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Sample records for accidents graves dans

  1. Pendant la visite de M. Krasucki Grave accident du travail dans le tunnel du LEP

    Ration, Jean

    1985-01-01

    In the LEP tunnel, where M. Krasucki came some hours before, an accident occured and a worker was seriously injuried, but its days do not seem in danger (together with another article about the visit of M. Krasucki)

  2. R and D relative to the serious accidents in the PWR type reactors: assessment and perspectives; R and D relative aux accidents graves dans les reacteurs a eau pressurisee: bilan et perspectives

    Bentaib, A.; Bonneville, H.; Caroli, H.; Chaumont, B.; Clement, B.; Cranga, M.; Koundy, V.; Laurent, B.; Micaelli, J.C.; Meignen, R.; Pichereau, F.; Plassart, D.; Van-Dorsselaere, P. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Clamart (France); Ducros, G.; Journeau, Ch.; Magallon, D. [CEA Cadarache, 13 - Saint Paul lez Durance (France); Durin, M.; Studer, E. [CEA Saclay 91 - Gif sur Yvette (France); Seiler, J.M. [CEA Grenoble, 38 (France); Ranval, W. [Electricite de France (EDF), 75 - Paris (France)

    2006-07-01

    This document presents the current state of the research relative to the grave accidents realized in France and abroad. It aims at giving the most exhaustive possible and objective vision of this original field of research. He allows to contribute to the identification and to the hierarchical organization of the needs of R and D, this hierarchical organization in front of, naturally, to be completed by a strong lighting on needs in terms of safety analyses associated with the different risks and the physical phenomena, in particular with the support of probability evaluations of safety level 2, whose the level of sharpness must be sufficient not to hide, by construction, physical phenomena of which the limited knowledge leads to important uncertainties. Let us note that neither the safety analyses, nor the E.P.S. 2 are presented in this document. This report presents the physical phenomena which can arise during a grave accident, in the reactor vessel and in the reactor containment, their chain and the means allowing to ease the effects. The corresponding scenarios are presented to the chapter 2. The chapter 3 is dedicated to the progress of the accident in the reactor vessel; the degradation of the core in reactor vessel (3.1), the behavior of the corium in bottom of reactor vessel (3.2) the break of the reactor vessel (3.3) and the fusion in pressure (3.4) are thus handled there. The chapter 4 concerns the phenomena which can lead to a premature failure of the containment, namely the direct heating of gases of the containment (4.1), the hydrogen risk (4.2) and the vapor explosion (4.3). The phenomenon which can lead to a delayed failure from the containment, namely the interaction corium-concrete, is approached on the chapter 5. The chapter 6 is dedicated to the problems connected to the keeping back and to the corium cooling in reactor vessel and out of reactor vessel, namely the keeping back in reactor vessel by re-flooding of the primary circuit or by re

  3. Etude du critère blessé grave dans les fichiers BAAC des statistiques officielles des victimes d'accidents corporels de la circulation routière dans le département du Rhône

    FLORENT, O

    2003-01-01

    Théoriquement, dans les statistiques officielles, est considéré comme blessé grave un blessé nécessitant une hospitalisation de plus de six jours. Le but de cette étude était d'évaluer la qualité du recueil de ce critère de gravite en le comparant à la durée d'hospitalisation réelle des victimes. Pour cela, nous disposions de deux sources de données indépendantes. D'une part les fichiers baac des statistiques officielles des victimes d'accidents corporels de la circulation routière pour le ...

  4. Etude du comportement des produits de fission (Ba, Cs, Mo et Ru) dans des combustibles nucléaires irradiés et leurs simulants en situations d’accidents graves par spectroscopie d’absorption des rayons X, SIMS et μsonde

    Geiger, Ernesto

    2016-01-01

    L’identification des mécanismes de relâchement des Produits de Fission (PF) hors de combustible nucléaire irradié lors d’un accident grave est primordiale pour le développement de codes capables d’estimer précisément le terme source (nature et quantité des radionucléides émis dans l’environnement). Parmi les différents PF, les Ba, Cs, Mo et le Ru sont particulièrement intéressants, car ils peuvent interagir entre eux ou avec d’autres éléments et donc affecter leur relâchement. Dans le cadre d...

  5. Safety apparatus for serious radioactive accidents (1962); Materiel d'intervention en cas d'accident radioactif grave (1962)

    Estournel, R.; Rodier, J. [Commissariat a l' Energie Atomique, Centre de Production de Plutonium, Marcoule (France). Centre d' Etudes Nucleaires

    1962-07-01

    In the case of a serious radioactive accident, radioactive dust and gases may be released into the atmosphere. It is therefore necessary to be able to evaluate rapidly the importance of the risk to the surrounding population, and to be able to ensure, even in the event of an evacuation of the Centre, the continuation of the radioactivity analyses and the decontamination of the personnel. For this, the Anti-radiation Protection Service at Marcoule has organised mobile detection teams and designed a mobile laboratory and a mobile shower-unit. After describing the duty of the mobile teams, the report gives a description of the apparatus which would be used at the Marcoule Centre in the case of a serious radioactive accident. The method of using this apparatus is given. (authors) [French] Lors d'un accident radioactif grave, des poussieres et des gaz radioactifs peuvent etre relaches dans l'atmosphere. II est alors indispensable d'evaluer rapidement l'importance du risque couru par les populations environnantes, et de pouvoir assurer, meme dans le cas de l'evacuation du Centre, la poursuite des analyses radioactives et la decontamination du personnel. Pour cela, le Service de Protection contre les Radiations du Centre de Marcoule a mis sur pied des equipes mobiles de detection et realise une semi-remorque laboratoire ainsi qu'une semi-remorque douches. Apres avoir defini la mission des equipes mobiles, le rapport donne la description du materiel d'intervention qui serait mis en oeuvre par le Centre de Marcoule dans le cas d'un accident radioactif grave. Il precis le mode d'utilisation de ce materiel. (auteurs)

  6. Study of the ruthenium fission-product behavior in the containment, in the case of a nuclear reactor severe accident; Etude du comportement du produit de fission ruthenium dans l'enceinte de confinement d'un reacteur nucleaire, en cas d'accident grave

    Mun, Ch

    2007-03-15

    Ruthenium tetroxide is an extremely volatile and highly radio-toxic species. During a severe accident with air ingress in the reactor vessel, ruthenium oxides may reach the reactor containment building in significant quantities. Therefore, a better understanding of the RuO{sub 4}(g) behaviour in the containment atmosphere is of primary importance for the assessment of radiological consequences, in the case of potential releases of this species into the environment. A RuO{sub 4}(g) decomposition kinetic law was determined. Steam seems to play a catalytic role, as well as the presence of ruthenium dioxide deposits. The temperature is also a key parameter. The nature of the substrate, stainless steel or paint, did not exhibit any chemical affinities with RuO{sub 4}(g). This absence of reactivity was confirmed by XPS analyses, which indicate the presence of the same species in the Ru deposits surface layer whatever the substrates considered. It has been concluded that RuO{sub 4}(g) decomposition corresponds to a bulk gas phase decomposition. The ruthenium re-volatilization phenomenon under irradiation from Ru deposits was also highlighted. An oxidation kinetic law was determined. The increase of the temperature and the steam concentration promote significantly the oxidation reaction. The establishment of Ru behavioural laws allowed making a modelling of the Ru source term. The results of the reactor calculations indicate that the values obtained for {sup 106}Ru source term are closed to the reference value considered currently by the IRSN, for 900 MWe PWR safety analysis. (author)

  7. Radiometric evaluation of graves of victims of the accident with Cesium 137 in Goiania, GO, Brazil: 25 years after

    Twenty-five years after the radiation accident in Goiania, this study aims to evaluate the radiological situation in the area demarcated by the graves of the victims of the accident with cesium-137. Radiometric survey was carried out on the surface that encompasses the four graves and vicinity, from a pre-established mesh. Dose rate measurements were carried out, using the IdentFINDER equipment, positioned at 1 m height from the ground. The values of dose rates at the points measured ranged from 0.03 to 0.07 μSv/h. This variation of dose rate is less than those obtained in the local graveyard and are in the range of background radiation observed in Goiania. Considering the results obtained 25 years after the accident, it was concluded that engineering barriers adopted at that time are effective, stating the place absolutely safe from a radiological point of view, both for the individual from the public as to the environment

  8. Un chercheur du CERN tué dans un accident

    2008-01-01

    The accident occured on Sunday between Collonges and Pougnu (Pays de Gex): 4 russians scientists were aboard the vehicle; the driver lost the control of the vehicle and the car made a barrel. (1/4 page)

  9. BENTUK KERJASAMA PUBLIC-PRIVATE PEMBANGUNAN GRAVING DOCK DAN MANAJEMEN GALANGAN KAPAL DENGAN METODE ANALYTICAL HIERARCHI PROCESS (AHP

    Hartono Hartono

    2012-08-01

    Full Text Available In paper Development of port infrastructure in Indonesia is now no longer the responsibility of centralgovernment, along with limited funds and the government's insistence seaport infrastructure needs. Toaccelerate economic growth, the government issued Government Regulation as a legal umbrella. The purpose ofthis study was to examine public-private partnership opportunities in the construction of graving dock andshipyard management. Targets do is review, the criteria are prioritized cooperation and cooperationpriorities.This study used qualitative and quantitative approach, a descriptive qualitative approach throughinterviews used to assess the normative aspect. The quantitative approach used to assess the priority criteriaforms of cooperation and public-private partnership in development graving dock and shipyard management byusing the Analytical Hierarchy Process (AHP. Based on the AHP analysis can be concluded that the expertsdisagree about the priority criteria of cooperation, where the majority of them choose the duration as the maincriterion. As for the analysis of priorities of the cooperation of all experts choose Built-Operate-Transfer (BOT,which is deemed suitable for long-term investment of up to 30 years. BOT puts private partners to more freely tofinance, construct, operate, anticipated rate of return on capital (rate of return and the risks of commercial andregulatory aspects

  10. Le Rôle de l’Omalizumab dans le Traitement de l’Asthme Allergique Grave

    Chapman, Kenneth R.; André Cartier; Jacques Hébert; R Andrew McIvor; R Robert Schellenberg

    2006-01-01

    CONTEXTE : Un nouveau traitement anti-immunoglobuline E (anti-IgE) contre l’asthme, l’omalizumab, a été approuvé au Canada.OBJECTIF : Passer en revue les données fondamentales et cliniques sur l’omalizumab et examiner le rôle possible de ce médicament dans la prise en charge de l’asthme au Canada.MÉTHODOLOGIE : Une recherche documentaire a été effectuée dans MEDLINE afin de repérer les études menées de 1960 à 2006 sur l’omalizumab. La recherche a également porté sur les résumés de réunions sc...

  11. Contribution des essais en matériaux prototypiques sur la plate-forme PLINIUS à l'étude des accidents graves de réacteurs nucléaires

    JOURNEAU Christophe

    2008-01-01

    La plate-forme expérimentale PLINIUS du CEA Cadarache est dédiée à l'étude expérimentale des accidents graves de réacteurs nucléaires en réalisant des essais entre 2000 et 3500 K avec du corium prototypique. Le corium est le mélange issu d'une hypothétique fusion du cœur et de son mélange avec les matériaux de structure. Le corium prototypique a la même composition chimique que le corium envisagé pour un scénario d'accident grave mais une composition isotopique différente(utilisation d'uraniu...

  12. Radiometric evaluation of graves of victims of the accident with Cesium 137 in Goiania, GO, Brazil: 25 years after; Avaliacao radiometrica das sepulturas das vitimas do acidente com o Cesio 137 em Goiania: 25 anos apos

    Lage, Leonardo B.; Correa, Rosangela da S.; Santos, Eliane E. dos, E-mail: leonardobl@cnen.gov.br, E-mail: rcorrea@cnen.gov.br, E-mail: esantos@cnen.gov.br [Centro Regional de Ciencias Nucleares do Centro-Oeste (CRCN-CO/CNEN-GO), Abadia de Goias, GO (Brazil); Freitas-Junior, Ruffo, E-mail: uffojr@terra.com.br [Universidade Federal de Goias (UFG), Goiania, GO (Brazil). Faculdade de Medicina. Programa de Mastologia

    2013-07-01

    Twenty-five years after the radiation accident in Goiania, this study aims to evaluate the radiological situation in the area demarcated by the graves of the victims of the accident with cesium-137. Radiometric survey was carried out on the surface that encompasses the four graves and vicinity, from a pre-established mesh. Dose rate measurements were carried out, using the IdentFINDER equipment, positioned at 1 m height from the ground. The values of dose rates at the points measured ranged from 0.03 to 0.07 μSv/h. This variation of dose rate is less than those obtained in the local graveyard and are in the range of background radiation observed in Goiania. Considering the results obtained 25 years after the accident, it was concluded that engineering barriers adopted at that time are effective, stating the place absolutely safe from a radiological point of view, both for the individual from the public as to the environment.

  13. [Graves' ophthalmopathy].

    Eckstein, A; Dekowski, D; Führer-Sakel, D; Berchner-Pfannschmidt, U; Esser, J

    2016-04-01

    Graves' orbitopathy (GO) is the main extrathyroidal manifestation of Graves' disease and the full clinical picture can impair the quality of life of the patients considerably. Active inflammation can often be effectively treated by intravenous steroids/immunosuppression, however does not lead to full remission, since inflammation rather quickly results in irreversible fibrosis and increase of orbital fat. Very important is the control of risk factors (smoking cessation, good control of thyroid function, selenium supplementation) to prevent progression to severe stages. Treatment should rely on a thorough assessment of activity and severity of GO. Rehabilitative surgery (orbital decompression, squint surgery, eyelid surgery) is needed in many patients to restore function and appearance. Anti-thyroid-stimulating hormone (TSH) receptor antibodies do specifically occur in these patients and correlate to the course of thyroid and eye disease. The levels of these antibodies can be used for treatment decisions at certain time points of the disease. PMID:27059986

  14. Essai comparatif de l'artéméther et de la quinine dans le paludisme grave à Plasmodium falciparum de l'adulte et du grand enfant au Cameroun

    Fargier, J.J.; Louis, F J; Duparc, S; Hounsinou, C.; Ringwald, Pascal; Danis, M

    1999-01-01

    Une étude comparative de l'arthéméther et de la quinine dans le traitement du paludisme grave à #Plasmodium falciparum$ de l'adulte et du grand enfant a été conduite au Cameroun de juin 1993 à juin 1994. Les patients du groupe artéméther ont reçu par voie intramusculaire 3,2 mg/kg d'artéméther le premier jour puis 1,6 mg/kg les quatre jours suivants. Ceux du groupe quinine ont reçu par voie intraveineuse 16 mg/kg de quinine base les 4 premières heures puis 8 mg/kg toutes les 8 heures pendant ...

  15. Major accidents involving dangerous chemicals and Standard Basic Self-Protection; Accidentes graves en los que intervangan sustancias quimica peligrosas y Norma Basica de Autoproteccion

    Alonso Fernandez, L.

    2011-07-01

    Nuclear and radioactive facilities and other centers, institutions and agencies engaged in activities that may lead to emergency situations, are subject to specific regulations directed to take measures to prevent and control risks at source and to act initially in emergency situations and limit the consequences, in order to protect people, property and the environment. With these premise, place the following article, which summarizes the basic guidelines in the field of major accident and self-protection, summarizing the implications of current legislation in this field. (Author)

  16. Insuffisance rénale aigue compliquant un paludisme grave à plasmodium falciparum: prise en charge dans un milieu peu équipé.

    Tshisuz NC

    2012-11-01

    Full Text Available RésuméLes auteurs rapportent un cas d’insuffisance rénale aigue classe F selon le critère RIFLE compliquant un paludismegrave chez un enfant de 7 ans, de sexe masculin, pris en charge dans un milieu logistiquement pauvre. La goutteépaisse était positive avec une Hyperparasitémie à plasmodium falciparum, l’urémie à 143 mg/dl et lacréatininémie à 5,0mg/dl. Par manque de dialyse, l’association furosémide à forte dose et dopamine à dosedopaminergique avait permis de contrôler la surcharge hydrosodée en attendant la résolution de l’insuffisancerénale.AbstractThe authors report a case of Acute Kidney Injury class F according to RIFLE criteria caused by severe plasmodiumfalciparum malaria of a young boy of 7 years which had been treated in a poorly-equipped area. The laboratoryshows the plasmodium falciparum, the blood creatinine at 5, 0 mg/dl and the blood urea at 143 mg/dl. In lack ofdialysis, furosemide at high doses associated with dopamine at dopaminergic dose had been used to control thefluid overload before the resumption of urine output.

  17. Contribution of prototypic material tests on the Plinius platform to the study of nuclear reactor severe accident; Contribution des essais en materiaux prototypiques sur la plate-forme Plinius a l'etude des accidents graves de reacteurs nucleaires

    Journeau, Ch

    2008-01-15

    The PLINIUS experimental platform at CEA Cadarache is dedicated to the experimental study of nuclear reactor severe accidents thanks to experiments between 2000 and 3500 K with prototypic corium. Corium is the mixture that would be formed by an hypothetical core melting and its mixing with structural materials. Prototypical corium has the same chemical composition as the corium corresponding to a given accident scenario but has a different isotopic composition (use of depleted uranium,...). Research programs and test series have been performed to study corium thermophysical properties, fission product behaviour, corium spreading, solidification and interaction with concrete as well as its coolability. It was the frame of research training of many students and was realized within national, European and international collaborations. (author)

  18. Material effects on multiphase phenomena in late phases of severe accidents of nuclear reactors; Effets des materiaux sur les phenomenes multiphasiques se produisant lors des phases avancees d'accident grave de reacteur nucleaire

    Seiler, J.M.; Froment, K

    2003-07-01

    This paper reviews and presents work carried out in the French Atomic Energy Commission (CEA) on the subject of nuclear severe accidents, i.e. those which are accompanied by melting of the nuclear core material. The emphasis is on the (crucial) thermodynamic and material behaviour of corium melts in the solidus-liquidus temperature interval, which is linked to the thermal hydraulic description. A global model approach is proposed. The work is presented in the context of the overall international effort in the area. (authors)

  19. Envenimation scorpionique compliqué d'un accident vasculaire cérébral ischemique

    Bibiche, Youssef; Berdai, Adnan; Labib, Smael; Harandou, Mustapha

    2015-01-01

    Les piqûres de scorpion sont dans un certain nombre de pays, un accident fréquemment rencontré, et un risque grave. Au Maroc, les données épidémiologiques établies par le centre anti-poison (CAPM) montrent que les piqûres scorpioniques se placent en tête de toutes les intoxications relevées par le centre (60%). Les envenimations scorpioniques posent un grand problème de santé publique. L'apparition de signes neurologiques lors d'une envenimation scorpionique témoigne d'une envenimation grave et correspond au stade III de l’échelle de sévérité. Nous rapportons le cas d'une envenimation scorpionique compliqué d'un Accident vasculaire cérébral ischémique (AVCI) chez un enfant. PMID:26175806

  20. La rénovation urbaine, une opportunité de réduire les inégalités socio-spatiales d’être impliqué dans un accident dans les espaces publics

    Godillon, Sylvanie

    2012-01-01

    Les individus ne sont pas égaux devant les risques d'accidents lors des déplacements dans les espaces publics. L'enjeu est de comprendre les influences du contexte résidentiel (précarité, forme urbaine, insécurité routière) sur ce risque. Ces analyses interpellent les actions publiques d'une géographie prioritaire qui cible les quartiers défavorisés. Un des objectifs du Programme National de Rénovation Urbaine est de désenclaver ces quartiers pour réduire l'insécurité civile et ainsi apaiser ...

  1. Graves opthalmopathy and psychoendocrinopathies

    Ghanem Asaad; Amr Mostafa; Araafa Lamiaa

    2010-01-01

    Purpose: To assess the psychiatric and endocrinological changes in patients with Graves ophthalmopathy (GO). Design: A prospective, controlled, University Hospital based study Subjects and Methods: The current study comprised 60 patients diagnosed with GO at Mansoura Ophthalmic Center. Thirty five patients of them with moderate to severe GO formed the study group and twenty five patients with negligible to very mild GO formed the control group in the euthyroid state. The study group was...

  2. Digging One's Own Grave

    Arvo Krikmann

    2007-01-01

    Full Text Available The paper aims to demonstrate that some points in the explicationof the figurative expression digging one’s own grave via the concept of blending given by Gilles Fauconnier and Mark Turner are problematic: (1 Not understanding the consequences of one’s deeds is an almost universal presuppositionof and impulse or motivation for actualizing any utterance with a forewarning or gloating content (e.g., proverbs, not the singularity characterizing just the expression of grave-digging as such. (2 The inversion of causal and temporal structure is not the case because of metonymic association between the concepts of the grave and death, as a result of which specific causal and temporal order loses any significance. Many synonymous examples can be given in which the image refers to events before the death, between the death and funeral, as well as those after burial. (3 The source domain needs not to be restricted to natural death and modern civilized funerals but should include also the cases of violent deaths, e.g., the scenario of execution and the scenario of hunting and trapping. Preliminarily, a very brief synopsis of the main phases of development of cognitive linguistic theory of metaphor and some favourite examples of blends, used also in previous works, is provided.

  3. Infantile Graves Disease

    Altıncık, Ayça; Gençpınar, Pınar; Demir, Korcan; Çatlı, Gönül; Abacı, Ayhan; Böber, Ece

    2013-01-01

    Graves rsquo; disease is an autoimmune disorder presenting with hyperthyroidism and the disease is rare in childhood Two year old female patient was admitted to our clinic for her evident orbital puffiness Physical examination revealed propitosis tachycardia and a hyperpigmented spot with a diameter of 6x4 cm on the skin of the left hemithorax Evaluation of thyroid function tests showed the following values: fT4: 4 00 ng dl N: 0 8 1 9 fT3: 7 7 pg ml N: 1 57 4 71 TSH: 0 004 uIU ml ...

  4. Chernobyl in the French mass media 14 years after the accident; Tchernobyl dans la presse francaise 14 ans apres

    Anon

    2001-02-01

    The author presents how the mass media have dealt with the fourteenth anniversary of the Chernobyl accident. Nowadays Chernobyl epitomizes the hazards of nuclear energy. Public opinion has become extremely sensitive to topics concerning human health. This sensitivity is due to previous important affairs such as the scandal of the tainted blood, the mad cow disease or the syndrome of the Balkan war. Most media have broadened the debate to the sanitary impact of nuclear activities. The hyper-mediatization of the legal case of a man prosecuting the French state for no having taken adequate measures when the radioactive cloud spread over France, has given the feeling that French authorities have always wrongly minimized the consequences of the accident. (A.C.)

  5. Prevention of Graves' ophthalmopathy.

    Bartalena, Luigi

    2012-06-01

    Smoking is the most important risk factor for the occurrence/progression of Graves' ophthalmopathy (GO), as well as for its lower/slower response to immunosuppression. Accordingly, refrain from smoking should be urged, both as primary prevention (removal of risk factors in Graves' patients without GO), secondary prevention (early detection and treatment of asymptomatic/very mild GO) and tertiary prevention (reduction of complications/disability of overt GO). A 6-month course of 200 μg/day sodium selenite can prevent progression of mild GO to more severe GO and is, therefore, a form of secondary prevention and, probably, primary prevention. Correction of thyroid dysfunction and stable maintenance of euthyroidism are important preventive measures. The optimal treatment for hyperthyroidism in patients with GO is uncertain, because evidence demonstrating the superiority of antithyroid drugs over thyroid ablation (radioiodine, thyroidectomy, or both) is lacking. If radioiodine is used, low-dose steroid prophylaxis is recommended, particularly in smokers, to prevent radioiodine-associated GO progression. PMID:22632372

  6. Traitement automatique de rapports d’incidents et accidents : application à la gestion du risque dans l’aviation civile

    Tulechki, Nikola

    2015-01-01

    This thesis describes the applications of natural language processing (NLP) to industrial risk management. We focus on the domain of civil aviation, where incident reporting and accident investigations produce vast amounts of information, mostly in the form of textual accounts of abnormal events, and where efficient access to the information contained in the reports is required. We start by drawing a panorama of the different types of data produced in this particular domain. We analyse the do...

  7. Fisiopatologia da asma grave

    Todo-Bom, Ana; Mota-Pinto, Anabela

    2006-01-01

    Não tem resumo. Transcreve-se o primeiro parágrafo: A história natural da asma e os condicionalismos de uma evolução para formas moderadas ou graves não está completamente estabelecida. Contudo, quer os factores genéticos quer os factores ambientais, serão determinantes na fisiopatologia e no prognóstico da doença. A asma é, por definição, uma doença inflamatória crónica das vias aéreas caracterizada por uma obstrução brônquica generalizada mas variável que é, pelo menos parcialmente, reve...

  8. Aes grave iz Jesenica

    Bonačić Mandinić, Maja

    2009-01-01

    U zbirci Arheološkog muzeja u Splitu čuva se primjerak aes grave tipa Apolon/Apolon (RRC 18/1). Pripada emisiji kovnice u Rimu iz 275. do 270. godine prije Krista. Nađen je oko 1901. godine u Jesenicama. Bilo kakve pojedinosti o kontekstu nalaza nisu poznate. Jesenice su selo na oko 200 do 250 m nadmorske visine, na padini Peruna - južna kosa planine Mosor. Uz ostale helenističke nalaze sa šireg područja Jesenica, na potezu uz obalu između Splita i Omiša, ovaj nalaz bi mogao svjedočiti o vezi...

  9. Hashimoto's thyroiditis following Graves' disease.

    Umar, Husaini; Muallima, Nur; Adam, John M F; Sanusi, Harsinen

    2010-01-01

    Both Graves' disease and chronic thyroiditis (Hashimoto's thyroiditis) are autoimmune diseases of thyroid gland. Graves' disease is caused by stimulation of TSH receptor located on the thyroid gland by an antibody, which is known as TSH receptor antibody (TRAb). Furthermore, this may lead to hyperplasia and hyperfunction of the thyroid gland. On the contrary, the cause of Hashimoto's thyroiditis is thought due to a TSH stimulation-blocking antibody (TSBAb) which blocks the action of TSH hormone and subsequently brings damage and atrophy to thyroid gland. Approximately 15-20% of patients with Graves' disease had been reported to have spontaneous hypothyroidism resulting from the chronic thyroiditis (Hashimoto's disease). Pathogenesis for chronic thyroiditis following anti-thyroid drug treatment in patients with Graves' disease remains unclear. It has been estimated that chronic thyroiditis or Hashimoto's disease, which occurs following the Graves' disease episode is due to extended immune response in Graves' disease. It includes the immune response to endogenous thyroid antigens, i.e. thyroid peroxidase and thyroglobulin, which may enhance lymphocyte infiltration and finally causes Hashimoto's thyroiditis. We report four cases of chronic thyroiditis (Hashimoto's disease) in patients who have been previously diagnosed with Graves' hyperthyroidism. In three cases, Hashimoto's thyroiditis occurs in 7 to 25 years after the treatment of Grave's disease; while the other case has it only after few months of Grave's disease treatment. The diagnosis of Hashimoto's disease (chronic thyroiditis) was based on clinical manifestation, high TSHs level, positive thyroid peroxidase antibody and thyroglobulin antibody, and supported by positive results of fine needle aspiration biopsy. Moreover, the result of histopathological test has also confirmed the diagnosis in two cases. All cases have been successfully treated by levothyroxine treatment. PMID:20305330

  10. Graves opthalmopathy and psychoendocrinopathies

    Ghanem Asaad

    2010-01-01

    Full Text Available Purpose: To assess the psychiatric and endocrinological changes in patients with Graves ophthalmopathy (GO. Design: A prospective, controlled, University Hospital based study Subjects and Methods: The current study comprised 60 patients diagnosed with GO at Mansoura Ophthalmic Center. Thirty five patients of them with moderate to severe GO formed the study group and twenty five patients with negligible to very mild GO formed the control group in the euthyroid state. The study group was further subdivided based on their predominant clinical signs into a proptosis subgroup and a muscle restriction subgroup . Psychiatric changes were assessed with the Middlesex Hospital Questionnaire (MHQ. Biochemical analyses included serum-free thyroxine and thyroid-stimulating hormone (TSH concentrations, TSH receptor antibody (TRAb activity and anti-thyroglobulin particle agglutination (TGPA and antithyroid microsomal particle agglutination (MCPA. Results: The proptosis group reported significantly higher scores on anxiety, depression, and phobia than the muscle restriction group (P< 0.0001. The proptosis and muscle restriction subgroups reported significantly higher scores on all subscales compared to the control group (P < 0.05. The scale scores of depression and phobia showed a positive correlation with scores of anxiety (P< 0.0001. The serum TRAb activity showed a significant correlation with anxiety, phobia and hysteria (P < 0.0001. Conclusion: The psychiatric aspect of GO should be evaluated during routine follow-up and should be considered when making management decisions. Thyroid specific antibodies may be useful in confirming the diagnosis of GO.

  11. Immunosuppression in Graves' ophthalmopathy

    Objective: Graves' ophthalmopathy (GO) is a disease that seriously threatens the health of patients. But up to now, no optimal therapies have been established. Immunosuppressive treatment is usually used in the management of GO, but they may cause side effects. Recently, 99Tc-MDP, commercially named 'Yun Ke', is used in the management of autoimmune disease. Therefore, a randomized trial was done to compare the values in the treatment of GO with between Yun Ke and immunosuppression. Methods: 42 consecutive patients with moderate or severe GO were randomly assigned to receive either Yun Ke therapy or immunosuppressive therapy. The degree of ocular involvement and responses to the treatment were evaluated by numerical scoring (ophthalmopathy index, OI) and clinical assessment. Therapy outcome was assessed 4 months after the start of treatment by the change in the highest NOSPECS class and OI. Data analysis was performed with the SPASS statistic software. Chi-square test was used to compare percentages, logistic regression was performed to identify which variables might correlated with the treatment outcome. Results: The remarkably effective outcome was observed in 14 (67%) cases in immunosuppression treated group and 13 (62%) cases in Yun Ke treated group. There were no significant differences in the degree of improvements in ocular involvements. There was a marked decrease of thyroid antibody titres in both groups. The variables found to correlated significantly with treatment outcome were thyroid antibody titres and GO activity. Side effects were more frequent and severe during immunosuppressive therapy. No side effects were found during Yun Ke treatment. Conclusion: Yun Ke and immunosuppression appeared to be equally effective in the management of GO, but Yun Ke is safer for patients during treatment

  12. Accident D’Electrisation et Hemorragie Cerebro-Meningee : A Propos D’une Observation

    Chaibdraa, A.; Medjellakh, M.S.; Saouli, A.; Bentakouk, M.C.

    2008-01-01

    Summary L'électrisation est un évènement accidentel qui diffère des autres pathologies occasionnant des brûlures graves, à cause de ses spécificités qui traduisent d'une part la destruction du revêtement cutané, mais également les effets directs ou indirects du courant électrique sur tout tissu de l'organisme rencontré lors de son passage, en particulier le tissu nerveux. Les manifestations neurologiques centrales sont nombreuses, en relation avec les effets de l'électricité sur le parenchyme cérébral ou une lésion associée à l'électrisation. Nous rapportons l'observation d'une hémorragie cérébro-meningée survenant au 3ème jour d'une électrisation grave. Cette complication est bien documentée dans la littérature traitant des accidents d'électrisation post-foudroiement. N'ayant pas rencontré de cas similaire publié lors des accidents dus au courant industriel, nous présentons cette observation, qui soulève le problème du mécanisme physiopathologique de survenue, difficile à trancher. PMID:21991125

  13. Biologiske behandlingsmuligheder ved Graves' oftalmopati

    El Fassi, Daniel; Nielsen, Claus; Hegedüs, Laszlo

    2008-01-01

    The current medical treatment options for Graves' ophthalmopathy (GO) are unsatisfactory. Recent treatment of GO patients with the B-lymphocyte depleting monoclonal antibody rituximab or with the anti-tumor necrosis factor-alpha agents etanercept and infliximab has shown promising results. We...

  14. Accidents - Chernobyl accident; Accidents - accident de Tchernobyl

    NONE

    2004-07-01

    This file is devoted to the Chernobyl accident. It is divided in four parts. The first part concerns the accident itself and its technical management. The second part is relative to the radiation doses and the different contaminations. The third part reports the sanitary effects, the determinists ones and the stochastic ones. The fourth and last part relates the consequences for the other European countries with the case of France. Through the different parts a point is tackled with the measures taken after the accident by the other countries to manage an accident, the cooperation between the different countries and the groups of research and studies about the reactors safety, and also with the international medical cooperation, specially for the children, everything in relation with the Chernobyl accident. (N.C.)

  15. Study of top reflooding in case of severe accident and in particular oxidation of Uranium, Zirconium, Oxygen melts; Etude du renoyage par le haut en cas d'accident grave et en particulier oxydation des melanges (U,Zr,O)

    Brunet-Thibault, E

    2006-12-15

    In 1979, the Three Mile Island (TMI) accident occurred in United States and accelerated research activities in the field of severe accidents. Severe accident management procedures imply massive water injections to flood the core. The work of this thesis bent principally over this reflooding. The first part of the study concerns the core oxidation enhancement during the reflooding phase which leads to a rough increase of the concentration of burnable hydrogen in the containment. This is why the study carried on the analysis of the contribution of the oxidation of U-Zr-O mixtures, towards the total production of hydrogen during reflooding. In the second part, the study concerns top flooding modelling i.e.: with injection of water in the hot legs. Here, we attempted to define bases and realize a model allowing to describe this type of reflooding. These models were validated on the simulation of the parameter with MAAP4 code. (author)

  16. Avancée dans la prévention des « chutes de plain-pied » au travail Progress in the prevention of occupational “falls on the same level”. Proposed operational definition of a new category: “Motion perturbation accidents (MPAs” Avances en la prevención de « caídas al mismo nivel » en el trabajo. Propuesta de la definición operacional de una nueva categoría : « los Accidentes con Perturbación del Movimiento (APM »

    Sylvie Leclercq

    2010-11-01

    Full Text Available La chute de plain-pied reste un accident du travail fréquent et grave. La terminologie qualifiant ces accidents est variée, relativement imprécise et n’intègre pas la diversité des accidents rencontrés sous les différentes appellations. L’intérêt de considérer une catégorie d’accidents du travail avec perturbation du mouvement (APM est tout d’abord mis en évidence à partir de divers extraits de récits d’accidents. Un modèle est ensuite proposé pour les APM montrant que, dans ces cas particuliers d’accident la blessure est souvent la conséquence de l’association fortuite entre l’énergie du mouvement perturbé de la victime et un élément matériel rendu blessant de par ses propriétés et appelé a posteriori un « danger circonstanciel ». Enfin, le raisonnement qui sous-tend la classification de ces accidents est explicité. Il apparaît notamment que la prévention ciblant les causes immédiates de la blessure est difficile voire impossible dans les cas d’APM en raison principalement des exigences inhérentes au travail et de contraintes que ferait peser sur l’entreprise l’application de cette prévention. La prévention à la source du risque tend alors à devenir la seule possible. Ainsi, de banal, l’APM devient un révélateur de dysfonctionnements au sein du système de production.Falls on the same level remain frequent and serious occupational accidents. The terminology used to describe these accidents is varied and somewhat imprecise. Moreover it does not integrate the variety of accidents with different names. The advantage of considering an occupational accident category with motion perturbation (MPA is demonstrated, based on extracts from various occupational accident accounts. A model is then proposed for MPAs that shows that in these specific cases of accidents, the injury often results from a fortuitous association between the victim’ perturbed motion energy and a physical element that

  17. Une étude de cohorte prospective d'accidentés de la route dans le Rhône : enquêtes auprès des sujets et analyse de la représentativité

    Boulanger, A

    2005-01-01

    La participation a une étude épidémiologique de cohorte prospective d'accidentés de la route dans le Rhône a permis de réaliser deux expériences. Le travail d'enquêteur a d'abord permis d'appréhender sur le terrain l'utilisation du questionnaire d'entretien comme outil de collecte de données ; les informations recueillies ont ensuite fait l'objet d'une analyse de représentativité des sujets de la cohorte correspondant aux six premiers mois de la phase d'inclusion, par rapport aux données du R...

