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Journal articles on the topic 'Mechanical woman'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Hoh, Yin Kiong. "Outstanding Women in Mechanical Engineering." International Journal of Mechanical Engineering Education 35, no. 3 (July 2007): 198–206. http://dx.doi.org/10.7227/ijmee.35.3.4.

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The article aims to sensitise teachers to their perception of engineers and scientists. It also highlights the life and achievements of one outstanding woman mechanical engineer, namely Ilene J. Busch-Vishniac, and summarises the achievements of other outstanding women in mechanical engineering. Teachers can use the examples of these outstanding female engineers as role models to inspire their students.

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2

Basude, Snehalata, Johanna Trinder, Massimo Caputo, and Stephanie L. Curtis. "Pregnancy outcome and follow-up cardiac outcome in women with aortic valve replacement." Obstetric Medicine 7, no. 1 (January 15, 2014): 29–33. http://dx.doi.org/10.1177/1753495x13514382.

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Objectives To compare the maternal, fetal and cardiac outcomes in women who have undergone aortic valve replacement. Method Retrospective observational study of all women with aortic valve replacement, who underwent a pregnancy (1998–2012). Maternal-, fetal- and valve-related cardiac outcomes were assessed. Results Thirty-two pregnancies in 16 women with aortic valve replacement (nine bioprosthetic, six Ross and 17 mechanical) were evaluated. There were no adverse maternal events in the bioprosthetic and Ross groups but three in the mechanical group. Fetal loss rate was highest in the mechanical valve pregnancies (53%). One woman in the bioprosthetic group needed valve re-operation, and one woman in the mechanical valve group died. There was no difference in the change of Vmax over the follow-up between the valves ( p = 0.25). Conclusions There was no difference in deterioration between aortic valve replacements during and after pregnancy. The highest risk of maternal and fetal complications occurred in the mechanical valve group.

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Morgado, Gonçalo J., Inês R. Cruz, Ana Catarina Gomes, Ana Rita Almeida, Maria José Loureiro, Carlos Cotrim, and Hélder Pereira. "A pregnant woman with a mechanical prosthetic valve." Revista Portuguesa de Cardiologia (English Edition) 38, no. 6 (June 2019): 457.e1–457.e3. http://dx.doi.org/10.1016/j.repce.2017.06.024.

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4

Morgado, Gonçalo J., Inês R. Cruz, Ana Catarina Gomes, Ana Rita Almeida, Maria José Loureiro, Carlos Cotrim, and Hélder Pereira. "A pregnant woman with a mechanical prosthetic valve." Revista Portuguesa de Cardiologia 38, no. 6 (June 2019): 457.e1–457.e3. http://dx.doi.org/10.1016/j.repc.2017.06.026.

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5

Geelani, Muhammad A., Sandeep Singh, Amitabh Verma, Ayalasomayajula Nagesh, Vithal Betigeri, and Madhuri Nigam. "Anticoagulation in Patients with Mechanical Valves during Pregnancy." Asian Cardiovascular and Thoracic Annals 13, no. 1 (March 2005): 30–33. http://dx.doi.org/10.1177/021849230501300107.

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Mechanical valve thrombosis is a life-threatening event, while pregnancy is associated with a hypercoagulable state. Thus, in pregnant women with mechanical valves, adequate anticoagulation becomes even more critical. This prospective study was conducted to establish a uniform anticoagulation regimen for these women. A total of 250 pregnancies in 245 women with mechanical heart valves were evaluated. The patients were divided into 2 groups: group 1 ( n = 150) took oral warfarin throughout pregnancy and group 2 ( n = 100) received subcutaneous heparin in the 1st trimester and oral warfarin for the other trimesters. Both groups received heparin at the time of delivery. There were no coumarin-induced fetal malformations. Minor thromboembolic episodes took place in 5 women in group 1 and 3 in group 2. Valve thrombosis occurred in 1 woman in group 2 and led to 1 maternal death in this series. The incidence of spontaneous abortion was similar between the groups. We conclude that warfarin is safe and convenient to use during pregnancy. The teratogenic effects of warfarin during the 1st trimester are overstated, and switching to heparin is not mandatory.

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Özdemir, Bülent, Murat Biçer, Tunay Şentürk, Feyzullah Beşli, and Dilek Yeşilbursa. "Mechanical Valve Thrombosis in a Pregnant Woman: A Case Report." Heart Surgery Forum 12, no. 5 (September 5, 2008): E305—E307. http://dx.doi.org/10.1532/hsf98.20091032.

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7

Carnero-Alcázar, Manuel, Fernando Reguillo-Lacruz, Lorena Montes-Villalobos, and José Enrique Rodríguez-Hernández. "Mechanical prosthetic mitral valve thrombosis in a first trimester pregnant woman." Interactive CardioVascular and Thoracic Surgery 10, no. 1 (January 1, 2010): 116–18. http://dx.doi.org/10.1510/icvts.2009.220806.

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8

Janeczko, Dominika, Magdalena Hołowczuk, Anna Orzeł, Barbara Klatka, Małgorzata Neścior-Piech, and Michał Dzikowski. "Therapy of a schizoaffective disorder as a risk factor of perinatal complications and fetal developmental disorders." Current Problems of Psychiatry 20, no. 2 (June 1, 2019): 161–64. http://dx.doi.org/10.2478/cpp-2019-0010.

