scholarly journals The functional state of the thyroid system of children exposed in utero as a result of the Chernobyl disaster

2019 ◽  
Vol 45 (1) ◽  
pp. 26-29
Author(s):  
S. I. Sychik ◽  
A. N. Stozharov ◽  
B. K. Voronetskiy
Keyword(s):  
Radioactive Iodine ◽  
Absorbed Dose ◽  
In Utero ◽  
Prenatally Exposed ◽  
Thyroid Status ◽  
Dose Power ◽  
Direct Measurements ◽  
Fetal Thyroid ◽  
The Mean ◽  
Maternal Thyroid

A cohort of children exposed in utero after the Chernobyl accident is formed (n=422). Individual absorbed dose (AD) for the fetal thyroid was estimated from direct measurements of dose power for the maternal thyroid and was 0.01-4.5 Gy. The mean AD for the thyroid of pregnant women was 24.09+1.17 sGy, that of prenatally exposed children 44.74+2.58 sGy. Thyroid status of 195 exposed children and 220 controls is examined. Thyroid hormones were radioimmunoassayed and measured by enzyme immunoassay using standard diagnostic kits. Serum triiodothyronine concentrations were significantly increased in prenatally exposed children of both sexes (p<0.05 for boys and p<0.01 for girls). Serum thyroxin and thyroxin-binding globulin (TBG) levels were decreased in exposed boys in comparison with the control (p<0.05). In exposed girls thyroxin levels were virtually normal, but there was a tendency to an increase of thyroglobulin (t=1.6) and to a decrease of TBG (t= 1.7) in comparison with the control. The mean TBG concentration in the serum was below the norm in both groups. The results can be indicative of thyroid dysfunction in remote periods after prenatal exposure to radioactive iodine.

Maternal Thyroid Status and the Incidence of Respiratory Distress Syndrome: Evaluation of a Proposed Relationship

PEDIATRICS ◽  
1975 ◽  
Vol 55 (4) ◽  
pp. 497-499
Author(s):  
Richard M. Cowett ◽  
Leo Stern
Keyword(s):  
Thyroid Hormones ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Retrospective Analysis ◽  
Low Birthweight ◽  
Distress Syndrome ◽  
Thyroid Status ◽  
Thyroid Activity ◽  
Fetal Thyroid ◽  
Maternal Thyroid

In order to establish whether maternal thyroid hormones cross the placenta and produce surfactant in the fetus, possibly reducing the incidence of respiratory distress syndrome (RDS), a retrospective analysis of low-birthweight infants was undertaken. Results indicate that maternal thyroid hormones play a negligible role and that any thyroid mediation would result from fetal thyroid activity.

NEONATAL THYROTOXICOSIS

PEDIATRICS ◽  
1959 ◽  
Vol 24 (1) ◽  
pp. 65-73
Author(s):  
S. N. Javett ◽  
B. Senior ◽  
J. L. Braudo ◽  
Seymour Heymann
Keyword(s):  
Radioactive Iodine ◽  
In Utero ◽  
Transplacental Passage ◽  
Thyroid Status ◽  
Congenital Goiter ◽  
Neonatal Thyrotoxicosis

Two cases of congenital goiter with severe thyrotoxicosis are described. In one instance, unusual tachycardia was noted in utero. The mothers, treated before conception with radioactive iodine and thyroidectomy, respectively, were, at the time of delivery, not only thyrotoxic, but markedly exophthalmic. Treatment of the infants with Lugol's solution intravenously and orally, with the addition of propylthiouracil in one case, resulted in a return to normal after a few weeks. Appraisal of the pathogenesis of neonatal thyrotoxicosis favors the transplacental passage of a thyroid-stimulating agent, probably derived from the mother's pituitary. The thyroid status of neonates born of mothers taking medication for thyrotoxicosis reflects the interaction between the transmitted thyroid-stimulating agent and the particular drug being employed.