  18. Contribution au développement d'un outil de simulation prédictif des lésions cranio-encéphaliques par reconstruction d'accidents de la circulation

    CANAPLE, B

    2001-01-01

    Dans les accidents de la circulation, les blessures de la tête sont réputées fréquentes et graves. En raison des diverses formes de la lésion (osseuse, vasculaire ou neurologique) et des limitations des connaissances biomécaniques de la tête, de vieux et simples critères de protection (comme le HIC ou le pic d'accélération linéaire de la tête) sont encore utilisés dans les tests normalisés. Contrairement aux autres segments corporels, il n'est pas possible d'utiliser une méthode directe (cons...

  19. Development of a shell finite element. Application to the thermo-viscoplastic behaviour of a PWR vessel during a severe accident; Developpement d`un element fini coque. Application au comportement thermo-viscoplastique d`une cuve de reacteur nucleaire (REP) en situation d`accident grave

    Diaz, V

    1998-10-07

    The aim of this study is to develop a model for the thermo-viscoplastic behaviour of he power water reactor lower head during a severe accident, so as to implement it in codes representing the whole accident progress (scenario codes). So it has to give a precise solution in a short cpu-time. The main loadings are the internal pressure and the strong longitudinal and transverse thermal gradients. To deal with this problem, the idea is to develop a new shell element with variable mechanical parameters with the temperature. This is possible in taking advantage of the properties of the bending center line, called neutral fiber. Besides, this new shell element has the particularity to be able to melt without modifying the initial dimensions of the structure. Then, we have developed a complete program to study the mechanical resistance of the vessel. The visco-plastic behaviour is considered as a loading (so it is placed in the second member of the system to be solved) and represented by a Norton law whose parameters depend on the temperature, the law is integrated explicitly which necessitates the introduction of criteria limiting the time step. The rupture criterion by creep is defined by a damage law whereas the rupture criterion by plasticity is based on the exceeding of the mean limit stress in the thickness. Then the model was validated by comparing the results with those of a Castem 2000 volume mesh (finite element code). Finally the model was coupled with the scenario codes ICARE2 and MAAP4 and tested on two typical severe accidents. The results are very satisfactory both on accuracy and cpu-time execution. (author) 113 refs.

  20. PREGO (presentation of Graves' orbitopathy) study

    Perros, Petros; Žarković, Miloš; Azzolini, Claudio;

    2015-01-01

    BACKGROUND/AIMS: The epidemiology of Graves' orbitopathy (GO) may be changing. The aim of the study was to identify trends in presentation of GO to tertiary centres and initial management over time. METHODS: Prospective observational study of European Group On Graves' Orbitopathy (EUGOGO) centres...

  1. Accidents - Chernobyl accident

    This file is devoted to the Chernobyl accident. It is divided in four parts. The first part concerns the accident itself and its technical management. The second part is relative to the radiation doses and the different contaminations. The third part reports the sanitary effects, the determinists ones and the stochastic ones. The fourth and last part relates the consequences for the other European countries with the case of France. Through the different parts a point is tackled with the measures taken after the accident by the other countries to manage an accident, the cooperation between the different countries and the groups of research and studies about the reactors safety, and also with the international medical cooperation, specially for the children, everything in relation with the Chernobyl accident. (N.C.)

  2. Aspects épidémiologiques des accidents vasculaires cérébraux (AVC) aux urgences de l'institut de cardiologie d'Abidjan (ICA)

    N'goran, Yves N'da Kouakou; Traore, Fatou; Tano, Micesse; Kramoh, Kouadio Euloge; Kakou, Jean-Baptiste Anzouan; Konin, Christophe; Kakou, Maurice Guikahue

    2015-01-01

    Introduction L'objectif de notre étude était de décrire les caractéristiques sociodémographiques et les Facteurs de Risque cardio-Vasculaires (FRV) des patients admis pour accidents vasculaires cérébraux (AVC) dans un service autre que celui de la neurologie. Méthodes Étude transversale rétrospective sur une période de 2 ans (janv. 2010 et déc. 2011), réalisée aux urgences de l'institut de cardiologie d'Abidjan. Résultats Il s'agissait de 176 adultes avec un âge moyen de 60 ans, une prédominance féminine. Les facteurs de risque majeurs retrouvés étaient l'hypertension artérielle dans 86,4% des cas, le diabète dans 11,4% des cas, le tabagisme dans 2,2% des cas. Les motifs de consultation étaient la perte de connaissance dans 36,4% des cas, l'hémiplégie dans 31,8% des cas, les céphalées dans 17,4% des cas, les vertiges dans 10,9% et les palpitations dans 2,2% des cas. La tension artérielle systolique moyenne était à 174 mmHg, la tension artérielle diastolique moyenne était à 105 mmHg et la pression pulsée moyenne était à 70 mmHg. Les AVC étaient associés à une arythmie complète par fibrillation auriculaire dans 11,4% des cas. Les AVC ischémiques représentaient 84,1%. L’évolution aux urgences a été marquée par un décès dans 17% (30) des cas. Conclusion Les AVC constituent un problème majeur de santé publique. Malgré sa prédominance féminine, ils (AVC) touchaient 44% des hommes dans notre étude lorsqu'on sait qu'en Afrique l'activité sociale repose sur les hommes. Ils restent une pathologie grave par la forte létalité. PMID:26327997

  3. Graves disease and atrial fibrillation

    Bello-Espinosa Ariel

    2010-06-01

    Full Text Available A clinical case of am 26 year old male is presented, with a diagnosis of hypothyroidism 2 years before admission. The patient consulted because he presented the following clinical symptoms: palpitation, exhaustion, fatigue, loss of weight, and trembling. The physical exam reveals ocular proptosis and a notable mass in the anterolateral region of the neck, besides classical symptomatology of Graves’ disease. After the realization of different labs (TSH, Electrocardiogram, a Graves’ disease and auricular paroxystic fibrillation are diagnosed. The patient is treated with Metimazol, Propranolol, and Hidrocortisona. Following that, the patient improves his clinical condition, for which he is discharged. Additionally, in concord with current bibliography, clinical and epidemiological aspects of Graves’ disease are presented and physiopathological mechanisms that trigger this disease are illustrated with the aim to show the medical community about a pathology infrequently presented in young males.RESUMENSe presenta el caso clínico de un paciente masculino de 26 años de edad condiagnóstico de base de hipertiroidismo dos años previos al ingreso que consulta por cuadro clínico de palpitaciones, cansancio excesivo, fatiga, pérdida de peso y temblor generalizado. El examen físico revela protrusión ocular y masa notable en región antero - lateral del cuello, además de la presentación de signos clásicos de enfermedad de Graves. Después de la realización de diferentes estudios, entre ellos análisis de hormonas tiroideas y electrocardiograma, se diagnostica enfermedad de Graves y fibrilación auricular paroxística. El paciente es tratado con Metimazol, Propranolol e hidrocortisona, presentando mejoría clínica por lo que es dado de alta. Adicionalmente, en concordancia con la bibliografía se señalan no solo los aspecto clínicos y epidemiológicos más relevantes de la enfermedad de Graves, sino que también se expone con claridad los

  4. Prise en charge des traumatismes graves du rein

    Lakmichi, Mohamed Amine; Jarir, Redouane; Sadiki, Bader; Zehraoui; Bentani; Wakrim, Bader; Dahami, Zakaria; Moudouni; Sarf, Ismail

    2015-01-01

    Les traumatismes graves du rein de grade III, IV et V selon la classification de l'Amercan Society for Surgery For Trauma (ASST) sont plus rares et se retrouvent dans 5% des cas en moyenne. Leur prise en charge est souvent délicate, nécessitant alors des centres expérimentés dotés de moyen adéquats d'imagerie (scanner spiralé). Cependant, durant ces dernières années, la prise en charge de ces traumatismes a évolué vers une attitude de moins en moins chirurgicale grâce à l’évolution des techniques de la radiologie interventionnelle, de l'endourologie et des moyens de surveillance aux urgences et de réanimation. L'objectif de cette étude est d’évaluer notre expérience dans la prise en charge des traumatismes rénaux de haut grade. Notre étude rétrospective porte sur 25 cas de traumatismes grave du rein de grade III, IV et V selon la classification de l'ASST, colligés entre Janvier 2002 et Juin 2009 au service d'urologie du centre Hospitalier Universitaire Mohammed VI, Université Cadi Ayyad de Marrakech, Maroc. Nous avons étudié les données épidémiologiques, les signes cliniques et biologiques à l'admission (état de choc hémorragique, taux d'hémoglobine), les données radiologiques (échographie et scanner), les lésions associées, la prise en charge thérapeutique et les complications. L’âge moyen de nos patients était de 24,9 ans 15 et 58 ans, avec une prédominance masculine (sex-ratio = 7, 3). Le rein droit était intéressé dans 15 cas (60%). Le traumatisme rénal était fermé dans 15 cas, et ouvert par arme blanche dans 10 cas. Huit patients se sont présentés en état de choc hémorragique (32%). Une anémie inférieur à 10g /100ml a été observée dans 10 cas (40%). L'uroscanner fait systématiquement à l'admission a retrouvé un grade III (10 cas), grade IV (13 cas) et grade V (2 cas). La prise en charge a consisté en une exploration chirurgicale avec néphrectomie chez 2 cas de Grade IV pour une instabilité h

  5. Prise en charge des traumatismes graves du rein

    Lakmichi, Mohamed Amine; Jarir, Redouane; Sadiki, Bader; Zehraoui,; Bentani,; Wakrim, Bader; Dahami, Zakaria; Moudouni,; Sarf, Ismail

    2015-01-01

    Les traumatismes graves du rein de grade III, IV et V selon la classification de l'Amercan Society for Surgery For Trauma (ASST) sont plus rares et se retrouvent dans 5% des cas en moyenne. Leur prise en charge est souvent délicate, nécessitant alors des centres expérimentés dotés de moyen adéquats d'imagerie (scanner spiralé). Cependant, durant ces dernières années, la prise en charge de ces traumatismes a évolué vers une attitude de moins en moins chirurgicale grâce à l’évolution des techni...

  6. Contribution of radio-iodine 131 in the treatment of Grave's Basedow disease in the department of nuclear medicine of Ibn Sina Hospital in Rabat; Apport de l'iode 131 dans le traitement de la maladie de Basedow dans le service de medecine nucleaire de l'hopital Ibn Sina de Rabat

    Mbodj, M.; Amjad, I. [Faculte de Medecine de Dakar, Lab. de Biophysique et de Medecine Nucleaire, UCAD, Dakar (Senegal); Guerrouj, H.; Ben Rais, N.A. [Hopital Ibn Sina de Rabat, Service de Medecine Nucleaire, Rabat (Morocco)

    2009-10-15

    One hundred and twenty-nine Grave's Basedow diseases in any gender and variable age patients, coming from several cities of Morocco, were randomized in a study of radio-iodine treatment who took place at the nuclear medicine department of Ibn Sina Hospital (Rabat, Morocco) during the period (from January 2001 to December 2008). The radio-iodine treatment was a first, second or third option and radio-iodine activities delivered varied (from 222 to 555 MBq 6 to 15 mCi) according to the age, the thyroid volume, the degree of hyperthyroidism and socio-economical situation. The high amounts of {sup 131}I were reserved especially to the patients who live far and whose socio-economic level is low with an aim of quickly obtaining an easily controllable state of hypothyroidism by a substitute treatment. The results showed that: (1) 57.36% of patients reverted to euthyroidism (n = 74) with a patient having received two {sup 131}I cures. The second cure was justified by recurrence of hyperthyroidism after the first cure; (2) 34.88% passed in hypothyroidism (n = 45) with three patients having received two cures of {sup 131}I, the second cure was justified by recurrence of hyperthyroidism after the first cure in two patients and by the persistence of the hyperthyroidism after the first cure for the third patient. The average time of passage in hypothyroidism was 4.5 months; (3) 7.76% had remained in hyperthyroidism after the radioactive iodine treatment. Finally, 92.24% of our patients treated by radioactive iodine had passed in euthyroidism or hypothyroidism against 7.76% whose hyperthyroidism had persisted or occurred. (authors)

  7. Modeling in fast dynamics of accidents in the primary circuit of PWR type reactors; Modelisation en dynamique rapide d'accidents dans le circuit primaire des reacteurs a eau pressurisee

    Robbe, M.F

    2003-12-01

    Two kinds of accidents, liable to occur in the primary circuit of a Pressurized Water Reactor and involving fast dynamic phenomena, are analyzed. The Loss Of Coolant Accident (LOCA) is the accident used to define the current PWR. It consists in a large-size break located in a pipe of the primary circuit. A blowdown wave propagates through the circuit. The pressure differences between the different zones of the reactor induce high stresses in the structures of the lower head and may degrade the reactor core. The primary circuit starts emptying from the break opening. Pressure decreases very quickly, involving a large steaming. Two thermal-hydraulic simulations of the blowdown phase of a LOCA are computed with the Europlexus code. The primary circuit is represented by a pipe-model including the hydraulic peculiarities of the circuit. The main differences between both computations concern the kind of reactor, the break location and model, and the initialization of the accidental operation. Steam explosion is a hypothetical severe accident liable to happen after a core melting. The molten part of the core (called corium) falls in the lower part of the reactor. The interaction between the hot corium and the cold water remaining at the bottom of the vessel induces a massive and violent vaporization of water, similar to an explosive phenomenon. A shock wave propagates in the vessel. what can damage seriously the neighbouring structures or drill the vessel. This work presents a synthesis of in-vessel parametrical studies carried out with the Europlexus code, the linkage of the thermal-hydraulic code Mc3d dedicated to the pre-mixing phase with the Europlexus code dealing with the explosion, and finally a benchmark between the Cigalon and Europlexus codes relative to the Vulcano mock-up. (author)

  8. Two adolescent patients with coexistent Graves' disease and Moyamoya disease in Korea.

    Cheon, Chong Kun; Kim, Su Yung; Yoo, Jae-Ho

    2014-06-01

    Moyamoya disease is a cerebrovascular condition that results in the narrowing of the vessels of the circle of Willis and collateral vessel formation at the base of the brain. Although relationships between Graves' disease and cerebrovascular accidents in Moyamoya disease are obscure, the coexistence of the two diseases is noteworthy. Moyamoya disease has been rarely reported in adolescent patients with thyrotoxicosis. Recently, we encountered two adolescent Korean patients with Moyamoya disease associated with Graves' disease who presented with episodic right-sided hemiparesis and syncope. These two girls who had Graves' disease had no history of other diseases or head trauma. A thyroid function test revealed a euthyroid state and a high thyroid-stimulating hormone (TSH) receptor antibody titer at that time. The patients were diagnosed with Moyamoya disease based on brain magnetic resonance angiography and cerebral four-vessel angiography. The patients underwent cranial revascularization by encephalo-duroarterio-synangiosis as soon as a diagnosis was made, which resulted in successful symptom resolution. They fared well and had no additional neurological symptoms as of their last follow-up visits. Here, we report these two cases of confirmed Moyamoya disease complicated by Graves' disease with a review of the literature, and discuss the possible association between the two diseases. To our knowledge, this is the first report in South Korea on Moyamoya disease associated with Graves' disease in adolescents with a euthyroid. PMID:25076974

  9. Two adolescent patients with coexistent Graves' disease and Moyamoya disease in Korea

    Cheon, Chong Kun; Kim, Su Yung; Yoo, Jae-Ho

    2014-01-01

    Moyamoya disease is a cerebrovascular condition that results in the narrowing of the vessels of the circle of Willis and collateral vessel formation at the base of the brain. Although relationships between Graves' disease and cerebrovascular accidents in Moyamoya disease are obscure, the coexistence of the two diseases is noteworthy. Moyamoya disease has been rarely reported in adolescent patients with thyrotoxicosis. Recently, we encountered two adolescent Korean patients with Moyamoya disea...

  10. Fluxes of radionuclides in the agricultural production after a nuclear accident: countermeasures and decontamination techniques; Flux des radionucleides dans les productions agricoles suite a un accident nucleaire: contre-mesures et techniques de rehabilitation

    Jouve, A. [CEA Centre d`Etudes Nucleaires de Cadarache, 13 -Saint-Paul-lez-Durance (France)]|[Universite de Provence, 13 - Marseille (France)

    1997-12-31

    This thesis deals with the radiological consequences of a nuclear accident through the radioactive contamination of the food chain and the subsequent countermeasures for decreasing the fluxes of radionuclides and decontaminating agricultural lands. After a brief summary of the radioprotection ground and context in case of a nuclear accident, this work surveys existing data on the fluxes of radionuclides in soils and from soil to plants. The research work focuses on both the prediction of the fluxes of radionuclides and possible countermeasures: the measurement of the bioavailability of radionuclides in the soil solution, its use in a mathematical expression to quantify the soil-to-plant transfer of caesium and strontium, and the perspectives of an innovative technique of soil decontamination. The obtained results show that based on 4 coefficients, it is possible to predict crop contamination within a 3 % confidence interval: the fluid solid distribution coefficient of radionuclides kd, the amount of chemical analogues of caesium and strontium, i.e. potassium and calcium, respectively, soil pH and a constant characterising the plant species that is concerned. However, it generally appears from soil to plant transfer studies that the reduction of the fluxes of radionuclides is not a promising way of radiological exposure mitigation after a nuclear accident. The work performed shows that it is more efficient to tackle the source of the contamination, i.e. decontaminate the soil. The proposed technique of soil scraping using a turf harvester appears to be the most advantageous among the tested options, for the decontamination of peat-bog meadows. (author).

  11. Mass Graves, Landscapes of Terror

    Ferrándiz, Francisco

    2009-06-01

    Full Text Available The recent exhumation of mass graves from the Spanish Civil War and the Post-War years, mostly involving the largely abandoned graves of the Francoist rearguard, have become a central element in contemporary debates about the conflict and the regime following it. In this paper, the complexity and dynamism of this process is analysed, including from political and legal initiatives of great social and media impact to local actions on the ground, at times failed, ephemeral or almost imperceptible, but no less crucial. From the point of view of many of the people involved in the pro-exhumation associations, opening up the graves is part of a basic exercise in justice and ‘dignification’, showing the scope and systematic nature of repression while reverting the ‘infrahuman’ disposition of the executed corpses, a feeling crystallised in the common expression ‘thrown’ or ‘buried like dogs’, used very often to justify the need of carrying out exhumations. Politics of dignification and ‘rehumanization’ of these ‘incorrectly’ buried bodies are incorporating, in the last few months, elements drawn from international law, such as the concept of ‘crimes against humanity’.

    Las exhumaciones de fosas comunes de la Guerra Civil española y la posguerra de la última década, muy especialmente de fosas abandonadas de la retaguardia franquista, se han colocado en un lugar central de los debates contemporáneos sobre la naturaleza y alcance de la contienda y el régimen que surgió de ella. En este artículo, se analiza la complejidad y dinamismo del proceso, que incluye desde iniciativas políticas y judiciales de enorme proyección pública y mediática, como la Ley de la Memoria o el controvertido auto de Garzón sobre los crímenes del franquismo, hasta acciones locales a veces fallidas, imperceptibles o efímeras, pero no menos cruciales. Desde el punto de vista de muchos de los actores sociales implicados en las exhumaciones

  12. Medical Treatment of Graves' Orbitopathy.

    Salvi, M; Campi, I

    2015-09-01

    The medical treatment of Graves' orbitopathy (GO) is usually reserved to moderate to severe disease. Steroids have been widely employed and possess anti-inflammatory activity, but about 20-30% of patients are not responsive and about 20% present with disease recurrence. Immunosuppressive therapy alternative to corticosteroids may target the different antigens involved in pathogenic mechanisms of GO. Some have already been employed in clinical studies and showed interesting results, although the lack of randomized and controlled trials suggests caution for their use in clinical practice. Potential targets for therapy in GO are the TSH receptor and the IGF-1 receptor on the fibroblasts, inflammatory cytokines, B and T cells. Most promising results are obtained by interacting with the PIK3/mTORC1 signaling cascades for adipogenesis and the anti-IGF-1R with the monoclonal antibody teprotumumab. A recent open study has shown that tocilizumab, an anti-sIL-6R antibody, inactivates GO. Consistent reports on the efficacy of rituximab have recently been challenged by randomized controlled trials. Clinical practice will greatly benefit from the use of disease modifying agents in GO, as compared to steroids, currently standard treatment for GO. Among these, rituximab may be useful, especially in patients resistant to steroid or with contraindications to steroids. However, larger randomized controlled trials are needed for definitive data on the potential disease-modifying role of rituximab in GO. Direct targeting of the orbital fibroblast via immunosuppression or nonimmunosuppressive drugs is emerging as a promising alternative. PMID:26361263

  13. Bronze Statuettes in Roman Graves

    Margherita Bolla

    2014-02-01

    Full Text Available This research follows the investigations about the relationship between bronze statuettes and contexts in Roman times, particularly explored by Annemarie Kaufmann-Heinimann. The rarity of bronze figures (human, divine and animals in Roman tombs of Imperial age has been repeatedly emphasized. The aim of the paper is the collection, not exhaustive, of evidences in funerary contexts, to determine their meaning. From a methodological point of view, it was necessary to exclude figurines placed in graves but with other originary functions and several bronzes whose finding in tombs is unreliable. This preliminary survey has given about eighty all-round bronzes from burials, distributed in different areas, both in the Empire and marginal. Considering the huge amount of Roman burials known today, the overall evidence is scarce but allows some observations; it is evident the pre-eminence of Venus and Mercury, gods which had a funerary role. There is also an attempt to find the reasons of the rarity of metal statuettes in the tombs of roman period.

  14. Orbital Volumetry in Graves' Orbitopathy

    Al-Bakri, Moug; Rasmussen, Åse Krogh; Thomsen, Carsten;

    2014-01-01

    Purpose. We wanted to investigate the relative significance of fat and muscle enlargement in the development of dysthyroid optic neuropathy (DON) in Graves' orbitopathy (GO). Methods. Preoperative coronal CT scans of 13 patients with and without DON who subsequently underwent orbital decompression...... were retrospectively analyzed. Thirteen patients imaged for unilateral orbital fractures served as controls. Results. The retrobulbar muscle volume was 2.1 ± 0.5 cm(3) (mean ± SD) in controls, 4.3 ± 1.5 cm(3) in GO without DON, and 4.7 ± 1.7 cm(3) in GO with DON. The retrobulbar fat volume was 5.4 ± 1.......6 cm(3) in controls, 8.7 ± 8.0 cm(3) in GO without DON, and 9.4 ± 3.1 cm(3) in GO with DON. The muscle and fat volumes were higher in patients with GO than in controls (P < 0.001), but the volumes in orbits with and without DON were not significantly different. The volume of the optic nerve were...

  15. Asymptomatic Graves' disease during lithium therapy.

    Thompson, C J; Baylis, P. H.

    1986-01-01

    Lithium salts are widely recognized to cause biochemical hypothyroidism and have been used to treat thyrotoxicosis. We present a case of Graves' disease which developed during lithium therapy. The patient was asymptomatic until the lithium was discontinued; she subsequently developed florid symptoms of thyrotoxicosis.

  16. Nuclear accidents

    On 27 May 1986 the Norwegian government appointed an inter-ministerial committee of senior officials to prepare a report on experiences in connection with the Chernobyl accident. The present second part of the committee's report describes proposals for measures to prevent and deal with similar accidents in the future. The committee's evaluations and proposals are grouped into four main sections: Safety and risk at nuclear power plants; the Norwegian contingency organization for dealing with nuclear accidents; compensation issues; and international cooperation

  17. Radiation accidents

    Radiation accidents may be viewed as unusual exposure event which provide possible high exposure to a few people and, in the case of nuclear plants events, low exposure to large population. A number of radiation accidents have occurred over the past 50 years, involving radiation machines, radioactive materials and uncontrolled nuclear reactors. These accidents have resulted in number of people have been exposed to a range of internal and external radiation doses and those involving radioactive materials have involved multiple routs of exposure. Some of the more important accidents involving significant radiation doses or releases of radioactive materials, including any known health effects involves in it. An analysis of the common characteristics of accidents is useful resolving overarching issues, as has been done following nuclear power, industrial radiography and medical accidents. Success in avoiding accidents and responding when they do occur requires planning in order to have adequately trained and prepared health physics organization; well defined and developed instrument program; close cooperation among radiation protection experts, local and state authorities. Focus is given to the successful avoidance of accidents and response in the events they do occur. Palomares, spain in late 1960, Goiania, Brazil in 1987, Thule, Greenland in 1968, Rocky flats, Colorado in 1957 and 1969, Three mile island, Pennsylvania in 1979, Chernobyl Ukraine in april 1986, Kyshtym, former Soviet Union in 1957, Windscale, UK in Oct. 1957 Tomsk, Russian Federation in 1993, and many others are the important examples of major radiation accidents. (author)

  18. Anaplastic Thyroid Carcinoma Following Radioactive Iodine Therapy for Graves' Disease

    Kim, Sun Hwa; Kim, Hee Young; Jung, Kwang Yoon; Choi, Dong Seop; Kim, Sin Gon

    2013-01-01

    Radioactive iodine (RAI) therapy has been used as a treatment option for Graves' disease, and it has been widely accepted to be safe. On the other hand, some evidence suggests that RAI therapy is possibly associated with a small increased risk of thyroid cancer. Herein, we report a rare case of anaplastic thyroid carcinoma (ATC) associated with Graves' disease, following RAI treatment. A 42-year-old woman had been diagnosed with Graves' disease and although she was treated with an antithyroid...

  19. The Influence of Prior Hyperthyroidism on Euthyroid Graves' Ophthalmopathy

    Karolien Termote; Brigitte Decallonne; Ilse Mombaerts

    2014-01-01

    Background. To investigate the influence of previous exposure to elevated thyroid hormones in euthyroid Graves' ophthalmopathy. Design. Retrospective, observational case series in university setting Median follow-up of 1 year with ranges of 0,8–7,6 years. Study performance of 10 years. Participants. We reviewed the clinical records of 731 Graves' ophthalmopathy patients. There were 88 (12%) patients with onset of Graves' ophthalmopathy during euthyroidism: 37 (5%) patients had ophthalmopathy ...

  20. Accident Statistics

    Department of Homeland Security — Accident statistics available on the Coast Guard’s website by state, year, and one variable to obtain tables and/or graphs. Data from reports has been loaded for...

  1. 75 FR 65030 - Native American Graves Protection and Repatriation Review Committee: Nomination Solicitation

    2010-10-21

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Nomination Solicitation AGENCY: National Park Service, Interior. ACTION: Native American Graves Protection and... nominations for two members of the Native American Graves Protection and Repatriation Review Committee....

  2. 75 FR 13140 - Native American Graves Protection and Repatriation Review Committee: Nomination Solicitation

    2010-03-18

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Nomination Solicitation AGENCY: National Park Service, Interior. ACTION: Native American Graves Protection and... nominations for one member of the Native American Graves Protection and Repatriation Review Committee....

  3. Graves' ophthalmopathy and 131I therapy

    Graves' ophthalmopathy is an autoimmune process initiated and maintained by antigen(s) shared by the thyroid and the orbit. A matter of argument concerns the choice of the method of treatment for Graves' hyperthyroidism when clinically evident ophthalmopathy is present. Restoration of euthyroidism appears to be beneficial for ophthalmopathy. On the other hand the continuing disease activity associated with the recurrence of hyperthyroidism appears to adversely affect the course of ophthalmopathy. For these reasons it is our opinion that in patients with Graves' hyperthyroidism and ophthalmopathy the permanent control of thyroid hyper function by ablation of thyroid tissue should be obtained by radioiodine therapy or thyroidectomy. The rationale for an ablative strategy is the following: i) permanent control of hyperthyroidism avoids exacerbations of eye disease associated with recurrence of hyperthyroidism; i i) hypothyroidism, which follows thyroid tissue ablation, should be regarded as a therapeutic end point rather than as an undesirable result; iii) ablation of thyroid tissue may result in the removal of both the thyroid-orbit cross-reacting antigen(s) and the major source of thyroid-auto reactive lymphocytes. The relationship between radioiodine therapy and the course of GO is a matter of controversy, and some authors have suggested that radioiodine administration ma be associated with a worsening of preexisting ophthalmopathy. This was not observed when radioiodine treatment was associated with a 3-month oral course of prednisone. The development or progression of GO after radioiodine therapy might be due to the release of thyroid antigens following radiation injury and to subsequent exacerbations of autoimmune reactions directed towards antigens shared by the thyroid and the orbit. The view that radioiodine therapy may be associated with a progression of ophthalmopathy is not shared by some authors who claim that the apparent link between progression of

  4. Nicotinamide phosphoribosyltransferase leukocyte overexpression in Graves' opthalmopathy.

    Sawicka-Gutaj, Nadia; Budny, Bartłomiej; Zybek-Kocik, Ariadna; Sowiński, Jerzy; Ziemnicka, Katarzyna; Waligórska-Stachura, Joanna; Ruchała, Marek

    2016-08-01

    To investigate the role of NAMPT/visfatin in euthyroid patients with Graves' disease without (GD) and with Graves' ophthalmopathy (GO), we analyzed NAMPT leukocyte expression and its serum concentration. This was a single-center, cross-sectional study with consecutive enrollment. In total, 149 patients diagnosed with Graves' disease were enrolled in the study. We excluded subjects with hyper- or hypothyroidism, diabetes mellitus, other autoimmune disorders, active neoplastic disease, and infection. The control group was recruited among healthy volunteers adjusted for age, sex, and BMI with normal thyroid function and negative thyroid antibodies. Serum levels of visfatin, TSH, FT4, FT3, antibodies against TSH receptor (TRAb), antithyroperoxidase antibodies, antithyroglobulin antibodies, fasting glucose, and insulin were measured. NAMPT mRNA leukocyte expression was assessed using RT-qPCR. NAMPT/visfatin serum concentration was higher in GD (n = 44) and GO (n = 49) patients than in the control group (n = 40) (p = 0.0275). NAMPT leukocyte expression was higher in patients with GO (n = 30) than in GD patients (n = 27) and the control group (n = 29) (p < 0.0001). Simple linear regression analysis revealed that NAMPT/visfatin serum concentration was significantly associated with GD (β = 1.5723; p = 0.021). When NAMPT leukocyte expression was used as a dependent variable, simple regression analysis found association with TRAb, fasting insulin level, HOMA-IR, GD, and GO. In the stepwise multiple regression analysis, we confirmed the association between higher serum NAMPT/visfatin level and GD (coefficient = 1.5723; p = 0.0212), and between NAMPT leukocyte expression and GO (coefficient = 2.4619; p = 0.0001) and TRAb (coefficient = 0.08742; p = 0.006). Increased NAMPT leukocyte expression in patients with GO might suggest a presently undefined role in the pathogenesis of GO. PMID:26767650

  5. Radiotherapy in the management of Graves` ophthalmopathy

    Sakata, Koh-ichi; Hareyama, Masato; Oouchi, Atsushi; Shidou, Mitsuo; Nagakura, Hisayasu; Morita, Kazuo; Osanai, Hajime; Ohtsuka, Kenji; Hinoda, Yuji [Sapporo Medical Univ. (Japan). School of Medicine

    1998-06-01

    To report the results of radiotherapy for patients with failure, adverse reactions or relative contraindications to the use of steroids or immunosuppressants, by using newly developed quantitative indexes. Fourteen female and six male patients with Graves` ophthalmopathy were treated with radiotherapy between 1989 and 1996. Prior to radiotherapy, eight patients received treatment with prednisone, four received immunosuppressants and four received a combination of both. Four patients with contraindications to steroids were initially managed with radiotherapy. Most of the patients received a dose of 24-28 Gy in 2 Gy fractions. We used the newly developed motility limitation index to assess extraocular motility. Treatment was well tolerated. There have been no late complications. All 12 patients with soft tissue signs such as edema, irritation, tearing and pain were improved. Proptosis did not improve or improved only slightly, 3 mm at best. However, proptosis in all but two has been stabilized and has not deteriorated in the follow-up period. Most of the patients have experienced an improvement of eye-muscle motility. Extraocular muscles that work for elevation were impaired more severely than the other muscles and this tended to remain. Of the 16 patients using steroids before or when radiotherapy was initiated, 15 were tapered off and only one patient required additional steroids, thus sparing the majority from steroid adverse reactions. Radiotherapy was effective in preventing exacerbations of active inflammatory ophthalmopathy in patients with Graves` disease with minimal morbidity and thus eliminated the adverse reactions associated with protracted corticosteroid use. The newly developed motility limitation index was useful in detecting delicate changes in motility of individual extraocular muscles. (author)

  6. Concomitant Graves' disease and Hashimoto's thyroiditis, presenting as primary hypothyroidism.

    Cronin, C C

    2012-02-03

    Hypothyroidism in patients with Graves\\' disease is usually the result of ablative treatment. We describe a 58 year old man with Graves\\' ophthalmopathy and pre-tibial myxoedema, who presented with spontaneous primary hypothyroidism. Circulating TSH receptor antibody activity was increased, while thyroid microsomal antibody was detectable in titres greater than one in one hundred thousand. It is likely that the TSH receptor antibody of Graves\\' disease was ineffective in stimulating hyperthyroidism because of concomitant thyroid destruction due to Hashimoto\\'s disease. Alternatively, primary hypothyroidism could have resulted from the effects of a circulating TSH receptor blocking antibody.