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Abstract Introduction: Schizoaffective disorder is described as a combination of symptoms of schizophrenia and mood disorder components. It is estimated that in 2009 in Poland over 30 thousands women were treated in outpatient care because of schizotypical disorders, also in 2009, over 5,5 thousands Polish women, were hospitalised because of the same reason. Material and method: We searched through whole medical documentation of the patient, which were available at the Department of Psychiatry and Gynaecology. We mainly focused on the last hospitalization of the woman. We found research connected to our subject on Science Direct website. Discussion: A 34-year-old woman was admitted to Department of Psychiatry, patient was 14 weeks pregnant. Family described her behaviour as verbally and physically aggressive and dysphoric which forced her parents to take woman to the hospital. It was her third hospitalization. Pharmacotherapy was insufficient to improve the mental state of the woman. Doctors decided to carry out a series of electroconvulsive treatments (10 procedures). When woman was 36 weeks pregnant, there was a leak of green amniotic fluid and it was necessary to perform a caesarean section. A newborn required mechanical ventilation, had decreased muscle tone and facial dysmorphic features, also defect of the atrial septum was found. Conclusions: Pregnant women with psychiatric disorders should be all considered high risk. It means that they need multidisciplinary care – psychiatrist, gynaecologist, neonatologist or other specialists, in order to stay in a good condition mentally and physically during pregnancy.

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9

Nabi, Faisal, Lakshmi H. Chebrolu, and Mohammed A. Chamsi-Pasha. "A 70-Year-Old Woman with Acute Dyspnea and Mechanical Aortic Valve." Methodist DeBakey Cardiovascular Journal 13, no. 3 (July 1, 2017): 1. http://dx.doi.org/10.14797/mdcvj.755.

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10

Longchamp, Gregoire, Nicola Colucci, Frederic Ris, and Nicolas C. Buchs. "Rectal stump mucocele after a Hartmann’s procedure causing mechanical ileus." BMJ Case Reports 14, no. 1 (January 2021): e237543. http://dx.doi.org/10.1136/bcr-2020-237543.

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Two years after a Hartmann’s procedure, an 85-year-old woman was admitted at our emergency department with abdominal bloating and severe constipation for 5 days. Abdominal CT showed a large rectal stump mucocele associated with compression of surrounding structures, causing a mechanical ileus and a bilateral pyelocaliceal dilatation. Successful transanal drainage with a rectal catheter allowed rapid recovery.

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Longchamp, Gregoire, Nicola Colucci, Frederic Ris, and Nicolas C. Buchs. "Rectal stump mucocele after a Hartmann’s procedure causing mechanical ileus." BMJ Case Reports 14, no. 1 (January 2021): e237543. http://dx.doi.org/10.1136/bcr-2020-237543.

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Two years after a Hartmann’s procedure, an 85-year-old woman was admitted at our emergency department with abdominal bloating and severe constipation for 5 days. Abdominal CT showed a large rectal stump mucocele associated with compression of surrounding structures, causing a mechanical ileus and a bilateral pyelocaliceal dilatation. Successful transanal drainage with a rectal catheter allowed rapid recovery.

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Fox, Nathan S., and Stephanie Melka. "COVID-19 in Pregnant Women: Case Series from One Large New York City Obstetrical Practice." American Journal of Perinatology 37, no. 10 (May 21, 2020): 1002–4. http://dx.doi.org/10.1055/s-0040-1712529.

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Objective This study aimed to report a case series of pregnant women in New York City with confirmed or presumed coronavirus disease (COVID-19) infection. Study Design Beginning March 22, 2020, all pregnant women from one large obstetrical practice in New York City were contacted regularly to inquire about symptoms of COVID-19 (fever, cough, shortness of breath, malaise, anosmia), or sick contacts. A running log was kept of these patients, as well as all patients who underwent COVID-19 testing. For this report, we included every patient with suspected COVID-19 infection, which was defined as at least two symptoms, or a positive COVID-19 nasopharyngeal polymerase chain reaction test. Results From March 22, 2020 until April 30, 2020, 757 pregnant women in our practice were evaluated and 92 had known or suspected COVID-19 (12.2%, 95% confidence interval [CI]: 10.0–14.7%). Of these 92 women, 33 (36%) had positive COVID-19 test results. Only one woman required hospital admission for 5 days due to COVID-19 (1.1%, 95% CI: 0.2–5.9%). One other woman received home oxygen. No women required mechanical ventilation and there were no maternal deaths. One woman had an unexplained fetal demise at 14 weeks' gestation around the time of her COVID-19 symptoms. Twenty one of the 92 women have delivered, and all were uncomplicated. Conclusions Among 92 women with confirmed or presumed COVID-19, the overall morbidity was low. These preliminary results are encouraging for pregnant women during the COVID-19 pandemic. Key Points

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Thomas, Mary C., Josser E. Delgado Almandoz, Adam J. Todd, Mark L. Young, Jennifer L. Fease, Jill Marie Scholz, Anna M. Milner, Maximilian Mulder, and Yasha Kayan. "Republished: A case of right middle cerebral artery ‘tendonectomy’ following mitral valve replacement surgery." Journal of NeuroInterventional Surgery 9, no. 9 (February 24, 2017): e35-e35. http://dx.doi.org/10.1136/neurintsurg-2016-012951.rep.

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Following mechanical mitral valve replacement surgery, a 69-year-old woman had an ischemic stroke in the right middle cerebral artery territory. Mechanical thrombectomy showed the embolus to be a piece of chordae tendineae excised during the valve replacement surgery.

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14

Kuwahata, Tomoki, Ichiro Iwamoto, Toshinori Fujino, and Tsutomu Douchi. "Mechanical ileus in a pregnant woman at term pregnancy accompanied by labor pains." Journal of Obstetrics and Gynaecology Research 33, no. 4 (August 2007): 549–51. http://dx.doi.org/10.1111/j.1447-0756.2007.00561.x.

