F.

    2015-12-01

    The ATLAS Metadata Interface (AMI) is now a mature application. Over the years, the number of users and the number of provided functions has dramatically increased. It is necessary to adapt the hardware infrastructure in a seamless way so that the quality of service re - mains high. We describe the AMI evolution since its beginning being served by a single MySQL backend database server to the current state having a cluster of virtual machines at French Tier1, an Oracle database at Lyon with complementary replication to the Oracle DB at CERN and AMI back-up server.

  4. Studies on the relationship between the content of carbon monoxide in atmosphere and the health of mothers and babies. I. The status of carbon monoxide concentration in expired air of pregnant woman and its relationship to environmental and physical factors

    Energy Technology Data Exchange (ETDEWEB)

    Sasai, A

    1974-03-01

    The actual condition of carbon monoxide content in expired air and its relation to life-environmental and physical factors was investigated in 277 pregnant women. Subjects residing in a midtown area of Tokyo have average CO concentrations in the expired air slightly higher than those previously reported. Seventy two women (26%) have CO concentrations over 10 ppM. The concentration of CO in expired air correlates with the CO level in the immediate life environment of the individual. Pregnant women with a history of abnormal gestation and/or abnormal delivery are more frequent in the areas with those exhibiting higher CO concentrations in expired air, compared to regions with women showing lower CO levels.

  5. Monitoring with MonAMI: a case study

    Energy Technology Data Exchange (ETDEWEB)

    Millar, A P; Stewart, G A [Department of Physics and Astronomy, University of Glasgow, University Avenue, Glasgow, G12 8QQ (United Kingdom); Cowan, G A [Department of Physics, University of Edinburgh, Edinburgh (United Kingdom)], E-mail: p.millar@physics.gla.ac.uk

    2008-07-15

    Computing resources in HEP are increasingly delivered utilising grid technologies, which presents new challenges in terms of monitoring. Monitoring involves the flow of information between different communities: the various resource-providers and the different user communities. The challenge is providing information so everyone can find what they need: from the local site administrators, regional operational centres through to end-users. To meet this challenge, MonAMI was developed. MonAMI aims to be a universal sensor framework with a plugin architecture. This plugin structure allows flexibility in what is monitored and how the gathered information is reported. MonAMI supports gathering statistics from many standard daemons, such as MySQL and Apache, and system data, such as network sockets and memory consumption. The gathered data can be sent to many monitoring systems, including Ganglia, Nagios, MonALISA and R-GMA. This flexibility allows MonAMI to be integrated into whatever monitoring system is being used. This avoids the current duplication of sensors and allows the gathered statistics to be presented within a greater diversity of monitoring systems. Using the MonAMI framework, sensors have been developed for the DPM and dCache storage systems, both common at HEP grid centres. The development of these tools specifically to tackle the challenges of high availability storage is described. We illustrate how MonAMI's architecture allows a single sensor to both deliver long term trend information and to trigger alarms in abnormal conditions. The use of MonAMI within the ScotGrid distributed Tier-2 is examined as a case study, illustrating both the ease with which MonAMI integrates into existing systems and helps provide a framework for extending monitoring where necessary.

  6. Monitoring with MonAMI: a case study

    International Nuclear Information System (INIS)

    Millar, A P; Stewart, G A; Cowan, G A

    2008-01-01

    Computing resources in HEP are increasingly delivered utilising grid technologies, which presents new challenges in terms of monitoring. Monitoring involves the flow of information between different communities: the various resource-providers and the different user communities. The challenge is providing information so everyone can find what they need: from the local site administrators, regional operational centres through to end-users. To meet this challenge, MonAMI was developed. MonAMI aims to be a universal sensor framework with a plugin architecture. This plugin structure allows flexibility in what is monitored and how the gathered information is reported. MonAMI supports gathering statistics from many standard daemons, such as MySQL and Apache, and system data, such as network sockets and memory consumption. The gathered data can be sent to many monitoring systems, including Ganglia, Nagios, MonALISA and R-GMA. This flexibility allows MonAMI to be integrated into whatever monitoring system is being used. This avoids the current duplication of sensors and allows the gathered statistics to be presented within a greater diversity of monitoring systems. Using the MonAMI framework, sensors have been developed for the DPM and dCache storage systems, both common at HEP grid centres. The development of these tools specifically to tackle the challenges of high availability storage is described. We illustrate how MonAMI's architecture allows a single sensor to both deliver long term trend information and to trigger alarms in abnormal conditions. The use of MonAMI within the ScotGrid distributed Tier-2 is examined as a case study, illustrating both the ease with which MonAMI integrates into existing systems and helps provide a framework for extending monitoring where necessary

  7. Broadband PLC for Clustered Advanced Metering Infrastructure (AMI Architecture

    Directory of Open Access Journals (Sweden)

    Augustine Ikpehai

    2016-07-01

    Full Text Available Advanced metering infrastructure (AMI subsystems monitor and control energy distribution through exchange of information between smart meters and utility networks. A key challenge is how to select a cost-effective communication system without compromising the performance of the applications. Current communication technologies were developed for conventional data networks with different requirements. It is therefore necessary to investigate how much of existing communication technologies can be retrofitted into the new energy infrastructure to cost-effectively deliver acceptable level of service. This paper investigates broadband power line communications (BPLC as a backhaul solution in AMI. By applying the disparate traffic characteristics of selected AMI applications, the network performance is evaluated. This study also examines the communication network response to changes in application configurations in terms of packet sizes. In each case, the network is stress-tested and performance is assessed against acceptable thresholds documented in the literature. Results show that, like every other communication technology, BPLC has certain limitations; however, with some modifications in the network topology, it indeed can fulfill most AMI traffic requirements for flexible and time-bounded applications. These opportunities, if tapped, can significantly improve fiscal and operational efficiencies in AMI services. Simulation results also reveal that BPLC as a backhaul can support flat and clustered AMI structures with cluster size ranging from 1 to 150 smart meters.

  8. Obesity as an Early Symptom of the AMIS Syndrome

    Directory of Open Access Journals (Sweden)

    W. Wayne Lautt

    2014-10-01

    Full Text Available We review evidence that the AMIS (Absence of Meal-induced Insulin Sensitization syndrome describes a paradigm fundamental to development of obesity. The hypoglycemic response to a pulse of insulin is doubled after a meal as a result of Hepatic Insulin Sensitizing Substance (HISS, released from the liver to act selectively on muscle, heart and kidney. In the absence of HISS action, the hypoglycemic response to insulin is the same as in the fasted state, and only half of what it should be. Postprandial hyperglycemia ensues, with compensatory hyperinsulinemia, resultant hyperlipidemia and elevated free radical stress. Storage of nutrient energy shifts from glycogen in muscle to fat. Chronic AMIS results in adiposity, occurs with age, is accelerated with sucrose supplement, and prevented by a synergistic antioxidant. Exercise reverses AMIS, as do pharmaceuticals that mimic the “feeding signals”. The AMIS syndrome develops as a sequence of pathologies based on the consequences of absence of HISS action, including adiposity as the earliest symptom. Cardiac dysfunction, hypertension, hypercholesterolemia, and fatty liver are related to lack of HISS action. The AMIS syndrome hypothesis is mechanistic-based and accounts for the major pathologies associated with prediabetes, obesity, diabetes and metabolic syndrome. AMIS can be diagnosed, prevented and treated.

  9. 45 CFR 96.131 - Treatment services for pregnant women.

    Science.gov (United States)

    2010-10-01

    ... Substance Abuse Prevention and Treatment Block Grant § 96.131 Treatment services for pregnant women. (a) The State is required to, in accordance with this section, ensure that each pregnant woman in the State who... 45 Public Welfare 1 2010-10-01 2010-10-01 false Treatment services for pregnant women. 96.131...

  10. Woman: Yesterday, Today, Tomorrow.

    Science.gov (United States)

    Reinfeld, Patricia M.

    This booklet on the status of women, aimed at raising the consciousness of female college students, provides an orientation to feminism and references for further pursuit of the areas covered in the following sections. "On Woman and Her Role" sets the stage with selected quotations, expressing conflicting views of woman's role. "What It Is All…

  11. 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.

  12. 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.

  13. 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.

  14. Obesity, starch digestion and amylase: association between copy number variants at human salivary (AMY1) and pancreatic (AMY2) amylase genes.

    Science.gov (United States)

    Carpenter, Danielle; Dhar, Sugandha; Mitchell, Laura M; Fu, Beiyuan; Tyson, Jess; Shwan, Nzar A A; Yang, Fengtang; Thomas, Mark G; Armour, John A L

    2015-06-15

    The human salivary amylase genes display extensive copy number variation (CNV), and recent work has implicated this variation in adaptation to starch-rich diets, and in association with body mass index. In this work, we use paralogue ratio tests, microsatellite analysis, read depth and fibre-FISH to demonstrate that human amylase CNV is not a smooth continuum, but is instead partitioned into distinct haplotype classes. There is a fundamental structural distinction between haplotypes containing odd or even numbers of AMY1 gene units, in turn coupled to CNV in pancreatic amylase genes AMY2A and AMY2B. Most haplotypes have one copy each of AMY2A and AMY2B and contain an odd number of copies of AMY1; consequently, most individuals have an even total number of AMY1. In contrast, haplotypes carrying an even number of AMY1 genes have rearrangements leading to CNVs of AMY2A/AMY2B. Read-depth and experimental data show that different populations harbour different proportions of these basic haplotype classes. In Europeans, the copy numbers of AMY1 and AMY2A are correlated, so that phenotypic associations caused by variation in pancreatic amylase copy number could be detected indirectly as weak association with AMY1 copy number. We show that the quantitative polymerase chain reaction (qPCR) assay previously applied to the high-throughput measurement of AMY1 copy number is less accurate than the measures we use and that qPCR data in other studies have been further compromised by systematic miscalibration. Our results uncover new patterns in human amylase variation and imply a potential role for AMY2 CNV in functional associations. © The Author 2015. Published by Oxford University Press.

  15. Obesity, starch digestion and amylase: association between copy number variants at human salivary (AMY1) and pancreatic (AMY2) amylase genes

    Science.gov (United States)

    Carpenter, Danielle; Dhar, Sugandha; Mitchell, Laura M.; Fu, Beiyuan; Tyson, Jess; Shwan, Nzar A.A.; Yang, Fengtang; Thomas, Mark G.; Armour, John A.L.

    2015-01-01

    The human salivary amylase genes display extensive copy number variation (CNV), and recent work has implicated this variation in adaptation to starch-rich diets, and in association with body mass index. In this work, we use paralogue ratio tests, microsatellite analysis, read depth and fibre-FISH to demonstrate that human amylase CNV is not a smooth continuum, but is instead partitioned into distinct haplotype classes. There is a fundamental structural distinction between haplotypes containing odd or even numbers of AMY1 gene units, in turn coupled to CNV in pancreatic amylase genes AMY2A and AMY2B. Most haplotypes have one copy each of AMY2A and AMY2B and contain an odd number of copies of AMY1; consequently, most individuals have an even total number of AMY1. In contrast, haplotypes carrying an even number of AMY1 genes have rearrangements leading to CNVs of AMY2A/AMY2B. Read-depth and experimental data show that different populations harbour different proportions of these basic haplotype classes. In Europeans, the copy numbers of AMY1 and AMY2A are correlated, so that phenotypic associations caused by variation in pancreatic amylase copy number could be detected indirectly as weak association with AMY1 copy number. We show that the quantitative polymerase chain reaction (qPCR) assay previously applied to the high-throughput measurement of AMY1 copy number is less accurate than the measures we use and that qPCR data in other studies have been further compromised by systematic miscalibration. Our results uncover new patterns in human amylase variation and imply a potential role for AMY2 CNV in functional associations. PMID:25788522

  16. 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.

  17. Missed Opportunities To Impact Fast Response to AMI Symptoms.

    Science.gov (United States)

    Zapka, Jane G.; Oakes, J. Michael; Simons-Morton, Denise G.; Mann, N. Clay; Goldberg, Robert; Sellers, Deborah E.; Estabrook, Barbara; Gilliland, Janice; Linares, Adriana C.; Benjamin-Garner, Ruby; McGovern, Paul

    2000-01-01

    Examines factors that influence the prompt seeking of care for symptoms of acute myocardial infarction (AMI). Survey of adults in 20 communities in 10 states confirmed the importance of attrition and perceived self-confidence in symptom recognition in care seeking. Concludes that the lack of a significant role of health history and clinician…

  18. Risk and the pregnant body.

    Science.gov (United States)

    Lyerly, Anne Drapkin; Mitchell, Lisa M; Armstrong, Elizabeth Mitchell; Harris, Lisa H; Kukla, Rebecca; Kuppermann, Miriam; Little, Margaret Olivia

    2009-01-01

    Reasoning well about risk is most challenging when a woman is pregnant, for patient and doctor alike. During pregnancy, we tend to note the risks of medical interventions without adequately noting those of failing to intervene, yet when it's time to give birth, interventions are seldom questioned, even when they don't work. Meanwhile, outside the clinic, advice given to pregnant women on how to stay healthy in everyday life can seem capricious and overly cautious. This kind of reasoning reflects fear, not evidence.

  19. A complete woman

    Indian Academy of Sciences (India)

    Lawrence

    treated me like a son in the way he encouraged my education, while my mother ... cine gives me a lot of satisfaction when I see my patients getting cured. Teaching ... thing in life as a complete woman in different roles – daughter, wife, mother ...

  20. The Black Woman's Burden

    Science.gov (United States)

    Hayes, Dianne

    2012-01-01

    Not even the first lady of the most powerful nation in the world is immune to stereotypes that have plagued Black women since first setting foot on American soil. Stereotypes of being the "angry Black woman" and curiosity about differences in appearance still persist from the academy to 1600 Pennsylvania Ave. As African-American women rise in…

  1. Pregnant women and working surface height and working surface areas for standing manual work

    NARCIS (Netherlands)

    Paul, J. A.; Frings-Dresen, M. H.; Sallé, H. J.; Rozendal, R. H.

    1995-01-01

    Physically loading aspects of work may have adverse effects on the health of both the pregnant woman and the unborn child. Improving the fit between the pregnant woman and the workplace layout contributes to minimizing the load associated with given tasks. The aim of this paper is to evaluate two

  2. [Urs Fischer: faux amis : documentation d'exposition

    OpenAIRE

    2016-01-01

    Tiré du site internet des Musées d'art et d'histoire (www.ville-geneve.ch/mah): "Urs Fischer - Faux Amis propose une sélection inédite d'œuvres de la collection Dakis Joannou, présentée pour la première fois au Musée d'art et d'histoire de Genève. Conçue par le commissaire Massimiliano Gioni comme une synthèse inhabituelle entre une présentation monographique et une exposition de groupe, Faux Amis réunit un ensemble d'œuvres signées Urs Fischer (né en 1973), l'un des artistes suisses les plus...

  3. Coastal wave measurements during passage of tropical storm Amy

    Science.gov (United States)

    Morris, W. D.

    1977-01-01

    Aerial photographic and laser profilometer data of waves generated by tropical storm Amy are presented. The data mission consisted primarily of two legs, one in the direction of the wind waves, and the second along the direction of swell propagation, using Jennette's Pier at Nags Head, North Carolina, as a focal point. At flight time, Amy's center was 512 nmi from shore and had maximum winds of 60 knots. The storm's history is presented, along with a satellite photograph, showing the extent of the storm on the day of the flight. Flight ground tracks are presented along with sample aerial photographs of the wave conditions showing approximate wavelength and direction. Sample wave energy spectra are presented both from the laser profilometer onboard the aircraft, and from the Corps of Engineers Research Center (CERC) shore gauge at Nags Head, North Carolina.

  4. AMiBA: BROADBAND HETERODYNE COSMIC MICROWAVE BACKGROUND INTERFEROMETRY

    International Nuclear Information System (INIS)

    Chen, M.-T.; Li, C.-T.; Hwang, Y.-J.; Jiang Homin; Altamirano, Pablo; Chang, C.-H.; Chang, S.-H.; Chang, S.-W.; Han, C.-C.; Huang, Y.-D.; Kubo, Derek; Martin-Cocher, Pierre; Oshiro, Peter; Raffin, Philippe; Wei Tashun; Chiueh, T.-D.; Chu, T.-H.; Wang Huei; Kesteven, Michael; Wilson, Warwick

    2009-01-01

    The Y. T. Lee Array for Microwave Background (AMiBA) has reported the first results on the detection of galaxy clusters via the Sunyaev-Zel'dovich effect. The objectives required small reflectors in order to sample large-scale structures (20'), while interferometry provided modest resolutions (2'). With these constraints, we designed for the best sensitivity by utilizing the maximum possible continuum bandwidth matched to the atmospheric window at 86-102 GHz, with dual polarizations. A novel wide-band analog correlator was designed that is easily expandable for more interferometer elements. Monolithic millimeter-wave integrated circuit technology was used throughout as much as possible in order to miniaturize the components and to enhance mass production. These designs will find application in other upcoming astronomy projects. AMiBA is now in operation since 2006, and we are in the process to expand the array from seven to 13 elements.

  5. The AMY experiment: Microwave emission from air shower plasmas

    Directory of Open Access Journals (Sweden)

    Alvarez-Muñiz J.

    2016-01-01

    Full Text Available You The Air Microwave Yield (AMY experiment investigate the molecular bremsstrahlung radiation emitted in the GHz frequency range from an electron beam induced air-shower. The measurements have been performed at the Beam Test Facility (BTF of Frascati INFN National Laboratories with a 510 MeV electron beam in a wide frequency range between 1 and 20 GHz. We present the apparatus and the results of the tests performed.

  6. AmI and deployment considerations in AAL services provision for elderly independent living: the MonAMI project.

    Science.gov (United States)

    Falcó, Jorge L; Vaquerizo, Esteban; Lain, Luis; Artigas, Jose Ignacio; Ibarz, Alejandro

    2013-07-12

    The MonAMI project aims to investigate the feasibility of the deployment of open platforms for Ambient Assisted Living (AAL) services provision based on Ambient Intelligence (AmI) and to test user acceptance and the usability of the services. Services were designed to provide support in the areas of environmental control, security, well-being and leisure. These services were installed and evaluated in a Spanish geriatric residence. The participants included elderly persons with disabilities, nursing home care givers and informal carers. The concept of the open platform proved to be satisfactory for the provision of the services in a context aware framework. Furthermore, the usability of the technology was viewed positively and the overall results indicate that this system has the potential to prolong independent living at home for elderly people with disabilities. Deployment was proven successful and awareness of open-platform AAL service delivery was raised in local communities throughout Europe.

  7. AmI and Deployment Considerations in AAL Services Provision for Elderly Independent Living: The MonAMI Project

    Directory of Open Access Journals (Sweden)

    Alejandro Ibarz

    2013-07-01

    Full Text Available The MonAMI project aims to investigate the feasibility of the deployment of open platforms for Ambient Assisted Living (AAL services provision based on Ambient Intelligence (AmI and to test user acceptance and the usability of the services. Services were designed to provide support in the areas of environmental control, security, well-being and leisure. These services were installed and evaluated in a Spanish geriatric residence. The participants included elderly persons with disabilities, nursing home care givers and informal carers. The concept of the open platform proved to be satisfactory for the provision of the services in a context aware framework. Furthermore, the usability of the technology was viewed positively and the overall results indicate that this system has the potential to prolong independent living at home for elderly people with disabilities. Deployment was proven successful and awareness of open-platform AAL service delivery was raised in local communities throughout Europe.

  8. 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.

  9. Are AMI patients with comorbid mental illness more likely to be admitted to hospitals with lower quality of AMI care?

    Directory of Open Access Journals (Sweden)

    Xueya Cai

    Full Text Available Older patients with comorbid mental illness are shown to receive less appropriate care for their medical conditions. This study analyzed Medicare patients hospitalized for acute myocardial infarction (AMI and determined whether those with comorbid mental illness were more likely to present to hospitals with lower quality of AMI care.Retrospective analyses of Medicare claims in 2008. Hospital quality was measured using the five "Hospital Compare" process indicators (aspirin at admission/discharge, beta-blocker at admission/discharge, and angiotension-converting enzyme inhibitor or angiotension receptor blocker for left ventricular dysfunction. Multinomial logit model determined the association of mental illness with admission to low-quality hospitals (rank of the composite process score 90(th percentile, compared to admissions to other hospitals with medium quality. Multivariate analyses further determined the effects of hospital type and mental diagnosis on outcomes.Among all AMI admissions to 2,845 hospitals, 41,044 out of 287,881 patients were diagnosed with mental illness. Mental illness predicted a higher likelihood of admission to low-quality hospitals (unadjusted rate 2.9% vs. 2.0%; adjusted odds ratio [OR]1.25, 95% confidence interval [CI] 1.17-1.34, p<0.01, and an equal likelihood to high-quality hospitals (unadjusted rate 9.8% vs. 10.3%; adjusted OR 0.97, 95% CI 0.93-1.01, p = 0.11. Both lower hospital quality and mental diagnosis predicted higher rates of 30-day readmission, 30-day mortality, and 1-year mortality.Among Medicare myocardial infarction patients, comorbid mental illness was associated with an increased risk for admission to lower-quality hospitals. Both lower hospital quality and mental illness predicted worse post-AMI outcomes.

  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. TORCH Screening Test in Pregnant Women of Kirkuk City

    Directory of Open Access Journals (Sweden)

    Hiro M. Obaid

    2017-07-01

    Cytomegalovirus, Rubella and Toxoplasma are prevalent among pregnant women in Kirkuk city and probably they are the causative agents of abortion and infertility found among them, therefore it's better for pregnant woman or those planning to become pregnant to be tested for TORCH infections, and vaccinated against Rubella, Cytomegalovirus, Herpes simplex virus and Toxoplasma to grantee her health  as well as her baby.

  12. Haemorrhagic Presentation of a Craniopharyngioma in a Pregnant Woman

    Directory of Open Access Journals (Sweden)

    Cesare Zoia

    2014-01-01

    Full Text Available Objective. Craniopharyngioma is a rare tumour, and, consequently, acute clinical presentation and diagnosis, during pregnancy, of this pathology are quite difficult to find. Only few cases are reported in the literature, and no one describes these two conditions in association. Methods. We report a particular case of craniopharyngioma presenting both of the above conditions. Results. The patient was successfully operated with endoscopic technique. Conclusions. Rare and difficult cases, created by the superposition of different clinical conditions, need multidisciplinary management, with collaboration, integration, and cooperation between different medical specialists.

  13. Risks and recommendations to perform flexible bronchoscopy in pregnant woman

    International Nuclear Information System (INIS)

    Majid, Adnan; Ernst, Armin; Begolli, Melissa; Canas, Alejandra

    2008-01-01

    If possible, it is advisable to postpone Flexible Bronchoscopy until after delivery, or at least until after the twenty eighth week of pregnancy. Bronchoscopy should be carried out by the most experienced pulmonologist and in a hospital facility where anesthesiology, obstetrics and neonatology departments are available. Consultation with these specialists is recommended. A pharmacologist should be consulted with regard to the teratogenic potential of the drugs that are to be used during bronchoscopy. The lowest possible doses of drugs should be used for sedation, and drugs of the D and X categories should not be used. During the procedure, it is advisable to carry out continual monitoring of cardiac rhythm and pulse oximetry, as well as intermittent measurements of arterial blood pressure. If possible, fetal monitoring should be carried out. The patient should be placed in the left lateral decubitus position. If this is not possible, the procedure should be carried out with the patient in the sitting position. The duration of the procedure should be minimized, and it should be terminated if the patient does not tolerate it well. The convenience of using fluoroscopy has to be considered separately in each case, taking into consideration its potential risks and benefits. Technological advances for the diagnosis and treatment of pulmonary and airway diseases, such as endobronchial ultrasound, CT scanning with fluoroscopy and bronchoscopy

  14. Feederism in a woman.

    Science.gov (United States)

    Terry, Lesley L; Vasey, Paul L

    2011-06-01

    Feederism is a fat fetish subculture in which individuals eroticize weight gain and feeding. Feeders are individuals who claim to become sexually aroused by feeding their partners and encouraging them to gain weight. Conversely, Feedees are individuals who claim to become sexually aroused by eating, being fed, and the idea or act of gaining weight. Very little is known about this population. This report describes a woman who self-identified as a Feedee. It is unclear, at present, whether female Feederism represents a unique paraphilia or a thematic variation of morphophilia or sexual masochism.

  15. 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.

  16. No Woman's Land (Performance)

    OpenAIRE

    Garton, Rosie; Rippel, IIdiko

    2017-01-01

    'No Woman's Land' (performance) is 1 hr 15 minute large-scale, multi-media performance work. In 1945, Ildikó’s grandmother Lucia Rippel, expelled from her place of birth, walked 220 miles across the fractured landscape of Europe, with her two small children and all her belongings dragged in a cart. In 2015, Ildikó and Rosie retraced her footsteps, crossing borders, climbing fences, bleeding, crying and blistering, carrying their flat-pack children. The performance is a response to ou...

  17. Evolution of the Architecture of the ATLAS Metadata Interface (AMI)

    CERN Document Server

    Odier, Jerome; The ATLAS collaboration; Fulachier, Jerome; Lambert, Fabian

    2015-01-01

    The ATLAS Metadata Interface (AMI) is now a mature application. Over the years, the number of users and the number of provided functions has dramatically increased. It is necessary to adapt the hardware infrastructure in a seamless way so that the quality of service remains high. We describe the evolution from the beginning of the application life, using one server with a MySQL backend database, to the current state in which a cluster of virtual machines on the French Tier 1 cloud at Lyon, an Oracle database also at Lyon, with replication to Oracle at CERN and a back-up server are used.

  18. Arabidopsis thaliana AMY3 Is a Unique Redox-regulated Chloroplastic α-Amylase

    DEFF Research Database (Denmark)

    Seung, David; Thalmann, Matthias; Sparla, Francesca

    2013-01-01

    α-Amylases are glucan hydrolases that cleave α-1,4-glucosidic bonds in starch. In vascular plants, α-amylases can be classified into three subfamilies. Arabidopsis has one member of each subfamily. Among them, only AtAMY3 is localized in the chloroplast. We expressed and purified AtAMY3 from...... to be dependent on a conserved aspartic acid residue (Asp666), identified as the catalytic nucleophile in other plant α-amylases such as the barley AMY1. AtAMY3 released small linear and branched glucans from Arabidopsis starch granules, and the proportion of branched glucans increased after the predigestion...

  19. Clinical significance of changes of plasma ET and NPY levels after treatment in patients with AMI

    International Nuclear Information System (INIS)

    Zhou Jinbao

    2005-01-01

    Objective: To investigate the changes of plasma ET and NPY levels in patients with AMI. Methods: Plasma ET and NPY levels were dynamically determined in 36 patients with AMI right after establishment of diagnosis and 8h, 24h, 4ph, 72h, 7d, 14d later. Levels in 35 healthy individuals were taken as control. Results: Before treatment was initiated, the levels of Et and Np in patients with AMI were significantly higher than those in controls (P <0.01). After one week of treatment, the levels dropped toward normal. Conclusion: Dynamic measurement of plasma ET and NPY levels in patients with AMI is of clinical importance. (authors)

  20. Pregnant Bodies

    OpenAIRE

    Børve , Hege Eggen

    2007-01-01

    Abstract This article examines the impact that the interplay between workplace, the welfare state and global working life has on female workers when they become pregnant. By focusing on two highly educated Norwegian female workers, it explores how this change process takes place in two companies operating in the global market located in different countries: Norway and the US. Pregnancy contributes to transforming the neutralized bodiless female worker into an embodied worker with g...

  1. Comparison of AMI-25 enhanced MRI and helical dynamic CT in the detection of hepatic lesions

    International Nuclear Information System (INIS)

    Saitou, Kazuhiro; Matsuda, Hiromichi; Fukushima, Hiroaki; Kanzaki, Hiroshi; Hirose, Takashi; Karizaki, Dai; Abe, Kimihiko; Amino, Saburou

    1994-01-01

    We performed AMI-25 enhanced MRI and helical dynamic CT in 12 cases of hepatic lesions. Nine of these were hepatocellular carcinomas. Two cases were metastatic liver tumors (the primary lesion was gastric in one and the other was gallbladder cancer). One case was suspected to be adenomatous hyperplasia. Thirty-two lesions were detected in T2-weighted SE images before AMI-25 administration, while 46 lesions were detected in AMI-25 enhanced MRI images. In particular, AMI-25 enhanced MRI was superior to plain MRI in lesions less than 10 mm in size. A total of 48 lesions were detected in helical dynamic CT. Although AMI-25 enhanced MRI almost equaled helical dynamic CT in the detection of liver tumors, helical dynamic CT was slightly superior to AMI-25 enhanced MRI in the detection of subphrenic lesions. It was possible to know the hemodynamics in each hepatic lesion by helical dynamic CT. AMI-25 enhanced MRI was useful to know the inclusion of reticuloendothelial system, and that yielded different diagnoses in adenomatous hyperplasia and well differentiated hepatocellular carcinoma. Helical dynamic CT was useful for qualitative diagnosis. Both AMI-25 enhanced MRI and helical dynamic CT contributed to the detection of liver tumor and qualitative diagnosis. (author)

  2. Expression, purification and functional characterization of AmiA of acetamidase operon of Mycobacterium smegmatis.

    Science.gov (United States)

    Sundararaman, Balaji; Palaniyandi, Kannan; Venkatesan, Arunkumar; Narayanan, Sujatha

    2014-11-01

    Regulation of gene expression is one of the mechanisms of virulence in pathogenic organisms. In this context, we would like to understand the gene regulation of acetamidase enzyme of Mycobacterium smegmatis, which is the first reported inducible enzyme in mycobacteria. The acetamidase is highly inducible and the expression of this enzyme is increased 100-fold when the substrate acetamide is added. The acetamidase structural gene (amiE) is found immediately downstream of three predicted open reading frames (ORFs). Three of these genes along with a divergently expressed ORF are predicted to form an operon and involved in the regulation of acetamidase enzyme. Here we report expression, purification and functional characterization of AmiA which is one of these predicted ORFs. Electrophoretic mobility shift assays showed that AmiA binds to the region between the amiA and amiD near the predicted promoter (P2). Over-expression of AmiA significantly lowered the expression of acetamidase compared to the wild type as demonstrated by qRT-PCR and SDS-PAGE. We conclude that AmiA binds near P2 promoter and acts as a repressor in the regulation of acetamidase operon. The described work is a further step forward toward broadening the knowledge on understanding of the complex gene regulatory mechanism of Mycobacterium sp. Copyright © 2014 Elsevier GmbH. All rights reserved.

  3. Health and aging in elderly farmers: the AMI cohort

    Directory of Open Access Journals (Sweden)

    Pérès Karine

    2012-07-01

    Full Text Available Abstract Background The health of the agricultural population has been previously explored, particularly in relation to the farming exposures and among professionally active individuals. However, few studies specifically focused on health and aging among elders retired from agriculture. Yet, this population faces the long-term effects of occupational exposures and multiple difficulties related to living and aging in rural area (limited access to shops, services, and practitioners. However, these difficulties may be counter-balanced by advantages related to healthier lifestyle, richer social support and better living environment. The general aim of the AMI cohort was to study health and aging in elderly farmers living in rural area through a multidisciplinary approach, with a main focus on dementia. Methods/design The study initially included 1 002 participants, randomly selected from the Farmer Health Insurance rolls. Selection criteria were: being 65 years and older; living in rural area in Gironde (South-Western France; being retired from agriculture after at least 20 years of activity and being affiliated to the Health Insurance under own name. The study started in 2007, with two follow-up visits over 5 years. Baseline visits were conducted at home by a neuropsychologist then by a geriatrician for all cases suspected of dementia, Parkinson’s disease and depression (to confirm the diagnosis, and by a nurse for others. A large panel of data were collected through standardised questionnaires: complete neuropsychological assessment, material and social living environment, psychological transition to retirement, lifestyle (smoking, alcohol and diet, medications, disability in daily living, sensory impairments and some clinical measures (blood pressure, depression symptomatology, anxiety, visual test, anthropometry…. A blood sampling was performed with biological measurements and constitution of a biological bank, including DNA. Brain MRI

  4. [Acute myocardial infarction in Morocco: FES-AMI registry data].

    Science.gov (United States)

    Akoudad, H; El Khorb, N; Sekkali, N; Mechrafi, A; Zakari, N; Ouaha, L; Lahlou, I

    2015-12-01

    Acute myocardial infarction is the most dangerous complication of coronary atherothrombosis. There are several disparities in regard to its management around the world. The aim of this study is to analyze the specificities of management of acute myocardial infarction in Morocco. FES-AMI (Fès Acute Myocardial Infarction) is a prospective monocentric registry conducted in cardiology department of Hassan II university hospital in Fès. In this registry, we enrolled patients with acute myocardial infarction who presented within 5 days after symptom onset. From January 2005 to August 2015, we enrolled 1835 patients. Seventy-five percent of patients were males and mean age was 60 years old. Fifty-one percent of patients were smokers, 27% were hypertensives and 14% were diabetics. Sixty-six percent of patients had more than 2 risk factors. Time from symptom onset to hospital admission was less than six hours for 40% of the patients. Thirty-six percent of patients were admitted more than twelve hours after the onset of chest pain. Only 37% of patients received reperfusion therapy, 31% with in-hospital thrombolysis and 6% with primary angioplasty. In-hospital mortality was 7.6%. The patients enrolled in our registry have late presentation of acute myocardial infarction and less rate of reperfusion therapy. Furthermore, the majority of our patients have multiple risk factors and this result underlines the failure of preventive interventions. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  5. Layered AMI Architecture for Various Grid Topologies and Communication Technologies

    Directory of Open Access Journals (Sweden)

    I. Petruševski

    2016-06-01

    Full Text Available Advanced metering infrastructure (AMI system, proposed in this paper, is capable of fulfilling all smart metering functionalities in real-time. The novel Local Metering Concentrator (LMC layer is introduced as the set of independent embedded system components, allowing distributed architecture implementation. Two main data flows can be defined as command request processing and meter data acquisition. A command request, initiated by some of the top layer applications, is processed and forwarded through the system to the LMC layer, where the request is executed and the status is sent as a reply. The data and event acquisition is performed as an automatic function of the LMC layer. The collected data is forwarded to the system as soon as it is downloaded from the meters. The results of more than one-year exploitation of the installed pilot system are presented, emphasizing the real-time load profile data acquisition, allowing the distribution system operators (DSO and the end consumer to be actively involved in energy saving. The introduced architecture enables load profiling, energy diagnostic and easy integration with any meter data management system.

  6. Lunar photometric modelling with SMART-1/AMIE imaging data

    International Nuclear Information System (INIS)

    Wilkman, O.; Muinonen, K.; Videen, G.; Josset, J.-L.; Souchon, A.

    2014-01-01

    We investigate the light-scattering properties of the lunar mare areas. A large photometric dataset was extracted from images taken by the AMIE camera on board the SMART-1 spacecraft. Inter-particle shadowing effects in the regolith are modelled using ray-tracing simulations, and then a phase function is fit to the data using Bayesian techniques and Markov chain Monte Carlo. Additionally, the data are fit with phase functions computed from radiative-transfer coherent-backscatter (RT-CB) simulations. The results indicate that the lunar photometry, including both the opposition effect and azimuthal effects, can be explained well with a combination of inter-particle shadowing and coherent backscattering. Our results produce loose constraints on the mare physical properties. The RT-CB results indicate that the scattering volume element is optically thick. In both the Bayesian analysis and the RT-CB fit, models with lower packing density and/or higher surface roughness always produce better fits to the data than densely packed, smoother ones

  7. 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.

