26 research outputs found
Carta sobre los asuntos misioneros jesuitas y el estado de las rebeliones indígenas en la Pimería Alta, 1753 diciembre
No full textCarta sobre los asuntos misioneros jesuitas y el estado de las rebeliones indígenas en la Pimería Alta. Sadolmayor reconoce su nombramiento como rector de la provincia jesuita y relata brevemente un viaje que hizo a Zacatecas. Luego destaca los levantamientos indígenas de 1694 y la rebelión reciente, señalando que muchos hechos violentos se originaron en las misiones occidentales de Caborca, Tubutama, Saric y San Miguel de Sonoyta. Critica a las autoridades españolas por no haber establecido presidios en estas regiones, lo que dejó a las misiones vulnerables frente a la resistencia indígena. También comenta sobre los acuerdos hechos por el gobernador Parilla con los grupos indígenas, advirtiendo que los términos mal definidos podrían provocar futuras rebeliones. El sacerdote se refiere a la muerte de la madre del destinatario, por quien ofreció una misa. —— Letter reporting on Jesuit missionary affairs and the state of Indigenous rebellions in the Pimería Alta. Sadolmayor acknowledges his appointment as rector of the Jesuit province and briefly recounts a trip he had to Zacatecas. He then highlights Indigenous uprisings in 1694 and the recent rebellion, noting that many violent events originated in the western missions of Caborca, Tubutama, Saric, and San Miguel de Sonoyta. He criticizes Spanish authorities for not establishing presidios in these regions, leaving missions vulnerable to Indigenous resistance. He also comments on agreements made by Governor Parilla with Indigenous groups, warning that poorly defined terms could incite future rebellions. The priest refers to the death of the recipient’s mother, for whom he offered a Mass. 2 f. (4 p.
Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity
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Objective To compare perinatal and neonatal outcomes of dichorionic (DC) and monochorionic (MC) with trichorionic (TC) triplet gestations.
Methods A retrospective cohort study of DC + MC versus TC triplet gestations delivered at a tertiary care hospital from 2009 to 2015. The results include 42 sets of triplets (TC, n = 26; DC + MC, n = 16). Maternal demographics and pregnancy data were compared. Neonatal outcomes were assessed using composite morbidity and mortality.
Results Maternal baseline characteristics including age, mode of conception, race, parity, body mass index, and previous preterm delivery were statistically comparable. Comparison of prenatal management and complications yielded no significant differences in terms of presence of shortened cervix, cerclage placement, use of tocolytics, intrauterine growth restriction, premature rupture of membranes, pregnancy-induced hypertension, or gestational diabetes. However, evaluation of composite morbidity and mortality (RDS, IVH, NEC, IUGR, and death) illustrated that all infants born from DC + MC triplet gestations suffered some morbidity or mortality compared with TC pregnancies (p < 0.01).
Conclusion DC + MC triplet gestations are at an increased risk of neonatal morbidity and mortality compared with TC triplet gestations.</jats:p
Buprenorphine Induction Using Microdosing for the Management of Opioid Use Disorder in Pregnancy
No full textBackground Conventional buprenorphine inductions require patients to abstain from full agonist opioids until they experience mild-to-moderate opioid withdrawal. We described a successful buprenorphine induction case in a pregnant patient using microdosing, which avoided withdrawal symptoms
Fetal Tachycardia Treated Successfully with Maternally Administered Propylthiouracil
No full textBackground. Fetal tachycardia may result from the transplacental passage of thyroid stimulating immunoglobulins in a patient with hypothyroidism secondary to ablation of Graves’ disease. Case. A 32-year-old woman, gravida 4, para 2, and abortus 1, with hypothyroidism and a history of Graves’ disease, presented at 23 6/7 weeks of gestation with a persistent fetal tachycardia. The treatment of the fetal tachycardia with maternally administered digoxin and Sotalol was unsuccessful. Maternal thyroid stimulating immunoglobulins were elevated, and treatment with maternally administered propylthiouracil (PTU) resulted in a normal sinus rhythm for the remainder of the pregnancy. An induction of labor was performed at 37 weeks. Four to five days after delivery, the neonate exhibited clinical signs of hyperthyroidism necessitating treatment. Conclusion. Fetal tachycardia resulting from the transplacental passage of thyroid stimulating immunoglobulins can be successfully treated with maternally administered PTU. The neonate needs to be followed up closely as clinical signs of hyperthyroidism may occur as thyroid stimulating immunoglobulins continue to circulate in the neonate, while the serum levels of PTU decline
Management of Breast Cancer during Pregnancy: Are We Compliant with Current Guidelines?