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15

Ellison, J., A. J. Thomson, I. D. Walker, and I. A. Greer. "Use of enoxaparin in a pregnant woman with a mechanical heart valve prosthesis." British Journal of Obstetrics and Gynaecology 108, no. 7 (July 2001): 757–59. http://dx.doi.org/10.1016/s0306-5456(00)00187-x.

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Bockeria, Leo A., Olga L. Bockeria, Natalya N. Soboleva, and Anna S. Mordvinova. "eComment: Re: Mechanical prosthetic mitral valve thrombosis in a first trimester pregnant woman." Interactive CardioVascular and Thoracic Surgery 10, no. 1 (January 1, 2010): 119. http://dx.doi.org/10.1510/icvts.2009.220806c.

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Ellison, J., A. J. Thomson, I. D. Walker, and I. A. Greer. "Use of enoxaparin in a pregnant woman with a mechanical heart valve prosthesis." BJOG: An International Journal of Obstetrics and Gynaecology 108, no. 7 (July 2001): 757–59. http://dx.doi.org/10.1111/j.1471-0528.2001.00187.x.

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18

Nejim, Instructor Alia Khleif. "Feminism in Sophie Treadwell's Machinal." ALUSTATH JOURNAL FOR HUMAN AND SOCIAL SCIENCES 215, no. 1 (December 1, 2015): 1–12. http://dx.doi.org/10.36473/ujhss.v0i215.601.

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Sophie Treadwell's play Machinal, which was performed on September 7, 1929 , can be examined and interpreted within the framework of feminism. Generally speaking, feminism, as a theory, looks for the freedom and the independence of women in society. Besides, it calls for the elimination of differences between man and woman who are involved in social activities. In the play, Sophie Treadwell presented the dilemma of the Young Woman who lives in a society which is witnessing rapid scientific and industrial developments but these developments come at the expense of woman's freedom and her need to achieve her goals and to be treated as an equal partner in society rather than an inferior being in a society which is dominated by males. The mechanical society in which the Young Woman lives imposes its demands on her, therefore, she lives in a conflict between her personal freedom and the necessity to conform to the rules which are set by society. The young Woman submits to society which forces her first to work and to take care of her mother, then, to marry a rich man so that she and her mother will live a comfortable life. This marriage obliterates her personality and ambitions. After she marries her boss, the Young Woman feels that she is unable to adjust herself to her new marital life. First, because she does not have knowledge about marriage and sex , and second because her husband is a domineering and insensitive person who denies her the right to be a lone for sometime in order to be ready for her first night. This can be interpreted within a feminist context as a condemnation of males' domination over women and as a criticism of the marriage institution in which women have no rights to establish themselves as separate and independent beings. Sophie Treadwell examines and probes the character of the Young Woman depicting her confused understanding about her place in a society ruled by men and by materialistic values. This confusion leads the Young Woman to depression which is reflected in her rejection of her role as a dutiful wife and a mother. After giving birth to her baby, the Young Woman refuses to feed her baby because she is unable to accept her new role as a mother . Moreover, the Young Woman looks for passion which she finds in an adulterated relationship with a Young Man. After being emotionally involved in this relationship for a period of time, the Young Woman decides to kill her husband , an action which is interpreted by feminist critics as a way to escape from the confines of society and from a domineering husband whom she considered as her chief antagonist because he embodies her acquiescence to the ruling forces of social values and expectations. The play can be considered as a call for women's freedom and a change of the traditional and socially limited view about women. The success of the play can be attributed to the playwright's feminist attitudes which led her to write this play about a woman who looks for freedom and independence in a time of shifting attitudes towards the role of women in society.

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Soni, Tanu, and Priyadarshini Tiwari. "Predictors of maternal outcome in women on mechanical ventilation in an obstetric intensive care unit: an observational study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 2 (January 25, 2019): 721. http://dx.doi.org/10.18203/2320-1770.ijrcog20190312.

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Background: Present study was designed to note the indications for and the complications and outcome of women on mechanical ventilation in our obstetric intensive care unit, and in addition to look for the applicability and correlation of Sequential Organ Failure Assessment (SOFA) scores for the prediction of outcome in these women.Methods: A prospective observational study was conducted in the obstetric intensive care unit of our teaching hospital which included all women requiring mechanical ventilation in the study period. The diagnosis of the woman on admission, the clinical course and outcome along with total maximum sequential organ failure assessment (SOFA) score and SOFA score for each system were noted. Women were divided into two groups, survivors and non-survivors. Student t test and chi square test were used for analysis.Results: The foremost indication for mechanical ventilation was hypertension in pregnancy namely eclampsia and pre-eclampsia, followed by obstetric hemorrhage and then by hepatic failure. Maternal mortality rose significantly as the number of days of mechanical ventilation increased (p value <0.05). The total SOFA score correlated highly significantly with the outcome (p<0.0001).Conclusions: In women with eclampsia and pre-eclampsia suffering from respiratory failure, survival is inversely correlated with the number of days of mechanical ventilation. The total SOFA score is highly predictive of the woman’s outcome and all individual organ system scores also significantly correlate with outcome except for the score of coagulation system.

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Miller, Margaret, and Amanpreet Kaur. "General Management Principles of the Pregnant Woman." Seminars in Respiratory and Critical Care Medicine 38, no. 02 (April 2017): 123–34. http://dx.doi.org/10.1055/s-0037-1602167.

