Objectives:Magnesium historically has been used for treatment and/or prevention of eclampsia. Considering the low body mass index of Indian women, a low-dose magnesium sulfate regime has been introduced by some authors. Increased blood levels of magnesium in neonates is associated with increased still birth, early neonatal death, birth asphyxia, bradycardia, hypotonia, gastrointestinal hypomotility. The objective of this study was to assess safety of low-dose magnesium sulfate regimen in neonates of eclamptic mothers treated with this regimen.Materials and Methods:This was a cross-sectional observational study of 100 eclampsia patients and their neonates. Loading dose and maintenance doses of magnesium sulfate were administered to patients by combination of intravenous and intramuscular routes. Maternal serum and cord blood magnesium levels were estimated. Neonatal outcome was assessed.Results:Bradycardia was observed in 18 (19.15%) of the neonates, 16 (17.02%) of the neonates were diagnosed with hypotonia. Pearson Correlation Coefficient showed Apgar scores decreased with increase in cord blood magnesium levels. Unpaired t-test showed lower Apgar scores with increasing dose of magnesium sulfate. The Chi-square/Fisher's exact test showed significant increase in hypotonia, birth asphyxia, intubation in delivery room, Neonatal Intensive Care Unit (NICU) care requirement, with increasing dose of magnesium sulfate. (P ≤ 0.05).Conclusion:Several neonatal complications are significantly related to increasing serum magnesium levels. Overall, the low-dose magnesium sulfate regimen was safe in the management of eclamptic mothers, without toxicity to their neonates.
OBJECTIVES: To analyze the craniofacial morphology in child patients and adolescents by evaluating the skeletal cephalometric profile of the HIV infected patients in this age group and comparing them with the HIV-negative controls. MATERIALS AND METHODS: The present study was a planned case-control study which included 25 HIV-positive adolescent patients aged between 10 and 18 years (the study group) who were compared with 25 age- and sex-matched HIV-negative adolescent controls (the control group). All the patients had been HIV infected via a vertical transmission with positive serology confirmed in two different tests and had been kept on HAART since they were born. The diagnostic aids used for orthodontic documentation included facial photographs, digital orthopantomographs, lateral teleradiographs, and study models. RESULTS: With reference to the methodologies used for taking the cephalometric values, all the methods used were in strong agreement with each other for almost all the variables studied and had high intra-class correlation coefficient values except Co-A, SN.ANSPNS, and SNB which, too, had a good agreement of 60%. Nevertheless, the agreement was positive for these variables, too, since the P values obtained were found to be statistically significant ( P < 0.05). CONCLUSION: Most of the measurements in the HIV-infected adolescents were found to be similar to the ones obtained for the HIV-negative controls, although, the study results highlighted the significance of further studies to be conducted in this regard, especially, the longitudinal study designs wherein the said variables can be studied on a follow-up basis in longitudinal studies to have an idea of the exact changes observed and their pattern in the included groups.
Additive manufacturing technologies are expected to disrupt the majority of the traditional way of manufacturing methods, particularly in the field of medical and healthcare. Bones and teeth are vital organs that are susceptible to various disorders due to environmental, traumatic, genetic factors, and inherent malignant disorders. Most of the implants/prostheses normally used are cast and have a standard size and shape. Additive manufacturing has opened opportunities to replace these hard tissues with customized implants, prostheses, or the whole additive manufactured organ itself while considering anatomical/structural parts and functional aspects of the body. It helps to visualize and mimic internal organs/models, pre-planning via simulation, anatomical demonstration, treatments, and surgical teaching/training to technical staff by medical professionals. The current review covers additive manufacturing applications for the possible treatment of osteosarcoma, bone tumors, traumatic fracture, congenital anomalies, dental diseases, vertebral and cranial abnormalities, etc. from toe to head highlighting printing of long bones, short bones, cartilages, teeth, and more based on the general classification of bones shape i.e. the external shape and size of different bones with some case studies. The article has also touched upon the additive manufacturing competitive edge over the conventional methods in terms of complexity, easiness, cost-effectiveness, reduced time. However, the internal structures have not been addressed so far in additive manufacturing which could be a new corner to enhance the properties of bones and teeth in the future.
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