ABSTRACT
Resumen Las intoxicaciones accidentales siguen siendo un problema importante que genera gran cantidad de casos de autopsia médico legal, sobre todo cuando ocurren en pacientes pediátricos donde se deben descartar otras causas de muerte y que no se trate de un homicidio. La intoxicación con leche magnesia es un diagnóstico poco frecuente por lo que se hace necesario conocer sus características, evolución y las alteraciones metabólicas por las que se produce la muerte. La hipermagnesemia constituye una condición iatrogénica, generalmente secundaria a la administración de fármacos que contienen magnesio, entre ellos laxantes en pacientes con estreñimiento crónico, en muchas ocasiones sin supervisión médica; que puede producir depresión respiratoria, hipotensión, paro cardiorrespiratorio y la muerte. El diagnóstico de intoxicación con leche magnesia es clínico y se correlaciona con la concentración de magnesio detectada en análisis de muestras de sangre. A continuación se presenta un caso de intoxicación por leche magnesia en una paciente en edad pediátrica con antecedente de parálisis cerebral infantil y constipación crónica que desarrolló una hipermagnesemia posterior a la administración de dicho laxante por parte de sus padres.
Abstract Accidental intoxications continue to be an important problem in the Forensic Pathology field, mostly when they occur in pediatric patients where it is necessary to dismiss other causes of death and to rule out homicide. Milk of magnesia intoxication is a rare diagnosis, therefore it is important to know it´s characteristics, evolution and the metabolic disorders that lead to death. Hypermagnesemia is an iatrogenic condition, usually caused by the administration of medications that contain magnesium, such as laxatives in patients with chronic constipation, without medical supervision; that can lead to respiratory distress, hypotension, cardiac arrest and death. The diagnosis of milk of magnesia intoxication is clinical and can be correlated to the levels of magnesium found in blood sample analysis. We present a case of milk of magnesia intoxication in a 6-year-old girl with cerebral palsy and chronic constipation that was given laxatives by her parents and developed a fatal hypermagnesemia.
Subject(s)
Humans , Female , Child , Water-Electrolyte Imbalance , Magnesium Oxide/adverse effects , Autopsy , Costa RicaABSTRACT
The supratrochlear foramen (STF) of the distal part of the humerus bone presents a known anatomical skeletonvariation. On the other hand the cause for its appearance remains obscure. Its incidence is reported to be from0% up to 60% among the adults, depending of the population. Results. Our research on dry bone skeletal remainsdemonstrated a very low incidence of 0.8% in the Magnesia region of the central Greece. Conclusions. STFincidence presents a huge percentage interval depending on the region in study. Due to various interventionalprocedures performed in the distal part of the humerus clinicians should be aware of this rare anatomicalvariation.
ABSTRACT
O processo físico-químico da precipitação de estruvita é uma técnica que apresenta elevado potencial na remoção de nutrientes, a partir de diferentes tipologias de efluentes. O presente estudo teve por objetivo a avaliação de um composto industrial com elevado teor de magnésia e baixo custo como fonte reagente alternativa de magnésio e alcalinidade necessários ao processo de precipitação, tornando-o economicamente viável com a redução de gastos despendidos com químicos. Suspensões de Mg(OH)2 foram obtidas e tiveram desempenho avaliado em função da remoção de nutrientes, a partir de um efluente sintético rico em N-NH4+ e P-PO43-, e qualidade dos cristais gerados, com a identificação do mineral de interesse - estruvita. O experimento foi realizado em escala laboratorial utilizando reator cônico de leito fluidizado operado em semi-contínuo. O adequado controle operacional do pH (8,0-8,5) pela adição automatizada da suspensão de Mg(OH)2 possibilitou uma considerável remoção de P-PO43-, que atingiu valor médio igual a 93,5%. Os sólidos recuperados no processo apresentaram pureza de, aproximadamente, 84% de estruvita.
The physico-chemical process of struvite precipitation is a technique that demonstrates a high potential in nutrients recovery from different kinds of wastewaters. This study aimed to evaluate the use of a low cost industrial compound with high magnesia content as alternative reagent source of magnesium ions and alkalinity required for precipitation. It was a strategy to turn the process economically viable and reduce the chemical costs. Mg(OH)2slurries were obtained and evaluated regarding the nutrients recovery from a synthetic wastewater rich in NH4+-N and PO43--P and the quality of the generated crystals with the identification of the mineral of interest - the struvite. The experiment was performed in laboratory scale using a conic fluidized bed reactor in a semi-continuous operation. The proper pH control (8.0-8.5) by the automated addition of Mg(OH)2slurry allowed considerable PO43--P removal equal to 93.5%. The recovered solids from the process showed purity of approximately 84% of struvite.
ABSTRACT
Aim To study the effects of alumina, magnesia,and simethicone tabet on the secretion of gastric acid and pepsin activity in rats. Methods The pharmacodynamic indices were measured by the secretion of gastric acid and pepsin activity. Results and Conclusion Compared with the control group,alumina, magnesia, and simethicone inhibited gastric acid and increased pH of gastric juice.A significant decrease occurred in pepsin activity after a doses of 180 mg?kg-1 and 600 mg?kg-1 (P