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AbstractPregnancy is a dynamic process that consists of profound physiological changes mediated by hormonal, mechanical, and circulatory pathways. Understanding of changes in physiology is essential for distinguishing abnormal and normal signs and symptoms in a pregnant patient. These physiological changes also have important pharmacotherapeutic considerations for a pregnant patient. Although there are limited data to guide decisions regarding medications and diagnostic procedures in pregnancy, a careful review of risks should be balanced with review of risk of withholding a medication or procedure. Interventional pulmonary procedures can be safely performed in pregnant women while keeping in mind the maternal anatomic and physiologic changes. Furthermore, management of a maternal cardiopulmonary arrest requires important modifications in patient positioning and intravenous access to ensure adequate efficacy of chest compressions, circulation, and airway management. This review will provide an overview of maternal physiologic changes with a focus on cardiopulmonary physiology, pharmacotherapeutic considerations, diagnostic and interventional pulmonary procedures during pregnancy, and cardiopulmonary resuscitation in pregnancy.

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Valls Carbó, Adrián, María Gutiérrez Sánchez de la Fuente, Carlos Pérez García, and Maria Natividad Gómez Ruiz. "Orbital infarction syndrome after mechanical thrombectomy in acute ischaemic stroke." BMJ Case Reports 13, no. 5 (May 2020): e234158. http://dx.doi.org/10.1136/bcr-2019-234158.

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Orbital infarction syndrome (OIS) encompasses the ischaemic infarction of all intraorbital and intraocular structures (optic nerve, extraocular muscles and orbital fat) which leads to a painful loss of visual acuity, ophthalmoparesis, chemosis, proptosis and ptosis. The rich anastomotic orbital vascularisation from internal carotid artery (ICA) and external carotid artery makes this disorder a rare cause of visual loss in stroke patients. We describe a case of a woman who suffered an acute occlusion of her right ICA and developed an OIS after mechanical thrombectomy.

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Boulemden, Anas, Gemma L. Malin, Suzanne V. F. Wallace, Amr Mahmoud, William H. T. Smith, and Adam A. Szafranek. "Mechanical Mitral Valve Replacement during the 2nd Trimester of Pregnancy." Texas Heart Institute Journal 45, no. 1 (February 1, 2018): 31–34. http://dx.doi.org/10.14503/thij-16-6144.

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We report the case of a 44-year-old pregnant woman who was diagnosed with symptomatic severe mitral stenosis that did not respond to optimal medical therapy and balloon valvuloplasty. After a multidisciplinary team discussion on the timing and risks of interventions and postoperative optimization of peripartum anticoagulation, the patient underwent mechanical mitral valve replacement during the 2nd trimester of pregnancy. The outcome was excellent for the mother and the infant. This case emphasizes the importance of a multidisciplinary approach in managing unusual cases.

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23

Attisani, Matteo, Augusto Pellegrini, Paolo Sorrentino, and Mauro Rinaldi. "Enlargement of Mitral Valve Ring in a Young Woman with Severe Prosthesis-Patient Mismatch." Heart Surgery Forum 17, no. 2 (May 7, 2014): 61. http://dx.doi.org/10.1532/hsf98.2013261.

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Mechanical prosthesis is the first choice for valve replacement at the mitral position in children. Replacement of the original prosthesis because of prosthesis-patient mismatch (PPM) is almost inevitable when prostheses are implanted in small children. The impact of PPM on long-term mortality becomes significant when the effective orifice area (EOA) is severely reduced. In these cases prosthesis replacement can be technically difficult, and it often requires extended enlargement of the mitral valve annulus ring. We report a case of a woman who underwent a mitral valve replacement with a 19-mm St. Jude mechanical prosthetic valve at the age of 3 years. At the age of 33 years, the patient underwent a successful minimally invasive mitral annulus ring enlargement and implantation of a 23-mm St. Jude mechanical prosthetic valve via a right minithoracotomy.

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&NA;. "A Woman Who Required Long-Term Mechanical Ventilation to Treat Limbic Encephalitis during Pregnancy." Obstetric Anesthesia Digest 27, no. 4 (December 2007): 215. http://dx.doi.org/10.1097/01.aoa.0000302328.06152.30.

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Nishiyama, K., M. Komori, M. Narushima, H. Yoshizawa, M. Kawamata, and M. Ozaki. "A woman who required long-term mechanical ventilation to treat limbic encephalitis during pregnancy." Acta Anaesthesiologica Scandinavica 51, no. 2 (February 2007): 252–54. http://dx.doi.org/10.1111/j.1399-6576.2006.01178.x.

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26

Lin, Hao, Chih-Che Lin, and Wan-Ting Huang. "Idiopathic Superior Mesenteric Vein Thrombosis Resulting in Small Bowel Ischemia in a Pregnant Woman." Case Reports in Obstetrics and Gynecology 2011 (2011): 1–3. http://dx.doi.org/10.1155/2011/687250.

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Background. Small bowel ischemia due to superior mesenteric vein thrombosis (MVT) is rare during pregnancy. However, additional precipitating factors should usually be identified.Case. A 31-year-old woman, pregnant at 34 weeks, was sent to the emergency department because of acute peritonitis. An emergency exploration revealed a segmental gangrene of the small intestine without any mechanical obstruction. Together with the termination of pregnancy, resection of the damaged small bowel was performed, and an end-to-end enterostomy was followed. Based on the operative and pathological findings, small bowel ischemia might be attributed to superior mesenteric vein thrombosis.Conclusion. Hypercoagulation state normally found in pregnant women is believed to lead to this catastrophic condition without other precipitating factors.

