超声对原发性胆汁性肝硬化合并自身免疫性甲状腺炎的诊断价值和相关性分析

摘要 目的：探讨超声对原发性胆汁性肝硬化合并自身免疫性甲状腺炎的诊断价值以及相关性。方法：选取2017年1月~2019年12月我院收治的90例原发性胆汁性肝硬化合并自身免疫性甲状腺炎患者为研究组,根据患者病情的不同将其分为早期组（n=48）和晚期组（n=42）。另选取50例健康志愿者为对照组,对所有患者进行超声诊断,比较两组患者的门静脉血流参数、肝动脉血流参数、肝中静脉血流参数以及脾静脉血流参数。结果：晚期组的门静脉主干内径（portal vein diameter,PVD）明显高于早期组和对照组（P<0.05）,晚期组的平均流速（portal vein velocity,PVV）明显低于早期组和对照组（P<0.05）,三组患者的门静脉血流量（perceptual video quality,PVQ）差异无统计学意义（P>0.05）。晚期组的肝动脉内径（hepatic artery inner diameter,HAD）、阻力指数（resistance index,RI）、收缩期峰值流速（peak systolic velocity/end diastolic velocity,HAVmax）、血流量（blood flow,HAQ）均明显大于对照组（P<0.05）。晚期组的肝中静脉内径（middle hepatic vein diameter,MHAD）、最高平均流速（maximum average flow rate ,MHV Vm）、最大血流量（maximum blood flow,MHVQ）均较早期组和对照组减少（P<0.05）。晚期组的脾静脉内径（splenic vein diameter,SVD）明显高于对照组和早期组（P<0.05）,晚期组的脾静脉平均流速（splenic vein mean flow rate,SVm）、脾静脉血流量 (splenicveinflow, SVF)与对照组、早期组相比差异无统计学意义（P>0.05）;经过相关性分析肝脏超声指标与甲状腺超声指标均呈现正相关关系（P＜0.05）。结论：超声在原发性胆汁性肝硬化合并自身免疫性甲状腺炎患者中应用具有很高的价值,通过对原发性胆汁性肝硬化超声指标推测自身免疫性甲状腺炎病情程度,患者的超声图像具有一定的特征性,可以用以患者的诊断和病因分析,值得在临床中应用推广。     

早期与晚期应用肺表面活性物质联合经鼻持续气道正压通气治疗新生儿呼吸窘迫综合征的比较研究

目的:比较早期与晚期应用肺表面活性物质(Ps)联合经鼻持续气道正压通气(NCPAP)治疗新生儿呼吸窘迫综合征(NRDS)的临床疗效。方法:选取海南省三亚市人民医院于2014年1月～2018年7月期间收治的NRDS患儿100例,根据随机数字表法将患儿分为对照组(n=50)和研究组(n=50),对照组给予NCPAP治疗,研究组在对照组基础上联合Ps治疗,并根据Ps注入时间的不同将研究组患儿分为早期组(出生6h内注入,n=25)和晚期组(出生6～12h注入,n=25)。观察并比较对照组、早期组、晚期组患儿的临床疗效,并比较三组患儿治疗前、治疗1d后动脉血酸碱度(pH)、动脉二氧化碳分压(PCO_2)、动脉血氧分压(PO_2)、呼气末正压通气(PEEP)、吸入氧浓度(FiO_2)以及并发症发生情况。结果:早期组患儿临床总有效率高于对照组、晚期组(P0.05);而对照组、晚期组患儿临床总有效率比较差异无统计学意义(P0.05)。治疗1d后,三组患儿PCO_2较治疗前降低,PO_2较治疗前升高,且早期组PCO_2低于对照组、晚期组,PO_2高于对照组、晚期组(P0.05);但对照组、晚期组PCO_2、PO_2比较差异无统计学意义(P0.05)。治疗1d后,三组患儿PEEP、FiO_2较治疗前降低,且早期组低于对照组、晚期组(P0.05);但对照组、晚期组PEEP、Fi O2比较差异无统计学意义(P0.05)。三组患儿并发症总发生率比较差异无统计学意义(P0.05)。结论:与晚期相比,早期应用Ps联合NCPAP治疗NRDS疗效确切,其改善患儿血气指标及NCPAP参数的效果更佳,同时不会增加不良反应。     

Effect of Sky Lark plots and additional tramlines on territory densities of the Sky Lark Alauda arvensis in an intensively managed agricultural landscape

Capsule: Sky Lark plots and additional tramlines increase Sky Lark Alauda arvensis territory densities in winter crops.