  7. Graves' disease with special reference to radiation therapy

    Graves' disease, although not malignant, nevertheless can lead to serious events such as permanent loss of vision if it remains untreated. This review article describes the clinical symptoms of the disease, includes a commentary on the Graves' disease subgroup of thyroid-associated orbitipathy (TAO), and defines clinical activity scoring systems which grade the severity of the disease in patients (clinical activity, NOSPECS and LEMO scoring ). An review of radiotherapy in the 1980s is followed by a summary of the 2003 German national survey on radiotherapy for Graves' disease. Radiation therapy technique is then described and discussed. Case histories are from the Alfred Krupp Hospital in Essen. (author)

  8. Strategies of radioiodine therapy for Graves' disease

    Several therapeutic options are available for the treatment of Graves' disease (GD), including long-term antithyroid drug medication (ATD), near-total resection (NTR) and radioiodine therapy (RIT). These treatments are used with different frequencies depending on geographical location, size of the goitre, age of the patient and experience of the physician. It should be noted that RIT is still being applied more frequently in the United States than in Europe. Despite the fact that RIT was introduced as long ago as 1941, several questions are still the subject of debate: Should a fixed dose or a calculated dose be used. If the dose is calculated, how many Grays (Gy) should be delivered to the thyroid? What is the goal of RIT in GD? Which factors, including ATD, influence the outcome of RIT? Is RIT appropriate in GD with Graves' ophthalmopathy (GO)? Although not all these questions have been answered yet, conclusions can be derived regarding a general strategy for use of RIT in GD. As with surgery, the goal of RIT in GD is euthyroidism with or without L-thyroxine medication. There is a clear advantage of dose calculation over use of a fixed dose because the only factor influencing the outcome is the dose delivered to a certain thyroid volume. To minimise recurrent hyperthyroidism, an ablative approach using a delivered dose of 250 Gy is widely accepted. Beside pretherapeutic T3 levels, thyroid volume and 24-h thyroid uptake, ATD may influence the outcome of RIT. Today it is accepted by most thyroidologists that, if ATD medication is necessary in overt hyperthyroidism, it should be withdrawn at least 2 days before RIT. In patients with GD and GO, RIT may worsen GO. If RIT is performed in GO it should be done under a 3-month steroid medication regimen. In conclusion, RIT can be considered an appropriate and cost-effective therapy in GD, although the decision regarding treatment should be taken on an individual basis, paying due respect to the course and severity of

  9. Tchernobyl accident

    First, R.M.B.K type reactors are described. Then, safety problems are dealt with reactor control, behavior during transients, normal loss of power and behavior of the reactor in case of leak. A possible scenario of the accident of Tchernobyl is proposed: events before the explosion, possible initiators, possible scenario and events subsequent to the core meltdown (corium-concrete interaction, interaction with the groundwater table). An estimation of the source term is proposed first from the installation characteristics and the supposed scenario of the accident, and from the measurements in Europe; radiological consequences are also estimated. Radioactivity measurements (Europe, Scandinavia, Western Europe, France) are given in tables (meteorological maps and fallouts in Europe). Finally, a description of the site is given

  10. Radiological and dosimetric consequences in case of nuclear accident: taking them into account within the security approach and protection challenges; Consequences radiologiques et dosimetriques en cas d'accident nucleaire: prise en compte dans la demarche de surete et enjeux de protection

    Cogez, E.; Herviou, K.; Isnard, O.; Cessac, B.; Reales, N.; Quentric, E.; Quelo, D. [Institut de Radioprotection et de Surete Nucleaire, Direction de l' Environnement et de l' Intervention, Service des Situations d' Urgence et d' Organisation de Crise, BP 17 - 92262 Fontenay-aux-Roses (France)

    2010-07-01

    This report first proposes a presentation of the 'defence in depth' concept which comprises five as much as possible independent levels: preventing operation anomalies and system failures, maintaining the installation within the authorized domain, controlling accidents within design hypotheses, preventing the degradation of accidental conditions and limiting consequences of severe accidents, limiting radiological consequences for population in case of important releases. Then, after a description of a release atmospheric dispersion and of its consequences, this report describes the consequences of two accident scenarios. The first accident is a failure of steam generator tubes, and the second a loss of primary coolant. It notably indicates the main released radionuclides, exposure levels at different distance for a given set of dispersion conditions

  11. Accident: Reminder

    2003-01-01

    There is no left turn to Point 1 from the customs, direction CERN. A terrible accident happened last week on the Route de Meyrin just outside Entrance B because traffic regulations were not respected. You are reminded that when travelling from the customs, direction CERN, turning left to Point 1 is forbidden. Access to Point 1 from the customs is only via entering CERN, going down to the roundabout and coming back up to the traffic lights at Entrance B

  12. Historic Sites and Grave Markers at Litttle Bighorn Battlefield, Montana

    National Park Service, Department of the Interior — This is a vector point file showing the historic sites and grave markers at Little Bighorn Battlefield National Monument (LIBI). The coordinates for this dataset...

  13. Paracentral Corneal Dellen:A Rare Sign of Graves Ophthalmopathy

    Jianhua Yan; Zhongyao Wu

    2003-01-01

    Purpose: To report a rare sign, paracentral corneal dellen that developed in a middleaged female patient with Graves ophthalmopathy.Methods:A paracentral corneal dellen developed in the left eye in a 42-year-old woman who was diagnosed as Graves ophthalmopathy. The patient had remarkable upper eyelid retraction, upper eyelid lag and upward motility restriction. The Graves ophthalmopathy was classified as Grade V according to NOSPECS classification.Results:Local artificial tear film and 0.3% Tobramycin eye drops were administered to both eyes.Twenty-four hours later, the left corneal dellen disappeared.Conclusions:Graves ophthalmopathy can lead to paracentral corneal dellen because of severe upper eyelid retraction and upward motility restriction of the eye in spite of the lack of lagophthalmos. Artificial tear drop and antibiotic eye drop therapy helped even though the patient did not have corneal exposure.

  14. Chronic idiopathic urticaria and Graves' disease.

    Ruggeri, R M; Imbesi, S; Saitta, S; Campennì, A; Cannavò, S; Trimarchi, F; Gangemi, S

    2013-01-01

    Chronic urticaria is a common condition characterized by recurrent episodes of mast cell-driven wheal and flare-type skin reactions lasting for more than 6 weeks. In about 75% of cases, the underlying causes remain unknown, and the term chronic idiopathic urticaria (CIU) is used to emphasize that wheals develop independently of identified external stimuli. Although CIU affects about 1.0% of the general population, its etiopathogenesis is not yet well understood. It is now widely accepted that in many cases CIU should be regarded as an autoimmune disorder caused by circulating and functionally active IgG autoantibodies specific for the IgE receptor (FceRI) present on mast cells and basophils or for IgE itself. The well-known association of CIU with other autoimmune processes/diseases represents further indirect evidence of its autoimmune origin. Autoimmune thyroid diseases, especially autoimmune thyroiditis, represent the most frequently investigated diseases in association with CIU. Here we review this topic with particular regard to the association between Graves' disease and CIU. The possible pathogenetic mechanisms and the clinical implications of such an association are discussed. PMID:23609949

  15. Miastenia grave distal: relato de caso

    Scola Rosana Herminia

    2003-01-01

    Full Text Available Relatamos o caso de uma mulher de 30 anos com quadro de fraqueza muscular nos membros inferiores com predomínio distal com início há 7 anos. Na evolução apresentou fraqueza muscular nos membros superiores. O exame físico mostrava nervos cranianos sem alterações, hipotrofia bilateral de quadriceps e interósseos dos pés, redução da força muscular mais intensa em tibiais anteriores e interósseos dorsais dos pés e reflexos tendinosos globalmente hipoativos. Foi realizado teste de estimulação repetitiva que mostrou decremento maior que 10% no nervo fibular e ulnar. A dosagem de anticorpos anti-receptor de acetilcolina foi positiva. Tomografia computadorizada de tórax foi normal. Dosagem de hormônios tireoidianos mostrou evidências laboratoriais de hipertireoidismo, porém sem manifestações clínicas. Foi iniciado tratamento com piridostigmina havendo melhora importante do quadro clínico. A fraqueza distal é um sintoma inicial raro na miastenia grave (MG. Contudo, a MG deve entrar no diagnóstico diferencial de doenças que cursam com fraqueza muscular distal de membros superiores ou inferiores.

  16. Delineation of graves using electrical resistivity tomography

    Nero, Callistus; Aning, Akwasi Acheampong; Danuor, Sylvester K.; Noye, Reginald M.

    2016-03-01

    A suspected old royal cemetery has been surveyed at the Kwame Nkrumah University of Science and Technology (KNUST) campus, Kumasi, Ghana using Electrical Resistivity Tomography (ERT) with the objective of detecting graves in order to make informed decisions with regard to the future use of the area. The survey was conducted on a 10,000 m2 area. Continuous Vertical Electrical Sounding (CVES) was combined with the roll along technique for 51 profiles with 1 m probe separation separated by 2 m. Inverted data results indicated wide resistivity variations ranging between 9.34 Ωm and 600 Ωm in the near surface. Such heterogeneity suggests a disturbance of the soil at this level. Both high (≥ 600 Ωm) and low resistivity (≤ 74.7 Ωm) anomalies, relative to background levels, were identified within the first 4 m of the subsurface. These were suspected to be burial tombs because of their rectangular geometries and resistivity contrasts. The results were validated with forward numerical modeling results. The study area is therefore an old cemetery and should be preserved as a cultural heritage site.

  17. Determinants of Extraocular Muscle Volume in Patients with Graves' Disease

    Samer El-Kaissi; Wall, Jack R

    2012-01-01

    Background. To examine factors contributing to extraocular muscle (EOM) volume enlargement in patients with Graves' hyperthyroidism. Methods. EOM volumes were measured with orbital magnetic resonance imaging (MRI) in 39 patients with recently diagnosed Graves' disease, and compared to EOM volumes of 13 normal volunteers. Thyroid function tests, uptake on thyroid scintigraphy, anti-TSH-receptor antibody positivity and other parameters were then evaluated in patients with EOM enlargement. Resul...

  18. Association of Alopecia Universalis, Generalized Vitiligo, and Graves' Disease

    Z Shahmoradi; Afshin Darougheh; S Misaghian

    2005-01-01

    We present a 21-years old woman with alopecia universalis, generalized vitiligo, and Graves' disease. She had had thyroidectomy in early childhood and was receiving replacement therapy with levothyroxine. The patient was treated with systemic PUVA and glucocorticoid in combination with topical treatment for alopecia. After 6 months of treatment, alopecia was reversed but vitiligo was unchanged. Key words: alopecia areata, vitiligo, Graves' disease, glucocorticoid , systemic PUVA therapy

  19. Hyperparathyroidism after radioactive iodine therapy for Graves disease

    Esselstyn, C.B. Jr.; Schumacher, O.P.; Eversman, J.; Sheeler, L.; Levy, W.J.

    1982-11-01

    The association of external ionizing radiation to the head and neck and the subsequent development of hyperfunctioning parathyroid glands has been documented in recent years. This also has been demonstrated experimentally in animals. Despite the numbers of patients with Graves disease who have been treated with radioactive iodine, there are no reports in the literature of parathyroid surgery for hyperparathyroidism secondary to earlier treatment with radioactive iodine for Graves disease. This report describes the operative and pathologic findings in four patients with hyperparathyroidism. These patients had previously been treated with radioactive iodine for Graves disease. The pathologic findings at surgery included in three cases a single enlarged hyperplastic gland consistent with a parathyroid adenoma. One patient had hyperplasia of all four glands. The two largest glands and halves of the two remaining glands were removed. In a long-term follow-up of children and adolescents treated with radioactive iodine for Graves disease, Levy and Schumacher found calcium elevations in 10 of 159 patients. The increased incidence of hyperparathyroidism following radioactive iodine treatment for Graves disease in children and adolescents would seem several times higher than normal. Whether adults who have radioactive iodine treatment for Graves disease have a similar increase incidence is not known. Meanwhile it would seem reasonable to suggest that patients whose hyperthyroidism is treated with radioactive iodine should have their serum calcium levels determined at 5-year intervals.

  20. Relationship between the management of Graves' disease and the course of Graves' ophthalmopathy: a systematic review

    Objective: To perform literature search and review on the controversial relationship between therapies of hyperthyroidism due to Graves' disease (GD) and the course of Graves' ophthalmopathy (GO). Methods: We searched the database of MEDLINE (1966-2006.3), EMBASE (1984-2005), Cochrane Library(2006 No. 1), CBMdisc (1978.1-2006.4) and CNKI (1994-2006). The methodological quality of the studies selected for review was assessed according to the quality assessment criteria suggested by the Cochrane systematic review guideline. Meta-analysis was performed by RevMan 4.2 software. Results: Eight studies were included in the systematic review. Meta-analysis showed that there was statistically significant difference between mi and other forms of therapy [surgery or antithyroid drugs (ATD)] (test value: 2.31, 5.97, 3.70, 5.55; all P0.05). There were not yet any studies on the impact between early prevention of hypothyroidism after mi therapy and GO. Conclusions: Based on meta-analysis on literature data, if early measures are not performed to prevent hypothyroidism after mi therapy, it may induce or aggravate GO more frequently than ATD or surgical treatment. Symptomatic relief of GO after 131I therapy is also less effective than the other 2 forms of therapy. Therefore, 131I therapy should be delivered carefully in those patients with GO. (authors)

  1. Transportation accidents

    Predicting the possible consequences of transportation accidents provides a severe challenge to an analyst who must make a judgment of the likely consequences of a release event at an unpredictable time and place. Since it is impractical to try to obtain detailed knowledge of the meteorology and terrain for every potential accident location on a route or to obtain accurate descriptions of population distributions or sensitive property to be protected (data which are more likely to be more readily available when one deals with fixed-site problems), he is constrained to make conservative assumptions in response to a demanding public audience. These conservative assumptions are frequently offset by very small source terms (relative to a fixed site) created when a transport vehicle is involved in an accident. For radioactive materials, which are the principal interest of the authors, only the most elementary models have been used for assessing the consequences of release of these materials in the transportation setting. Risk analysis and environmental impact statements frequently have used the Pasquill-Gifford/gaussian techniques for releases of short duration, which are both simple and easy to apply and require a minimum amount of detailed information. However, after deciding to use such a model, the problem of selecting what specific parameters to use in specific transportation situations still presents itself. Additional complications arise because source terms are not well characterized, release rates can be variable over short and long time periods, and mechanisms by which source aerosols become entrained in air are not always obvious. Some approaches that have been used to address these problems will be reviewed with emphasis on guidelines to avoid the Worst-Case Scenario Syndrome

  2. Epidemiological survey of graves' disease in Tianjin area

    Objective: To study the incidence of Graves' disease and associated factors. Methods: From 1997.4 to 1999.12, by using cluster and stratified sampling, total of 31530 people aged 6 years and over were surveyed epidemiologically for Graves' disease in five districts and one county of Tianjin area where the study subjects had been resided for at least one year. The researching team consisted of endocrinologists, epidemiologists and technicians and was divided into three branches, they served as investigators, professional experts and technicians, respectively. The serum thyroid hormones, thyroid antibodies, iodine in table salt, urine iodine and B-US were examined for the suspected cases, the final diagnoses were concluded by the professional experts. Results: Eighty-nine patients with Graves' disease were confirmed, 26 (0.166%) of them were males and 63(0.397%) of them were females, the total incidence was 0.282%. The incidence significantly associated with sex (female higher than male, P<0.001), age (50-60 group for male and 30-40 group for female higher than others, P<0.001) and family history (the patients with vs without family history, P<0.001). The survey showed an ascending trend of incidence of Graves' disease, along with decreasing of goiter rate and increasing of iodine contents in table salt and in urine. Further research work should be pursued. Conclusion: This study may provide some theoretical basis for prevention and treatment of Graves' disease

  3. Hipersensitif Dentin dan Perawatannya

    Valda, Zilby Rebeca

    2011-01-01

    Hipersensitif dentin digambarkan sebagai rasa sakit yang berlangsung pendek dan tajam akibat adanya rangsangan terhadap dentin yang terpapar. Rangsangan tersebut antara lain taktil atau sentuhan, uap, kimiawi dan rangsangan panas. Rasa sakit yang terjadi pada hipersensitif dentin akan mempengaruhi kenyamanan dan fungsi rongga mulut dan bila tidak dirawat maka akan menimbulkan defisiensi nutrisi pada penderita. Terkikisnya lapisan enamel yang menutupi gigi dan tersingkapnya permukaan akar m...

  4. Significance of changes of serum TPOAb and TRAb levels in patients with Graves' disease (GD)

    Objective: To investigate the significance of changes of serum TPOAb and TRAb levels in patients with Graves' dis- ease (GD). Methods: Serum TPOAb (with RIA) and TRAb (with RRA) levels were determined in 27 patients with Graves' disease, before treatment 10 patients with Graves' disease clinically cured and 35 controls. Results: The serum levels and positive rates of TPOAb and TRAb in patients with Graves' disease before treatment were significantly higher than those in the patients with Graves' disease clinically cured and controls (P<0.01). Conclusion: TPOAb and TRAb were involved in the pathogenesis of Graves' dis- ease and could be used as diagnostic and treatment indicators. (authors)

  5. A case of severe autoimmune hepatitis associated with Graves' disease

    Samia Abdulla Bokhari

    2016-01-01

    Full Text Available Graves' disease is a common condition and is known to have a wide range of effects on a variety of organs. Hepatic dysfunction ranging from mild to severe due to direct effect of high circulating thyroid hormones as well as a deleterious effect of antithyroid medications (methimazole and propylthiouracil has been well - documented in literature. However, severe autoimmune hepatitis (AIH associated with Graves' disease is rare and limited to few case reports only. A 38-year-old woman presented with abdominal pain and yellowish discolouration of conjunctivae. On investigation, she was found to have Graves' disease and AIH. The liver histopathology showed typical features of AIH. She responded excellently to glucocorticoid therapy with normalisation of thyroid function and liver histology. The case is discussed with relevant literature review.

  6. Graves' Disease Pharmacotherapy in Women of Reproductive Age.

    Prunty, Jeremy J; Heise, Crystal D; Chaffin, David G

    2016-01-01

    Graves' disease is an autoimmune disorder in which inappropriate stimulation of the thyroid gland results in unregulated secretion of thyroid hormones resulting in hyperthyroidism. Graves' disease is the most common cause of autoimmune hyperthyroidism during pregnancy. Treatment options for Graves' disease include thioamide therapy, partial or total thyroidectomy, and radioactive iodine. In this article, we review guideline recommendations for Graves' disease treatment in women of reproductive age including the recent guideline from the American College of Obstetricians and Gynecologists. Controversy regarding appropriate thioamide therapy before, during, and after pregnancy is reviewed. Surgical and radioactive iodine therapy considerations in this patient population are also reviewed. In patients who may find themselves pregnant during therapy or develop Graves' disease during their pregnancy, consideration should be given to the most appropriate treatment course for the mother and fetus. Thioamide therapy should be used with either propylthiouracil or methimazole at appropriate doses that target the upper range of normal to slightly hyperthyroid to avoid creating hypothyroidism in the fetus. Consideration should also be given to the adverse effects of thioamide, such as agranulocytosis and hepatotoxicity, with appropriate patient consultation regarding signs and symptoms. Individuals who wish to breastfeed their infants while taking thioamide should receive the lowest effective dose. Surgery should be reserved for extreme cases and limited to the second trimester, if possible. Radioactive iodine therapy may be used in nonpregnant individuals, with limited harm to future fertility. Radioactive iodine therapy should be withheld in pregnant women and those who are actively breastfeeding. Clinicians should keep abreast of developments in clinical trials and evidence-based recommendations regarding Graves' disease in reproductive-age women for any changes in evidence

  7. Evaluación de un programa de intervención familiar en pacientes psicóticos y con trastornos graves de la personalidad.

    Luz Celia Fernández Martín; Clara Fombellida Velasco; Jesús Herrero Sánchez

    2005-01-01

    El objetivo de este trabajo es evaluar la efectividad de las intervenciones familiares que tienen lugar en una Unidad de Hospitalización Parcial, en pacientes psicóticos en un primer episodio y pacientes con un trastorno de la personalidad, cuyos síntomas son particularmente graves o dan lugar a un notable deterioro de la actividad social o laboral. Además se describe el marco conceptual en que se desenvuelve el tratamiento, los objetivos que se pretenden, así como los procedimientos de la in...

  8. TSH Anti-Receptor Antibodies in Graves' Disease

    Sérgio, M.; Godinho, C; Guerra, L; Agapito, A; Fonseca, F.; Costa, C.

    1996-01-01

    Neste trabalho os AA avaliam a sensibilidade, especificidade e valor predictivo do doseamen to dos anticorpos anti-receptor da TSH (TRAb) no diagnóstico da doença de Graves. A população estudada incluiu 80 doentes com doença de Graves recentemente diagnosticada e sem tratamento prévio (grupo 1), 63 doentes com outras patologias tiroideias (grupo II) e 60 indivíduos sem patologia tiroideia (grupo III). Utilizaram uma técnica de radioreceptor, o kit TRAK Henning, que considera positividad...

  9. Robert Graves y Mallorca: su narrativa breve mallorquina

    Segui Aznar, Juana Mª

    2005-01-01

    Aquest treball d'investigació explora i analitza divuit narracions curtes de Robert Graves publicades al llarg dels anys 1947 a 1962. Està dirigit a establir la relació entre Graves i Mallorca mitjançant els elements autobiogràfics i locals que es poden trobar en les narracions. La idiosincràsia de l'illa queda reflectida en la descripció i comportament dels personatges, en els aspectes socials, polítics, culturals i lingüístics, i en l'escenari espaciotemporal d'aquestes narracions; tots aqu...

  10. Messiniense: compleja y grave crisis ecologica

    Aguirre, E.

    2003-08-01

    yacimientos de mamíferos fósiles en España y otras regiones con importantes novedades, entre ellas diversos intercambios intercontinentales, en el mismo intervalo cronológico añaden cuestiones de interés además de obligar a la correlación entre la estratigrafía basada en series marinas y la biostratigrafía continental. A las singularidades de estas series se añade el descubrimiento reciente de homínidos fósiles con indicios de bipedia en edades comprendidas en este intervalo. En el mismo se han datado graves eventos paleogeográficos, geodinámicos, paleoambientales y paleoclimáticos, que empezaron a investigarse hace 40 años como la «Crisis de Salinidad del Mediterráneo*, y sobre cuyo desarrollo e interacciones se han publicado diversos modelos más o menos incompletos: aislamiento del mediterráneo, descenso global del nivel del mar, acreción continental y orogenia, glaciación, deterioro de la cubierta vegetal. Una interpretación de la secuencia de eventos en estos diversos campos de estudio de Historia de la Tierra y de la Vida, y sus interacciones, puede trazarse con una calibración del orden de los cien mil años.

  11. Auto-estima na forma inativa da oftalmopatia de Graves Inactive Graves' ophthalmopathy and self-esteem

    Carlos Henrique de Toledo Magalhães

    2008-04-01

    Full Text Available OBJETIVOS: Avaliar a auto-estima dos pacientes com oftalmopatia de Graves na fase inativa. MÉTODOS: Foram avaliados 30 pacientes portadores de oftalmopatia de Graves, eutireoideanos, na fase inativa, com idade variando entre 26 e 65 anos, média 43 ± 11,0 anos, denominado grupo estudo e 39 indivíduos que não apresentavam oftalmopatia de Graves, com idade variando entre 18 e 67 anos, média de 41 ± 13,4 anos, selecionados na população geral denominado grupo controle. Para avaliar a auto-estima foi utilizada a escala de auto-estima Rosenberg Unifesp-EPM aplicada por meio de entrevista. Os valores dos escores de auto-estima nos dois grupos estudados foram comparados pelo teste não paramétrico de Mann-Whitney. O mesmo teste foi aplicado com objetivo de comparar os resultados obtidos no grupo oftalmopatia de Graves considerando a gravidade da doença. RESULTADOS: Não foi observada alteração com significância estatística na auto-estima dos pacientes com oftalmopatia de Graves (p=0,057. O grupo estudo apresentou, em média, valores inferiores de auto-estima, comparado ao grupo controle. Não houve diferença da auto-estima entre os pacientes dos subgrupos leve e moderado-grave (P=0,2710. CONCLUSÃO: A oftalmopatia de Graves na fase inativa não afetou a auto-estima dos pacientes, no grupo estudado.PURPOSE: To assess the self-esteem of Graves' ophthalmopathy patients in the inactive phase. METHODS: Thirty euthyroid patients were evaluated in the inactive phase of disease with age ranging from 26 to 65 years, average of 43 ± 11,0 years, called study group and 39 individuals without Graves' ophthalmopathy with age ranging from 18 to 67 years, average of 41 ± 13,4 years, selected from the general population called control group. To evaluate the self-esteem the Rosenberg UNIFESP/EPM self-esteem scale, applied by means of an interview, was utilized. The self-esteem scores in the two studied groups were compared by means of the non

  12. Criticality Accident

    At a meeting of electric utility presidents in October, 1999, the Federation Power Companies (FEPCO) officially decided to establish a Japanese version of WANO, following the JCO criticality accident. The Japanese WANO is expected to be launched by the end of the year: initially, with some 30 private sector companies concerned with nuclear fuel. It is said that the private sector had to make efforts to ensure that safety was the most important value in management policy throughout the industry, and that comprehensive inspections would be implemented. In anything related to nuclear energy, sufficient safety checks are required even for the most seemingly trivial matters. Therefore, the All-Japan Council of Local Governments with Atomic Power Stations has already proposed to the Japanese government that it should enact the special law for nuclear emergency, providing that the unified responsibility for nuclear disaster prevention should be shifted to the national government, since the nuclear disaster was quite special from the viewpoint of its safety regulation and technical aspects. (G.K.)

  13. Assuring containment in reactor accidents: recent advances concerning the mitigation of the hydrogen risk; Fonction confinement en situation accidentelle: apports de la R et D dans la prise en compte et la maitrise du risque hydrogene

    Chaumont, B.; Pailhories, P. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Clamart (France); Goetter, J.J.; Duplat, F.; Barbaud, J.; Guieu, S. [Electricite de France (EDF), 75 - Paris (France); Azarian, G. [FRAMATOME ANP, 92 - Paris-La-Defence (France)

    2004-07-01

    This article presents the different programs led in laboratories concerning the mitigation of the hydrogen risk in nuclear power plants. 3 aspects are considered: the generation of hydrogen during a reactor major accident, the distribution of this gas inside the reactor containment building and the different combustion modes of hydrogen. Studies show that it is difficult to prevent at any time and place the formation of a combustible mixture despite the presence of hydrogen recombiners. Studies have led to the setting of criteria concerning flame acceleration and detonation-explosion transitions, it has been shown that a mixture whose expansion parameter stays below a limit value can not lead to a flame acceleration over 400 m/s. (A.C.)

  14. Spontaneous radiopathological evolution and after medical treatment in two models of localized irradiation. Evolution radiopathologique spontanee et apres traitement medical dans deux modeles d'accident d'irradiation localisee

    Lefaix, J.L.; Daburon, F.; Tricaud, Y. (CEA Centre d' Etudes de Fontenay-aux-Roses, 92 (France). Dept. de Pathologie Experimentale)

    1992-09-01

    Pathophysiological evolution of a [sup 192]Ir [gamma]-rays radio-induced muscular lesion was studied in experimental models developed in pigs and rabbits to simulate accidents which occurred among humans. Cutaneous and muscular radionecrosts started from early epithelial, microvascular and vascular lesions and late muscular and connective tissue lesions. Our therapeutic studies in pigs showed the interest of an early surgical treatment a minima. In rabbits, the association of non-steroidal anti-inflammatory (flurbiprofene) and haemorrheological agent (trimetazidine) among 10 other medical treatments, given for 8 weeks after an irradiation of a 80 Gy dose at the skin surface, involved a dose reduction factor of 2, with regards to the evolution of the skin injuries and the deep muscular fibronecrotic process. Tabs.

  15. Persistence on airline accidents.

    L. A. GIL-ALANA; Barros, C.P. (Carlos P.); J.R. Faria

    2009-01-01

    This paper analyses airline accidents data from 1927-2006. The fractional integration methodology is adopted. It is shown that airline accidents are persistent and (fractionally) cointegrated with airline traffic. Thus, there exists an equilibrium relation between air accidents and airline traffic, with the effect of the shocks to that relationship disappearing in the long run. Policy implications are derived for countering accidents events.

  16. Persistence in Airline Accidents

    Carlos Pestana Barros; João Ricardo Faria; Luis A. Gil-Alana

    2008-01-01

    This paper analyses airline accident data from 1927-2006, through fractional integration. It is shown that airline accidents are persistent and (fractionally) cointegrated with airline traffic. There exists a negative relation between air accidents and airline traffic, with the effect of the shocks to that relationship disappearing in the long run. Policy implications are derived for countering accident events.

  17. 77 FR 65406 - Native American Graves Protection and Repatriation Review Committee: Notice of Nomination...

    2012-10-26

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Notice of.... SUMMARY: The National Park Service is soliciting nominations for one member of the Native American Graves... nominations submitted by Indian tribes, Native Hawaiian organizations, and traditional Native...

  18. Comportement de chaussées expérimentales à assises en graves non traitées calcaires

    EL ABD, A; HORNYCH, P; Breysse, D.; Denis, A.; DEBLEECKER, P

    2003-01-01

    Cet article présente les premiers résultats d'une expérimentation réalisée en charente Maritime, pour tester l'utilisation de graves non traitées issues de calcaires tendres (matériaux locaux à valoriser) dans les structures de chaussées. Une première étude en laboratoire a montré que ces matériaux calcaires, de faible résistance mécanique (coefficent Los Angeles et Micro-Deval élevés) présentaient de très bonnes caractéristiques mécaniques à l'essai triaxial (module élastique élevé, faibles ...

  19. RECHERCHE DE PAENIBACILLUS LARVAE DANS DIFFERENTS COMPOSANTS DE LA RUCHE

    N. ADJLANE

    2014-06-01

    Full Text Available Dans le secteur apicole, cinq maladies ou organismes nuisibles sont sujets à déclaration obligatoire en Algérie : la varroase, les loques (américaine et européenne, la nosémose et l’acariose des abeilles. Bien que Paenibacilluslarvae constitue une des plus graves affections bactériennes du couvain, peu de données sont actuellement disponibles sur les méthodes de détection de la loque américaine en Algérie. La présente étude vise à comparer entre les méthodes de recherche de cette bactérie dans les différents produits et échantillons de la ruche. Les méthodes de détection sur les abeilles et dans le miel constituent les techniques les plus efficaces pour le diagnostic de la pathologie. Nos résultats ont montré que même en absence de symptômes, 20% de la loque américaine a été détectée dans le miel, et 10% dans les abeilles et les débris de la ruche.

  20. Severe accident phenomena

    Severe accidents are nuclear reactor accidents in which the reactor core is substantially damaged. The report describes severe reactor accident phenomena and their significance for the safety of nuclear power plants. A comprehensive set of phenomena ranging from accident initiation to containment behaviour and containment integrity questions are covered. The report is based on expertise gained in the severe accident assessment projects conducted at the Technical Research Centre of Finland (VTT). (49 refs., 32 figs., 12 tabs.)

  1. Demerara [i.e. Demerara-Mahaica]. Orinoco Indian's Grave

    Unknown

    2004-01-01

    171 x 235 mm. A view showing an Indian grave in a forest clearing. The corpse has been wrapped in palm leaves and tied onto a crude wooden trestle. The wrapped corpses of three more Indians can be seen in the background. Photograph taken during the 1880's.

  2. Diagnosis and management of Graves disease: a global overview.

    Bartalena, Luigi

    2013-12-01

    Graves disease is an autoimmune disorder characterized by goitre, hyperthyroidism and, in 25% of patients, Graves ophthalmopathy. The hyperthyroidism is caused by thyroid hypertrophy and stimulation of function, resulting from interaction of anti-TSH-receptor antibodies (TRAb) with the TSH receptor on thyroid follicular cells. Measurements of serum levels of TRAb and thyroid ultrasonography represent the most important diagnostic tests for Graves disease. Management of the condition currently relies on antithyroid drugs, which mainly inhibit thyroid hormone synthesis, or ablative treatments ((131)I-radiotherapy or thyroidectomy) that remove or decrease thyroid tissue. None of these treatments targets the disease process, and patients with treated Graves disease consequently experience either a high rate of recurrence, if receiving antithyroid drugs, or lifelong hypothyroidism, after ablative therapy. Geographical differences in the use of these therapies exist, partially owing to the availability of skilled thyroid surgeons and suitable nuclear medicine units. Novel agents that might act on the disease process are currently under evaluation in preclinical or clinical studies, but evidence of their efficacy and safety is lacking. PMID:24126481

  3. Treatment of Graves' hyperthyroidism: evidence-based and emerging modalities

    Hegedüs, Laszlo

    2009-01-01

    Currently there are three well-established treatment options for hyperthyroid Graves' disease (GD): antithyroid drug therapy with thionamides (ATD), radioactive iodine treatment with (131)I, and thyroid surgery. This article reviews the current evidence so the reader can evaluate advantages and...

  4. 78 FR 21410 - Native American Graves Protection and Repatriation Review Committee: Meetings

    2013-04-10

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meetings AGENCY... Federal Advisory Committee Act, 5 U.S.C. Appendix (1988), of two meetings of the Native American Graves... Advisory Committee Act, 5 U.S.C. Appendix (1988), of two meetings of the Native American Graves...

  5. 77 FR 65407 - Native American Graves Protection and Repatriation Review Committee: Notice of Nomination...

    2012-10-26

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Notice of.... SUMMARY: The National Park Service is soliciting nominations for one member of the Native American Graves... Review Committee was established by the Native American Graves Protection and Repatriation Act of...

  6. Infeksi Cacing dan Alergi

    Selfi Renita Rusdji

    2015-01-01

    AbstrakInfeksi cacing masih merupakan masalah kesehatan di Indonesia dan negara berkembang lainnya. Penyakit ini sering terjadi di daerah dengan higienisitas dan sanitasi yang masih kurang. Respon imun tubuh host terhadap cacing ini mirip dengan respon tubuh terhadap penyakit alergi. Respon pada penyakit kecacingan dan alergi ini merupakan respon Thelper2 yaitu diferensiasi dan polariasasi sel limfosit T lebih dominan pada Th2. Pada kenyataannya, ditinjau dari segi epidemiologi, penyakit keca...

