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Delivery without pain and Epidural anesthesia

الولادة بدون ألم و التخدير فوق الجافية

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 Publication date 2019
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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Pregnancy and childbirth are two instinctive actions that a woman's reproductive system performs in order to produce a new organism that completes the continuity of life, and childbirth is the outcome of pregnancy for several months, and it is supposed to be as calm and safe as possible for both mother and child, and birth pains differ from mother to mother and even from birth To another, it is very special and depends on several factors, including: the mother's ability to withstand pain, the size and position of the fetus, and the strength of uterine contractions during childbirth. Since ancient history, various ideas and methods have appeared to overcome the pain of childbirth in which there was a lot of sorcery and a little logic, but With the development of science and deepening into the depths of the human psyche, the idea of ​​childbirth without pain began to develop, and it became based on scientific foundations, especially after the rapid development in the field of obstetric anesthesia and the numerous studies in the field of local anesthesia and epidural anesthesia, where this method changed all the parameters of childbirth without pain to become a realistic reality Women touch it daily in maternity homes scattered all over the world while maintaining complete alertness without fear, anxiety or pain, and actively participating in full vigilance and vigilance in the status of their newborn while he is fully active and effective and without little discouragement, and Peridural analgesia is considered one of the best types of analgesia and anesthesia used to accomplish childbirth and cesarean section, and it has received many international studies.

References used
Rowbotham D.J. Principles of pharmacology. // Aitkenhead A.R., Smith G. Textbook of Anaesthesia. 3rd Edition. Churchill Livingstone. – 1996. - P. 107-119.
Dehen H , Dord G , Neuro-pharmacologie clinique 2000
Polley L.S., Columb M.O., Naughton N.N. et al. // Anesthesiology. – 1999. – Vol. 90. – P. 944-950
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Understanding how linguistic structure is encoded in contextualized embedding could help explain their impressive performance across NLP. Existing approaches for probing them usually call for training classifiers and use the accuracy, mutual informat ion, or complexity as a proxy for the representation's goodness. In this work, we argue that doing so can be unreliable because different representations may need different classifiers. We develop a heuristic, DirectProbe, that directly studies the geometry of a representation by building upon the notion of a version space for a task. Experiments with several linguistic tasks and contextualized embeddings show that, even without training classifiers, DirectProbe can shine lights on how an embedding space represents labels and also anticipate the classifier performance for the representation.
Skin-to-skin contact (SSC) between the mother and her infant immediately postdelivery is an important procedure that must be included in the care given to mother and her infant many health benefits. The mother's desire and reaction towards (SSC) is the decisive factor in the success of this procedure, so the current study aimed to investigate the initial reaction of 200 women towards (SSC) immediately after their vaginal delivery were randomly selected from the obstetric hospital and national children in Lattakia, data were collected using a questionnaire developed for this purpose. The study showed that nearly three-quarters of mothers agreed to have contact with their children in (SSC) and nearly three-quarters of approvals preferred to be covered. The highest rate of response to approvals for contact with their children immediately after birth was the expression of joy in child and then hugging and kissing him. While the highest response of non-approvals for contact with their children immediately Post-Delivery refused to touch the child because they were suffering of pain. The study recommended that every mother in the labor room be investigated for carrying her naked child or swaddled with a blanket immediately after birth, not forcing them to immediately postpartum (SSC), the study recommended to continuing education and training sessions to provide all midwives and nurses working in the labor rooms with information and skills (SSC) for all mothers immediately Post- Delivery, and further research on nurse and midwife information on the importance of prompt (SSC) immediately Post-Delivery.
Protection against cardiac ischemia/reperfusion injury is the basic objective in open heart surgery, and it may be achieved by pharmacological preconditioning or Postconditioning. In this study, we aimed to compare the effects of two different anest hetic techniques (inhalation and total intravenous anesthesia) on ischemia-reperfusion injury in Coronary Artery Bypass Graft surgery. 80 CABG patients were randomly assigned into one of tow groups: Group A Sevoflurane (n=40) and Group B total intravenous anesthesia (n=40) with Propofol . data of hemodynamic monitoring and inotrops using were recorded. Arterial blood samples were taken in the preoperative period (T0), 12th hours (T1) ,24th hours (T2) and 48th hours postoperatively, and Troponine I levels were measured . The time of ventilation, ICU and total hospitalization were recorded . Postoperative levels of troponine I were significantly lower in the Sevoflurane group with less using of inotrops and less staying in the ICU post-op . We conclude that the use of a volatile anesthetic regimen in CABG surgery associate with better preservation of myocardial function and a reduced postoperative release of troponine I.
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