Aims: To analyse the effects on Sky Lark territory density of Sky Lark plots and additional tramlines in winter cereals and oilseed rape.

Methods: We mapped Sky Lark territories on fields with Sky Lark plots or additional tramlines as well as on adjacent control sites, from 2010 to 2013 in Saxony, Germany, where agricultural land use is intensive, dominated by winter-sown crops and takes place in large fields.

Results: In test sites with Sky Lark plots, 5.6 and 3.1 territories per 10?ha were found in the early (April/May) and late periods (June/July) respectively, compared to 3.3 and 1.4 territories per 10?ha in control sites. Sky Lark territory densities in fields with additional tramlines were 1.6 times higher in the early period (4.2 versus 2.6 territories per 10?ha) and 2.2 times higher in the late period (3.6 versus 1.6 territories per 10?ha).

Conclusion: Sky Lark plots and additional tramlines improve large fields for the Sky Lark and have the potential to increase the Sky Lark population.     

不同CRRT治疗时机对脓毒症合并急性肾功能不全患者疗效及预后的影响

目的:探讨不同持续性肾脏替代治疗(CRRT)治疗时机对脓毒症合并急性肾功能不全患者的临床疗效及预后的影响。方法:将我院ICU收治的60例脓毒症合并急性肾功能不全患者,按照CRRT治疗时机分为早期组(1-2期,n=30)和晚期组(3期,n=30)。比较两组患者治疗前后不同时点平均动脉压(MAP)、白细胞(WBC)计数、血红蛋白(HB)、血小板(PLT)计数、急性生理学与慢性健康状况(APACHE)Ⅱ评分等临床资料的变化,机械通气时间,肾功能恢复率及28 d病死率等。结果:与早期组比较,晚期组治疗后WBC计数明显升高(P0.05)。治疗后12 h、24 h、72 h,早期组ACHEⅡ评分较晚期组显著降低(P0.05)。与晚期组比较,早期组机械通气时间显著缩短,肾功能恢复明显升高,28d内病死率也明显降低(P0.05)。结论:脓毒症合并急性肾功能不全患者应早期启动CRRT治疗,最佳介入时间是KDIGO-AKI 3期之前,有助于改善患者预后。     

The Sister’s Hill Site: A Hell Gap Site In North-Central Wyoming

Abstract

The cultural horizon at the Sister’s Hill Site has produced typical Hell Gap points and a small group of associated artifacts. The radiocarbon date of 9650 ± 250 B. C. is in agreement with late Agate Basin or early post Agate Basin sites in the High Plains. On the basis of the current data, Hell Gap points appear to have developed from Agate Basin styles and seem to be developmental to Alberta, Scottsbluff and Eden types.     

A Preliminary Report on Two Sites at Piney Creek,Wyoming 48J03Ll and 48J031

Abstract

During the summer of 1964, the University of Wyoming and the Wyoming Archaeological Society conducted exploratory excavations in two sites near Buffalo, Wyoming. Site 48J03ll consists of a number of stone circles and is apparently a camp site and site 48J0312 is a bison kill and butchering site. Artifact assemblages suggest an affiliation with late prehistoric and early historic sites in the Yellowstone River drainage.     

Mowing management and density dependence in meadow passerine hatching success

Capsule Improving habitat quality through late or intermittent mowing may increase passerine population density without reducing reproductive success.

Aim To describe the relationship between passerine territory density (TD) and Whinchat Saxicola rubetra and Yellow Wagtail Motacilla flava hatching success, under different management regimes.

Methods TD was defined by the Territory Mapping method in nine sites selected in five French flood plains, in four intermittently mown meadows in Russia and in four additional French sites where mowing was partially postponed. Hatching success was assessed by the observation of prey carrying. Generalized Linear Mixed Models were used to analyse the influence on hatching rates of mowing management, early mowing and TD. Linear Mixed Models were used to study the effect of mowing management on TD.

Results In French early mown meadows, TD affected reproductive success. Higher hatching rates and TD were observed in Russia. Similar results in French study sites with postponed mowing confirmed the influence of mowing management on carrying capacity.

Conclusion In west-European grassland systems, late or intermittently mown patches within or at the edge of meadow areas, with potentially improved invertebrate-prey availability, should help to sustain bird demography and improve the efficiency of current conservation programmes.     

