Cardiomyopathy is a group of diseases that affect the heart muscle. Dilated cardiomyopathy, a form of cardiomyopathy, is characterised by ventricular chamber enlargement and contractile dysfunction, and has recurrences in subsequent pregnancies. Pregnancy by itself is associated with significant hemodynamic burden and cardiovascular changes, which when coupled with dilated cardiomyopathy results in increased morbidity and mortality in both mother and child. Management of such a condition presents serious therapeutic challenge to a multidisciplinary team. Here, we report a case of a 36-year-old woman primigravida with gestational age of 11 weeks, known case of dilated cardiomyopathy. Despite the risks and associated complications with the disease, she continued her pregnancy. Patient was managed by a team of obstetrician, cardiologist and anaesthesiologist and underwent caesarean section giving birth to a live baby. The aim of this article is to provide guidance on how to manage a patient with dilated cardiomyopathy throughout her pregnancy. Early diagnosis of heart disease, regular antenatal check-ups, institutional delivery and multidisciplinary approach can reduce the maternal and perinatal morbidity and mortality.
<p>We quantified pine-forested habitat suitable for Red-cockaded Woodpecker <em>Picoides borealis</em> in the former historic range of the species to assess the potential for possible re-colonization. We used a remotely-sensed image and geographic information systems (GIS) to create a land-use/land (LU/LC) binary cover map, from which we calculated the habitat suitability index (HSI) based on an estimated home range of 50ha. A sensitivity analysis revealed the necessity for more data to make an accurate estimate, but our analysis of landscape metrics indicates more than 930ha of suitable habitat patches. These patches are heavily fragmented and mostly located on private lands. They can be assessed for understory and herbaceous vegetation and can be restored for possible re-establishment of approximately 18 groups/colonies of Red-cockaded Woodpeckers.</p><div> </div>
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