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Introduction The purpose of this study was to evaluate the management of patients with breast cancer in pregnancy treated at the Advocate Health Care, to determine whether these patients were treated according to guidelines for pregnant patients, which aim to maximize both fetal and maternal outcomes.
Methods A retrospective chart review was performed at the Advocate Lutheran General Hospital, Christ Medical Center, and Illinois Masonic Medical Center from 2002 to 2012 on patients diagnosed with breast cancer during pregnancy using ICD-9 (International Classification of Diseases - 9th version) codes.
Results Eleven patients between 12 and 37 weeks' gestation matched the search criteria. One patient terminated the pregnancy. Patients in our study were treated appropriately according to guidelines with the following exceptions. Trastuzumab was used in one patient during pregnancy which likely caused the oligohydramnios resulting in an induction of labor at 33 weeks. Three patients were delivered preterm between 34 and 36 weeks without an obstetric indication. Two patients underwent sentinel node biopsy.
Conclusion The diagnosis of breast cancer in pregnancy is an infrequent but devastating diagnosis that is likely to increase. Although sentinel lymph node biopsy is not generally recommended in pregnancy, this may be an outdated guideline as using a low-dose lymphoscintigraphic technique appears to be safe in pregnancy.</jats:p
Ghrelin levels in cord blood from concordant and discordant twin pairs: association with birth weight and postnatal catch-up growth
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Opioid Addiction in Pregnancy: Does Depression Negatively Impact Adherence With Prenatal Care?
No full textUna parilla de análisis para el pre-diseño de libros electrónicos
No full textThis article begins with the statement of a negative fact: too many electronic books are being published in the world with strong deficiencies, suggesting a lack of consideration to elementary features, from the viewpoint of the goal a given electronic book is supposed to be aimed al. So, this article proposes a methodology, taking the form of an «analysis grid», through which the author or designer of a would-be electronic book could analyze, orderly and systematically, the essential features that his/her electronic book should have. And doing this just while in the initial stage, called pre-design, it could eventually imply either the abandonment of the idea or its substantial transformation, before irreversible costs are incurred to.
A first essential statement is established: the information system contained in an electronic book must be aimed at the solution of an information problem, actually existing in a given area. We can proceed then to the application of our proposed «analysis grid », structured from a formal viewpoint in 21 items, each one proposing the consideration of some specific problems and its alternate solutions. These 21 items are grouped in 9 sets (the columns of the grid), corresponding lo 6 main stages and 3 more, where working hypotheses will be progressively defined and refined.El artículo parte de una constatación, que se juzga negativamente: la de que demasiados libros electrónicos aparecen en el mercado o se proponen al público (en general, en soporte CD-ROM) con deficiencias que sugieren que, en su diseño, no se ha atendido a consideraciones elementales en cuanto a su relación con el objetivo que se supone persiguen. En consecuencia, se propone una metodología, en forma de una «parrilla de análisis», mediante cuya aplicación, el autor o diseñador de un potencial libro electrónico estará en condiciones de analizar, de un modo ordenado y sistemático, las características esenciales que aquél debería tener, precisamente en la fase inicial, que llamamos de pre-diseño, y que puede, eventualmente, llevar al abandono de la idea o su transformación sustancial, antes de incurrir en costes irreversibles.
Para empezar, se parte de la base de que el sistema de información contenido en un libro electrónico debe estar enfocado a la solución (ya sea completa o parcial) de un problema de información realmente existente en una área determinada. Con este objetivo, la «parrilla de análisis» propuesta se estructura en 21 puntos, para cada uno de los cuales se sugiere el examen de su problemática y de las alternativas posibles. Estos 21 puntos se agrupan en 9 apartados (las columnas de la parrilla) que corresponden a 6 fases principales más otras tres, en las que se prevé ir delimitando hipótesis de trabajo sucesivamente más precisas