Early and Late Toxicity of Radioiodine Therapy: Detection and Management

ObjectiveTo review the early and late toxicity associated with radioiodine (¹³¹I) therapy, highlighting the need for early detection and, where possible, preventive measures.MethodsWe performed a literature search on MEDLINE using the terms radioiodine, ¹³¹I toxicity, complications, Graves disease, and thyroid cancer and chose the most relevant studies for this review. Where appropriate, we refer to our own published series of patients as well.ResultsUptake of ¹³¹I into the salivary glands, lacrimal glands, fetal thyroid, and adult thyroid accounts for the early toxic effects of radioiodine therapy. Delayed radiation effects to the gonads, bone marrow, and cell nuclei give rise to late complications. Toxicity may also arise from uptake into metastatic tumors located at vulnerable sites, including the spinal cord, brain, and lungs.ConclusionAlthough radioiodine therapy for benign and malignant thyroid disorders is usually well tolerated, clinicians involved in the management of thyroid disorders need to be aware of the potential toxicity of radioiodine and take all measures to reduce these effects to a minimum. (Endocr Pract. 2010;16:1064-1070)     

Hepatic Proliferation and Angiogenesis Markers Are Increased after Portal Deprivation in Rats: A Study of Molecular,Histological and Radiological Changes

MethodsWe conducted an experimental study comparing portacaval shunt (PCS), total portal vein ligation (PVL), and sham (S) operated rats. Each group were either sacrificed at 6 weeks (early) or 6 months (late). Arterial liver perfusion was studied in vivo using CT, and histopathological changes were noted. Liver mRNA levels were quantified by RT-QPCR for markers of inflammation (Il10, Tnfa), proliferation (Il6st, Mki67, Hgf, Hnf4a), angiogenesis: (Vegfa, Vegfr 1, 2 and 3; Pgf), oxidative stress (Nos2, and 3, Hif1a), and fibrosis (Tgfb). PCS and PVL were compared to the S group.ResultsPeriportal fibrosis and arterial proliferation was observed in late PCS and PVL groups. CT imaging demonstrated increased arterial liver perfusion in the PCS group. RT-QPCR showed increased inflammatory markers in PCS and PVL early groups. Tnfa and Il10 were increased in PCS and PVL late groups respectively. All proliferative markers increased in the PCS, and Hnf4a in the PVL early groups. Mki67 and Hnf4a were increased in the PCS late group. Nos3 was increased in the early and late PCS groups, and Hif1a was decreased in the PVL groups. Markers of angiogenesis were all increased in the early PCS group, and Vegfr3 and Pgf in the late PCS group. Only Vegfr3 was increased in the PVL groups. Tgf was increased in the PCS groups.ConclusionsPortal deprivation in rats induces a sustained increase in intrahepatic markers of inflammation, angiogenesis, proliferation, and fibrosis.     

Early and late apoptosis protein expression (Bcl-2, BAX and p53) in traumatic brachial plexus injury

Objectives:This research aims to analyze the expression of pro-apoptotic proteins (Bax, p53) and anti-apoptotic protein (Bcl-2) in the nerve roots of the brachial plexus following traumatic brachial plexus injury (TBPI) in the early and late stage.Methods:A total of 30 biopsy samples were taken from the proximal stump of the postganglionic nerve roots of the TBPI patients’ brachial plexus from January 2018 until September 2019. The samples were taken from patients within six months of trauma (early stage, group A) and more than six months following trauma (late stage, group B). Bcl-2, Bax, and p53 expressions in each group were measured and compared.Results:We found significant differences in the Bcl-2 (p=0.04), Bax (p<0.0001), p53 (p<0.0001) expressions between group A and B. The Bcl-2/Bax expression ratio in group A and B was 2.26 and 0.22, respectively. Meanwhile, the Bcl-2/p53 expression ratio in group A and B was 1.64 and 0.23, respectively.Conclusion:Apoptosis is inhibited by Bcl-2 activities in the early stage following trauma. In the late stage, a significant decrease of Bcl-2 coupled with a substantial increase of Bax and p53 indicates a continuation of the apoptotic process.     