  7. Modeling of the thermal transfer inside a porous environment: application to nuclear reactors in accident situation; Modelisation du transfert thermique dans un milieu poreux: application aux reacteurs nucleaires en situation accidentelle

    Rubiolo, P.R

    2000-03-01

    The purpose of this report is to simulate heat exchanges occurring by conduction, by convection and by radiating in a porous medium made up of opaque particles in a semi-transparent fluid. Usually the determination of the macroscopic equations is based on homogenization techniques, but in the case of a major accident, the complexity of the problem is so overwhelming that semi-empirical methods are used to determine macroscopic coefficients. The author develops a new method to determine these coefficients, this method is based on the calculation of different tensors: the equivalent conductivity tensor, the radiative conductivity tensor, the thermal conductivity tensor and the heat exchange coefficient (h{sub sf}) between the solid phase and the fluid one. The first chapter briefly describes energy, impulse and mass balances. In the case of the energy balance the solid phase is not supposed to be in thermal equilibrium with the liquid phase. The second chapter presents an application of the porous media method to a one-dimensional and stationary problem, this application to a simple problem gives an idea of the performance of the method. The model allowing the calculation of h{sub sf} is developed, it is a wide range model. The second chapter ends with the presentation of the model allowing the computing of the effective conductivity of fuel rods. A comparison between results given by this new method and other numeric calculations or experimental data coming from benchmarks is presented in the third chapter. This chapter ends with the simulation of a reactor core in accidental situation, 2 cases are presented: with and without the presence of water steam. (A.C.)

  8. The clinical value of serum thyrotrophin receptor antibody level in patients with Graves ophthalmopathy

    Objective: To explore the value of serum thyrotrophin receptor antibody (TRAb) on the pathological mechanism of Graves ophthalmopathy. Methods: Two hundred and nineteen newly diagnosed Graves disease patients who were divided into Graves ophthalmopathy group (n=121) and without Graves ophthalmopathy group (n=98) were tested serum concentration with thyroid function, thyroperoxidase antibodies (TPOAb), thyroglobulin antibodies (TgAb) and TRAb. According to the consensus statement of the European Group on Graves ophthalmopathy, clinical activity score (CAS) and severity evaluation were carried out on Graves ophthalmopathy patients. Results: There was no significant difference in serum concentration of free thyroxine (FT4), free triiodothyronine (FT3), TPOAb and TRAb between the Graves ophthalmopathy group and the without Graves ophthalmopathy group. Serum concentration of TRAb was not correlated with the severity and CAS of Graves ophthalmopathy. Conclusions: The CAS and the severity of Graves ophthalmopathy were irrelevant to the serum concentration of TRAb. Therefore, the correlation between TRAb and Graves ophthalmopathy still needs further study. (authors)

  9. SEVERE ACCIDENT MANAGEMENT TRAINING

    The purpose of this paper is (a) to define the International Atomic Energy Agency's role in the area of severe accident management training, (b) to briefly describe the status of representative severe accident analysis tools designed to support development and validation of accident management guidelines, and more recently, simulate the accident with sufficient accuracy to support the training of technical support and reactor operator staff, and (c) provide an overview of representative design-specific accident management guidelines and training. Since accident management and the development of accident management validation and training software is a rapidly evolving area, this paper is also intended to evolve as accident management guidelines and training programs are developed to meet different reactor design requirements and individual national requirements

  10. Habitat Evaluation Procedures Report; Graves Property - Yakama Nation.

    Ashley, Paul; Muse, Anthony

    2008-02-01

    A habitat evaluation procedures (HEP) analysis was conducted on the Graves property (140 acres) in June 2007 to determine the number of habitat units to credit Bonneville Power Administration (BPA) for providing funds to acquire the property as partial mitigation for habitat losses associated with construction of McNary Dam. HEP surveys also documented the general ecological condition of the property. The Graves property was significantly damaged from past/present livestock grazing practices. Baseline HEP surveys generated 284.28 habitat units (HUs) or 2.03 HUs per acre. Of these, 275.50 HUs were associated with the shrubsteppe/grassland cover type while 8.78 HUs were tied to the riparian shrub cover type.

  11. Traffic Congestion and Accidents

    Schrage, Andrea

    2006-01-01

    Obstructions caused by accidents can trigger or exacerbate traffic congestion. This paper derives the efficient traffic pattern for a rush hour with congestion and accidents and the corresponding road toll. Compared to the model without accidents, where the toll equals external costs imposed on drivers using the road at the same time, a new insight arises: An optimal toll also internalizes the expected increase in future congestion costs. Since accidents affect more drivers if traffic volumes...

  12. Clinical efficacy of Yingliu treatment for Graves disease

    Yang, Hua; Bi, Xiaojuan; Tang, Hong; Zeng, Juanhua; Cong, Yilei; Wu, Tengfei; Chen, Qiuye

    2015-01-01

    Objective: To observe the clinical efficacy and safety of the traditional Chinese medicine (TCM) mixture Yingliu combined with methimazole medication for the treatment of Graves disease (GD). Method: In a randomized, paralleled control study, 92 GD patients were randomized into a Yingliu mixture treatment and a control treatment group, both receiving methimazole. Both treatments lasted for 12 weeks and outcome parameter were thyroid function, thyroid autoantibodies, TCM symptome scores and sa...

  13. Graves' disease: A comparison of CT and orthoptic findings

    The correlation between the loss of function of the extrinsic rectus eyemuscles and their appearance on computed tomography images in patients with Graves' disease was examined. Pathologic changes of a single rectus eyemuscle normally blockade the movement of the corresponding antagonistic muscle. This is caused by the impossibility to relax due to fibrotic alterations. Nevertheless there are some hints, which indicate, that in some cases, especially concerning the lateral rectus muscle, the inherent function of the thickened muscle is restricted. (orig.)

  14. Does radioiodine cause the ophthalmopathy of Graves' disease?

    This editorial briefly reviews studies which might answer the question as to whether radioiodine treatment causes the ophthalmopathy of Graves' disease. However, the data do not allow any conclusion one way or the other. Other possible causal factors are discussed. Further studies are required to define whether treatment of hyperthyroidism aggravates the ophthalmopathy and whether one thereby is worse than the others and by how much. (UK)

  15. Psychosomatic concept of hyperthyroidism - Graves type: Behavioral and biochemical characteristics

    Draganić-Gajić Saveta

    2008-01-01

    Full Text Available Introduction. In this study we test the hypothesis that specific behavioral and biochemical vulnerabilities characterize individuals with hyperthyroidism - Graves type, one of the classically cited 'psychosomatic disorders'. Material and methods. The sample included 24 subjects with Graves disease and 34 controls. All participants were evaluated for personality and temperament characteristics and for platelet MAO activity. A smaller group of panic disorder patients was tested with the same set of measures to ensure a validity of the study, especially regarding results on personality tests. RESULTS. Individuals with hyperthyroidism had lower platelet MAO activity and higher scores on histrionic (Hy, depressive (D and hypochondriac (H subscale on the MMPI-201 than normal controls. Their TPQ temperament scores were characterized by high Harm Avoidance, whereas other temperament traits were average. Platelet MAO activity was inversely correlated with the MMPI-201 psychopatic deviance scale (Pd and positively correlated with the TPQ Reward Dependence scale. CONCLUSIONS. Our results provide support for the psychosomatic concept of Graves' disease. Personality features, temperament traits, and platelet MAO activity of hyperthyroid individuals are different from those in normal controls and correspond to those observed in anxiety disorders. We propose that the observed behavioral and biochemical similaritites between hyperthyroid and anxiety disorder patients represent an equicausality phenomenon, where the same underlying heritable factors, such as variable central monoaminergic activity coupled with temperament-related susceptibility to stress, facilitate phenotypic manifestation of a number of psychosomatic and psychiatric disorders - including Graves disease. The observed correlations between personality traits and MAO activity provide support for the hypothesized functional relationship between the underlying central monoaminergic activity and

  16. Psychology of nuclear accidents

    Tysoe, M.

    1983-03-31

    Incidents involving nuclear weapons are described, as well as the accident to the Three Mile Island-2 reactor. Methods of assessment of risks are discussed, with particular reference to subjective judgements and the possible role of human error in civil nuclear accidents. Accidents or misunderstandings in communication or human actions which might lead to nuclear war are also discussed.

  17. Anti-thyroid drugs in pediatric Graves' disease.

    John, Mathew; Sundrarajan, Rajasree; Gomadam, S Sridhar

    2015-01-01

    Graves' disease is the most common cause of hyperthyroidism in children. Most children and adolescents are treated with anti-thyroid drugs as the initial modality. Studies have used Methimazole, Carbimazole and Propylthiouracil (PTU) either as titration regimes or as block and replacement regimes. The various studies of anti-thyroid drug (ATD) treatment of Graves' disease in pediatric patients differ in terms of the regimes, remission rate, duration of therapy for adequate remission, follow up and adverse effects of ATD. Various studies show that lower thyroid hormone levels, prolonged duration of treatment, lower levels of TSH receptor antibodies, smaller goiter and increased age of child predicted higher chance of remission after ATD. A variable number of patients experience minor and major adverse effects limiting initial and long term treatment with ATD. The adverse effects of various ATD seem to more in children compared to that of adults. In view of liver injury including hepatocellular failure need of liver transplantation associated with PTU, the use has been restricted in children. The rate of persistent remission with ATD following discontinuation is about 30%. Radioactive iodine therapy is gaining more acceptance in older children with Graves's disease in view of the limitations of ATD. For individual patients, risk-benefit ratio of ATD should be weighed against benefits of radioactive iodine therapy and patient preferences. PMID:25932387

  18. [Radioiodine therapy for Graves' disease: problems and new developments].

    Reiners, Christoph

    2004-05-01

    In Germany, patients with Graves' disease are usually treated with radioiodine after unsuccessful antithyroid drug medication, occurrence of side effects from antithyroid drugs or an increased risk from surgery. In patients with normal or only slightly enlarged thyroid glands (volume TSH-receptor antibodies and cigarette smoking. Children are still rarely treated with radioiodine in Germany. In contrast, treatment with radioiodine should be more liberally applied in elderly patients with subclinical hyperthyroidism and cardiac symptoms. Individual dosimetry to determine the therapeutic activity is mandatory in Germany. Patients with large goitres obviously need higher organ doses than patients with smaller goitres or normal thyroid glands. Antithyroid drug treatment may interfere with radioiodine therapy. Therefore, it is recommendable to withdraw antithyroid drugs several days before treatment with radioiodine is initiated (and a preceding radioiodine uptake test is performed). In patients with Graves' orbitopathy prophylaxis with corticosteroids can prevent the worsening of symptoms that may be induced by radioiodine treatment. Currently, a risk adapted procedure is recommended according to which prophylactic medication with corticosteroids before applying radioiodine treatment is not necessary in patients with symptoms of orbitopathy and lack of other risk factors (cigarette smoking, in particular). Present results suggest that the risks of radioiodine treatment in Graves' disease patients are very low, while at the same time the cost-effectiveness of this treatment regimen is high. PMID:15255314

  19. Hyperparathyroidism after radioactive iodine therapy for Graves' disease

    Herein we report a 36-year-old man with hyperparathyroidism and a past history of internal irradiation to the thyroid. Twelve years previously at age 24 years he had received 8 mCi of radioactive iodine for Graves' disease. An additional dose of 4 mCi was required 3 years later. A right lower parathyroid adenoma (28 x 23 x 20 mm, 5.7 g) was found at neck exploration. Although the association of external ionizing radiation to the head and neck and the subsequent development of hyperfunctioning parathyroid glands has been described in recent years, there are only 4 cases in the literature of parathyroid surgery for hyperparathyroidism secondary to earlier treatment with radioactive iodine for Graves' disease. In a long-term follow-up of 180 patients treated with radioactive iodine for Graves' disease, neither hypercalcemia nor hypophosphatemia was found. Whether internal radiation therapy can be a causative factor in the development of hyperparathyroidism should be elucidated in future. However, it seems reasonable to suggest that patients whose hyper-thyroidism has been treated with radioactive iodine should have their scrum calcium levels examined at 5-year intervals. (author)

  20. Grave pit modifications and wooden structures in the Great Moravian graves and their information potential for cognition of the social structure of the Great Moravian society

    Mazuch, Marian; Hladík, Marek

    2013-01-01

    Roč. 54, č. 2 (2013), s. 45-55. ISSN 1211-7250 R&D Projects: GA ČR GP13-20936P Keywords : Early Middle Ages * Great Moravia * Mikulčice * burial sites * graves * grave pits * burial pits * wooden structures * funeral rite * social structure * GIS * statistics Subject RIV: AC - Archeology, Anthropology, Ethnology

  1. Supervisor's accident investigation handbook

    This pamphlet was prepared by the Environmental Health and Safety Department (EH and S) of Lawrence Berkeley Laboratory (LBL) to provide LBL supervisors with a handy reference to LBL's accident investigation program. The publication supplements the Accident and Emergencies section of LBL's Regulations and Procedures Manual, Pub. 201. The present guide discusses only accidents that are to be investigated by the supervisor. These accidents are classified as Type C by the Department of Energy (DOE) and include most occupational injuries and illnesses, government motor-vehicle accidents, and property damages of less than $50,000

  2. Enhanced thyroid iodine metabolism in patients with triiodothyronine-predominant Graves' disease

    Some patients with hyperthyroid Graves' disease have increased serum T3 and normal or even low serum T4 levels during treatment with antithyroid drugs. These patients with elevated serum T3 to T4 ratios rarely have a remission of their hyperthyroidism. The aim of this study was to investigate thyroid iodine metabolism in such patients, whom we termed T3-predominant Graves' disease. Mean thyroid radioactive iodine uptake was 51.0 +/- 18.1% ( +/- SD) at 3 h, and it decreased to 38.9 +/- 20.1% at 24 h in 31 patients with T3-predominant Graves' disease during treatment. It was 20.0 +/- 11.4% at 3 h and increased to 31.9 +/- 16.0% at 24 h in 17 other patients with hyperthyroid Graves' disease who had normal serum T3 and T4 levels and a normal serum T3 to T4 ratio during treatment (control Graves' disease). The activity of serum TSH receptor antibodies was significantly higher in the patients with T3-predominant Graves' disease than in control Graves' disease patients. From in vitro studies of thyroid tissue obtained at surgery, both thyroglobulin content and iodine content in thyroglobulin were significantly lower in patients with T3-predominant Graves' disease than in the control Graves' disease patients. Thyroid peroxidase (TPO) activity determined by a guaiacol assay was 0.411 +/- 0.212 g.u./mg protein in the T3-predominant Graves' disease patients, significantly higher than that in the control Graves' disease patients. Serum TPO autoantibody levels determined by immunoprecipitation also were greater in T3-predominant Graves' disease patients than in control Graves' disease patients. Binding of this antibody to TPO slightly inhibited the enzyme activity of TPO, but this effect of the antibody was similar in the two groups of patients

  3. Framework for accident management

    Accident management is an essential element of the Nuclear Regulatory Commission (NRC) Integration Plan for the closure of severe accident issues. This element will consolidate the results from other key elements; such as the Individual Plant Examination (IPE), the Containment Performance Improvement, and the Severe Accident Research Programs, in a form that can be used to enhance the safety programs for nuclear power plants. The NRC is currently conducting an Accident Management Program that is intended to aid in defining the scope and attributes of an accident management program for nuclear power plants. The accident management plan will ensure that a plant specific program is developed and implemented to promote the most effective use of available utility resources (people and hardware) to prevent and mitigate severe accidents. Hardware changes or other plant modifications to reduce the frequency of severe accidents are not a central aim of this program. To accomplish the outlined objectives, the NRC has developed an accident management framework that is comprised of five elements: (1) accident management strategies, (2) training, (3) guidance and computational aids, (4) instrumentation, and (5) delineation of decision making responsibilities. A process for the development of an accident management program has been identified using these NRC framework elements

  4. Analisis Kebijakan dan Efektivitas Organisasi

    Amir Syarifudin Kiwang

    2015-05-01

    Full Text Available Penerapan Peraturan Gubernur Nusa Tenggara Timur Nomor 8 Tahun 2011 tentang Organisasi dan Tata Kerja Unit Pelaksana Teknis Pendidikan dan Pelatihan Koperasi dan Usaha Mikro Kecil dan Menengah pada Dinas Koperasi dan Usaha Mikro Kecil dan Menengah Provinsi Nusa Tenggara Timur adalah dalam rangka untuk meningkatkan efektivitas kerja organisasi pada UPT Diklat Koperasi dan UMKM. Penelitian ini berusaha untuk melihat dampak kebijakan organisasi terhadap efektivitas organisasi dengan menggunakan enam elemen variabel dari kebijakan dan praktik manajemen. Keenam elemen tersebut adalah penetapan tujuan strategis, pencarian dan pemanfaatan sumber daya, lingkungan prestasi, proses komunikasi, kepemimpinan dan pengambilan keputusan, serta adaptasi dan inovasi organisasi. Penelitian kualitatif ini menggunakan pendekatan studi kasus. Teknik analisis data yang digunakan adalah analisis data model Miles dan Huberman, yang terdiri atas reduksi data, display/penyajian data, dan kesimpulan/verifikasi. Hasil penelitian menunjukkan bahwa efektivitas organisasi pada UPT Diklat koperasi dan UMKM belum berjalan secara baik, hal ini dapat dilihat dari beberapa hal antara lain, belum adanya tenaga spesialisasi pengelola diklat dan tenaga khusus (sarjana di bidang perkoperasian dan kondisi lingkungan kerja (lingkungan prestasi pada UPT Diklat koperasi dan UMKM yang belum efektif. Penempatan pegawai juga belum tepat, mutasi ke UPT Diklat Koperasi dan UMKM tidak memperhatikan latar belakang pendidikan dan spesialisasi/keahlian pegawai sehingga membutuhkan waktu dalam proses penyesuaian serta menurunkan jumlah pelaksanaan diklat dikarenakan keterbatasan alokasi dana.

  5. Keratoacanthoma Dan Perawatannya

    Indah Heriyanti

    2008-01-01

    Keratoacanthoma adalah suatu tumor jinak yang berasal dari jaringan epitel dan biasanya di jumpai pada permukaan kulit yang umumnya terjadi pada bagian kulit yang sering terkena sinar matahari dimana tumor ini dapat sembuh dengan spontan. Lesi ini biasanya berawal sebagai makula yang kecil yang berwarna merah dan kemudian menjadi papula yang kokoh dan bersisik pada permukaanya. Papul ini dengan cepat membesar selama 2 sampai 8 minggu. Pada awalnya berbentuk bulat atau oval,kokoh menonjol ...

  6. Section traumatique de l'utérus non gravide chez une accidentée de voie publique: à propos d'un cas

    Cédrick, Sangwa Milindi; Marius, Kitembo Feruzi; Mireille, Kakinga Zabibu; Nelly, Mukonda Sompo; Chamy, Cham Lubamba; Numbi, Kabamge; Mutomb, Jean Felix

    2015-01-01

    Dans cet article les auteurs rapportent un rare cas de section traumatique d'un utérus non gravide, chez une accidentée de voie publique reçu dans un tableau d'hemopéritoine aux services des urgences de l'hôpital General Provincial de Reference Jason Sendwe.

  7. Framework for accident management

    A program is being conducted to establish those attributes of a severe accident management plan which are necessary to assure effective response to all credible severe accidents and to develop guidance for their incorporation in a plant's Accident Management Plan. This program is one part of the Accident Management Research Program being conducted by the U. S. Nuclear Regulatory Commission (NRC). The approach used in establishing attributes and developing guidance includes three steps. In the first step the general attributes of an accident management plan were identified based on: (1) the objectives established for the NRC accident management program, (2) the elements of an accident management framework identified by the NRC, and (3) a review of the processes used in developing the currently used approach for classifying and analyzing accidents. For the second step, a process was defined that uses the general attributes identified from the first step to develop an accident management plan. The third step applied the process defined in the second step at a nuclear power plant to refine and develop it into a benchmark accident management plan. Step one is completed, step two is underway and step three has not yet begun

  8. Visualization of Traffic Accidents

    Wang, Jie; Shen, Yuzhong; Khattak, Asad

    2010-01-01

    Traffic accidents have tremendous impact on society. Annually approximately 6.4 million vehicle accidents are reported by police in the US and nearly half of them result in catastrophic injuries. Visualizations of traffic accidents using geographic information systems (GIS) greatly facilitate handling and analysis of traffic accidents in many aspects. Environmental Systems Research Institute (ESRI), Inc. is the world leader in GIS research and development. ArcGIS, a software package developed by ESRI, has the capabilities to display events associated with a road network, such as accident locations, and pavement quality. But when event locations related to a road network are processed, the existing algorithm used by ArcGIS does not utilize all the information related to the routes of the road network and produces erroneous visualization results of event locations. This software bug causes serious problems for applications in which accurate location information is critical for emergency responses, such as traffic accidents. This paper aims to address this problem and proposes an improved method that utilizes all relevant information of traffic accidents, namely, route number, direction, and mile post, and extracts correct event locations for accurate traffic accident visualization and analysis. The proposed method generates a new shape file for traffic accidents and displays them on top of the existing road network in ArcGIS. Visualization of traffic accidents along Hampton Roads Bridge Tunnel is included to demonstrate the effectiveness of the proposed method.

  9. DEPRESI DAN GANGGUAN TIDUR

    Wayan Eko Radityo

    2012-12-01

    Full Text Available Depresi merupakan gangguan mood berupa kesedihan yang intens, berlangsung dalamwaktu lama, dan mengganggu kehidupan normal yang insidennya semakin meningkatseiring dengan meningkatnya tekanan hidup. Tahun 2020, depresi diperkirakanmenempati urutan kedua penyakit di dunia. Gejala-gejala depresi terdiri dari gangguanemosi, gangguan kognitif, keluhan somatik, gangguan psikomotor, dan gangguanvegetatif. Salah satu gejala depresi yang muncul adalah gangguan tidur yang bisaberupa insomnia, bangun secara tiba-tiba, dan hipersomnia. Hal ini disebabkan olehgangguan neurotransmiter dan regulasi hormon. Selain sebagai gejala depresi, gangguantidur juga bisa merupakan penyebab depresi. Beberapa penelitian memberikanhubungan gangguan tidur dapat meningkatkan risiko depresi di kemudian hari.

  10. Multiple Fractures in Patient with Graves' Disease Accompanied by Isolated Hypogonadotropic Hypogonadism

    Yi, Hyon-Seung; Kim, Ji Min; Ju, Sang Hyeon; Lee, Younghak; Kim, Hyun Jin; Kim, Koon Soon

    2016-01-01

    Isolated hypogonadotropic hypogonadism (IHH) is known to decrease bone mineral density due to deficiency of sex steroid hormone. Graves' disease is also an important cause of secondary osteoporosis. However, IHH does not preclude the development of primary hyperthyroidism caused by Graves' disease, leading to more severe osteoporosis rapidly. Here, we describe the first case of 35-year-old Asian female patient with IHH accompanied by Graves' disease and osteoporosis-induced multiple fractures...

  11. Whodunnit? Grave-robbery in early medieval northern and western Europe

    Klevn?s, Alison Margaret

    2011-01-01

    This thesis brings together all that is currently known of early medieval grave reopening in northern and western Europe. It investigates in detail an intensive outbreak of grave-robbery in 6th-7th century Kent. This is closely related to the same phenomenon in Merovingia: an example of the import of not only material goods but also a distinctive cultural practice. Limited numbers of similar robbing episodes, affecting a much smaller proportion of graves in each cemetery, are also identified ...

  12. Comparison of Fixed versus Calculated Activity of Radioiodine for the Treatment of Graves Disease in Adults

    Canto, Abigail U.; Dominguez, Paulette N.; Jimeno, Cecilia A.; Obaldo, Jerry M.; Ogbac, Ruben V.

    2016-01-01

    Background Radioactive iodine as a treatment modality has been shown in several studies to be a safe and effective therapy for Graves disease. However, there is still no uniformity regarding optimal dosing method. The aim of this study is to compare the efficacy of calculated and fixed dosing of radioiodine for the treatment of Graves disease. Methods A hundred twenty-two patients diagnosed with Graves disease were randomized to receive either fixed or calculated dose of radioiodine. Those ra...

  13. The Grave Types Seen In Antandros Necropolis In The Hellenistic Period

    Kahraman YAĞIZ

    2009-06-01

    Full Text Available In this article, the Hellenistic graves uncovered in the excavations of Antandros Necropolis between the years of 2001-2008 have been assessed in general. Forty three cremations, 25 tile-graves, 20 simple inhumations, five graves with altar, five sarcophagi, two circle shaped graves and one amphora grave were determined as seven different types of burials during this period. Cremation ranked first among the burial types seen in the Hellenistic period. The increase in the number of the cremations may be due to Alexander the Great’s arriving in the Asia Minor and the changes in the demographic structure. According to their frequencies, roof tile graves and simple inhumations were the second and inhumations were preferred by the individuals with low incoming. The graves with altar and circle shaped graves were the most remarkable ones in this period. Sarcophagi were appeared as the favorite type in Classical period for adults in early Hellenistic Period. The amphora grave, which was for fetuses or new-born babies was represented with only one sample in this period.

  14. Characterization of radioiodine therapy failures in Graves' disease

    Aim of this study was a characterization of radioiodine therapy (RIT) failures in Graves' disease without simultaneous carbimazole. Method: 226 patients with a confirmed diagnosis of Graves' disease received 686.8 ± 376.4 MBq of iodine-131 orally for thyroid ablation. Target dose was 250 Gy. All patients were followed up for 6 months. Therapy failures were compared with successes regarding possible influencing variables initial thyroid volume, thyroid function, immune activity (TRAb), I-131 uptake, effective half-life, absorbed energy dose, age and gender. Results: 212 of 226 patients (93.8%) were treated successfully, 14 (6.2%) showed a hyperthyroidism relapse within 6 months which required a second radioiodine therapy. A success rate of 92.5% (62/67) could also be achieved with 67 patients who were hyperthyroid at the time of RIT. Compared to the therapy successes, the 14 failures achieved significantly lower absorbed doses (223.8 ± 76.6 Gy vs. 285.2 ± 82.1 Gy, p 0.2). Of the 14 failures, n = 8 reached an absorbed dose 250 Gy. Stepwise logistic regression revealed only absorbed energy dose as a variable significantly influencing therapy success (p 0.2) or gender (p = 0.13). Two-tailed Fisher's exact test showed no significant influence of gender on success rates (failures/successes: male 1/36, female 13/176, p = 0.48). Conclusions: Except for the absorbed energy dose, no other significant variable influencing the outcome of radioiodine therapy in Graves' disease without simultaneous carbimazole could be found. It should be noted, though, that 5 therapy failures (2.2%) reached an absorbed energy dose of >250 Gy. (orig.)

  15. Radioiodine thyroid ablation in graves' hyperthyroidism: merits and pitfalls.

    Nwatsock, J F; Taieb, D; Tessonnier, L; Mancini, J; Dong-A-Zok, F; Mundler, O

    2012-01-01

    Ablative approaches using radioiodine are increasingly proposed for the treatment of Graves' disease (GD) but their ophthalmologic and biological autoimmune responses remain controversial and data concerning clinical and biochemical outcomes are limited. The aim of this study was to evaluate thyroid function, TSH-receptor antibodies (TRAb) and Graves' ophthalmopathy (GO) occurrence after radioiodine thyroid ablation in GD. We reviewed 162 patients treated for GD by iodine-131 ((131)I) with doses ranging from 370 to 740 MBq, adjusted to thyroid uptake and sex, over a 6-year period in a tertiary referral center. Collected data were compared for outcomes, including effectiveness of radioiodine therapy (RIT) as primary endpoint, evolution of TRAb, and occurrence of GO as secondary endpoints. The success rate was 88.3% within the first 6 months after the treatment. The RIT failure was increased in the presence of goiter (adjusted odds ratio = 4.1, 95% confidence interval 1.4-12.0, P = 0.010). The TRAb values regressed with time (r = -0.147; P = 0.042) and patients with a favorable outcome had a lower TRAb value (6.5 ± 16.4 U/L) than those with treatment failure (23.7 ± 24.2 U/L, P hyperthyroidism but developed early and prolonged period of hypothyroidism in the context of antithyroid drugs (ATD) intolerance (P = 0.003) and high TRAb level (P = 0.012). On the basis the results of this study we conclude that ablative RIT is effective in eradicating Graves' hyperthyroidism but may be accompanied by GO occurrence, particularly in patients with early hypothyroidism and high pretreatment TRAb and/or ATD intolerance. In these patients, we recommend an early introduction of LT4 to reduce the duration and the degree of the radioiodine-induced hypothyroidism. PMID:22942775

  16. [Graves-Basedow disease after allogeneic bone marrow transplantation].

    Jakubas, Beata; Kostecka-Matyja, Marta; Darczuk, Andrzej; Gil, Justyna

    2006-01-01

    One severe aplastic anaemia case who presented autoimmune thyroid disease after allogeneic bone marrow transplantation (alloBMT) is described. A 19 year old Polish girl developed Graves' hyperthyroidisms 19 months after allogeneic BMT for severe aplastic anaemia (SAA) donated from her brother. Her serum was positive for thyroid stimulating antibody (TSAb) and anti-thyroid peroxidase autoantibodies (aTPO) while her brother remained euthyroid, seronegative for TSAb, and showed no clinical signs of thyroid pathology. The genetic studies of lymphocytes FISH (fluorescence in situ hybridization) and analysis of STR (short tandem repeated) fragments suggested, that lymphocytes responsible for hyperthyroidisms were of donor origin. PMID:17133320

  17. Violencia en la pareja hacia mujeres con transtorno mental grave

    González Cases, Juan Carlos

    2012-01-01

    Este estudio tiene como objetivo principal analizar la prevalencia y características de la violencia de pareja hacia mujeres con un trastorno mental grave. La muestra consta de 142 mujeres mayores de 18 años, que en algún momento de su vida adulta habían tenido una relación de pareja y que estaban en atención en recursos públicos de salud mental de la Comunidad de Madrid. A través de entrevista se aplicaron cuestionarios validados para la medición de violencia psicológica, sexual y física. Ad...

  18. Graves disease associated with chronic idiopathic urticaria: 2 case reports.

    Bansal, A S; Hayman, G R

    2009-01-01

    Chronic idiopathic urticaria (CIU) is well known to be associated with antithyroid peroxidase antibodies and autoimmune thyroiditis. Coexisting Graves disease has only rarely been observed. We describe 2 patients with CIU who developed autoimmune hyperthyroidism with antithyrotropin receptor antibodies. Antithyroid peroxidase antibodies were also present in 1 of the patients, but both responded poorly to high-dose antihistamine therapy. Both patients improved significantly, and their thyroid function recovered with carbimazole. We advise clinicians to be alert to the symptoms of hyperthyroidism when patients with CIU respond poorly to antihistamine therapy, as prompt treatment of hyperthyroidism significantly improves urticaria. PMID:19274930

  19. Graves' hyperthyroidism and moderate alcohol consumption: evidence for disease prevention

    Carle, A.; Bülow Pedersen, I.; Knudsen, N.; Perrild, H.; Ovesen, L.; Rasmussen, Lone Banke; Jørgensen, T.; Laurberg, P.

    2013-01-01

    BACKGROUND: We recently demonstrated that moderate alcohol consumption is associated with a considerable reduction in the risk of autoimmune hypothyroidism, similar to findings in other autoimmune diseases such as systemic lupus erythematosus and rheumatoid arthritis. We aimed to study a possible...... Graves' hyperthyroidism. For each patient, we recruited four age-sex-region-matched controls with normal thyroid function (n=1,088). MEASUREMENTS: Participants gave detailed information on current and previous alcohol intake as well as other factors to be used for analyses. The association between...

  20. Graves-Basedow disease after allogeneic bone marrow transplantation

    One severe aplastic anaemia case who presented autoimmune thyroid disease after allogeneic bone marrow transplantation (alloBMT) is described. A 19 year old Polish girldeveloped Graves' hyperthyroidisms 19 months after allogeneic BMT for severe aplastic anaemia (SAA) donated from her brother. Her serum was positive for thyroid stimulating antibody (TSAb) and anti-thyroid peroxidase autoantibodies (aTPO) while her brother remained euthyroid, seronegative for TSAb, and showed no clinical signs of thyroid pathology. The genetic studies of lymphocytes FISH (fluorescence in situ hybridization) and analysis of STR (short tandem repeated) fragments suggested, that lymphocytes responsible for hyperthyroidisms were of donor origin. (author)

  1. Visuaalinen kerronta pelissä : Case: Johnny Graves

    Sarakontu, Minna

    2014-01-01

    Opinnäytetyön tavoitteena oli tutkia videopelien visuaalisen kerronnan osa-alueita, kuten käyttöliittymiä ja grafiikkaa, ja soveltaa opittua Johnny Graves -peliprojektissa. Opinnäytetyö toteutettiin kevään 2014 aikana. Teoriataustan lähdemateriaalina käytettiin omaa pohjatietoa, kirjallisuutta ja useita verkkoartikkeleita. Empiriaosuutta varten haastateltiin aiheesta kahta asiantuntijaa, analysoitiin kolmea modernia peliä ja suoritettiin käytettävyystestaamista Johnny Gravesin viimeisimmä...

  2. Laser accidents: Being Prepared

    Barat, K

    2003-01-24

    The goal of the Laser Safety Officer and any laser safety program is to prevent a laser accident from occurring, in particular an injury to a person's eyes. Most laser safety courses talk about laser accidents, causes, and types of injury. The purpose of this presentation is to present a plan for safety offices and users to follow in case of accident or injury from laser radiation.

  3. The Chernobyl accident consequences

    Five teen years later, Tchernobyl remains the symbol of the greater industrial nuclear accident. To take stock on this accident, this paper proposes a chronology of the events and presents the opinion of many international and national organizations. It provides also web sites references concerning the environmental and sanitary consequences of the Tchernobyl accident, the economic actions and propositions for the nuclear safety improvement in the East Europe. (A.L.B.)

  4. Communication and industrial accidents

    As, Sicco van

    2001-01-01

    This paper deals with the influence of organizational communication on safety. Accidents are actually caused by individual mistakes. However the underlying causes of accidents are often organizational. As a link between these two levels - the organizational failures and mistakes - I suggest the concept of role distance, which emphasizes the organizational characteristics. The general hypothesis is that communication failures are a main cause of role distance and accident-proneness within orga...

  5. Localization of a sound source in in a guided medium and reverberating field. Contribution to a study on leak localization in the internal wall of containment of a nuclear reactor in the case of a severe reactor accident; Localisation d`une source acoustique en milieu guide et champ reverberant. Contribution a l`etude sur la localisation de fuite de l`enceinte de confinement d`une centrale nucleaire en situation accidentelle grave

    Thomann, F

    1996-11-28

    Basic data necessary for the localization of a leak in the internal wall of the containment are presented by studying the sound generated by gas jets coming out of (leaking fissures) as well as propagation in a guided medium. The results acquired have led us to choose the simple intercorrelation method and the matched filed processing method, both of which are likely to adequately handle our problems. Whereas the intercorrelation method appears to be limited in scope when dealing in the guided medium, the matched field processing is suited to leak localization over a surface of approximately 1000 m{sup 2} (for a total surface of 10 000 m{sup 2}). Preliminary studies on the leak signal and on replicated signals have led us to limit the frequency band to 2600 - 3000 Hz. We have succeeded in locating a leak situated in an ordinary position with a minimum amount of replicated signals and basic data. We have improved on the estimation of Bartlett and MVDE (minimum variance distortion less filter) rendering them even more effective. Afterwards, we considered the severe accident situation and showed that the system can be installed in situ. (author) 88 refs.