Alterations in Ultrastructure of Skeletal Muscle From Newborn Guinea Pigs Following in Utero Exposure to Ethanol

1985 ◽  
Vol 43 ◽  
pp. 686-687
Author(s):  
C. Uphoff ◽  
C. Nyquist-Battie ◽  
T.B. Cole
Keyword(s):  
Skeletal Muscle ◽  
Guinea Pigs ◽  
Muscle Development ◽  
In Utero ◽  
Ethanol Exposure ◽  
Prenatally Exposed ◽  
Chronic Alcoholic ◽  
Test Kit ◽  
Food And Water Intake ◽  
Post Intubation

Ultrastructural alterations of skeletal muscle have been observed in adult chronic alcoholic patients. However, no such study has been performed on individuals prenatally exposed to ethanol. In order to determine if ethanol exposure in utero in the latter stages of muscle development was deleterious, skeletal muscle was obtained from newborn guinea pigs treated in the following manner. Six Hartly strain pregnant guinea pigs were randomly assigned to either the ethanol or the pair-intubated groups. Twice daily the 3 ethanol-treated animals were intubated with Ensure (Ross Laboratories) liquid diet containing 30% ethanol (6g/Kg pre-pregnant body weight per day) from day 35 of gestation until parturition at day 70±1 day. Serum ethanol levels were determined at 1 hour post-intubation by the Sigma alcohol test kit. For pair-intubation the Ensure diet contained sucrose substituted isocalorically for ethanol. Both food and water intake were monitored.

Impact of maternal thyroid disease on neonatal thyroid status

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Lakshmi Venugopalan ◽  
Aishwarya Rajan ◽  
Hemchand. K. Prasad ◽  
Anupama Sankaran ◽  
Gnanabalan Murugesan ◽  
...  
Keyword(s):  
Congenital Hypothyroidism ◽  
Thyroid Stimulating Hormone ◽  
Study Group ◽  
Thyroid Status ◽  
Case Identification ◽  
Group I ◽  
Group Ii ◽  
Maternal Thyroid ◽  
Heel Prick ◽  
Stimulating Hormone

AbstractObjectivesPrevalence of Maternal and congenital hypothyroidism is on the rise. To present the thyroid stimulating hormone screening results in babies born to hypothyroid mothers and assess the burden, aetiology of hypothyroidism in these babiesMethodsAll antenatal mothers attending our hospital during the study period were enrolled into the study. Group I includes 249 term babies born to hypothyroid mothers and group II comprises 2154 newborns born to mothers who are euthyroid. Heel prick thyroid stimulating hormone was done for all newborns on day 3 for both groups. Confirmatory venous testing was done for all for babies in group I and screen positives belonging to group II. Evaluation and therapy done as per standard guidelines.ResultsThyroid stimulating hormone values in the two groups are presented. There was significant correlation between peak maternal thyroid stimulating hormone and neonatal day 3 heel prick in group I (r=0.7, P<0.05). The prevalence of positive screening test in groups I and II was 3.8 and 1.03% (p<0.05) whereas corresponding values for confirmed disease was 4.3 and 0.6%, respectively (p<0.05). Aetiological evaluation revealed both transient hypothyroidism (33.3%) and permanent hypothyroidism (66.6%).Conclusion4.3% of babies born to hypothyroid mothers develop congenital hypothyroidism; aetiology being both transient and permanent. A venous test by 3 weeks is helpful in these babies to improve case identification.

THE COLLECTION OF RADIOACTIVE IODINE BY THE HUMAN FETAL THYROID*

1948 ◽  
Vol 8 (9) ◽  
pp. 717-720 ◽  
Author(s):  
EARLE M. CHAPMAN ◽  
G. W. CORNER ◽  
DAVID ROBINSON ◽  
R. D. EVANS
Keyword(s):  
Radioactive Iodine ◽  
Fetal Thyroid

