RÉSUMÉ
Background: Hypertensive disorders of pregnancy are one of the leading causes of maternal and neonatal morbidity and mortality worldwide. Hypertensive disorders of pregnancy (HDP) affects approximately 5-7% of all pregnancies. The reported incidence of HDP in India ranges from 5% to 15%. These disorders form a deadly triad-in conjunction with hemorrhage and infection, in significantly contributing to maternal morbidity and mortality. Objectives were to determine the correlation between the severity of HDP and low platelet count; to analyze maternal and fetal outcomes in relation to thrombocytopenia; to aid in early diagnosis and management and to prevent complications and thereby improving maternal and fetal outcomes.Methods: A hospital-based prospective study was conducted in women with a provisional diagnosis of gestational hypertension over a period of 18 months. The study group comprised of pregnant women who were more than 20 weeks and were subjected to detailed history: pre-obstetric history, family history, general physical examination, abdominal examination, routine laboratory investigations, and ultrasonography and Doppler.Results: In the study, platelet count at ?275000 cut-offs had the highest sensitivity of 52.11%, specificity of 82.76%, PPV of 88.1%, and NPV of 41.4% in predicting feto maternal complications. Platelet count at ?275000 cut-offs had the highest sensitivity of 62.86%, specificity of 69.23%, PPV of 52.4%, and NPV of 77.6% in predicting preeclampsia.Conclusions: From the study, it was concluded that in gestational hypertension the estimation of platelet count is thus a reliable method for early detection and management of hypertensive disorders of pregnancy. Platelet count was significantly decreased in subjects with maternal complications, fetal complications, and with respect to the severity of preeclampsia. Platelet count however had moderate validity in predicting fetomaternal complications.
RÉSUMÉ
BACKGROUND: Identification of gender is important in forensic science and anthropology.When entire skull is not available for analysis, mandible may play a vital role in sex determination as it is the strongest bone that resists damage and disintegration. Aims and Objectives: To determine the efficacy of condylar height and coronoid height of mandible for sex determination using orthopantomographs and to compare and determine the most reliable parameter for sex determination. Materials and methods: This study was conducted using digital panoramic images of 100 each in both genders. The images captured were viewed on Kodak software and were subjected to measure the condylar and coronoid heights both on left and right side using Kodak dental imaging software. The data was entered into microsoft excel sheet and statistical analysis was done. Results: Descriptive statistics for condylar and coronoid heights on the right and left sides of mandible in both males and females were analyzed. A statistical significance of P < 0.001 has been demonstrated for all the variables. All variables showed increased measurements in males than in females. The accuracy of sex determination forcondylar height is 82.5% on right side and 78% on left side and for coronoid height it is 74% on right side and 73% on left side. Conclusion: The parameters such as condylar height and coronoid height using orthopantomographs are reliable in gender determination and the condylar height of the right side is the best parameter in gender determination.