Guillain-Barré syndrome (GBS) is rare in pregnancy with an incidence estimated to be between 1.2 and 1.9 cases per 100,000 people annually, and it is generally accepted that it carries a high maternal risk. Delayed diagnosis is common because the initial non-specific symptoms may mimic changes in pregnancy. GBS should be considered in any pregnant patient complaining of muscle weakness, general malaise, tingling of the fingers and respiratory discomfort. This case aims to highlight the importance of early diagnosis, allowing prompt initiation of the immunomodulatory treatments which have been shown to improve outcome alongside multidisciplinary care.
While the Cuban state's resistance to neoliberalism and to US dominance in particular has been vigorous, it is nonetheless subject to the constraints of neoliberal hegemony, and has entailed a degree of accommodation: the partial introduction of a market economy within a socialist political framework has given rise to some strong contradictions, most notably a sharp increase in inequality. This article considers to what extent the contradictions arising from these reforms have effects within everyday practices of struggle which threaten to problematize dispositions to solidarity — dispositions which are central to continued resistance, and an important social and political resource in confronting and shaping the future.
The purpose of this study was to evaluate a teen parent program designed to increase parents' self‐esteem, improve parenting skills, and increase parental knowledge about child development. Subjects (n= 30) in the program were referred from public health services. Control subjects (n= 30) were served by a local health department. Subjects were tested before and on completion of the program (or 6‐9 months later for controls) using the Coopersmith Self‐Esteem Inventory (SEI), the Inventory of Parents' Experiences (IPE), and the Denver Developmental Screening Test (DDST). Findings included (a) intervention subjects scored lower than control subjects on the pretesting in self‐esteem (p < 0.05), parental role satisfaction (p < 0.05), and community support (p < 0.0001); (b) control subjects scored lower on satisfaction with intimate relationships (p < 0.0001); (c) at post‐test, there were no statistically significant differences, and intervention subjects recorded self‐esteem scores had increased to control levels; and (d) no developmental delays were detected in newborns at either pre‐ or post‐testing. Implications of this study include (a) data support effectiveness of the program in enhancing self‐esteem, maintaining satisfaction in parental role, and increasing community support for teen parents; and (b) evaluation of teen parent programs' effects should be done every 3‐6 months to reduce subject attrition.
Hereditary Angioedema is a rare but potentially life threatening condition. It is important that Obstetricians are aware of this condition as it affects women in the reproductive years and thus its recognition and proper management in pregnancy is crucial.
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