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《Endocrine practice》2016,22(3):328-337
Objective: This study evaluates the clinical characteristics, workup, treatment, and outcomes of pediatric patients diagnosed with an autonomously functioning thyroid nodule (AFTN) in a large cohort of patients presenting for evaluation of a thyroid nodule. There are few prior studies on AFTN in pediatrics, with limited data on treatment and outcomes. Rates of malignancy in AFTN are perceived as low, but prior studies have varying reports.Methods: This is a retrospective chart review of patients less than 21 years of age at Rhode Island Hospital over an 11-year period (2003–2013). We reviewed 354 charts, which yielded 242 patients with a diagnosis of thyroid nodule and 17 patients with AFTN.Results: The prevalence of AFTN in patients presenting with thyroid nodules was 7%. Mean age of patients was 15.8 years at diagnosis, and mean nodule size was 3.3 cm. There was female predominance. Thyroid-stimulating hormone levels were suppressed at diagnosis in 87% of patients. Six patients were treated with surgery, 5 patients with radioactive iodine therapy (RAI), 2 patients with medication, and 1 patient was observed without treatment. Three patients treated with RAI required subsequent treatment for hypothyroidism or continued hyperthyroidism. One patient had papillary thyroid carcinoma based on final surgical pathology.Conclusion: Our study found a higher prevalence of AFTN compared to the reported prevalence in adults. We concur with the new guidelines on management of thyroid nodules in recommending surgery for treatment of AFTN, based on the variability of outcomes after treatment with RAI.Abbreviations:AFTN = autonomously functioning thyroid noduleanti-TG = thyroglobulin antibodiesanti-TPO = thyroid peroxidase antibodiesFNA = fine-needle aspirationICD-9 = International Classification of Diseases, Ninth RevisionPTC = papillary thyroid carcinomaRAI = radioactive iodineT3 = triiodothyronineT4 = thyroxineTSH = thyroid-stimulating hormoneTSI = thyroid-stimulating immunoglobulin  相似文献   

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A detailed revision of the type localities of a new species, Orbitolina subconcava, described by A. Leymerie, has permitted the authors to demonstrate the invalidity of this taxa. As a result of R.C. Douglass' work (3), O. subconcava LEYM. sensu SCHROEDER [(4)–(6)] must be a junior synonym of Orbitolina (Mesorbitolina) texana (ROEMER, 1852); however the previous investigations of R.C. Douglass (3) should be confirmed by a further revision of the type material of F. Roemer.  相似文献   

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The Kin Selection Hypothesis for male androphilia posits that genes for male androphilia can be maintained in the population if the fitness costs of not reproducing directly are offset by enhancing inclusive fitness. In theory, androphilic males can increase their inclusive fitness by directing altruistic behavior toward kin, which, in turn, allows kin to increase their reproductive success. Previous research conducted in Western countries has failed to find any support for this hypothesis. The current study tests this basic prediction of the Kin Selection Hypothesis for male androphilia by comparing the altruistic tendencies of androphilic and gynephilic males in the Polynesian nation of Independent Samoa. In Independent Samoa, androphilic males are known locally as fa'afafine. Altruistic tendencies were assessed using a Kin Selection Questionnaire. Comparisons of the altruistic tendencies of fa'afafine and gynephilic men revealed that these two groups did not differ in terms of their overall generosity and allocation of financial resources toward kin, nor did they differ in terms of general neediness or financial resources obtained from kin. Fa'afafine did, however, report greater avuncular tendencies than gynephilic men. Although the greater avuncular tendencies of fa'afafine support the basic prediction of the Kin Selection Hypothesis for male androphilia, further research is needed before one can conclude that these elevated tendencies represent a specially designed adaptation for promoting the fitness of kin. We discuss a number of sociocultural factors that might promote the expression of avuncular tendencies by androphilic males in Independent Samoa. Our results underscore the importance of testing functional hypotheses in evolutionarily appropriate environments.  相似文献   

