Gestação cervical é uma condição rara, em que ocorre implantação do ovo no canal cervical distendendo-o à medida que cresce. Corresponde a menos de 1% de todas as gestações ectópicas. A hemorragia indolor é sua característica clínica habitual e ao exame físico visualiza-se um colo hipertrófico e vascularizado, com tecido saindo pelo orifício externo do colo. Ultra-sonografia pode ser usada para complementar o diagnóstico, mostrando a presença do saco gestacional. Relatamos um caso de tratamento bem sucedido de gestação cervical viável de sete semanas. Morte fetal foi conseguida com uma injeção intra-amniótica única de metotrexato (25 mg) guiada por ultra-sonografia transvaginal. Metotrexato sistêmico em dose única intramuscular (50 mg/m²) foi associado. O tratamento conservador da gestação cervical com metotrexato foi efetivo e seguro.

Cervical pregnancy is a rare condition in which the egg is implanted in the cervical canal causing it to distend as the egg grows. Cervical pregnancy constitutes less than 1% of all ectopic pregnancies. Painless hemorrhage is a habitual clinical characteristic and on physical examination a very vascularized hypertrophic cervix is observed with a tissue surpassing the external orifice. Ultrasonography may be used as a complementary diagnostic tool to show directly the presence of a gestational sac. A successful management of a viable seven-week gestation cervical pregnancy is reported herein. Feticide was performed with a single intraamniotic methotrexate injection (25 mg) guided by transvaginal ultrasonography. Systemic methotrexate in a single dose intramuscular (50 mg/m²) was associated. The conservative management of cervical ectopic pregnancy with methotrexate was effective and safe.

Personalization is a key factor for differentiating services and retaining customers in World Wide Web sites. On the other hand, designing and implementing an efficient personalization strategy is still a challenge, because of the complexity of the techniques used and the variety of sites and customers, which are always evolving. This paper presents a functional model of personalization strategies that allows not only a simple and concise specification of those strategies, but also their simulation and validation. We demonstrate our model through e-Personal, a framework for estimating the effectiveness of personalization strategies. The framework guides the user through the process of specifying a strategy and estimates its impact based on previous interactions of customers with the site. It is based on our functional model and we illustrate its utilization for designing personalization strategies for a web portal. Our experiments are based on actual logs and show that the proposed framework enhances significantly the personalization process, indicating the goodness of the strategy design, the reliability of input data, and the impact of implementation decisions on the effectiveness of personalized sites.