There has been observed a trend to delay childbearing, reflecting couple's desire to have children at older ages. Maternal age is a well-known factor that influences the achievement of a pregnancy. In contrast, there are few studies examining the effect of paternal age on the outcomes of assisted reproductive technologies (ART), and results are conflicting. Our patient was vasectomised at the age of 60 years, and his wife was 38 years old. A total of four metaphase II oocytes were inseminated 4 h later (day 0) by intracytoplasmic sperm injection using spermatozoa from percutaneous epididymal sperm aspiration. On day 2, the three resulting embryos were transferred (two had four cells, and one had two cells). Two healthy infants were born at the 37th gestational week by caesarean section. Although the effect of paternal age on ART outcomes and results are conflicting, this case report contributes to point out that advanced age of the man has probably lesser negative influence in the reproductive function.
Objective: To estimate the main indirect costs of heart failure (HF) in the Brazilian population, on the health system, social security cost, and how much is lost in productivity due to the complications of the disease. Methods: Ecological study developed with secondary data, for the historical series from 2018 to 2021, mined from the Department of Informatics of the Unified Health System (Datasus), from the Brazilian Institute of Geography and Statistics (IBGE), and social security indicators collected from Social Security and the National Social Security Institute (INSS). Results: There were 77,290 deaths from HF in Brazil for the period, evenly distributed according to sex. The mortality rate was diversified among Brazilian regions, with emphasis on the Southeast and Northeast. Projections indicate a total expenditure of more than BRL 1 billion with hospitalizations, with an average hospital cost of BRL 1,725.27 per person. The average cost per hospitalization exceeded BRL 2 billion. Approximately 3% of federal expenditures are earmarked for IC benefit payments. Of the total number of absences, 65% correspond to men and 35% to women, with costs that can reach R$ 6 billion lost per year.
A revista Augusto Guzzo comemora 16 anos de publicação. Atualmente conta com a contribuição internacional de vários países e a cada dia expande os seus horizontes. Atenta aos movimentos sociais as pesquisas acompanharam a evolução e o aumento da violência nas comunidades globais e o desenvolvimento da degradação da vida nas comunidades, cada vez mais, abandonadas pelo poder público. Assim os autores discutem inclusão pela educação dos menos favorecidos conforme proposta dos governantes mundiais no encontro da ECO92, encontro. Refletindo sobre esta problemática as abordagens tratam de problemas sociais, inclusão, educação política economia e engenharia. Do Ecuador, María del Carmen Gómez Romo e Andrés F. López Gómez debatem "Diagnóstico de la situación educativ-laboral de los jóvenes de 18 a 25 años de las parroquias rurales del cantón ambato". Marcelo Mantilla Falcón discute "Los estilos de aprendizaje en estudiantes de bachillerato de una unidad educativa ecuatoriana. un estudio de caso".
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