Safety and feasibility of rhenium-186 nanoliposome (186RNL) in recurrent glioma: The ReSPECT phase 1 trial.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 2061-2061
Author(s):  
Andrew J. Brenner ◽  
Ande Bao ◽  
William Phillips ◽  
Gregory Stein ◽  
Vibhudutta Awasthi ◽  
...  
Keyword(s):  
Dose Escalation ◽  
Tumor Volume ◽  
Phase 1 ◽  
Absorbed Dose ◽  
External Beam Radiation ◽  
Whole Body ◽  
Recurrent Glioma ◽  
Normal Brain ◽  
Beam Radiation ◽  
The Mean

2061 Background: While external beam radiation therapy (EBRT) remains a central component of the management of primary brain tumors, it is limited by tolerance of the surrounding normal brain tissue. Rhenium-186 NanoLiposome (186RNL) permits the delivery of beta-emitting radiation of high specific activity with excellent retention in the tumor. We report the results of the phase 1 study in recurrent glioma. Methods: A Phase 1 dose-escalation study of 186RNL in recurrent glioma utilizing a standard 3+3 design was undertaken to determine the maximum tolerated dose of 186RNL. 186RNL is administered by convection enhanced delivery (CED). Infusion is followed under whole body planar imaging and SPECT/CT. Repeat SPECT/CT imaging is performed immediately following, and at 1, 3, 5, and 8 days after 186RNL infusion to obtain dosimetry and distribution. Subjects were followed until disease progression by RANO criteria. Results: Eighteen subjects were treated across 6 cohorts. The mean tumor volume was 9.4 mL (range 1.1 – 23.4). The infused dose ranged from 1.0 mCi to 22.3 mCi and the volume of infusate ranged from 0.66 mL to 8.80 mL. From 1 – 4 CED catheters were used. The maximum catheter flow rate was 15 µl/min. The mean absorbed dose to the tumor volume was 239 Gy (CI 141 – 337; range 9 - 593), to normal brain was 0.72 Gy (CI 0.34 – 1.09; range 0.005 – 2.73), and to total body was 0.07 Gy (CI 0.04 – 0.10; range 0.001 – 0.23). The mean absorbed dose to the tumor volume when the percent tumor volume in the treatment volume was 75% or greater (n = 10) was 392 Gy (CI 306 – 478; range 143 – 593). Scalp discomfort and tenderness related to the surgical procedure did occur in 3 subjects. The therapy has been well tolerated, no dose-limiting toxicity has been observed, and no treatment-related serious adverse events have occurred despite markedly higher absorbed doses typically delivered by EBRT in patients with prior treatment. Responses have been observed supporting the clinical activity. Final results from the dose escalation will be presented. Conclusions: 186RNL administered by CED to patients with recurrent glioma results in a much higher absorbed dose of radiation to the tumor compared to EBRT without significant toxicity. The recommended Phase 2 dose is 22.3 mCi in 8.8 mL of infusate. Clinical trial information: NCT01906385. [Table: see text]

Ionizing radiation and its considerations in imaging diagnosis: comparison of absorbed dose between cone beam computed tomography and multi-detector computed tomography in the head and neck

2021 ◽  
Author(s):  
P.L.E. Oliveira ◽  
C.R. Starling ◽  
C.L.P. Maurício ◽  
F.R. Guedes ◽  
M.A. Visconti ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head And Neck ◽  
Cone Beam Computed Tomography ◽  
Absorbed Dose ◽  
Cone Beam ◽  
Thermoluminescent Dosimeters ◽  
Organ Tissue ◽  
The Mean ◽  
Average Adult ◽  
Multi Detector Computed Tomography