Persistence of Cushing’s Disease Symptoms and Comorbidities After Surgical Cure: a Long-Term,Integral Evaluation

ObjectiveSuccessful surgery does not always resolve all the clinical consequences of hypercortisolism in patients with Cushing’s disease (CD). Our purpose was to integrally evaluate a group of CD patients cured by pituitary surgery and look for the persistence of CD symptoms, signs, and comorbidities.MethodsWe performed clinical and biochemical evaluations of 29 CD patients (2 males) cured by pituitary surgery. All patients underwent early (median 12 months) and late (median 58 months) postoperative evaluations. We sought information regarding hypercortisolism-related symptoms and signs, as well as metabolic, cardiovascular, reproductive, and psychologic comorbidities.ResultsThe prevalence of obesity dropped from 72.4% at diagnosis to 31% at early evaluation but increased again to 44.8% at the late evaluation. Diabetes was present in 14 patients (48.3%) at diagnosis and persisted in 9 at the late evaluation. Hypertriglyceridemia was present in 58.6% and 55.1% of patients at diagnosis and at the late follow-up, respectively. The prevalence of hypercholesterolemia was 79.3% at diagnosis, decreased to 55.1% at the early evaluation, and increased to 65.5% at the late evaluation. Menstrual abnormalities were originally present in 15 of 20 women, and 8 of the 15 had recovered normal periods when seen at the last evaluation. Among the 24 patients with depression at diagnosis, 11 and 6 still exhibited mood abnormalities at the early and late evaluations, respectively.ConclusionIn a variable proportion of patients, the cardiovascular, metabolic, and emotional comorbidities of CD persist after long-term remission, irrespective of the initial degree of hypercortisolism. (Endocr Pract. 2013; 19:252-258)     

磁共振波谱分析与帕金森病患者Hoehn&Yahr分级的相关性研究

目的:探讨磁共振波谱分析(MRS)与帕金森病(PD)HoehnYahr分级之间的相关性。方法:选择2016年9月-2017年8月我院收治的60例PD患者为研究对象,根据HoehnYahr分级将患者分为早期PD组32例、中期PD组18例、晚期PD组10例,并选择同时期在门诊进行健康体检的20例志愿者作为对照组。对各组研究对象的双侧基底节、双侧额叶、双侧丘脑区进行MRS,并分析PD患者HoehnYahr分级与MRS的关系。结果:晚期PD组双侧基底节、双侧额叶、双侧丘脑区NAA/Cr、NAA/Cho、Cho/Cr比值均低于中期PD组、早期PD组、对照组,且中期PD组低于早期PD组、对照组,早期PD组低于对照组,差异有统计学意义(P0.05)。通过Spearman相关性分析显示,MRS检测出PD患者NAA/Cr、NAA/Cho、Cho/Cr比值与HoehnYahr分级间呈负相关性(P0.05)。结论:MRS与PD患者的HoehnYahr分级具有负相关性,并且可通过MRS预测患者疾病的严重程度,以对其进行相应的治疗以及预后评估。     

帕金森病患者血清klk6、HSP70检测的临床意义研究

摘要 目的：探讨帕金森病（PD）患者血清激肽释放酶6（klk6）、热休克蛋白70（HSP70）水平与病情严重程度以及PD轻度认知障碍（PD-MCI）的关系。方法：选择2021年2月至2022年2月徐州医科大学附属医院收治的165例PD患者（PD组），根据修订的Hoehn-Yahr分级将PD患者分为早期组（1.0~2.5级，59例）、中期组（3.0级，65例）和晚期组（4.0~5.0 级，41例），根据是否存在PD-MCI将PD患者分为PD-MCI组（66例）和非PD-MCI组（99例），另选择同期72例于我院门诊体检的健康志愿者为对照组。检测血清klk6、HSP70水平，比较不同分组血清klk6、HSP70水平差异，多因素Logistic回归分析影响PD患者发生PD-MCI的因素。结果：PD组血清klk6水平高于对照组（P＜0.05），HSP70水平低于对照组（P＜0.05），晚期组血清klk6水平高于早期组和中期组，且中期组血清klk6水平均高于早期组（P＜0.05），晚期组血清HSP70水平低于早期组和中期组，且中期组血清HSP70水平低于早期组（P＜0.05）；PD-MCI组血清klk6水平高于非PD-MCI组（P＜0.05），HSP70水平低于非PD-MCI组（P＜0.05）。多因素Logistic回归分析结果显示年龄偏高、修订的Hoehn-Yahr分级晚期、高水平klk6是PD患者发生PD-MCI的危险因素（P＜0.05），高水平HSP70是PD患者发生PD-MCI的保护因素（P＜0.05）。结论：PD患者血清klk6水平增高，HSP70水平降低与修订的Hoehn- Yahr分级增加以及PD-MCI有关，检测血清klk6、HSP70水平有助于评估PD病情以及PD-MCI风险。     

