Pregnancy requires several physiological adaptations from the maternal organism, including modifications in the glomerular filtration rate and renal excretion of several products. Chronic kidney disease (CKD) can negatively affect these modifications and consequently is associated with several adverse maternal and fetal adverse outcomes (gestational hypertension, progression of renal disease, pre-eclampsia, fetal growth restriction, and preterm delivery). A multidisciplinary vigilance of these pregnancies is essential in order to avoid and/or control the harmful effects associated with this pathology. Dialysis and transplantation can decrease the risks of maternal and fetal complications, nonetheless, the rates of complications remain high comparing with a normal pregnancy. Several recent developments in this area have improved quality and efficacy of treatment of pregnant women with CKD. This article summarizes the most recent literature about CKD and pregnancy.
Breastfeeding has universally known advantages to the mother and child that include nutritional and immunological benefits but also involve reasons of ecological and economic order. Initiation and maintenance of breastfeeding can be associated with common problems. The beginning of milk production may course with bloody nipple discharge, which, after exclusion of pathological entities, concerns a self-resolving physiological syndrome called rusty pipe. We present a case of rusty pipe syndrome and discuss the implications.
The increase of the elderly population has an enormous effect on the health care system of a country, as the rise of this population sets the mood to an exponential growth in assistance and care. Indeed, the inherent costs of this populational class are higher when comparing to the younger classes. Today paradigm focuses on the reduction of these costs by promoting a healthier lifestyle on all classes of the populations. Thus, the concern of a more active lifestyle is present in the elderly population, which has proven to reduce, for example, the risk of coronary problems. The stimulus on physical activity is now higher and it is possible to get several monitoring devices to keep track on the activity that was performed. Following this trend, the present paper presents a hybrid approach that employs the use of wearable devices, the Mio Fuse band and the pandlet, and a non-wearable device, the Kinect camera, to monitor elderly people during a Boccia game scenario. Preliminary tests were performed in laboratory. The results include data collected concerning a main movement that is used during a Boccia gameplay.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.