Introduction: The objective of this study was to compare the mean absorbed dose in patients undergoing head and neck examinations using two cone beam computed tomography (CBCT, Kodak and i-CAT) and one multi-detector computed tomography (MDCT). Methods: Three thermoluminescent dosimeters (TLDs), calibrated in air kerma, were positioned in 24 regions of the head and neck of a phantom simulating an average adult. The mean absorbed dose (mGy) values in these positions, for different organs and tissues, were obtained using correction factors, considering the ratio between the mass energy absorption coefficients of organ/tissue and air. Comparison between radiation doses in the most radiosensitive regions was done by calculating the ratio of these dose values, with propagated uncertainty. Results: The dose in all regions was significantly higher for MDCT when compared to CBCT. Concerning CBCT equipment, the Kodak device had a higher absorbed dose than the i-CAT for most of the regions tested. The uncertainty of the i-CAT was greater than that of the Kodak. Conclusion: Due to the considerable difference between absorbed doses, emphasizing the higher dose values obtained in MDCT, the dissemination of CBCT application in medicine is recommended, as well as further studies to broaden the criteria for use.

Pulmonary capillaries are recruited during pulsatile flow

2002 ◽  
Vol 92 (3) ◽  
pp. 1183-1190 ◽  
Author(s):  
Robert G. Presson ◽  
William A. Baumgartner ◽  
Amanda J. Peterson ◽  
Robb W. Glenny ◽  
Wiltz W. Wagner
Keyword(s):  
Pulsatile Flow ◽  
Left Atrial ◽  
Pulmonary Arterial Pressure ◽  
Pressure Rise ◽  
Capillary Recruitment ◽  
Pulmonary Capillaries ◽  
Pulmonary Capillary ◽  
Direct Measurements ◽  
Pulmonary Arterial ◽  
The Mean

Capillaries recruit when pulmonary arterial pressure rises. The duration of increased pressure imposed in such experiments is usually on the order of minutes, although recent work shows that the recruitment response can occur in <4 s. In the present study, we investigate whether the brief pressure rise during cardiac systole can also cause recruitment and whether the recruitment is maintained during diastole. To study these basic aspects of pulmonary capillary hemodynamics, isolated dog lungs were pump perfused alternately by steady flow and pulsatile flow with the mean arterial and left atrial pressures held constant. Several direct measurements of capillary recruitment were made with videomicroscopy. The total number and total length of perfused capillaries increased significantly during pulsatile flow by 94 and 105%, respectively. Of the newly recruited capillaries, 92% were perfused by red blood cells throughout the pulsatile cycle. These data provide the first direct account of how the pulmonary capillaries respond to pulsatile flow by showing that capillaries are recruited during the systolic pulse and that, once open, the capillaries remain open throughout the pulsatile cycle.

Radiation Dose to Patients and Personnel during Fluoroscopy at Percutaneous Renal Stone Extraction

1989 ◽  
Vol 30 (2) ◽  
pp. 201-206 ◽  
Author(s):  
K. Geterud ◽  
A. Larsson ◽  
S. Mattsson
Keyword(s):  
Radiation Dose ◽  
Effective Dose ◽  
Renal Stone ◽  
Absorbed Dose ◽  
Effective Dose Equivalent ◽  
Dose Equivalent ◽  
Organ Doses ◽  
The Mean ◽  
Total Effective Dose Equivalent ◽  
Total Effective Dose

The radiation dose to patients and personnel was estimated during 11 percutaneous renal stone extractions. For the patients the energy imparted, the mean absorbed dose to various organs, and the effective dose equivalent were estimated. For different personnel categories some organ doses and the effective dose equivalent were also estimated. Large differences in the radiation dose between patients were observed. The mean effective dose equivalent to the patient was 4.2 (range 0.6–8.3) mSv, and the energy imparted 285 (range 50–500) mJ. These figures are comparable to those reported for routine colon examination and urography. For the personnel there were also large differences between individuals and categories. The highest radiation dose was received by the radiologist. It was estimated that a radiologist who performs 150 percutaneous renal stone extractions per year will receive a yearly contribution to his/her effective dose equivalent of 2.4 mSv. Even when the contribution from other diagnostic and interventional radiologic procedures is added, the total effective dose equivalent hardly exceeds 5 mSv or 1/10 of the present dose limit for persons engaged in radiologic work. For the hands of the radiologist there is a risk of doses closer to the present limit for single organs or tissues of 500 mSv/year.

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