Successful pregnancy and follow-up after in vitro fertilization of a kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and hypothyroidism.

This report describes the case of a female kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and postsurgical hypothyroidism due to Grave's disease who had a healthy newborn after in vitro fertilization (IVF). Cases of successful pregnancy involving women who underwent IVF after kidney transplantation have been reported. Normal and stable renal function, adequate immunosuppressant therapy, and well-managed blood pressure are requirements to be eligible for IVF and pregnancy. Primary biliary cholangitis without cirrhosis does not seem to worsen during pregnancy and IVF must be individualized in patients with systemic lupus erythematosus. There are no similar case reports involving kidney transplant patients or individuals with autoimmune disorders, so the decision to perform IVF had to be individualized in order to avoid complications for the mother and fetus.

Ludoevaluación de la emoción del miedo en educación infantil / Ludo-evaluation of the emotion of fear and personal self-esteem in early childhood education / Ludo-avaliação da emoção do medo na educação infantil

Resumen (analítico) La educación emocional es un objetivo que debemos incorporar en el proceso formativo de la primera infancia, trabajando desde la familia y la escuela. La presente investigación relaciona la promoción de la educación emocional con la emoción del miedo en los niños y niñas, promoviendo un mayor autoconocimiento personal y aceptación de la frustración ante situaciones adversas que puedan darse en su vida. Se llevó a través de un estudio de caso en tercer grado de educación infantil en un centro público de Toledo (España). En este participaron 24 niños y niñas, el profesorado que los atiende y sus familiares, consiguiendo, a través del desarrollo de actividades evidenciados a través de procesos de ludoevaluación, resultados positivos en lo concerniente a la participación, reconocimiento emocional y comunicación asertiva.

Abstract (analytical) Emotional education is an objective that needs to be incorporated in the formative process of early childhood, working in both families and schools. This research focuses on the promotion of emotio-nal education with the emotion of fear in boys and girls; promoting greater personal self-knowledge and acceptance of frustration in the face of adverse situations that may occur in their lives. The re-search was conducted as a case study in the third year of Preschool Education in a public school in Toledo (Spain). A total of 24 boys and girls participated along with the teachers who work with them and their families. Through the development of activities evidenced by ludo-evaluation processes, the study achieved positive results regarding participation, emotional recognition and assertive communication.

Resumo (analítico) A educação emocional é uma disciplina que devemos incorporar no processo educativo da primeira infância, trabalhando juntamente com a família e a escola. A presente investigação debruça-se sobre a promoção da educação da emoção do medo em crianças; com o intuito de promover um maior autoconhecimento e tolerância à frustração perante situações adversas que podem ocorrer na vida. A metodologia usada passou por um estudo de caso em Educação Infantil num centro público de Toledo (Espanha). Participaram no estudo 24 meninos e meninas, os seus professores e as suas famílias, e, por meio do desenvolvimento de atividades suportadas por processos de ludo-avaliação, foram alcançados resultados positivos em relação à participação, reconhecimento emocional e comunicação assertiva.

Metástasis cerebral de mixoma cardíaco. reporte de un caso y revisión literaria / Cerebral metastasis of myxoma. case report and literary review

Introducción: el mixoma, es el tumor cardiaco benigno más frecuente, su resección quirúrgica suele ser curativa. En la literatura se han relatado casos de recidiva tumoral y pocos casos de metástasis. Reportamos un caso de metástasis cerebral múltiple de mixoma cardiaco como debut clínico de este tumor. Descripción del caso: presentamos el caso de una mujer de 42 años, que debuta con un cuadro de amaurosis fugax. En las pruebas de imágenes craneales se observó la presencia de múltiples lesiones cerebrales. Se amplió el estudio observándose la presencia de una masa a nivel auricular izquierda. La paciente fue intervenida de la masa cardiaca obteniéndose el resultado de mixoma. Posteriormente se realizó la extirpación de una las lesiones a nivel craneal, para obtener el diagnóstico. El resultado tras la exéresis quirúrgica es de metástasis cerebral de mixoma cardiaco. Discusión: se discute en este artículo, las distintas formas de presentación del mixoma cardiaco a nivel cerebral, así como el manejo terapéutico. Conclusión: el debut clínico de unas metástasis cardiacas con clínica neurológica, es una forma muy inusual de presentación en esta patología, dado que la presencia de una metástasis cerebral de mixoma cardiaco es muy poco frecuente, de ahí el interés que presenta este caso clínico.

Introduction: the myxoma is the most common benign cardiac tumor, surgical resection is usually curative. In the literature have reported cases of tumor recurrence and metastasis few cases. We report a case of multiple brain metastases of cardiac myxoma as clinical onset of this tumor.Development: we report the case of a woman of 42, who debuted with a picture of amaurosis fugax. In cranial imaging tests showed the presence of multiple brain lesions. Expanded study observed the presence of a left atrial mass level. The patient was operated on cardiac mass to give the result of myxoma. Later the removal of a cranial lesions level to obtain the diagnosis. The outcome following surgical resection of brain metastases is of cardiac myxoma.Discussion: We discuss in this article, the various forms of presentation of cardiac myxoma in the brain, and therapeutic management. Conclusion: the clinical onset of a cardiac metastases with neurological symptoms, is a very unusual form of presentation in this disease, since the presence of a brain metastasis of cardiac myxoma is rare, hence the interest of this case report.