Pregnant patient with prune belly syndrome: case report

ABSTRACT Prune belly syndrome is a rare congenital disease of unknown etiology that is present in one in every 40 thousand live births, and predominantly affects males, at a ratio of 4:1. In males, it presents with anomalies in the urinary system, absence of abdominal muscles, bilateral cryptorchidism, and infertility. In women, the syndrome has variable presentations, but fertility is preserved. Searching the medical literature, we found only one case of prune belly syndrome in pregnant women. Therefore, the patient in this report is the second case. She was primiparous, 25-years-old, with no abdominal muscles, severe congenital kyphoscoliosis, and pulmonary restriction. Elective cesarean section was performed at 37 weeks of gestation due to maternal risk of uterine rupture by transverse presentation and fetal risk of intrauterine growth restriction. The pre-anesthetic approach defined that general anesthesia might have more risks for the patient due to severe maternal lung disease compared to ultrasound-guided locoregional anesthesia. During prenatal care, there were some maternal complications, such as asthma exacerbations, abdominal pain, and constipation. The newborn was born small for gestational age and this can possibly be explained by maternal restrictive lung capacity. The newborn presented with Apgar score 8/9 and tachypnea, but improved after two hours of life.

Violência contra à mulher: avaliação do jogo "caixa de pandora" como ferramenta de aprendizagem / Violence against women: evaluation of the "pandora's box" game as a tool to learn

Objetivou-se avaliar as potencialidades de um jogo de computador, Caixa de Pandora,como ferramenta de apoio ao aprendizado de estudantes de enfermagem sobre o tema da violência contra a mulher. Trata-se de uma pesquisa quantitativa, realizada com 62 estudantes do curso de enfermagem de uma Instituição de Ensino Superior. Foi aplicado um questionário para analisar a abordagem ao problema da violência e o impacto do game no processo ensino-aprendizado. Analisou-se as respostas sobre o impacto do jogo e sua aceitação através da estatística descritiva. Os resultados mostraram que o jogo motivou a reflexão e favoreceu a construção de novos conhecimentos e a aprendizagem do público alvo. Conclui-se que o jogo se apresentou como uma ferramenta potente para ser utilizada no processo de ensino e formação de estudantes de saúde, especificamente os da enfermagem, sobre o tema da violência.

It was aimed to assess the potentials of a computer game, Pandora ́s Box, as a support tool for nursing students ́ learning about the theme of the violence against women.This is a quantitative research, carried out with 62 students of the nursing course from a Higher Education Institution. A questionnaire was applied to analyze the approach to the violence problem and the impact of the game in the teaching-learning process. The answers were analyzed about the impact of the game and its acceptance through the descriptive statistics. The results showed that the game motivated the reflection and favored the building of new knowledge and the learning to the target public. It was concluded that the game was presented as a potent tool to be used in the teaching process and training of health students, specifically to those of the nursing, on the theme of violence.

Neuromodulatory effects of caffeine and bromazepam on visual event-related potential (P300): a comparative study

O componente P300 do potencial evocado relacionado a evento é uma medida geral de "eficiência cognitiva" e um índice da qualidade do processamento e armazenamento de informações pelo sistema nervoso central (SNC). OBJETIVO: Comparar os efeitos neuromoduladores da cafeína e do bromazepam a partir do banco normativo do potencial evocado visual (P300). MÉTODO: 15 sujeitos destros (7 homens e 8 mulheres), entre 20 e 30 anos de idade, sadios, livres de qualquer déficit cognitivo e sem uso de substâncias psicotrópicas ou psicoativas foram estudados. Os sujeitos foram submetidos a uma tarefa de discriminação visual utilizando o paradigma "oddball", após a administração de uma cápsula de cafeína ou de bromazepam, em um desenho duplo-cego randomizado. RESULTADOS: Foram observadas diferenças estatisticamente significativas quando as condições cafeína e bromazepam foram comparadas com o banco normativo. CONCLUSÃO: Os resultados sugerem que a cafeína e o bromazepam têm efeitos moduladores específicos no SNC.

Carotenoid composition and vitamin A value of an Argentinian squash (Cucurbita moschata)

The carotenoid composition of butternut squash (Cucurbita moschata) cultivated in the province of Santiago del Estero, Argentina, was determined. The main carotenoids isolated were identified as beta-carotene (beta,beta-carotene), alpha-carotene (beta,epsilon-carotene), and lutein (beta,epsilon-carotene-3,3'-diol) and the minor carotenoids, as phytofluene (7,8,11,12,7',8'-hexahydro-psi,psi-carotene), zeta-carotene (7,8,7',8'-tetrahydro-psi,psi-carotene), neurosporene (7,8-dihydro-psi,psi-carotene), violaxanthin (5,6,5',6'- diepoxy-5,6,5',6'-tetrahydro-beta,beta-carotene-3,3'-diol) and neoxanthin (5,6-epoxy-6,7-didehydro-5,6,5',6'-tetrahydro-beta,beta- carotene-3,5,3'-triol). In some samples, 5,6,5',6'-beta-carotene diepoxide, (5,6,5',6'-diepoxy-5,6,5',6'-tetrahydro-beta,beta-carotene) and flavoxanthin (5,8-epoxy-5,8-dihydro-beta,epsilon-carotene-3,3'-diol) were detected. The presence of cis-isomers of beta,beta-carotene was also detected by HPLC. The vitamin A value obtained was 432 micrograms RE/100 g fresh sample, which indicates that this vegetable is an important source of provitamin A.