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Serum levels of thyrotropin are decreased by oral calcium in healthy subjects but not in patients with primary hyperparathyroidism

It has been suggested that calcium changes the set point of the pituitary thyroid feedback. It is not known, however, if small and slow changes of calcium and/or parathyroid hormone (PTH) within the physiological range influence the serum levels of thyrotropin (TSH) and thyroid hormones in healthy subjects or patients with primary hyperparathyroidism (pHPT). Nine healthy subjects and nine patients

Suppressibility of serum levels of PTH by calcium in the immediate postoperative period after surgery for primary hyperparathyroidism

The ability of calcium to suppress the secretion of parathyroid hormone (PTH) is impaired in primary hyperparathyroidism (pHPT). Whether the nonadenomatous glands in pHPT also exhibit altered calcium/PTH homeostasis is not known, but this may be the case since in the immediate postoperative period after surgery for pHPT, hypocalcemia often evolves in spite of a rapid normalization of serum levels

Potential clinical use of the EDTA-infusion test

The introduction of assays for the intact parathyrin (parathyroid hormone) has dramatically improved the diagnosis and follow-up of patients with primary hyperparathyroidism. However, in some patients with mild or intermittent hypercalcaemia, when plasma concentrations of intact parathyrin may be within the normal reference concentrations, the diagnosis of primary hyperparathyroidism may still be

Surgery for primary hyperparathyroidism performed under local anaesthesia

Patients with primary hyperparathyroidism are often elderly with cardiovascular disease and in some an operation might be hazardous owing to anaesthetic complications. A technique for operation for primary hyperparathyroidism under local anaesthesia is described. The method uses a unilateral approach. Seventeen consecutive patients operated on under local anaesthesia were compared with a group of

Thallium-technetium subtraction scintigraphy of enlarged parathyroid glands after calcitonin stimulation of parathyroid hormone secretion

To improve the sensitivity of thallium-technetium subtraction scintigraphy for preoperative localization procedure of enlarged parathyroid glands in primary hyperparathyroidism, we administered calcitonin intramuscularly 4 hours before the scintigraphy in 14 consecutive patients. Injection of calcitonin reduced plasma levels of ionized calcium from 1.47 +/- 0.10 mmol/l to 1.41 +/- 0.09 mmol/l (p l

Coping strategies and cancer incidence and mortality : The Japan Public Health Center-based prospective study

Background Psychological stress is a modifiable risk factor for health outcomes and can be managed through coping mechanisms. Biological and behavioral hypotheses have been proposed to explain the association between stress coping strategies and cancer outcomes. Methods The Japan Public Health Center-based study asked questions on coping behaviors in its 10-year follow-up survey. 55,130 subjects a

Alcohol consumption, genetic variants in the alcohol- and folate metabolic pathways and colorectal cancer risk : The JPHC Study

The association between alcohol intake and colorectal cancer (CRC) may vary secondary to single nucleotide polymorphisms (SNPs) in two pathways related to alcohol intake. 375 cases of CRC were identified among 38 373 Japan Public Health Center-based prospective Study (JPHC Study) participants who had returned a baseline questionnaire, reported no diagnosis of any cancer and provided blood samples.

Extensive reworking of Archaean crust within the Birimian terrane in Ghana as revealed by combined zircon U-Pb and Lu-Hf isotopes

Located in the southeastern parts of the Baoulé Mossi domain of the West African Craton, the Birimian terrane in Ghana is known to consist of predominantly juvenile crust emplaced during the Eburnean orogeny. Here we present novel coupled zircon U-Pb and Lu-Hf isotope data from nine Birimian granitoids intruding different domains from northwestern, western and southeastern Ghana. Sub-chondritic e(

Joint business model innovation for sustainable transformation of industries - A large multinational utility in alliance with a small solar energy company

Whereas existing business models for sustainability research have mainly focused on business model activities and sustainability outcomes for separate firms, we observe that alliances between small and large firms can influence a large firm's learning and dissemination of sustainable technologies, thereby contributing to the sustainable transformation of mass markets. According to the theoretical

A Service Oriented Perspective of Enterprise Resource Planning Systems

This paper brings forward a service oriented perspective, based on practical experiences from designing information systems (IS) as services. Viewing IS as services are beneficial but still an unexplored approach in organizations. In this paper, we present an analysis of Enterprise Resource Planning (ERPs) systems through the perspective of Service Oriented Architecture (SOA). This paper contribut

The trapping of organic matter within plant patches in the channels of the Okavango Delta : a matter of quality

The role of in-stream aquatic vegetation as ecosystem engineers in the distribution of organic matter was investigated in the Okavango Delta, one of the world’s largest oligotrophic wetlands. The Okavango channel beds are covered up to 50% with submerged macrophyte patches. By accumulating and concentrating organic matter in the sediments below the patches, macrophytes are likely able to locally f

Performance Characterization of a Real-Time Massive MIMO System with LOS Mobile Channels

The first measured results for massive multiple input, multiple-output (MIMO) performance in a line-of-sight (LOS) scenario with moderate mobility are presented, with 8 users served in real-time using a 100 antenna base Station (BS) at 3.7 GHz. When such a large number of channels dynamically change, the inherent propagation and processing delay has a critical relationship with the rate of change,