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Spiders are the most common and predominant predators in terrestrial ecosystems. The predatory behavior of spiders affects the energy flow across the food web within an ecosystem. Traditiaonal methods for analyzing spider diets such as field observation, anatomy and faeces analysis are not suitable for spider experiments due to spiders’ special dietary behavior. The molecular method based on the specific primers of prey DNA seems to be inefficient either in spite of its wide application in diet analysis. As the next-generation sequencing (NGS) technology becomes prevalent in many different areas, several cases of the NGS-based analysis of mammal diets have been published. This study analyzed the diet differences of Pardosa pseudoannulata (Araneae: Lycosidae) in four habitats (a wetland, a tea plantation, an alpine meadow and a paddy field) by using the NGS technology, combined with the DNA barcode method. The results suggested that the Pardosa pseudoannulata feed on a broad range of prey, and 7 orders and 24 families of insects were detected in the four investigated habitats. Moreover, it is found that the diet diversity of Pardosa pseudoannulata is greatly influenced by their living environments and seasons. In a nutshell, this study established an NGS-based methodology for spider diets analysis, and the results provided some basic materials to inform the protection and utilization of the Pardosa pseudoannulata as a potential eco-friendly predator against pests.  相似文献   

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The micronucleus test using mouse peripheral blood was conducted with N-methyl-N'-nitro-N-nitro-soguanidine (MNNG) and mitomycin C (MMC) as part of the 5th collaborative study supported by the Environmental Mutagen Society of Japan (CSGMT/MMS · JEMS).Male CD-1 mice were intraperitoneally injected once with 12.5–100 mg/kg of MMC. Peripheral blood was drawn at different intervals after treatment, placed on slides previously coated with acridine orange and the numbers of reticulocytes with micronuclei (MNRETs) were scored.The experiments indicated that the maximum effect of both MNNG and MMC was found about 48 h after treatment, and that the micronucleus test using peripheral blood is useful for the screening of chemicals throughout the experimental period in a single animal.  相似文献   

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Previous studies have suggested that exposure to Ni from Ni-Cr alloys can affect the human body through oxidative stress. The present study discusses the effect of nickel from Ni-Cr alloy prostheses on the formation of DNA Adduct 8-Hydroxy-2′-Deoxyguanosine (8-OHdG), evaluated based on creatinine and 8-OHdG concentrations in urine, determined with LC-MS/MS, for a Ni-Cr alloy user group and a never-user control group. The mean creatinine and 8-OHdG concentrations were not significantly different between the test groups, although highest levels were observed for the in the Ni-Cr user group. It is suggested that samples with relatively high creatinine and/or 8-OHdG levels are further studied in more detail for stability of concentrations and for the effect of contributing factors.  相似文献   

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So far, very little is known about microbiological deterioration of dyed woollen textiles. In this paper, the influence of the Gymnoascus arxii fungus on woollen textiles dyed with natural and synthetic dyes was studied. What is more, it was analysed whether the enrichment of the culture medium with additional nutrients has any impact on the deterioration of dyed woollen fabrics caused by a strongly keratinolytic strain. The study was carried out by means of a pure culture method over three different time periods, i.e. 1, 2 and 4 weeks. Within a week, the pure Gymnoascus arxii strain led to a severe deterioration in the mechanical strength of the examined woollen textiles, with the raw fabric being the most severely damaged. After the two-week incubation period, only the fabrics coloured in yellow, i.e. the fabric dyed with natural dye weld, and the synthetic yellow textile as well as the textile dyed with natural dye indigo survived, exclusively on the enriched medium. Solely the weld dyed textile withstood the four-week culture on the nutrient-enriched medium. The conducted studies demonstrated a strong influence of Gymnoascus arxii on dyed fabrics leading to their irreversible destruction. It has been also shown that the presence of nutrients in the substrate that are readily available to microorganism may hinder the development of the Gymnoascus arxii strain and thus, prevent textile deterioration.  相似文献   

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Schizothorax o'connori, of the subfamily Schizothoracinae, is an endemic fish in the Yarlung Tsangpo River in Tibet, China. To evaluate the population genetic diversity as a means of devising conservation strategies, a total of 21 polymorphic tetranucleotide microsatellite loci were isolated from S. o'connori using the fast isolation by AFLP of sequences containing repeats (FIASCO) protocol. The characterization of these loci was assessed against a panel of 42 individuals. The number of alleles per locus ranged from 4 to 29 with an average of 17.76. Expected locus-specific heterozygosity and the multilocus Shannon–Wiener diversity index ranged from 0.114 to 0.951 and from 0.280 to 3.131, with an average of 0.851 and 2.338, respectively. The cross-species amplification and applicability of these loci were tested against the two other Schizothorax species from the same river. These microsatellite loci will be valuable for further studies of population genetic diversity and genetic structure, and assessments of the artificial propagation release effect of S. o'connori and other related species.  相似文献   

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