  8. Oral health knowledge of pregnant women. Systematic review

    OpenAIRE

    María José Aguilar-Cordero; Tania Rivero-Blanco; Norma Mur-Villar; Raquel Rodríguez-Blanque; María Dolores Moraleda-Hurtado; Luis Emilio Fernández-Curbero; Antonio Manuel Sánchez-López

    2018-01-01

    Introduction: The oral health of pregnant women depends on the knowledge, attitudes and behaviors learned prior to pregnancy. Research shows that the most frequent and specific problem encountered during this period, which continues during lactation, is gestational gingivitis, that is, inflammation of the gums. Therefore, the knowledge that the pregnant woman has about these alterations is essential, not only to prevent them, but for the consequences that can have during pregnancy, childbirth...

  9. Quantification of fluid resorption from diabetic macular oedema with foveal serous detachment after dexamethasone intravitreal implant (Ozurdex®) in a pregnant diabetic

    DEFF Research Database (Denmark)

    Hodzic-Hadzibegovic, Delila; Ba-Ali, Shakoor; Valerius, Marianne

    2017-01-01

    PURPOSE: To quantify the fluid resorption from the centre of the fovea in a pregnant woman with diabetic macular oedema by daily optical coherence tomography (OCT) measurements after the administration of intravitreal dexamethasone implant (Ozurdex®). METHODS: A 36-year-old pregnant woman with ty...

  10. ARM MJO Investigation Experiment on Gan Island (AMIE-Gan) Science Plan

    Energy Technology Data Exchange (ETDEWEB)

    Long, CL; Del Genio, A; Deng, M; Fu, X; Gustafson, W; Houze, R; Jakob, C; Jensen, M; Johnson, R; Liu, X; Luke, E; May, P; McFarlane, S; Minnis, P; Schumacher, C; Vogelmann, A; Wang, Y; Webster, P; Xie, S; Zhang, C

    2011-04-11

    The overarching campaign, which includes the ARM Mobile Facility 2 (AMF2) deployment in conjunction with the Dynamics of the Madden-Julian Oscillation (DYNAMO) and the Cooperative Indian Ocean experiment on intraseasonal variability in the Year 2011 (CINDY2011) campaigns, is designed to test several current hypotheses regarding the mechanisms responsible for Madden-Julian Oscillation (MJO) initiation and propagation in the Indian Ocean area. The synergy between the proposed AMF2 deployment with DYNAMO/CINDY2011, and the corresponding funded experiment on Manus, combine for an overarching ARM MJO Investigation Experiment (AMIE) with two components: AMF2 on Gan Island in the Indian Ocean (AMIE-Gan), where the MJO initiates and starts its eastward propagation; and the ARM Manus site (AMIE-Manus), which is in the general area where the MJO usually starts to weaken in climate models. AMIE-Gan will provide measurements of particular interest to Atmospheric System Research (ASR) researchers relevant to improving the representation of MJO initiation in climate models. The framework of DYNAMO/CINDY2011 includes two proposed island-based sites and two ship-based locations forming a square pattern with sonde profiles and scanning precipitation and cloud radars at both island and ship sites. These data will be used to produce a Variational Analysis data set coinciding with the one produced for AMIE-Manus. The synergy between AMIE-Manus and AMIE-Gan will allow studies of the initiation, propagation, and evolution of the convective cloud population within the framework of the MJO. As with AMIE-Manus, AMIE-Gan/DYNAMO also includes a significant modeling component geared toward improving the representation of MJO initiation and propagation in climate and forecast models. This campaign involves the deployment of the second, marine-capable, AMF; all of the included measurement systems; and especially the scanning and vertically pointing radars. The campaign will include sonde

  11. Low AMY1 Gene Copy Number Is Associated with Increased Body Mass Index in Prepubertal Boys.

    Directory of Open Access Journals (Sweden)

    M Loredana Marcovecchio

    Full Text Available Genome-wide association studies have identified more than 60 single nucleotide polymorphisms associated with Body Mass Index (BMI. Additional genetic variants, such as copy number variations (CNV, have also been investigated in relation to BMI. Recently, the highly polymorphic CNV in the salivary amylase (AMY1 gene, encoding an enzyme implicated in the first step of starch digestion, has been associated with obesity in adults and children. We assessed the potential association between AMY1 copy number and a wide range of BMI in a population of Italian school-children.744 children (354 boys, 390 girls, mean age (±SD: 8.4±1.4years underwent anthropometric assessments (height, weight and collection of saliva samples for DNA extraction. AMY1 copies were evaluated by quantitative PCR.A significant increase of BMI z-score by decreasing AMY1 copy number was observed in boys (β: -0.117, p = 0.033, but not in girls. Similarly, waist circumference (β: -0.155, p = 0.003, adjusted for age was negatively influenced by AMY1 copy number in boys. Boys with 8 or more AMY1 copy numbers presented a significant lower BMI z-score (p = 0.04 and waist circumference (p = 0.01 when compared to boys with less than 8 copy numbers.In this pediatric-only, population-based study, a lower AMY1 copy number emerged to be associated with increased BMI in boys. These data confirm previous findings from adult studies and support a potential role of a higher copy number of the salivary AMY1 gene in protecting from excess weight gain.

  12. Migration of the ATLAS Metadata Interface (AMI) to Web 2.0 and cloud

    Science.gov (United States)

    Odier, J.; Albrand, S.; Fulachier, J.; Lambert, F.

    2015-12-01

    The ATLAS Metadata Interface (AMI), a mature application of more than 10 years of existence, is currently under adaptation to some recently available technologies. The web interfaces, which previously manipulated XML documents using XSL transformations, are being migrated to Asynchronous JavaScript (AJAX). Web development is considerably simplified by the introduction of a framework based on JQuery and Twitter Bootstrap. Finally, the AMI services are being migrated to an OpenStack cloud infrastructure.

  13. Deploying the ATLAS Metadata Interface (AMI) on the cloud with Jenkins

    Science.gov (United States)

    Lambert, F.; Odier, J.; Fulachier, J.; ATLAS Collaboration

    2017-10-01

    The ATLAS Metadata Interface (AMI) is a mature application of more than 15 years of existence. Mainly used by the ATLAS experiment at CERN, it consists of a very generic tool ecosystem for metadata aggregation and cataloguing. AMI is used by the ATLAS production system, therefore the service must guarantee a high level of availability. We describe our monitoring and administration systems, and the Jenkins-based strategy used to dynamically test and deploy cloud OpenStack nodes on demand.

  14. Deploying the ATLAS Metadata Interface (AMI) on the cloud with Jenkins.

    CERN Document Server

    AUTHOR|(SzGeCERN)637120; The ATLAS collaboration; Odier, Jerome; Fulachier, Jerome

    2017-01-01

    The ATLAS Metadata Interface (AMI) is a mature application of more than 15 years of existence. Mainly used by the ATLAS experiment at CERN, it consists of a very generic tool ecosystem for metadata aggregation and cataloguing. AMI is used by the ATLAS production system, therefore the service must guarantee a high level of availability. We describe our monitoring and administration systems, and the Jenkins-based strategy used to dynamically test and deploy cloud OpenStack nodes on demand.

  15. Characteristics of myocardial perfusion imaging and coronary artery angiography in patients of NIDDM complicated with AMI

    International Nuclear Information System (INIS)

    Zhao Peiqin; Zhao Jinhua; Qin Mingzhao; Dai HaoJie; Zhang Runwu; Xiao Fen

    2001-01-01

    Objective: To investigate the characteristic changes of myocardial perfusion imaging and coronary artery angiography in patients of acute myocardial infarction (AMI) with underlined type 2 diabetes mellitus. Methods: 25 type 2 diabetes mellitus patients were enrolled for having clinical manifestation of AMI. Ten inpatients with AMI of simple coronary heart disease origin were served as controls. All subjects underwent both myocardial perfusion imagings (resting and nitroglycerine invention) and coronary artery angiography. Results: Compared to controls (40%), type 2 diabetes mellitus + AMI group had higher rate of multivessel disease (60%). For type 2 diabetes mellitus + AMI patients, 129/400 segments (32.25%) showed fixed defect, 25/160 segments (15.62%) in controls. Conclusions: For type 2 diabetes mellitus + AMI group, myocardial perfusion defects are widely distributed and multivessel or severe stenosis is more often presented. Good correlation exists between abnormal segments and angiographic lesions in both the number of segments involved and the severity of the lesions. Radionuclide myocardial perfusion is therefore considered a useful screening test not inferior to angiography, especially for those who are not tolerant enough to undergoing angiography

  16. Targeted social care for highly vulnerable pregnant women: Protocol of the Mothers of Rotterdam cohort study

    NARCIS (Netherlands)

    M. Van Der Hulst (Marije); M.W. de Groot (Marjolein); J.P. de Graaf (Hanneke); R. Kok (Rianne); P.J. Prinzie (Peter); A. Burdorf (Alex); L.C.M. Bertens (Loes C.M.); E.A.P. Steegers (Eric)

    2018-01-01

    markdownabstractIntroduction: Social vulnerability is known to be related to ill health. When a pregnant woman is socially vulnerable, the ill health does not only affect herself, but also the health and development of her (unborn) child. To optimise care for highly vulnerable pregnant women, in

  17. 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.

  18. Profile of acute myocardial infarction (ami) in pakistan

    International Nuclear Information System (INIS)

    Jafary, M.H.; Samad, A.; Ishaq, M.; Jawaid, S.A.; Vohra, E.A.

    2007-01-01

    While doing the study on Aspirin Awareness and Usage (AAUS) in cases of Acute Coronary Syndrome (ACS), AAUS study Group designed the protocol to include the profile of patients presenting with symptoms of ACS and in the light of that also reviewed the available data in South Asian population. A prospective study was carried out in 17 coronary care units (CCUs) in all 4 provinces of Pakistan. Patients included were males and females of all age groups presenting with chest pain, diagnosed to have Coronary Artery Disease (CAD) and categorized into Unstable Angina (USA), STEMI or NSTEMI, based on clinical, ECG and enzymatic criteria. The risk factors, family history, dietary history, time to reach ER after the onset of symptoms, management of ACS in CCU and outcome of treatment were recorded. A total of 1,527 patients presented to the Emergency Room (ER) with chest pain but around 1400 patients were evaluable. The majority (68%) were males. The mean age of all patients was 52.2+-10.7 years. 28.3% patients were <45 years. Average time to presentation at ER was 13.2+-6.2 hours. 92.7% patients presented with chest pain. More than half the patients had hypertension (55.2%) and or smoking (52%) as the risk factors while 37.2 % had diabetes and 18.2% had hyperlipidemia. Hypertension (52.7%), IHD (44%) and Diabetes (36.2%) figured prominently in the family history. USA and STEMI were the major types of ACS (43.0% and 40.5% respectively). At discharge 67.8% of patients were stable without symptoms, 13.3% were stable but with symptoms, 16.4% were referred for further investigations and 2.5% had died. The review of the available data in Pakistan, supported by the present study in a cohort of 1400 patients from 17 CCUs in the country, the emerging profile of patients with AMI is that the majority are male, relatively younger as compared to Western population, have smoking and hypertension followed by diabetes as the major risk factors. USA and STEMI are the dominant types of ACS

  19. Asymptomatic bacteriuria among pregnant women with sickle cell ...

    African Journals Online (AJOL)

    98) and gentamicin 100% (98/98) for HbAS and HbAA women respectively. Conclusions: The prevalence of ASB in pregnant women with HbAS in Enugu, Nigeria was high and did not vary significantly from that of woman with HbAA.

  20. Hurrah for the Reasonable Woman.

    Science.gov (United States)

    Leland, Dorothy

    1994-01-01

    Recent court cases on sexual harassment, and the outcomes, were reviewed in terms of how the court viewed a "reasonable" woman. Rulings in such cases can vary because of different interpretations of the "reasonable" concept. Also discusses how recent rulings will affect sexual harassment policymakers in the workplace and educational institutions.…

  1. [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.

  2. Virtual traumatology of pregnant women: the PRegnant car Occupant Model for Impact Simulations (PROMIS).

    Science.gov (United States)

    Auriault, F; Thollon, L; Peres, J; Delotte, J; Kayvantash, K; Brunet, C; Behr, M

    2014-01-03

    This study report documents the development of a finite element (FE) model for analyzing trauma in pregnant women involved in road accidents and help the design of a specific safety device. The model is representative of a 50th percentile pregnant woman at 26 weeks of pregnancy in sitting position. To achieve this, the HUMOS 2 model, which has been validated in a wide range of dynamic tests, was scaled to the morphology of a woman in the 50th percentile and coupled with a model of gravid uterus. During scaling, special attention was paid to the pelvic region which is known to differ considerably in morphological terms between men and women. The gravid uterus model includes a placenta, a fetus, uterosacral ligaments and the amniotic fluid by means of fluid structure interaction formulation. The uterus and the female model were coupled using an original method whereby the growth of an uterus was simulated to compress the abdominal organs in a realistic manner. The model was validated based on experimental tests described in the literature. Additional tests based on abdominal loadings with a seatbelt on Post Mortem Human Surrogates (PMHS) coupled to silicone uterus were also performed. Results highlighted the role of the possible interaction of the fetus in the pregnant woman abdominal response. Experimental corridors taking into account the presence of this fetus could therefore be proposed. © 2013 Elsevier Ltd. All rights reserved.

  3. 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

  4. Contraception for the perimenopausal woman

    African Journals Online (AJOL)

    these women. Most of these methods also have beneficial non-contraceptive properties. Introduction. Falling pregnant in the perimenopausal years can potentially ... tinuation of use. The risk reduction in developing epithelial ovarian cancer in women using oral contraception is 40%. After 10 years of use the risk reduction.

  5. [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.

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

    International Nuclear Information System (INIS)

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

    2014-01-01

    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. (paper)

  7. Copy number variation of human AMY1 is a minor contributor to variation in salivary amylase expression and activity.

    Science.gov (United States)

    Carpenter, Danielle; Mitchell, Laura M; Armour, John A L

    2017-02-20

    Salivary amylase in humans is encoded by the copy variable gene AMY1 in the amylase gene cluster on chromosome 1. Although the role of salivary amylase is well established, the consequences of the copy number variation (CNV) at AMY1 on salivary amylase protein production are less well understood. The amylase gene cluster is highly structured with a fundamental difference between odd and even AMY1 copy number haplotypes. In this study, we aimed to explore, in samples from 119 unrelated individuals, not only the effects of AMY1 CNV on salivary amylase protein expression and amylase enzyme activity but also whether there is any evidence for underlying difference between the common haplotypes containing odd numbers of AMY1 and even copy number haplotypes. AMY1 copy number was significantly correlated with the variation observed in salivary amylase production (11.7% of variance, P structure may affect expression, but this was not significant in our data.

  8. 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.

  9. 137Cs metabolism in pregnant women

    International Nuclear Information System (INIS)

    Melo, D.R.; Lipsztein, J.L.; Oliveira, C.A.N.; Bertelli, L.

    2000-01-01

    Data from two pregnant women contaminated with 137 Cs, body burdens of 0.2 and 300 MBq, respectively at the time of the Goiania accident, were compared. The first one, with lower body burden was exposed during the fourth month of pregnancy, while the second became pregnant three years and eight months after 137 Cs intake. For the first woman 137 Cs concentrations were equal for the mother, infant and placenta, indicating an easy and homogeneous transport of 137 Cs from mother to foetus. The whole body monitoring data from the second woman, who became pregnant four years after intake, did not show a reduction in biological half-life during the pregnancy. Cs concentration in the mother was found to be 13 times higher than in the infant. One possible reason for this result is that four years after intake, Cs is supposed to be concentrated mainly in skeletal muscle tissue. During the pregnancy the blood flux becomes higher in most of the organs and tissues except brain, liver and skeletal muscle tissue. (author)

  10. Complex Copy Number Variation of AMY1 does not Associate with Obesity in two East Asian Cohorts.

    Science.gov (United States)

    Yong, Rita Y Y; Mustaffa, Su'Aidah B; Wasan, Pavandip S; Sheng, Liang; Marshall, Christian R; Scherer, Stephen W; Teo, Yik-Ying; Yap, Eric P H

    2016-07-01

    The human amylase gene locus at chromosome 1p21.1 is structurally complex. This region contains two pancreatic amylase genes, AMY2B, AMY2A, and a salivary gene AMY1. The AMY1 gene harbors extensive copy number variation (CNV), and recent studies have implicated this variation in adaptation to starch-rich diets and in association to obesity for European and Asian populations. In this study, we showed that by combining quantitative PCR and digital PCR, coupled with careful experimental design and calibration, we can improve the resolution of genotyping CNV with high copy numbers (CNs). In two East Asian populations of Chinese and Malay ethnicity studied, we observed a unique non-normal distribution of AMY1 diploid CN genotypes with even:odd CNs ratio of 4.5 (3.3-4.7), and an association between the common AMY2A CN = 2 genotype and odd CNs of AMY1, that could be explained by the underlying haplotypic structure. In two further case-control cohorts (n = 932 and 145, for Chinese and Malays, respectively), we did not observe the previously reported association between AMY1 and obesity or body mass index. Improved methods for accurately genotyping multiallelic CNV loci and understanding the haplotype complexity at the AMY1 locus are necessary for population genetics and association studies. © 2016 WILEY PERIODICALS, INC.

  11. The Plight of the Woman Doctoral Student

    Science.gov (United States)

    Holmstrom, Engin Inel; Holmstrom, Robert W.

    1974-01-01

    This study investigated factors underlying discrimination against woman doctoral students. Analyses revealed that faculty attitudes and behavior toward woman doctoral students contributed significantly to their emotional stresses and self-doubts. (Author/NE)

  12. A Power Planning Algorithm Based on RPL for AMI Wireless Sensor Networks.

    Science.gov (United States)

    Miguel, Marcio L F; Jamhour, Edgard; Pellenz, Marcelo E; Penna, Manoel C

    2017-03-25

    The advanced metering infrastructure (AMI) is an architecture for two-way communication between electric, gas and water meters and city utilities. The AMI network is a wireless sensor network that provides communication for metering devices in the neighborhood area of the smart grid. Recently, the applicability of a routing protocol for low-power and lossy networks (RPL) has been considered in AMI networks. Some studies in the literature have pointed out problems with RPL, including sub-optimal path selection and instability. In this paper, we defend the viewpoint that careful planning of the transmission power in wireless RPL networks can significantly reduce the pointed problems. This paper presents a method for planning the transmission power in order to assure that, after convergence, the size of the parent set of the RPL nodes is as close as possible to a predefined size. Another important feature is that all nodes in the parent set offer connectivity through links of similar quality.

  13. amiA is a negative regulator of acetamidase expression in Mycobacterium smegmatis

    Directory of Open Access Journals (Sweden)

    Turner Jane

    2001-08-01

    Full Text Available Abstract Background The acetamidase of Mycobacterium smegmatis is a highly inducible enzyme. Expression of this enzyme is increased 100-fold when the substrate acetamide is present. The acetamidase gene is found immediately downstream of three open reading frames. Two of these are proposed to be involved in regulation. Results We constructed a deletion mutant in one of the upstream ORFs (amiA. This mutant (Mad1 showed a constitutively high level of acetamidase expression. We identified four promoters in the upstream region using a β-galactosidase reporter gene. One of these (P2 was inducible in the wild-type, but was constitutively active in Mad1. Conclusions These results demonstrate that amiA encodes a negative regulatory protein which interacts with P2. Since amiA has homology to DNA-binding proteins, it is likely that it exerts the regulatory effect by binding to the promoter to prevent transcription.

  14. 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.

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

    Science.gov (United States)

    Gaszyńska, Ewelina; Klepacz-Szewczyk, Justyna; Trafalska, Elżbieta; Garus-Pakowska, Anna; Szatko, Franciszek

    2015-01-01

    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. 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. 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. 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. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  16. Rethinking the starch digestion hypothesis for AMY1 copy number variation in humans.

    Science.gov (United States)

    Fernández, Catalina I; Wiley, Andrea S

    2017-08-01

    Alpha-amylase exists across taxonomic kingdoms with a deep evolutionary history of gene duplications that resulted in several α-amylase paralogs. Copy number variation (CNV) in the salivary α-amylase gene (AMY1) exists in many taxa, but among primates, humans appear to have higher average AMY1 copies than nonhuman primates. Additionally, AMY1 CNV in humans has been associated with starch content of diets, and one known function of α-amylase is its involvement in starch digestion. Thus high AMY1 CNV is considered to result from selection favoring more efficient starch digestion in the Homo lineage. Here, we present several lines of evidence that challenge the hypothesis that increased AMY1 CNV is an adaptation to starch consumption. We observe that α- amylase plays a very limited role in starch digestion, with additional steps required for starch digestion and glucose metabolism. Specifically, we note that α-amylase hydrolysis only produces a minute amount of free glucose with further enzymatic digestion and glucose absorption being rate-limiting steps for glucose availability. Indeed α-amylase is nonessential for starch digestion since sucrase-isomaltase and maltase-glucoamylase can hydrolyze whole starch granules while releasing glucose. While higher AMY1 CN and CNV among human populations may result from natural selection, existing evidence does not support starch digestion as the major selective force. We report that in humans α-amylase is expressed in several other tissues where it may have potential roles of evolutionary significance. © 2017 Wiley Periodicals, Inc.

  17. Woman's harmony at work and family life

    OpenAIRE

    Trnková, Dagmar

    2009-01-01

    The subject of this bachelor's essay is problem of Work Life Balance from the woman's perspective. The study describes woman's position in the Czech society and labour market, using relevant sociological and statistical data. Author reveals the immediate link between maternity and disadvantaging of woman in the work. The text deals with the family life and its public support and employers' policies in detail.

  18. Voltage Harmonics Monitoring in a Microgrid Based on Advanced Metering Infrastructure (AMI)

    DEFF Research Database (Denmark)

    Firoozabadi, Mehdi Savaghebi; Guan, Yajuan; Quintero, Juan Carlos Vasquez

    2015-01-01

    Smart meters are the main part of Advanced Metering Infrastructure (AMI) and are usually able to provide detailed information on customers’ energy consumptions, voltage variations and interruptions. In addition, these meters are potentially able to provide more information about power quality (PQ......) disturbances. This paper will address the monitoring of voltage harmonics utilizing the features of smart meters and AMI system. To do this, the first step is to select proper indices to quantify the distortion. An important point which should be considered in this regard is the limited processing power...

  19. Migration of the ATLAS Metadata Interface (AMI) to Web 2.0 and cloud

    CERN Document Server

    Odier, Jerome; The ATLAS collaboration; Fulachier, Jerome; Lambert, Fabian

    2015-01-01

    The ATLAS Metadata Interface (AMI) can be considered to be a mature application because it has existed for at least 10 years. Over the last year, we have been adapting the application to some recently available technologies. The web interface, which previously manipulated XML documents using XSL transformations, has been migrated to Asynchronous Java Script (AJAX). Web development has been considerably simplified by the development of a framework for AMI based on JQuery and Twitter Bootstrap. Finally there has been a major upgrade of the python web service client.

  20. Deploying the ATLAS Metadata Interface (AMI) on the cloud with Jenkins

    CERN Document Server

    Lambert, Fabian; The ATLAS collaboration

    2016-01-01

    The ATLAS Metadata Interface (AMI) is a mature application of more than 15 years of existence. Mainly used by the ATLAS experiment at CERN, it consists of a very generic tool ecosystem for metadata aggregation and cataloguing. AMI is used by the ATLAS production system, therefore the service must guarantee a high level of availability. We describe our monitoring system and the Jenkins-based strategy used to dynamically test and deploy cloud OpenStack nodes on demand. Moreover, we describe how to switch to a distant replica in case of downtime.

  1. Science goals and expected results from the smart-1 amie multi-coulour micro-camera

    Science.gov (United States)

    Josset, J.-L.; AMIE Team

    2003-04-01

    The Advanced Moon micro-Imager Experiment (AMIE), which will be on board ESA SMART-1, the first European mission to the Moon (launch foreseen in 2003), is an imaging system with scientific, technical and public outreach oriented objectives. The science objectives are to image the Lunar South Pole (Aitken basin), permanent shadow areas (ice deposit), eternal light (crater rims), ancient Lunar Nonmare volcanism, local spectro-photometry and physical state of the lunar surface, and to map high latitudes regions (south) mainly at far side. The main science goals and the expected results from the AMIE multi-colour micro-camera are presented.

  2. 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

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Prohibition of research involving intentional exposure of any human subject who is a pregnant woman (and therefore her fetus), a nursing woman, or a child. 26.1203 Section 26.1203 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL...

  3. Sexuality and the older woman.

    Science.gov (United States)

    Tremayne, Penny; Norton, Wendy

    2017-07-27

    Sexual health is a key public health issue. The older woman faces a number of changes to her sexual health, wellbeing and sexuality. These changes result in many older women having to adapt to a series of complex transitions that can be challenging. This article aims to identify and explore some of these changes and how they can have a significant impact on women's quality of life. Nurses play an important role in assessing and helping women to manage normal and pathological age-related changes in order to improve the sexual health of older women and ensure they receive the advice and support needed at this stage of their life.

  4. Circumstances of tobacco smoking by pregnant women.

    Science.gov (United States)

    Zołnierczuk-Kieliszek, Dorota; Chemperek, Ewa; Koza, Matylda

    2004-01-01

    The aim of the paper was to determine the frequency and intensity of tobacco smoking by pregnant women as well as to find out the relationship between tobacco smoking during pregnancy and socioeconomic variables (education, marital status, professional career, smoking partner, number of children) as well as health variables (severe ailments during pregnancy period, taking medicines, using medical care). The research was carried out at the department of gynecology and obstetrics of the Specialist Hospital in Jasło as well as at the Women's Outpatient Clinic of the Public Independent Health Service Institution in Skołyszyn (Podkarpackie Voivodship). The research was conducted by means of the questionnaire distributed from July to September 2002 among 100 pregnant women. The results of the analysis indicate that 18% of the women under survey smoked cigarettes during pregnancy, including 6% daily smokers and 12% occasional smokers. 18% of women quitted smoking when they found out that they were pregnant, and 18% of them limited smoking. Exposure to passive smoking at their family home was declared by more than a half of the pregnant women, while 14% of the surveyed women mentioned passive exposure to smoke at their workplace. The socioeconomic variables that most clearly showed positive correlation with active smoking by pregnant women were: smoking tobacco by a husband or steady partner, smoking tobacco in the presence of a pregnant woman in her workplace and at home, as well as taking advantage of a family doctor's advice. Smoking tobacco during pregnancy was also enhanced by: the lower level of education, extramarital pregnancy, permanent residence in a town or a city, poor living conditions, not working professionally during pregnancy, having two or more children, abnormal course of pregnancy, suffering from such ailments as: weepiness, problems with relaxation, lack of appetite and taking no medicines during pregnancy.

  5. CARDIOLOGICAL MANAGEMENT OF PREGNANT WOMEN IN THE UDMURT REPUBLIC

    Directory of Open Access Journals (Sweden)

    I. R. Gaisin

    2009-01-01

    Full Text Available Aim. To assess the efficacy of specialized management of pregnant women with cardiovascular diseases (CVD in the Udmurt Republic (UR of Russia.Material and methods. In prospective and retrospective study we investigated pregnancy outcomes in all 17948 women in management system created for pregnant patients with CVD in the UR from 2000 to 2007. The system comprises specialized outpatient and inpatient departments and an obstetric hospital within the regional cardiological centre. Pregnant women had different CVD including hypertension, congenital and rheumatic heart disease, cardiac arrhythmias, noncoronary myocardial disease, disorders and autoimmune diseases of connective tissue, etc.Results. Perinatal mortality decreased by 41,1% from 11,2‰ in 2000 to 6,6‰ in 2007. During 8 years, no one woman died.Conclusion. The management system for pregnant women with CVD within the regional cardiological clinic makes it possible to reduce of maternal and perinatal mortality rates significantly. 

  6. The woman in Minoic Crete.

    Science.gov (United States)

    Grammatikakis, Ioannis Emm

    2011-07-01

    Minoan Civilization (3000-1150 BC) was the first European civilization on the GREEK island of Crete. Fabulous architectonical constructions like great palaces, wonderful frescoes, and pottery as well as jewellery characterize this amazing civilization. According to all existing descriptions from ancient Greek historians and philosophers like Plato, Thucydides, Strabon but also from all the archaeological findings men and women lived freely and peacefully participating equal in all daily activities, sports, and games. The women were predominating. Minoan women enjoyed a higher social status than other women in later civilizations. Investigation of all the existing data concerning the Minoan culture. Archaeological databases, as well as data from the National University of Athens and other Greek historical institutions were collected and analyzed in order to present the Minoan culture. The Minoic civilization represents a paradigm of a well being society in which the woman played a dominant role. She was the 'mother' but also the 'active woman', who participated in all city activities. Four thousand years later a prototype of a society in which the role of the mother was recognized in an admirably way remains a magnificent paradigm.

  7. Audio-Visual Processing in Meetings: Seven Questions and Current AMI Answers

    NARCIS (Netherlands)

    Al-Hamas, Marc; Hain, Thomas; Cernocky, Jan; Schreiber, Sascha; Poel, Mannes; Rienks, R.J.

    2007-01-01

    The project Augmented Multi-party Interaction (AMI) is concerned with the development of meeting browsers and remote meeting assistants for instrumented meeting rooms – and the required component technologies R&D themes: group dynamics, audio, visual, and multimodal processing, content abstraction,

  8. Test Review: An Interview with Amy Gabel--About the WISC-V

    Science.gov (United States)

    Greathouse, Dan; Shaughnessy, Michael F.

    2016-01-01

    Whenever a major intelligence or achievement test is revised, there is always renewed interest in the underlying structure of the test as well as a renewed interest in the scoring, administration, and interpretation changes. In this interview, Amy Gabel discusses the most recent revision of the "Wechsler Intelligence Scale for Children-Fifth…

  9. Amy Tan, Author of "The Joy Luck Club." (People to Know).

    Science.gov (United States)

    Kramer, Barbara

    This book, aimed at the young reader, explores the life and career of the Chinese-American author, Amy Tan. It follows her childhood in Oakland, California, through her struggle to accept her Chinese heritage, through her education and marriage to a non-Chinese man, to her early work as a business writer, and finally to her great success as a…

  10. Now that California has AMI, what can the state do with it?

    International Nuclear Information System (INIS)

    Woo, C.K.; Kollman, E.; Orans, R.; Price, S.; Horii, B.

    2008-01-01

    Recognizing the lack of retail-demand response, a state regulator, such as the California Public Utilities Commission (CPUC), seeks tariff proposals that transmit wholesale price signals to a local distribution company's (LDC) retail customers. To enable these proposals, the CPUC has authorized funding for advanced metering infrastructure (AMI) for two investor-owned LDCs. Assuming regulatory approval of the third LDC's application, the state's US$4.28 billion AMI investment will aid new rate designs for 11.3 million electricity customers. Now that California has AMI, what can the state do with it? With AMI in hand, an LDC can implement service options that can further the state's energy initiatives, ranging from resource adequacy requirement (RAR) to greenhouse gas (GHG) emissions reduction. These options can efficiently allocate limited capacity based on each customer's willingness to pay, without the unnecessary distinction between price rationing and reliability differentiation. They can be Pareto superior, welfare dominating the default tariffs that apply to these customers. A case in point is the generalized demand subscription service (GDSS) option proposed in this paper. However, it is unclear whether the option will find wide customer acceptance, without an LDC's intensive customer education and marketing efforts

  11. 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.

  12. Pregnancy in a woman with untreated bladder exstrophy: a case report

    Directory of Open Access Journals (Sweden)

    Suhui Wu

    2018-01-01

    Full Text Available Objective: To report the management of urinary tract obstruction and infection in a pregnant woman with unrepaired bladder exstrophy. Case Report: A 27-year-old pregnant woman with unrepaired bladder exstrophy was referred to our hospital with a complaint of bilateral flank pain in the second trimester. After two-dimensional abdominal ultrasound, magnetic resonance imaging and a urine analysis, she was diagnosed with an upper urinary tract infection due to ureteral obstruction secondary to unrepaired congenital bladder exstrophy and an intrauterine pregnancy. J-tube insertion was performed after locating the ureteral orifices and antibiotics were administered. Symptoms rapidly resolved. She delivered a normal male infant by caesarean section at 34 weeks of gestation. Conclusion: Standard urological management of the ureteral obstruction in pregnancy was successful in this extreme case of unrepaired bladder exstrophy associated with an intrauterine pregnancy. The perinatal outcome was good. Keywords: Bladder exstrophy, Infection, Pregnancy, Urinary tract

  13. Beneficial effect of a high number of copies of salivary amylase AMY1 gene on obesity risk in Mexican children.

    Science.gov (United States)

    Mejía-Benítez, María A; Bonnefond, Amélie; Yengo, Loïc; Huyvaert, Marlène; Dechaume, Aurélie; Peralta-Romero, Jesús; Klünder-Klünder, Miguel; García Mena, Jaime; El-Sayed Moustafa, Julia S; Falchi, Mario; Cruz, Miguel; Froguel, Philippe

    2015-02-01

    Childhood obesity is a major public health problem in Mexico, affecting one in every three children. Genome-wide association studies identified genetic variants associated with childhood obesity, but a large missing heritability remains to be elucidated. We have recently shown a strong association between a highly polymorphic copy number variant encompassing the salivary amylase gene (AMY1 also known as AMY1A) and obesity in European and Asian adults. In the present study, we aimed to evaluate the association between AMY1 copy number and obesity in Mexican children. We evaluated the number of AMY1 copies in 597 Mexican children (293 obese children and 304 normal weight controls) through highly sensitive digital PCR. The effect of AMY1 copy number on obesity status was assessed using a logistic regression model adjusted for age and sex. We identified a marked effect of AMY1 copy number on reduced risk of obesity (OR per estimated copy 0.84, with the number of copies ranging from one to 16 in this population; p = 4.25 × 10(-6)). The global association between AMY1 copy number and reduced risk of obesity seemed to be mostly driven by the contribution of the highest AMY1 copy number. Strikingly, all children with >10 AMY1 copies were normal weight controls. Salivary amylase initiates the digestion of dietary starch, which is highly consumed in Mexico. Our current study suggests putative benefits of high number of AMY1 copies (and related production of salivary amylase) on energy metabolism in Mexican children.

