RESUMEN
Transverse myelitis is a very rare neurological condition associated with immunologic and infectious conditions causing interruption of the neuroanatomical pathways in a transverse plane in the spinal cord. Herein is described the fatal case of a patient that developed transverse myelitis after a Caesarean delivery, probably related to the epidural analgesia.
Asunto(s)
Anestesia Epidural/efectos adversos , Mielitis Transversa/diagnóstico , Mielitis Transversa/etiología , Adulto , Anestesia Raquidea/efectos adversos , Cesárea/efectos adversos , Resultado Fatal , Femenino , Humanos , Imagen por Resonancia Magnética , Periodo PospartoRESUMEN
Physicians have used fetal heart monitoring for 300 years but it has faced a revolution in the last 50 years after the incorporation of new devices and the discovery of the normal patterns of labour. Dr Caldeyro Barcia in Uruguay was one of the pioneers of the development of intrauterine pressure monitors and, with Dr Edward H Hon (1917-2007), he established the basis of modern electronic fetal heart monitoring which is still used in most labour and delivery rooms across the World. Nowadays medicine and technology advances so fast that devices created 10 years ago are considered old fashioned or obsolete.
Asunto(s)
Corazón Fetal , Monitoreo Fisiológico/historia , Obstetricia/historia , Fisiología/historia , Femenino , Hipoxia Fetal/historia , Historia del Siglo XX , Humanos , Embarazo , UruguayRESUMEN
As part of a regional International Atomic Energy Agency (IAEA) collaborative project within Latin America, five countries participated in an intercomparison in cytogenetic dosimetry. Coded slides for chromosomal aberrations and micronucleus analyses were prepared by the coordinator laboratory which organized the exercise and sent to the other participating laboratories. For estimates of dose, each laboratory scored the frequency of dicentrics in metaphases and the frequency of micronuclei in binucleated cells. The lymphocytes were irradiated with 60Co gamma-rays (0, 0.75, 1.5 and 3.0 Gy). Eleven of the 15 estimates of dose based on dicentrics and nine of the 12 based on micronuclei fell within +/- 30% of the true dose. When considering the uncertainties of the dose estimates, the true dose fell within the 95% confidence limits of the estimates on eight of the 15 occasions for dicentrics and four of the 12 for micronuclei.