  6. Nuclear accidents and epidemiology

    A consultation on epidemiology related to the Chernobyl accident was held in Copenhagen in May 1987 as a basis for concerted action. This was followed by a joint IAEA/WHO workshop in Vienna, which reviewed appropriate methodologies for possible long-term effects of radiation following nuclear accidents. The reports of these two meetings are included in this volume, and cover the subjects: 1) Epidemiology related to the Chernobyl nuclear accident. 2) Appropriate methodologies for studying possible long-term effects of radiation on individuals exposed in a nuclear accident. Figs and tabs

  7. Total thyroidectomy as primary definitive treatment for Graves' hyperthyroidism.

    Snyder, Samuel; Govednik, Cara; Lairmore, Terry; Jiang, Da-Shu; Song, Juhee

    2013-12-01

    The objective of this study was to compare the results of total thyroidectomy (TT) for hyperthyroidism secondary to Graves' disease (GD) with TT for other benign thyroid diseases to determine if TT should be considered more often as first-line therapy for GD. Seven hundred eighty patients underwent TT for benign disease: 203 for GD, 56 for other hyperthyroidisms, and 521 for other benign diseases from March 1, 2003, to December 31, 2009. The perioperative results of these three groups were compared for demographics, blood loss, operative time, complications, and hospitalization. There were no significant differences among the three groups except the patients with GD were more likely to be younger (42 vs 56 vs 57 years; P hyperthyroidism and other benign thyroid diseases. Permanent recurrent laryngeal nerve injury did not occur in the GD group (0 vs 0 vs 0.4% nerves at risk; P = 0.69) with transient recurrent laryngeal nerve injury occurring in 1.7 versus 2.7 versus 3.1 per cent nerves at risk (P = 0.35). The lack of a euthyroid state preoperatively had no influence on surgical outcomes or complications. Eighty percent of the TTs for GD were done as same-day outpatient procedures. TT offers a safe, low-risk, and rapid cure for GD to justifiably be considered as a reasonable first-line therapy in selected patients with Graves' hyperthyroidism. PMID:24351357

  8. Hyperthyroidism in Graves disease. Current trends in management and diagnosis

    The radioimmunoassay for T3 is now widely available and is a useful diagnostic tool for hyperthyroidism, especially in T3-thyrotoxicosis. It is an essential tool in the management of hyperthyroidism that persists after treatment with normal T4 serum levels or, in euthyroid cases, with low T4 serum levels. In these conditions, it reflects the metabolic state more accurately than serum levels of T4. A promising new test is the response of radioimmunoassayable TSH to protirelin relin (TRH) administration. An absent response indicates pituitary suppression and thyroid autonomy as seen in frank hyperthyroidism or euthyroid Graves disease, treated or untreated. It is safer and quicker than the conventional T3 suppression test of thyroid radioactive iodine uptake and may replace it at least partly in the future. The recently recognized sharp decline in the remission rate of patients subjected to thyroid drug therapy in the last decade has made this treatment much less efficacious. By necessity, it will probably lead to greater reliance on treatment with radioactive iodine in the majority of the patients with the hyperthyroidism of Graves disease

  9. Evidence for a major role of heredity in Graves' disease

    Brix, T H; Kyvik, K O; Christensen, Kaare; Hegedüs, L

    2001-01-01

    The etiology of Graves' disease (GD), affecting up to 2% of a population in iodine-sufficient areas, is incompletely understood. According to current thinking, the development of GD depends on complex interactions among genetic, environmental, and endogenous factors. However, the relative contrib...... 21%. In conclusion, our study strongly supports the idea that genetic factors play a major role in the etiology of GD and suggest that a further search for susceptibility genes is worthwhile.......The etiology of Graves' disease (GD), affecting up to 2% of a population in iodine-sufficient areas, is incompletely understood. According to current thinking, the development of GD depends on complex interactions among genetic, environmental, and endogenous factors. However, the relative...... contributions of the genetic and environmental factors remain to be clarified. In this study we report probandwise concordance rates for GD in a new cohort of same sex twin pairs born between 1953 and 1976 (young cohort), ascertained from the nationwide population-based Danish Twin Register. To elucidate the...

  10. Influence de la vitesse de déplacement sur le risque d'accident corporel : une étude cas-témoins

    Brenac, Thierry; Perrin, Christophe; CANU, Bastien; MAGNIN, Joël; CANU, Adrien

    2016-01-01

    For an English abstract, the reader is invited to refer to the original paper published in English by the same authors in the journal Periodica Polytechnica - Transportation Engineering 43(3), 129-137 (www.pp.bme.hu/tr/article/view/7520). Cette étude cas-témoins avec appariement traite de l'effet de la vitesse individuelle de déplacement sur le risque d'implication dans un accident de la route. Les cas sont des voitures impliquées dans des accidents corporels traités dans le cadre d'un pro...

  11. Criticality accident in Argentina

    A recent criticality type accident, ocurred in Argetina, is commented. Considerations about the nature of the facility where this accident took place, its genesis, type of operation carried out on the day of the event, and the medical aspects involved are done. (Author)

  12. Chernobyl accident and Danmark

    The report describes the Chernobyl accident and its consequences for Denmark in particular. It was commissioned by the Secretary of State for the Environment. Volume 1 contains copies of original documents issued by Danish authorities during the first accident phase and afterwards. Evaluations, monitoring data, press releases, legislation acts etc. are included. (author)

  13. Radiation accidents in hospitals

    Some of the radiation accidents that have occurred in Indian hospitals and causes that led to them are reviewed. Proper organization of radiation safety minimizes such accidents. It has been pointed out that there must be technical competence and mental preparedness to tackle emergencies when they do infrequently occur. (M.G.B.)

  14. Communication and industrial accidents

    As, Sicco van

    2001-01-01

    This paper deals with the influence of organizational communication on safety. Accidents are actually caused by individual mistakes. However the underlying causes of accidents are often organizational. As a link between these two levels - the organizational failures and mistakes - I suggest the conc

  15. Chernobyl accident and Denmark

    The report describes the Chernobyl accident and its consequences for Denmark in particular. It was commissioned by The Secretary of State for the Environment. Volume 2 contains copies of original documents issued by Danish authorities during the first accident phase and afterwards. Evaluations, monitoring data, press releases, legislation acts etc. are included. (author)

  16. Accidents with orphan sources

    The International Atomic Energy Agency has specifically defined statutory functions relating to the development of standards of safety and the provision for their application. It also has responsibilities placed on it by virtue of a number of Conventions, two of which are relevant to nuclear accidents or radiological emergencies - the Convention on Early Notification of a Nuclear Accident and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency. An overview of the way in which these functions are being applied to prevent and respond to radiological accidents, particularly those involving orphan sources, is described in this paper. Summaries of a number of such accidents and of the Agency's Action Plan relating to the safety and security of radiation sources are given. (orig.)

  17. Significance of changes of serum FT3, FT4, s-TSH, TGA, TPO-Ab levels in patients with non-Graves' hyperthyroidism and Graves' disease

    Objective: To investigate the clinical significance of the changes of thyroid-related hormones (FT3, FT4, s-TSH, TGA, TPO-Ab) levels in patients with Graves' and non-Graves' hyperthyroidism. Methods: Serum FT3, FT4, TGA, TPO-Ab (with RIA) and s-TSH (with IRMA) were determined in 43 patients with non-Graves' hyperthyroidism, 29 patients with Graves' disease and 40 controls. Results: In both groups of hyperthyroid patients, the serum levels of FT3 (15.01 ± 11.01 pg/ml in the non - Graves' group and 15.23 ± 9.57pg/ml in the Graves' group), FT4 (38.30 ± 19.82, 38.87 ± 17.39pg/ml), TGA(33.89 ± 22. 43%, 49.72 ± 20.55% ) and TPO-Ab (1319.24 ± 1037.78, 2023.24 ± 621.00IU/ml) were significantly higher than those (FT3, 6.76 ± 2.01pg/ml, FT4 16.16 ± 2.58pg/ml, TGA 6.76 ± 2.01%, TPO-Ab 0.01 ± 0.01IU/ml) in the controls (all P 3, FT4 and s-TSH levels in both groups were not significantly different from each other. Conclusion: In this study, serum TGA and TPO -Ab levels were lower in patients with non-Graves' hyperthyroidism than those in patients with Graves' disease. (authors)

  18. Refractory Graves' Disease Successfully Cured by Adjunctive Cholestyramine and Subsequent Total Thyroidectomy

    Yang, Yeoree; Hwang, Seawon; Kim, Minji; Lim, Yejee; Kim, Min-Hee; Lee, Sohee; Lim, Dong-Jun; Kang, Moo-Il; Cha, Bong-Yun

    2015-01-01

    The three major forms of treatment for Graves thyrotoxicosis are antithyroid drugs, radioactive iodine therapy and thyroidectomy. Surgery is the definitive treatment for Graves thyrotoxicosis that is generally recommended when other treatments have failed or are contraindicated. Generally, thyrotoxic patients should be euthyroid before surgery to minimize potential complications which usually requires preoperative management with thionamides or inorganic iodine. But several cases of refractor...

  19. 75 FR 9429 - Native American Graves Protection and Repatriation Review Committee: Meetings

    2010-03-02

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meetings AGENCY... Advisory Committee Act, 5 U.S.C. Appendix (1988), of three meetings of the Native American Graves... agreement, of Native American human remains determined to be culturally unidentifiable; and presentations...

  20. 76 FR 12132 - Native American Graves Protection and Repatriation Review Committee: Meeting

    2011-03-04

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meeting AGENCY... Advisory Committee Act, 5 U.S.C. Appendix (1988), of a meeting of the Native American Graves Protection and... the Interior, as required by law, in order to effect the agreed-upon disposition of Native...

  1. 76 FR 69282 - Native American Graves Protection and Repatriation Review Committee: Meeting

    2011-11-08

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meeting AGENCY... Advisory Committee Act, 5 U.S.C. Appendix (1988), of a meeting of the Native American Graves Protection and... effect the agreed-upon disposition of Native American human remains determined to be...

  2. 77 FR 7180 - Native American Graves Protection and Repatriation Review Committee: Meeting

    2012-02-10

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meeting AGENCY... Advisory Committee Act, 5 U.S.C. Appendix (1988), of two meetings of the Native American Graves Protection... of Native American human remains determined to be culturally unidentifiable; presentations by...

  3. 77 FR 53228 - Native American Graves Protection and Repatriation Review Committee: Meeting

    2012-08-31

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meeting AGENCY... Federal Advisory Committee Act, 5 U.S.C. Appendix (1988), of a meeting of the Native American Graves..., as required by law, in order to effect the agreed-upon disposition of Native American human...

  4. 78 FR 27078 - Native American Graves Protection and Repatriation Act Regulations

    2013-05-09

    ... Government Relations with Native American Tribal Governments'' (59 FR 22951, April 29, 1994); Executive Order... Office of the Secretary of the Interior 43 CFR Part 10 RIN 1024-AD99 Native American Graves Protection.... SUMMARY: This final rule revises regulations implementing the Native American Graves Protection...

  5. Premature hair greying may predict reduced bone mineral density in Graves' disease.

    Leary, A C

    2012-02-03

    BACKGROUND: Premature hair greying has been associated with low bone mineral density (BMD), and it may be more frequent in Graves\\' disease. AIMS: To determine whether premature greying is associated with reduced BMD in women with Graves\\' disease and in control women, and to examine whether premature greying is more common in Graves\\' disease. METHODS: Premature greying (> 50% grey by 40 years) and BMD were determined in 44 women with a history of Graves\\' disease and 133 female controls referred for routine BMD measurement. Exclusion criteria included diseases or drugs known to affect BMD. RESULTS: Mean Z and T scores at the lumbar spine were significantly lower (P < 0.04) in subjects with premature greying than in those not prematurely grey among women with Graves\\' disease, but not among control women. Multiple regression confirmed this difference between Graves\\' and control women (P = 0.041). There were no differences at other measurement sites. Of Graves\\' patients, 36% were prematurely grey compared with 25% of control women (P = 0.14). CONCLUSION: Premature greying may be a weak marker for reduced BMD in women with a history of Graves\\' disease, but it is not a marker in normal women.

  6. 38 CFR 38.631 - Graves marked with a private headstone or marker.

    2010-07-01

    ... it is requested or, if placement on the grave is impossible or impracticable, as close to the grave... type and placement of the headstone or marker requested adheres to the policies and guidelines of the selected private cemetery. (f) VA will furnish its full product line of Government headstones or...

  7. Accident report 1975/76

    The statistics previously published on the development of accidents were completed. It is the purpose of this accident report: 1) to present a survey of the development of the number of accidents (no radiation accidents) for the years 1960 - 1976, 2) to break down the accidents by different characteristics in order to be able to recognize the preventive measures to be taken so as to avoid further accidents, 3) to report about accidents experienced and to indicate activities performed with respect to accident prevention and health protection. (orig.)

  8. Developing the use of Structure-from-Motion in mass grave documentation.

    Baier, Waltraud; Rando, Carolyn

    2016-04-01

    Methods for mass-grave documentation have changed markedly since the first forensic investigations nearly 70 years ago. Recently, however, there has been little advancement in developing new and better methodology, especially when compared to other forensic disciplines and even within traditional archaeology. This paper proposes a new approach, using 3D modelling for the documentation and eventual analysis of mass-graves. Structure-from-Motion (SfM), which creates digital 3D models from a set of still photographs, was tested on a small, simulated mass grave. The results of this test suggest that the method offers resolution previously unavailable to mass-grave investigators, and facilitates stronger analytical potential than the more traditional methods. Further tests are needed to validate these methods, but these initial findings are promising and their application could enhance our knowledge of mass grave dynamics. PMID:26874051

  9. Primary biliary cirrhosis associated with Graves' disease in a male patient.

    Suzuki, Yuji; Ishida, Kazuyuki; Takahashi, Hiroshi; Koeda, Norihiko; Kakisaka, Keisuke; Miyamoto, Yasuhiro; Suzuki, Akiko; Takikawa, Yasuhiro

    2016-04-01

    Primary biliary cirrhosis (PBC), which predominantly affects women, has been associated with various autoimmune diseases. Although hypothyroidism accompanying PBC is well documented, the concomitance of PBC and hyperthyroidism is rare. Herein, we report the case of a 62-year-old man who was diagnosed with PBC several years after the development of Graves' disease. This is the first case of a male patient developing PBC with Graves' disease. Both serum alanine aminotransferase levels and serum thyroid hormone levels were normalized after the administration of thiamazole for Graves' disease. However, the cholestatic liver enzyme abnormalities continued, indicating that the PBC was actualized by the administration of thiamazole. After starting ursodeoxycholic acid treatment, cholestatic liver enzyme abnormalities improved. Taken together, when a cholestatic pattern of liver enzymes is observed during follow-up for Graves' disease, an association between Graves' disease and PBC should be considered as a differential diagnosis. PMID:26935935

  10. Application of lithium carbonate on radioiodine treatment of Graves' hyperthyroidism

    Effectiveness of radioiodine for Graves' hyperthyroidism depends on retention time of 131I in the thyroid, and may be effected by several factors, including previous treatment with antithyroid drugs,goiter volume, 24 h thyroidal radioactive iodine uptake and so on. A short course of therapy with low dose of lithium carbonate increased retention of 131I in the thyroid and prolong the intrathyroidal effective half-life of 131I before and after 131I therapy in patients with Graves' disease, because of the actions that lithium blocks the release of organic iodine and thyroid hormone from the thyroid gland without affecting thyroidal radioactive iodine uptake. Therefore, using lithium as adjunct to radioiodine therapy increases the radiation dose delivered to the thyroid, to result in reduced the activity required and whole-body radiation dose in patients with very short effective half-life, and so improve the cure rate of hyperthyroidism. A short course of lithium carbonate therapy can be considered a useful adjunct to 131I therapy for obtaining a more rapid control of thyrotoxicosis and avoiding its transient exacerbation because of methimazole withdrawal prior to 131I administration or in patients who cannot tolerate or do not respond to antithyroid drugs, and for helping to prevent the radioiodine-associated increase in serum free thyroid hormone concentrations. In addition, lithium carbonate enhances the effectiveness of 131I therapy, in terms of prompter control of hyperthyroidism in patients with small or large goiters. At the same time, lithium also may increases the rate of permanent control of hyperthyroidism in patients with large goiters. In summary, in the short-term lithium plays an important role as an adjunct to 131I, since it helps to prevent the 131I-associated increase in serum free thyroid hormone concentrations and allows a more prompt control of thyrotoxicosis. This is of particular importance in high risk patients, such as the elderly,those with

  11. Padrao epidemiologico das oclusopatias muito graves em adolescentes brasileiros

    Karen Glazer Peres

    2013-12-01

    Full Text Available OBJETIVO: Descrever o padrão de distribuição das oclusopatias em adolescentes brasileiros e identificar fatores associados a esse agravo bucal. MÉTODOS: Foram analisados dados de 7.328 e 5.445 adolescentes de 12 e 15-19 anos, respectivamente, participantes da Pesquisa Nacional de Saúde Bucal (SBBrasil 2010. O desfecho foi oclusopatia muito grave segundo o índice de estética dental. As variáveis de exposição foram sexo, cor da pele, renda familiar mensal, número de bens, aglomeração no domicílio, cárie não tratada, perda dentária, uso, frequência e motivo da consulta odontológica. Foram conduzidas análises de regressão logística considerando a complexidade do desenho amostral, com base em modelo hierarquizado. RESULTADOS: Prevalência de oclusopatia muito grave foi observada em 6,5% e 9,1% nos jovens de 12 e 15-19 anos, respectivamente. Após análise ajustada, a chance do desfecho foi 1,59 (IC95% 1,08;2,34 vez maior nos pardos e pretos em relação aos brancos e 2,66 (IC95% 1,26;5,63 vezes maior dentre aqueles com perda de pelo menos um primeiro molar aos 12 anos. Jovens de 15-19 anos cuja renda familiar mensal foi de até R$ 1.500,00 (OR 2,69 [IC95% 1,62;4,47] e aqueles que consultaram o dentista para tratamento (OR 2,59 [IC95% 2,55;4,34] apresentaram maior chance de oclusopatia muito grave quando comparados aos de maior renda e que procuraram o dentista para prevenção. CONCLUSÕES: A distribuição das oclusopatias em adolescentes brasileiros segue o padrão de iniquidade social de outros agravos à saúde. Essas informações são úteis para a formulação de critérios relacionados tanto com a distribuição e provisão de recursos quanto com as prioridades de tratamento ortodôntico fundamentados no princípio da equidade da atenção à saúde bucal.

  12. Evaluación de un programa de intervención familiar en pacientes psicóticos y con trastornos graves de la personalidad.

    Luz Celia Fernández Martín

    2005-01-01

    Full Text Available El objetivo de este trabajo es evaluar la efectividad de las intervenciones familiares que tienen lugar en una Unidad de Hospitalización Parcial, en pacientes psicóticos en un primer episodio y pacientes con un trastorno de la personalidad, cuyos síntomas son particularmente graves o dan lugar a un notable deterioro de la actividad social o laboral. Además se describe el marco conceptual en que se desenvuelve el tratamiento, los objetivos que se pretenden, así como los procedimientos de la intervención, evaluándose finalmente los resultados al alta en aspectos concretos del tratamiento como relaciones con la familia y con personas ajenas a la misma, asunción y toma de la medicación, actitud frente a la enfermedad o frente al futuro, y actividades de la vida diaria.

  13. Database on aircraft accidents

    The Reactor Safety Subcommittee in the Nuclear Safety and Preservation Committee published the report 'The criteria on assessment of probability of aircraft crash into light water reactor facilities' as the standard method for evaluating probability of aircraft crash into nuclear reactor facilities in July 2002. In response to the report, Japan Nuclear Energy Safety Organization has been collecting open information on aircraft accidents of commercial airplanes, self-defense force (SDF) airplanes and US force airplanes every year since 2003, sorting out them and developing the database of aircraft accidents for latest 20 years to evaluate probability of aircraft crash into nuclear reactor facilities. This year, the database was revised by adding aircraft accidents in 2010 to the existing database and deleting aircraft accidents in 1991 from it, resulting in development of the revised 2011 database for latest 20 years from 1991 to 2010. Furthermore, the flight information on commercial aircrafts was also collected to develop the flight database for latest 20 years from 1991 to 2010 to evaluate probability of aircraft crash into reactor facilities. The method for developing the database of aircraft accidents to evaluate probability of aircraft crash into reactor facilities is based on the report 'The criteria on assessment of probability of aircraft crash into light water reactor facilities' described above. The 2011 revised database for latest 20 years from 1991 to 2010 shows the followings. The trend of the 2011 database changes little as compared to the last year's one. (1) The data of commercial aircraft accidents is based on 'Aircraft accident investigation reports of Japan transport safety board' of Ministry of Land, Infrastructure, Transport and Tourism. 4 large fixed-wing aircraft accidents, 58 small fixed-wing aircraft accidents, 5 large bladed aircraft accidents and 114 small bladed aircraft accidents occurred. The relevant accidents for evaluating

  14. Persistence of airline accidents.

    Barros, Carlos Pestana; Faria, Joao Ricardo; Gil-Alana, Luis Alberiko

    2010-10-01

    This paper expands on air travel accident research by examining the relationship between air travel accidents and airline traffic or volume in the period from 1927-2006. The theoretical model is based on a representative airline company that aims to maximise its profits, and it utilises a fractional integration approach in order to determine whether there is a persistent pattern over time with respect to air accidents and air traffic. Furthermore, the paper analyses how airline accidents are related to traffic using a fractional cointegration approach. It finds that airline accidents are persistent and that a (non-stationary) fractional cointegration relationship exists between total airline accidents and airline passengers, airline miles and airline revenues, with shocks that affect the long-run equilibrium disappearing in the very long term. Moreover, this relation is negative, which might be due to the fact that air travel is becoming safer and there is greater competition in the airline industry. Policy implications are derived for countering accident events, based on competition and regulation. PMID:20618386

  15. Management of severe accidents

    The definition and the multidimensionality aspects of accident management have been reviewed. The suggested elements in the development of a programme for severe accident management have been identified and discussed. The strategies concentrate on the two tiered approaches. Operative management utilizes the plant's equipment and operators capabilities. The recovery managment concevtrates on preserving the containment, or delaying its failure, inhibiting the release, and on strategies once there has been a release. The inspiration for this paper was an excellent overview report on perspectives on managing severe accidents in commercial nuclear power plants and extending plant operating procedures into the severe accident regime; and by the most recent publication of the International Nuclear Safety Advisory Group (INSAG) considering the question of risk reduction and source term reduction through accident prevention, management and mitigation. The latter document concludes that 'active development of accident management measures by plant personnel can lead to very large reductions in source terms and risk', and goes further in considering and formulating the key issue: 'The most fruitful path to follow in reducing risk even further is through the planning of accident management.' (author)

  16. Accidents with sulfuric acid

    Rajković Miloš B.

    2006-01-01

    Full Text Available Sulfuric acid is an important industrial and strategic raw material, the production of which is developing on all continents, in many factories in the world and with an annual production of over 160 million tons. On the other hand, the production, transport and usage are very dangerous and demand measures of precaution because the consequences could be catastrophic, and not only at the local level where the accident would happen. Accidents that have been publicly recorded during the last eighteen years (from 1988 till the beginning of 2006 are analyzed in this paper. It is very alarming data that, according to all the recorded accidents, over 1.6 million tons of sulfuric acid were exuded. Although water transport is the safest (only 16.38% of the total amount of accidents in that way 98.88% of the total amount of sulfuric acid was exuded into the environment. Human factor was the common factor in all the accidents, whether there was enough control of the production process, of reservoirs or transportation tanks or the transport was done by inadequate (old tanks, or the accidents arose from human factor (inadequate speed, lock of caution etc. The fact is that huge energy, sacrifice and courage were involved in the recovery from accidents where rescue teams and fire brigades showed great courage to prevent real environmental catastrophes and very often they lost their lives during the events. So, the phrase that sulfuric acid is a real "environmental bomb" has become clearer.

  17. Accidents, risks and consequences

    Although the accident at Chernobyl can be considered as the worst accident in the world, it could have been worse. Other far worse situations are considered, such as a nuclear weapon hitting a nuclear reactor. Indeed the accident at Chernobyl is compared to a nuclear weapon. The consequences of Chernobyl in terms of radiation levels are discussed. Although it is believed that a similar accident could not occur in the United Kingdom, that possibility is considered. It is suggested that emergency plans should be made for just such an eventuality. Even if Chernobyl could not happen in the UK, the effects of accidents are international. The way in which nuclear reactor accidents happen is explored, taking the 1957 Windscale fire, Three Mile Island and Chernobyl as examples. Reactor designs and accident scenarios are considered. The different reactor designs are listed. As well as the Chernobyl RBMK design it is suggested that the light water reactors also have undesirable features from the point of view of safety. (U.K.)

  18. Bifocal orbital and nasopharyngeal amyloidomas presenting as Graves disease.

    Wu, Albert Y; Chapman, William B; Witterick, Ian J; Deangelis, Dan D

    2011-01-01

    A 72-year-old man presented with a slowly progressive left hyperglobus, left infraduction deficit, bilateral lower eyelid retraction, and dysphagia. He had a notable chin-down head position, diplopia in primary position, and 3 mm of left proptosis. He had been diagnosed with Graves disease 3 years before presentation. CT scans showed enlargement of the left inferior and medial rectus muscles with associated stranding of the retrobulbar fat and a low-density heterogeneous mass in the left aspect of the neck protruding in the nasopharynx. Biopsies of the orbit and nasopharynx revealed focal areas of amyloid. This represents the first report of bifocal amyloidomas of the orbit and nasopharynx. PMID:21178798

  19. Outcome Prediction of Treatment of Graves' Hyperthyroidism with Antithyroid Drugs.

    Piantanida, E; Lai, A; Sassi, L; Gallo, D; Spreafico, E; Tanda, M L; Bartalena, L

    2015-09-01

    Graves' disease is the most common cause of hyperthyroidism in iodine-replete areas and is ultimately due to antibodies interacting with the TSH receptor on thyroid follicular cells [TSH-receptor antibody (TRAb)]. Antithyroid drugs (ATDs) belonging to the family of thionamides are the first-line treatment in Europe. ATD treatment is commonly continued for 18-24 months. Its major limitation is the high rate of relapses after drug withdrawal. Factors particularly bound to subsequent relapses are the large thyroid volume, smoking habit, persistence of TRAb in the circulation at the end of treatment, and the post-partum period. Under these conditions, consideration should be given to a definitive therapy for hyperthyroidism (radioiodine treatment, thyroidectomy), particularly if the patient is at risk of cardiovascular complications that might be exacerbated by persistence or recurrence of hyperthyroidism. PMID:26197855

  20. Hypothyroidism caused by 131I treatment for Graves disease

    The refollow-up has been carried out in hypothyroidism caused by 131I treatment for Graves disease. The serum HS-TSH(IRMA), FT3, TSH(RIA), TT3, TT4, FT4I, MCA, TGA, Cholesterol and Triglyceride has been measured in 26 patient after 131I treatment for 9.5 years in average. At the same time TRH stimulation test was also performed, and the clinical symptoms and signs assessed. The results showed that TSH is the most sensitive criterion for hypothyroidism, followed by Cholesterol and FT4I. The occurence of hypothyroidism may be related to the presence of thyroid antibody as demonstrated by the elevation of serum MCA, TGA. Therefore measurement of serum TSH, FT4I and Cholesterol during long term follow-up is beneficial for early diagnosis of hypothyroidism and evaluating the effect of substitution treatment

  1. Diagnosis and differential diagnosis of Graves' orbitopathy in MRI

    Imaging of Graves' orbitopathy (GO) includes radiological and nuclear medicine procedures. Depending on the method used they provide information about the distribution and activity of the disease. Magnetic resonance imaging (MRI) is not only a helpful tool for making the diagnosis it also enables differentiation of the active and inactive forms of GO due to intramuscular edema. The modality is therefore appropriate to evaluate the disease activity and the course of therapy. The disease leads to the typical enlargement of the muscle bodies of the extraocular muscles. The inferior rectus, medial rectus and levator palpebrae muscles are mostly involved. Signal changes of the intraconal and extraconal fat tissue are possible and a bilateral manifestation is common. The differential diagnosis includes inflammatory diseases and tumors, of which orbital pseudotumor (idiopathic, unspecific orbital inflammation), ocular myositis and orbital lymphoma are the most important. The specific patterns (localization, involvement of orbital structures and signal changes) can be differentiated by MRI. (orig.)

  2. 76 FR 39007 - Native American Graves Protection and Repatriation Act Regulations- Definition of “Indian Tribe”

    2011-07-05

    ... Office of the Secretary of the Interior 43 CFR Part 10 RIN 1024-AD98 Native American Graves Protection... regulations implementing the Native American Graves Protection and Repatriation Act (NAGPRA) removes the... implementation of the Native American Graves Protection and Repatriation Act, including the issuance...

  3. Management of Neonates Born to Mothers With Graves' Disease.

    van der Kaay, Daniëlle C M; Wasserman, Jonathan D; Palmert, Mark R

    2016-04-01

    Neonates born to mothers with Graves' disease are at risk for significant morbidity and mortality and need to be appropriately identified and managed. Because no consensus guidelines regarding the treatment of these newborns exist, we sought to generate a literature-based management algorithm. The suggestions include the following: (1) Base initial risk assessment on maternal thyroid stimulating hormone (TSH) receptor antibodies. If levels are negative, no specific neonatal follow-up is necessary; if unavailable or positive, regard the newborn as "at risk" for the development of hyperthyroidism. (2) Determine levels of TSH-receptor antibodies in cord blood, or as soon as possible thereafter, so that newborns with negative antibodies can be discharged from follow-up. (3) Measurement of cord TSH and fT4 levels is not indicated. (4) Perform fT4 and TSH levels at day 3 to 5 of life, repeat at day 10 to 14 of life and follow clinically until 2 to 3 months of life. (5) Use the same testing schedule in neonates born to mothers with treated or untreated Graves' disease. (6) When warranted, use methimazole (MMI) as the treatment of choice; β-blockers can be added for sympathetic hyperactivity. In refractory cases, potassium iodide may be used in conjunction with MMI. The need for treatment of asymptomatic infants with biochemical hyperthyroidism is uncertain. (7) Assess the MMI-treated newborn on a weekly basis until stable, then every 1 to 2 weeks, with a decrease of MMI (and other medications) as tolerated. MMI treatment duration is most commonly 1 to 2 months. (8) Be cognizant that central or primary hypothyroidism can occur in these newborns. PMID:26980880

  4. THERAPY OF ENDOCRINE DISEASE: Endocrine dilemma: management of Graves' orbitopathy.

    Campi, Irene; Vannucchi, Guia; Salvi, Mario

    2016-09-01

    Management of Graves' orbitopathy (GO) must be based on the correct assessment of activity and severity of the disease. Activity is usually assessed with the Clinical Activity Score, whereas severity is classified according to a European Group On Graves' Orbitopathy (EUGOGO) consensus statement as mild, moderate-to-severe, and sight-threatening. Myopathic and chronic congestive forms are uncommon clinical presentations of GO. Restoration and maintenance of stable euthyroidism are recommended in the presence of GO.In moderate-to-severe disease, steroids have been widely employed and have shown to possess an anti-inflammatory activity, but about 20-30% of patients are not responsive and present recurrence. Some novel immunosuppressors have already been employed in clinical studies and have shown interesting results, although the lack of randomized and controlled trials suggests caution for their use in clinical practice. Potential targets for therapy in GO are the thyroid-stimulating hormone and the insulin-like growth factor 1 receptor on the fibroblasts, inflammatory cytokines, B and T cells, and the PIK3/mTORC1 signaling cascades for adipogenesis. A recent open study has shown that tocilizumab, an anti-sIL-6R antibody, inactivates GO. Consistent reports on the efficacy of rituximab have recently been challenged by randomized controlled trials.As the main goal of treatment is the well-being of the patient, the therapeutic strategy should be addressed to better suit the patient needs, more than improving one or more biological parameters. The increasing availability of new therapies will expand the therapeutic options for GO patients and allow the clinician to really personalize the treatment to better suit the patients' personal needs. PMID:27032693

  5. I-131 therapy for graves' disease in children and adolescents

    Graves' disease is the most common thyroid disease in Vietnam. For children and adolescents the therapy with anti-thyroid drugs is often inefficacious or relapsed in a short time after therapy. Therefore the treatment with I-131 is the first choice when the anti-thyroid therapy is failed. 45 patients with the median age 15 (range 8-16), including 9 males and 36 females , were hospitalized and treated with 1-131.28/45 (62%) patients are not cured with antithyroid drug (ATD), 17/45 (38%) were the first use of I-131. Examen findings show: an elevated concentration of serum free thyroxin (fT4) = 92 pmol/L ±62, a decrease of TSH=0.04 UI/L±0.02, the 2h uptake=51%±22%, the 24h uptake=71%± 28%. We have divided the patients in three group of severity, based on pulse rates (PR): 5 patients in mild group (PR 100 <121), 9 patients in severe group (PR 121-140). The hematological and biochemical findings were in normal range. All patients were treated with capsules of I-131, oral administration. The mean dose was: 7±1.2 mCi. The mean dose per gram of thyroid tissue was 274.5±97 mCi. The therapy efficacy was very high: 41/45 (91%) return to euthyroid status with only a single dose, 4/45 (9%) needed a second dose of I-131 after 3 months with several moderate clinical symptoms. Conclusions: The radioiodine therapy for Graves' disease is a method of choice for all juvenile patients non responding to ATD treatment. The mean dose of 7 mCi is sufficient, safe and efficacious. The recurrence rate is relative low, about 9-10%. (authors)

  6. Enhanced thyroid iodine metabolism in patients with triiodothyronine-predominant Graves' disease

    Takamatsu, J.; Hosoya, T.; Naito, N.; Yoshimura, H.; Kohno, Y.; Tarutani, O.; Kuma, K.; Sakane, S.; Takeda, K.; Mozai, T.