  14. Medium dependent dual turn on/turn off fluorescence sensing for Cu2 + ions using AMI/SDS assemblies

    Science.gov (United States)

    Gujar, Varsha B.; Ottoor, Divya

    2017-02-01

    Behavior of Amiloride (AMI) as a metal ion sensor in anionic surfactant assemblies of varying concentrations at different pH is depicted in this work. From a non-sensor fluorophore, AMI has been transformed in to a tunable fluorosensor for Cu2 + ions in various SDS concentrations. At premicellar concentration of SDS, ion-pair complex is expected to be formed between AMI and SDS due to electrostatic interactions between them. However at CMC concentrations of SDS, fluorescence intensity of AMI is greatly enhanced with red shift in emission, due to the incorporation of AMI molecule in the hydrophobic micellar interface. The behavior of metal sensing by AMI-SDS assemblies gives rise to several interesting observations. Micellation of SDS has been greatly enhanced by increasing copper ion concentrations, as these counter ions screens the charge on monomers of SDS which lead to the aggregation at premicellar concentrations only. Concentrations and pH dependent discrete trends of interactions between SDS-AMI and SDS-Cu2 + ions, have given tunable fluorescence responses (fluorescence turn on/turn off) of AMI for added Cu2 + ions. The electrostatic interaction between the metal cations and the anionic surfactants is the driving force for bringing the metal ions near to the vicinity of micelle where AMI resides. Thus, a comprehensive understanding of the mechanism related to the 'turn on-turn off' fluorescence response of AMI with respect to pH and SDS concentration for effective Cu2 + ion sensing is illustrated in this work.

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

    OpenAIRE

    Veronico Nogales Tarrayo

    2015-01-01

    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 vir...

  16. 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.

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

    OpenAIRE

    Ewelina Gaszyńska; Justyna Klepacz-Szewczyk; Elżbieta Trafalska; Anna Garus-Pakowska; Franciszek Szatko

    2015-01-01

    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 Det...

  18. Oral health knowledge of pregnant women. Systematic review

    Directory of Open Access Journals (Sweden)

    María José Aguilar-Cordero

    2018-03-01

    Full Text Available Introduction: The oral health of pregnant women depends on the knowledge, attitudes and behaviors learned prior to pregnancy. Research shows that the most frequent and specific problem encountered during this period, which continues during lactation, is gestational gingivitis, that is, inflammation of the gums. Therefore, the knowledge that the pregnant woman has about these alterations is essential, not only to prevent them, but for the consequences that can have during pregnancy, childbirth and postpartum. Aim: To analyze the main studies on the level of oral health knowledge of pregnant women. Method: The systematic review was performed according to the PRISMA guidelines. We have selected 18 studies that analyze the subject matter. Results: The studies reviewed did not present similar samples at the time of assessing the level of knowledge of the oral health of pregnant women. This can create problems comparing studies with each other. The issue addressed to measure the knowledge of pregnant women served to determine this discernment, and thus orient the research towards those aspects that presented difficulties. Conclusions: All of the studies reviewed show that the level of knowledge of pregnant women about their oral health is regular. This result that the surveys show, is not validated by a unified protocol, this means that there is no unanimity when verifying the knowledge of pregnant women, in relation to their oral health, as a health problem in general.

  19. The Language of Revolution and the Power of Storytelling in The Pregnant Widow

    Directory of Open Access Journals (Sweden)

    Alaa Alghamdi

    2014-01-01

    Full Text Available Martin Amis uses the language of revolution to describe the newly altered social circumstances at the height of the sexual revolution in his semi-autobiographical novel The Pregnant Widow. The concept of a ‘language of revolution’ as well as second- and third-wave feminist scholarship is applied to a textual analysis of the novel. Amis’s brand of satire creates a sense of displacement and challenges existing perceptions about gender, culture and sexuality, exposing them as constructed and changeable norms. Moreover, it becomes clear that the author is skeptical about the benefits of the sexual revolution for either gender, and that he views its liberating aspects as unfulfilled, particularly for women. Given that Amis names one of his characters Scheherazade, evoking the legendary heroine of The Arabian Nights, the importance of storytelling in the novel is also examined and found to be a potentially redeeming force.

  20. Marie Curie: Physicist and Woman

    Science.gov (United States)

    Howes, Ruth

    Marie Sklodowska was born in Warsaw on November 7, 1867. Girls were not allowed to attend college in Poland, so Marie found a well-paying post as a governess in rural village which she held for three years while helping her older sister complete medical school in Paris. Then Marie moved to Paris and graduated first in her class at the Sorbonne with a master's degree in physics in 1893. In 1895, she married the talented young physicist, Pierre Curie. Marie decided to investigate the radioactive components of the mineral pitchblende for her dissertation. The work involved chemical analysis of a ton of material in an unheated shed. Pierre joined her and at the end of 1898, the Curies announced the discovery of radium and polonium. Through 1899, Marie labored to measure the atomic weight of radium. In 1903, Marie earned her doctorate, the first for a woman in France, and the Curies split the Nobel Prize in Physics with Henri Becquerel. They became widely known, besieged by the press and frequently invited to make presentations and be awarded honors. They hated fame and both suffered bad health. In April, 1906, Pierre Curie was struck by a wagon and killed instantly. Marie was left as a single mother with two young daughters. Fortunately, the Sorbonne hired her to fill Pierre's position. In 1911, she was rejected for membership in the French Academy of Science because she was a woman. Also in 1911, she was accused of having an affair with a married French physicist Paul Langevin. The resulting scandal hit the press and brought angry mobs to her home. In the middle of this hullaballoo, she was informed that she had won a second Nobel Prize, this time in Chemistry. When World War I broke out, Marie mounted x-ray units on cars and became a heroine. She visited the United States in 1921 where President Harding presented her with a gram of radium. She continued her scientific studies in spite of declining health until her death in 1934. Professor Emerita.

  1. Enhanced ID-Based Authentication Scheme Using OTP in Smart Grid AMI Environment

    Directory of Open Access Journals (Sweden)

    Sang-Soo Yeo

    2014-01-01

    Full Text Available This paper presents the vulnerabilities analyses of KL scheme which is an ID-based authentication scheme for AMI network attached SCADA in smart grid and proposes a security-enhanced authentication scheme which satisfies forward secrecy as well as security requirements introduced in KL scheme and also other existing schemes. The proposed scheme uses MDMS which is the supervising system located in an electrical company as a time-synchronizing server in order to synchronize smart devices at home and conducts authentication between smart meter and smart devices using a new secret value generated by an OTP generator every session. The proposed scheme has forward secrecy, so it increases overall security, but its communication and computation overhead reduce its performance slightly, comparing the existing schemes. Nonetheless, hardware specification and communication bandwidth of smart devices will have better conditions continuously, so the proposed scheme would be a good choice for secure AMI environment.

  2. Using AMIE data to study cloud processes within the Madden-Julian Oscillation

    Energy Technology Data Exchange (ETDEWEB)

    Houze, Robert A. [Univ. of Washington, Seattle, WA (United States). Dept. of Atmospheric Sciences

    2015-12-17

    This study uses AMIE data to show how the small clouds in the Madden-Julian Oscillation first organize into lines and other patterns, how they develop the first rainshowers, how those showers deposit cool air over the ocean surface, how this cool air spreads and triggers deeper convection, how the deep convection develops into mesoscale systems, how the mesoscale systems modify the heating profile through the depth of the troposphere, and how the development of the clouds responds to and interacts with large-scale waves circumnavigating the globe at upper levels, and how equatorial trapped waves at lower levels modulates the development of the cloud population. The techniques used to analyze the radar and sounding data collected in AMIE to achieve the above results are innovative, and to obtain more general results we have used regional modeling with a variety of cloud microphysical schemes in combination with the data analyses.

  3. The woman patient after WHI.

    Science.gov (United States)

    Graziottin, Alessandra

    2005-05-16

    An epidemic of fear and distrust has infected women (and physicians) after publication of the Women's Health Initiative (WHI). The overinflated negative data emerging from the oestroprogestinic arm of WHI have frightened women and gave rise to the most difficult emotions to cope with. Keywords such as cancer, death and hormones combined together, have potentiated an avoidant attitude towards hormonal therapy (HT) driven more emotionally than rationally. This negative aura has not been dissipated by the positive data from the oestrogen-only arm of WHI. This paper will discuss: women's different emotional reactions to and coping strategies for HT-related fear after WHI; the communication skills physicians should use in focusing on positive messages emerging from WHI; predictors of current HT use; the meaning of the higher use of HT in postmenopausal highly-educated women and women gynaecologists; the importance of increasing healthy life-styles as a taking of responsibility towards aging by every woman; shifting from passivity to active sharing of the decision making process with the caring physician; and the use of an individually tailored HT, when appropriate, as part of an active strategy in the pursuit of a longer health expectancy.

  4. "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…

  5. VerSAMI: Versatile and Scalable key management for Smart Grid AMI systems

    OpenAIRE

    Benmalek , Mourad; Challal , Yacine; Derhab , Abdelouahid; Bouabdallah , Abdelmadjid

    2018-01-01

    International audience; In this paper, we propose four new key management schemes for Advanced Metering Infrastructure (AMI) to secure data communications in the Smart Grid (SG). The schemes are based on individual and batch rekeying operations using a novel multi-group key graph structure, are also versatile in the sense that they can support broadcast, unicast, as well as multicast communications. Security analysis shows that our schemes satisfy key management security properties. Furthermo...

  6. Towards Efficient Energy Management: Defining HEMS, AMI and Smart Grid Objectives

    DEFF Research Database (Denmark)

    Rossello Busquet, Ana; Kardaras, Georgios; Soler, José

    2011-01-01

    electricity in the grid will also help to reduce the increase of energy consumption in the future. In order to reduce energy consumption in home environments, researches have been designing Home Energy Management Systems (HEMS). In addition, Advanced Metering Infrastructure (AMI) and smart grids are also...... being developed to distribute and produce electricity efficiently. This paper presents the high level goals and requirements of HEMS. Additionally, it gives an overview of Advanced Metering Infrastructure benefits and smart grids objectives....

  7. [assessment Of Self-esteem In Pregnant Women Using Rosenberg's Self-esteem Scale].

    OpenAIRE

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

    2015-01-01

    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...

  8. PLATFORM DEFORMATION PHASE CORRECTION FOR THE AMiBA-13 COPLANAR INTERFEROMETER

    Energy Technology Data Exchange (ETDEWEB)

    Liao, Yu-Wei; Lin, Kai-Yang; Huang, Yau-De; Ho, Paul T. P.; Chen, Ming-Tang; Locutus Huang, Chih-Wei; Koch, Patrick M.; Nishioka, Hiroaki; Umetsu, Keiichi; Han, Chih-Chiang; Li, Chao-Te; Martin-Cocher, Pierre; Oshiro, Peter [Institute of Astronomy and Astrophysics, Academia Sinica, P.O. Box 23-141, Taipei 10617, Taiwan (China); Proty Wu, Jiun-Huei; Cheng, Tai-An; Fu, Szu-Yuan; Wang, Fu-Cheng [Department of Physics, Institute of Astrophysics, and Center for Theoretical Sciences, National Taiwan University, Taipei 10617, Taiwan (China); Liu, Guo-Chin [Department of Physics, Tamkang University, 251-37 Tamsui, New Taipei City, Taiwan (China); Molnar, Sandor M. [Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan (China); Chang, Yu-Yen, E-mail: ywliao@asiaa.sinica.edu.tw, E-mail: jhpw@phys.ntu.edu.tw [Max-Planck-Institut fuer Astronomie, Koenigstuhl 17, D-69117 Heidelberg (Germany)

    2013-05-20

    We present a new way to solve the platform deformation problem of coplanar interferometers. The platform of a coplanar interferometer can be deformed due to driving forces and gravity. A deformed platform will induce extra components into the geometric delay of each baseline and change the phases of observed visibilities. The reconstructed images will also be diluted due to the errors of the phases. The platform deformations of The Yuan-Tseh Lee Array for Microwave Background Anisotropy (AMiBA) were modeled based on photogrammetry data with about 20 mount pointing positions. We then used the differential optical pointing error between two optical telescopes to fit the model parameters in the entire horizontal coordinate space. With the platform deformation model, we can predict the errors of the geometric phase delays due to platform deformation with a given azimuth and elevation of the targets and calibrators. After correcting the phases of the radio point sources in the AMiBA interferometric data, we recover 50%-70% flux loss due to phase errors. This allows us to restore more than 90% of a source flux. The method outlined in this work is not only applicable to the correction of deformation for other coplanar telescopes but also to single-dish telescopes with deformation problems. This work also forms the basis of the upcoming science results of AMiBA-13.

  9. eAMI: A Qualitative Quantification of Periodic Breathing Based on Amplitude of Oscillations

    Science.gov (United States)

    Fernandez Tellez, Helio; Pattyn, Nathalie; Mairesse, Olivier; Dolenc-Groselj, Leja; Eiken, Ola; Mekjavic, Igor B.; Migeotte, P. F.; Macdonald-Nethercott, Eoin; Meeusen, Romain; Neyt, Xavier

    2015-01-01

    Study Objectives: Periodic breathing is sleep disordered breathing characterized by instability in the respiratory pattern that exhibits an oscillatory behavior. Periodic breathing is associated with increased mortality, and it is observed in a variety of situations, such as acute hypoxia, chronic heart failure, and damage to respiratory centers. The standard quantification for the diagnosis of sleep related breathing disorders is the apnea-hypopnea index (AHI), which measures the proportion of apneic/hypopneic events during polysomnography. Determining the AHI is labor-intensive and requires the simultaneous recording of airflow and oxygen saturation. In this paper, we propose an automated, simple, and novel methodology for the detection and qualification of periodic breathing: the estimated amplitude modulation index (eAMI). Patients or Participants: Antarctic cohort (3,800 meters): 13 normal individuals. Clinical cohort: 39 different patients suffering from diverse sleep-related pathologies. Measurements and Results: When tested in a population with high levels of periodic breathing (Antarctic cohort), eAMI was closely correlated with AHI (r = 0.95, P Dolenc-Groselj L, Eiken O, Mekjavic IB, Migeotte PF, Macdonald-Nethercott E, Meeusen R, Neyt X. eAMI: a qualitative quantification of periodic breathing based on amplitude of oscillations. SLEEP 2015;38(3):381–389. PMID:25581914

  10. AmiD Is a Novel Peptidoglycan Amidase in Wolbachia Endosymbionts of Drosophila melanogaster

    Directory of Open Access Journals (Sweden)

    Miriam Wilmes

    2017-08-01

    Full Text Available Wolbachia endobacteria are obligate intracellular bacteria with a highly reduced genome infecting many arthropod and filarial species, in which they manipulate arthropod reproduction to increase their transmission and are essential for nematode development and survival. The Wolbachia genome encodes all enzymes required for the synthesis of the cell wall building block lipid II, although a peptidoglycan-like structure has not been detected. Despite the ability to synthesize lipid II, Wolbachia from arthropods and nematodes have only a subset of genes encoding enzymes involved in the periplasmic processing of lipid II and peptidoglycan recycling, with arthropods having two more than nematodes. We functionally analyzed the activity of the putative cell wall hydrolase AmiD from the Wolbachia endosymbiont of Drosophila melanogaster, an enzyme not encoded by the nematode endobacteria. Wolbachia AmiD has Zn2+-dependent amidase activity and cleaves intact peptidoglycan, monomeric lipid II and anhydromuropeptides, substrates that are generated during bacterial growth. AmiD may have been maintained in arthropod Wolbachia to avoid host immune recognition by degrading cell wall fragments in the periplasm. This is the first description of a wolbachial lipid II processing enzyme putatively expressed in the periplasm.

  11. AToMS: A Ubiquitous Teleconsultation System for Supporting AMI Patients with Prehospital Thrombolysis

    Directory of Open Access Journals (Sweden)

    Bruno S. P. M. Correa

    2011-01-01

    Full Text Available The latest population-based studies in the medical literature worldwide indicate that acute myocardial infarction (AMI patients still experience prolonged delay to be rescued, which often results in morbidity and mortality. This paper reports from a technological standpoint a teleconsultation and monitoring system named AToMS. This system addresses the problem of prehospital delivery of thrombolysis to AMI patients by enabling the remote interaction of the paramedics and a cardiologist available at a Coronary Care Unit (CCU. Such interaction allows the diagnosis of the patient eligibility to the immediate application of thrombolysis, which is meant to reduce the delay between the onset of symptoms and the eventual application of proper treatment. Such delay reduction is meant to increase the AMI patient's chances of survival and decrease the risks of postinfarction sequels. The teleconsultation is held with the support of wireless and mobile technologies, which also allows the cardiologist to monitor the patient while he/she is being taken to the nearest CCU. All exchanged messages among paramedics and cardiologists are recorded to render an auditable system. AToMS has been deployed in a first stage in the city of Rio de Janeiro, where the medical team involved in the project has conducted commissioned tests.

  12. No gender differences in prognosis and preventive treatment in patients with AMI without significant stenoses

    DEFF Research Database (Denmark)

    Hansen, Kim; Hvelplund, Anders; Abildstrøm, Steen Zabell

    2011-01-01

    : By compiling data from Danish registries, we identified 20,800 patients hospitalized with AMI during 2005-2007. We included the 834 women and 761 men without significant stenoses on CAG who were discharged and alive after 60 days. Main outcome measures: All-cause mortality, recurrent AMI, and redeeming...... a prescription for a lipid-lowering drug, beta-blocker, clopidogrel, or aspirin within 60 days of discharge. Results: During follow-up, 97 women and 60 men died, resulting in a crude female/male hazard ratio (HR) of 1.51 (95% CI 1.09-2.08). After adjustment for age, time-period, and comorbidity, the gender...... difference was attenuated (HR 1.22, 95% CI 0.86-1.72). AMI recurrence was experienced by 28 women and 29 men with a female/male HR 0.88 (95% CI 0.52-1.48). After multivariable adjustment results were similar (HR 0.84, 95% CI 0.50-1.43). More women than men redeemed a prescription for lipid-lowering drugs...

  13. PLATFORM DEFORMATION PHASE CORRECTION FOR THE AMiBA-13 COPLANAR INTERFEROMETER

    International Nuclear Information System (INIS)

    Liao, Yu-Wei; Lin, Kai-Yang; Huang, Yau-De; Ho, Paul T. P.; Chen, Ming-Tang; Locutus Huang, Chih-Wei; Koch, Patrick M.; Nishioka, Hiroaki; Umetsu, Keiichi; Han, Chih-Chiang; Li, Chao-Te; Martin-Cocher, Pierre; Oshiro, Peter; Proty Wu, Jiun-Huei; Cheng, Tai-An; Fu, Szu-Yuan; Wang, Fu-Cheng; Liu, Guo-Chin; Molnar, Sandor M.; Chang, Yu-Yen

    2013-01-01

    We present a new way to solve the platform deformation problem of coplanar interferometers. The platform of a coplanar interferometer can be deformed due to driving forces and gravity. A deformed platform will induce extra components into the geometric delay of each baseline and change the phases of observed visibilities. The reconstructed images will also be diluted due to the errors of the phases. The platform deformations of The Yuan-Tseh Lee Array for Microwave Background Anisotropy (AMiBA) were modeled based on photogrammetry data with about 20 mount pointing positions. We then used the differential optical pointing error between two optical telescopes to fit the model parameters in the entire horizontal coordinate space. With the platform deformation model, we can predict the errors of the geometric phase delays due to platform deformation with a given azimuth and elevation of the targets and calibrators. After correcting the phases of the radio point sources in the AMiBA interferometric data, we recover 50%-70% flux loss due to phase errors. This allows us to restore more than 90% of a source flux. The method outlined in this work is not only applicable to the correction of deformation for other coplanar telescopes but also to single-dish telescopes with deformation problems. This work also forms the basis of the upcoming science results of AMiBA-13.

  14. Platform Deformation Phase Correction for the AMiBA-13 Coplanar Interferometer

    Science.gov (United States)

    Liao, Yu-Wei; Lin, Kai-Yang; Huang, Yau-De; Proty Wu, Jiun-Huei; Ho, Paul T. P.; Chen, Ming-Tang; Locutus Huang, Chih-Wei; Koch, Patrick M.; Nishioka, Hiroaki; Cheng, Tai-An; Fu, Szu-Yuan; Liu, Guo-Chin; Molnar, Sandor M.; Umetsu, Keiichi; Wang, Fu-Cheng; Chang, Yu-Yen; Han, Chih-Chiang; Li, Chao-Te; Martin-Cocher, Pierre; Oshiro, Peter

    2013-05-01

    We present a new way to solve the platform deformation problem of coplanar interferometers. The platform of a coplanar interferometer can be deformed due to driving forces and gravity. A deformed platform will induce extra components into the geometric delay of each baseline and change the phases of observed visibilities. The reconstructed images will also be diluted due to the errors of the phases. The platform deformations of The Yuan-Tseh Lee Array for Microwave Background Anisotropy (AMiBA) were modeled based on photogrammetry data with about 20 mount pointing positions. We then used the differential optical pointing error between two optical telescopes to fit the model parameters in the entire horizontal coordinate space. With the platform deformation model, we can predict the errors of the geometric phase delays due to platform deformation with a given azimuth and elevation of the targets and calibrators. After correcting the phases of the radio point sources in the AMiBA interferometric data, we recover 50%-70% flux loss due to phase errors. This allows us to restore more than 90% of a source flux. The method outlined in this work is not only applicable to the correction of deformation for other coplanar telescopes but also to single-dish telescopes with deformation problems. This work also forms the basis of the upcoming science results of AMiBA-13.

  15. 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

  16. Toxoplasmosis and Pregnant Women

    Science.gov (United States)

    ... and General Public. Contact Us Parasites Home Pregnant Women Recommend on Facebook Tweet Share Compartir On this ... my unborn child against toxoplasmosis? Cat owners and women who are exposed to cats should follow the ...

  17. Travelers' Health: Pregnant Travelers

    Science.gov (United States)

    ... severe dehydration, chronic malabsorption resulting in fetal growth restriction, and in the case of E. histolytica , invasive disease, including amebic liver abscess and colitis. Pregnant women should avoid swimming or wading in freshwater lakes, ...

  18. On Feminism in Amy Tan's Works --A Case Study of The Joy Luck Club%论谭恩美作品中的女性主义特征--以小说《喜福会》为例

    Institute of Scientific and Technical Information of China (English)

    王赟

    2012-01-01

    Amy Tan is a minority writer who is located in the verge of sex and race in American literature world. As a woman, she is a "the other" in the male-dominated literary circle; as a minority writer, she is a "the other" as well to the American dominant culture. However, the dual personality characterizes her works by feminism. This thesis analyzes one of Amy Tan's main works, The Joy Luck Club, to interpret the feminism reflected in it.%谭恩美作为美国文坛一名女性少数族裔作家,在性别和种族上都处于边缘性的境地。作为女性,在男权话语为主的文坛,她是一个“他者”;作为少数族裔作家,对美国主流文化而言,她也是一个“他者”。但是这种复杂的双重身份却赋予她的作品一种鲜明而独特的女性主义特征。文章重点以谭恩美的《喜福会》为文本,通过女性主义的视角,来解析其作品中所表现出的女性主义特征。

  19. 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.

  20. Swimming literacy field hockey woman player ground.

    OpenAIRE

    Baštová, Miroslava

    2012-01-01

    Title: Swimming literacy field hockey woman player ground. Objectives: To obtain and analyze data on the level ground swimming literacy field hockey woman player. Their perception swimming literacy for life, the use of non-specific regeneration and as a training resource. Methods: Analysis of scientific literature, survey, case study, data analysis and graphical presentation of results. Results of the work: field hockey player as swimming literate, benefits swimming but not used as a means of...

  1. The Weight of a Woman's Testimony

    Directory of Open Access Journals (Sweden)

    Abbas Mohammad Elsiddik

    2015-12-01

    Full Text Available This research attempts to provide a fresh evaluation of a testimony in general and an evaluation of the weight of woman's testimony in particular. By using an empirical methodology, the research responds to the equality issue between women and men as competent witnesses, as Western jurisprudence claims, and the issue of non-equality between women and men as competent witnesses, as Islamic Sharia scholars claim. This study found numerous results, one of which was that womanhood affects a woman's ability to bear in mind a witnessed fact. Therefore, womanhood should be dealt with as a discrediting her testimony factor. Another result was that woman's testimony is admissible, even if she was alone; because womanhood is a factor relating to the weight of a testimony not a stipulation for the admissibility of testimony. Moreover, the research classified testimony in regard to its weight into two kinds. The first kind is Attestation, which always requires corroboration from a man or woman to renders it admissible as evidence. The second kind is Testimony, which does not generally require corroboration, even if the witness is a woman. However, corroboration may be necessary if the testimony has been affected by any discrediting factor regardless the sex of the witness. One more result of the research was that corroboration for testimony is affected by womanhood in certain cases, can be attained by summoning another woman as a witness, inferring factual presumptions, or examining the surrounding circumstances.

  2. Effect of urokinase thrombolysis on the cardiac function, coagulation, and fibrinolytic system in patients with AMI

    Directory of Open Access Journals (Sweden)

    Zhi-Bin Kuang

    2017-06-01

    Full Text Available Objective: To observe the effect of urokinase thrombolysis on the cardiac function, coagulation, and fibrinolytic system in patients with acute myocardial infarction (AMI. Methods: A total of 39 patients with AMI who were admitted in our hospital from March, 2016 to November, 2016 were included in the study and served as the observation group. The peripheral venous blood before and after thrombolysis was collected. The plasma NTproBNP level, related coagulation factors, and fibrinolysis indicators were detected. The cardiac function before treatment was evaluated. A total of 30 healthy individuals who came for physical examinations were served as the control group for contrastive analysis. Results: The plasma NT-proBNP, Fg, and D-D levels before thrombolysis in the observation group were significantly higher than those in the control group, while PT, APTT, and TT in the observation group were significantly shortened. The plasma NT-proBNP and D-D levels 2-48 h after thrombolysis in the observation group were significantly elevated first and reduced later and reached the peak 4 h after treatment, while PT, APTT, and TT were significantly extended first and shortened later. The plasma Fg level was significantly reduced first and elevated later and reached the minimum 4 h after treatment. During the treatment process, in the observation group, 2 had mucocutaneous hemorrhage, 3 had nasal hemorrhage, and 1 had gingival bleeding, but no gastrointestinal bleeding or cerebral hemorrhage occurred. Conclusions: The thrombolytic therapy can effectively reduce the coagulation activity in patients with AMI, strengthen the fibrinolysis activity, and improve the cardiac function.

  3. CFRP platform and hexapod mount for the Array of MIcrowave Background Anisotropy (AMiBA)

    Science.gov (United States)

    Raffin, Philippe A.; Martin, Robert N.; Huang, Yau-De; Patt, Ferdinand; Romeo, Robert C.; Chen, Ming-Tang; Kingsley, Jeffrey S.

    2004-09-01

    AMiBA consists of a 90 GHz interferometric array telescope with dishes ranging in size from 0.3 to 2.4 meter in diameter, mounted on a 6-meter fully steerable platform. The dishes are attached to the receivers, which are mounted on a platform controlled by a six degree of freedom hexapod mount. The hexapod mount is a parallel connection manipulator also called Stewart Platform. The basic reference for this mechanism is a paper by Stewart. The Stewart Platform is a unique kinematically constrained work platform. It can be manipulated through the six degrees of freedom. The hexapod also provides better accuracy, rigidity, load to weight ratio and load distribution than a serial manipulator or traditional manipulator. The advantages of the hexapod shows that it is a great choice for the AMiBA project. Vertex Antennentechnik GmbH fabricates the hexapod. Testing has started in Germany. The telescope will be delivered in the summer of 2004. The 6m in diameter hexagonal platform is made of carbon fiber reinforced plastics (CFRP) and consists of seven pieces of three different unique types. The platform can be disassembled and fits in a container for transportation. The mounting plane flatness is an important issue for the platform assembly. The deflection angle of the mounting plane relative to any other mounting position must be less than 20 arcsec. Meanwhile, the platform must endure a loading of 3 tons. The platform has been built by Composite Mirror Applications, Inc. (CMA) in Tucson, and mounted on the Hexapod in Germany. This report describes the design and testing of platform and mount for the AMiBA telescope.

  4. 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.

  5. A novel approach for UI charge reduction using AMI based load prioritization in smart grid

    Directory of Open Access Journals (Sweden)

    Avani Pujara

    2017-09-01

    Full Text Available System frequency is vital part for power system balance. As per India Electricity Grid code frequency should be in the range of 49.5 Hz–50.5 Hz. Deviation from above mentioned range is charged as Unscheduled Interchange (UI charge. This paper proposes a new method for load and frequency control based on control of third parameter of three-part Availability Based Tariff (ABT i.e. Unscheduled Interchange charges. New circuit is designed considering prioritization of load and using Advanced Metering Infrastructure (AMI under Smart Grid environment.

  6. Biochemical Profiles of Pregnant and Non-pregnant Women ...

    African Journals Online (AJOL)

    2018-05-01

    May 1, 2018 ... RESULT: Pregnant women as compared to non-pregnant had significantly increased .... addition, study participants who were smokers, drinkers and chewers of ..... physiology. a clinical perspective 4th ed. Maryland Heights ...

  7. Midwives being 'with woman': An integrative review.

    Science.gov (United States)

    Bradfield, Zoe; Duggan, Ravani; Hauck, Yvonne; Kelly, Michelle

    2018-04-01

    Midwives being 'with woman' is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being 'with woman' to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenomenon. This review synthesises research and theoretical literature to report on what is known and published about being 'with woman'. A five step framework for conducting an integrative literature reviews was employed. A comprehensive search strategy was utilised that incorporated exploration in electronic databases CINAHL, Scopus, Proquest, Science Direct and Pubmed. The initial search resulted in the retrieval of 2057 publications which were reduced to 32 through a systematic process. The outcome of the review revealed three global themes and corresponding subthemes that encompassed 'with woman': (1) philosophy, incorporated two subthemes relating to midwifery philosophy and philosophy and models of care; (2) relationship, that included the relationship with women and the relationship with partners; and (3) practice, that captured midwifery presence, care across the childbirth continuum and practice that empowers women. Research and theoretical sources support the concept that being 'with woman' is a fundamental construct of midwifery practice as evident within the profession's philosophy. Findings suggest that the concept of midwives being 'with woman' is a dynamic and developing construct. The philosophy of being 'with woman' acts as an anchoring force to guide, inform and identify midwifery practice in the context of the rapidly changing modern maternity care landscapes. Gaps in knowledge and recommendations for further research are made. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  8. Placental transfer of radioactive salts in the pregnant rabbit

    Energy Technology Data Exchange (ETDEWEB)

    Schachner, E.; Shani, J.; Shechtman, M.; Pfeiffer, Y.

    1985-01-01

    The risks of radionuclidic contamination due to the easy transfer of water-soluble ions from the circulation of the pregnant woman to her fetus, encouraged us to study whether the ease of penetration of such ions is size-dependent. Three radiochemicals--/sup 22/NaCl, /sup 99m/TcO/sub 4/Na and /sup 201/TlCl were injected i.v. into pregnant rabbits on the 16th day of their pregnancy, and the rabbits were killed 15, 30, 60 or 120 min later. From each rabbit the blood, heart, kidney, liver and muscle were sampled and counted as well as placenta, amniotic fluid and some fetuses. At 15 and 60 min hearts and livers were excised from selected fetuses and blood clearance, organ-to-muscle and fetus-to-placenta ratios were calculated. The results indicate that the transplacental transfer of the small radionuclide /sup 22/Na+ is faster than that of 99mTcO4- and /sup 201/Tl+, reaching equilibrium about 3 h after its injection to the pregnant rabbit. /sup 201/Tl+ demonstrated a high localization in the pregnant rabbits' and fetuses' heart and kidneys, with a similar myocardial retention in both groups. Due to the concentration of /sup 201/Tl+, in spite of its large diameter, into the fetuses' heart muscle, careful consideration should be taken when injecting /sup 201/TlCl into pregnant women for myocardial imaging.

  9. Health-related behaviors among pregnant women with hypertension

    Directory of Open Access Journals (Sweden)

    Agnieszka Maria Bień

    2017-01-01

    Full Text Available Introduction. The healthy and unhealthy behaviors of a pregnant woman influence both her own health and that of her unborn child, affecting its future development. The purpose of the study was to evaluate the health-related behaviors of pregnant women with hypertension.   Material i method. The study was performed between November 2011 and February 2012 and included 80 hypertensive pregnant women hospitalized in a high risk pregnancy ward. The study used a diagnostic survey with questionnaires. Results. Statistical analyses showed a correlation between the respondents’ health-related behaviors and their socio-demographic characteristics: exercise was correlated with age (p=0.01, and rest during the day was correlated with support in everyday responsibilities (p<0.00001, and with the respondents’ socio-economic standing (p=0.03. Correlations were also found between healthy eating habits and residence (0.006, education (p=0.05, and sodium intake (p=0.0003, as well as between education and substance use (p=0.0003. Conclusion. Health-related behaviors of pregnant women with hypertension are influenced by their education, support they receive in daily responsibilities, and their socio-economic standing. The diagnosis of hypertension in pregnant women does not necessarily prompt them to discontinue all unhealthy behaviors.

  10. Advances in Autonomous Mini Robots : Proceedings of the 6-th AMiRE Symposium

    CERN Document Server

    Joaquin, Sitte; Felix, Werner

    2012-01-01

    Autonomous robots must carry out useful tasks all by themselves relying entirely on their own perceptions of their environment. The cognitive abilities required for autonomous action are largely independent of robot size, which makes mini robots attractive as artefacts for research, education and entertainment. Autonomous mini robots must be small enough for experimentation on a desktop or a small laboratory.  They must be easy to carry and safe for interaction with humans. They must not be expensive. Mini robot designers have to work at the leading edge of technology so that their creations can carry out purposeful autonomic action under these constraints. Since 2001 researchers have met every two years for an international symposium to report on the advances achieved in Autonomous Mini  Robots for Research and Edutainment (AMiRE). The AMiRE Symposium is a single track conference that offers ample opportunities for discussion and exchange of ideas. This volume contains the contributed papers of the 2011 AM...

  11. Ontological Representation of Light Wave Camera Data to Support Vision-Based AmI

    Directory of Open Access Journals (Sweden)

    José Manuel Molina

    2012-09-01

    Full Text Available Recent advances in technologies for capturing video data have opened a vast amount of new application areas in visual sensor networks. Among them, the incorporation of light wave cameras on Ambient Intelligence (AmI environments provides more accurate tracking capabilities for activity recognition. Although the performance of tracking algorithms has quickly improved, symbolic models used to represent the resulting knowledge have not yet been adapted to smart environments. This lack of representation does not allow to take advantage of the semantic quality of the information provided by new sensors. This paper advocates for the introduction of a part-based representational level in cognitive-based systems in order to accurately represent the novel sensors’ knowledge. The paper also reviews the theoretical and practical issues in part-whole relationships proposing a specific taxonomy for computer vision approaches. General part-based patterns for human body and transitive part-based representation and inference are incorporated to an ontology-based previous framework to enhance scene interpretation in the area of video-based AmI. The advantages and new features of the model are demonstrated in a Social Signal Processing (SSP application for the elaboration of live market researches.