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Vakilian, Farveh, Mahmoud M. Shabestari, Hoorak Poorzand, Mohammad Abbasi Teshnizi, Abolghasem Allahyari, and Bahram Memar. "Primary Pulmonary Valve Leiomyosarcoma in a 35-Year-Old Woman." Texas Heart Institute Journal 43, no. 1 (February 1, 2016): 84–87. http://dx.doi.org/10.14503/thij-14-4748.

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Primary cardiac leiomyosarcomas are rare, with a high incidence of local recurrence. Herein, we report the case of a 35-year-old woman who was admitted with right ventricular failure and suspected pulmonary embolism. Upon echocardiography, we detected a mass in the pulmonary trunk that involved the pulmonary valve and led to valvular stenosis. The optimal protocol for treating these tumors is as yet unclear. Complete resection can rarely be achieved. However, palliative surgery is usually undertaken because many patients present with mechanical obstruction, such as significant pulmonary stenosis.

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Plancke, Carine. "Engendering liminality: The experience of re-enchantment in wild woman workshops." Social Compass 66, no. 3 (May 23, 2019): 418–34. http://dx.doi.org/10.1177/0037768619843817.

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According to Paul Heelas, new spiritualities radicalize the expressivist strand in modernity and, hence, not only affirm modern values but also react against them. In particular, they challenge the ‘bounded self’ as foundational for the modern being and progress. Charles Taylor, in discussing the emergence in modern times of ‘the buffered self’, points to three important changes: disenchantment, the loss of the complementary play between structure and anti-structure, and the replacement of the idea of cosmos with that of a neutral, mechanical universe. This article, through a detailed ethnographic study, explores how these changes are temporally counteracted in spiritual women workshops in North-West Europe focused on the trope of the ‘wild woman’. Moreover, it shows that these retreats bring into being ritual spaces of liminality, which have the potential to engender experiences of re-enchantment and/or give a new sense of interpersonal and cosmic connection.

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Uchida, Wataru, Yoshiyuki Tokuda, Yasuo Takehara, and Akihiko Usui. "Mechanical haemolytic anaemia assessed with four-dimensional flow cardiac magnetic resonance." European Journal of Cardio-Thoracic Surgery 56, no. 4 (February 15, 2019): 813–14. http://dx.doi.org/10.1093/ejcts/ezz031.

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Abstract A 66-year-old woman developed marked haemolytic anaemia 2 years after total aortic arch replacement using a branched Dacron graft. Echocardiography confirmed bicuspid aortic valve stenosis. A four-dimensional flow magnetic resonance imaging revealed a jet flow arising from the aortic valve along with the vortex and turbulent flow inside the kinked prosthetic graft at the ascending aorta. She underwent a reoperation to replace the aortic valve and correct the kinking. The estimated energy loss after intervention was relieved to 2.9 mJ/cardiac cycle from 4.3 mJ/cardiac cycle before intervention. The patient’s anaemia resolved immediately after the reoperation.

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James, Charose, and Celeste Felix. "A 30-year-old pregnant woman with pulmonary edema from a clotted mechanical aortic valve." Journal of Emergency Nursing 24, no. 2 (April 1998): 123–26. http://dx.doi.org/10.1016/s0099-1767(98)90013-7.

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31

Akcay, Adnan Burak, Murat Yuce, Murat Akcay, Nihat Sen, Hatice Ender Soydinc, and Vedat Davutoglu. "Partial Thrombus Resolution With Trofiban in a Pregnant Woman With Mechanical Prosthetic Mitral Valve Thrombosis." Clinical and Applied Thrombosis/Hemostasis 17, no. 5 (August 16, 2010): 476–79. http://dx.doi.org/10.1177/1076029610375422.

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32

Nakamura, Kazuo, Masahiro Ueno, Hiroshi Masuda, and Ryuzo Sakata. "Antiplatelet Therapy for a Pregnant Woman with a Mechanical Aortic Valve: Report of a Case." Surgery Today 31, no. 11 (November 1, 2001): 1002–4. http://dx.doi.org/10.1007/s005950170011.

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33

Marchand, Andrée-Anne, Jean-Alexandre Boucher, and Julie O’Shaughnessy. "Multiple Venous Thromboses Presenting as Mechanical Low Back Pain in an 18-Year-Old Woman." Journal of Chiropractic Medicine 14, no. 2 (June 2015): 83–89. http://dx.doi.org/10.1016/j.jcm.2015.04.002.

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34

Yaseen, Israa Fadhil, and Hasan Ali Farhan. "DOUBLE MECHANICAL HEART VALVES IN PREGNANT WOMAN: REAL WORLD DIRECTED THERAPY DURING COVID-19 ERA." Journal of the American College of Cardiology 77, no. 18 (May 2021): 1881. http://dx.doi.org/10.1016/s0735-1097(21)03237-x.

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Mamedguseyinova, S. S., N. D. Lapochkina, N. S. Matyushkov, V. A. Kokorin, I. G. Gordeev, I. S. Grishina, О. V. Konysheva, and О. V. Averkov. "INDIVIDUAL APPROACH TO MANAGEMENT OF PREGNANCY IN WOMAN WITH PROSTETIC HEART VALVE THROMBOSIS." Cardiovascular Therapy and Prevention 17, no. 2 (April 20, 2018): 63–67. http://dx.doi.org/10.15829/1728-8800-2018-2-63-67.

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In the clinical case, an individual approach is demonstrated to management of mechanical aortic valve thrombosis. The specifics of the case is in 1213 weeks pregnancy of the patient, in aggressive antithrombotic therapy, absence of hemorrhagic complications and complications of the fetus.