    1988-01-01

    Some patients with hyperthyroid Graves' disease have increased serum T3 and normal or even low serum T4 levels during treatment with antithyroid drugs. These patients with elevated serum T3 to T4 ratios rarely have a remission of their hyperthyroidism. The aim of this study was to investigate thyroid iodine metabolism in such patients, whom we termed T3-predominant Graves' disease. Mean thyroid radioactive iodine uptake was 51.0 +/- 18.1% ( +/- SD) at 3 h, and it decreased to 38.9 +/- 20.1% at 24 h in 31 patients with T3-predominant Graves' disease during treatment. It was 20.0 +/- 11.4% at 3 h and increased to 31.9 +/- 16.0% at 24 h in 17 other patients with hyperthyroid Graves' disease who had normal serum T3 and T4 levels and a normal serum T3 to T4 ratio during treatment (control Graves' disease). The activity of serum TSH receptor antibodies was significantly higher in the patients with T3-predominant Graves' disease than in control Graves' disease patients. From in vitro studies of thyroid tissue obtained at surgery, both thyroglobulin content and iodine content in thyroglobulin were significantly lower in patients with T3-predominant Graves' disease than in the control Graves' disease patients. Thyroid peroxidase (TPO) activity determined by a guaiacol assay was 0.411 +/- 0.212 g.u./mg protein in the T3-predominant Graves' disease patients, significantly higher than that in the control Graves' disease patients. Serum TPO autoantibody levels determined by immunoprecipitation also were greater in T3-predominant Graves' disease patients than in control Graves' disease patients. Binding of this antibody to TPO slightly inhibited the enzyme activity of TPO, but this effect of the antibody was similar in the two groups of patients.

  7. Part 1: The detection of criticality accidents in the Commissariat a l'Energie Atomique. Part 2: The Burst Slug Detection; 1. partie: la detection des accidents de criticite au Commissariat a l'Energie Atomique. 2. partie.: la detection des ruptures de gaines

    Debrie, G.; Lavie, J.; Planque, M. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    economics of the plant. The techniques developed during this programme can be subsequently adapted to easily solve problems of detection in other types of reactor. The main characteristics of the evolution of the various installations constructed or under construction is reflected in the continuous progress towards greater automation and the use of detectors working under higher and higher temperatures and pressures. Succeeding to the reactor G3 whose BSD installation was already highly automatic, the EDF reactors at Chinon use digital computers especially meant for BSD data processing. In the planned reactor EL 4, the BSD measurements will be processed with all the other control measurements in a centralized computer unit. The progressive pressure increase of the cooling gas (15 bars in G3, 25 bars in the Chinon reactors, 60 bars in EL 4) has required the development of electric precipitations able to separate and measure the fission products in the carbonic gas at temperatures reaching 300 C and under pressures as high as 60 bars. In spite of the severe conditions of utilisation, the various devices developed offer all the guarantees of safety and long life expectancy required for their use on BSD installations. (authors) [French] Dans toute installation ou est manipulee de la matiere fissile en quantite potentiellement superieure a la masse critique, existe, quelles que soient les precautions prises, un risque permanent d'excursion nucleaire accidentelle, pouvant entrainer une irradiation grave du personnel. La detection immediate suivie d'une evacuation rapide limite considerablement les risques d'irradiation dus aux produits de fission ou a la reaction nucleaire elle-meme si elle se poursuit. Les phenomenes physiques qui accompagnent une excursion nucleaire, demeurant insuffisants pour suivre l'alarme et pouvant preter a confusion, la necessite d'un appareillage approprie de la detection des accidents de criticite s'impose donc. Compte

  8. Penyebab dan Penangannan Halotosis

    Irmadani Anwar, Ayub

    2007-01-01

    Halitosis adau bau mulut adalah masalah kesehatan gigi dan mulut yang banyak dikeluhkan. Akibat yang dapat ditimbulkan oleh halitosis dapat bersifat psikososial seperti malu atau rendah diri, menghindari pergaulan, tidak bebas bicara, tidak ada rasa percaya diri.

  9. Dan Performer Mei Lanfang

    Risum, Janne

    The convention of performing female characters (dan characters) in Beijing opera, as practised by its most prominent male performer of female characters Mei Lanfang, and its and his cultural context and aesthetic aim......The convention of performing female characters (dan characters) in Beijing opera, as practised by its most prominent male performer of female characters Mei Lanfang, and its and his cultural context and aesthetic aim...

  10. Soviet submarine accidents

    Although the Soviet Union has more submarines than the NATO navies combined, and the technological superiority of western submarines is diminishing, there is evidence that there are more accidents with Soviet submarines than with western submarine fleets. Whether this is due to inadequate crews or lower standards of maintenance and overhaul procedures is discussed. In particular, it is suggested that since the introduction of nuclear powered submarines, the Soviet submarine safety record has deteriorated. Information on Soviet submarine accidents is difficult to come by, but a list of some 23 accidents, mostly in nuclear submarines, between 1966 and 1986, has been compiled. The approximate date, class or type of submarine, the nature and location of the accident, the casualties and damage and the source of information are tabulated. (U.K.)

  11. Accident resistant transport container

    Anderson, J.A.; Cole, K.K.

    The invention relates to a container for the safe air transport of plutonium having several intermediate wood layers and a load spreader intermediate an inner container and an outer shell for mitigation of shock during a hypothetical accident.

  12. Boating Accident Statistics

    Department of Homeland Security — Accident statistics available on the Coast Guard’s website by state, year, and one variable to obtain tables and/or graphs. Data from reports has been loaded for...

  13. Talking about accidents

    It is argued that the public's emotional fear of the hypothetical, very unlikely, gigantic nuclear accident is partly caused by the nuclear industry's incorrect use of language within its own professional discussions. Improved terminology is suggested. (U.K.)

  14. FATAL ACCIDENT REPORTING SYSTEM (FARS)

    The Fatal Accident Reporting System (FARS) database consist of three relational tables, containing data on automobile accidents on public U.S. roads that resulted in the death of one or more people within 30 days of the accident. Truck and trailer accidents are also included.

  15. The Chernobyl accident

    In connection with the Chernobyl accident the report gives a description of the technical features of importance to the accident, the course of events, and the estimated health hazards in the local environment. Dissimilarities in western and Sovjet reactor safety philosophy are dealt with, as well as conceivable concequences in relation to technology and research in western nuclear power programmes. Results of activity level measurements of air and foodstuff, made in Norway by Institute for Energy Technology, are given

  16. Experiments to Detect Clandestine Graves from Interpreted High Resolution Geophysical Anomalies

    Molina, C. M.; Hernandez, O.; Pringle, J.

    2013-05-01

    This project refers to the search for clandestine sites where possibly missing people have been buried based on interpreted near surface high resolution geophysical anomalies. Nowadays, there are thousands of missing people around the world that could have been tortured and killed and buried in clandestine graves. This is a huge problem for their families and governments that are responsible to warranty the human rights for everybody. These people need to be found and the related crime cases need to be resolved. This work proposes to construct a series of graves where all the conditions of the grave, human remains and related objects are known. It is expected to detect contrasting physical properties of soil to identify the known human remains and objects. The proposed geophysical methods will include electrical tomography, magnetic and ground penetrating radar, among others. Two geographical sites will be selected to located and build standard graves with contrasting weather, soil, vegetation, geographic and geologic conditions. Forward and inverse modeling will be applied to locate and enhance the geophysical response of the known graves and to validate the methodology. As a result, an integrated geophysical program will be provided to support the search for clandestine graves helping to find missing people that have been illegally buried. Optionally, the methodology will be tested to search for real clandestine graves.

  17. Impacto de la "Ley de promoción de la autonomía personal y atención a las personas en situación de dependencia" en las personas con trastorno mental grave.

    Teodosia Sobrino Calzado

    2012-01-01

    Full Text Available La Ley 39/2006, conocida como Ley de Dependencia, ha generado, desde su aprobación, desconfianza por estar orientada a la atención de la dependencia, siendo la promoción de la autonomía personal un elemento apenas desarrollado y secundario.
    En el caso de las personas con trastorno mental grave, lo que mayor preocupación ha causado a las organizaciones de profesionales de la salud mental y a las asociaciones de familiares ha sido la compatibilidad de dicha Ley con las prestaciones del Sistema Nacional de Salud y si el baremo establecido se ajustaba a las necesidades de este colectivo.
    Este artículo recoge el trabajo realizado desde diferentes comunidades autónomas por diferentes profesionales en un intento de, tras un análisis de la Ley, plantear a la administración responsable de la misma el necesario ajuste para adaptarla a las características de las personas con trastorno mental grave.
    Se analizan, en primer lugar, sus fortalezas y debilidades. Posteriormente se exponen tres formas diferentes de contrarrestar sus riesgos, en tres comunidades autónomas diferentes. Finalmente se dan las claves de los aspectos de la Ley sobre los que hay que seguir trabajando para que sea una oportunidad para las personas con trastorno mental grave, y no una barrera

  18. Accident and emergency management

    There is an increasing potential for severe accidents as the industrial development tends towards large, centralised production units. In several industries this has led to the formation of large organisations which are prepared for accidents fighting and for emergency management. The functioning of these organisations critically depends upon efficient decision making and exchange of information. This project is aimed at securing and possibly improving the functionality and efficiency of the accident and emergency management by verifying, demonstrating, and validating the possible use of advanced information technology in the organisations mentioned above. With the nuclear industry in focus the project consists of five main activities: 1) The study and detailed analysis of accident and emergency scenarios based on records from incidents and rills in nuclear installations. 2) Development of a conceptual understanding of accident and emergency management with emphasis on distributed decision making, information flow, and control structure sthat are involved. 3) Development of a general experimental methodology for evaluating the effects of different kinds of decision aids and forms of organisation for emergency management systems with distributed decision making. 4) Development and test of a prototype system for a limited part of an accident and emergency organisation to demonstrate the potential use of computer and communication systems, data-base and knowledge base technology, and applications of expert systems and methods used in artificial intelligence. 5) Production of guidelines for the introduction of advanced information technology in the organisations based on evaluation and validation of the prototype system. (author)

  19. Accident management information needs

    In support of the US Nuclear Regulatory Commission (NRC) Accident Management Research Program, a methodology has been developed for identifying the plant information needs necessary for personnel involved in the management of an accident to diagnose that an accident is in progress, select and implement strategies to prevent or mitigate the accident, and monitor the effectiveness of these strategies. This report describes the methodology and presents an application of this methodology to a Pressurized Water Reactor (PWR) with a large dry containment. A risk-important severe accident sequence for a PWR is used to examine the capability of the existing measurements to supply the necessary information. The method includes an assessment of the effects of the sequence on the measurement availability including the effects of environmental conditions. The information needs and capabilities identified using this approach are also intended to form the basis for more comprehensive information needs assessment performed during the analyses and development of specific strategies for use in accident management prevention and mitigation. 3 refs., 16 figs., 7 tabs

  20. Guide Suva de l'assurance contre les accidents

    2004-01-01

    Le présent Guide de la Suva permet au lecteur de se retrouver dans les dispositions légales sur l’assurance-accidents. Il est divisé en trois parties: La première partie commente en neuf chapitres la loi sur l’assurance-accidents et la loi fédérale sur la partie générale du droit des assurances sociales, ainsi que leurs ordonnances. Chaque chapitre est précédé des questions les plus fréquemment posées à propos des sujets qui y sont traités. Les réponses succinctes à ces questions facilitent l’approche des différents sujets et donnent un aperçu du contenu du chapitre. Dans la partie explicative, les dispositions concernées font l’objet d’une référence dans la marge. La deuxième partie contient toutes les lois et ordonnances importantes pour l’acti vité quotidienne de la Suva (parfois seulement sous forme d’extraits). Des couleurs différentes permettent de mieux les distinguer. La troisième partie regroupe les moyens d’information et les adresses de la Suva les plus imp...

  1. Historical aspects of radiation accidents

    Radiation accidents are extremely rare events; however, the last two years have witnessed the largest radiation accidents in both the eastern and western hemispheres. It is the purpose of this chapter to review how radiation accidents are categorized, examine the temporal changes in frequency and severity, give illustrative examples of several types of radiation accidents, and finally, to describe the various registries for radiation accidents

  2. Cyclical Fluctuations in Workplace Accidents

    Boone, J.; van Ours, J.C.

    2002-01-01

    This Paper presents a theory and an empirical investigation on cyclical fluctuations in workplace accidents. The theory is based on the idea that reporting an accident dents the reputation of a worker and raises the probability that he is fired. Therefore a country with a high or an increasing unemployment rate has a low (reported) workplace accident rate. The empirical investigation concerns workplace accidents in OECD countries. The analysis confirms that workplace accident rates are invers...

  3. Affective symptoms and cognitive functions in the acute phase of Graves' thyrotoxicosis

    Vogel, Asmus; Elberling, Tina V; Hørding, Merete;

    2007-01-01

    In the acute phase of Graves' thyrotoxicosis patients often have subjective cognitive complaints. Continuing controversy exists about the nature of these symptoms and whether they persist after treatment. This prospective study included 31 consecutively referred, newly diagnosed, and untreated...... of cognitive deficits) had decreased significantly, with further normalisation 1-year after treatment initiation. In conclusion, patients had subjective reports of cognitive deficits in the toxic phase of Graves' thyrotoxicosis but comprehensive neuropsychological testing revealed no cognitive impairment....... Reports of cognitive dysfunction may reflect affective and somatic manifestations of thyrotoxicosis and in most patients these symptoms disappear after treatment of Graves' thyrotoxicosis....

  4. Caracterização dos acidentes de trabalho graves no Estado do Paraná

    Scussiato, Louise Aracema

    2013-01-01

    Resumo: Os acidentes de trabalho graves, entendidos como aqueles que ocasionam lesões graves podem causar incapacidade física ou funcional, parcial, temporária ou permanente ou mesmo levar a morte, sendo considerado um problema de saúde pública no Brasil. Este estudo objetivou caracterizar os acidentes de trabalho graves ocorridos no Estado do Paraná entre 2007 e 2010; e caracterizar o perfil dos trabalhadores acidentados, segundo os ramos de atividade. Trata-se de um estudo epidemiológico de...

  5. Pembuatan Dan Karakterisasi Aspal Beton Berbasis Dreg Dan Grit

    Newdesnetty Butarbutar

    2009-01-01

    Telah dilakukan penelitian tentang pembuatan dan karakterisasi aspal beton berbasis dreg dan grit. Penelitian ini dilakukan dengan metode pengadukan dengan menggunakan mixer beton, tujuan untuk memperoleh bahan aspal beton dari dreg dan grit untuk mengurangi volume pasir dengan variasi rasio pasir terhadap dreg dan grit adalah: 100 : 0 : 0; 90 : 5 : 5; 80 : 10 : 10; 70 : 15 : 15; 60 : 20 : 20; 50 : 25 : 25; 40 : 30 : 3; 30 : 35 : 35; 20 : 40 : 40; 10 : 45 : 45; 0 : 50 : 5...

  6. SISTEM BERBASIS PENGETAHUAN UNTUK KESEHATAN DAN PERAWATAN GIGI DAN MULUT

    I Wayan Shandyasa

    2011-01-01

    Sistem berbasis pengetahuan untuk kesehatan dan perawatan gigi dan mulut ini merupakan sistem yang menghadirkan solusi penyakit dalam mengatasi masalah kesehatan gigi memberikan informasi perawatan untuk setiap masalah penyakit yang dihadapi. Sistem ini menyediakan fasilitas diagnosa penyakit untuk mengidentifikasi masalah kesehatan yang sedang dihadapi. Proses identifikasi dilakukan melalui interaksi tanya jawab antar sistem dengan user dan penginputan gejala penyakit. Metode penelusuran kes...

  7. PREFERENSI PEMBIAYAAN USAHA MIKRO DAN KECIL : PERSPEKTIF GENDER DAN ENTREPRENEURABILITY

    Khaira Amalia Fachrudin

    2013-06-01

    Full Text Available Preferensi pembiayaan dalam perusahaan besar lebih didasarkan pada karakteristik perusahaan tersebut.  Namun dalam usaha mikro dan kecil hal ini mungkin berbeda dan bergantung pada karakteristik pemiliknya seperti gender dan entrepreneurability.   Perbedaan gender mungkin juga membedakan entrepreneurability dan dukungan yang diterima.  Penelitian ini akan menguji apakah terdapat perbedaan preferensi pembiayaan berdasarkan gender, entrepreneurability berdasarkan gender dan berdasarkan preferensi pembiayaan, serta perbedaan dukungan berdasarkan gender.  Sampel dari usaha mikro dan kecil yang bergerak dalam bidang kuliner  diuji dengan uji beda Independent Sample t Test dan kemudian dengan Crosstabulation untuk lebih memperinci hasilnya.  Hasil uji menunjukkan bahwa tidak terdapat perbedaan yang signifikan preferensi pembiayaan berdasarkan gender dan berdasarkan  entrepreneurability, namun entrepreneurability berbeda signifikan berdasarkan gender dan juga ditemukan bahwa dukungan moral, tenaga, dan modal yang diterima pemilik usaha pria dan wanita tidak berbeda signifikan (p value lebih kecil dari 0.05.   Hasil ini menunjukkan bahwa terdapat kesetaraan gender dalam pembiayaan usaha dan entrepreneurability lebih tinggi pada pria.  Pria pemilik usaha juga mendapatkan dukungan tenaga kerja yang lebih banyak daripada wanita.  Dukungan tenaga ini adalah salah satu bentuk  financial bootstrapping karena dapat mengurangi pembiayaan usaha

  8. Infeksi Cacing dan Alergi

    Selfi Renita Rusdji

    2015-01-01

    Full Text Available AbstrakInfeksi cacing masih merupakan masalah kesehatan di Indonesia dan negara berkembang lainnya. Penyakit ini sering terjadi di daerah dengan higienisitas dan sanitasi yang masih kurang. Respon imun tubuh host terhadap cacing ini mirip dengan respon tubuh terhadap penyakit alergi. Respon pada penyakit kecacingan dan alergi ini merupakan respon Thelper2 yaitu diferensiasi dan polariasasi sel limfosit T lebih dominan pada Th2. Pada kenyataannya, ditinjau dari segi epidemiologi, penyakit kecacingan dan penyakit alergi terdapat pada daerah yang sangat berbeda. Prevalensi penyakit alergi cenderung lebih banyak terjadi di daerah maju dengan higiene dan sanitasi yang baik. Keadaan ini menimbulkan pertanyaan apakah kecacingan mempunyai efek proteksi terhadap manifestasi klinis berbagai macam penyakit alergi. Hygiene hypothesis merupakan teori yang relevan dalam menjawab pertanyaan ini. Mekanisme yang dapat menerangkan fenomena ada adalah saturasi sel mast, penghambatan oleh IgG4 dan modified Th2 response.Kata kunci: infeksi cacing, alergi, respon Th2AbstractHelminthiasis is still unsolved problem in Indonesia and other developing countries. This disease is frequently occurred in poor personal hygiene and environmental sanitation. The human immune response to helminth infections is similar with response to allergic disease. These disease present T helper2 (Th2 response which characterized dominant differentiation and proliferation of Th2. In fact, epidemiology study shows that they are occurred in different type of region. High prevalence of allergic disease is found in modern country which is well established sanitation and good personal hygiene. This condition raises fundamental question whether helminthiasis is associated with protection against allergic disease. Hygiene hypothesis is a theory that can explain this phenomen. The mechanisms are mast cell saturation, IgG4 blocking and modified Th2.Keywords: helminthiasis, allergy, Th2 response

  9. [Psychogenesis of accidents].

    Giannattasio, E; Nencini, R; Nicolosi, N

    1988-01-01

    After having carried out a historical review of industrial psychology with specific attention to the evolution of the concept of causality in accidents, the Authors formulate their work hypothesis from that research which take into highest consideration the executives' attitudes in the genesis of the accidents. As dogmatism appears to be one of the most negative of executives' attitudes, the Authors administered Rockeach's Scale to 130 intermediate executives from 6 industries in Latium and observed the frequency index for accidents and the morbidity index (absenteeism) of the 2149 workhand. The Authors assumed that to high degree of dogmatism on the executives' side should correspond o a higher level of accidents and absenteeism among the staff. The data processing revealed that, due to the type of machinery employed, three of the industries examined should be considered as High Risk Industrie (HRI), while the remaining three could be considered as Low Risk Industries (LRI): in fact, due to the different working conditions, a significant lower number of accidents occurred in last the three. A statistically significant correlation between the executives' dogmatism and the number of accidents among their workhand in the HRI has been noticed, while this has not been observed in the LRI. This confirms, as had already been pointed out by Gemelli in 1944, that some "objective conditions" are requested so that the accident may actually take place. On the other hand the morbidity index has not shown any difference related to the different kind of industries (HRI, LRI): in both cases statistically significant correlations were obtained between the executives' dogmatism and the staff's absenteeism. absenteeism.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3154344

  10. Accidents in nuclear ships

    Oelgaard, P.L. [Risoe National Lab., Roskilde (Denmark)]|[Technical Univ. of Denmark, Lyngby (Denmark)

    1996-12-01

    This report starts with a discussion of the types of nuclear vessels accidents, in particular accidents which involve the nuclear propulsion systems. Next available information on 61 reported nuclear ship events in considered. Of these 6 deals with U.S. ships, 54 with USSR ships and 1 with a French ship. The ships are in almost all cases nuclear submarines. Only events that involve the sinking of vessels, the nuclear propulsion plants, radiation exposures, fires/explosions, sea-water leaks into the submarines and sinking of vessels are considered. For each event a summary of available information is presented, and comments are added. In some cases the available information is not credible, and these events are neglected. This reduces the number of events to 5 U.S. events, 35 USSR/Russian events and 1 French event. A comparison is made between the reported Soviet accidents and information available on dumped and damaged Soviet naval reactors. It seems possible to obtain good correlation between the two types of events. An analysis is made of the accident and estimates are made of the accident probabilities which are found to be of the order of 10{sup -3} per ship reactor years. It if finally pointed out that the consequences of nuclear ship accidents are fairly local and does in no way not approach the magnitude of the Chernobyl accident. It is emphasized that some of the information on which this report is based, may not be correct. Consequently some of the results of the assessments made may not be correct. (au).

  11. Accidents in nuclear ships

    This report starts with a discussion of the types of nuclear vessels accidents, in particular accidents which involve the nuclear propulsion systems. Next available information on 61 reported nuclear ship events in considered. Of these 6 deals with U.S. ships, 54 with USSR ships and 1 with a French ship. The ships are in almost all cases nuclear submarines. Only events that involve the sinking of vessels, the nuclear propulsion plants, radiation exposures, fires/explosions, sea-water leaks into the submarines and sinking of vessels are considered. For each event a summary of available information is presented, and comments are added. In some cases the available information is not credible, and these events are neglected. This reduces the number of events to 5 U.S. events, 35 USSR/Russian events and 1 French event. A comparison is made between the reported Soviet accidents and information available on dumped and damaged Soviet naval reactors. It seems possible to obtain good correlation between the two types of events. An analysis is made of the accident and estimates are made of the accident probabilities which are found to be of the order of 10-3 per ship reactor years. It if finally pointed out that the consequences of nuclear ship accidents are fairly local and does in no way not approach the magnitude of the Chernobyl accident. It is emphasized that some of the information on which this report is based, may not be correct. Consequently some of the results of the assessments made may not be correct. (au)

  12. High-dose radioiodine therapy of Graves disease

    Full text of publication follows. Objectives: to estimate the effectiveness and safety of the disease treatment under different modes of applying RIT. Materials and methods: 67 patients with the thyrotoxicosis condition associated with Graves disease were researched. The patients were divided into 2 groups: a control group with 25 people (18 women and 7 men), who underwent a low-dose therapy of 150-500 MBq; and a main group of 42 people (32 women and 10 men), who underwent a high-dose therapy of 550 and 800 MBq. The volume of thyroid prior to the treatment made up 23.8 ± 20 ml in the main group and 30.2 ± 23 ml in the control one. The average age in the high-dose group was 44.6 ±23 years old and in the low-dose -47.2 ± 24 years old. In terms of the hormone level before the RIT, 52% of the main group patients experienced euthyroidism, while 48% - thyrotoxicosis. The corresponding indices in the control group were 42% and 58% respectively. The cessation of the thyreostatic therapy came on 5. to 21. day prior to the treatment, with the average of 14 ±7 days in both groups. The diagnosis of the disease was based on ultrasonography, planar scintigraphy, the hormone level and antibody titer. The performance was assessed through the attainment of hypo-thyrosis and the transition to a substitutive hormonal therapy with L-thyroxine in 6 months or more. The attainment of euthyroidism was seen as a partial effect due to a possibility of relapse. Results: in 6 months a positive result in the form of hypo-thyrosis was achieved for 39 patients in the main group, which accounted for 93%, and 3 patients (7%) experienced euthyroidism. No symptomatic thyrotoxicosis relapses were revealed. In the control group, hypo-thyrosis was achieved by 18 patients, which accounted for 72%; euthyroidism came up to 12%; 4 patients needed a refresher course of RIT, which made up 16% of the group. 93% of the main group patients tolerated the treatment favourably. 3 patients complained of the

  13. Development of Graves' ophthalmopathy and uveitis after radioiodine therapy for Graves' disease in a patient with HTLA-I associated myelopathy (HAM)

    Ozawa, Yasunori; Migita, Masayoshi; Watanabe, Tomoji; Okuda, Itsuko; Takeshita, Akira; Takagi, Akio; Shishiba, Yoshimasa (Toranomon Hospital, Tokyo (Japan))

    1994-09-01

    HTLV-I carriers or patients with HTLV-I associated myelopathy (HAM) are prone to immune-mediated inflammatory disorders. We present a 44-year-old female with HAM who developed Graves' disease. She developed severe Graves' ophthalmopathy shortly after [sup 131]I therapy, concurrently with a remarkable increase in TSH-receptor antibody titer. Ophthalmopathy was aggravated in spite of prednisolone therapy and euthyroidism being maintained by thyroxine replacement. Uveitis also developed after [sup 131]I therapy and iridocyclitis finally required trabeculotomy. This case suggests that HAM patients may have a higher risk of immune-mediated Graves' ophthalmopathy after [sup 131]I therapy.(author).

  14. Scoping accident(s) for emergency planning

    At the request of the Conference of State Radiation Control Program Director's (CRCPD), in November 1976 the U.S. Nuclear Regulatory Commission formed a joint Task Force with representatives of the U.S. Environmental Protection Agency to answer a number of questions posed by the States regarding emergency planning. This Task Force held monthly meetings through November 1977. In December 1977 a draft report was prepared for limited distribution for review and comment by selected State and local organizations. The NRC/EPA Task Force deliberations centered on the CRCPD request for '... a determination of the most severe accident basis for which radiological emergency response plans should be developed by offsite agencies...' in the vicinity of nuclear power plants. Federal Interagency guidance to the States in this regard has been that the scoping accident should be the most serious conservatively analyzed accident considered for siting purposes, as exemplified in the Commission's Regulations at 10 CFR Part 100 and the NRC staffs Regulatory Guides 1.3 and 1.4, and as presented in license applicant's Safety Analysis Reports and the USNRC Staffs Safety Evaluation Reports. The draft report of the Task Force amplifies on this recommendation: to present a clearer picture of its import and introduces the concept of protective action zones (PAZs) within which detailed emergency plans should be developed; one zone for the plume exposure pathway and a second, larger zone for contamination pathways. The time dependence of potential releases and atmospheric transport, and important radionuclide groups of possible import are also discussed in the draft Task Force report. A status report regarding this effort, as of June 1978, will be presented. (author)

  15. Toxicology Selective Toxicity dan Test

    Mansyur

    2002-01-01

    Toxicology adalah pemahaman-pemahaman mengenai effek-effek bahan kimia yang merugikan bagi organisme. Dari definisi tersebut, jelas terdapat unsur-unsur bahan kimia dan organisme, dimana didalam kedua unsur-unsur ini terdapat istilah-istilah toksisitas dan animal test-test. Tulisan ini bermaskud membicarakan mengenai selective toxicity dan animal toxicity tetst. kedokteran-mansyur5

  16. Dan Johnson the mentor

    McKinley, Richard

    2003-04-01

    I first met Dan Johnson in early 1975 as I was interviewing for an engineering job with Henning von Gierke's bioengineering and bionics laboratory at Wright-Patterson Air Force Base. From the very beginning Dan was always direct and forthright. Over the ensuing next 27 years my knowledge and respect of Dan constantly grew. This presentation will review Dan's technical and personal contributions while at the laboratory at Wright-Patterson Air Force Base. He was instrumental in the development of a national noise exposure criteria with the equal-energy-rule, an accurate single number hearing protector attenuation measure based on ``C-A,'' an impulse noise exposure criteria, a longitudinal study of hearing loss in children, development of noise dosimeters, and description of hearing damage risk from nonoccupational noise exposures such as disco's, bowling alleys, lawn mowers, and school buses. Dan has had a significant effect on my career. I and the many people who knew him at the laboratory miss him greatly.

  17. Important severe accident research issues after Fukushima accident

    After the Fukushima accident several investigation committees issued reports with lessons learned from the accident in Japan. Among those lessons, several recommendations have been made on severe accident research. Similar to the EURSAFE efforts under EU Program, review of specific severe accident research items was started before Fukushima accident in working group of Atomic Energy Society of Japan (AESJ) in terms of significance of consequences, uncertainties of phenomena and maturity of assessment methodology. Re-investigation has been started since the Fukushima accident. Additional effects of Fukushima accident, such as core degradation behaviors, sea water injection, containment failure/leakage and re-criticality have been covered. The review results are categorized in ten major fields; core degradation behavior, core melt coolability/retention in containment vessel, function of containment vessel, source term, hydrogen behavior, fuel-coolant interaction, molten core concrete interaction, direct containment heating, recriticality and instrumentation in severe accident conditions. Based on these activities and also author's personal view, the present paper describes the perspective of important severe accident research issues after Fukushima accident. Those are specifically investigation of damaged core and components, advanced severe accident analysis capabilities and associated experimental investigations, development of reliable passive cooling system for core/containment, analysis of hydrogen behavior and investigation of hydrogen measures, enhancement of removal function of radioactive materials of containment venting, advanced instrumentation for the diagnosis of severe accident and assessment of advanced containment design which excludes long-term evacuation in any severe accident situations. (author)

  18. Analysis of Graves' ophthalmopathy patients' tear protein spectrum

    JIANG Li-hong; WEI Rui-li

    2013-01-01

    Background Graves' ophthalmopathy/orbitopathy (GO) patients often suffer ocular surface damages and tear fluid proteins play a significant role in maintaining healthy ocular surfaces,while changes in tear protein components reflect the changes ocular surface abnormalities.In this study proteomics techniques were used to investigate tear protein compositions in GO patients.Methods We carried out a case-control study by comparing tear fluid contents of GO patients with that of healthy subjects.In the first step the tears were subjected to SDS-PAGE electrophoresis and then single protein bands were analyzed by to in-gel trypsin digestion and nano-flow liquid mass spectrometry (LC-MS/MS) using a MS software.Results In tear samples of GO subjects,the protein fractions of inflammation-related protein immunoglobulin kappa chain C region (IgKC) and serum albumin were essentially reduced,whereas a novel isoform of complement component 3 (C3),which we detected in control subjects,was completely absent in the GO patients' tears.Conclusions Reduced protein concentrations of particularly IgKC and complement C3 as well as albumin in the tears of GO patients may contribute to changes in their ocular surfaces via diminished reactive oxygen species (ROS) depletion and adaptive immune responses.The completely absent of C3 in the GO patients' tears,may imply that an important inflammatory signaling pathway is affected,which needs further investigation.

  19. Radioiodine therapy of benign thyroid diseases: Graves' disease - current aspects

    Radioiodine therapy is a reliable and cost-effective alternative to medical treatment of Graves' hyperthyroidism. Current recommendations favour a risk-adapted therapeutic procedure. Medical treatment is preferred in patients with a low risk of relapse which are characterised by the combination of female gender, age of onset above 40 years, thyroid volume below 40 ml and TSH-receptor antibodies below 10 U/l. Because of the poor remission rate with medical treatment in patients at less than 40 years of age, male gender, thyroid volume above 40 ml and TSH receptor antibodies above 10 U/l, it is suggested that definitive treatment with radioiodine or surgery should be considered soon after disease presentation. Analysis of cost-effectiveness clearly favour ablative radioiodine treatment. Ablative treatment is even more favourable in terms of early resumption of a normal life style of the hyperthyroid patient. Recent publications suggest further an adaptation of the tissue-absorbed dose to the pre-treatment thyroid volume using Marinelli's formula to achieve thyroid ablation with a single radioiodine treatment. (orig.)

  20. Optimal iodine-131 dose for eliminating hyperthyroidism in Graves' disease

    Since hypothyroidism is commonplace after treatment of Graves' disease with radioiodine, the goal should be cure of hyperthyroidism rather than avoidance of hypothyroidism. To find the optimal dose to accomplish cure, we treated 605 patients with stepwise increasing doses of 3, 4, 5, 6, 8, and 10 mCi, analyzing the relationship of dose, age, sex, gland weight, and thyroidal uptake to cure. Estimates of cure at doses above 10 mCi were made from the literature. Cure was directly related to dose between 5 and 10 mCi. There was no significant relationship between cure and age (chi-square, p = 0.74), sex (chi-square, p = 0.12), and 24-hr uptake if over 30% (chi-square for slope, p greater than 0.10). Cure and gland weight had an inverse relationship (chi-square for slope, 0.01 less than p less than 0.02). We concluded that the optimal 131I dose for curing hyperthyroidism is approximated by starting with 10 mCi and increasing it for unusually large glands or for special patient circumstances

  1. ¿Hay diferencias entre la violencia grave y la violencia menos grave contra la pareja?: un análisis comparativo

    Echeburúa, Enrique; Fernández Montalvo, Javier; Corral, Paz de

    2008-01-01

    En este estudio ex post facto se lleva a cabo una descripción de las características presentadas por 1.081 casos denunciados por violencia contra la mujer en las comisarías de la Ertzaintza del País Vasco. En primer lugar, se presentan las variables psicológicas y sociodemográficas del agresor y de la víctima, así como de la relación de pareja. Y en segundo lugar, se determinan las diferencias más significativas entre la violencia grave y la violencia menos grave en relación co...

  2. Early Christian Grave Monuments and the Eleventh-Century Context of the Monument Descriptor hvalf

    Cecilia Ljung

    2015-01-01

    This paper discusses the use of the term hvalf as a monument descriptor in Swedish runic inscriptions with special focus on its first appearance, connotations and historical context. The main emphasis lies on the word itself and its relationship to early Christian grave monuments (also known as Eskilstunacists). Evidence for the use of hvalf suggests that the term was employed to denote grave monuments as early as the first part of the eleventh century. Parallels in ornamentation and design l...