  12. Post-MI depression and levels of serum IL-6 and CRP in AMI patients

    International Nuclear Information System (INIS)

    Huang Tiejun

    2004-01-01

    Objective: To explore the relationship between the presence and severity of post-MI depression and the increased inflammatory activity, as marked by the serum levels of interleukin-6 (IL-6) and C-reactive protein (CRP) after myocardial infarction. Methods: Serum IL-6 and CRP levels were measured in 58 AMI patients within 36 hours after onset of event. Depression was evaluated by self-reporting standardized questionnaire, using a validated Chinese version of Hospiatla Anxiety and Depression Scale (HADS)-Depression Subscale (7 items) within 7 days. Demographic and medical data including LVEF, NYHA cardiac function grading, atherosclerosis severity shown from angiography as well as cardiac risk factors were recorded. Results: Serum levels of IL-6 and CRP were higher in depressive AMI patients than those in non-depressive ones (0.93 ± 0.64 vs 0.48 ± 0.37 ng/L, P<0.05 and 0.96 ± 0.41 vs 0.47 ± 0.26 mg/dL, P<0.05). Neither levels of IL-6 nor HADS-D scores were found to be correlated to the severity of atherosclerosis shown in angiography. Conclusion: Presence and severity of post-MI depression is associated with increased activity of inflammation in patients after myocardial infarction. (authors)

  13. Pregnant Field Students' Guilt

    Science.gov (United States)

    Baum, Nehami

    2006-01-01

    This study examined guilt feelings among social work students who were pregnant for the first time during field work training. Semi-structured interviews were conducted either in the 9th month (n=5) or 2-12 months after delivery (n=5). Content analysis revealed 6 main triggers, illustrated by excerpts, which stimulated field students' guilt…

  14. 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.

  15. The Woman-Embryo Conflict in the Abortion Debate at the Parliament

    Directory of Open Access Journals (Sweden)

    Susana Rostagnol

    2008-05-01

    Full Text Available This article analyzes the woman-embryo conflict discussed by the Uruguayan Senate during the debates on abortion legalization in October and November 2007. Its aim is to show the underlying notions, which are classified as those that promote the ‘patrimonial control over the body’ and those that promote autonomy. From that perspective, it analyzes the abstract or concrete standpoint given to abortion in the Senators arguments. Then, it discusses the personhood assigned to zef (zygote-embryo-fetus based on biomedical arguments. It also discusses the attribute of moral person given/or not to the pregnant woman. Finally it shows that abortion is basically a fact that influences directly in the organization of social relations.

  16. Olanzapine treatment for tics in an adult woman with severe tourette syndrome.

    Science.gov (United States)

    Hwang, Wen-Juh

    2012-12-01

    Olanzapine had been reported to be effective in the control of tics in a few adult female patients who had a short follow-up period. The author reports the successful outcome of long-term olanzapine treatment in an adult woman with severe Tourette syndrome. A 33-year-old woman who had severe motor and vocal tics (Modified Rush Videotape Rating Scale: 17/20) showed an excellent response to olanzapine 10 mg/day within 2 months. Her tic symptoms were well controlled with gradual reduction of her dose of olanzapine to 2.5 mg/day during the following 8 years. She was symptom-free without medications in the past 2 years. In addition, she had a normal menstrual cycle and became pregnant during the period of olanzapine treatment. Olanzapine may be the drug of first choice for treating severe Tourette syndrome in pubescent female adolescents and young women who wish to have children.

  17. 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.

  18. Woman! Work like an ant, act like a man, but remain a woman!

    Indian Academy of Sciences (India)

    Lawrence

    work like an ant, act like a man and stay like a woman! A woman has a lot of ... tered Fergusson college in Pune with the idea of pursuing math- ematics. Later ... students taking higher education and particularly Physics was very small at that ...

  19. 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. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. 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......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...

  1. 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.

  2. Spontaneous coronary artery dissection in a young woman with polycystic ovarian syndrome.

    Science.gov (United States)

    Mirra, Marco; Kola, Nertil; Mattiello, Giacomo; Morisco, Carmine; Spinelli, Letizia

    2017-06-01

    Polycystic ovarian syndrome (PCOS) affects 4% to 12% of women in reproductive age, representing a clinical condition that could predispose to cardiovascular diseases. We report a case of a 34-year-old woman with PCOS, presenting with chest pain, onset two days before, and ST segment-elevation myocardial infarction. She was not pregnant or in a postpartum state. Subsequent cardiac angiography revealed spontaneous left anterior descending coronary artery dissections, managed by conservative approach. The patient was discharged in medical therapy after 5days. This is the first observation of spontaneous coronary artery dissection occurring in a PCOS patient. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Abortion in woman caused by caprine Chlamydophila abortus (Chlamydia psittaci serovar 1).

    Science.gov (United States)

    Pospischil, A; Thoma, R; Hilbe, M; Grest, P; Gebbers, J-O

    2002-02-09

    On a farm housing cattle and goats an abortion storm occurred affecting 50% of the goats during the lambing season 2000/2001. In one of three investigated caprine abortions Chlamydophila abortus could be identified as aetiology. During this time a pregnant woman (pregnancy week 19/20) had contact with aborting goats. She developed a severe generalized infection and aborted. The placenta contained Chlamydophila abortus shown by immunohistochemistry and PCR. The aim of the present case report is to alert medical doctors about the potential zoonotic risk of ovine/caprine abortions.

  4. Missed diagnosis of atresia of the right pulmonary artery in woman with left-sided pneumothorax

    DEFF Research Database (Denmark)

    Dagnegård, Hanna; Ryom, Philip

    2016-01-01

    Isolated pulmonary atresia is an uncommon condition, which can go undiagnosed for a long time in asymptomatic patients. Sometimes, diagnosis can be made at pregnancy due to respiratory symptoms. There is no known increased risk of pneumothorax. We here present a case where a second-time pregnant...... woman with an unknown atresia of the right pulmonary artery received a left-sided pneumothorax. The diagnosis was initially missed in spite of adequate imaging and the condition progressed to respiratory stop. We describe the course of diagnostics and the chosen strategy of treatment....

  5. LES AMIS D'ESCOFFIER AND THE POST-DEPRESSION LABOR MARKET FOR CHEFS DE CUISINE IN AMERICA

    Directory of Open Access Journals (Sweden)

    Martin T. Ollif

    2001-01-01

    Full Text Available This essay uses a cultural studies approach to analyze the effort of the gourmet society Les Amis d'Escoffier to re-create the niche market for chefs’ services in the waning years of the Great Depression. It examines the depressed labor market for chefs after 1912 as well as aspects of the chefs’ culture that informed the unusual rules and rituals Les Amis used to educate wealthy men in gourmandaise. It concludes that, regardless of how successful the society was in its original goal, culture as well as functional response shaped the chefs’ remedy to their labor market problems.

  6. The 3-D Tropical Convective Cloud Spectrum in AMIE Radar Observations and Global Climate Simulations

    Energy Technology Data Exchange (ETDEWEB)

    Schumacher, Courtney [Texas A & M Univ., College Station, TX (United States). Dept. of Atmospheric Sciences

    2015-08-31

    During the three years of this grant performance, the PI and her research group have made a number of significant contributions towards determining properties of tropical deep convective clouds and how models depict and respond to the heating associated with tropical convective systems. The PI has also been an active ARM/ASR science team member, including playing a significant role in AMIE and GoAmazon2014/5. She served on the DOE ASR radar science steering committee and was a joint chair of the Mesoscale Convective Organization group under the Cloud Life Cycle working group. This grant has funded a number of graduate students, many of them women, and the PI and her group have presented their DOE-supported work at various universities and national meetings. The PI and her group participated in the AMIE (2011-12) and GoAmazon2014/5 (2014-15) DOE field deployments that occurred in the tropical Indian Ocean and Brazilian Amazon, respectively. AMIE observational results (DePasquale et al. 2014, Feng et al. 2014, Ahmed and Schumacher 2015) focus on the variation and possible importance of Kelvin waves in various phases of the Madden-Julian Oscillation (MJO), on the synergy of the different wavelength radars deployed on Addu Atoll, and on the importance of humidity thresholds in the tropics on stratiform rain production. Much of the PIs GoAmazon2014/5 results to date relate to overviews of the observations made during the field campaign (Martin et al. 2015, 2016; Fuentes et al. 2016), but also include the introduction of the descending arm and its link to ozone transport from the mid-troposphere to the surface (Gerken et al. 2016). Vertical motion and mass flux profiles from GoAmazon (Giangrande et al. 2016) also show interesting patterns between seasons and provide targets for model simulations. Results from TWP-ICE (Schumacher et al. 2015), which took place in Darwin, Australia in 2006 show that vertical velocity retrievals from the profilers provide structure to

  7. Counseling the pregnant adolescent.

    Science.gov (United States)

    Dibiasi, V; Sturgis, S H

    1980-07-01

    Approaches employed in counseling pregnant adolescents at the Crittenton Clinic in Boston are described. Concentrating on concrete issues of management of the pregnancy -- supplying information and exploring the pros and cons of various alternatives are advocated; probing into the psychological and emotional background of the pregnant adolescent is discouraged. Counseling about contraceptives and taking into account each individual situation are considered essential. Case studies are reviewed and figures representing the attitudes and contraceptive use of patients 1 year after abortion are presented. It is considered important to establish a trusting relationship with the adolescent, which will increase the likelihood that she will return for follow-up and additional help if she needs it.

  8. 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...

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

    Science.gov (United States)

    ... Hepatitis B. Can doctors prevent a baby from getting Hepatitis B? Yes. Babies born to women with Hepatitis B get two shots soon after birth. One is the first dose of the Hepatitis ... prevent the baby from getting Hepatitis B. The shots work best when they ...

  10. Torsion of the fallopian the mimicking appendicitis in a pregnant woman

    International Nuclear Information System (INIS)

    Tapia-Vine, M.; Pedrosa, I.; Escribano, N.

    2000-01-01

    Isolated torsion of the fallopian tube is an uncommon entity. Given the difficulties involved in the preoperative diagnosis, the ultrasound findings characteristic of this anomaly are not widely known. We present a case of tubal torsion associated with a cyst, describing the ultrasound images in our case and those reported in the literature. (Author) 18 refs

  11. 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

  12. Saved from a fatal flight: A ruptured splenic artery aneurysm in a pregnant woman

    NARCIS (Netherlands)

    Heitkamp, A.C.; Dickhoff, C.; Nederhoed, J.H.; Franschman, G.; Vries, J.I.P.

    2015-01-01

    Introduction The reported prevalence of a SAA varies between 0.01 and 10.4% [1], and since SAAs often remain asymptomatic, the true prevalence is uncertain. The reported SAAs occur more frequently in younger patients, with 58% diagnosed in women of childbearing age; 95% of these are diagnosed during

  13. 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.

  14. 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.

  15. 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...

  16. 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

  17. Dosimetric study for the irradiation of a pregnant woman during the second trimester of pregnancy

    International Nuclear Information System (INIS)

    Sanchez Merino, G.; Mendiguren, M. A.; Pacheco, M.; Raba, N.; Vazquez, A.

    2011-01-01

    Unlike other works in the here present have studied the characteristics of the dose deposition at distances very close to the edge of the treatment field. This study can be of great interest in other treatments that require shielding and the sensitive points that are closest to the beam.

  18. A 35-year-old pregnant woman presenting with sudden cardiac arrest secondary to peripartum cardiomyopathy.

    Science.gov (United States)

    Nelson, Matthew; Moorhead, Amy; Yost, Dana; Whorton, Adrian

    2012-01-01

    We present a case of successful resuscitation from cardiac arrest after 25 minutes of ventricular fibrillation (VF) secondary to peripartum cardiomyopathy. This case highlights a rare disease, but also, more importantly, the successful use of the five links of survival: early access to 9-1-1, early cardiopulmonary resuscitation (CPR), early defibrillation, early advanced life support, and postresuscitative care. We also demonstrate the importance of high-quality resuscitation practices in order to achieve a successful outcome. Manual compressions can be performed at a guidelines-compliant rate. With training, users are able to achieve high compression fractions. Pre/post shock delays can be minimized to further increase compression fraction. Nationally, CPR interruptions are often long. We recommend closer attention to uninterrupted 2-minute cycles of CPR, minimizing delays in CPR through training, and a focus on a closely choreographed approach. User review of transthoracic impedance feedback data should play a vital role in a cardiac arrest quality-improvement program.

  19. The pregnant woman with heart disease : management of pregnancy and delivery

    NARCIS (Netherlands)

    Pieper, P. G.

    Women with heart disease are at risk of cardiac complications during pregnancy and delivery. Risk assessment should be performed in these women, and the management of pregnancy and delivery should be planned accordingly. Depending on the risk, women should be cared for in specialised centres,

  20. Lung cancer in the pregnant woman: to treat or not to treat, that is the question.

    Science.gov (United States)

    Azim, Hatem A; Peccatori, Fedro A; Pavlidis, Nicholas

    2010-03-01

    Lung cancer in pregnancy is a rare situation; however, it is increasingly reported in the past two decades. The association might be more encountered in the coming years due to the rising trends of cigarette smoking among young women and tendency to delay pregnancy to later in life. We performed a literature search without any date or language restriction and identified 44 cases diagnosed and/or treated for lung cancer during the course of pregnancy. Patients had poor post-partum outcome with less than one-forth alive at 1 year following delivery. There was a high incidence of metastases to the products of conception reaching 26%. Eight patients were treated with systemic therapies during the course of gestation with normal fetal outcome and no evidence of fetal or placental metastases. Counseling of these patients is very important. Apart from the clinical conflict they pose, some ethical aspects should be taken in consideration. The poor maternal prognosis should be discussed and the patient's autonomy should be respected to decide whether she wants to keep the pregnancy or not.

  1. [A woman with a postoperative lumbar swelling].

    Science.gov (United States)

    Hulshof, Hanna M; Elsenburg, Patric H J M; Frequin, Stephan T F M

    2013-01-01

    A 65-year-old woman had developed a large lumbar swelling in a period of four weeks following lumbar laminectomy. An MRI-scan revealed a large fluid collection, which had formed from the spinal canal. The diagnosis 'liquorcele', a rare complication of spine surgery, was established.

  2. Visions of Woman-Centered History.

    Science.gov (United States)

    Evans, Sara M.

    1982-01-01

    Discusses three alternative approaches to women's history: (1) that although men have made history, women have contributed; (2) that women have been victimized, cross-culturally and throughout time; and (3) "woman-centered history," which recognizes the reality of repression but accords women the dignity of having survived and shaped social…

  3. 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.

  4. Education: Woman Chemist Wins Discrimination Case.

    Science.gov (United States)

    Worthy, Ward

    1980-01-01

    Reports a recent award of compensatory damages to a woman chemistry professor who was denied a tenure-track faculty position in 1971. She filed a complaint with the university's ad hoc committee on discrimination, believing she had been discriminated against because of her sex and possibly her national origin. (CS)

  5. A Profile of the Woman Engineer, 1984.

    Science.gov (United States)

    Hetrick, Haydee; And Others

    This biennial report is based on responses from 2,112 of the 4,453 non-student members of the Society of Women Engineers (SWE) who were surveyed during the winter of 1983-84. All responses to the survey questionnaire (included in an appendix) were considered in the data analysis. Any woman with an engineering degree, holding state engineering…

  6. 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...

  7. Cutaneous gnathostomiasis in a woman from Bangladesh

    NARCIS (Netherlands)

    Grobusch, M. P.; Bergmann, F.; Teichmann, D.; Klein, E.

    2000-01-01

    A woman from Bangladesh who had lived in Germany for more than 2 years presented with migratory, painful swellings on her left hand and arm of 5 months duration. Laboratory examinations yielded a marked eosinophilia and a grossly elevated IgE level in combination with an inflammatory reaction

  8. [Violence towards pregnant women].

    Science.gov (United States)

    Kramek, J; Grzymała-Krzyzostaniak, A; Celewicz, Z; Ronin-Walknowska, E

    2001-12-01

    The aim of this work was the evaluation of the scale of violence towards pregnant women in the westpomeranian province, the definition of the social-biological profile of women exposed to violence and social-biological profile of their partners. The evaluation of the influence of violence on pregnant women's ending term and the weight of the newborns. 481 women were enrolled and an anonymous study was used in the form of questionnaires. A questionnaire was a modified form of a query-sheet proposed by WHO. 25% of the enrolled women were exposed to physical and psychological (emotional) abuse, 7.1% to psychical violence, women and men exposed to violence in their childhood more often become violent in their adult life. Men that physically abuse pregnant women are often of primary school education, are unemployed, drink alcohol and smoke. Physical abuse by a partner during pregnancy usually experience women with primary school education, who drink and smoke. Violence during pregnancy is usually associated with premature delivery as well as low birth weight of the newborns.

  9. Progress of the array of microwave background anisotropy (AMiBA)

    Science.gov (United States)

    Raffin, Philippe; Koch, Patrick; Huang, Yau-De; Chang, Chia-Hao; Chang, Joshua; Chen, Ming-Tang; Chen, Ke-Yung; Ho, Paul T. P.; Huang, Chih-Wie; Ibañez Roman, Fabiola; Jiang, Homin; Kesteven, Michael; Lin, Kai-Yang; Liu, Guo-Chin; Nishioka, Hiroaki; Umetsu, Keiichi

    2006-06-01

    The Academia Sinica, Institute for Astronomy and Astrophysics (ASIAA) is installing the AMiBA interferometric array telescope at the Mauna Loa Observatory, Hawaii. The 6-meter carbon fiber fully steerable platform is mounted on the Hexapod Mount. After integration and equipment with dummy weights, the platform has been measured by photogrammetry to verify its behavior predicted by Finite Element Analysis. The Hexapod servo control is now operational and equipment of the platform with the initial 7 60-cm dishes, the correlator and electronics is underway. Pointing has started with the aid of the optical telescope. We present the status of the telescope after the servo and initial pointing tests have been carried out. We also present the results of platform measurements by photogrammetry.

  10. First Results at the Moon from the SMART-1 / AMIE Experiment

    Science.gov (United States)

    Josset, J. L.; Beauvivre, S.; AMIE Team

    2005-08-01

    The Advanced Moon micro-Imager Experiment (AMIE), on board ESA SMART-1, the first European mission to the Moon (launched on 27th September 2003), is an imaging system with scientific, technical and public outreach oriented objectives. The science objectives are to image the Lunar South Pole, permanent shadow areas (ice deposit), eternal light (crater rims), ancient Lunar Non-mare volcanism, local spectro-photometry and physical state of the lunar surface, and to map high latitudes regions (south) mainly at far side (South Pole Aitken basin). The technical objectives are to perform a laserlink experiment (detection of laser beam emitted by ESA/Tenerife ground station), flight demonstration of new technologies and on-board autonomy navigation. The public outreach and educational objectives are to promote planetary exploration. We present here the first results obtained during the cruise phase and at the Moon.

  11. Science objectives and first results from the SMART-1/AMIE multicolour micro-camera

    Science.gov (United States)

    Josset, J.-L.; Beauvivre, S.; Cerroni, P.; de Sanctis, M. C.; Pinet, P.; Chevrel, S.; Langevin, Y.; Barucci, M. A.; Plancke, P.; Koschny, D.; Almeida, M.; Sodnik, Z.; Mancuso, S.; Hofmann, B. A.; Muinonen, K.; Shevchenko, V.; Shkuratov, Yu.; Ehrenfreund, P.; Foing, B. H.

    The Advanced Moon micro-Imager Experiment (AMIE), on-board SMART-1, the first European mission to the Moon, is an imaging system with scientific, technical and public outreach objectives. The science objectives are to image the lunar South Pole, permanent shadow areas (ice deposit), eternal light (crater rims), ancient lunar non-mare volcanism, local spectrophotometry and physical state of the lunar surface, and to map high latitudes regions (south) mainly at far side (South Pole Aitken basin). The technical objectives are to perform a Laserlink experiment (detection of laser beam emitted by ESA/Tenerife ground station), flight demonstration of new technologies and on-board autonomy navigation. The public outreach and educational objectives are to promote planetary exploration and space. We present here the first results obtained during the cruise phase.

  12. Integrated wireless sensor network for monitoring pregnant women.

    Science.gov (United States)

    Niţulescu, Adina; Crişan-Vida, Mihaela; Stoicu-Tivadar, Lăcrămioara; Bernad, Elena

    2015-01-01

    The paper presents an integrated monitoring system for pregnant women in the third trimester using a mobile cardiotocograph and body sensors. The medical staff has a useful tool to detect abnormalities and prevent unfortunate events in time. The mobile cardiotocograph sends data in real time to a Smartphone that communicates the information in a cloud. The physician accesses the data using the hospital ObgGyn application. The advantage of using this system is that the pregnant woman can follow her pregnancy status evolution from home, and the physician receives alarms from the system if the data is not in normal range and has available information about the health status at any time and location.

  13. Domestic violence in the pregnant patient: obstetric and behavioral interventions.

    Science.gov (United States)

    Mayer, L; Liebschutz, J

    1998-10-01

    Every day, obstetric providers treat patients experiencing domestic violence. Domestic violence can have both dramatic and subtle impacts on maternal and fetal morbidity and mortality. This article enumerates patient risk factors for and obstetric consequences of domestic violence. It describes adaptations to the assessment and treatment of pregnancy complications occurring in the context of domestic violence and presents behavioral interventions that can be performed within existing obstetric care delivery systems. Behavioral interventions include assessments of a patient's readiness for change and her emotional responses to the violence. Obstetric interventions include an assessment of risk of physical harm to a pregnant woman and her fetus from domestic violence. Interviewing techniques include educating the patient about the effects of abuse and, over time, validating a patient's efforts to change. Reliance on a team approach and use of community resources are emphasized. All of these mechanisms enable obstetric providers to assist pregnant women in taking steps to end the abuse.

  14. Effect of physical activity on anxiety levels in pregnant women

    Directory of Open Access Journals (Sweden)

    Inga Janik

    2017-08-01

    Full Text Available Pregnancy is a very important period in a woman's life, but it is often associated not only with positive emotions, but also with negative emotions such as anxiety, stress or depression. Women most often fear birth and various medical complications during pregnancy. Very often their unpleasant experiences at the beginning such as nausea, fatigue and strong anxiety cause them to give up their physical activity. Numerous studies show that the physical activity of pregnant women has a positive impact on mother and child health. First and foremost, it is a powerful preventive agent in cardiovascular disease, diabetes mellitus, but also has a beneficial effect on the well-being of future mothers, including lowering anxiety and lowering the incidence of postpartum depression. That is why it is so important to educate pregnant women what exercises are most beneficial for them.

  15. NEW METHOD OF PREVENTION OF IRONDEFENSE ANEMIA IN PREGNANT TEENS

    Directory of Open Access Journals (Sweden)

    E. S. Mikhaylin

    2018-01-01

    Full Text Available The paper presents an assessment of the effectiveness of the method proposed by the authors for the prevention of iron deficiency anemia in minor pregnant women. In the first stage, 593 histories of childbirth were retrospectively analyzed (group 1 — minors 13-15 years (n = 49, 2 group — minors 16-17 (n = 434, 3rd group — middle reproductive age (n = 110 . In the second stage, a prospective study of the frequency and structure of anemia of pregnant women was carried out (group 1 — minors aged 13-15 years (n = 17, group 2 — minors 16-17 (n = 127, 3rd group — women of middle reproductive age (n = 110. At the III stage, minor pregnant women were divided into two groups: in 1 (main group (n = 144, iron deficiency anemia was prevented according to the method we proposed; in the 2nd group (comparison group traditional therapy with iron preparations was carried out at the appearance of signs of anemia. The essence of the proposed method is that an minor pregnant woman, without waiting for laboratory signs of anemia, is examined for ferritin in venous blood, and at a value below 35 ng/ml, oral iron preparations are prescribed in conventional preventive doses for a period of 3 months, and if through three months the content of ferritin in the venous blood is again below 35 ng/ml — the intake of iron-containing preparations continues for another 3 months. The use of the proposed method contributed to a significant decrease in the incidence of anemia in minor pregnant women. The proposed method of preventing iron deficiency anemia in minor pregnant women helps to reduce the frequency and severity of anemia in this complex category of patients. 

  16. 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.

  17. Vaccines in pregnancy: The dual benefit for pregnant women and infants.

    Science.gov (United States)

    Marshall, H; McMillan, M; Andrews, R M; Macartney, K; Edwards, K

    2016-04-02

    Maternal immunization has the potential to reduce the burden of infectious diseases in the pregnant woman and her infant. Many countries now recommend immunization against influenza at any stage of pregnancy and against pertussis in the third trimester. Despite evidence of the safety and effectiveness of these vaccines when administered during pregnancy, uptake generally remains low for influenza and moderate for pertussis vaccine. Enhancing confidence in both immunization providers and pregnant women by increasing the evidence-base for the safety and effectiveness of vaccines during pregnancy, improving communication and access by incorporating immunization into standard models of antenatal care are likely to improve uptake. Developing a framework for implementation of vaccines for pregnant women which is cognizant of local and national cultural, epidemiological, behavioral and societal factors will enable a smooth transition and high uptake for new vaccines currently in development for pregnant women.

  18. The NtAMI1 gene functions in cell division of tobacco BY-2 cells in the presence of indole-3-acetamide.

    Science.gov (United States)

    Nemoto, Keiichirou; Hara, Masamitsu; Suzuki, Masashi; Seki, Hikaru; Muranaka, Toshiya; Mano, Yoshihiro

    2009-01-22

    Tobacco (Nicotiana tabacum) Bright Yellow-2 (BY-2) cells can be grown in medium containing indole-3-acetamide (IAM). Based on this finding, the NtAMI1 gene, whose product is functionally equivalent to the AtAMI1 gene of Arabidopsis thaliana and the aux2 gene of Agrobacterium rhizogenes, was isolated from BY-2 cells. Overexpression of the NtAMI1 gene allowed BY-2 cells to proliferate at lower concentrations of IAM, whereas suppression of the NtAMI1 gene by RNA interference (RNAi) caused severe growth inhibition in the medium containing IAM. These results suggest that IAM is incorporated into plant cells and converted to the auxin, indole-3-acetic acid, by NtAMI1.

  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. Guidelines for the Management of a Pregnant Trauma Patient.

    Science.gov (United States)

    Jain, Venu; Chari, Radha; Maslovitz, Sharon; Farine, Dan; Bujold, Emmanuel; Gagnon, Robert; Basso, Melanie; Bos, Hayley; Brown, Richard; Cooper, Stephanie; Gouin, Katy; McLeod, N Lynne; Menticoglou, Savas; Mundle, William; Pylypjuk, Christy; Roggensack, Anne; Sanderson, Frank

    2015-06-01

    -C) 2. A nasogastric tube should be inserted in a semiconscious or unconscious injured pregnant woman to prevent aspiration of acidic gastric content. (III-C) 3. Oxygen supplementation should be given to maintain maternal oxygen saturation > 95% to ensure adequate fetal oxygenation. (II-1B) 4. If needed, a thoracostomy tube should be inserted in an injured pregnant woman 1 or 2 intercostal spaces higher than usual. (III-C) 5. Two large bore (14 to 16 gauge) intravenous lines should be placed in a seriously injured pregnant woman. (III-C) 6. Because of their adverse effect on uteroplacental perfusion, vasopressors in pregnant women should be used only for intractable hypotension that is unresponsive to fluid resuscitation. (II-3B) 7. After mid-pregnancy, the gravid uterus should be moved off the inferior vena cava to increase venous return and cardiac output in the acutely injured pregnant woman. This may be achieved by manual displacement of the uterus or left lateral tilt. Care should be taken to secure the spinal cord when using left lateral tilt. (II-1B) 8. To avoid rhesus D (Rh) alloimmunization in Rh-negative mothers, O-negative blood should be transfused when needed until cross-matched blood becomes available. (I-A) 9. The abdominal portion of military anti-shock trousers should not be inflated on a pregnant woman because this may reduce placental perfusion. (II-3B) Transfer to health care facility 10. Transfer or transport to a maternity facility (triage of a labour and delivery unit) is advocated when injuries are neither life- nor limb-threatening and the fetus is viable (≥ 23 weeks), and to the emergency room when the fetus is under 23 weeks' gestational age or considered to be non-viable. When the injury is major, the patient should be transferred or transported to the trauma unit or emergency room, regardless of gestational age. (III-B) 11. When the severity of injury is undetermined or when the gestational age is uncertain, the patient should be evaluated

  1. Harriet Brooks: Canada's First Woman Physicist

    Science.gov (United States)

    Rayner-Canham, Geoffrey

    2004-03-01

    During those early halcyon days of the study of radioactivity, one young Canadian woman, Harriet Brooks, joined Ernest Rutherford's group as his first research student. Later, she joined J.J. Thomson's group in Cambridge and, finally, Marie Curie's group in Paris. During her short research career, she made several important contributions to science. She investigated the nature of 'emanation' from radium; discovered that radioactive substances could undergo successive decay; and first reported the recoil of the radioactive atom. Much of this research was published under her name alone though Rutherford made extensive reference to her discoveries in his Bakerian lecture of 1904. Brooks life is of interest not only in what she accomplished, but also in the challenges she faced as a pioneering woman scientist in the early part of the twentieth century. In the presentation we will blend the account of her life and work with the societal context. This work was accomplished jointly with Marelene F. Rayner-Canham.

  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. [Starvation ketosis in a breastfeeding woman].

    Science.gov (United States)

    Monnier, D; Goulenok, T; Allary, J; Zarrouk, V; Fantin, B

    2015-12-01

    Bovine ketosis is a rare cause of metabolic acidosis. It is a starvation ketosis that appears in lactating woman. A 29-year-old woman had a previous gastric surgery one month ago while breastfeeding her 6-month child. She presented to emergency with dyspnea, fatigue, weight loss and anorexia. The explorations revealed a serious metabolic acidosis with a high anion gap, for which all other causes have been eliminated. A restrictive diet in lactating patients is a major risk of ketosis or bovine ketosis. Medico-surgical treatment of obesity during lactation seems unreasonable. Breastfeeding should be systematically sought before a medical and surgical management of obesity. With the spread of bariatric surgery, starvation ketosis is a cause of metabolic acidosis not to ignore. Copyright © 2015 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  4. [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.

  5. Woman Position In Iron Man Movies

    OpenAIRE

    ANINDITHA, ANNISA

    2014-01-01

    Aninditha, Annisa. 2014. Woman Position in Iron Man movies. Study Program ofEnglish, Department of Language and Literature, Faculty of Cultural Studies,Universitas Brawijaya, Malang. Supervisor: Fariska Pujiyanti. Co Supervisor: NurulLaily Nadhifah. Keywords: Movie, Patriarchal, Iron Man. Movie is one of literary works and electronic media. Movie becomes the best strategy to communicate and deliver message about what happens in this world. The movie makers or directors can express critics, co...

  6. Woman Entrepreneurship in Haryana: Challenges and Problems.

    OpenAIRE

    Sanchita

    2013-01-01

    The paper highlights the various problems and challenges faced by woman entrepreneurs while running the enterprises in the present competitive world of today which is both healthy as well as unhealthy. The problems of women entrepreneurs include working capital, distribution channel, sales promotion, electricity, human resources and competition with medium and large industries. To justify the need of the present study we have reviewed the literature. To draw policy implications we are require...

  7. 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.

    Science.gov (United States)

    Pięta, Beata; Jurczyk, Mieczysława Urszula; Wszołek, Katarzyna; Opala, Tomasz

    2014-01-01

    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. Objective. 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. 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. 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. 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.

  8. [Caries prevalence and intensity and the health and hygiene habits of oral care in pregnant women].

    Science.gov (United States)

    Bakhmudov, B R; Bakhmudova, Z B

    2000-01-01

    Examination of the oral status of 664 pregnant women showed that from 77.12 +/- 3.90% at the age of 17-19 years to 100% at the age of 35-39 years were in need of treatment and removal of teeth. An average of 2.46 tooth per woman were to be filled and every other woman was in need of tooth removal. The quality of oral hygiene was poor in the examined patients, the Fedorov-Volodkina index varying from 2.2 +/- 0.05 to 2.6 +/- 0.1.

  9. Features of Woman Journal in Tatar Language

    Directory of Open Access Journals (Sweden)

    Aigul A. Guseinova

    2017-11-01

    Full Text Available The article studies the functional and typological features of woman magazine published in the city of Kazan of the Republic of Tatarstan (Russia. The magazine "Syuyumbike" is the only woman magazine for the Tatars, the people of the Turkic ethnos living in the central regions of the European part of Russia. The Tatars make up 3.87% of population in Russia. "Syuyumbike", as the magazine with a century-old history, spreads throughout Russia. Besides it is read by Tatars, compactly residing in Ukraine, Kazakhstan, Uzbekistan, the USA, Finland and Australia. In Soviet times, the circulation reached half a million copies, and it makes only 10 thousand at present, one fifth of which is distributed outside of Tatarstan. Despite the fact that the publishers of the magazine do not share their readers on the basis of gender, the main character of the magazine is a woman, an active member of modern society. The magazine, being the platform for the exchange of opinions among the representatives of Tatar nation from all over the world, serves to search for the solutions to various problems of our time. The identification of typological features makes it possible to determine the place of publication in the media system, it has an undeniable significance for the further development of newspaper and magazine market in the national languages of Russia. After the historical development analysis and the analysis of the magazine "Syuyumbike" current state, the authors made conclusions about the trends and the prospects of its further development.

  10. Preventing abuse to pregnant women: implementation of a "mentor mother" advocacy model.

    Science.gov (United States)

    McFarlane, J; Wiist, W

    1997-01-01

    Abuse to pregnant women is common and can result in complications to maternal and child health. Although screening and detection of abuse in primary health care settings is becoming more commonplace, intervention models that include community outreach have not been developed or tested. An advocacy model was developed and tested for pregnant abused women by melding research on advocacy programs for abused women exiting shelters with the principles of home visitation used to improve outcomes to pregnant women. Advocacy was offered by "mentor mothers," who were residents of the project's service area. The advocacy consisted of weekly social support, education, and assisted referrals to pregnant women identified as abused as part of routine screening offered at the first prenatal visit to a public health clinic. Effectiveness of the advocacy intervention was measured as contact success rate, number and type of advocacy contacts, and number and type of referrals made to the first 100 women to complete the advocacy program. The mentor mother advocates were successful in contacting the abused woman 33% of the time, regardless of whether a telephone call, home visitation, or in-person meeting was attempted. The average number of advocacy contacts was 9.2 (SD = 7.6) with the majority (74%) being via the telephone. The average number of referrals per woman was 8.6 (SD = 7.6) with the largest percentage (38%) being for medical services. Outreach advocacy as an intervention model for pregnant abused women is recommended.

  11. 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…

  12. Biochemical Profiles of Pregnant and Non-pregnant Women ...

    African Journals Online (AJOL)

    2018-05-01

    May 1, 2018 ... sample was collected from 139 pregnant and 139 age matched ... have major consequences for fetal growth. ... metabolic disorder in pregnancy is gestational ... expected to be 23.4 %, and the child mortality rate ... diabetic pregnant women and her unborn infant ... hemorrhage, fetal obesity, miscarriage,.

  13. Stigma and hostility towards pregnant smokers: does individuating information reduce the effect?

    Science.gov (United States)

    Wigginton, Britta; Lee, Christina

    2013-01-01

    Australia is at the forefront of tobacco control, yet 17% of Australian women smoke during pregnancy. Negative attitudes to smoking are intensified when the smoker is pregnant, consistent with a discourse that encourages surveillance of pregnant women. Such overt anti-smoking attitudes create a context which may make it difficult for pregnant smokers to seek assistance to stop. However, there is little evidence on the extent to which pregnant smokers are stigmatised by community members. We used vignettes to examine the degree of smoking-related stigma expressed by 595 Australian university students who rated a woman, described as a mother who was smoking or not, and pregnant or not. Further, we examined whether provision of individuating information reduced the degree of stigma. Mothers described as smokers were rated more negatively than those not, particularly if they were pregnant: smokers were perceived as unhealthy, and also as bad mothers. Provision of individuating information slightly reduced these effects. These findings support the view that smokers--particularly if pregnant--are subject to negative moral judgement. Our findings contribute to the ethical debate about stigma-inducing tobacco control efforts, and suggest that anti-smoking campaigns that contextualise smoking in pregnancy might reduce stigma and assist cessation.

