15 research outputs found
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TIPIT: A randomised controlled trial of thyroxine in preterm infants under 28 weeks gestation: Magnetic Resonance Imaging and Magnetic Resonance Angiography protocol
<p>Abstract </p> <p>Background</p> <p>Infants born at extreme prematurity are at high risk of developmental disability. A major risk factor for disability is having a low level of thyroid hormone described as hypothyroxinaemia, which is recognised to be a frequent phenomenon in these infants. Derangements of critical thyroid function during the sensitive window in prematurity when early development occurs, may have a range of long term effects for brain development. Further research in preterm infants using neuroimaging techniques will increase our understanding of the specificity of the effects of hypothyroxinaemia on the developing foetal brain. This is an explanatory double blinded randomised controlled trial which is aimed to assess the effect of thyroid hormone supplementation on brain size, key brain structures, extent of myelination, white matter integrity and vessel morphology, somatic growth and the hypothalamic-pituitary-adrenal axis.</p> <p>Methods</p> <p>The study is a multi-centred double blinded randomised controlled trial of thyroid hormone supplementation in babies born below 28 weeks' gestation. All infants will receive either levothyroxine or placebo until 32 weeks corrected gestational age. The primary outcomes will be width of the sub-arachnoid space measured using cranial ultrasound and head circumference at 36 weeks corrected gestational age. The secondary outcomes will be thyroid hormone concentrations, the hypothalamic pituitary axis status and auxological data between birth and expected date of delivery; thyroid gland volume, brain size, volumes of key brain structures, extent of myelination and brain vessel morphology at expected date of delivery and markers of morbidity which include duration of mechanical ventilation and/or oxygen requirement and chronic lung disease.</p> <p><b>Trial registration</b></p> <p>Current Controlled Trials ISRCTN89493983</p
A study on the status of fluoride ion in groundwater of coastal hard rock aquifers of south India
India has an increasing incidence of fluorosis, dental and skeletal, with nearly about 62 million people at risk. High fluoride groundwaters are present especially in the hard rock areas of the country. This paper analyzes the most extensive database on fluoride and other chemical constituent distribution in the coastal hard rock aquifers of Thoothukudi district. A total of 135 samples were collected and analyzed for major cations and anions to assess the geochemical process. The fluoride concentration in drinking waters varied from BDL to 3.2 mg l-1 in the study area. Majority of the samples do not comply with WHO standards for most of the water quality parameters. The saturation index of fluorite saturation index was used to correlate with F- to identify their relationship to increase of fluoride levels. The correlation between the F- concentration and the water type was also attempted. Spatial distribution of fluoride in groundwater was studied to understand the influencing factors. The relationship of F- with HCO- 3, Na+ and pH concentrations were studied and found that HCO- 3, has good correlation with F- than the other parameters