Incidence of radiation toxicity in cervical cancer and endometrial cancer patients treated with radiotherapy alone versus adjuvant radiotherapy

AimThe study was made to evaluate early and late toxicity in a diversified group of patients receiving definitive or adjuvant radiotherapy in terms of clinical diagnosis and treatment methods.BackgroundRadiotherapy is a standard way of treatment in cervical and endometrial cancer patients, both as definitive and adjuvant therapy. But every radiation treatment may be involved with toxicity.Materials and methodsA detailed analysis was performed of 263 patients with gynaecological cancer treated with definitive (90 patients with cervical cancer received radiochemotherapy or radiotherapy exclusively) and adjuvant radiotherapy (38 with cervical and 135 with endometrial cancer).ResultsAcute reactions were found in 51.3% and late reactions were found in 14.8% of patients. It was stated that early (p < 0.007) and late (p < 0.003) post radiation reaction appear more frequently in women treated with definitive than adjuvant radiotherapy. The analysis of the whole group revealed higher rate of toxicity, both early and late, in the gastrointestinal tract than in the urinary system (p < 0.004). Comparing the subgroups, it was found that intestinal reactions occurred more frequently in the definitive radiotherapy group than in the adjuvant one.The occurrence of side effects was associated with the prolongation of total irradiation time due to necessary interruptions of radiotherapy. The comparison of the subgroups showed that interruptions occurred more frequently in patients receiving definitive rather than adjuvant radiotherapy (17.7–2.9%).ConclusionsDefinitive radiotherapy compared with adjuvant treatment may by associated with higher percentage of side effects caused by dose of therapy and correlation with chemotherapy.     

不同胎龄早产儿早期凝血指标的变化及其临床意义

目的:研究不同胎龄早产儿早期凝血指标的变化及其临床意义。方法:选取2012年1月至2017年7月期间我院出生的新生儿392例为研究对象。根据新生儿胎龄的不同分为早期早产儿组(胎龄27~31周)78例、中期早产儿组(胎龄32~33周)102例、晚期早产儿组(胎龄34~36周)116例以及足月新生儿组(胎龄37~42周)96例。四组新生儿出生后2h内抽取静脉血检测凝血指标,包括凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、纤维蛋白原(FIB),并应用Pearson相关性分析分析新生儿胎龄与上述各项凝血指标水平的相关性。结果:早期早产儿组、中期早产儿组、晚期早产儿组、足月新生儿组的出生体重以及胎龄呈逐渐上升趋势,不同组别新生儿的出生体重以及胎龄差异均有统计学意义(P0.05)。早期早产儿组、中期早产儿组、晚期早产儿组、足月新生儿组PT、APTT均呈逐渐下降趋势,FIB呈逐渐上升趋势,不同组别新生儿PT、APTT、FIB差异均有统计学意义(P0.05)。Pearson相关性分析显示,新生儿胎龄与PT、APTT呈负相关(r=-0.567、-0.691,P=0.000、0.000),而新生儿胎龄与FIB水平呈正相关(r=0.623,P=0.000)。结论:不同胎龄早产儿早期凝血功能存在异常变化,新生儿胎龄与PT、APTT均呈负相关关系,与FIB呈正相关关系,临床应予以重视,及时检测其凝血指标,必要时应予以干预治疗。     

The Middle Missouri Tradition: the Late Stage

Abstract

Two prehistoric complexes in the northern part of the Middle Missouri area, the Thomas Riggs and Huff Foci, comprise the late stage of the Middle Missouri Tradition. Although transitional sites are as yet lacking, this late stage is regarded as an outgrowth of the early stages of the same tradition, localized further south along the Missouri River in South Dakota. The Huff Focus postdates the Thomas Riggs Focus and is a direct outgrowth of Thomas Riggs, both foci being assigned to the Fire Heart Aspect. This aspect is the prehistoric antecedent for the Heart River Focus, the protohistoric express ion of Historic Mandan culture. Brief comments are offeredon the history, or1g1ns, distribution, characteristics, dating, and relationships of the Thomas Riggs and Huff Foci.     