  14. 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…

  15. urinary tract infections amongst pregnant women attending

    African Journals Online (AJOL)

    boaz

    Urinary tract infection (UTI) constitutes a major health problem in pregnant women due to their relatively short urethra, which ... the urine samples of pregnant women prior to treatment. ... Of 500 asymptomatic pregnant women screened, 433.

  16. Diasporic Authenticity Assertions: Analysis of Amy Tan’s The Bonesetter’s Daughter

    Directory of Open Access Journals (Sweden)

    Naeimeh Tabatabaei Lotfi

    2015-07-01

    Full Text Available This essay is an attempt to examine the active interaction of history and memory, in formulation of a diasporic authentic picture of past, in Amy Tan’s The Bonesetter’s Daughter (2001. Amongst discursive disciplines, memory and history perform vitally, in picturing past; both attempt to reproduce events, by emblematic narrative acts. However, their erratic quality endorses the existence of counter- stories that endangers displaying a homogeneous past. Among miscellaneous categories of memories, autobiographical memory asserts to obtain an authentic presentation, but as any other forms of accounts, it exhibits an imprecise fictional image. This psychological alleviation ensures the future mental integrity of trauma victims. In memory narratives, the contingent temperament of power network and continual formulation of resisting frameworks might be explored. Tan’s diasporic assertion of authenticity, as a migrant writer, amalgamated with employment of fantasy is to obtain a shared diasporic identity, among her characters, although personal accounts of characters undergo an extensive amount of contingency. The newly forged identity is collective in nature and defies the geographical and temporal borders and grants a humane picture rather than a diasporic one; an identity that is established to venerate the cardinal role of personal memory, in endowing legitimate truth.

  17. Reduction of Driver Stress Using AmI Technology while Driving in Motorway Merging Sections

    Science.gov (United States)

    Zia, Kashif; Riener, Andreas; Ferscha, Alois

    High average intensity of traffic and problems like traffic congestions, road safety, etc. are challenging problems striking highway operators in these days. With the broad application of intelligent transport systems (ITS), particularly for the most dense street sections, some of these problems can be minimized or even solved; supplementary great potential is attributed to applications based on state-of-the art technology like car-to-x communication, for instance by extending an individuals "field of vision" by observations taken from all the vehicles in front. In this work we present a simulation based approach for improving driving experience and increasing road safety in merging sections by redirecting vehicles in advance according to a negotiation of requirements and desires of the flowing traffic on the main road and cars merging from the entrance lane. The simulation experiments performed in a cellular automaton based environment were data driven and on real scale, using traffic flow data on a minute-by-minute basis from a large urban motorway in a main city of the European Union. Our results have shown that the application of AmI technology has potential to influence driver's behavior (seamlessly invoking for a lane change well before an abrupt merging point) resulting in a reduction of panic, particularly for sections with limited range of view.

  18. The Animals Reader: The Essential Classic and Contemporary Writings (Linda Kalof y Amy Fitzgerald, Eds.

    Directory of Open Access Journals (Sweden)

    Beto Vianna

    2009-01-01

    Full Text Available Las propuestas explicativas de la sociobiología y, aún más recientemente, de la psicología evolucionista han suscitado la queja, entre los científicos humanos, de una “colonización de las ciencias sociales” (término de Rose, 2000 desde la biología. La queja es legítima, si no por otros motivos, por una lamentable tendencia a la simplificación de las intricadas redes conductuales humanas a través de “explicaciones evolutivas”. Pero no podemos olvidar que hay un movimiento de igual tamaño e impacto desde las ciencias sociales que, a ejemplo de Bruno Latour, Tim Ingold y tantos otros, “colonizan” los estudios y objetos naturales (ver, por ejemplo, Latour, 1996 e Ingold, 2008. En The Animals Reader, dos sociólogas - Linda Kalof, de la Universidad del Estado de Michigan, y Amy Fitzgerald, de la Universidade de Windsor, Canada - son las responsables de hacer una incursión en un territorio tradicionalmente natural y, por tanto, perteneciente a las ciencias de la naturaleza: las descripciones que hacemos y las relaciones que mantenemos con los animales. The Animals Reader es una compilación bien cuidada, pienso que la primera de su tipo, que da forma a una preocupación multidisciplinar: los “estudios animales”.

  19. Off-line tracking of series parameters in distribution systems using AMI data

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Tess L.; Sun, Yannan; Schneider, Kevin

    2016-05-01

    Electric distribution systems have historically lacked measurement points, and equipment is often operated to its failure point, resulting in customer outages. The widespread deployment of sensors at the distribution level is enabling observability. This paper presents an off-line parameter value tracking procedure that takes advantage of the increasing number of measurement devices being deployed at the distribution level to estimate changes in series impedance parameter values over time. The tracking of parameter values enables non-diurnal and non-seasonal change to be flagged for investigation. The presented method uses an unbalanced Distribution System State Estimation (DSSE) and a measurement residual-based parameter estimation procedure. Measurement residuals from multiple measurement snapshots are combined in order to increase the effective local redundancy and improve the robustness of the calculations in the presence of measurement noise. Data from devices on the primary distribution system and from customer meters, via an AMI system, form the input data set. Results of simulations on the IEEE 13-Node Test Feeder are presented to illustrate the proposed approach applied to changes in series impedance parameters. A 5% change in series resistance elements can be detected in the presence of 2% measurement error when combining less than 1 day of measurement snapshots into a single estimate.

  20. Enabling cell-cell communication via nanopore formation: structure, function and localization of the unique cell wall amidase AmiC2 of Nostoc punctiforme.

    Science.gov (United States)

    Büttner, Felix M; Faulhaber, Katharina; Forchhammer, Karl; Maldener, Iris; Stehle, Thilo

    2016-04-01

    To orchestrate a complex life style in changing environments, the filamentous cyanobacterium Nostoc punctiforme facilitates communication between neighboring cells through septal junction complexes. This is achieved by nanopores that perforate the peptidoglycan (PGN) layer and traverse the cell septa. The N-acetylmuramoyl-l-alanine amidase AmiC2 (Npun_F1846; EC 3.5.1.28) in N. punctiforme generates arrays of such nanopores in the septal PGN, in contrast to homologous amidases that mediate daughter cell separation after cell division in unicellular bacteria. Nanopore formation is therefore a novel property of AmiC homologs. Immunofluorescence shows that native AmiC2 localizes to the maturing septum. The high-resolution crystal structure (1.12 Å) of its catalytic domain (AmiC2-cat) differs significantly from known structures of cell splitting and PGN recycling amidases. A wide and shallow binding cavity allows easy access of the substrate to the active site, which harbors an essential zinc ion. AmiC2-cat exhibits strong hydrolytic activity in vitro. A single point mutation of a conserved glutamate near the zinc ion results in total loss of activity, whereas zinc removal leads to instability of AmiC2-cat. An inhibitory α-helix, as found in the Escherichia coli AmiC(E. coli) structure, is absent. Taken together, our data provide insight into the cell-biological, biochemical and structural properties of an unusual cell wall lytic enzyme that generates nanopores for cell-cell communication in multicellular cyanobacteria. The novel structural features of the catalytic domain and the unique biological function of AmiC2 hint at mechanisms of action and regulation that are distinct from other amidases. The AmiC2-cat structure has been deposited in the Protein Data Bank under accession number 5EMI. © 2016 Federation of European Biochemical Societies.

  1. Isolation, purification and partial characterization of early pregnancy factor (EPF) from sera of pregnant women.

    Science.gov (United States)

    Haq, A; Mothi, B A; Al-Hussein, K; Al-Tufail, M; Hollanders, J; Jaroudi, K; Al-Waili, N; Shabani, M

    2001-05-29

    Early pregnancy factor (EPF) is a pregnancy protein, which is secreted into the maternal serum 12-16 hours after fertilization. It is thought to be an immunosuppressive molecule. EPF is detected in pregnant woman's serum by the rosette inhibition assay (RIA). In this study, EPF was purified from the pregnant woman's sera by using ion exchange chromatography and analyzed by sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE). The proteins which showed a positive result with the RIA, were found to be 35 kDa and 17 kDa molecular weights. The biological activities of these proteins were stable upon heat treatment at 56 degrees C for 30 min. Proteins isolated and purified in this study might be of great significance to the field of human reproduction with particular reference to pregnancy and recurrent abortion.

  2. QT Interval in Pregnant and Non-pregnant Women

    Directory of Open Access Journals (Sweden)

    Majid Zamani

    2014-03-01

    Full Text Available Introduction: Prolongation of QT interval might result in dangerous cardiac arrhythmias, including Torsades de Pointes (TdP, consequently leading to syncope or death. A limited number of studies carried out in this respect to date have shown that QT interval might increase during pregnancy. On the other hand, it has been shown that each pregnancy might result in an increase in the risk of cardiac accidents in patients with long QT interval. Therefore, the present study was undertaken to compare QT intervals in pregnant and non-pregnant women. Methods: Pregnant women group consisted of 40 women in the second and third trimesters of pregnancy and the non-pregnant control group consisted of healthy women 18-35 years of age. All the patients underwent standard 12-lead electrocardiogram (ECG. The QT interval was measured for each patient at lead II. The mean corrected QT interval (QTc and QT dispersions (QTd were compared between the two groups. Results: Mean heart rates in the pregnant and non-pregnant groups were 98.55±14.09 and 72.53±13.17 beats/minutes (P<0.001. QTd and QTc means were in the normal range in both groups; however, these variables were 49.50±12.80 and 43.03±18.47 milliseconds in the pregnant group and 39.5±9.59 and 40.38±17.20 milliseconds in the control group, respectively (P<0.001. Conclusion: The QT interval was longer in pregnant women compared to non-pregnant women; however, it was in the normal range in both groups. Therefore, it is important to monitor and manage risk factors involved in prolongation of QT interval and prevent concurrence of these factors with pregnancy.

  3. 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...... below the symphysis revealed at a gynecological examination. Transvaginal ultrasound and MRI confirmed the tumor and excision of the paraurethral tumor was carried out. The histological examination showed a benign paraurethral leiomyoma. The postoperative period was characterized by urethral pain...

  4. 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.

  5. No Woman's Land (Performance extract in Bangkok)

    OpenAIRE

    Garton, Rosie; Rippel, IIdiko

    2016-01-01

    'No Woman's Land' (performance) is 1 hr 15 minute large-scale, multi-media performance work. In 1945, Ildikó’s grandmother Lucia Rippel, expelled from her place of birth, walked 220 miles across the fractured landscape of Europe, with her two small children and all her belongings dragged in a cart. In 2015, Ildikó and Rosie retraced her footsteps, crossing borders, climbing fences, bleeding, crying and blistering, carrying their flat-pack children. The performance is a response to our walk an...

  6. A Study on Literary Criticism from the Perspective of Ethics——Taking Amy Tan's Works for Example

    Institute of Scientific and Technical Information of China (English)

    Yang Yali; Yang Fan

    2017-01-01

    Amy Tan is a rnaster of describing the ethical relationship between people,and her novels focus particularly on family ethics.After interpretation of the setting of the ethical knots,.the trend of the ethical lines,and the structure of ethics in her novels from the perspective of literary ethics,we find out that every novel has its own characteristics and angle,and they share some commonality too.The analysis of the formation and deconstruction of the ethical knots,the ethical lines and the ethical structure in her novels give us an insight into Amy Tan's ethical philosophy that she wants to convey to readers through her novels,that is,harrnonious relationship will ultimately be built as long as people communicate sincerely,regardless of barriers and contradictions.This is not only the ethical ideas the author wants to convey,but also the ethical orientation of her works.

  7. Degenerating cystic uterine fibroid mimics an ovarian cyst in a pregnant patient: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Teixeira, Arildo Correa; Pereira, Caroline; Millani, Thais Cristina Cleto Millani; Passos, Ana Paula [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Hospital de Clinicas. Dept. of Gynecology and Obstetrics; Urban, Linei A.B.D.; Zapparoli, Mauricio [Clinica DAPI - Diagnostico Avancado por Imagem, Curitiba, PR (Brazil)]. E-mail: lineiurban@hotmail.com

    2008-07-15

    The authors describe the case of a pregnant woman referred to the institution to be evaluated for an adnexal mass. Ultrasonography showed a voluminous solid-cystic lesion suggestive of ovarian neoplasm. Magnetic resonance imaging demonstrated that the lesion was located within the uterine serosa, suggesting the presence of a degenerated leiomyoma. A correct diagnosis of pelvic masses in pregnancy is essential for the definition of a therapeutic approach. Magnetic resonance imaging represents a relevant tool in the diagnosis of these abnormalities. (author)

  8. Functional changes motorics of breathing in pregnant women and their influence by the Physiotherapy

    OpenAIRE

    Chytrá, Markéta

    2013-01-01

    During pregnancy there are many changes in the mother organism that influence each other. This bachelor's thesis summarizes the information about these significant changes. The thesis is focused on breathing mechanics and breathing patterns changes and considers ways how to influence and adapt breathing during physiologic pregnancy. One chapter points to psychosomatics of pregnant woman associated with the changes of organ systems and growth of foetus. The main part discusses possibilities of...

  9. Amy Caiazza, Mothers and Soldiers. Gender, Citizenship and Civil Society in Contemporary Russia. Routledge. New York and London 2002.

    Directory of Open Access Journals (Sweden)

    Elena Zdravomyslova

    2005-04-01

    Full Text Available This book examines the importance of gender and citizenship ideologies and the opportunities available for interest groups and related civic initiatives in relation to the role of conscripts mother’s in contemporary Russia. Amy Ciazza asks: what is the role of gender culture in the development of the Russian civil society? The author argues that gender-typing of citizenship and popular beliefs about the different civic obligations of men and women can be efficiently mobilized by interest grou...

  10. Insulin resistance in first-trimester pregnant women with pre-pregnant glucose tolerance and history of recurrent spontaneous abortion.

    Science.gov (United States)

    Hong, Y; Xie, Q X; Chen, C Y; Yang, C; Li, Y Z; Chen, D M; Xie, M Q

    2013-01-01

    Insulin resistance (IR) has been reported to play an important role in recurrent spontaneous abortion (RSA) among patients with polycystic ovary syndrome (PCOS). However, scanted materials exist regarding the independent effect of IR on RSA. The aim of this study is to investigate the status of IR in first trimester pregnant patients with normal pre-pregnant glucose tolerance and history of RSA. This two-center case-control study enrolled totally 626 first trimester pregnant women including 161 patients with a history of recurrent spontaneous abortion, who were pre-pregnantly glucose-tolerant according to oral glucose tolerance test (OGTT), and 465 women with no history of abnormal pregnancies of any kind. Clinical, biochemical and hormonal parameters were simultaneously measured in all participants. Serum beta-HCG, estradiol, progesterone, fasting plasma glucose and fasting plasma insulin levels, as well, the calculated homeostasis model assessment of insulin resistance index (HOMA-IR), fasting plasma glucose/insulin ratio(G/I) and pregnancy outcome were analyzed and compared. Serum beta-HCG and progesterone were found to be significantly lower in RSA group compared to controls. Subjects in RSA group were found to have higher HOMA-IR and lower G/I ratio than those in control group. Serum beta-HCG and progesterone were negatively correlated with HOMA-IR, and positively with G/I ratio even after adjustment for BMI. The spontaneous abortion rate within first trimester pregnancy of RSA patients was significantly higher than that in controls. In conclusion, woman with recurrent spontaneous abortion and normal pre-pregnant glucose metabolism tends to be more insulin resistant during first trimester pregnancy than healthy controls, no matter whether she has PCOS or not. Insulin resistance might be one of the direct causes that lead to recurrent abortion.

  11. A qualitative study on acceptable levels of risk for pregnant women in clinical research.

    Science.gov (United States)

    van der Zande, Indira S E; van der Graaf, Rieke; Oudijk, Martijn A; van Delden, Johannes J M

    2017-05-15

    There is ambiguity with regard to what counts as an acceptable level of risk in clinical research in pregnant women and there is no input from stakeholders relative to such research risks. The aim of our paper was to explore what stakeholders who are actively involved in the conduct of clinical research in pregnant women deem an acceptable level of risk for pregnant women in clinical research. Accordingly, we used the APOSTEL VI study, a low-risk obstetrical randomised controlled trial, as a case-study. We conducted a prospective qualitative study using 35 in-depth semi-structured interviews and one focus group. We interviewed healthcare professionals, Research Ethics Committee members (RECs) and regulators who are actively involved in the conduct of clinical research in pregnant women, in addition to pregnant women recruited for the APOSTEL VI case-study in the Netherlands. Three themes characterise the way stakeholders view risks in clinical research in pregnant women in general. Additionally, one theme characterises the way healthcare professionals and pregnant women view risks with respect to the case-study specifically. First, ideas on what constitutes an acceptable level of risk in general ranged from a preference for zero risk for the foetus up to minimal risk. Second, the desirability of clinical research in pregnant women in general was questioned altogether. Third, stakeholders proposed to establish an upper limit of risk in potentially beneficial clinical research in pregnant women in order to protect the foetus and the pregnant woman from harm. Fourth and finally, the case-study illustrates that healthcare professionals' individual perception of risk may influence recruitment. Healthcare professionals, RECs, regulators and pregnant women are all risk adverse in practice, possibly explaining the continuing underrepresentation of pregnant women in clinical research. Determining the acceptable levels of risk on a universal level alone is insufficient

  12. Evolution in Cloud Population Statistics of the MJO: From AMIE Field Observations to Global Cloud-Permiting Models

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Chidong [Univ. of Miami, Coral Gables, FL (United States)

    2016-08-14

    Motivated by the success of the AMIE/DYNAMO field campaign, which collected unprecedented observations of cloud and precipitation from the tropical Indian Ocean in Octber 2011 – March 2012, this project explored how such observations can be applied to assist the development of global cloud-permitting models through evaluating and correcting model biases in cloud statistics. The main accomplishment of this project were made in four categories: generating observational products for model evaluation, using AMIE/DYNAMO observations to validate global model simulations, using AMIE/DYNAMO observations in numerical studies of cloud-permitting models, and providing leadership in the field. Results from this project provide valuable information for building a seamless bridge between DOE ASR program’s component on process level understanding of cloud processes in the tropics and RGCM focus on global variability and regional extremes. In particular, experience gained from this project would be directly applicable to evaluation and improvements of ACME, especially as it transitions to a non-hydrostatic variable resolution model.

  13. Galaktocele of Lactating Woman in Atypical Localisation

    International Nuclear Information System (INIS)

    Pavlendova, G.; Bartalosova, M.; Ondrkalova, M.

    2011-01-01

    Galactocele is a benign breast lesion mostly occurring in pregnant and lactating women. Due to its variable ultrasound appearance it may be difficult to differentiate it from other lesions, either benign or malignant, such as fibroadenoma, lactating adenoma, abscess, phyllodes tumor, papilloma or breast cancer and in these cases fine needle aspiration should be performed. Biochemical analysis of the aspirate shows variable proportions of proteins, fat and lactose. In rare cases where galactocele has only solid appearance, a core-cut biopsy could also be performed to rule out breast cancer. The authors present a case of a 34-years old patient with this diagnosis. (author)

  14. 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…

  15. 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…

  16. An extended TRANSCAR model including ionospheric convection: simulation of EISCAT observations using inputs from AMIE

    Directory of Open Access Journals (Sweden)

    P.-L. Blelly

    2005-02-01

    Full Text Available The TRANSCAR ionospheric model was extended to account for the convection of the magnetic field lines in the auroral and polar ionosphere. A mixed Eulerian-Lagrangian 13-moment approach was used to describe the dynamics of an ionospheric plasma tube. In the present study, one focuses on large scale transports in the polar ionosphere. The model was used to simulate a 35-h period of EISCAT-UHF observations on 16-17 February 1993. The first day was magnetically quiet, and characterized by elevated electron concentrations: the diurnal F2 layer reached as much as 1012m-3, which is unusual for a winter and moderate solar activity (F10.7=130 period. An intense geomagnetic event occurred on the second day, seen in the data as a strong intensification of the ionosphere convection velocities in the early afternoon (with the northward electric field reaching 150mVm-1 and corresponding frictional heating of the ions up to 2500K. The simulation used time-dependent AMIE outputs to infer flux-tube transports in the polar region, and to provide magnetospheric particle and energy inputs to the ionosphere. The overall very good agreement, obtained between the model and the observations, demonstrates the high ability of the extended TRANSCAR model for quantitative modelling of the high-latitude ionosphere; however, some differences are found which are attributed to the precipitation of electrons with very low energy. All these results are finally discussed in the frame of modelling the auroral ionosphere with space weather applications in mind.

  17. An extended TRANSCAR model including ionospheric convection: simulation of EISCAT observations using inputs from AMIE

    Directory of Open Access Journals (Sweden)

    P.-L. Blelly

    2005-02-01

    Full Text Available The TRANSCAR ionospheric model was extended to account for the convection of the magnetic field lines in the auroral and polar ionosphere. A mixed Eulerian-Lagrangian 13-moment approach was used to describe the dynamics of an ionospheric plasma tube. In the present study, one focuses on large scale transports in the polar ionosphere. The model was used to simulate a 35-h period of EISCAT-UHF observations on 16-17 February 1993. The first day was magnetically quiet, and characterized by elevated electron concentrations: the diurnal F2 layer reached as much as 1012m-3, which is unusual for a winter and moderate solar activity (F10.7=130 period. An intense geomagnetic event occurred on the second day, seen in the data as a strong intensification of the ionosphere convection velocities in the early afternoon (with the northward electric field reaching 150mVm-1 and corresponding frictional heating of the ions up to 2500K. The simulation used time-dependent AMIE outputs to infer flux-tube transports in the polar region, and to provide magnetospheric particle and energy inputs to the ionosphere. The overall very good agreement, obtained between the model and the observations, demonstrates the high ability of the extended TRANSCAR model for quantitative modelling of the high-latitude ionosphere; however, some differences are found which are attributed to the precipitation of electrons with very low energy. All these results are finally discussed in the frame of modelling the auroral ionosphere with space weather applications in mind.

  18. Bayesian binary regression model: an application to in-hospital death after AMI prediction

    Directory of Open Access Journals (Sweden)

    Aparecida D. P. Souza

    2004-08-01

    Full Text Available A Bayesian binary regression model is developed to predict death of patients after acute myocardial infarction (AMI. Markov Chain Monte Carlo (MCMC methods are used to make inference and to evaluate Bayesian binary regression models. A model building strategy based on Bayes factor is proposed and aspects of model validation are extensively discussed in the paper, including the posterior distribution for the c-index and the analysis of residuals. Risk assessment, based on variables easily available within minutes of the patients' arrival at the hospital, is very important to decide the course of the treatment. The identified model reveals itself strongly reliable and accurate, with a rate of correct classification of 88% and a concordance index of 83%.Um modelo bayesiano de regressão binária é desenvolvido para predizer óbito hospitalar em pacientes acometidos por infarto agudo do miocárdio. Métodos de Monte Carlo via Cadeias de Markov (MCMC são usados para fazer inferência e validação. Uma estratégia para construção de modelos, baseada no uso do fator de Bayes, é proposta e aspectos de validação são extensivamente discutidos neste artigo, incluindo a distribuição a posteriori para o índice de concordância e análise de resíduos. A determinação de fatores de risco, baseados em variáveis disponíveis na chegada do paciente ao hospital, é muito importante para a tomada de decisão sobre o curso do tratamento. O modelo identificado se revela fortemente confiável e acurado, com uma taxa de classificação correta de 88% e um índice de concordância de 83%.

  19. Medical radiation exposure of pregnant and potentially pregnant women

    International Nuclear Information System (INIS)

    1977-07-01

    The present report clearly states that radiosensitivity is highest during intrauterine development and that the possibility of different types of effects depends on the state of pregnancy and on the dose. The decision whether an examination of the abdomen or pelvis of pregnant or potentiably pregnant women should be carried out is made clear that a delay of examinations due to dose reduction is only warranted if no danger to the patient and/or the unborn child is involved. (orig.) [de

  20. Sedentary behavior patterns in non-pregnant and pregnant women

    Directory of Open Access Journals (Sweden)

    Marquis Hawkins

    2017-06-01

    Full Text Available 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 <100 cpm was used to describe 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 <10 min. The women averaged less than two prolonged 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. 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. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. A broader role for AmyR in Aspergillus niger: regulation of the utilisation of D-glucose or D-galactose containing oligo- and polysaccharides.

    Science.gov (United States)

    vanKuyk, Patricia A; Benen, Jaques A E; Wösten, Han A B; Visser, Jaap; de Vries, Ronald P

    2012-01-01

    AmyR is commonly considered a regulator of starch degradation whose activity is induced by the presence of maltose, the disaccharide building block of starch. In this study, we demonstrate that the role of AmyR extends beyond starch degradation. Enzyme activity assays, genes expression analysis and growth profiling on D-glucose- and D-galactose-containing oligo- and polysaccharides showed that AmyR regulates the expression of some of the Aspergillus niger genes encoding α- and β-glucosidases, α- and β- galactosidases, as well as genes encoding α-amlyases and glucoamylases. In addition, we provide evidence that D-glucose or a metabolic product thereof may be the inducer of the AmyR system in A. niger and not maltose, as is commonly assumed.

  3. Robillard, Amy E. and Ron Fortune (eds. Authorship Contested. Cultural Challenges to the Authentic Autonomous Author (New York, and London: Routledge, 2015

    Directory of Open Access Journals (Sweden)

    Alex Ciorogar

    2016-12-01

    Full Text Available A review of Amy E. Robillard and Ron Fortune's (eds Authorship Contested: Cultural Challenges to the Authentic Autonomous Author. New York, and London: Routledge, 2015. 214 pp. £100.

  4. Selection, calibration and mosaicing of AMIE images to build a Moon Atlas as seen by SMART-1

    Science.gov (United States)

    Almeida, M.; Fonseca, J. M.; Grieger, B.; Costa, M.; Mora, A.

    2014-04-01

    In mid 2010 the European Space Agency opened the SMART-1 data to general public. The free access to these data opened new possibilities for its exploitation and use. In this dataset, there are data from the three instruments carried on-board: an ultracompact electronic camera to survey the lunar terrain in visible and near-infrared light (AMIE), an infrared spectrometer to analyze the Moon's minerals (SIR) and an X-ray spectrometer to identify key chemical elements in the lunar surface (D-CIXS). This work is focused on the AMIE captured images, that are used to produce a complete high-resolution atlas of the Moon. During the SMART-1 mission from 2004 to 2006, the onboard AMIE camera collected 31947 start-of-the-art (at the time) resolution and coverage images from lunar surface. However, a considerable number of images were contaminated with noise or suffered from transmission errors, being unusable for any purposes. Also, during the Earth escape phase the radiation damaged significantly the AMIE sensor invalidating the laboratorial flat field correction algorithm. This malfunction was compensated by a new calibration procedure based on in-flight images and theoretical models that will be presented on this paper. After flat field compensated, all images were also calibrated to compensate the sensor color filters at 750, 915 and 960 nm, designed for multi-spectral analysis, although now we use them as full-frame gray scale images. The resulting 1024x1024 images were geographically referenced using the in-board data and mosaiced considering illumination angle and image quality, in order to produce 88 lunar surface maps with lower resolution on the North Lunar pole (spacecraft apolune altitude of 3000Km) and higher resolution on the South Lunar pole (perilune altitude of 27Km). The final maps achieved a coverture of approximately 96% of the Lunar surface. For the latitudes higher than 60ºN and lower than 75ºS polar projection was used with a resolution of 300m

  5. Antimicrobial activity against Porphyromonas gingivalis and mechanism of action of the cationic octadecapeptide AmyI-1-18 and its amino acid-substituted analogs.

    Science.gov (United States)

    Taniguchi, Masayuki; Ochiai, Akihito; Takahashi, Kiyoshi; Nakamichi, Shun-Ichi; Nomoto, Takafumi; Saitoh, Eiichi; Kato, Tetsuo; Tanaka, Takaaki

    2016-12-01

    The antimicrobial peptide AmyI-1-18 is a cationic α-helical octadecapeptide derived from α-amylase in rice (Oryza sativa L. japonica) that contains four cationic amino acid residues (two arginines and two lysines). To enhance the antibacterial activity of AmyI-1-18 against Porphyromonas gingivalis (a bacterium associated with periodontal disease), we synthesized 12 analogs bearing substitutions with alanine, leucine, and/or arginine that were designed based on helical wheel projections and investigated their antibacterial properties. The antibacterial properties of four analogs bearing substitution of a single arginine or lysine with alanine were almost similar to those of AmyI-1-18, suggesting that the antibacterial properties depend on the presence of three cationic amino acid residues. Of three single arginine-substituted analogs, AmyI-1-18(G12R) exhibited an antibacterial activity 2.8-fold higher [50% growth-inhibitory concentration (IC 50 ): 4.6 μM] than that of AmyI-1-18 (IC 50 : 13 μM). Likewise, the antibacterial properties of two single leucine-substituted analogs were significantly enhanced; in particular, AmyI-1-18(N3L) exhibited an antibacterial activity (IC 50 : 2.5 μM) 5.2-fold higher than that of AmyI-1-18. The hemolytic activity of AmyI-1-18(N3L) against mammalian red blood cells was low (2% at 50 μM). A membrane-depolarization assay using a membrane potential-sensitive fluorescent dye revealed that, similar to AmyI-1-18, the antibacterial activity of AmyI-1-18(N3L) was not dependent on its membrane-disrupting activity. Our results demonstrate that the antibacterial properties of AmyI-1-18 against P. gingivalis are significantly improved, without a significant increase in hemolytic activity, by replacing asparagine with leucine at position 3. Copyright © 2016 The Society for Biotechnology, Japan. Published by Elsevier B.V. All rights reserved.

  6. The lesser spotted pregnant surgeon.

    Science.gov (United States)

    Hamilton, L C

    2017-10-19

    With more women entering surgical training, it will become more commonplace to encounter pregnant surgeons. This paper discusses the evidence for work-related risk factors as well as outlining the rights of a pregnant doctor. There are, in fact, very few real risks to pregnancy encountered as a surgeon, with the main risks involving standing or sitting for long periods and fatigue, which can be managed with support from the department. It is important for women in surgery to know that it is possible to continue their training while pregnant so they do not feel pressured into changing to a less demanding specialty or even leaving medicine entirely. It is also important for other professionals to understand the risks and choices faced by pregnant surgeons so that they can better support them in the workplace.

  7. Pregnant Women and Influenza (Flu)

    Science.gov (United States)

    ... risk of serious flu complications, such as pregnant women. Treatment should begin as soon as possible because antiviral drugs work best when started early (within 48 hours after symptoms start). Antiviral drugs can make your ...

  8. Life's pregnant pause of pain: pregnant women's experiences of pelvic girdle pain related to daily life: a Swedish interview study.

    Science.gov (United States)

    Elden, Helen; Lundgren, Ingela; Robertson, Eva

    2013-03-01

    Pelvic girdle pain (PGP) is a universally disabling condition affecting three of 10 pregnant women. Qualitative studies on the subject are lacking. To describe pregnant women's experiences of PGP as related to daily life. In all, 27 women with PGP participating in a randomised controlled study were interviewed during 2010-2011. Qualitative content analysis was used. Five main categories emerged: PGP affects the ability to cope with everyday life; Coping with motherhood; Relationships between partners often reached the breaking point; Questioning one's identity as defined by profession and work, and Lessons learned from living with PGP. The categories illustrate how women's everyday lives were interrupted. Their inability to meet their own and others' expectations put a strain on their lives causing disappointment, sadness and frustration. It made them question and doubt their roles and identities as mothers, partners and professionals, and kept them from looking forward to future pregnancies, in the absence of effective treatment for PGP. Knowledge gained was that women with PGP should seek help immediately, listen to their bodies, and acknowledge their limitations. PGP severely affects pregnant women's everyday lives. There appears to be a lack of knowledge and awareness in general, as well as among caregivers and employers of PGP that needs to be highlighted and rectified. There is also a great need to learn how to support those suffering from it. Appropriate support during this important and rare phase in a woman's life is highly warranted. Copyright © 2012 Elsevier B.V. All rights reserved.

  9. Research with Pregnant Women: New Insights on Legal Decision-Making.

    Science.gov (United States)

    Mastroianni, Anna C; Henry, Leslie Meltzer; Robinson, David; Bailey, Theodore; Faden, Ruth R; Little, Margaret O; Lyerly, Anne Drapkin

    2017-05-01

    U.S. researchers and scholars often point to two legal factors as significant obstacles to the inclusion of pregnant women in clinical research: the Department of Health and Human Services' regulatory limitations specific to pregnant women's research participation and the fear of liability for potential harm to children born following a pregnant woman's research participation. This article offers a more nuanced view of the potential legal complexities that can impede research with pregnant women than has previously been reflected in the literature. It reveals new insights into the role of legal professionals throughout the research pathway, from product conception to market, and it highlights a variety of legal factors influencing decision-making that may slow or halt research involving pregnant women. Our conclusion is that closing the evidence gap created by the underrepresentation and exclusion of pregnant women in research will require targeted attention to the role of legal professionals and the legal factors that influence their decisions. © 2017 The Hastings Center.

  10. Performance of Hitchens-Pike-Todd-Hewitt medium for group B streptococcus screening in pregnant women.

    Directory of Open Access Journals (Sweden)

    Simone Cristina Castanho Sabaini de Melo

    Full Text Available Group B streptococcus (GBS, which commonly colonizes the female genital tract and rectum, can cause infections in newborns with varying severity, possibly leading to death. The aim of the present study was to evaluate Hitchens-Pike-Todd-Hewitt (HPTH medium performance for GBS screening in pregnant women. A descriptive analytical cross-sectional study was performed with 556 pregnant women, of which 496 were at 35-37 weeks of gestation and 60 were at ≥ 38 weeks of gestation. The study was conducted from September 2011 to March 2014 in northern Paraná, Brazil. Vaginal and anorectal clinical specimens from each pregnant woman were plated on sheep blood agar (SBA and seeded on HPTH medium and Todd-Hewitt enrichment broth. Of the 496 pregnant women at 35-37 weeks of gestation, 141 (28.4% were positive for GBS, based on the combination of the three culture media and clinical specimens. The GBS colonization rates that were detected by each medium were 22.2% for HPTH medium, 21.2% for SBA, and 13.1% for Todd-Hewitt enrichment broth. Of the 60 pregnant women at ≥ 38 weeks of gestation, seven (11.7% were positive for GBS. These results demonstrate that HPTH medium and SBA were more sensitive than Todd-Hewitt enrichment broth for GBS screening in pregnant women and good GBS recovery in culture, indicating that the two media should be used together for vaginal and anorectal specimens.

