BACKGROUND Mitochondrial myopathies represent a group of disorders caused by mitochondrial defects that disrupt energy production. Most patients have issues from infancy to early childhood. Pregnancy in women with mitochondrial myopathy is uncommon and the management for these parturients is full of challenges. CASE PRESENTATION A 36-year-old woman with mitochondrial myopathy was scheduled fo...

Purpose: To present a case of respiratory arrest following the use of intrathecal sufentanil and bupivacaine for combined spinal-epidural anaesthesia in a healthy labouring parturient, Cl in ical Features: A 20-yr-old term parturient received I 0 pg sufentanil and 2,5 mg bupivacaine intrathecally as part of a combined spinal-epidural technique for labour analgesia. She had received no previous ...

BACKGROUND Several maternity units in the developing world lack facilities for caesarean section and often have to transfer patients in extremis. This case controlled study aimed to appraise predictive factors for caesarean section. METHODS One hundred and fifty two consecutive women with singleton pregnancies who had caesarean section were studied. The next parturient with normal delivery se...

Given the recommendation not to breastfeed their infants, HIV-positive women may experience breast problems. The aim of the study was to gain knowledge regarding breast health as revealed by HIV+ women before the non-breast-feeding. This qualitative study was performed with 15 mothers with HIV/ AIDS in Fortaleza, Brazil. Recorded interviews were transcribed and analyzed. The mothers revealed pr...

INTRODUCTION Severe sepsis during pregnancy or in the postpartum period is a rare clinical event. In non obstetric surviving patients, the cardiovascular changes seen in sepsis and septic shock are fully reversible five to ten days after their onset. We report a case of septic myocardial dysfunction lasting longer than ten days. To the best of our knowledge, this is the first report of prolonge...

The successful genetic selection for higher milk production caused a dramatic decline in the reproductive performance of dairy cows all over the world during the last decades. Achievement of optimum herd reproductive performance (calving interval of 12 or 13 months with the first calf born at 24 months of age) requires concentrated management activities especially during the first 100 days foll...

INTRODUCTION Midwifery has been regulated and publicly funded in British Columbia since 1998. Midwives are currently concentrated in urban areas; access to care is limited in rural communities. Rural midwifery practice can be challenging because of low birth numbers, solo practice, lack of on-site cesareans and specialist backup, and interprofessional tensions resulting from the integration of ...

allergic reaction to local anesthetics is very rare and most of the reported cases are due to ester local anesthetics. this case presents a parturient who experienced cardiac arrest due to hypersensitivity reaction to lidocaine after epidural injection for cesrarean section.

The stimuli that can come from the care environment and development of disease influence quality sleep patients in intensive because they reduce secretion melatonin. In contrast, noise excessive lighting ward will a circadian rhythm, impacting parturient disorders (sleep disorders). Therefore, nursing interventions to improve normal rhythms are needed patient's quality. Wearing earplugs eye mas...

Abstract. Given a doubling measure μ on R, it is a classical result of harmonic analysis that Calderón-Zygmund operators which are bounded in L(μ) are also of weak type (1, 1). Recently it has been shown that the same result holds if one substitutes the doubling condition on μ by a mild growth condition on μ. In this paper another proof of this result is given. The proof is very close in spirit...