  3. Crystal Structure of a TSH Receptor Monoclonal Antibody: Insight Into Graves' Disease Pathogenesis

    Chen, Chun-Rong; Hubbard, Paul A.; Salazar, Larry M.; McLachlan, Sandra M.; Murali, Ramachandran; Rapoport, Basil

    2014-01-01

    The TSH receptor (TSHR) A-subunit is more effective than the holoreceptor in inducing thyroid-stimulating antibodies (TSAb) that cause Graves' disease. A puzzling phenomenon is that 2 recombinant, eukaryotic forms of A-subunits (residues 22–289), termed active and inactive, are recognized mutually exclusively by pathogenic TSAb and mouse monoclonal antibody 3BD10, respectively. Understanding the structural difference between these TSHR A-subunit forms could provide insight into Graves' diseas...

  4. Clinical applications of assays for thyrotropin-receptor antibodies in Graves' disease.

    Ginsberg, J; von Westarp, C

    1986-01-01

    Graves' disease is characterized by hyperthyroidism, diffuse goitre, infiltrative ophthalmopathy and, rarely, pretibial myxedema. In 1956 a substance capable of prolonged thyroid stimulation was discovered in the serum of some patients with Graves' disease and termed long-acting thyroid stimulator (LATS). It was shown to be an antibody that could interact with the receptor for thyroid-stimulating hormone (TSH). The term LATS is usually reserved for the activity measured in a laborious in-vivo...

  5. The Grave Goods of Roman Hierapolis: an analysis of the finds from four multiple burial tombs

    Indgjerd, Hallvard Rübner

    2014-01-01

    The Hellenistic and Roman city of Hierapolis in Phrygia, South-Western Asia Minor, boasts one of the largest necropoleis known from the Roman world. While the grave monuments have seen long-lasting interest, few funerary contexts have been subject to excavation and publication. The present study analyses the artefact finds from four tombs, investigating the context of grave gifts and funerary practices with focus on the Roman imperial period. It considers to what extent the finds influence an...

  6. Graves Disease with Exophtalmia in a Two-Year Old Child

    Hülya Yalçın; Bülent Akçora; Ali Balcı

    2011-01-01

    Thyrotoxicosis is one of the rare disorders diagnosed in childhood and adolescence. The most frequent cause is Graves disease. One of the Graves' disease complications is thyroid-associated orbitopathy. A 2-year-old girl was referred to our hospital for decreased weight gain. Her physical examination was normal except for a palpable thyroid tissue and exophtalmia. After laboratory examination, she was referred to the departments of nuclear medicine and radiology for the diagnosis of hyperthyr...

  7. Helicopter accident survivability.

    Vyrnwy-Jones, P; Thornton, R

    1984-10-01

    Army Air Corps accident and fatality rates have now reached levels which compare favourably with data from other civilian and military sources. This improvement is the result of enhanced helicopter design and parallel progress in aircrew training. The introduction of new generations of turbine powered rotor craft has largely eliminated mechanical failure as the cause of accident. As a result 75% of Army Air Corps accidents are due to pilot error. This contribution is likely to increase in the future as the pilot's task is made more difficult by the incumberance of personal equipment. Methods whereby occupant protection and aircraft crashworthiness can be improved are reviewed and it is concluded that it would make sound economic sense to implement some of these well proven design features. PMID:6527344

  8. Information at radiation accidents

    This study was undertaken in order to plan an information strategy for possible future accidents involving radioactivity. Six health visitors and six farmers working in the districts of Norway which received the largest amounts of fallout from the Chernobyl accident, were interviewed. The questions were intended to give an indication of their knowledge about radioactivity and radiation, as well as their needs for information in case of a future accident. The results indicate a relatively low educational background in radiation physics and risk estimation. On the other hand the two groups showed a remarkable skill and interest in doing their own evaluation on the background of information that was linked to their daily life. It is suggested that planning of information in this field is done in close cooperation with the potential users of the information

  9. Radiation accidents and dosimetry

    On September 2nd 1982 one of the employees of the gamma-irradiation facility at Institute for Energy Technology, Kjeller, Norway entered the irradiation cell with a 65.7 kCi *sp60*Co- source in unshielded position. The victim received an unknown radiation dose and died after 13 days. Using electron spin resonance spectroscopy, the radiation dose in this accident was subsequently determined based on the production of longlived free radicals in nitroglycerol tablets borne by the operator during the accident. He used nitroglycerol for heart problems and free radical are easily formed and trapped in sugar which is the main component of the tablets. Calibration experiments were carried out and the dose given to the tablets during the accident was determined to 37.2 +- 0.5 Gy. The general use of free radicals for dose determinations is discussed. (Auth.)

  10. Big nuclear accidents

    Much of the debate on the safety of nuclear power focuses on the large number of fatalities that could, in theory, be caused by extremely unlikely but imaginable reactor accidents. This, along with the nuclear industry's inappropriate use of vocabulary during public debate, has given the general public a distorted impression of the safety of nuclear power. The way in which the probability and consequences of big nuclear accidents have been presented in the past is reviewed and recommendations for the future are made including the presentation of the long-term consequences of such accidents in terms of 'reduction in life expectancy', 'increased chance of fatal cancer' and the equivalent pattern of compulsory cigarette smoking. (author)

  11. The management of accidents

    R. B. Ward

    2009-01-01

    Full Text Available Purpose: This author’s experiences in investigating well over a hundred accident occurrences has led to questioning how such events can be managed - - - while immediately recognising that the idea of managing accidents is an oxymoron, we don’t want to manage them, we don’t want not to manage them, what we desire is not to have to manage not-them, that is, manage matters so they don’t happen and then we don’t have to manage the consequences.Design/methodology/approach: The research will begin by defining some common classes of accidents in manufacturing industry, with examples taken from cases investigated, and by working backwards (too late, of course show how those involved could have managed these sample events so they didn’t happen, finishing with the question whether any of that can be applied to other situations.Findings: As shown that the management actions needed to prevent accidents are control of design and application of technology, and control and integration of people.Research limitations/implications: This paper has shown in some of the examples provided, management actions have been know to lead to accidents being committed by others, lower in the organization.Originality/value: Today’s management activities involve, generally, the use of technology in many forms, varying from simple tools (such as knives to the use of heavy equipment, electric power, and explosives. Against these we commit, in control of those items, the comparatively frail human mind and body, which, again generally, does succeed in controlling these resources, with (another generality by appropriate management. However, sometimes the control slips and an accident occurs.

  12. Refractory Graves' Disease Successfully Cured by Adjunctive Cholestyramine and Subsequent Total Thyroidectomy.

    Yang, Yeoree; Hwang, Seawon; Kim, Minji; Lim, Yejee; Kim, Min Hee; Lee, Sohee; Lim, Dong Jun; Kang, Moo Il; Cha, Bong Yun

    2015-12-01

    The three major forms of treatment for Graves thyrotoxicosis are antithyroid drugs, radioactive iodine therapy and thyroidectomy. Surgery is the definitive treatment for Graves thyrotoxicosis that is generally recommended when other treatments have failed or are contraindicated. Generally, thyrotoxic patients should be euthyroid before surgery to minimize potential complications which usually requires preoperative management with thionamides or inorganic iodine. But several cases of refractory Graves' disease have shown resistance to conventional treatment. Here we report a 40-year-old female patient with Graves' disease who complained of thyrotoxic symptoms for 7 months. Her thyroid function test and thyroid autoantibody profiles were consistent with Graves' disease. One kind of thionamides and β-blocker were started to control her disease. However, she was resistant to nearly all conventional medical therapies, including β-blockers, inorganic iodine, and two thionamides. She experienced hepatotoxicity from the thionamides. What was worse is her past history of serious allergic reaction to corticosteroids, which are often used to help control symptoms. A 2-week regimen of high-dose cholestyramine improved her uncontrolled thyrotoxicosis and subsequent thyroidectomy was successfully performed. In conclusion, cholestyramine could be administered as an effective and safe adjunctive agent for preoperative preparation in patients with severe hyperthyroid Graves's disease that is resistant to conventional therapies. PMID:26394731

  13. Measurements of Actual Effective Half - Life in 131I Therapy for Graves' Hyperthyroidism

    Radioiodine[131I] has been used for the treatment of Graves' hyperthyroidism since the late 1940's and is now generally regarded as the treatment of choice for Graves' hyperthyroidism who does not remit following a course of antithyroid drugs. But for the dose given, several different protocols have been described by different centers, each attempting to reduce the incidence of long-term hypothyroidism while maintaining an acceptable rate control of Graves' hyperthyroidism. Our goals were to evaluate effective half-life and predict absorbed dose in Graves' hyperthyroidism patients, therefore, to calculate and read minister radioiodine activity needed to achieve aimed radiation dose. Our data showed that the mean effective 131I half-life for Graves' disease is 5.3 days(S.D=0.88) and mean biologic half-life is 21 days, range 9.5-67.2 days. The mean administered activity and the mean values of absorbed doses wet: 532 MBq(S.D.=254), 112 Gy (S.D.=50.9), respectively. The mean activity needed to achieve aimed radiation dose were 51 MBq and marked differences of 131I thyroidal uptake between tracer and therapy occurred in our study. We are sure that the dose calculation method that uses 5 days thyroidal 131I uptake measurements after tracer and therapy dose, provides sufficient data about the effective treatment in Graves' hyperthyroidism.

  14. Mortal radiological accident

    After defining the concept of 'Radiological accident', statistical data from Radiation Emergency Assistance Center of ORNL (United States of America) are given about the deaths caused by acute irradiation between 1944 and April 24, 1986 -ie, the day before Chernobyl nuclear accident- as well as on the number of deaths caused by the latter. Next the different clinical stages of the Acute Irradiation Syndrome (AIS) as well as its possible treatment are described, and finally the different physical, clinical and biological characteristics linked to the AIS and to its diagnosis and prognosis are discussed. (M.E.L.)

  15. The TMI-2 accident

    A critical study about the technical and man-related facts in order to establish what is considered the worst commercial nuclear power accident until 1986. Radiological consequences and stress to the public are considered in contrast to antinuclear groups. This descriptive and technical study has the purpose to document written and oral opinions obtained abroad and then explain to the public in an easy language terminology. Preliminary study describing safety related systems fails and the accident itself with minute to minute description, conduct to the consequences and then, to learned lessons

  16. DanRIS

    Skou, Carl Verner

    2009-01-01

    Windows 2000/XP/Vista platform computerprogram til DanRIS indberetning baseret på indskrivning af klienter på CPR, klientsforløb, faseforløb, ASI EuropASI composite score beregninger. Udgave: 2.1.0.5 Udgivelsesdato: 01-01-2009......Windows 2000/XP/Vista platform computerprogram til DanRIS indberetning baseret på indskrivning af klienter på CPR, klientsforløb, faseforløb, ASI EuropASI composite score beregninger. Udgave: 2.1.0.5 Udgivelsesdato: 01-01-2009...

  17. Kondisi oral higiene dan karies gigi pada vegetarian dan non vegetarian di Maha Vihara Maitreya Medan

    Prawira, Albert

    2011-01-01

    Perbedaan pola makan antara vegetarian dan non vegetarian dapat mempengaruhi kesehatan gigi dan mulut. Tujuan penelitian adalah untuk mengetahui kondisi oral higiene dan karies gigi pada umat vegetarian dan non vegetarian di Maha Vihara Maitreya Medan. Jenis penelitian adalah survei deskriptif. Sampel terdiri atas 74 vegetarian dan 65 non vegetarian. Pemeriksaan oral higiene dan karies gigi masing-masing menggunakan indeks OHIS Greene dan Vermillion dan indeks DMFT Klein, se...

  18. Description of the accident

    The TMI-2 accident occurred in March 1979. The accident started with a simple and fairly common steam power plant failure--loss of feedwater to the steam generators. Because of a combination of design, training, regulatory policies, mechanical failures and human error, the accident progressed to the point where it eventually produced the worst known core damage in large nuclear power reactors. Core temperatures locally reached UO2 fuel liquefaction (metallic solution with Zr) and even fuel melt (3800-51000F). Extensive fission product release and Zircaloy cladding oxidation and embrittlement occurred. At least the upper 1/2 of the core fractured and crumbled upon quenching. The lower central portion of the core apparently had a delayed heatup and then portions of it collapsed into the reactor vessel lower head. The lower outer portion of the core may be relatively undamaged. Outside of the core boundary, only those steel components directly above and adjacent to the core (≤1 foot) are known to have suffered significant damage (localized oxidation and melting). Other portions of the primary system outside of the reactor vessel apparently had little chance of damage or even notable overheating. The demonstrated coolability of the severely damaged TMI-2 core, once adequate water injection began, was one of the most substantial and important results of the TMI-2 accident

  19. Fifteen years after accident

    This book is devoted to 15th anniversary of the Chernobyl accident. Four problems have been reflected in the book: contamination of territories of Western Europe, Belarus, Ukraine and Russian Federation by cesium-137; plutonium, americium and other actinides on territory of Belarus; problems of radioactive wastes management of Chernobyl origin; influence of various factors on oncology morbidity in the Republic of Belarus

  20. Measures against nuclear accidents

    A select committee appointed by the Norwegian Ministry of Social Affairs put forward proposals concerning measures for the improvement of radiation protection preparedness in Norway. On the basis on an assessment of the potential radiation accident threat, the report examines the process of response, and identifies the organizational and management factors that influence that process

  1. The Chernobyl reactor accident

    The documentation abstracted contains a complete survey of the broadcasts transmitted by the Russian wire service of the Deutsche Welle radio station between April 28 and Mai 15, 1986 on the occasion of the Chernobyl reactor accident. Access is given to extracts of the remarkable eastern and western echoes on the broadcasts of the Deutsche Welle. (HP)

  2. Pengembangan Potensi dan Pemanfaatan Bambu Sebagai Bahan Baku Konstruksi dan Industri di Sulawesi Selatan

    Muin, Musrizal; Suhasman; Oka, Ngakan Putu; Putranto, Beta; Baharuddin; Millang, Syamsuddin

    2006-01-01

    Penelitian "Pengembangan Potensi dan Pemanfaatan Bambu Sebagai Bahan Baku Konstruksi dan Industri di Sulawesi Selatan" ini diperlukan untuk menunjang program-program pembangunan dan menignkatkan kesejahteraan masyarakat di Sulawesi Selatan. Secara khusus, penenlitian ini bertujuan untuk: (1) mengetahui potensi, letak, luas, sebaran, dan produktivitas tegakan bambu; (2) mengetahui pemanfaatan dan teknologi pengolahan bambu; (3) mengetahui keberadaan dan peran lembaga yang terkait dengan pengel...

  3. Prognostic factors in the radiotherapy of Graves' ophthalmopathy

    Between April 1968 and February 1988, 311 patients with symptomatic and progressive Graves' ophthalmopathy were treated with megavoltage orbital radiotherapy. The patients were divided into three groups: I treated with 20 Gy/2 weeks; II treated with 30 Gy/3 weeks, and III received 20 Gy/2 weeks. The degree of eye involvement was evaluated numerically before and after therapy for each of five parameters: soft tissue signs, proptosis, eye muscle impairment, corneal involvement, and sight loss. Pre-treatment and current thyroid diagnosis and status were also noted. To evaluate the effects of radiotherapy alone, follow-up was terminated at the time any eye surgery was done; for those not treated surgically the minimum follow-up was 12 months. Because there were significant demographic differences between the patient groups, the results of each group were analyzed separately. A stepwise linear regression analysis was performed to determine if there were any significant variables affecting outcome. Based on these data formulae were derived which enable outcome to be predicted in any patient. Before therapy more than 90% of patients in all groups had soft tissue and eye muscle involvement, whereas 65-75% had proptosis and about half 50% had some degree of sight loss. Radiotherapy arrested progression of ophthalmic parameters in all but 1-6% of the patients. Objective and symptomatic improvement was noted for all parameters assessed, but there was marked individual variability. The best responses were noted for soft tissue, corneal involvement, and sight loss; however over half the patients had some improvement in eye muscle function and proptosis. Factors which resulted in less favorable outcome included male gender, advanced age, need for concurrent therapy for hyperthyroidism, and no history of hyperthyroidism. No complications have been observed

  4. Thyrotropin Receptor Epitope and Human Leukocyte Antigen in Graves' Disease.

    Inaba, Hidefumi; De Groot, Leslie J; Akamizu, Takashi

    2016-01-01

    Graves' disease (GD) is an organ-specific autoimmune disease, and thyrotropin (TSH) receptor (TSHR) is a major autoantigen in this condition. Since the extracellular domain of human TSHR (TSHR-ECD) is shed into the circulation, TSHR-ECD is a preferentially immunogenic portion of TSHR. Both genetic factors and environmental factors contribute to development of GD. Inheritance of human leukocyte antigen (HLA) genes, especially HLA-DR3, is associated with GD. TSHR-ECD protein is endocytosed into antigen-presenting cells (APCs), and processed to TSHR-ECD peptides. These peptide epitopes bind to HLA-class II molecules, and subsequently the complex of HLA-class II and TSHR-ECD epitope is presented to CD4+ T cells. The activated CD4+ T cells secrete cytokines/chemokines that stimulate B-cells to produce TSAb, and in turn hyperthyroidism occurs. Numerous studies have been done to identify T- and B-cell epitopes in TSHR-ECD, including (1) in silico, (2) in vitro, (3) in vivo, and (4) clinical experiments. Murine models of GD and HLA-transgenic mice have played a pivotal role in elucidating the immunological mechanisms. To date, linear or conformational epitopes of TSHR-ECD, as well as the molecular structure of the epitope-binding groove in HLA-DR, were reported to be related to the pathogenesis in GD. Dysfunction of central tolerance in the thymus, or in peripheral tolerance, such as regulatory T cells, could allow development of GD. Novel treatments using TSHR antagonists or mutated TSHR peptides have been reported to be effective. We review and update the role of immunogenic TSHR epitopes and HLA in GD, and offer perspectives on TSHR epitope specific treatments. PMID:27602020

  5. The interleukin-1 family gene polymorphisms and Graves' disease.

    Khalilzadeh, O; Anvari, M; Esteghamati, A; Momen-Heravi, F; Mahmoudi, M; Rashidi, A; Amiri, H M; Ranjbar, M; Tabataba-Vakili, S; Amirzargar, A

    2010-09-01

    Genetic factors, including cytokine gene polymorphisms, are potential contributors to the pathogenesis of the Graves' disease (GD). We attempted in this study to determine the association between GD and the following polymorphisms in the interleukin-1 (IL-1) family genes: IL-1alpha (-889C/T), IL-1ss (-511C/T), IL-1ss (+3962C/T), IL-1R (Pst-1 1970C/T) and IL-1RA (Mspa-I 11100C/T). We studied 107 patients with an established diagnosis of GD and 140 healthy controls. Cytokine typing was performed by the polymerase chain reaction with sequence-specific primers assay. Genotype distributions among patients were in Hardy-Weinberg equilibrium for all polymorphisms. The frequency of the IL-1alpha -889T allele was significantly higher in patients than in controls (51.9% vs. 31.6%, OR=2.33, 95% CI=1.61-3.38; p<0.0001). The IL-1RA Msp-I 11100C allele was significantly more frequent in patients than in controls (50.0% vs. 22.9%, OR=3.38, 95% CI=2.29-4.97, p<0.0001). No significant associations were found for other polymorphisms. Although the IL-1 family has well-known roles in GD pathogenesis, the contributions of their genetic variations to the disease are unclear. In this study, we documented a highly significant association between GD and polymorphism in IL-1alpha and IL-1RA genes. Further studies in other populations are necessary to confirm our results. PMID:20400062

  6. Current trends in the management of Graves' disease

    Members of the American Thyroid Association were invited to participate in a survey of the management of Graves' disease. One primary case and several variations were provided, which differed in respect to age, sex, goiter size, severity, etc. The questionnaire was based on the format used in a similar survey of members of the European Thyroid Association. The aim of the survey was to determine (1) how expert thyroidologist employ diagnostic procedures for this disorder, and (2) the choice of therapy of the three treatment options and its manner of implementation. Questionnaires were sent only to clinically active members. The overall response rate was 62%. Data analysis was possible on 52% of members surveyed and was performed using SPSS and a specific Fortran program. In the laboratory evaluation of the primary case a radioiodine uptake, scan, serum total T4, and basal TSH were requested by 92%, 47%, 83%, and 66%, respectively, with 84% of respondents using an ultrasensitive TSH assay. For management of the primary case, radioiodine treatment was the first choice of 69% of the respondents. Antithyroid drugs were used briefly (3-7 days) before 131I by 28%, whereas 41% said they would employ thioureas after 131I. Of those using 131I, 66% tailored the dose to achieve euthyroidism as the goal of therapy, while 34% aimed for hypothyroidism requiring T4 replacement. Only 30% of respondents chose thioureas as a first line of treatment (72% propylthiouracil; 28% tapazole). The duration of drug therapy was a predetermined fixed interval for 80% of the respondents, with 90% treating for 1-2 yr. Other specific trends in diagnostic approach and therapeutic preferences were identified for the eight variations on the primary case problem

  7. Radiotherapy for Graves' orbitopathy: results of a national survey

    Background: Graves' orbitopathy (GO) is a widely accepted indication for radiation therapy (RT). In conjunction with the German Cooperative Group on Radiotherapy for Benign Diseases (GCG-BD), a national survey was conducted in order to assess whether or not there is a consensus on the indication for RT and various treatment factors which were studied. Material and Methods: A questionnaire was circulated to 190 RT institutions to obtain relevant data concerning the patients' workload, stage-dependent indication, and diagnostic procedures, which were considered to be necessary. Further questions addressed details on radiation technique and dose-fractionation schedules, the combined use of corticoids, and salvage RT after previous treatment failure following RT. Results: With a response rate of 152/190 (80%), the survey is nationally representative. Based on the case workload, an estimated annual number of 1,600 GO cases are treated in German radiotherapy departments. With an 88% consensus, stages II-V are the typical indications. 85% considered imaging studies necessary for indication and only 48% for laboratory tests. 76% of the institutions used total doses in the range of 15-20 Gy, and conventional fractionation was most common (57%). 82% used a face mask fixation and 67% CT-based treatment planning. Approximately 50% would prescribe salvage RT, and total doses in the range of 20-40 Gy were considered to be acceptable. Conclusions: The survey revealed a consensus concerning most of the factors studied. We recommend to review the patterns of care for RT of other entities of benign diseases and to implement a quality assurance program both on national and international levels. (orig.)

  8. Lessons learned from accident investigations

    Accidents in three main practices - medical applications, industrial radiography and industrial irradiators - are used to illustrate some common causes of accidents and the main lessons to be learned from them. A brief description of some of these accidents is given. Lessons learned from the accidents described are approached bearing in mind: safety culture, quality assurance, human factors, good engineering practice, defence in depth, security of sources, safety assessment and monitoring and verification compliance. (author)

  9. Lessons learned from accidents investigations

    Accidents from three main practices: medical applications, industrial radiography and industrial irradiators are used to illustrate some common causes of accidents and the main lessons to be learned. A brief description of some of these accidents is given. Lessons learned from the described accidents are approached by subjects covering: safety culture, quality assurance, human factors, good engineering practice, defence in depth, security of sources, safety assessment and monitoring and verification compliance. (author)

  10. Road Traffic Accidents in Kazakhstan

    Alma Aubakirova; Alibek Kossumov; Nurbek Igissinov

    2013-01-01

    Background: The article provides the analysis of death rates in road traffic accidents in Kazakhstan from 2004 to 2010 and explores the use of sanitary aviation. Methods: Data of fatalities caused by road traffic accidents were collected and analysed. Descriptive and analytical methods of epidemiology and biomedical statistics were applied. Results: Totaly 27,003 people died as a result of road traffic accidents in this period. The death rate for the total population due to road traffic accid...

  11. The Chernobyl accident

    The accident at Unit 4 of the Chernobyl nuclear power plant was the most severe in the nuclear industry. The accident caused the rapid death of 31 power plant employees and firemen, mainly from acute radiation exposures and burns, and brought about the evacuation of 116,000 people within a few weeks. In addition, about half a million workers and four million members of the public have been exposed, to some extent, to radiation doses resulting from the Chernobyl accident. A large number of radiation measurements have been made since the accident in order to reconstruct the doses received by the most exposed populations. On the basis of currently available information, it appears that: (1) average doses received by clean-up workers from external irradiation decreased with time, being about 300 mGy for the persons who worked in the first three months after the accident, about 170 mGy for the remainder of 1986, 130 mGy in 1987, 30 mGy in 1988, and 15 mGy in 1989; (2) the evacuees received, before evacuation, effective doses averaging 11 mSv for the population of Pripyat, and 18 mSv for the remainder of the population of the 30 km zone, with maximum effective doses ranging up to 380 mSv; and (3) among the populations living in contaminated areas, the highest doses were those delivered to the thyroids of children. Thyroid doses derived from thyroid measurements among Belarussian and Ukrainian children indicate median thyroid doses of about 300 mGy, and more than 1% of the children with thyroid doses in excess of 5000 mGy. A description is provided of the epidemiological studies that the National Cancer Institute has, since 1990, at the request of the Department of Energy, endeavoured to undertake, in cooperation with Belarus and Ukraine, on two possible health effects resulting from the Chernobyl accident: (1, thyroid cancer in children living in contaminated areas during the first few weeks following the accident, and (2) leukaemia among workers involved in clean

  12. The psychology of nuclear accidents

    Incidents involving nuclear weapons are described, as well as the accident to the Three Mile Island-2 reactor. Methods of assessment of risks are discussed, with particular reference to subjective judgements and the possible role of human error in civil nuclear accidents. Accidents or misunderstandings in communication or human actions which might lead to nuclear war are also discussed. (U.K.)

  13. EDA. Etudes détaillées d'accidents

    Van Elslande, P.; Page, Y.

    2007-01-01

    Dans un souci de prévention, des études d'accidents sont réalisées en utilisant les statistiques nationales sur les accidents de la route (BAAC) et les procès-verbaux d'accidents. Souvent les informations sont insuffisantes et des données plus détaillées deviennent nécessaires pour améliorer la compréhension des phénomènes en jeu. L'état de développement des recherches en Sécurité routière ainsi que les objectifs de prévention vont guider la conception des Études détaillées d'accidents (EDA) ...

  14. MODAL MANUSIA DAN PRODUKTIVITAS

    Erlinda Puspita Sari

    2014-03-01

    Full Text Available Modal manusia dianggap sebagai salah satu faktor penentu produktivitas. Modal manusia merupakan dimensi kualitatif dari sumberdaya manusia, seperti keahlian dan keterampilan, yang akan memengaruhi kemampuan produktif manusia tersebut. Dimensi kualitatif tersebut diperoleh melalui pendidikan, pelatihan dan kesehatan. Penelitian ini bertujuan untuk menganaliss efek dari modal manusia terhadap tingkat produktivitas di provinsi-provinsi di Indonesia. Dalam penelitian ini, tingkat pendidikan diukur dengan beberapa indikator, yaitu; angka melek huruf dan angka partisipasi murni tingkat SD, SMP maupun SMA. Tingkat kesehatan diukur dengan angka kematian bayi. Data yang digunakan adalah data panel dari 25 provinsi di Indonesia selama perioede 1996-2010 yang dianalisis dengan menggunakan Model Panel Data Fixed Effect. Hasil analisis menunjukkan bahwa modal manusia yang diukur dari tingkat pendidikan (APM dan tingkat kesehatan (AKB merupakan faktor yang berpengaruh dan signifikan untuk menjelaskan variasi produktivitas meskipun magnitude-nya lebih kecil dibandingkan dengan modal fisik. Hasil analisis juga menunjukkan bahwa variabel pendidikan memiliki magnitude yang lebih besar dibandingkan dengan variabel kesehatan. Human capital is regarded as one of the determining factors of productivity. Human capital is qualitative dimension of human resource which includes skills and knowledge. These qualitative dimensions are internalized through education, training and health. This study aimed to analyze the effect of human capital on productivity level across provinces in Indonesia. In this study, the level of education was measured by literacy and school enrollment rate (in primary, secondary and high school. The level of health was measured by infant mortality rate. The study employed a panel data of 25 provinces in Indonesia during the period of 1996-2010. Using fixed effect method, the result showed that secondary school enrollment rate and infant mortality

  15. Radiological accidents balance in medicine

    This work deals with the radiological accidents in medicine. In medicine, the radiation accidents on medical personnel and patients can be the result of over dosage and bad focusing of radiotherapy sealed sources. Sometimes, the accidents, if they are unknown during a time enough for the source to be spread and to expose a lot of persons (in the case of source dismantling for instance) can take considerable dimensions. Others accidents can come from bad handling of linear accelerators and from radionuclide kinetics in some therapies. Some examples of accidents are given. (O.L.). 11 refs

  16. Kitab kuning dan perempuan, perempuan dan kitab kuning

    Bruinessen, M.M. van

    2007-01-01

    Kitab Kuning dan Emansipasi Perempuan: Konflik Budaya? Pengamatan-pengamatan Masdar mengenai kedudukan perempuan dalam diskursus (wacana, bahasan) dominan kitab kuning terasa tidak enak didengar tetapi memang sulit dibantah. Baik dalam penggunaan bahasa (yang sangat memihak kepada jenis mudzakkar) maupun pilihan aspek kehidupan perempuan yang dijadikan pokok bahasan kitab-kitab fiqh, terdapat bias yang begitu dalam dan transparan. Tolok ukur untuk segala hal ialah laki-laki, dan perbedaan ant...

  17. Morbidade Materna Grave e Near Misses em Hospital de Referência Regional

    Márcia Lait Morse

    2011-06-01

    Full Text Available OBJETIVO: Analisar perfil epidemiológico da morbidade materna grave/near miss em uma maternidade pública de referência regional, utilizando diferentes critérios identificadores. MÉTODOS: Trata-se de um estudo descritivo de corte transversal dos casos de morbidade materna grave/near miss realizado em Hospital de referência regional entre junho e outubro de 2009, identificados a partir dos livros de registro de internação da maternidade e análise dos prontuários clínicos. Foram estudadas mulheres que, durante a gestação, parto ou puerpério, apresentaram qualquer quadro clínico compatível com os critérios definidores de morbidade materna grave/near miss de Waterstone et al., Mantel et al. e Organização Mundial de Saúde. RESULTADOS: Entre as 1.544 internações foram identificadas 89 mulheres com morbidade materna grave, considerando os critérios adotados. As razões de morbidade materna grave/near miss variaram entre 81,4 a 9,4 por 1.000 NV, dependendo do critério utilizado. O índice de Mortalidade foi de 3,2%, chegando a 23% no critério da OMS. Das 89 mulheres, apenas 40% fizeram mais de seis consultas de pré-natal e 10% não realizaram qualquer consulta. Os marcadores mais encontrados foram a pré-eclâmpsia grave seguida de hemorragia grave, internação em UTI, Síndrome HELLP e eclâmpsia. Ocorreram três mortes maternas por causas obstétricas com RMM de 280/100.000 NV e uma morte tardia. O critério da OMS se mostrou mais específico, identificando os casos mais graves, enquanto o de Waterstone foi mais sensível. CONCLUSÃO: O estudo da morbidade materna grave/near miss em um hospital de referência regional pode contribuir para o conhecimento da magnitude deste evento, como também identificar suas características e condições clínicas mais frequentes, sendo extremamente importante para o enfrentamento da morbi-mortalidade materna.

  18. Occupational accidents aboard merchant ships

    Hansen, H.L.; Nielsen, D.; Frydenberg, Morten

    2002-01-01

    Objectives: To investigate the frequency, circumstances, and causes of occupational accidents aboard merchant ships in international trade, and to identify risk factors for the occurrence of occupational accidents as well as dangerous working situations where possible preventive measures may be...... initiated. Methods: The study is a historical follow up on occupational accidents among crew aboard Danish merchant ships in the period 1993–7. Data were extracted from the Danish Maritime Authority and insurance data. Exact data on time at risk were available. Results: A total of 1993 accidents were...... identified during a total of 31 140 years at sea. Among these, 209 accidents resulted in permanent disability of 5% or more, and 27 were fatal. The mean risk of having an occupational accident was 6.4/100 years at sea and the risk of an accident causing a permanent disability of 5% or more was 0.67/100 years...

  19. Induction of animal model of Graves' disease in BALB/c mice

    Zhu-fang Tian; Bing-yin Shi; Xiao-yan Wu; Li Xu

    2009-01-01

    Objective To construct an animal model of Graves' disease (GD) by immunizing BALB/c mice with hM12 cells co-expressing major histocompatibility complex (MHC) class Ⅱ molecules and human thyrotropin receptor (TSHR) molecules. Methods BALB/c mice in experimental group (H-2d) were immunized with hM12 cells Intraper-itoncally every 2 weeks for six times, while mice in control group were immunized with M12 cells. Five weeks later, the thyroids were histologically examined, and serum samples were tested for thyroid-stimulating antibodies (TSAb) and thyroid hormone levels. Results One BALB/c mouse in experimental group developed Graves'-like disease. Total T4 and T3 levels in this mouse were above the upper limit of normal, TSAb activity was displayed in its serum. The thyroid histologically showed the features of thyroid hyperactivity including thyrocyte hypercellularity and colloid absorption.None of control mice developed Graves'-like disease. Conclusion An animal model with some characteristics of human Graves' disease was successfully induced and the model will facilitate studies aimed directly at understanding the patho-genesis of autoimmunity in Graves' disease.

  20. Change in Practice over Four Decades in the Management of Graves' Disease in Scotland

    Smith, D. M.; Dutta, S.; Ahmed, F.; Thaha, M. A.

    2016-01-01

    There is continuing debate on the optimal treatment for Grave's thyrotoxicosis with a resultant variation in clinical practice. The present study aimed to ascertain changes in practice in the treatment of Grave's thyrotoxicosis in Tayside, Scotland, over the past four decades. Methods. The “Scottish automated follow-up register” (SAFUR) was queried to identify all patients treated for Grave's thyrotoxicosis from 1968 to 2007 inclusive. Patients were divided into 4 groups (Groups A to D) according to the decades. Demographic profile, treatment modalities, radioactive iodine (RAI) dose, and recurrence rates were studied and outcomes were compared by χ2 test and ANOVA using SPSS v15.0. A p value of < 0.05 was considered significant. Results. Altogether, 3737 patients were diagnosed with Grave's thyrotoxicosis over the 4 decades. Use of RAI has increased from 43.1% in Group A to 68% in Group D (p < 0.001). The dose of RAI has increased (p < 0.001) and there has been a reduction in recurrence rate with higher dose of RAI. Surgical intervention rates decreased from 55.3% to 12.3% (p < 0.001) over time. Conclusions. Analysis of a large dataset of patients with Grave's thyrotoxicosis suggests increasing use of RAI as the preferred first line of treatment. Furthermore, using a single higher dose of RAI and adoption of total thyroidectomy have decreased recurrence rates. PMID:27313946

  1. Magnetic Ghosts: Mineral Magnetic Measurements On Roman and Anglo-saxon Graves

    Linford, N.