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Crozier, Timothy. "General Care of the Pregnant Patient in the Intensive Care Unit." Seminars in Respiratory and Critical Care Medicine 38, no. 02 (April 2017): 208–17. http://dx.doi.org/10.1055/s-0037-1600905.

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AbstractPregnant women represent a small subset of all intensive care unit (ICU) admissions and may require intensive care for “obstetric” or “nonobstetric” reasons. Women may be admitted to the ICU at any stage of pregnancy or in the postpartum period. Pregnancy may be discovered at the time of admission to the ICU. Pregnancy impacts on ICU care in a variety of ways and requires a multidisciplinary approach to management. Pregnancy is associated with considerable physiological changes that affect most organ systems, including an expansion in blood volume, an increase in minute ventilation, and an increased risk of thrombosis. The enlarging uterus may be associated with mechanical complications due to compression and displacement of other structures. The growing fetus places considerable demands upon the mother, being reliant on maternal systems for oxygenation, nutrition and disposal of carbon dioxide, and other waste products. This “second patient” must be considered when managing the pregnant woman. Optimal management of the mother usually constitutes best treatment for the fetus. Maternal shock and physiological disturbance, medications, and ionizing radiation from diagnostic imaging may have harmful effects on the unborn child. Delivery of the fetus for either maternal or fetal indications may be necessary and should be planned for, even if considered unlikely to be required. Care of the postpartum woman has its own challenges, including managing lactation and facilitating mother/infant contact. In this article, the general care aspects of ICU treatment of the pregnant woman will be discussed, including monitoring, physiological target setting, and general supportive care.

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Guenther, Timothy M., Joshua D. Gustafson, Shea M. Pribyl, and Curtis J. Wozniak. "Recurrent Spontaneous Pneumothorax in a 47-Year-Old Woman." Military Medicine 185, no. 9-10 (July 20, 2020): e1833-e1835. http://dx.doi.org/10.1093/milmed/usz468.

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ABSTRACT Pneumothorax is a condition where air exists in the chest cavity, outside the lung. The causes of pneumothorax are numerous and determining the etiology can aid in treatment and prevent recurrence. We describe a 47-year-old female patient with past medical history of endometriosis who presented to the emergency room with recurrent right sided pneumothorax, its onset correlating with onset of menses. She underwent video assisted thorascopic surgery for a suspected catamenial pneumothorax whereby nodular “chocolate” appearing areas were noted on the middle lobe and multiple similar appearing lesions and fenestrations were noted on the diaphragm. A biologic mesh was affixed to the diaphragm after which mechanical and chemical pleurodesis were performed. She tolerated the procedure well and has been symptom free since. Herein, we review the pathophysiology, diagnosis, and treatment strategies for catamenial pneumothorax in the hopes of increasing awareness and understanding of this rare cause of spontaneous pneumothorax.

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Agbontaen, Kaladerhan Osemwengie, Khevan Somasundram, and Matthew Baker. "Critical COVID-19 in a 24-week pregnant woman with 32 days of invasive mechanical ventilation before delivery of fetus: a case of successful collaborative multidisciplinary care." BMJ Case Reports 14, no. 9 (September 2021): e243516. http://dx.doi.org/10.1136/bcr-2021-243516.

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We describe the successful treatment of a 24-week pregnant, 44-year-old woman with COVID-19. Management of this complex case required multidisciplinary collaboration and included prolonged invasive mechanical ventilation and prone positioning. Caesarean section delivery was delayed for 32 days, with no monitored fetal compromise, while stabilising the mother. To our knowledge, this is the longest reported duration of invasive ventilation while pregnant in a patient with COVID-19. COVID-19 has been shown to cause increased disease severity in pregnant women, and certain pregnancy-related physiological adaptations that occur could help explain this association. While COVID-19 has been shown to cause no increased adverse neonatal outcomes, clinicians should be aware that data show increased preterm birth in symptomatic pregnant women, thereby increasing the chance of prematurity-related complications. Further research on COVID-19 in pregnancy is crucial to facilitate better management, and full inclusion of pregnant women in therapeutic clinical trials will help achieve this.

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Sawyer, Ashlee N., Melissa A. Kwitowski, and Eric G. Benotsch. "Are You Covered? Associations Between Patient Protection and Affordable Care Act Knowledge and Preventive Reproductive Service Use." American Journal of Health Promotion 32, no. 4 (November 9, 2017): 906–15. http://dx.doi.org/10.1177/0890117117736091.

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Purpose: Sexual and reproductive health conditions (eg, infections, cancers) represent public health concerns for American women. The present study examined how knowledge of the Patient Protection and Affordable Care Act (PPACA) relates to receipt of preventive reproductive health services among women. Design: Cross-sectional online survey. Setting: Online questionnaires were completed via Amazon Mechanical Turk, a crowdsourcing website where individuals complete web-based tasks for compensation. Participants: Cisgendered women aged 18 to 44 years (N = 1083) from across the United States. Measures: Participants completed online questionnaires assessing demographics, insurance status, preventive service use, and knowledge of PPACA provisions. Analysis: Chi-squares showed that receipt of well-woman, pelvic, and breast examinations, as well as pap smears, was related to insurance coverage, with those not having coverage at all during the previous year having significantly lower rates of use. Hierarchical logistic regressions determined the independent relationship between PPACA knowledge and use of health services after controlling for demographic factors and insurance status. Results: Knowledge of PPACA provisions was associated with receiving well-woman, pelvic, and breast examinations, human papillomavirus vaccination, and sexually transmitted infections testing, after controlling for these factors. Results indicate that expanding knowledge about health-care legislation may be beneficial in increasing preventive reproductive health service use among women. Conclusion: Current findings provide support for increasing resources for outreach and education of the general population about the provisions and benefits of health-care legislation, as well as personal health coverage plans.