  11. Translation and adaptation of smoking relapse-prevention materials for pregnant and postpartum Hispanic women.

    Science.gov (United States)

    Simmons, Vani Nath; Cruz, Ligia M; Brandon, Thomas H; Quinn, Gwendolyn P

    2011-01-01

    Quitting smoking is one of the most important behavior changes a pregnant woman can make, with health benefits extending beyond pregnancy for the woman and her child. Increasing numbers of pregnant women are quitting smoking; however, the majority resume smoking later in their pregnancy or shortly after giving birth. Previous research has demonstrated the efficacy of self-help smoking relapse-prevention booklets; however, there is a dearth of materials available in Spanish for Hispanic smokers. The goal of the present study was to translate and adapt existing, theoretically based, smoking relapse-prevention materials for pregnant and postpartum Hispanic women. This article describes the transcreation approach used to ensure the Forever Free for Baby and Me booklets were linguistically and culturally relevant for the heterogeneous populations of Hispanic women. The authors conducted multistage formative research to adapt the booklets and modify vignettes and graphics. Compared with previous research conducted with pregnant non-Hispanic women, results revealed the following: (a) a lack of association or concern about smoking and weight gain, (b) the importance of family approval of behavior, and (c) stress related to difficulties surrounding the immigration experience. The authors' qualitative findings confirm and extend past research that has suggested ways to enhance the cultural relevance and acceptability of a health intervention.

  12. 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.

  13. The First Known Chinese Woman Historian

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    <正> Ban Zhao, the first known Chinese woman historian, lived during the Eastern Han Dynasty( 25-220 A.D.), and is renowned for her contribution to the completion of Han Shu( History of the Han Dynasty), which covers the entire Western Han period( 206B.C.-24A.D.). As China’s first book on dynastic history, it constitutes the second volume in Twenty-Four Histories, and sets the style of writing for the rest of the dynastic annals. Han Shu consists of 120 volumes divided in to four parts: Biographies of the 12 Western Han emperors and major events during the reign of each emperor, the "Eight Tables," chronologically listing the names of princes, the emperor’s in laws and the leading officials; the "The Registries," dealing with rules and laws and Biographies of 70 outstanding personalities. Of the four parts, the "Eight Tables" was compiled by Ban Zhao.

  14. [Dysphagia in a young woman from Somalia].

    Science.gov (United States)

    Veldhuis, Suzanne; van Altena, Richard; van Steenwijk, Reindert P; Rauws, Erik A J; Eeftinck Schattenkerk, Jan Karel M

    2013-01-01

    Multidrug-resistant tuberculosis is increasing worldwide. The determination of possible resistance is essential for adequate treatment. Tuberculosis is common amongst immigrants from Somalia and extra-pulmonary localisation is often seen. A 21-year-old woman from Somalia presented with progressive dysphagia and severe weight loss. Endoscopy revealed two ulcers in the mid-oesophagus. A chest x-ray showed enlarged lymph nodes in the right hilar and mediastinal regions. The Ziehl-Neelsen stain and PCR for mycobacteria were negative. Sputum samples and oesophageal biopsies were cultured. Quadruple tuberculostatic therapy was started empirically. After five weeks, a sputum culture grew Mycobacterium tuberculosis, which was resistant to rifampicin and isoniazid. She was treated with second-line anti-tuberculous therapy and eventually recovered. Tuberculosis can manifest in many ways. It is important to obtain patient material for culture; not only to confirm the diagnosis but also for the determination of possible resistance which is necessary for adequate therapy.

  15. An Older Transgender Woman's Quest for Identity.

    Science.gov (United States)

    Walker, Charles A; Cohen, Harriet; Jenkins, David

    2016-02-01

    Despite sensationalized media attention, transgender individuals are the most marginalized and misunderstood group in the lesbian, gay, bisexual, and transgender (LGBT) community. The current article presents a case study of one woman's quest for identity. Narrative inquiry was used to analyze data from interview transcripts and four themes emerged during analysis: (a) naming the ambiguity, (b) revealing-concealing the authentic self, (c) discovering the transgender community, and (d) embracing the "T" identity. Lifespan and empowerment theories were used to harvest meanings from these themes. Implications for nursing practice and research were examined based on study findings. Participatory action research offers an approach for future studies in which researchers advocate for transgender individuals and remove obstacles to their health care access. [Journal of Psychosocial Nursing and Mental Health Services, 54(2), 31-38.]. Copyright 2016, SLACK Incorporated.

  16. Vaccination recommended for pregnant women

    Directory of Open Access Journals (Sweden)

    Justyna Magdalena Skolarczyk

    2017-04-01

    Full Text Available A vaccine is a formulation of biological origin that contains substances capable of inducing immune processes without the ability to cause a disease. Vaccination is considered the best mean to prevent infectious diseases and their serious complications. Vaccination of a pregnant women can provide protection against severe infectious diseases of both pregnant women and their children. The aim of the study is to present currently available types of vaccines recommended for pregnant women and indications for their use by analyzing the data available in the PubMed, and Medline electronic databases. In the United States, vaccination recommendations for pregnant women include inactivated influenza vaccine and tetanus and diphtheria toxoid vaccine (Tdap. In some countries, pregnant women also receive a vaccine against hepatitis B as well as anti hepatitis A and E. There are also studies on vaccines against the RSV virus and pneumococci. Vaccination is the most effective form of prevention of infectious diseases and their use during pregnancy does not entail any additional risk to the mother or her baby. The benefits of vaccination are huge, so pregnant women should take  recommended vaccination and shouldn’t  be afraid of using them.

  17. A depressed post-menopausal woman.

    Science.gov (United States)

    Lutwak, Nancy; Dill, Curt

    2012-11-01

    Post-menopausal women are at significant risk for coronary artery disease, have increased rates of depression compared to their male counterparts, and often present atypically with coronary insufficiency. The symptoms of depression and coronary ischemia overlap greatly. Complaints like fatigue, body aches, and sleep disturbance reported by a depressed elderly woman may be cardiac related and need to be investigated seriously without physician bias. To ensure that clinicians are cautious when evaluating older women with a history of depression who are presenting with atypical complaints. A 61-year-old woman with history of depression presented to the Emergency Department with multiple complaints atypical for acute coronary syndrome. She had an immediate electrocardiogram and troponin-T Biosite point-of-care test (Biosite Incorporated, San Diego, CA) performed, which were positive for cardiac ischemia and myocardial infarction. The patient underwent immediate cardiac catheterization, which revealed occlusion of the mid left circumflex. After aspiration of thrombus and balloon dilatation of the site, a bare metal stent was deployed, restoring excellent flow. The patient did well medically but her depression worsened after the procedure and continues despite psychiatric intervention. For years there have been gender differences in medical treatment of coronary artery disease, and often women's complaints are not investigated aggressively. Post-menopausal women are at great risk for cardiac ischemia and depression, and their symptoms, which are often atypical, may not be diagnosed as anginal equivalents. In addition, depression is an independent risk factor for cardiovascular disease and, if it occurs after myocardial infarction, may lead to poor quality of life and increased morbidity and mortality. Patients who have had a coronary event must be thoroughly evaluated for signs of depression and receive the necessary treatment. Published by Elsevier Inc.

  18. 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.

  19. 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

  20. 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.

  1. 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. Copyright © 2017 by the Endocrine Society

  2. 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.

  3. Woman to Woman (W2W): Adapting an HIV risk reduction intervention for older women.

    Science.gov (United States)

    Conner, Laneshia R; Engstrom, Malitta; Junious, Eric; Edwards-Knight, Kevin

    2017-05-03

    Woman to Woman (W2W) is a novel adaptation of the Sisters Informing Sisters about Topics on AIDS (SISTA) HIV prevention program. This article describes the process of adapting and piloting W2W based on recommendations from existing HIV prevention research. Six older women, all of whom had histories of homelessness and the majority of whom identified as African American, enrolled in the study, which piloted the adapted intervention and materials, evaluated the acceptability of the program, and assessed the measures related to the intervention. Participants described satisfaction with the program and had high rates of attendance; observations regarding the measures suggest the need to further develop assessments of HIV knowledge, condom use self-efficacy, and risk behaviors in this context.

  4. Oral hygiene practices and dental service utilization among pregnant women.

    Science.gov (United States)

    Boggess, Kim A; Urlaub, Diana M; Massey, Katie E; Moos, Merry-K; Matheson, Matthew B; Lorenz, Carol

    2010-05-01

    Daily oral hygiene and regular dental visits are important components of oral health care. The authors' objective in this study was to examine women's oral hygiene practices and use of dental services during pregnancy. The authors developed a written oral health questionnaire and administered it to 599 pregnant women. They collected demographic information, as well as data on oral hygiene practices and use of dental services during pregnancy. They used chi2 and multivariable logistic regression models to assess associations between oral hygiene practice and dental service use during pregnancy and to identify maternal predictor variables. Of the 599 participants, 83 percent (n=497) reported brushing once or twice per day. Twenty-four percent (n=141) reported flossing at least once daily; Hispanic women were more likely to floss than were white or African American women (28 percent [52 of 183] versus 22 percent [54 of 248] versus 19 percent [23 of 121], respectively, Pdental care during pregnancy. Hispanic women were significantly less likely than were black or white women to receive routine dental care during pregnancy (13 percent versus 21 percent versus 36 percent, respectively, Pdental care when not pregnant were significantly associated with lack of routine dental care during pregnancy (adjusted odds ratios, 95 percent confidence intervals: 2.56 [1.33-4.92]; 2.19 [1.11-4.29]; 2.02 [1.12-3.65]; 1.86 [1.13-3.07]; and 4.35 [2.5-7.69], respectively). A woman's lack of receiving routine dental care when not pregnant was the most significant predictor of lack of receiving dental care during pregnancy. Racial, ethnic and economic disparities related to oral hygiene practices and dental service utilization during pregnancy exist. Medical and dental care providers who treat women of reproductive age and pregnant women need to develop policy strategies to address this population's access barriers to, and use of, dental care services.

  5. Impact of Vaccination History on Serological Testing in Pregnant Women.

    Science.gov (United States)

    Desjardins, Michaël; Boucoiran, Isabelle; Paquet, Caroline; Laferrière, Céline; Gosselin-Brisson, Anne; Labbé, Annie-Claude; Martel-Laferrière, Valérie

    2018-04-01

    Serological testing guidelines for vaccine-preventable infectious diseases in pregnant women are heterogeneous. It is unclear how vaccination history influences health care workers' (HCWs) attitudes about testing. The aim of this study was to describe current practices in screening for rubella, hepatitis B, and varicella-zoster virus (VZV) in pregnant women in the province of Québec. In 2015, an electronic survey was distributed to HCWs who followed the case of at least one pregnant woman in the previous year and who could be contacted by email by their professional association. A total of 363 of 1084 (33%) participants were included in the analysis: general practitioners (57%), obstetrician-gynaecologists (20%), midwives (41%), and nurse practitioners (31%). For rubella, 48% of participants inquired about vaccination status, and of these, 98% offered serological testing for unvaccinated women versus 44% for vaccinated women. Similarly, of the 48% of participants who asked about hepatitis B vaccination status before offering testing, 96% ordered testing for hepatitis B surface antigen, 28% ordered testing for hepatitis B surface antibody, and 1% ordered no serological testing to unvaccinated women versus 72%, 46%, and 8%, respectively, for vaccinated women. Among the 81% of respondents who discussed VZV during prenatal care, 13% ordered serological testing if patients had a history of VZV infection, 87% if the VZV history was uncertain, and 19% if patients had a positive history of vaccination. Asking about vaccination status influences HCWs' attitudes about serological testing for rubella, hepatitis B, and VZV. In the context of increasing vaccination coverage in women of child-bearing age, it is important to clarify the impact of vaccination status in serological screening guidelines in pregnant women. Copyright © 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.

  6. Study of peripheral circulation in non-pregnant, pregnant and pre-eclamptic women using applied potential tomography.

    Science.gov (United States)

    Ahmed, Badreldeen

    2004-08-01

    Profound changes are known to occur in the cardiovascular system during pregnancy, involving an increase in cardiac output and a fall in peripheral resistance. In some women these adaptations may be inappropriate and this may result in pregnancy-induced hypertension and pre-eclampsia. The aims of the study were to evaluate the relatively new, non-invasive technique of applied potential tomography (APT) in measurements of peripheral blood flow, to study peripheral blood flow in a sample of non-pregnant, pregnant and pre-eclamptic women, and to investigate whether the adaptive changes in the peripheral circulation are different in pre-eclampsia compared with normal pregnancy. Applied potential tomography was used to assess peripheral vascular reactivity, by monitoring fluid distribution in calf muscles during postural change. The APT technique was able to detect peripheral vasoconstriction in response to an increase in intramural pressure brought about by passive lowering of the leg (peripheral mechanisms). The peripheral vasoconstriction response was found to be more prominent in woman with pre-eclampsia. The presence of a local reflex in the lower limb had been postulated and the effect of this reflex on the peripheral circulation could be detected using APT, regardless of how it was initiated. In normal pregnant women this reflex was diminished when compared to non-pregnant women, which might contribute to the reduction in peripheral vascular resistance seen in normal pregnancy. This reflex was defective in pre-eclampsia and this lack of adaptation may be a local reflex contributing to the raised peripheral resistance, which in turn may be a factor in high blood pressure in pre-eclampsia.

  7. Betwixt and Between Past and Present: Cultural and Generic Hybridity in the Fiction of Amy Tan and Mary Yukari Waters

    OpenAIRE

    Rania Youssef

    2013-01-01

    Amy Tan and Mary Yukari Waters are both Asian-Americans who portray hybridity in their short stories which depict the shifting identities of the self. But do the internal categories of gender, race and ethnicity help in the coherence or do they add to the fragmentation of diverse identities? It is the dynamics of this critique of multiple identification and hybrid cultures that is being traced here in this study and how all this is reflected in narrative responses to such conditions of ...

  8. Proactive Approach for Safe Use of Antimicrobial Coatings in Healthcare Settings: Opinion of the COST Action Network AMiCI

    Directory of Open Access Journals (Sweden)

    Merja Ahonen

    2017-03-01

    Full Text Available Infections and infectious diseases are considered a major challenge to human health in healthcare units worldwide. This opinion paper was initiated by EU COST Action network AMiCI (AntiMicrobial Coating Innovations and focuses on scientific information essential for weighing the risks and benefits of antimicrobial surfaces in healthcare settings. Particular attention is drawn on nanomaterial-based antimicrobial surfaces in frequently-touched areas in healthcare settings and the potential of these nano-enabled coatings to induce (ecotoxicological hazard and antimicrobial resistance. Possibilities to minimize those risks e.g., at the level of safe-by-design are demonstrated.

  9. MR tomography of focal liver lesions using the superparamagnetic contrast agent AMI-25 at 1.5 tesla

    International Nuclear Information System (INIS)

    Duda, S.H.; Laniado, M.; Kopp, A.F.; Groenewaeller, E.; Aicher, K.P.; Pavone, P.; Jehle, E.; Claussen, C.D.

    1994-01-01

    Superparamagnetic iron oxide particles (AMI-25) were evaluated as a liver contrast agent in high-field MR imaging (1.5 T). 16 patients with up to 5 presumed focal liver lesions (liver metastases n=8, HCC n=5, Klatskin tumours n=2, FNH n=1) received 15 μmol Fe/kg BW intravenously and were examined via standard T 1 - and T 2 -weighted spin-echo sequences. Quantitative image analysis showed a post-contrast increase of the contrast-to-noise ratio (C/N) from 1.6 to 7.4 on SE 2,500/15 images (p [de

  10. Clinical Features of the Ophthalmic Status in Pregnant Women

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    V. N. Trubilin

    2018-01-01

    Full Text Available Ophthalmologist consultation has an important role in the examination of pregnant women. In some cases, his conclusion can play a decisive role in choice of delivery method. Obstetricians-gynecologists rely on ophthalmologist opinion for determining the severity of preeclampsia; it affects the treatment tactics and the life of mother and child. Examination of a pregnant woman has a number of characteristics, with regard to them, 3 groups of patients, which can be identified: the first group — Physiological pregnancywithout ophthalmological pathology. The second group: Physiological pregnancy with eye pathology in the anamnesis: myopia, peripheral choriovitreoretinal dystrophy; retinal detachment, vitreous body, vascular membrane, etc. Third group — Pathologically flowing pregnancy with pathology resulting from pregnancy: pre-eclampsia, anemia, diabetes and others pregnant. In physiological pregnancy without ophthalmological pathology, the most common physiological changes are increased pigmentation around the eyes, ptosis, a decrease of conjunctival capillaries, changes of cornea sensitivity and thickness, and, consequently, a change in refraction with a myopic shift, a decrease of tolerance to contact lenses, a decrease intraocular pressure, hemeralopia. It is necessary to differentiate the physiological feature of pregnancy, which include, in particular, the shift of refraction to the myopia, from pathological manifestations such as retinal angiopathy, macular edema, central serous chorioretinopathy and others. An important aspect is the  identification of potentially dangerous conditions of laser retina coagulation no later than 34 weeks of gestation with considering thepossibility of rheumatogenic retinal detachment and dystrophic changes in the delivery. This procedure can allow avoiding operativedelivery in the second group of patients. Timely detection of angiospasm on fundus in patients with pre-eclampsia from the third

  11. A woman with thyrotoxicosis- and hyperemesis gravidarum-associated Wernicke's encephalopathy.

    Science.gov (United States)

    Anaforoğlu, İnan; Yildiz, Bülent; İnceçayir, Ömer; Algün, Ekrem

    2012-01-01

    Although hyperthyroidism arising from primary thyroid disease is rare in pregnancy, transient gestational hyperthyroidism is not uncommon. This condition can be associated with hyperemesis gravidarum (HG), and Wernicke's encephalopathy. We present the case of a woman with toxic nodular goiter complicating HG-associated Wernicke's encephalopathy. A 38-year-old Caucasian woman, who had received a diagnosis of hyperthyroidism and HG early in her pregnancy, had intrauterine fetal death at Week 16 of gestation. One day after undergoing therapeutic abortion, she was admitted to our clinic with persistent thyrotoxicosis, nausea, and vomiting. A toxic thyroid nodule was detected. She was given antithyroid medication, total parenteral nutrition. On Day 10 of hospitalization, she developed ataxia, aphasia, and somnolence. Cranial magnetic resonance imaging showed increased bilateral thalamic signalization. She was given a diagnosis of Wernicke's metabolic encephalopathy, for which she received thiamine and multivitamin preparations. She responded dramatically on the second day of thiamine therapy. Her consciousness improved rapidly and she began to speak. Her muscle tone was slightly weak and she had paresthesias in both legs. Absorption of thiamine may be particularly impaired in pregnant women with hyperemesis and hyperthyroid disease. Wernicke's encephalopathy should be considered in hyperthyroid women with HG who develop neurological abnormalities.

  12. Perception and understanding of dental practitioners in provision of dental treatment to pregnant women in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Aisha Wali

    2016-01-01

    Full Text Available Aim: The aim of the study was to that assess the perceptions and understanding of dental practitioners in the provision of dental treatment to pregnant women. Materials and Methods: The study was a quantitative, cross-sectional type. A sample size of 200 dental practitioners were included in the study between the period of 6 months, i.e. June–December. A cluster sampling technique was employed covering four different dental institutes. A structured questionnaire was designed to assess the perception and understanding of dental practitioners in providing treatment to the pregnant women. Statistical Analysis: Statistical analysis was performed using SPSS version 19. Chi-square test was done to analyze the association of perception of dental practitioners in treating pregnant women in relation to gender. Results: A total of 200 dental practitioners filled the questionnaire out of which 43% (86 were males and 57% (114 were females. Eighty-two percent of the total participants said that it is safe to provide dental treatment during pregnancy, almost 90.4% of the total dentist interviewed was aware of the special position in which to place a pregnant woman on a dental chair. 85.5% of the study population do not prefer taking radiographs of a pregnant woman, 63% of the entire dentist surveyed prefers to use local anesthesia before any dental procedure on a pregnant patient. 96.5% care to educate their pregnant patient about improving dental health care. 59.5% of the dental practitioners said that they would consult the patient's gynecologist as a mandatory requirement before treating the patient. 57% of the dental practitioners answered with gingivitis. 70.5% agreed on scaling. The majority of the dentists prescribed paracetamol 85.5%. Conclusion: Little is known about the perception and utilization of dental practitioners in providing dental treatment to pregnant women in Pakistan. The present survey concluded that dental practitioners lack

  13. New Views on the Woman Question

    Directory of Open Access Journals (Sweden)

    Ann Waltner

    2017-06-01

    Full Text Available Marcia Yonemoto. The Problem of Women in Early Modern Japan. Berkeley: University of California Press, 2016. 304 pp. $70 (cloth, e-book. Wang Zheng. Finding Women in the State: A Socialist Feminist Revolution in the People’s Republic of China, 1949–1964. Berkeley: University of California Press, 2017. 400 pp. $85 (cloth; $35 (paper, e-book. "The Problem of Women in Early Modern Japan" and "Finding Women in the State" are in many ways quite different: they cover different geographic areas and different time periods; they use different sources and ask different questions. But it is productive to think about them in tandem, to see what kind of questions they do raise and to think about the ways “the woman question” is posed in these two contexts—early modern Japan and early Maoist China, respectively. Both books are interested in the question of what looking at history through a feminist lens does to our view of that history; both are interested in dismantling a hegemonic narrative that provides a diminished vision of women as historical subjects. And both of them point out ways in which neither the “problem of women” (Yonemoto nor the problem of finding women in the state (Wang has been resolved...

  14. Middle turbinate angiofibroma in an elderly woman

    Directory of Open Access Journals (Sweden)

    Perić Aleksandar

    2009-01-01

    Full Text Available Background. Angiofibromas are histologically benign vascular tumors, originating from the nasopharynx, near by the area of sphenopalatine foramen. These neoplasms occur typically in male adolescents. Reports of primary extranasopharyngeal angiofibromas have appeared sporadically in the literature in English. We present the first case of an elderly woman with tumor arising from the middle turbinate, diagnosed as angiofibroma. Case report. A 63-year-old female presented with left-sided nasal obstruction and epistaxis. Endoscopic evaluation revealed a polypoid mass arising from the anteroinferior portion of the left middle turbinate. Computed tomography (CT scan showed a soft-tissue opacity that filled the anterior part of the left nasal cavity. After the endoscopic excision of the mass, postoperative pathohistological and immunohistochemical analysis confirmed the diagnosis of an angiofibroma. Two years later, the patient was free of symptoms and without endoscopic evidence of recurrence. Conclusion. Extranasopharyngeal angiofibromas arising from the nasal cavity are extremely rare tumors. Immunohistochemical analysis is very important in all doubtful cases, especially in those with atypical location.

  15. Paper for Colloquium on "Teaching of Woman's History."

    Science.gov (United States)

    Schnorrenberg, Barbara

    This paper is a report on a course to be offered by the author at the University of North Carolina, Chapel Hill entitled "Woman's History in the West." The author describes the difficulties she had in procuring information to present to her class. The course is outlined as follows: (1) the problems of studying woman's history; (2) the medieval…

  16. A woman-centred childbirth model | Maputle | Health SA Gesondheid

    African Journals Online (AJOL)

    A model for woman-centred childbirth was developed through four phases in accordance with the objectives of the study, namely, a description of mothers' experiences of childbirth and that of attending midwives of managing mothers during childbirth concept analysis of woman-centred care, model development, and an ...

  17. 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),

  18. Abortion and the pregnant teenager

    Science.gov (United States)

    Lipper, Irene; Cvejic, Helen; Benjamin, Peter; Kinch, Robert A.

    1973-01-01

    A study was carried out at the Adolescent Unit of The Montreal Children's Hospital from September 1970 to December 1972, the focus of which evolved from the pregnant teenager in general to the short- and long-term effects of her abortion. Answers to a questionnaire administered to 65 pregnant girls to determine the psychosocial characteristics of the pregnant teenager indicated that these girls are not socially or emotionally abnormal. A follow-up study of 50 girls who had an abortion determined that the girls do not change their life styles or become emotionally unstable up to one year post-abortion, although most have a mild, normal reaction to the crisis. During the study period the clinic services evolved from mainly prenatal care to mainly abortion counselling, and then to providing the abortion with less counselling, placing emphasis on those cases which require other than medical services. PMID:4750298

  19. Candida Albicans and Non-Albicans Species as Etiological Agent of Vaginitis in Pregnant and Non-Pregnant Women

    Directory of Open Access Journals (Sweden)

    Mirela Babić

    2010-02-01

    Full Text Available Pregnancy represents a risk factor in the occurrence of vaginal candidosis. The objectives of our study were: to make determination of the microscopic findings of vaginal swab, frequency of Candida species in the culture of pregnant women and patients who are not pregnant, determine the Candida species in all cultures, and to determine the frequency and differences in the frequency of C. albicans and other non-albicans species. In one year study performed during 2006 year, we tested patients of Gynaecology and Obstetrics clinic of the Clinical Centre in Sarajevo and Gynaecology department of the General hospital in Sarajevo. 447 woman included in the study were separated in two groups: 203 pregnant (in the last trimester of pregnancy, and 244 non-pregnant woman in period of fertility. Each vaginal swab was examined microscopically. The yeast, number of colonies, and the species of Candida were determined on Sabouraud dextrose agar with presence of antibiotics. For determination of Candida species, we used germ tube test for detection of C. albicans, and cultivation on the selective medium and assimilation tests for detection of non-albicans species. The results indicated positive microscopic findings in the test group (40,9%, as well as greater number of positive cultures (46,8%. The most commonly detected species for both groups was C. albicans (test group 40.9% and control group 23,0%. The most commonly detected non-albicans species for the test group were C. glabrata (4,2 % and C. krusei (3,2%, and for the control group were C. glabrata (3,2% and C. parapsilosis (3,2%. The microscopic findings correlated with the number of colonies in positive cultures. In the test group, we found an increased number of yeasts (64,3%, and the pseudopyphae and blastopores by microscopic examination as an indication of infection. In the control group, we found a small number of yeasts (64,6%, in the form of blastopores, as an indication of the candida

  20. 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.

  1. The amyR-deletion strain of Aspergillus niger CICC2462 is a suitable host strain to express secreted protein with a low background.

    Science.gov (United States)

    Zhang, Hui; Wang, Shuang; Zhang, Xiang Xiang; Ji, Wei; Song, Fuping; Zhao, Yue; Li, Jie

    2016-04-28

    The filamentous fungus Aspergillus niger is widely exploited as an important expression host for industrial production. The glucoamylase high-producing strain A. niger CICC2462 has been used as a host strain for the establishment of a secretion expression system. It expresses recombinant xylanase, mannase and asparaginase at a high level, but some high secretory background proteins in these recombinant strains still remain, such as alpha-amylase and alpha-glucosidase; lead to a low-purity of fermentation products. The aim was to construct an A. niger host strain with a low background of protein secretion. The transcription factor amyR was deleted in A. niger CICC2462, and the results from enzyme activity assays and SDS-PAGE analysis showed that the glucoamylase and amylase activities of the ∆amyR strains were significantly lower than those of the wild-type strain. High-throughput RNA-sequencing and shotgun LC-MS/MS proteomic technology analysis demonstrated that the expression of amylolytic enzymes was decreased at both the transcriptional and translational levels in the ∆amyR strain. Interestingly, the ∆amyR strain growth rate better than the wild-type strain. Our findings clearly indicated that the ∆amyR strain of A. niger CICC2462 can be used as a host strain with a low background of protein secretion.

  2. 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,…

  3. "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…

  4. FTT-MA: A Flexible Time-Triggered Middleware Architecture for Time Sensitive, Resource-Aware AmI Systems

    Directory of Open Access Journals (Sweden)

    Federico Pérez

    2013-05-01

    Full Text Available There is an increasing number of Ambient Intelligence (AmI systems that are time-sensitive and resource-aware. From healthcare to building and even home/office automation, it is now common to find systems combining interactive and sensing multimedia traffic with relatively simple sensors and actuators (door locks, presence detectors, RFIDs, HVAC, information panels, etc.. Many of these are today known as Cyber-Physical Systems (CPS. Quite frequently, these systems must be capable of (1 prioritizing different traffic flows (process data, alarms, non-critical data, etc., (2 synchronizing actions in several distributed devices and, to certain degree, (3 easing resource management (e.g., detecting faulty nodes, managing battery levels, handling overloads, etc.. This work presents FTT-MA, a high-level middleware architecture aimed at easing the design, deployment and operation of such AmI systems. FTT-MA ensures that both functional and non-functional aspects of the applications are met even during reconfiguration stages. The paper also proposes a methodology, together with a design tool, to create this kind of systems. Finally, a sample case study is presented that illustrates the use of the middleware and the methodology proposed in the paper.

  5. FTT-MA: A Flexible Time-Triggered Middleware Architecture for Time Sensitive, Resource-Aware AmI Systems

    Science.gov (United States)

    Noguero, Adrián; Calvo, Isidro; Pérez, Federico; Almeida, Luis

    2013-01-01

    There is an increasing number of Ambient Intelligence (AmI) systems that are time-sensitive and resource-aware. From healthcare to building and even home/office automation, it is now common to find systems combining interactive and sensing multimedia traffic with relatively simple sensors and actuators (door locks, presence detectors, RFIDs, HVAC, information panels, etc.). Many of these are today known as Cyber-Physical Systems (CPS). Quite frequently, these systems must be capable of (1) prioritizing different traffic flows (process data, alarms, non-critical data, etc.), (2) synchronizing actions in several distributed devices and, to certain degree, (3) easing resource management (e.g., detecting faulty nodes, managing battery levels, handling overloads, etc.). This work presents FTT-MA, a high-level middleware architecture aimed at easing the design, deployment and operation of such AmI systems. FTT-MA ensures that both functional and non-functional aspects of the applications are met even during reconfiguration stages. The paper also proposes a methodology, together with a design tool, to create this kind of systems. Finally, a sample case study is presented that illustrates the use of the middleware and the methodology proposed in the paper. PMID:23669711

  6. [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.

  7. Seatbelt use by pregnant women: a survey of knowledge and practice in Hong Kong.

    Science.gov (United States)

    Lam, W C; To, W Wk; Ma, E Sk

    2016-10-01

    The use of motor vehicles is common during pregnancy. Correct seatbelt use during pregnancy has been shown to protect both the pregnant woman and her fetus. This survey aimed to evaluate the practices, beliefs, and knowledge of Hong Kong pregnant women of correct seatbelt use, and identify factors leading to reduced compliance and inadequate knowledge. A self-administered survey was completed by postpartum women in the postnatal ward at the United Christian Hospital, Hong Kong, from January to April 2015. Eligible surveys were available from 495 women. The primary outcome was the proportion of pregnant women who maintained or reduced seatbelt use during pregnancy. Secondary outcomes were analysed and included knowledge of correct seatbelt use, as well as contributing factors to non-compliance and inadequate knowledge. There was decreased compliance with seatbelt use during pregnancy and the decrease was in line with increasing gestation. Pregnant women's knowledge about seatbelt use was inadequate and only a minority had received relevant information. Women who held a driving licence and had a higher education level were more likely to wear a seatbelt before and during pregnancy. Women with tertiary education or above knew more about seatbelt use. Public health education for pregnant women in Hong Kong about road safety is advisable, and targeting the lower-compliant groups may be more effective and successful.

  8. Rabies Vaccine Hesitancy and Deaths Among Pregnant and Breastfeeding Women - Vietnam, 2015-2016.

    Science.gov (United States)

    Nguyen, Huong T T; Tran, Cuc H; Dang, Anh D; Tran, Huong G T; Vu, Thiem D; Pham, Thach N; Nguyen, Hoang V; Nguyen, Anh N K; Pieracci, Emily G; Tran, Duong N

    2018-03-02

    Human rabies deaths are preventable through prompt administration of postexposure prophylaxis (PEP) with rabies immune globulin and rabies vaccine after exposure to a rabid animal (1); there are no known contraindications to receiving PEP (1,2). Despite widespread availability of PEP in Vietnam, in 2015 the Ministry of Health (MoH) received reports of pregnant and breastfeeding women with clinically diagnosed rabies. MoH investigated factors associated with these rabies cases. MoH found that, during 2015-2016, among 169 cases reported in Vietnam, two probable cases of rabies were reported in breastfeeding mothers and four in pregnant women, all of whom had been bitten by dogs. All six patients died. Three of the four pregnant women had cesarean deliveries. One of the three newborns died from complications believed to be unrelated to rabies; the fourth pregnant woman contracted rabies too early in pregnancy for the fetus to be viable. Two of the patients sought care from a medical provider or traditional healer; however, none sought PEP after being bitten. In each case, families reported the patient's fear of risk to the fetus or breastfed child as the primary barrier to receiving PEP. These findings highlight the need for public health messaging about the safety and effectiveness of PEP in preventing rabies among all persons with exposures, including pregnant and breastfeeding women.

  9. 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.

  10. Estimating Co-Contraction Activation of Trunk Muscles Using a Novel Musculoskeletal Model for Pregnant Women

    Directory of Open Access Journals (Sweden)

    Saori Morino

    2017-10-01

    Full Text Available Weight gain and stretched abdominal muscles from an enlarged gravid uterus are remarkable features during pregnancy. These changes elicit postural instability and place strain on body segments, contributing to lower back pain. In general, the agonist and antagonist muscles act simultaneously to increase joint stabilization; however, this can cause additional muscle stress during movement. Furthermore, this activation can be observed in pregnant women because of their unstable body joints. Hence, physical modalities based on assessments of muscle activation are useful for managing low back pain during pregnancy. Musculoskeletal models are common when investigating muscle load. However, it is difficult to apply such models to pregnant women and estimate the co-contraction of muscles using musculoskeletal models. Therefore, the purpose of this study is to construct a musculoskeletal model for pregnant women that estimates the co-contraction of trunk muscles. First, motion analysis was conducted on a pregnant woman and the muscle activations of the rectus abdominis and erector spinae were measured. Then, the musculoskeletal model was specifically modified for pregnant women. Finally, the co-contraction was estimated from the results of the musculoskeletal model and electromyography data using a genetic algorithm. With the proposed methods, weakened abdominal muscle torque and the co-contraction activation of trunk muscles were estimated successfully.

  11. Management of Occupational exposure for pregnant workers in the medical field in Spain

    International Nuclear Information System (INIS)

    Casal, E.; Fernandez, B.; Manzanas, M. J.; Amor, I.; Blanes, A.; Marti, G.; Rueda, M. D.

    2002-01-01

    Spanish Government has recently approved new regulations on ionizing radiation, transposing most of the provisions of Directive 96/29 EURATOM. For pregnant workers the regulations require that, once the employer has been notified, it will be unlikely that the equivalent dose to the fetus exceed 1 mSv during the remainder of the pregnane. The radiation dose to the fetus cannot be directly measured. In order to avoid this ambiguity, ICRP'60 proposed a supplementary limit of 2 mSv to the dose to the surface of the abdomen of the pregnant woman during the remainder of the pregnancy. Unfortunately this proposal has not been considered either by the European Directive or by the Spanish regulations. In order to clarify the management of occupational exposure of pregnant workers in the medical field, a commission integrated by representatives of the Spanish Consejo de Seguridad Nuclear, the national authority in the radiation protection field, and the Spanish Societies of Radiation Protection and Medical Physics have prepared an additional guidance, including practical recommendations directed to pregnant workers, to the employers as well as to the employment medical advisers. Furthermore a classification of working places in the medical field where pregnant women can work has been establish. Finally a reference level of the dose to the surface of the abdomen has been introduced in order to ensure the observance of the dose limit to the fetus. (Author)

  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. Come On! Using intervention mapping to help healthy pregnant women achieve healthy weight gain.

