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Authored by  Caio Teixeira dos Santos*

Venous thromboembolism (VTE), clinically manifested as deep vein thrombosis (DVT) or pulmonary embolism (PE). It is the third most common acute cardiovascular syndrome behind acute myocardial infarction and stroke [1]. It may occur before, during or after cancer diagnosis, with a relatively high incidence in cancer patients, ranging from 15 to 50% [2]. Thrombotic events are reported as the second leading cause of mortality in these patients; the main cause is death due to cancer itself [3]. VTE treatment when associated with cancer is complex, related to the high risk of bleeding and recurrent VTE [2]. The basis of acute VTE management in patients with or without cancer is generally equal. However, an individual management is necessary due to comorbidities, drug interactions and other kinds of approach.

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The application of ethnomathematics and the tools of mathematical modelling allow us to see a different reality and give us insight into mathematics accomplished holistically. Using this perspective, a pedagogical action that connects cultural aspects of mathematics with its academic aspects is referred to as ethnomodelling. This is a process of translation and elaboration of problems and questions taken from systems that are part of any given cultural group. Thus, we would like to broaden the discussion for possibilities for the inclusion of ethnomathematics and mathematical modelling perspectives by using ethnomodelling which, if done correctly, acts against colonialism and respects the social and cultural diversity with guarantees for the development of understanding of our differences through dialogue and respect. Ethnomodelling empowers these members of diverse groups against domination and oppression.

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Dichorionic Twin Pregnancy Discordant for Fetal Anencephaly: A Case Report

Authored by Mohamed Mutasim Mohamed Ahamed

Background: Anencephaly is a lethal diagnosis. In twin pregnancies discordant for anencephaly, there are risks of development of polyhydramnios, severe preterm delivery and death of an encephalic fetus.

Case presentation: A 30-year-old G 111 Para 11 both were vaginal delivery presented at Ian Donald ultrasound department for first time scan at 27-week gestational age. Ultrasound showed a live dichorionic, diamniotic intrauterine twin pregnancy. The Gestational age was 27 weeks and 5 days. A cranium of twin A was described. Polyhydramnios was noted for twin B at 29+5 weeks. After adequate obstetric, genetic counseling and given all the information about the risks involving this pregnancy, the parents opted for conservative management without any intervention.

Conclusion: The early diagnosis of anencephaly before 16 weeks’ gestational age in the twin decrease morbidity and mortality to the unaffected normal twin by providing the option of selective fetal reduction at an optimal gestational age.