Lacustrine carbonate rocks form important hydrocarbon accumulations along the Brazilian continental margin, some of which are contained in oil fields in which coquinas are one of the main reservoirs (viz. Campos Basin). The complexity and heterogeneity of these deposits make them a challenge in terms of reservoir description. For the necessary classification and paleoenvironmental interpretation of the coquinas, it is essential to evaluate many aspects including biological (such as carbonate productivity), sedimentological (energy regime in the depositional environment, transport of bioclasts, terrigenous supply), taphonomic (fragmentation of shells, abrasion) and diagenetic processes. The facies analysis applied in this study is considered a more appropriate classification approach to understand these coquinas, since it is more flexible and comprehensive than the existing classifications for carbonate rocks. The material investigated here consists of rock samples of the coquinas from the Atol Quarry of the Morro do Chaves Formation (Barremian/Aptian), Sergipe-Alagoas Basin. These rocks that crop out in the Atol quarry complex can be considered as a case study for similar coquinas reservoirs found in the Brazilian continental margin basins. Six sedimentary facies were described, using the main taphonomic (fragmentation of shells) and compositional (presence of micrite and siliciclastic matrix) features as a diagnostic criteria. Two carbonate facies, two mixed carbonate-siliciclastic facies and two siliciclastic facies (mudstones) were identified. From the facies succession, combined with a review of the literature on the subject, the following depositional paleoenvironments were defined: high-energy lake platform, lacustrine delta in a high-energy lake platform and lake-centre. In this paper, a new facies model for the studied coquinas succession is proposed.
Cesarean section by maternal request is the one performed on a pregnant woman without medical indication and without contraindication to vaginal delivery. There is great controversy over requested cesarean section. Potential risks include complications in subsequent pregnancies, such as uterine rupture, placenta previa and accreta. Potential benefits of requested cesareans include a lower risk of postpartum hemorrhage in the first cesarean and fewer surgical complications compared with vaginal delivery. Cesarean section by request should never be performed before 39 weeks. RESUMO A cesariana a pedido materno é aquela realizada em uma gestante sem indicações médicas e sem contraindicação para tentativa do parto vaginal. Existe grande controvérsia sobre a realização da cesariana a pedido. Riscos potenciais da cesariana a pedido incluem complicações em gravidezes subsequentes, tais como: rotura uterina, placenta prévia e acretismo. Potenciais benefícios da cesariana a pedido englobam um menor risco de hemorragia pós-parto na primeira cesariana e menos complicações cirúrgicas quando comparada ao parto vaginal. A cesariana a pedido jamais deve ser realizada antes de 39 semanas.
The Gestational Trophoblastic Disease includes an interrelated group of diseases originating from placental tissue, with distinct behaviors concerning local invasion and metastasis. The high sensitivity of the serial dosages of human chorionic gonadotrophin, combined with advances in chemotherapy treatment, have made gestational trophoblastic neoplasia curable, most often through chemotherapy. However, surgery remains of major importance in the management of patients with gestational trophoblastic disease, improving their prognosis. Surgery is necessary in the control of the disease's complications, such as hemorrhage, and in cases of resistant/relapsed neoplasia. This review discusses the indications and the role of surgical interventions in the management of women with molar pregnancy and gestational trophoblastic neoplasia.
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