    Science.gov (United States)

    Merkx, Astrid; Ausems, Marlein; de Vries, Raymond; Nieuwenhuijze, Marianne J

    2017-06-01

    Gaining too much or too little weight in pregnancy (according to Institute of Medicine (IOM) guidelines) negatively affects both mother and child, but many women find it difficult to manage their gestational weight gain (GWG). Here we describe the use of the intervention mapping protocol to design 'Come On!', an intervention to promote adequate GWG among healthy pregnant women. We used the six steps of intervention mapping: (i) needs assessment; (ii) formulation of change objectives; (iii) selection of theory-based methods and practical strategies; (iv) development of the intervention programme; (v) development of an adoption and implementation plan; and (vi) development of an evaluation plan. A consortium of users and related professionals guided the process of development. As a result of the needs assessment, two goals for the intervention were formulated: (i) helping healthy pregnant women to stay within the IOM guidelines for GWG; and (ii) getting midwives to adequately support the efforts of healthy pregnant women to gain weight within the IOM guidelines. To reach these goals, change objectives and determinants influencing the change objectives were formulated. Theories used were the Transtheoretical Model, Social Cognitive Theory and the Elaboration Likelihood Model. Practical strategies to use the theories were the foundation for the development of 'Come On!', a comprehensive programme that included a tailored Internet programme for pregnant women, training for midwives, an information card for midwives, and a scheduled discussion between the midwife and the pregnant woman during pregnancy. The programme was pre-tested and evaluated in an effect study.

  14. Nutrition and the Pregnant Teen.

    Science.gov (United States)

    James, Vicki; McCamey, Jody

    This illustrated guide for pregnant teenagers discusses the nutritional needs of the mother and her unborn child in a month-by-month format. The information presented for each of the 9 months typically includes a sample daily menu; a checklist of recommended servings per day for each of four food groups; a description of the usual emotional and…

  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. The Situation of Pregnant Women Exposure to Violence by Husband and the Factors Associated With Violence

    Directory of Open Access Journals (Sweden)

    Tulay Sagkal

    2014-10-01

    Full Text Available AIM: This study was planned to determine the pregnant women living in rural areas exposure the situation to violence by husband and the factors associated with violence. METHODS: This descriptive cross-section research was conducted all of 5 Family Health Center located in the center of Odemis in izmir. The study sample consisted of 230 pregnant women who are willing to participate in the study, which surveyed admitted to Family Health Center between December 2011 - February 2012. Data are collected through a questionnaire prepared by examining the literature. The questionnaire consists of a total of 20 questions which including socio-demographic characteristics of pregnant women (8 questions, pregnancy, physical, emotional, economic and sexual violence, to determine (12 questions. Data were collected by face to face interviews by the researchers, were evaluated with number, percentage and chi-square tests. RESULTS: The average age of pregnant women was 25.75 +/- 4.63 (min:15-max:40, who was 83% of willingly got pregnant, 43% of first pregnancy, 79.6% of during pregnancy support of husband, 67% of the support of the family, % 32.6 of her husband doesn and #8217;t use substance but use alcohol, 10.9% of pregnant women reported physical, 52.6% of emotional, 31.7% of economic and 8.3% were exposed to sexual violence. CONCLUSiON: In this study, having pregnant woman and her husband to have graduated from primary school, moderate of the economic situation, unwilling pregnancy, lack of family support were the factors most strongly associated with violence. It is suggested that by health care institutions and health care providers must be routine screenings to determine violence during pregnancy. [TAF Prev Med Bull 2014; 13(5.000: 381-390

  17. The reasonable woman standard: effects on sexual harassment court decisions.

    Science.gov (United States)

    Perry, Elissa L; Kulik, Carol T; Bourhis, Anne C

    2004-02-01

    Some federal courts have used a reasonable woman standard rather than the traditional reasonable man or reasonable person standard to determine whether hostile environment sexual harassment has occurred. The current research examined the impact of the reasonable woman standard on federal district court decisions, controlling for other factors found to affect sexual harassment court decisions. Results indicated that there was a weak relationship between whether a case followed a reasonable woman precedent-setting case and the likelihood that the court decision favored the plaintiff. The implications of our findings for individuals and organizations involved in sexual harassment claims are discussed.

  18. 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.

  19. 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. PMID:23970821

  20. 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.

  1. Cell wall amidase AmiC1 is required for cellular communication and heterocyst development in the cyanobacterium Anabaena PCC 7120 but not for filament integrity.

    Science.gov (United States)

    Berendt, Susanne; Lehner, Josef; Zhang, Yao Vincent; Rasse, Tobias M; Forchhammer, Karl; Maldener, Iris

    2012-10-01

    Filamentous cyanobacteria of the order Nostocales display typical properties of multicellular organisms. In response to nitrogen starvation, some vegetative cells differentiate into heterocysts, where fixation of N(2) takes place. Heterocysts provide a micro-oxic compartment to protect nitrogenase from the oxygen produced by the vegetative cells. Differentiation involves fundamental remodeling of the gram-negative cell wall by deposition of a thick envelope and by formation of a neck-like structure at the contact site to the vegetative cells. Cell wall-hydrolyzing enzymes, like cell wall amidases, are involved in peptidoglycan maturation and turnover in unicellular bacteria. Recently, we showed that mutation of the amidase homologue amiC2 gene in Nostoc punctiforme ATCC 29133 distorts filament morphology and function. Here, we present the functional characterization of two amiC paralogues from Anabaena sp. strain PCC 7120. The amiC1 (alr0092) mutant was not able to differentiate heterocysts or to grow diazotrophically, whereas the amiC2 (alr0093) mutant did not show an altered phenotype under standard growth conditions. In agreement, fluorescence recovery after photobleaching (FRAP) studies showed a lack of cell-cell communication only in the AmiC1 mutant. Green fluorescent protein (GFP)-tagged AmiC1 was able to complement the mutant phenotype to wild-type properties. The protein localized in the septal regions of newly dividing cells and at the neck region of differentiating heterocysts. Upon nitrogen step-down, no mature heterocysts were developed in spite of ongoing heterocyst-specific gene expression. These results show the dependence of heterocyst development on amidase function and highlight a pivotal but so far underestimated cellular process, the remodeling of peptidoglycan, for the biology of filamentous cyanobacteria.

  2. Prioritizing Pregnant Women’s Preferences to Receive Health Information Before and During Pregnancy in Semnan in 2014 - 2015

    OpenAIRE

    Kahouei; Ansari Niaki; Homayoon; Razavi

    2016-01-01

    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...

  3. Calculation of induced current densities and specific absorption rates (SAR) for pregnant women exposed to hand-held metal detectors

    International Nuclear Information System (INIS)

    Kainz, Wolfgang; Chan, Dulciana D; Casamento, Jon P; Bassen, Howard I

    2003-01-01

    The finite difference time domain (FDTD) method in combination with a well established frequency scaling method was used to calculate the internal fields and current densities induced in a simple model of a pregnant woman and her foetus, when exposed to hand-held metal detectors. The pregnant woman and foetus were modelled using a simple semi-heterogeneous model in 10 mm resolution, consisting of three different types of tissue. The model is based on the scanned shape of a pregnant woman in the 34th gestational week. Nine different representative models of hand-held metal detectors operating in the frequency range from 8 kHz to 2 MHz were evaluated. The metal detectors were placed directly on the abdomen of the computational model with a spacing of 1 cm. Both the induced current density and the specific absorption rate (SAR) are well below the recommended limits for exposure of the general public published in the ICNIRP Guidelines and the IEEE C95.1 Standard. The highest current density is 8.3 mA m -2 and the highest SAR is 26.5 μW kg -1 . Compared to the limits for the induced current density recommended in the ICNIRP Guidelines, a minimum safety factor of 3 exists. Compared to the IEEE C95.1 Standard, a safety factor of 60,000 for the specific absorption rate was found. Based on the very low specific absorption rate and an induced current density below the recommended exposure limits, significant temperature rise or nerve stimulation in the pregnant woman or in the foetus can be excluded

  4. Asteroid Moon Micro-imager Experiment (amie) For Smart-1 Mission, Science Objectives and Devel- Opment Status.

    Science.gov (United States)

    Josset, J.-L.; Heather, D.; Dunkin, S.; Roussel, F.; Beauvivre, S.; Kraenhenbuehl, D.; Plancke, P.; Lange-Vin, Y.; Pinet, P.; Chevrel, S.; Cerroni, P.; de Sanctis, M.-C.; Dillelis, A.; Sodnik, Z.; Koschny, D.; Barucci, A.; Hofmann, B.; Josset, M.; Muinonen, K.; Pironnen, J.; Ehrenfreud, P.; Shkuratov, Y.; Shevchenko, V.

    The Asteroid Moon micro-Imager Experiment (AMIE), which will be on board the first ESA SMART-1 mission to the Moon (launch foreseen late 2002), is an imaging sys- tem with scientific, technical and public outreach oriented objectives. The science objectives are to imagine the Lunar South Pole (Aitken basin), permanent shadow areas (ice deposit), eternal light (crater rims), ancient Lunar Non- mare volcanism, local spectro-photometry and physical state of the lunar surface, and to map high latitudes regions (south) mainly at far side (Fig. 1). The technical objectives are to perform a laser-link experiment (detection of laser beam emitted by ESA Tenerife ground station), flight demonstration of new technologies, navigation aid (feasi- bility study), and on-board autonomy investigations. Figure 3: AMIE camera (light source and a photodiode to verify the stability of the incident flux. The optical system is com- posed of a lens to insure good focusing on the samples (focus with the camera is at distance > 100m) and a mirror to image downwards. The samples used were anorthosite from northern Finland, basalt from Antarctis, meteorites and other lunar analog materials. A spectralon panel has also been used to have flat fields references. The samples were imaged with dif- Figure 1: SMART-1 camera imaging the Moon (simulated view) ferent phase angles. Figure 4 shows images obtained with In order to have spectral information of the surface of the basalt and olivine samples, with different integration times Moon, the camera is equipped with a set of filters (Fig. 2), in order to have information in all areas. introduced between the CCD and the teleobjective. Bandpass-filter No Filter, 750 nm (1) AR coating (3) Bandpass-filter 915 nm (2) Longpass-filter 960 nm (4) Band- Band- Figure 4: Basalt and Olivine sample ­ entire image (left) and passfilter passfilter 915 nm 750 nm visible part () (6) (7) Bandpass- More than 150 images were acquired during this validation filter 847

  5. Do pregnant women know about danger signs of pregnancy and childbirth? – A study of the level of knowledge and its associated factors from a tertiary care hospital in Southern India

    OpenAIRE

    R Nithya; Gowri Dorairajan; Palanivel Chinnakali

    2017-01-01

    Background: Awareness about danger signs during pregnancy is essential for a woman to seek prompt care. This can avert long-term morbidity and mortality. This study was aimed to find the level of knowledge and its related factors about danger signs of pregnancy and childbirth among pregnant women attending a tertiary care hospital in southern India. Patients and Methods: We conducted a cross-sectional survey of pregnant women attending a tertiary care hospital in South India. Systematic rando...

  6. The pregnant female surgical resident

    Directory of Open Access Journals (Sweden)

    Shifflette V

    2018-05-01

    Full Text Available Vanessa Shifflette,1 Susannah Hambright,2 Joseph Darryl Amos,1 Ernest Dunn,3 Maria Allo4 1Associates in Surgical Acute Care, Methodist Dallas Medical Center, Dallas, TX, USA; 2Methodist Surgical Associates, Methodist Dallas Medical Center, Dallas, TX, USA; 3Graduate Medical Education - General Surgery, Methodist Dallas Medical Center, Dallas, TX, USA; 4Santa Clara Valley Medical Center, San Jose, CA, USA Background: Surgery continues to be an intense, time-consuming residency. Many medical students decide against surgery as a profession due to the long work hours and family strain. The pregnant female surgical resident has an added stress factor compared to her male counterpart. Methods: We distributed an electronic, online 26-question survey to 32 general surgery programs in the southwestern region of the United States. Each program distributed our survey to the female surgical residents who had been pregnant during residency in the last 5 years. Each program was re-contacted 6 weeks after the initial contact. Most questions were in a 5-point Likert scale format. The responses were collected and analyzed using the Survey Monkey website. Results: An unvalidated survey was sent to 32 general surgery programs and 26 programs responded (81%. Each program was asked for the total number of possible responses from female residents that met our criteria (60 female residents. Seven of the programs (27% stated that they have had zero residents pregnant. We had 22 residents respond (37%. Over half of the residents (55% were pregnant during their 2nd or 3rd year of residency, with only 18% pregnant during a research year. Thirty-one percent had a lower American Board of Surgery In-Training Exam (ABSITE score. Ninety percent of the residents were able to take 4 weeks or more for maternity leave. Most of the residents (95% stated that they would do this again during residency given the opportunity, but many of the residents felt that returning back to work

  7. Wonder Woman for a day: Affect, agency, and Amazons

    Directory of Open Access Journals (Sweden)

    Matt Yockey

    2012-06-01

    Full Text Available In this paper, I consider the ways in which the feminist utopian ethos of Wonder Woman, as defined by her creator, William Marston, has been used to actualize real-life social change. Specifically, I examine fan Andy Mangels's creation of Wonder Woman Day, a charity event held annually at a Portland, Oregon, comic book store to raise funds for local domestic violence programs. I look at how an affective bond with Wonder Woman informs and guides an affective attachment to one's local and national communities, actualizing the utopian promise of self, commodity icon, and America. These utopian iterations are primarily defined by a celebration of pluralism, and thus Wonder Woman is used to validate the inherent pluralism of the self in relation to society, an empowering strategy for all consumer-citizens.

  8. Successful water birth in a woman with vaginismus.

    Science.gov (United States)

    Moraloğlu, O; Engin-Ustün, Y; Ozakşit, G; Mollamahmutoğlu, L

    2011-01-01

    Vaginismus is a common sexual dysfunction. The case of a successful water birth in a woman with vaginismus is presented. Water birth should be considered as an alternative method of birth in women with vaginismus.

  9. Minority Business Enterprises and Woman Business Enterprises Grant Utilization

    Science.gov (United States)

    The policy goal of the MBE/WBE Programs is to assure that minority business enterprises and woman business enterprises are given the opportunity to participate in contract and procurement for supplies, construction, equipment & services under any EPA grant

  10. Gender and Race Matter: Global Perspectives on Being a Woman

    OpenAIRE

    Takhar, S

    2016-01-01

    Gender and Race Matter: Global Perspectives on Being a Woman is an edited collection. It is a timely addition to the literature available on gender, social justice and political agency. During the first decade of the twenty first century, the concepts of diversity, inclusion and equality attracted increasing attention. This has recently included the foregrounding of such issues in the work of the UN related to global gender inequality. The much publicised gang rape of a young woman in India i...

  11. Self-medication among pregnant women attending antenatal clinic at Makongoro health centre in Mwanza, Tanzania: a challenge to health systems.

    Science.gov (United States)

    Marwa, Karol J; Njalika, Agnes; Ruganuza, Deodatus; Katabalo, Deogratias; Kamugisha, Erasmus

    2018-01-08

    Self-medication is a universal challenge that requires attention because of the potential threat not only to the pregnant women but also to unborn child. Data on self-medication practice and predictors among pregnant women is lacking in Tanzania. Information on the effects of this practice to the pregnant woman and the foetus globally is also scanty. This was a cross sectional study which was conducted using face to face interview with 372 pregnant women at Makongoro health centre. Semi-structured questionnaires were used. Data were analysed using STATA 13 (Statistical Corporation, College Station, Texas, US). A total of 372 pregnant women participated in the study. The prevalence of self-medication among pregnant women was 172 (46.24%). There was a significant statistical association between self-medication and occupation (P value =0.01), gestation age (P self-medication (P = 0.809, P = 0.243 and P = 0.922) respectively. When bivariate logistic regression was performed, occupation and education were the only determining factors for self-medication. Pregnant women who were unemployed, doing business and house wife were most likely to practice self-medication than employed pregnant women (P = 0.03; OR = 2.33; 95% CI, 1.06-5.31, P = 0.01; OR = 2.31; CI 1.21-4.41, P = self-medication than pregnant women with college or university education (P leading illness/symptoms which led to self-medication among pregnant women attending clinic were malaria 56 (32.56%, morning sickness 44 (25.55%) and headache 33(19.19%). Drugs commonly used in self-medication among pregnant women were ant malarial 42 (24.42%), antiemetics 59 (34.30%) and analgesics 33 (19.19%). Prevalence of self-medication among pregnant women is high in Tanzania. This is a threat to the safety of the developing foetus and the pregnant woman. Therefore there is a need of interventions to minimize the practice among pregnant women.

  12. Improving Learning Tasks for Mentally Handicapped People Using AmI Environments Based on Cyber-Physical Systems

    Directory of Open Access Journals (Sweden)

    Diego Martín

    2018-01-01

    Full Text Available A prototype to improve learning tasks for mentally handicapped people is shown in this research paper using ambient intelligence techniques and based on cyber-physical systems. The whole system is composed of a worktable, a cyber-glove (both with several RFID and NFC detection zones, and an AmI software application for modeling and workflow guidance. A case study was carried out by the authors where sixteen mentally handicapped people and 3 trainers were involved in the experiment. The experiment consisted in the execution of several memorization tasks of movements of objects using the approach presented in this paper. The results obtained were very interesting, indicating that this kind of solutions are feasible and allow the learning of complex tasks to some types of mentally handicapped people. In addition, at the end of the paper are presented some lessons learned after performing the experimentation.

  13. Toward an understanding of the cerebral substrates of woman's orgasm.

    Science.gov (United States)

    Bianchi-Demicheli, Francesco; Ortigue, Stephanie

    2007-09-20

    The way women experience orgasm is of interest to scientists, clinicians, and laypeople. Whereas the origin and the function of a woman's orgasm remains controversial, the current models of sexual function acknowledge a combined role of central (spinal and cerebral) and peripheral processes during orgasm experience. At the central level, although it is accepted that the spinal cord drives orgasm, the cerebral involvement and cognitive representation of a woman's orgasm has not been extensively investigated. Important gaps in our knowledge remain. Recently, the astonishing advances of neuroimaging techniques applied in parallel with a neuropsychological approach allowed the unravelling of specific functional neuroanatomy of a woman's orgasm. Here, clinical and experimental findings on the cortico-subcortical pathway of a woman's orgasm are reviewed and compared with the neural basis of a man's orgasm. By defining the specific brain areas that sustain the assumed higher-order representation of a woman's orgasm, this review provides a foundation for future studies. The next challenge of functional imaging and neuropsychological studies is to understand the hierarchical interactions between these multiple cortical areas, not only with a correlation analysis but also with high spatio-temporal resolution techniques demonstrating the causal necessity, the temporal time course and the direction of the causality. Further studies using a multi-disciplinary approach are needed to identify the spatio-temporal dynamic of a woman's orgasm, its dysfunctions and possible new treatments.

  14. Woman in Roman law: Subject or object of the law?

    Directory of Open Access Journals (Sweden)

    Bogunović Mirjana

    2012-01-01

    Full Text Available In Rome, legal status of woman and her factual possibilities of impact on public life were in serious discrepancy. General attitude of the legal status of woman in time of Romans is best shown by Papinian, 'In many provisions of our law, the position of woman is worse than of man (D.9.1.5.'. Every free Roman woman was considered a subject of law, according to classical Roman law. Nevertheless, there were extensive legislations that limited her legal and business capacity. Naturally, woman did not have legal personality in all periods of Roman state and her legal status was adjusted to the factual changes that had occurred in Roman society. What makes her position specific in Rome is progressive social role that did not exist in Greek-Asian world. From these previously mentioned views, which were confronting, it is possible to draw some doubts. Was woman really on the margins of political happenings, or was she an actual actor, even initiator, of some political events?.

  15. Domestic Violence Among Pregnant Women.

    Science.gov (United States)

    Habib, Sadia; Abbasi, Nasreen; Khan, Bushra; Danish, Nargis; Nazir, Quratulain

    2018-01-01

    Domestic violence during pregnancy is an important social & health issue in all societies. In Muslim world and particularly underdeveloped countries, domestic violence is often under reported. It is the need of hour to encourage reporting of such events & implementation of research-based policies for prevention of women abuse & support of the victims of domestic violence (DV). The objective of this study was to highlight this neglected social problem of our society & to identify at risk population. This is a cross sectional study conducted at Ayub Teaching Hospital & Benazir Bhutto Shaheed Teaching Hospital, Abbottabad (January 2014 to December. 2016). Pregnant women were inquired regarding history of abuse by husband and sociodemographic characteristics were noted in a Performa to analyse the risk factors for domestic violence. The overall prevalence was found to be 35%. Out of 1000 pregnant women, 270 (27%) suffered from simple violence and 60 (6%) were victims of grievous assault. Violence among pregnant women is found to be more prevalent among residents of urban areas, women of older age being uneducated & belonging to poor socioeconomic status. Domestic violence during pregnancy is a common & often neglected psychosocial health problem. High risk population needs to be identified so that preventive strategies can be planned & implemented.

  16. Prevalence of HIV infection in pregnant women in Mumbai, India: Experience from 1993-2004 and 2008.

    Science.gov (United States)

    Shah, Ira; Lala, Mamatha; Damania, Kaizad

    2017-01-01

    Prevalence of HIV among pregnant women in India is of great concern, especially to prevent HIV in children. Mother-to-child transmission of HIV is the most common cause of transmission of HIV in children. Prevalence of HIV infection in pregnant women in India has ranged from 0.7% to 1.2%. Thus, estimating prevalence of HIV in pregnant women would aid in developing and prioritizing prevention of parent-to-child transmission of HIV programs. All pregnant women referred to the antenatal clinic from 1993 onward were tested for HIV infection by ELISA test after pretest counseling. A woman was diagnosed to be HIV infected if she tested positive on more than two HIV ELISA tests. Prevalence of HIV infection in them was calculated and also whether there was an increasing trend was determined. A total of 123,439 pregnant women were tested for HIV from 1993 to 2004, of which 1797 women were HIV infected. Overall, the prevalence rate was found to be 1.4%. Prevalence rose from 0.76% in 1993 to 2.37% in 1998. However, from 2004, the prevalence has decreased to 0.6%. Prevalence of HIV in pregnant women in Mumbai is decreasing.

  17. Prevalence of HIV infection in pregnant women in Mumbai, India: Experience from 1993-2004 and 2008

    Directory of Open Access Journals (Sweden)

    Ira Shah

    2017-01-01

    Full Text Available Aim: Prevalence of HIV among pregnant women in India is of great concern, especially to prevent HIV in children. Mother–to-child transmission of HIV is the most common cause of transmission of HIV in children. Prevalence of HIV infection in pregnant women in India has ranged from 0.7% to 1.2%. Thus, estimating prevalence of HIV in pregnant women would aid in developing and prioritizing prevention of parent-to-child transmission of HIV programs. Materials and Methods: All pregnant women referred to the antenatal clinic from 1993 onward were tested for HIV infection by ELISA test after pretest counseling. A woman was diagnosed to be HIV infected if she tested positive on more than two HIV ELISA tests. Prevalence of HIV infection in them was calculated and also whether there was an increasing trend was determined. Results: A total of 123,439 pregnant women were tested for HIV from 1993 to 2004, of which 1797 women were HIV infected. Overall, the prevalence rate was found to be 1.4%. Prevalence rose from 0.76% in 1993 to 2.37% in 1998. However, from 2004, the prevalence has decreased to 0.6%. Conclusion: Prevalence of HIV in pregnant women in Mumbai is decreasing.

  18. Prevalence of HIV infection in pregnant women in Mumbai, India: Experience from 1993-2004 and 2008

    Science.gov (United States)

    Shah, Ira; Lala, Mamatha; Damania, Kaizad

    2017-01-01

    Aim: Prevalence of HIV among pregnant women in India is of great concern, especially to prevent HIV in children. Mother–to-child transmission of HIV is the most common cause of transmission of HIV in children. Prevalence of HIV infection in pregnant women in India has ranged from 0.7% to 1.2%. Thus, estimating prevalence of HIV in pregnant women would aid in developing and prioritizing prevention of parent-to-child transmission of HIV programs. Materials and Methods: All pregnant women referred to the antenatal clinic from 1993 onward were tested for HIV infection by ELISA test after pretest counseling. A woman was diagnosed to be HIV infected if she tested positive on more than two HIV ELISA tests. Prevalence of HIV infection in them was calculated and also whether there was an increasing trend was determined. Results: A total of 123,439 pregnant women were tested for HIV from 1993 to 2004, of which 1797 women were HIV infected. Overall, the prevalence rate was found to be 1.4%. Prevalence rose from 0.76% in 1993 to 2.37% in 1998. However, from 2004, the prevalence has decreased to 0.6%. Conclusion: Prevalence of HIV in pregnant women in Mumbai is decreasing. PMID:29302524

  19. Prevalence of anaemia among pregnant women at booking in the University of Uyo Teaching Hospital, Uyo, Nigeria.

    Science.gov (United States)

    Olatunbosun, Olujimi A; Abasiattai, Aniekan M; Bassey, Emem A; James, Robert S; Ibanga, Godwin; Morgan, Anyiekere

    2014-01-01

    Anaemia with an estimated prevalence of 35-75% among pregnant women is a major cause of maternal deaths in Nigeria. objective: To determine the prevalence of anaemia, associated sociodemographic factors and red cell morphological pattern among pregnant women during booking at the University Teaching Hospital, Uyo. A cross-sectional analytical study of 400 women at the booking clinic over a 16-week period. The packed cell volume and red cell morphology of each pregnant woman were determined. Their biodata, obstetric and medical histories, and results of other routine investigations were obtained with questionnaires and analyzed with SPSS Package version 17.0. The mean packed cell volume was 31.8% ±3.2 and 54.5% of the women were anaemic. The commonest blood picture was microcytic hypochromia and normocytic hypochromia suggesting iron deficiency anaemia. Anaemia was significantly and independently related to a history of fever in the index pregnancy (OR = 0.4; P = 0.00; 95% CI = 0.3-0.7), HIV positive status (OR = 0.2; P = 0.01; 95% CI = 0.1-0.6), and low social class (OR = 0.3; P = 0.00; 95% CI = 0.2-0.7). Women need to be economically empowered and every pregnant woman should be encouraged to obtain antenatal care, where haematinics supplementation can be given and appropriate investigations and treatment of causes of fever and management of HIV can be instituted.

  20. “When a woman is pregnant, her grave is open”: health beliefs concerning dietary practices among pregnant Kalenjin women in rural Uasin Gishu County, Kenya

    NARCIS (Netherlands)

    Riang'a, Roselyter Monchari; Nangulu, Anne Kisaka; Broerse, J.E.W.

    2016-01-01

    Reducing malnutrition remains a major global challenge especially in low- and middle-income countries. Lack of knowledge on the motive of nutritional behaviour could ultimately cripple nutrition intervention outcomes. The purpose of this study was to investigate how health beliefs influence

  1. Participation in the ARGUS experiment at the DORIS Collider at Desy, Hamburg, Germany and participation in the AMY experiment at the TRISTAN Collider in Tsukuba, Japan: 1986 progress report

    International Nuclear Information System (INIS)

    Darden, C.

    1987-01-01

    Progress is reported on the AMY and ARGUS detectors, as well as plans for the next funding period. The AMY detector is reported as well on the way to completion, but not yet ready to take data. The ARGUS detector is reported to have completed its fourth year of operation. Some upsilon 1S decay data are discussed. 37 refs

  2. Rock and roll or rock and fall? Gendered framing of the rock and roll lifestyles of Amy Winehouse and Pete Doherty in British broadsheets

    NARCIS (Netherlands)

    P.P.L. Berkers (Pauwke); M. Eeckelaer (Merel)

    2014-01-01

    textabstractCombining insights from gender, popular music, and celebrity studies, this article addresses to what extent British broadsheets frame Amy Winehouse and Pete Doherty differently with regard to their rock and roll lifestyle. Our content analyses of The Guardian and The Independent indicate

  3. Development of manual procedures for care of pregnant patients in radiotherapy service

    International Nuclear Information System (INIS)

    Scarabino, M.L.; Ruggeri, R.M.; Colombo, S.; Mairal, L.; Sardi, M.E.

    2013-01-01

    The work involves the creation of a manual of procedures for the care of pregnant patients in a radiotherapy center in which each instance of treatment is included, from the obstetrician-oncology comprehensive assessment during admission to establishing controls newborn and its subsequent development in multidisciplinary team. For the preparation of the manual had to design an anthropomorphic phantom that resembles a pregnant woman, which was used to carry out internal and external dosimetry. In turn imparted calculations fetal doses using TPS, imaging tests with MRI, avoiding the use of the tomograph and adapted to the resonator involved were carried immobilizer. All experiences and progress made during the treated cases are introduced in the procedures manual, making it a dynamic tool for continuous improvement for the institution

  4. Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section

    Directory of Open Access Journals (Sweden)

    Ran Schwarzkopf

    2013-01-01

    Full Text Available We report the case of a woman in the third trimester of pregnancy who sustained an ankle fracture dislocation that could not be adequately closed reduced. After discussions with the patient, her obstetrician, and the anesthesiologists, she was indicated for surgical fixation. A heart tone monitor was used to assess fetal health during the procedure. During surgical incision, the fetus went into distress, and an emergency caesarian section was performed. After delivery of the infant and abdominal closer, surgery was completed. Due to a cohesive team effort, both the patient and her infant had excellent outcomes. There are many important considerations in the surgical management of the pregnant patient with traumatic orthopaedic injuries. Of especial importance to the orthopaedic surgeon is the impact of patient positioning on uteroplacental blood flow. This report discusses factors that should be taken into account by any orthopaedist who plans to operate on a pregnant patient.

  5. 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 ...

  6. Nubia's mother: being pregnant in the time of experimental vaccines and therapeutics for Ebola.

    Science.gov (United States)

    Caluwaerts, Séverine

    2017-12-14

    During the 2014-2016 Ebola epidemic, Médecins Sans Frontières (MSF) treated Ebola-positive pregnant women in its Ebola Treatment Centers (ETCs). For pregnant women with confirmed Ebola virus disease, inclusion in clinical vaccine/drug/therapeutic trials was complicated. Despite their extremely high Ebola-related mortality in previous epidemics (89-93%) and a neonatal mortality of 100%, theoretical concerns about safety of vaccines and therapeutics in pregnancy were invoked, limiting pregnant women's access to an experimental live attenuated vaccine and brincidofovir, an experimental antiviral. Favipiravir, another experimental antiviral, was made available to pregnant women only after extensive negotiations and under a 'Monitored Emergency Use of Unregistered and Experimental Interventions' (MEURI) protocol. This paper describes the case of a pregnant woman who presented to the ETCs near the end of the Ebola epidemic in Guinea. The pregnant patient was admitted with confirmed Ebola disease. She was previously denied access to potentially protective vaccination due to pregnancy, and access to experimental ZMapp was only possible through a randomized clinical trial (presenting a 50% chance of not receiving ZMapp). She received favipiravir, but died of Ebola-related complications. The infant, born in the ETC, tested positive for Ebola at birth. The infant received ZMapp (under MEURI access outside of the clinical trial), an experimental drug GS5734, and a buffy coat of an Ebola survivor, and survived. Though the infant did have access to experimental therapeutics within 24 h of birth, access to other experimental compounds for her mother was denied, raising serious ethical concerns.

  7. Pilates program design and health benefits for pregnant women: A practitioners' survey.

    Science.gov (United States)

    Mazzarino, Melissa; Kerr, Debra; Morris, Meg E

    2018-04-01

    Little is known about recommendations for safe and appropriate instruction of Pilates exercises to women during pregnancy. The aim of this study was to examine Pilates practitioners' perspectives regarding Pilates program design for pregnant women. We also sought to elucidate their views on the potential benefits, restrictions and contraindications on Pilates in pregnancy. A cross-sectional survey was performed. Pilates practitioners were invited to participate via email. Participants were surveyed about their experience and views on: screening processes in alignment with The American College of Obstetricians and Gynecologists (ACOG) (2002) guidelines; (ii) optimal exercise program features and (iii) physical and mental health benefits of Pilates for pregnant women. The survey was completed by 192 Pilates practitioners from a range of settings. Practitioners reported conducting formal screening (84%) for safety in pregnant women prior to commencing Pilates classes. Most did not routinely seek medical approval from the woman's general practitioner. Divergent views emerged regarding the safety and benefits of Pilates exercises in the supine position. Mixed opinions were also generated regarding the effects of spinal flexion exercises, single-leg stance exercises and breathing manoeuvres. There was little agreement on the optimal frequency or dosage of exercises. Views regarding absolute contraindications to exercise differed from The American College of Obstetricians and Gynecologists (ACOG) (2002) guidelines which cautioned about the dangers of persistent bleeding, premature labour, pre-eclampsia, placental praevia and incompetent cervix. The most frequent reported physical and psychological benefit of Pilates was improving pelvic floor strength (12%) and improved social wellbeing (23%). The study highlighted wide variations in practice for Pilates exercises with pregnant woman as well as low adherence to clinical practice guidelines. Further evidence is required to

  8. State Medicaid Expansions for Parents Led to Increased Coverage and Prenatal Care Utilization among Pregnant Mothers.

    Science.gov (United States)

    Wherry, Laura R

    2017-12-28

    To evaluate impacts of state Medicaid expansions for low-income parents on the health insurance coverage, pregnancy intention, and use of prenatal care among mothers who became pregnant. Person-level data for women with a live birth from the 1997-2012 Pregnancy Risk Assessment Monitoring System. The sample was restricted to women who were already parents using information on previous live births and combined with information on state Medicaid policies for low-income parents. I used a measure of expanded generosity of state Medicaid eligibility for low-income parents to estimate changes in health insurance, pregnancy intention, and prenatal care for pregnant mothers associated with Medicaid expansion. I found an increase in prepregnancy health insurance coverage and coverage during pregnancy among pregnant mothers, as well as earlier initiation of prenatal care, associated with the expansions. Among pregnant mothers with less education, I found an increase in the adequacy of prenatal care utilization. Expanded Medicaid coverage for low-income adults has the potential to increase a woman's health insurance coverage prior to pregnancy, as well as her insurance coverage and medical care receipt during pregnancy. © Health Research and Educational Trust.

  9. Exercise to Support Indigenous Pregnant Women to Stop Smoking: Acceptability to Māori.

    Science.gov (United States)

    Roberts, Vaughan; Glover, Marewa; McCowan, Lesley; Walker, Natalie; Ussher, Michael; Heke, Ihirangi; Maddison, Ralph

    2017-11-01

    Objectives Smoking during pregnancy is harmful for the woman and the unborn child, and the harms raise risks for the child going forward. Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māori (New Zealand Indigenous) women have high rates of physical activity suggesting that an exercise programme to aid quitting could be an attractive initiative. This study explored attitudes towards an exercise programme to aid smoking cessation for Māori pregnant women. Methods Focus groups with Māori pregnant women, and key stakeholder interviews were conducted. Results Overall, participants were supportive of the idea of a physical activity programme for pregnant Māori smokers to aid smoking cessation. The principal, over-arching finding, consistent across all participants, was the critical need for a Kaupapa Māori approach (designed and run by Māori, for Māori people) for successful programme delivery, whereby Māori cultural values are respected and infused throughout all aspects of the programme. A number of practical and environmental barriers to attendance were raised including: cost, the timing of the programme, accessibility, transport, and childcare considerations. Conclusions A feasibility study is needed to design an intervention following the suggestions presented in this paper with effort given to minimising the negative impact of barriers to attendance.