A morph-ratio cline for keel petal colour in Lotus corniculatus L. along the north coastof Scotland

Summary

A survey of the relative frequencies of the dark and light keel variants of Lotus corniculatus L. was conducted in early July 1981, over 18 different sites located along the north coast of Scotland. Half of the sites surveyed were resampled in late July/early August 1984,to check for constancy of morph frequencies. The frequency of the dark keel morph recorded in 1981 showed a gradual increase from a value of 23% at Sheigra in the west to 87% at Duncansby Head in the east. Morph frequencies at sites sampled in 1981 and 1984 were highly correlated, and it was established that the change in dark keel frequency over eight of the sites surveyed in 1981 was significantly associated with parallel changes in mean annual rainfall and temperature. It is suggested that an experimental analysis of the morph-ratio cline for keel colour along the north coast of Scotland would aid our understanding of the factors which determine the distribution of the two keel colour morphs in Britain.     

Leaving on migration: estimating departure dates of Barn Swallows Hirundo rustica from summer roosts using a capture–mark–recapture approach

Capsule Capture–mark–recapture data can be used to predict departure dates of Barn Swallows Hirundo rustica from summer roosts.

Aims To investigate how long Barn Swallows remain at their breeding grounds before migration by estimating departure dates.

Methods A capture–mark–recapture approach was applied to an extensive data set (65?303 ringed and 710 recaptured birds) from two summer roosts. Multiple-day constancy models were used to estimate apparent survival, which was subsequently translated to residence time.

Results The longest intervals between ringing and recapturing were between 66 and 67 days; estimated mean minimum durations were between 16.3 and 18.5 days. Apparent survival was high over most of the summer, indicating that there is little emigration during this period and was followed by a sharp departure-related decline in late August and September. Expected residence time, derived from apparent survival estimates, declined linearly from about 80 days in early July to less than 10 days in September. Estimated departure dates were highly consistent between years and occurred in late September.

Conclusions Barn Swallows stay much longer at post-breeding roost sites than is necessary to build up their fat reserves for migration. We suggest that the birds are likely to derive a number of benefits from such a prolonged stay that are not directly related to preparation for migration; for example, minimizing predation risk by foraging in familiar areas, and gathering information on the quality of future breeding sites.     

Rodents and insectivores from the late Miocene of Romerales (Fortuna Basin,Southern Spain)

Abstract

The Neogene Fortuna Basin (Murcia Region, SE Spain) is rich in microvertebrate sites. Its continental sections include localities extended from the middle Turolian (MN12) to the early Ruscinian (MN14). However, there are few works dealing with the taxonomy of these fossil assemblages. In this paper we provide a complete taxonomic study of the rodents and insectivores from three levels (ROM-2B, ROM-2C and ROM-3A) within the Romerales section. We infer a late Turolian age (late Messinian) for these levels, among which the richest and most diverse level is ROM-C, including at least 11 different taxa. In addition, the paleoecological analysis of these fossil assemblages suggests the dominance of open herbaceous meadows under temperate climate during the formation of these sites, with a slight decrease in temperature and humidity from ROM-2B to ROM-2C.     

Reliability of Early Iodine 123 Uptake for Treatment of Graves Disease in Children

ObjectiveTo determine the reliability of early radioiodine uptake (RAIU) in calculation of the radioiodine ablation dose for pediatric patients with Graves disease.MethodsThis retrospective review of medical records involved 22 pediatric patients with Graves disease, who had undergone early (4 to 8 hours) and late (24 to 26 hours) RAIU studies and were treated with iodine 131 (¹³¹I). Quantitative data are reported as mean ± standard error of the mean. Early and late RAIU and actual administered versus calculated ¹³¹I ablation doses were compared by using the paired t test. The correlation between early and late RAIU was assessed by curvilinear regression analysis. Significance was assessed at P < .05.ResultsMean early RAIU was 57.1% ± 18.2%, and mean late RAIU was 72.1% ± 14.4% (P < .05). Curvilinear regression analysis showed the following: late RAIU = 7.13 + 1.71 × (early RAIU) - 0.01 × (early RAIU)²; r² = 0.75. The mean ablation dose of ¹³¹I based on late RAIU was 9.3 ± 2.0 mCi. The calculated radioiodine dose would have been, on average, 32% higher (12.3 ± 3.8 mCi; P < .05) had early RAIU been used.ConclusionIn children, early RAIU can be much lower than late RAIU. This may be misleading for ablation dose calculations. Therefore, late RAIU should be used to avoid overtreatment in children with Graves disease.(Endocr Pract. 2011;17:541-545)