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Chiu, Chia-Yu, Michael David, Aya Musa, Mohmed Gora, and Manmeet Kaur Gujral. "A Woman with Asthma and Peripheral Ground-Glass Opacities." Case Reports in Pulmonology 2019 (February 12, 2019): 1–5. http://dx.doi.org/10.1155/2019/9051381.

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Eosinophilic lung disease is a heterogeneous group of disorders that reveal eosinophil involved lung tissue often in patients with asthma or atopy. Classification and diagnostic criteria of eosinophilic lung disease are not well-established; however, peripheral ground-glass opacity is typical on chest computed tomography. Another etiology of this same radiographic finding reported in the literature is silicone embolism syndrome. Here, we present a 43-year-old female with poorly controlled severe persistent asthma presenting with difficulty breathing. Computed tomography showed peripherally dominant ground-glass opacity. Peripheral blood, bronchoalveolar lavage fluid analysis, and transbronchial biopsy did not find eosinophilia. Serial bronchoalveolar lavage of the demonstrated increasingly blood-tinged fluid. The patient required mechanical ventilation upon admission. After further questioning the patient revealed that she had frequently received injectable cosmetics at non-licensed establishments. Initially, due to past medical history, presentation, and radiographic findings, eosinophilic pneumonia was suspected. However, after a review of the patient’s social history and risk factors, silicone embolisms syndrome became a likely diagnosis. The patient had good clinical response to high dose steroid therapy.

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Perdigao, Joana Lopes, Dana McQueen, Kenneth Nunes, and Laura DiGiovanni. "Postpartum hemorrhage in the setting of a mechanical heart valve." Case Reports in Perinatal Medicine 5, no. 2 (September 1, 2016): 93–96. http://dx.doi.org/10.1515/crpm-2015-0102.

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Abstract Background: Therapeutic anticoagulation is required for all patients with prosthetic mitral valves. Anticoagulation with warfarin is recommended; however, warfarin is teratogenic in early pregnancy and therefore alternate anticoagulation regimens are suggested for pregnant patients. Case: A 28-year-old gravida 2, para 1 woman at 36 weeks’ gestation with a prosthetic mitral valve and a history of a corrected anomalous origin of the left coronary artery arising from the left pulmonary artery presented in labor. She underwent a spontaneous vaginal delivery complicated by a postpartum hemorrhage necessitating a hysterectomy. Conclusion: Management of mechanical valves in pregnancy is controversial. The provider must weigh the risks of life threatening valve thrombosis and malfunction against the risk of significant hemorrhage. This case report reviews peripartum anticoagulation protocols and management of massive hemorrhage in patients with prosthetic mechanical valves.

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Tsolaki, Vasiliki, Demosthenes Makris, Stamatia Zoumpounelli, Dimitra Mpagka, Konstantinos Mantzarlis, Konstantina Deskata, and Epaminondas Zakynthinos. "A Middle-Aged Woman With Viral ARDS and Acute Establishment of Shock on Invasive Mechanical Ventilation." Chest 159, no. 6 (June 2021): e441-e445. http://dx.doi.org/10.1016/j.chest.2020.07.103.

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CUSTODIO LÓPEZ, Jesús Jacinto, Milvio RAMIREZ LÓPEZ, and Rafael GUERRERO VARGAS. "Hemólisis aguda post implante de Paraguas de Rashklind en Ductus Arterioso Persistente. Tratamiento Quirúrgico." Revista Medica Herediana 9, no. 3 (June 10, 2013): 123. http://dx.doi.org/10.20453/rmh.v9i3.583.

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We report a case of an acute mechanical haemolisis in a woman of 50 years old that ocurred after a percutaneous closure of a patent ductus arteriosus by a Rashkind double umbrella prosthesis.Surgical removal of the device using Cardiopulmonary bypass and ligation of the duct were required before haemolisis was abolished.

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Kaur, Rajpal. "Emergence of New Woman in Shashi Deshpande’s That Long Silence." SMART MOVES JOURNAL IJELLH 4, no. 4 (September 22, 2017): 6. http://dx.doi.org/10.24113/ijellh.v4i4.1328.

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Shashi Deshpande is an outstanding novelist of Indian origin, writing about the women’s plight in a traditional society. The present paper aims to study the transformation of the protagonist Jaya, who has been playing the roles of mother and wife perfectly, feels estranged and lonely. Her married life becomes uninteresting and mechanical. Towards the end of the novel, she recovers her lost identity and tries to get rid of the silence prevalent between her and her husband. Gradually, she emerges as a “New Woman”, who is career minded, independent, confident and seeking equal rights for her. She becomes responsible and takes her life in her own control and does not like to be advised by others. The novelist has presented a woman not complying according to the wishes of her husband and who transforms herself; rather than following blindly the instructions of her husband, she achieves a sense of responsibility and decides to act accordingly.

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Patnaik, Amar. "Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases." Indian Journal of Cardiovascular Disease in Women WINCARS 03, no. 02/03 (August 2018): 108–14. http://dx.doi.org/10.1055/s-0038-1676549.