  10. Risk of anaemia in HIV positive pregnant women in Ibadan, south west Nigeria.

    Science.gov (United States)

    Adesina, O; Oladokun, A; Akinyemi, O; Akingbola, T; Awolude, O; Adewole, I

    2011-03-01

    Anaemia in pregnancy is an important cause of maternal and neonatal mortality. It is a recognized co-morbidity of HIV infection. This study aimed to determine the risk of anaemia in HIV positive pregnant women. This is a cross sectional study of healthy pregnant women attending Adeoyo Hospital, a secondary health centre in South-western Nigeria over a 1-month period (January 2007). During the study period, 2737 eligible women presented for antenatal care. About 98% (2682) of these women consented to HIV testing. Over all, their mean (+ S.D) packed cell volume was 30.96% (+/- 4.13). The prevalence of HIV infection was 2.9% (95% CI 2.3% - 3.6%) and the overall prevalence of anaemia was 33.1%. Frequency of anaemia was significantly higher in HIV +ve women (57.3% vs. 42.7%, p = 0.00. OR = 2.81., CI = 1.72-4.58). HIV +ve women presented more frequently with moderate or severe anaemia. In the logistic regression analysis only HIV infection (OR = 2.4, 95% CI = 1.37-4.21) and primigravidity (OR = 1.25, 95% CI = 1.04-15.2) remained independently associated with anemia. Anaemia is common in HIV positive pregnant women in this environment. Care providers must endeavor to determine the HIV status of every pregnant woman especially if she presents with anaemia with a view to providing appropriate interventions.

  11. Epidemiology and pathogenesis of fulminant viral hepatitis in pregnant women: a review.

    Science.gov (United States)

    Tosone, Grazia; Simeone, Davide; Spera, Anna M; Viceconte, Giulio; Bianco, Vincenzo; Orlando, Raffaele

    2017-10-09

    The pregnancy-associated immunological and hormonal changes may alter the immune response to infectious agents, including hepatitis viruses. Therefore, this phenomenon may affect the clinical course and the outcome of acute viral hepatitis in pregnant women. For this reason, we have focused on epidemiological and pathogenetic aspects of the fulminant liver failure caused by acute viral hepatitis reviewing PubMED in April of 2017. Although all the viruses might cause a fulminant AVH in a pregnant woman, the large majority of fulminant failure reported in the literature had been related to Hepatits E Virus mainly and had been concentrated in Indian subcontinent and some African areas, whereas the problem seems to be very low or absent in the remaining geographical areas. However, the rate of maternal mortality due to fulminant E hepatitis may vary inside the endemic areas of India and Africa, likely due to the circulation of HEV genotypes with different degree of virulence. The other hepatitis viruses have not been reported to cause a greater risk for fulminant hepatitis in pregnant women respect to non pregnant ones, except Herpes Simplex Virus, that has been associated to some cases of fatal hepatitis in absence of a prompt antiviral therapy.

  12. Development of a 30-week-pregnant female tomographic model from computed tomography (CT) images for Monte Carlo organ dose calculations

    International Nuclear Information System (INIS)

    Shi Chengyu; Xu, X. George

    2004-01-01

    Assessment of radiation dose and risk to a pregnant woman and her fetus is an important task in radiation protection. Although tomographic models for male and female patients of different ages have been developed using medical images, such models for pregnant women had not been developed to date. This paper reports the construction of a partial-body model of a pregnant woman from a set of computed tomography (CT) images. The patient was 30 weeks into pregnancy, and the CT scan covered the portion of the body from above liver to below pubic symphysis in 70 slices. The thickness for each slice is 7 mm, and the image resolution is 512x512 pixels in a 48 cmx48 cm field; thus, the voxel size is 6.15 mm 3 . The images were segmented to identify 34 major internal organs and tissues considered sensitive to radiation. Even though the masses are noticeably different from other models, the three-dimensional visualization verified the segmentation and its suitability for Monte Carlo calculations. The model has been implemented into a Monte Carlo code, EGS4-VLSI (very large segmented images), for the calculations of radiation dose to a pregnant woman. The specific absorbed fraction (SAF) results for internal photons were compared with those from a stylized model. Small and large differences were found, and the differences can be explained by mass differences and by the relative geometry differences between the source and the target organs. The research provides the radiation dosimetry community with the first voxelized tomographic model of a pregnant woman, opening the door to future dosimetry studies

  13. The Impact of Couple HIV Testing and Counseling on Consistent Condom Use Among Pregnant Women and Their Male Partners: An Observational Study.

    Science.gov (United States)

    Rosenberg, Nora E; Graybill, Lauren A; Wesevich, Austin; McGrath, Nuala; Golin, Carol E; Maman, Suzanne; Bhushan, Nivedita; Tsidya, Mercy; Chimndozi, Limbikani; Hoffman, Irving F; Hosseinipour, Mina C; Miller, William C

    2017-08-01

    In sub-Saharan Africa couple HIV testing and counseling (CHTC) has been associated with substantial increases in safe sex, especially when at least one partner is HIV infected. However, this relationship has not been characterized in an Option B+ context. The study was conducted at the antenatal clinic at Bwaila District Hospital in Lilongwe, Malawi in 2016 under an Option B+ program. Ninety heterosexual couples with an HIV-infected pregnant woman (female-positive couples) and 47 couples with an HIV-uninfected pregnant woman (female-negative couples) were enrolled in an observational study. Each couple member was assessed immediately before and 1 month after CHTC for safe sex (abstinence or consistent condom use in the last month). Generalized estimating equations were used to model change in safe sex before and after CHTC and to compare safe sex between female-positive and female-negative couples. Mean age was 26 years among women and 32 years among men. Before CHTC, safe sex was comparable among female-positive couples (8%) and female-negative couples (2%) [risk ratio (RR): 3.7, 95% confidence interval (CI): 0.5 to 29.8]. One month after CHTC, safe sex was higher among female-positive couples (75%) than among female-negative couples (3%) (RR: 30.0, 95% CI: 4.3 to 207.7). Safe sex increased substantially after CTHC for female-positive couples (RR 9.6, 95% CI: 4.6 to 20.0), but not for female-negative couples (RR: 1.2, 95% CI: 0.1 to 18.7). Engaging pregnant couples in CHTC can have prevention benefits for couples with an HIV-infected pregnant woman, but additional prevention approaches may be needed for couples with an HIV-uninfected pregnant woman.

  14. Spa as Arena of Career Woman Resistance to Patriarch Domination

    Directory of Open Access Journals (Sweden)

    Bhernadetta Pravita Wahyuningtyas

    2011-04-01

    Full Text Available This study examines the career women who use the habit of treating the body through the routine of coming to spas, which aims to overcome the dominance of patriarchy. This study uses several concepts. First, muted group theory, which states that woman, is the one that silenced; so to overcome this condition, women should perform self-transformation. The transformation is aligned with the second concept, feminist existentialist, which defines the transformation as the change of a woman concept from Other to Self. The transformation can be achieved not only by working outside the domestic sphere, but also supported by a good appearance through a complete body treatment. Grooming habits acquired through socialization that derived in woman since their childhood. The socialization is about how women as a person who is considered weak by the world of patriarchal domination using the power of their beauty to master, subdue, and break the domination in her life. Then, with their good appearance, woman can express their existence in everything that they do from object become subject. Spa and the whole result of the activities contained in it then consciously become a way of resistance that being used by the career woman against the domination of patriarchy which overshadowing their lives. 

  15. The status of a breastfeeding woman in labour law

    Directory of Open Access Journals (Sweden)

    Rabovanović Dragana

    2016-01-01

    Full Text Available The legal status of an employed woman who is breastfeeding is regulated by the special Occupational Safety and Health Act. This Act implies a number of specific measures developed to ensure that breastfeeding women and their children, as a particularly vulnerable group, are provided with a fuller support and protection. Thus, a breastfeeding woman is guaranteed the right to take one or more daily breaks to breastfeed her child, or the right to work shorter working hours on the daily basis, provided that she returns to work within a period of one year from the birth of her child. Moreover, a breastfeeding woman shall not be obliged to perform work which has been assessed as significantly risky to her health or to the health of her child. However, a complete occupational safety and health protection of a breastfeeding woman also implies protection from discrimination on the grounds of family responsibilities, as well as creating work environment where every employee can effectively exercise the right to fair working conditions, taking into consideration the risk of discrimination that the breastfeeding woman is exposed to and the difficulties she faces while exercising certain employment rights. This paper analyses the status of employed breastfeeding women in labour legislation in order to discuss and underscore the legal protection goals and to indicate the risks which endanger their dignity and wellbeing.

  16. Pregnant teenagers' group: contributions to prenatal care.

    Science.gov (United States)

    Queiroz, Maria Veraci Oliveira; Menezes, Giselle Maria Duarte; Silva, Thaís Jormanna Pereira; Brasil, Eysler Gonçalves Maia; Silva, Raimunda Magalhães da

    2017-06-05

    To describe changes in nurses' care following the implementation of a group of pregnant teenagers in prenatal care based on the expectations and experiences of pregnant teenagers. Qualitative and descriptive study conducted from February to November 2013 at a Primary Care Unit in Fortaleza, Ceará, Brazil, through focus groups with 16 adolescents from the group of pregnant women in the second or third trimester of pregnancy. The analysis identified central ideas and units of meanings that formed the categories. The strategy of a group of pregnant teenagers, which provides a space for coexistence and the establishment of ties encourages these individuals to talk about their needs, re-signifying their ties. Educational strategies to promote self-care of pregnant teenagers and care for their babies involve the sharing of experiences, doubts and beliefs. Considerations and suggestions of the adolescents contributed to guide nurses' practice and provide a strategic space of care and support for pregnant adolescents in primary care.

  17. Application of non-invasive mechanical ventilation in an asthmatic pregnant woman in respiratory failure: a case report

    Science.gov (United States)

    Caner, Hanife; Eryuksel, Emel; Kosar, Filiz

    2013-01-01

    The use of non-invasive mechanical ventilation (NIV) during an asthma attack is controversial. We report a case of a 28-year-old female patient in her 16th week of pregnancy with community-acquired pneumonia who presented during an asthma attack, which led to hypoxic respiratory failure. She was successfully treated using NIV. This case is worth discussing as it includes two clinical conditions in which NIV is often considered contraindicated. PMID:23372957

  18. Application of non-invasive mechanical ventilation in an asthmatic pregnant woman in respiratory failure: a case report

    OpenAIRE

    Dalar, Levent; Caner, Hanife; Eryuksel, Emel; Kosar, Filiz

    2013-01-01

    The use of non-invasive mechanical ventilation (NIV) during an asthma attack is controversial. We report a case of a 28-year-old female patient in her 16th week of pregnancy with community-acquired pneumonia who presented during an asthma attack, which led to hypoxic respiratory failure. She was successfully treated using NIV. This case is worth discussing as it includes two clinical conditions in which NIV is often considered contraindicated.

  19. Arabin Cerclage Pessary as a Treatment of an Acute Urinary Retention in a Pregnant Woman with Uterine Prolapse

    Directory of Open Access Journals (Sweden)

    Alicia Martínez-Varea

    2013-01-01

    Full Text Available A 35-year-old gravida 7, para 1, and abortus 5 female with hypogastric pain and inability to void urine after 14 + 3 weeks of amenorrhea was examined in the emergency department. One year before, a uterine prolapse had been diagnosed in another hospital. Examination showed a uterine prolapse grade 2 with palpable bladder. The patient was unable to void urine. After a manual reduction of the uterine prolapse, the patient underwent an emergency catheterization for bladder drainage. A Hodge pessary (size 70 was placed, which led to spontaneous micturitions. Due to the persistence of the symptoms the following day, Hodge pessary was replaced by an Arabin cerclage pessary. Although the pessary could be removed from the beginning of the second trimester, due to the uterine prolapse as a predisposing factor in the patient and the uncomplicated progression of pregnancy, it was decided to maintain it in our patient. Therefore, Arabin cerclage pessary allowed a successful pregnancy outcome and was not associated with threatened preterm delivery or vaginal infection.

  20. A giant cardiac hydatid cyst presenting with chest pain and ventricular tachycardia in a pregnant woman undergoing cesarean section

    Directory of Open Access Journals (Sweden)

    Mehmet Yaman

    2016-09-01

    Full Text Available Cyst hydatid disease is an infectious disease caused by development of the larval form of Echinococcus granulosus in humans. Cardiac involvement of this disease is a rare condition, and if present, it is most commonly located in the left ventricle. Interventricular septal involvement is observed only in 4% of these cases. Herein, we report a case of cyst hydatid located at interventricular septum causing chest pain and ventricular tachycardia during cesarean section.

  1. [Impact of area under the curve of oral glucose tolerance test on pregnant woman with gestational diabetes mellitus].

    Science.gov (United States)

    Zhang, Congyue; Su, Shiping; Liu, Chunhong; Zhang, Li; Yang, Huixia

    2015-09-01

    To investigate whether area under the curve (AUC) of oral glucose tolerance test (OGTT) could work as a predictor of outcomes of gestational diabetes mellitus (GDM) on condition that blood glucose is controlled. A total of 1 796 women who had a standard antenatal care in Peking University First Hospital and gave single live births from July 1, 2011 to December 31, 2 013 were included. They should be diagnosed of GDM by the diagnosis criteria of gestational diabetes published by the Ministry of Health of PRC and diabetes pre-pregnancy excluded. Data were analyzed with SPSS 17.0, grouping by AUC. (1) Women with higher AUC had a rising trend of age and a downward trend of gestational weight gain, however, not statistically significant [specifically, in the four group of less than 15.00 mmol · L⁻¹ · h⁻¹, 15.00 to 16.79 mmol · L⁻¹ · h⁻¹, 16.80 to 17.99 mmol · L⁻¹ · h⁻¹ and 18.00 mmol · L⁻¹ · h⁻¹ or more, gestational weight gain was (15.3 ± 5.2), (14.1 ± 4.8), (13.5 ± 4.7) and (13.1 ± 4.8) kg]. The prevalence of macrosomia raised while AUC increased. Those with an AUC of lower than 15.00 (mmol · L⁻¹ · h⁻¹) had a lower risk of macrosomia (P = 0.04). But those with an AUC of 18.00 (mmol · L⁻¹ · h⁻¹) or more had a higher risk of macrosomia (P = 0.02). There was a rising trend in premature birth and preeclampsia with AUC increasing but not significant (the prevalence of premature birth was 4.38%, 5.36%, 7.71% and 7.94% while that of preeclampsia was 2.85%, 4.69%, 4.67% and 5.08% in these four groups). (2) The prevalence of macrosomia was 12.76% (54/423) when overweight pre-pregnancy, significantly higher compared with 5.87% (65/1 107) in normal group. The prevalence of preeclampsia was 5.91% (25/423) and 3.34% (37/1 107) in those two groups, which was also significantly different. The obese group had a statistically highest prevalence of preeclampsia of 9.23% (12/130). (3) AUC (P AUC, as well as pre-pregnancy BMI and gestational weight gain have a significant impact on outcomes of GDM, macrosomia especially, though blood glucose is controlled. Meanwhile, AUC might be considered as a predictor of macrosomia.

  2. Vaccination recommended for pregnant women

    OpenAIRE

    Skolarczyk, Justyna; Łabądź, Dawid; Pekar, Joanna; Nieradko-Iwanicka, Barbara

    2017-01-01

    Skolarczyk Justyna, Łabądź Dawid, Pekar Joanna, Nieradko-Iwanicka Barbara. Vaccination recommended for pregnant women. Journal of Education, Health and Sport. 2017;7(4):682-688. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.569050 http://ojs.ukw.edu.pl/index.php/johs/article/view/4423 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eI...

  3. Prevalence of human papilloma virus infection in pregnant Turkish women compared with non-pregnant women.

    Science.gov (United States)

    Aydin, Y; Atis, A; Tutuman, T; Goker, N

    2010-01-01

    We aimed to find a prevalence of human papilloma virus (HPV) in order to define the 100 genotypes and subset of 14 oncogenic genotypes in pregnant Turkish women and to compare these with non-pregnant women. Cervical thin-prep specimens were obtained from 164 women in the first trimester pregnancy and 153 non pregnant women. 29.2% of pregnant versus 19.6% of non-pregnant Turkish women had at least one of the 100 types of HPV infection--a statistically significant difference. The rate of 14 high-risk HPV genotype infections was significantly higher in pregnant (14.6) compared to non-pregnant Turkish women (9.6%). Pregnant Turkish women are at higher risk for all HPV infections including high-risk cervical cancer genotypes.

  4. Ancient and modern women in the "Woman's World".

    Science.gov (United States)

    Hurst, Isobel

    2009-01-01

    Under the editorship of Oscar Wilde, the "Woman's World" exemplified the popular dissemination of Hellenism through periodical culture. Addressing topics such as marriage, politics, and education in relation to the lives of women in the ancient world, the magazine offered an unfamiliar version of the reception of ancient Greece and Rome in late-Victorian aestheticism, one that was accessible to a wide readership because it was often based on images rather than texts. The classical scholar Jane Ellen Harrison addressed herself to this audience of women readers, discussing the similarities between modern collegiate life and the "woman's world" that enabled Sappho to flourish in ancient Greece. The "Woman's World" thus questions gender stereotypes by juxtaposing ancient and modern women, implicitly endorsing varied models of womanhood.

  5. Sofia Ionescu, the first woman neurosurgeon in the world.

    Science.gov (United States)

    Ciurea, Alexandru-Vlad; Moisa, Horatiu Alexandru; Mohan, Dumitru

    2013-11-01

    The authors present the activity of Mrs. Sofia Ionescu, the one female surgeon who was nominated as the first woman neurosurgeon in the world. Sofia Ionescu worked in the field of neurosurgery for 47 years, performing all the known neurosurgical procedures of the time. She made herself known through her incredible surgical skill and her enormous work power. Due to her incredible modesty and workload, she never participated at international congresses or manifestations. The nomination as first woman neurosurgery took place in Marrakech, Morocco, during the 2005 WFNS Congress. Although some claim that Diana Beck was the first woman neurosurgeon in the world, our theory suggests otherwise. The first documented surgical intervention performed by Diana Beck dates to 1952. Sofia Ionescu operated for the first time on a human brain as early as 1944. Furthermore, Diana Beck's actions surfaced in the year 1947, long after the war had ended and Sofia Ionescu had become a neurosurgeon. Copyright © 2013. Published by Elsevier Inc.

  6. «Il nastro a rovescio». Possibili influenze di Storie Naturali ne La freccia del tempo di Martin Amis

    Directory of Open Access Journals (Sweden)

    Giuseppe Alvino

    2016-11-01

    Full Text Available Il presente contributo si propone di ripercorrere le tappe del rapporto letterario tra Martin Amis e Primo Levi, sottolineando l’attenzione dello scrittore inglese nei confronti dei testi di Levi. Come Amis stesso scrive più volte, Levi fu per lui una delle letture fondamentali nel suo percorso di ricerca letteraria; e nella Postfazione di una delle sue opere principali, Time’s arrow (La freccia del tempo, l’autore richiama per ben due volte l’attenzione su Levi, da un lato, ritenendo che senza le letture leviane non avrebbe potuto scrivere il suo romanzo, e dall’altro, avvertendo il lettore che il titolo pensato originariamente era un’espressione leviana, La natura dell’offesa (oggi secondo titolo de La freccia del tempo. Partendo da questi presupposti si nota come, nel racconto Trattamento di quiescenza della raccolta Storie Naturali, Levi parla tangenzialmente di uno scorrere del tempo al contrario e con una causalità inversa, nello stesso modo in cui Amis, in maniera più sistematica e precisa, costruisce per intero il suo romanzo. Dunque si potrebbe ipotizzare che Amis si sia ispirato non solo al Levi di Se questo è un uomo, La tregua e I sommersi e i salvati per il tema del suo romanzo (e cioè la barbarie nazista, ma anche al Levi dei racconti per il modo tutto particolare di narrare la sua storia. Del resto, la scelta di scrivere il romanzo ‘al contrario’ è funzionale al tema: solo in un mondo con un tempo e una causalità ‘al contrario’ la barbarie dei campi di concentramento sarebbe giustificabile. The purpose of this paper is to explore the literary relationship between Martin Amis and Primo Levi, highlighting how the English writer directed his attention to Levi’s works. As Amis himself often writes, Levi was one of his fundamental readings in his literary research; in the Afterword of one of his masterpieces, Time’s Arrow, the author mentions Levi twice: on the one hand, he claims that he could not

  7. Ursula a Quintessential Modern Woman in The Rainbow

    Institute of Scientific and Technical Information of China (English)

    全春艳

    2017-01-01

    David Herbert Lawrence is one of the greatest novelists in the 20th century. In his novels, he portrays various types of women characters. Ursula Brangwen is a quintessential modern woman in The Rainbow and she shows the important characteris-tics of the western modern women. Being different from the traditional women, She is a rebelling woman and does not want to be bounded by conventions. She dares to condemn the religion, the Education system and the democracy. What's more, she pur-sues knowledge and freedom and strives for the value of self-realization, independence and individualism.

  8. [Pregnant diabetic patients: institutional experience].

    Science.gov (United States)

    Gutiérrez Gutiérrez, Héctor Israel; Carrillo Iñiguez, Mayra Judith; Pestaña Mendoza, Silvia; Santamaría Ferreira, Mauricio

    2006-04-01

    Diabetes mellitus complicates 3-5% of all pregnancies and is a major cause of perinatal morbidity and mortality. The diet and insulin have revolutionized the care related with pregnancy complicated by diabetes mellitus. To report the management experience in patients with diabetes and pregnancy at the Instituto Materno Infantil, Estado de Mexico. A descriptive, retrospective, observational and cross-sectional study of pregnant women with diabetes and pregnancy was conducted from 2003 to 2004. We included 55 pregnant women who had: gestational diabetes 30 (54.4%), pregestational diabetes 24 (43.6%), and carbohydrate intolerance 1 (1.8%); every one of them were controlled either with diet, insulin or both. The mean age was 30.6, 80% with family history of type 2 diabetes mellitus, 9% gestational diabetes. Gestational diabetes was diagnosed in 33.3% by abnormal 50 g glucose screening and 46.6% with oral glucose tolerance test (OGTT). The main complications among the patients were urinary disease (61.3%) and the major fetal malformation were those related with cardiovascular disease (9.09%). The most frequent mode of delivery was cesarean section (58%) and birth weight was of 3,146 g. The main risk factors identified among women in the study group were as follow: More than 25 years of age and family history of diabetes mellitus. We observed a progressive increase in the insulin dosage. The most consistent complications among the patients were urinary infection and the major fetal malformation was cardiovascular disease.

  9. Hemolytic disease of newborn due to anti-Jk b in a woman with high risk pregnancy.

    Science.gov (United States)

    Thakral, Beenu; Malhotra, Sheetal; Saluja, Karan; Kumar, Praveen; Marwaha, Neelam

    2010-08-01

    This case illustrates the importance of blood group antibodies in antenatal serology other than Rh system as a cause of hemolytic disease of newborn (HDN). In India, antenatal antibody screening is done at majority of transfusion centers in only Rh (D) negative mothers. In this multigravida woman with high risk obstetrical history, an antenatal antibody screening by indirect antiglobulin test (IAT) was not performed as she was Rh (D) positive. Postnatal work up for the pathological jaundice in the neonate revealed that red cell alloimmunization had occurred due to anti-Jk(b). We conclude that antenatal antibody screening should be done in all pregnant women irrespective of the D antigen status to detect and manage red cell alloimmunization to any other clinically significant blood group antigens. (c) 2010 Elsevier Ltd. All rights reserved.

  10. Goal-oriented incentive payment in CUDAM institution and variation in medical visit indicators in children under one and pregnant women

    Directory of Open Access Journals (Sweden)

    Marcelo Morales

    2011-11-01

    Full Text Available ntroduction: The establishment of National Integrated Health System in Uruguay from 2007 led to changes in the financing of the Collective Health Care Institutions (IAMC. They charge the National Health Fund (FONASA for their partners from social security (SS a health fee consists of: a A risk-adjusted capita (94%b A component for compliance with performance (6%, depending on the fulfillment of three goals of care. Goal 1 is a component of the child under 1 year and a component of the pregnant woman. For both components were established institutional baseline (July 2007-September 2008 in the control patients in both age groups. This motif COMPLIANCE quarterly reports with a fee of $48/user FONASA/month for average baseline compliment. Las for children and pregnant women were monitored for IAMC CUDAM 64% and 59% respectively.This institution has 42,000 users, 95% derived from SS, featuring 45 births, 585 children <1 year and 405 pregnant women tested monthly.Objectives: Evaluate two years (July-September 2010:a The mean percentages of compliance for children and pregnant CUDAM with medical controlb Relationship between income through the FONASA insitucional for goal 1 and children and pregnant women in medical management during the quarter.Methods: a retrospective study of children and pregnant women with medical control CUDAM. In turn, each target has 6 indicators (N: children, F: females. Child: N1 and N2: derivation and acquisition of the newborn, N3: controls as a guideline, N4: current vaccination, N5: ultrasound hip and pregnant, N6: accreditation in good feeding practices for infants and young children and pregnant women. Pregnant woman: M1 controls as a guideline, M2: leaf perinatal information system, M3: HIV and VDRL performed, M4: uptake in 1 st quarter, M5 and M6: dental checkup during pregnancy and postpartum.Results: The mean percentages of compliance for children and pregnant women increased to 92% (164 additional children and 88

  11. Anaemia and associated risk factors among pregnant women in Gilgel Gibe dam area, Southwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Getachew Million

    2012-12-01

    Full Text Available Abstract Background Anaemia is known to be one of the outcomes of parasitic infection and it may result in impaired cognitive development, reduced physical work capacity and in severe cases increased risk of mortality, particularly during the prenatal period. The aim of this study was to determine the prevalence and associated risk factors of anaemia among pregnant women in Gilgel-Gibe dam area, southwestern Ethiopia. Methods A cross-sectional community based study was conducted on 388 pregnant women living in three districts around Gilgel Gibe Dam area, southwestern Ethiopia. Socio-demographic and socio-economic data were collected from each participant. A single stool sample was also collected from each selected pregnant woman. Haemoglobin concentration was determined by the cyanmethemoglobin method. Plasmodium infection prevalence and intensity were assessed with thin and thick blood film examination. Results Of the total 388 study participants, 209 (53.9% were anaemic. Pregnant woman who were rural residents (Adjusted odds ratio (AOR = 1.62, 95% C.I: 1.02-2.62, P= 0.042, not using insecticide treated nets (ITNs during the study period (AOR = 2.84, 95% C.I: 1.33-6.05, p = 0.007, those who were Plasmodium malaria infected (AOR = 11.19, 95% C.I: 3.31-37.7, p= 0.01 and those with Soil Transmitted Helminth (STH infections (AOR=1.82, 95% C.I: 1.16-2.87, p=0.001 had higher odds of being anaemic than those who were urban residents, using ITNs, free of Plasmodium malaria and Soil transmitted helminth infection, respectively. There was a significant correlation between increasing hookworm parasite load (r = −.110, PAscaris lumbricoides (r = −.122, P Trichuris trichiura (r = −.025, P Conclusion The high prevalence of anaemia indicates it is currently a serious health problem of pregnant women living in Gilgel Gibe Dam area. Plasmodium malaria and soil transmitted helminth infections were significantly associated with anaemia. Antenatal care

  12. The "Education" of the Indian Woman against the Backdrop of the Education of the European Woman in the Nineteenth-Century

    Science.gov (United States)

    Peacock, Sunita

    2009-01-01

    The essay discusses the role and education of the women of India, with special reference to the women of Bengal during the nineteenth-century and a comparison is made between the education of the Indian woman and the education of the European woman during this era. The education of the Indian woman is also referenced against the backdrop of the…

  13. Clinical trials update from the American Heart Association: REPAIR-AMI, ASTAMI, JELIS, MEGA, REVIVE-II, SURVIVE, and PROACTIVE.

    Science.gov (United States)

    Cleland, John G F; Freemantle, Nick; Coletta, Alison P; Clark, Andrew L

    2006-01-01

    This article provides information and a commentary on trials presented at the American Heart Association meeting held in November 2005, relevant to the pathophysiology, prevention and treatment of heart failure. All reports should be considered as preliminary data, as analyses may change in the final publication. In REPAIR-AMI an improvement in ejection fraction was observed in post-MI patients following infusion of bone marrow stem cells. However, the ASTAMI study showed no benefit of stem cell implantation in a similar patient cohort. The JELIS study reported a reduction in major coronary events in patients receiving statins plus fish oil compared to statins alone. MEGA showed that low dose statins in a low risk population reduce the incidence of major cardiovascular events. Two studies of levosimendan in acute heart failure gave conflicting results, in the REVIVE-II study levosimendan was reported to have a superior effect on the composite primary outcome compared to placebo, however, in SURVIVE despite a trend to early benefit with levosimendan, there was no difference in effect on long-term outcome versus dobutamine. The PROACTIVE study showed encouraging results for the use of pioglitazone in post-myocardial infarction patients with concomitant type 2 diabetes.

  14. Assessment of ionospheric Joule heating by GUMICS-4 MHD simulation, AMIE, and satellite-based statistics: towards a synthesis

    Directory of Open Access Journals (Sweden)

    M. Palmroth

    2005-09-01

    Full Text Available We investigate the Northern Hemisphere Joule heating from several observational and computational sources with the purpose of calibrating a previously identified functional dependence between solar wind parameters and ionospheric total energy consumption computed from a global magnetohydrodynamic (MHD simulation (Grand Unified Magnetosphere Ionosphere Coupling Simulation, GUMICS-4. In this paper, the calibration focuses on determining the amount and temporal characteristics of Northern Hemisphere Joule heating. Joule heating during a substorm is estimated from global observations, including electric fields provided by Super Dual Auroral Network (SuperDARN and Pedersen conductances given by the ultraviolet (UV and X-ray imagers on board the Polar satellite. Furthermore, Joule heating is assessed from several activity index proxies, large statistical surveys, assimilative data methods (AMIE, and the global MHD simulation GUMICS-4. We show that the temporal and spatial variation of the Joule heating computed from the GUMICS-4 simulation is consistent with observational and statistical methods. However, the different observational methods do not give a consistent estimate for the magnitude of the global Joule heating. We suggest that multiplying the GUMICS-4 total Joule heating by a factor of 10 approximates the observed Joule heating reasonably well. The lesser amount of Joule heating in GUMICS-4 is essentially caused by weaker Region 2 currents and polar cap potentials. We also show by theoretical arguments that multiplying independent measurements of averaged electric fields and Pedersen conductances yields an overestimation of Joule heating.

    Keywords. Ionosphere (Auroral ionosphere; Modeling and forecasting; Electric fields and currents

  15. [The woman at the termination of pregnancy for fetal anomalies: clinical case].

    Science.gov (United States)

    Baena-Antequera, Francisca; Jurado-García, Estefanía

    2015-01-01

    Within the assistance and support to coping with perinatal death, it must be considered that there is a group of women whose process has some features that give specific connotations. We talked about when the perinatal loss occurs due to a maternal decision to the presence of a fetal malformation. These cases today, thanks to advances in the techniques of control fetal development, are not uncommon. In their assistance, healthcare professionals should be aware that they often present a great sense of guilt and ambivalence between well-made decision and the hardness of having to come to it. A case of a pregnant woman undergoing a fetal fetolisis and care plan developed in her assistance for the induction of labor, delivery and immediate postpartum period is presented. This plan includes the problems of collaboration and the independent problems that are formulated according to the NANDA, NOC and NIC taxonomies. The implication for practice after studying this case leads to the duty to equally address the coping with a stillbirth, whether it was spontaneous or had it been determined by fetal malformation completion, giving parents the ability to view and contact with their child. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  16. Safe spinal anesthesia in a woman with chronic renal failure and placenta previa

    Directory of Open Access Journals (Sweden)

    Beyazit Zencirci

    2010-05-01

    Full Text Available Beyazit ZencirciKahramanmaras, TurkeyBackground: Chronic renal failure is strongly associated with poor pregnancy outcome. Women dependent on hemodialysis before conception rarely achieve a successful live birth.Case presentation: A 31-year-old multiparous Turkish woman was scheduled for cesarean section under spinal anesthesia at 37 weeks and five days’ gestation because of hemorrhage due to secondary placenta previa. Spinal anesthesia with 8 mg of hyperbaric bupivacaine was successfully performed. Invasive blood pressure, central venous pressure, and heart rate were stable during the surgery. The mother returned to regular hemodialysis on the first postoperative day.Conclusion: Pregnancy is uncommon in women with chronic renal failure requiring chronic dialysis. Rates of maternal hypertension, pre-eclampsia, anemia, and infection in the pregnant chronic dialysis patient are high. However, our findings suggest that with careful, close, and effective monitoring preoperatively and intraoperatively, spinal anesthesia can be safely performed for cesarean section in patients undergoing hemodialysis.Keywords: chronic renal failure, pregnancy, spinal anesthesia, hemodialysis, placenta previa

  17. Extracellular ATP induces albuminuria in pregnant rats

    NARCIS (Netherlands)

    Faas, M.M.; van der Schaaf, G.; Borghuis, T.; Jongman, R.M.; van Pampus, Maria; de Vos, P.; van Goor, Harry; Bakker, W.W.

    BACKGROUND: As circulating plasma ATP concentrations are increased in pre-eclampsia, we tested whether increased plasma ATP is able to induce albuminuria during pregnancy. METHODS: Pregnant (day 14) and non-pregnant rats were infused with ATP (3000 microg/kg bw) via a permanent jugular vein cannula.

  18. [An innovative policy for supporting pregnant women].

    Science.gov (United States)

    Perz, Stéphanie

    2015-04-01

    Improving working conditions for pregnant women can boost their feeling of wellbeing in their job. As a result of its innovative work in this area, Seclin general hospital, in the north of France, has received special recognition for its policy in supporting pregnant women. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  19. Factors influencing HIV seroprevalence rate among pregnant ...

    African Journals Online (AJOL)

    Human immune deficiency virus (HIV) seroprevalence among pregnant women in Calabar was studied. The aims were to establish HIV seroprevalence rate and to identify factors which influence this rate in our pregnant women. HIV seroprevalence rate of 2.7% among antenatal women in Calabar was recorded with a ...

  20. INFORMATION SEEKING BEHAVIOUR OF PREGNANT WOMEN IN ...

    African Journals Online (AJOL)

    The study's population encompassed of 1900 pregnant women in selected hospitals. Proportional ... Internet, friends/relatives, persons at the workplace or professional advisors. Despite the ... city is an important trade and educational centre. It also houses one of .... This study was restricted to pregnant women registered for ...