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AbstractIt is estimated that about 3% pregnancies can have cardiac disease. There is wide variation in the spectrum of heart diseases. Pregnant women in India and other developing countries continue to show high prevalence of rheumatic heart disease (RHD). Pre-conception counseling based on a good echocardiographic evaluation is the most cost-effective method to prevent morbidity and mortality due to valvular heart disease. With advances in medical science, many with valvular heart disease are living to adulthood and undergoing successful pregnancy. Symptoms of a pregnant woman with a valvular disease depend on the altered hemodynamics of the specific valvular lesion in combination with the physiologic changes inherent to the pregnancy itself. A good echocardiographic evaluation of all pregnant women on their first visit to an obstetrician’s office is an effective strategy to prevent morbidity and mortality from valvular heart diseases. In general, the regurgitant lesions are well tolerated during pregnancy and labor. Asymptomatic but significant valve lesions can be decompensated by many factors. Severely stenosed mitral and, sometimes, aortic valve may have to be balloon-dilated by trained experts in midterm taking due care to avoid excess radiation. Valve surgery is rarely performed in absence of any other safer option. A multidisciplinary team approach is required to manage a pregnant woman with significant cardiac lesion with high-risk features and patients having mechanical valves that require continuous anticoagulation.

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Baldwin, Andrew C. W., William E. Cohn, Jeffrey A. Morgan, and O. H. Frazier. "Long-Term Continuous-Flow Biventricular Support in a 63-Year-Old Woman." Texas Heart Institute Journal 45, no. 2 (April 1, 2018): 110–12. http://dx.doi.org/10.14503/thij-17-6348.

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We describe the successful use of long-term biventricular continuous-flow mechanical circulatory support as a bridge to transplantation in a small-framed 63-year-old woman with long-standing nonischemic cardiomyopathy. After placement of a left-sided HeartWare HVAD, persistent right-sided heart failure necessitated implantation of a second HeartWare device for long-term right ventricular support. After 262 days, the patient underwent successful orthotopic heart transplantation and was discharged from the hospital. This report indicates the feasibility of biventricular device support in older patients of relatively small stature, and our results may encourage others to consider this therapy in similar patient populations.

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Roddy, John T., William S. Collier, and Jonathan S. Kurman. "Prone positioning for severe ARDS in a postpartum COVID-19 patient following caesarean section." BMJ Case Reports 14, no. 3 (March 2021): e240385. http://dx.doi.org/10.1136/bcr-2020-240385.

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A 31-year-old pregnant woman presented with symptomatic COVID-19, which was complicated by progressive hypoxaemia requiring intensive care and emergent delivery by caesarean section. Afterward, she was successfully supported with mechanical ventilation and prone positioning and ultimately recovered. We review literature regarding complications of COVID-19 affecting pregnancy and evidence-based treatment strategies.

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Argirò, Renato, Armando Raso, Sofia Vidali, and Daniele Morosetti. "Endovascular thromboaspiration with neurointerventional devices for early hepatic artery thrombosis after split liver transplant." BMJ Case Reports 14, no. 5 (May 2021): e240583. http://dx.doi.org/10.1136/bcr-2020-240583.

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We report the case of a 38-year-old woman who underwent orthotopic ‘split’ liver transplant, complicated by hepatic artery thrombosis on the first postoperative day. The patient was successfully treated with an endovascular approach by mechanical thromboaspiration of the hepatic artery, using neurovascular devices, angioplasty and stenting at the site of the surgical anastomosis.

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Benn, Francis, Ashwad Afzal, Berhane Worku, Felix Khusid, Bashar H. Fahoum, and Iosif Gulkarov. "Use of High-Frequency Percussive Ventilation to Expand Organ Donor Pool." Journal of Intensive Care Medicine 33, no. 4 (May 19, 2017): 267–69. http://dx.doi.org/10.1177/0885066617709969.

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A 34-year-old woman was brought in to the emergency department after a motor vehicle accident. She had signs of traumatic head injury with Glasgow Coma Scale score of 3, and her neurological examination was consistent with brain death. She was persistently hypoxic on conventional mechanical ventilation and high-frequency percussive ventilation was initiated. The patient’s oxygenation improved and was sustained long enough to provide time for organ procurement. This is the first case portraying high-frequency percussive ventilation as a bridge for donors failing on conventional mechanical ventilation.

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Preveden, Andrej, Golub Samardzija, Stamenko Susak, Aleksandra Ilic, and Aleksandar Redzek. "Pregnant woman survives aortic dissection, dies later of coronary embolism - a unique case of a non-compliant patient." Srpski arhiv za celokupno lekarstvo 147, no. 3-4 (2019): 205–10. http://dx.doi.org/10.2298/sarh180521007p.

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Introduction. The incidence of aortic dissection ranges 3?5 cases per 100,000 person-years. In women under the age of 40 who acquire aortic dissection, almost half of the cases happen during pregnancy. Case outline. We report a case of a 22-year-old pregnant woman in the 16th gestational week with a history of arterial hypertension and known aortic dilatation, who was admitted with aortic dissection. She underwent the Bentall procedure, in which her aortic valve, ascending aorta, and proximal part of the aortic arch were replaced using valved composite graft. On the next day, the evacuation abortion was made, since the fetus didn?t survive the operation. Six years later, the patient stopped taking anticoagulation therapy and was admitted for prosthetic valve thrombosis, which was successfully treated with intravenous heparin. One year later, the patient died of a myocardial infarction due to coronary thromboembolism, confirmed on autopsy. Conclusion. Preconceptional counseling in women with a known aortic disease is of the utmost importance. Aortic dissection in pregnant women is an acute life-threatening condition for both mother and fetus that should be managed by a multidisciplinary team. After a mechanical heart valve implantation, lifetime oral anticoagulants are mandatory.

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