    The location of inhumations, in the absence of ferrous grave goods, often presents a considerable challenge to archaeological geophysics given the small physical size of the features and the slight contrast between the fill of the grave and the surround- ing subsoil. Even during excavation, the identification of graves may be complicated where site conditions do not favour the preservation of human skeletal remains and often only a subtle soil stain is likely to survive. A recent initiative in the United King- dom has seen the formation of the Buried Organic Matter Decomposition Integrated with Elemental Status (BODIES) research group, to examine the decomposition of organic artefacts in ancient graves with respect to localised changes in pH, redox po- tential and nutrient status. This paper presents initial results from a limited mineral magnetic study of two grave sites in an attempt to ascertain whether the decomposi- tion of organic remains may lead to a detectable magnetic signature within the soil. Results from a series of isothermal, hysteresis and magneto-thermal experiments will be presented together with surface magnetometer and topsoil susceptibility surveys.

  2. Chernobyl reactor accident

    On April 26, 1986, an explosion occurred at the newest of four operating nuclear reactors at the Chernobyl site in the USSR. The accident initiated an international technical exchange of almost unprecedented magnitude; this exchange was climaxed with a meeting at the International Atomic Energy Agency in Vienna during the week of August 25, 1986. The meeting was attended by more than 540 official representatives from 51 countries and 20 international organizations. Information gleaned from that technical exchange is presented in this report. A description of the Chernobyl reactor, which differs significantly from commercial US reactors, is presented, the accident scenario advanced by the Russian delegation is discussed, and observations that have been made concerning fission product release are described

  3. The ultimate nuclear accident

    The estimated energy equivalent of Chernobyl explosion was the 1/150 th of the explosive energy equivalent of atomic bomb dropped on Hiroshima; while the devastation that could be caused by the world's stock pile of nuclear weapons, could be equivalent to 160 millions of Chernobyl-like incidents. As known, the number of nuclear weapons is over 50,000 and 2000 nuclear weapons are sufficient to destroy the world. The Three Mile Island and Chernobyl accidents have been blamed on human factors but also the human element, particularly in the form of psychological stresses on those operating the nuclear weapons, could accidentally bring the world to a nuclear catastrophe. This opinion is encouraged by the London's Sunday Times magazine which gave a graphic description of life inside a nuclear submarine. So, to speak of nuclear reactor accidents and not of nuclear weapons is false security. (author)

  4. Nuclear ship accidents

    In this report available information on 28 nuclear ship accident and incidents is considered. Of these 5 deals with U.S. ships and 23 with USSR ships. The ships are in almost all cases nuclear submarines. Only events that involve the nuclear propulsion plants, radiation exposures, fires/explosions and sea water leaks into the submarines are considered. Comments are made on each of the events, and at the end of the report an attempt is made to point out the weaknesses of the submarine designs which have resulted in the accidents. It is emphasized that much of the available information is of a rather dubious nature. consequently some of the assessments made may not be correct. (au)

  5. Reactor accidents in perspective

    In each of the three major reactor accidents which have led to significant releases to the environment, and discussed in outline in this note, the reactor has been essentially destroyed - certainly Windscale and Chernobyl reactors will never operate and the cleanup operation for Three Mile Island is currently estimated to have cost in excess of US Pound 500 000 000. In each of the accidents there has not been any fatality off site in the short term and any long-term health detriment is unlikely to be seen in comparison with the natural cancer incidence rate. At Chernobyl, early fatalities did occur amongst those concerned with fighting the incident on site and late effects are to be expected. The assumption of a linear non-threshold risk, and hence no level of zero risk is the main problem in communication with the public, and the author calls for simplification of the presentation of the concepts of radiological protection. (U.K.)

  6. BAHAYA RADIASI DAN CARA PROTEKSINYA

    Badunggawa P

    2014-09-01

    Full Text Available Radiasi yang kita terima setiap saat, termasuk radiasi untuk tujuan kedokteran, mempunyai dampak positif dan negatif terhadap keselamatan manusia dan lingkungan. Dampak positif dari radiasi terhadap keselamatan manusia diantaranya adalah digunakan sebagai pengobatan dan dampak negatifnya adalah tergantung dari besar dosis yang diterima diantaranya adalah mulai dari mual, muntah, pusing-pusing, rambut rontok, menyebabkan kanker, diturunkan secara genetik, dan yang lebih berbahaya lagi adalah menyebabkan kematian. Oleh karena itu kita harus berhati-hati terhadap bahaya yang ditimbulkannya, baik terhadap pekerja radiasi maupun masyarakat umum termasuk pasien. Perlindungan terhadap bahaya yang ditimbulkan radiasi ini dikenal dengan istilah proteksi radiasi. Sehingga dosis yang diterima pertahun oleh pekerja atau masyarakat umum tidak melebihi batas dosis yang ditetapkan oleh Bapeten. Berbagai upaya telah dilakukan untuk meminimalkan bahaya tersebut sehingga pekerja dan pasien merasa aman melakukan dan dikenai tindakan medik.[medicina 2009;40:47-51].  

  7. Metode Pengukuran Saliva Dan Pemeriksaan Kelenjar Saliva

    Deddy A. Simatupang

    2008-01-01

    Saliva merupakan cairan utama di rongga mulut yang dihasilkan oleh kelenjar saliva mayor dan minor. Saliva memiliki fungsi dan peranan penting dalam menjaga dan memelihara kesehatan secara umum. Kebiasaan bemafas melalui mulut, akibat terapi radiasi pada kepala dan leher, kemsakan saraf, obat-obatan, dan penyakit-penyakit tertentu dapat menyebabkan penurunan produksi saliva yang disebut dengan xerostomia atau mulut kering. Xerostomia dapat menyebabkan karies gigi, mukositis dan kandidiasi...

  8. The Chernobylsk reactor accident

    The construction, the safety philosophy, the major reactor physical parameters of RBMK-1000 type reactor units and the detailed description of the Chernobylsk-4 reactor accident, its causes and conclusions, the efforts to reduce the consequences on the reactor site and in the surroundings are discussed based on different types of Soviet documents including the report presented to the IAEA by the Soviet Atomic Energy Agency in August 1986. (V.N.)

  9. Ship accident studies

    This paper summarizes ship accident studies performed by George G. Sharp, Inc. for the U.S. Maritime Administration in connection with the Nuclear Ship Project. Casualties studied include fires/explosions, groundings and collisions for which a method for calculating probability on a specific route was developed jointly with the Babcock and Wilcox Co. Casualty data source was the Liverpool's Underwriters Association Casualty Returns

  10. Assessment at the 66. day of projected external doses for populations living in the North-West fallout zone of the Fukushima nuclear accident. Impact of population evacuation measures; Evaluation au 66. jour des doses externes projetees pour les populations vivant dans la zone de retombee Nord-Ouest de l'accident nucleaire de Fukushima. Impact des mesures d'evacuation des populations

    NONE

    2011-07-01

    This document reports a dose assessment study performed by the IRSN (the French Radioprotection and Safety Nuclear Institute) 66 days after the Fukushima nuclear accident. A new dose assessment was carried out by IRSN to estimate projected doses due to external exposure from radioactive deposits, for exposure durations of 3 months, 1 year and 4 years before evacuation. The purpose of this report is to provide insight on all radiological assessments performed to the knowledge of the IRSN (the French Radioprotection and Safety Nuclear Institute) to date and the impact of population evacuation measures to be taken to minimize the medium and long-term risks of developing leukaemia or other radiation-induced cancers. This report only considers the external doses already received as well as the doses that may be received in the future from fallout deposits, regardless of doses received previously from the radioactive plume

  11. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  12. KINERJA Jurnal Bisnis dan Ekonomi

    Pickering, Paul; Suprapto, Budi; Kufepaksi, Mahatma; Suhardjanto, Djoko; Ariani, D. Wahyu; Haryono, Tulus; Soeroso, Amiluhur

    2010-01-01

    1. Effects Of Relationship Marketing Upon Nz Micro-Enterprise Internationals Within The Asian Marketplace oleh Paul Pickering dan Russel P J Kingshott. 2. Service Recovery Strategy And Customer Satisfaction: Evidence From Hotel Industry In Yogyakarta-Indonesia oleh Budi Suprapto dan Galang Yunanto Hashym 3. Investor Overconfident Dalam Penilaian Saham: Perspektif Gender Dalam Eksperimen Pasar oleh Mahatma Kufepaksi 4. Pengaruh Corporate Governance, Etnis, Dan Latar Belakang Pendi...

  13. Accident Monitoring Systems for Nuclear Power Plants

    In the Fukushima Daiichi accident, the instrumentation provided for accident monitoring proved to be ineffective for a combination of reasons. The accident has highlighted the need to re-examine criteria for accident monitoring instrumentation. This publication covers all relevant aspects of accident monitoring in NPPs. The critical issues discussed reflect the lessons learned from the Fukushima Daiichi accident, involve accident management and accident monitoring strategies for nuclear power plants, selection of plant parameters for monitoring plant status, establishment of performance, design, qualification, display, and quality assurance criteria for designated accident monitoring instrumentation, and design and implementation considerations. Technology needs and techniques for accident monitoring instrumentation are also addressed

  14. Dans la Trajectoire des Choses

    Coupaye, Ludovic; Douny, Laurence

    2010-01-01

    Dans la trajectoire des choses. Comparaison des approches francophones et anglophones contemporaines en anthropologie des techniques. Dans cette introduction, les auteurs exposent les approches francophones et anglophones de l’étude des techniques et suggèrent que ces deux traditions ont traité d’enjeux comparables. Ils les resituent dans l’histoire des Sciences humaines et analysent leur place dans le champ anthropologique. Ils retracent les débats et les échanges qui les ont enrichies, part...

  15. Accidents and human factors

    When the TMI accident occurred it was 4 a.m., an hour when the error potential of the operators would have been very high. The frequency of car and train accidents in Japan is also highest between 4 a.m. and 6 a.m. The error potential may be classified into five phases corresponding to the electroencephalogramic pattern (EEG). At phase 0, when the delta wave appears, a person is unconscious and in deep sleep; at phase I, when the theta wave appears, he is very tired, sleepy and subnormal; at phase II, when the alpha wave appears, he is normal, relaxed and passive; at phase III, when the beta wave appears, he is normal, clear-minded and active; at phase IV, when the strong beta or epileptic wave appears, he is hypernormal, excited and incapable of normal judgement. Should an accident occur at phase II, the brain condition may jump to phase IV. At this phase the error or accident potential is maximum. The response of the human brain to different types of noises and signals may vary somewhat for different individuals and for different groups of people. Therefore, the possibility that such differences in brain functions may influence the mental structure would be worthy of consideration in human factors and in the design of man-machine systems. Human reliability and performance would be affected by many factors: medical, physiological and psychological, etc. The uncertainty involved in human factors may not necessarily be probabilistic, but fuzzy. Therefore, it would be important to develop a theory by which both non-probabilistic uncertainties, or fuzziness, of human factors and the probabilistic properties of machines can be treated consistently. From the mathematical point of view, probabilistic measure is considered a special case of fuzzy measure. Therefore, fuzzy set theory seems to be an effective tool for analysing man-machine systems. To minimize human error and the possibility of accidents, new safety systems should not only back up man and make up for his

  16. Radiation accident/disaster

    Described are the course of medical measures following Fukushima Daiichi Nuclear Power Plant (FNPP) Accident after the quake and tsunami (Mar. 11, 2011) and the future task for radiation accident/disaster. By the first hydrogen explosion in FNPP (Mar. 12), evacuation of residents within 20 km zone was instructed, and the primary base for measures of nuclear disaster (Off-site Center) 5 km afar from FNPP had to work as a front base because of damage of communicating ways, of saving of injured persons and of elevation of dose. On Mar. 13, the medical arrangement council consisting from stuff of Fukushima Medical University (FMU), National Institute of Radiological Sciences, Nuclear Safety Research Association and Prefectural officers was setup in residents' hall of Fukushima City, and worked for correspondence to persons injured or exposed, where communication about radiation and between related organizations was still poor. The Off-site Center's head section moved to Prefectural Office on Mar. 15 as headquarters. Early in the period, all residents evacuated from the 20 km zone, and in-hospital patients and nursed elderly were transported with vehicles, >50 persons of whom reportedly died mainly by their base diseases. The nation system of medicare for emergent exposure had consisted from the network of the primary to third facilities; there were 5 facilities in the Prefecture, 3 of which were localized at 4-9 km distance from FNPP and closed early after the Accident; and the secondary facility of FMU became responsible to all exposed persons. There was no death of workers of FNPP. Medical stuff also measured the ambient dose at various places near FNPP, having had risk of exposure. At the Accident, the important system of command, control and communication was found fragile and measures hereafter should be planned on assumption of the worst scenario of complete damage of the infrastructure and communication. It is desirable for Disaster Medical Assistance Team which

  17. PERBEDAAN PROSES PEMBELAJARAN DAN PRESTASI BELAJAR SISWA SD EKS-RSBI DAN SDSN DI DIY

    Herjan Haryadi; Heri Retnawati

    2014-01-01

    Penelitian ini bertujuan untuk mengetahui perbedaan proses pembelajaran dan prestasi belajar siswa eks-RSBI dan SDSN di DIY pada mata pelajaran matematika, IPA dan Bahasa Indonesia. Penelitian ini merupakan studi penelitian komparasi. Populasi dalam penelitian ini adalah seluruh siswa kelas IV dan V SD eks-RSBI dan SDSN di DIY. Analisis data menggunakan (1) statistik deskriptif untuk mendeskripsikan proses penelitian dan menggambarkan mean dari data yang diperoleh; dan (2) statistik inferensi...

  18. DIVERSITAS DAN KERAPATAN MANGROVE, GASTROPODA DAN BIVALVIA DI ESTUARI PERANCAK, BALI

    Susiana; Ali, Syamsu Alam; Rukminasari, Nita

    2011-01-01

    Penelitian ini bertujuan membandingkan diversitas dan kerapatan mangrove dengan kepadatan gastropoda dan bivalvia di mangrove alami dan rehabilitasi. Pengukuran ekosistem mangrove menggunakan transek kuadrat 10 m x 10 m. Kelimpahan dan kepadatan gastropoda dan bialvia menggunakan transek kuadrat berukuran 1 m x 1 m. Analisis nMDS, cluster untuk melihat hubungan karekteristik mangrove alami dan rehabilitasi dianalisis secara deskriptif dan analisis regresi untuk mendetermi...

  19. Hepatitis B dan Permasalahannya

    Zain, Lukman Hakim

    2008-01-01

    Pada tahun 1965, Blumberg dan kawan- kawan di Philadelphia menemukan suatu antibodi pada pasien yang ditransfusi yang berasal dari suku Aborigin Australia, sehingga ant igen tersebut dikenal dengan nama Antigen Australia. Pada tahun 1977, Blumberg mendapat hadiah nobel untuk penemuannya itu. Sekarang antigen tersebut dikenal dengan nama hepatitis B surface antigen (HBsAg). Hepatitis B merupakan penyakit infeksi pada jaringan hati yang disebabkan oleh virus yang berasal da...

  20. The change of serum TRAb after 131I radiotherapy in patients of Graves' hyperthyroidism

    Objective: The clinical value of thyrotrophin receptor antibody (TRAb) in patients with Graves' hyperthyroidism was investigated during 131I radiotherapy. Methods: A total of 130 patients with Graves' hyperthyroidism and 50 normal controls were included in the study. Serum concentration of TRAb was measured by radioreceptor assay (RRA) before and at 3, 6, 12 and 24 months after 131I radiotherapy. Results: Abnormally higher TRAb level [(92.93±68.99)U/L] was noted in patients before treatment(P131I radiotherapy, the TRAb [(12.99±5.52) U/L] was back to normal with no difference to that of controls (P>0.05). Conclusion: Serum concentration of TRAb was of clinical significance in the diagnosis of Graves' hyperthyroidism and in the monitoring of 131I radiotherapy. (authors)

  1. La nutrición enteral precoz en el enfermo grave

    B. García Vila; Grau, T

    2005-01-01

    La nutrición enteral se ha demostrado como un método eficaz y seguro de nutrir a los enfermos graves ingresados en una Unidad de Cuidados Intensivos. Aunque se desconoce cuánto tiempo puede estar un enfermo grave sin nutrición, el catabolismo acelerado y el ayuno pueden ser deletéreos en el enfermo grave y la recomendación más frecuente es la de empezar la nutrición artificial cuando se prevea un período de ayuno superior a los siete días. Las ventajas de la nutrición enteral sobre la nutrici...

  2. Graves, Ancestors and Cement in Land disputes in Acholi and Ikland, Uganda

    Meinert, Lotte; Willerslev, Rane; Seebach, Sophie Hooge

    2016-01-01

    The paper explores the roles of graves, ancestors and concrete pillars in disputes over land across different land-systems, -conflicts, and territory making in northern Uganda by comparing extended cases between Acholi in Gulu district and Ik in Kaabong district . In the post-conflict Acholi region...... land can be a strategy in land disputes. In Ikland graves have traditionally not marked land claims and boundaries have been highly fluid, but the placing of the dead in valleys between the mountains has marked belonging to the larger landscape and territory. Due to inter-ethnic conflicts as well as...... ownership of land in attempts to create permanence. Both new and old authorities use material tokens and spiritual principles concerning the dead to establish evidence and trust in their authority to govern. The perceived material qualities of cement for graves and land markers as endurable and modern play...

  3. Acute effects of radioiodine therapy on the voice and larynx of basedow-Graves patients

    Graves's disease is the most common cause of hyperthyroidism. There are three current therapeutic options: anti-thyroid medication, surgery, and radioactive iodine (I 131). There are few data in the literature regarding the effects of radioiodine therapy on the larynx and voice. The aim of this study was: to assess the effect of radioiodine therapy on the voice of Basedow-Graves patients. Material and method: A prospective study was done. Following the diagnosis of Grave's disease, patients underwent investigation of their voice, measurement of maximum phonatory time (/a/) and the s/z ratio, fundamental frequency analysis (Praat software), laryngoscopy and (perceptive-auditory) analysis in three different conditions: pre-treatment, 4 days, and 20 days post-radioiodine therapy. Conditions are based on the inflammatory pattern of thyroid tissue (Jones et al. 1999). Results: No statistically significant differences were found in voice characteristics in these three conditions. Conclusion: Radioiodine therapy does not affect voice quality. (author)

  4. Systematic register of nuclear accidents

    The Systematic Register of Nuclear Accidents is a consolidation of important accidents occurred in the world during the period 1945-1984. Important accidents can be defined as those involving high radiation doses, which require the exposed individuals to undergo medical treatment. The organization and structuring of this register rests on the necessity for the availability of a database specifically oriented to researchers interested in studying the different nuclear accidents reported. Approximately 150 accidents in that period are presented in a summary form; these accidents had been described or reported in the scientific literature or made known through informal communications of Brazilian and foreign institutions and researchers. This register can be of interest particularly to all professionals who either directly of indirectly work in the area of nuclear or radioactive installations safety. In order to facilitate analysis by the researcher, that casuistic system was divided into 3 groups: criticality accidents (table I), fall-out on Marshall Islands (table II) and external irradiation accidents (table III). It is also included an overview of accidents in that period, indicating the total number of victims, fatal cases, and number of survivors. The author offers to the reader an extensive bibliography on the accidents described. (Author)

  5. ASIMETRI INFORMASI DAN UNDERPRICING

    Tety Anggita Safitri

    2013-03-01

    Full Text Available Tujuan penelitian ini adalah untuk menguji pengaruh asimetri informasi terhadap underpricing. Penelitian ini menggunakan sampel 63 perusahaan yang melakukan penawaran umum perdana di Bursa Efek Indonesia dalam kurun waktu 2005-2010. Analisis data menggunakan regresi linier berganda, yaitu menguji proksi asimetri informasi yang terdiri atas ukuran perusahaan, umur perusahaan, proporsi saham yang ditawarkan kepada masyarakat, reputasi underwriter dan reputasi auditor terhadap underpricing. Hasil penelitian ini mengindikasikan bahwa reputasi underwriter dan reputasi auditor berpengaruh terhadap underpricing. Ukuran perusahaan, umur perusahaan dan proporsi saham yang ditawarkan tidak berpengaruh terhadap underpricing.The aim of this research is to examine the effect of assymetric information on underpricing. This research used a sample of 63 companies that make initial public offering on the Indonesia Stock Exchange in the period of 2005-2010. The data analysis is using multiple linear regression, which is testing the proxy of asymmetric information which consists of the firm size, the firm age, the proportion of shares offered to the public, underwriter reputation and auditor reputation on underpricing. This research indicates that underwriter reputation and auditor reputation have a significant effect on underpricing. The firm size, the firm age and the proportion of shares offered to the public have no significant effect on underpricing.

  6. Severe accident analysis methodology in support of accident management

    The author addresses the implementation at BELGATOM of a generic severe accident analysis methodology, which is intended to support strategic decisions and to provide quantitative information in support of severe accident management. The analysis methodology is based on a combination of severe accident code calculations, generic phenomenological information (experimental evidence from various test facilities regarding issues beyond present code capabilities) and detailed plant-specific technical information

  7. Stress in accident and post-accident management at Chernobyl

    The effects of the Chernobyl nuclear accident on the psychology of the affected population have been much discussed. The psychological dimension has been advanced as a factor explaining the emergence, from 1990 onwards, of a post-accident crisis in the main CIS countries affected. This article presents the conclusions of a series of European studies, which focused on the consequences of the Chernobyl accident. These studies show that the psychological and social effects associated with the post-accident situation arise from the interdependency of a number of complex factors exerting a deleterious effect on the population. We shall first attempt to characterise the stress phenomena observed among the population affected by the accident. Secondly, we will be presenting an anlysis of the various factors that have contributed to the emerging psychological and social features of population reaction to the accident and in post-accident phases, while not neglecting the effects of the pre-accident situation on the target population. Thirdly, we shall devote some initial consideration to the conditions that might be conducive to better management of post-accident stress. In conclusion, we shall emphasise the need to restore confidence among the population generally. (Author)

  8. ¿Hay diferencias entre la violencia grave y la violencia menos grave contra la pareja?: un análisis comparativo

    Enrique Echeburúa; Javier Fernández-Montalvo; Paz de Corral

    2008-01-01

    En este estudio ex post facto se lleva a cabo una descripción de las características presentadas por 1.081 casos denunciados por violencia contra la mujer en las comisarías de la Ertzaintza del País Vasco. En primer lugar, se presentan las variables psicológicas y sociodemográficas del agresor y de la víctima, así como de la relación de pareja. Y en segundo lugar, se determinan las diferencias más significativas entre la violencia grave y la violencia menos grave en relación con esas mismas v...

  9. Radioreceptor assay study of thyrotropin receptor antibody (TRAb) in Grave's diseases

    Here was reported the assay system using pig thyroid TSH receptor and 125I-bTSH purified by receptor of thyroid cell membrane for the study of TRAb activity. The binding rate of ASH soluble receptor with 125I-bTSH was 22.2 ∼ 37.4%, while as the control was only 1.0 ∼ 2.1%. TRAb was measured clinically in 48 cases of Grave's diseases and 25 normal persons. The TSH binding inhabitory index(TRII) was introduced for reflection of TRAb activity. The results showed that TBII was positure in 30 of 48 patients of Grave's diseases, the detctactibility was 79.2%

  10. Dual thyroid ectopia with Graves' disease: a Case Report and a review of the literature

    Ectopic thyroid of thyroid ectopia is a rare developmental anomaly with the prevalence of 1 per 100,000 300,000 population. Even rarer, such an anomaly manifests as dual thyroid ectopia. To our best knowledge, only one case has been reported on dual thyroid ectopia with graves' disease in the Eglish literature. We present here a case of dual thyroid ectopia complicated by graves' disease, where by the diagnosis was rendered through judicious use of various diagnostic modalities coupled with a close clinical follow up. In this case, therapeutic consideration should be personalized with proper informed consent of the patient

  11. La libertad condicional en el caso de enfermos graves de cáncer

    de las Heras Vives, Luis

    2015-01-01

    El presente trabajo tiene como objetivo ofrecer una visión práctica sobre el instituto de la libertad condicional en el caso de enfermos graves de cáncer. En primer lugar, se realiza un análisis de la normativa aplicable y delimita el concepto de 'enfermedad muy grave'. En segundo lugar, se exponen los argumentos jurídico-éticos que la justifican, así como los criterios utilizados por la jurisprudencia a la hora de ponderar los bienes y derechos en conflicto, a saber; el derecho a la vida del...

  12. Hipertrigliceridemia familiar grave durante a gestação Severe familial hypertriglyceridemia during pregnancy

    Luiz Augusto Casulari; Myrian Wesgueber; Ricardo Cassiano B. Silva; Henrique F. Soares; Lucilia Domingues

    2001-01-01

    A presença de hipertrigliceridemia grave durante a gravidez é rara, mas comporta grande possibilidade de desenvolver complicações, como a pancreatite aguda, que coloca em risco a mãe e o feto. Apresentamos o relato da evolução da gestação de uma paciente portadora de hipertrigliceridemia grave que havia apresentado pancreatite aguda dois meses antes da fecundação. Foi tratada durante o pré-natal com dieta e 3,0 g de ácidos graxos de cadeia ômega-3 (ácidos eicosapentaenóico 14% e docosahexaenó...

  13. ¿Hay diferencias entre la violencia grave y la violencia menos grave contra la pareja?: un análisis comparativo

    Enrique Echeburúa

    2008-01-01

    Full Text Available En este estudio ex post facto se lleva a cabo una descripción de las características presentadas por 1.081 casos denunciados por violencia contra la mujer en las comisarías de la Ertzaintza del País Vasco. En primer lugar, se presentan las variables psicológicas y sociodemográficas del agresor y de la víctima, así como de la relación de pareja. Y en segundo lugar, se determinan las diferencias más significativas entre la violencia grave y la violencia menos grave en relación con esas mismas variables. Los resultados ponen de manifiesto que tanto los agresores como las víctimas tienden a ser jóvenes, con una sobrerrepresentación de agresores y víctimas extranjeros inmigrantes. En el caso de los maltratadores graves, tienden a ser celosos o posesivos, a sentirse humillados por la ruptura de la pareja, lo que redunda directamente en un descenso de su autoestima y a consumir abusivamente alcohol o drogas. Por lo que se refiere a las víctimas de la violencia grave, se suelen sentir con frecuencia en peligro de muerte y están más fácilmente en circunstancias de vulnerabilidad, como una edad muy joven, una personalidad muy dependiente, una situación de enfermedad crónica o de dependencia económica, un consumo de drogas o un entorno de soledad. Se comentan las implicaciones de este estudio para la investigación y para la práctica clínica.

  14. The Roma: People without a Home or Grave

    Vera Klopčič

    2010-12-01

    Full Text Available Although the Roma have been living in Europe for centuries, they still face rejection by majority populations, being treated as undesirable strangers in almost all European countries. Written evidence of their arrival can be traced back to the fourteenth and fifteenth centuries. There are many legends and myths about their origins and reasons for emigrating from their country of origin. Until recently, the Roma transmitted their own history only as oral tradition. One of the best-known contemporary Roma intellectuals, journalist and writer Rajko Djurić, picturesquely explains the importance of the Romany language for further exploration of Roma culture and their origin: “Romany is the only book they brought from India; it constitutes their collective memory and reflects the views of this people, to themselves, to the world, and to other peoples. Their language is an inventory of the material and spiritual culture to which they once belonged, and contains elements of culture of other peoples that they came into contact with during their long and yet insufficiently studied journey.” When the Roma arrived in Europe, their lifestyle differed significantly from that of other European peoples. As a result, majorities and other groups in Europe intervened in their lives for centuries. They were forced to abandon their nomadic way of life. In the past, authorities often expelled them from their territory and they did not enjoy legal protection when violence or crimes were committed against them. Living in isolated settlements, excluded from social life, segregated, and discriminated against by others, they lived on the margins as a people without a home or a grave. At the same time, they established their parallel world as a system of social norms valid within their community, and within it all non-Roma were perceived as gadje ‘outsiders’. Roma legends explain the reasons for their nomadic way of life: they contain stories of persecution and

  15. Accident management insights from IPE's

    In response to the U.S. Nuclear Regulatory Commission's Generic Letter 88-20, each utility in the U.S.A. has undertaken a probabilistic severe accident study of each plant. This paper provides a high level summary of the generic PWR accident management insights that have been obtained from the IPE reports. More importantly, the paper details some of the limitations of the IPE studies with respect to accident management. The IPE studies and the methodology used was designed to provide a best estimate of the potential for a severe accident and/or for severe consequences from a core damage accident. The accepted methodology employs a number of assumptions to make the objective attainable with a reasonable expenditure of resources. However, some of the assumptions represent limitations with respect to developing an accident management program based solely on the IPE and its results. (author)

  16. TSH receptor antibody titers measured with a third-generation assay did not reflect the activity of Graves' ophthalmopathy in untreated Japanese Graves' disease patients.

    Mukasa, Koji; Yoshimura Noh, Jaeduk; Kouzaki, Ai; Ohye, Hidemi; Kunii, Yo; Watanabe, Natsuko; Yoshihara, Ai; Matsumoto, Masako; Suzuki, Miho; Ito, Koichi

    2016-02-29

    TSH receptor antibody (TRAb) titer has been reported to be correlated with Graves' ophthalmopathy (GO). However, the correlation between GO activity and TRAb titer assessed with a third-generation assay has not been reported. We enrolled 238 untreated Graves' disease patients who came to the outpatient clinic of Ito Hospital and 28 patients who were euthyroid. All of the patients were assessed for GO by an ophthalmologist within 3 months of their initial visit to Ito Hospital. Clinical activity score (CAS), short inversion time inversion recovery (STIR), and sum of the maximum external orbital muscle areas (SEOMA) on a frontal sectional magnetic resonance imaging (MRI). The TRAb titer was significantly higher in patients with inactive ophthalmopathy (the inactive-GO group) than in patients with active ophthalmopathy (the active-GO group) (17.7 ± 13.5 IU/L vs 13.0 ± 13.1 IU/L, p=0.0082). The SEOMA values were not correlated with TRAb titer. The prevalence of active-GO was higher in euthyroid patients than in hyperthyroid patients although the difference was not significant. In conclusion, TRAb titer measured with a third-generation assay dose not correlate with GO activity based on MRI findings in untreated Graves' disease patients, and the prevalence of active-GO is higher in euthyroid patients with lower TRAb titers than in hyperthyroid patients. PMID:26581710

  17. Accident management insights after the Fukushima Daiichi NPP accident

    The Fukushima Daiichi nuclear power plant (NPP) accident, that took place on 11 March 2011, initiated a significant number of activities at the national and international levels to reassess the safety of existing NPPs, evaluate the sufficiency of technical means and administrative measures available for emergency response, and develop recommendations for increasing the robustness of NPPs to withstand extreme external events and beyond design basis accidents. The OECD Nuclear Energy Agency (NEA) is working closely with its member and partner countries to examine the causes of the accident and to identify lessons learnt with a view to the appropriate follow-up actions to be taken by the nuclear safety community. Accident management is a priority area of work for the NEA to address lessons being learnt from the accident at the Fukushima Daiichi NPP following the recommendations of Committee on Nuclear Regulatory Activities (CNRA), Committee on the Safety of Nuclear Installations (CSNI), and Committee on Radiation Protection and Public Health (CRPPH). Considering the importance of these issues, the CNRA authorised the formation of a task group on accident management (TGAM) in June 2012 to review the regulatory framework for accident management following the Fukushima Daiichi NPP accident. The task group was requested to assess the NEA member countries needs and challenges in light of the accident from a regulatory point of view. The general objectives of the TGAM review were to consider: - enhancements of on-site accident management procedures and guidelines based on lessons learnt from the Fukushima Daiichi NPP accident; - decision-making and guiding principles in emergency situations; - guidance for instrumentation, equipment and supplies for addressing long-term aspects of accident management; - guidance and implementation when taking extreme measures for accident management. The report is built on the existing bases for capabilities to respond to design basis

  18. Role of insulin-like growth factor-1 (IGF-1) pathway in the pathogenesis of Graves' orbitopathy

    Smith, Terry J; Hegedüs, Laszlo; Douglas, Raymond S

    2012-01-01

    The etiology of Graves' orbitopathy (GO) remains enigmatic and thus controversy surrounds its pathogenesis. The role of the thyroid stimulating hormone receptor (TSHR) and activating antibodies directed against it in the hyperthyroidism of Graves' disease (GD) is firmly established. Less well elu...

  19. Application of new therapies in Graves' disease and thyroid-associated ophthalmopathy: animal models and translation to human clinical trials

    Banga, J Paul; Nielsen, Claus H; Gilbert, Jacqueline A;

    2008-01-01

    immunosuppression. The recent development of an induced model of experimental Graves' disease, although incomplete as it lacks the extrathyroidal manifestations, provided opportunities to investigate immune intervention strategies, including influence upon the autoreactive B and T cell players in the autoimmune...... process. These major advances are generating new possibilities for therapeutic interventions for patients with Graves' disease and TAO....

  20. Accident management approach in Armenia

    In this lecture the accident management approach in Armenian NPP (ANPP) Unit 2 is described. List of BDBAs had been developed by OKB Gydropress in 1994. 13 accident sequences were included in this list. The relevant analyses had been performed in VNIIAES and the 'Guidelines on operator actions for beyond design basis accident (BDBA) management at ANPP Unit 2' had been prepared. These instructions are discussed

  1. Chernobyl reactor accident

    Following the accident at Chernobyl nuclear reactor, WHO organized on 6 May 1986 in Copenhagen a one day consultation of experts with knowledge in the fields of meteorology, radiation protection, biological effects, reactor technology, emergency procedures, public health and psychology in order to analyse the development of events and their consequences and to provide guidance as to the needs for immediate public health action. The present report provides detailed information on the transportation and dispersion of the radioactive material in the atmosphere, especially volatile elements, during the release period 26 April - 5 May. Presented are the calculated directions and locations of the radioactive plume over Europe in the first 5 days after the accident, submitted by the Swedish Meteorological and Hydrological Institute. The calculations have been made for two heights, 1500m and 750m and the plume directions are grouped into five periods, covering five European areas. The consequences of the accident inside the USSR and the radiological consequences outside the USSR are presented including the exposure routes and the biological effects, paying particular attention to iodine-131 effects. Summarized are the first reported measured exposure rates above background, iodine-131 deposition and concentrations in milk and the remedial actions taken in various European countries. Concerning the cesium-137 problem, based on the UNSCEAR assessment of the consequences of the nuclear fallout, one concludes that the cesium contamination outside the USSR is not likely to cause any serious problems. Finally, the conclusions and the recommendations of the meeting, taking into account both the short-term and longer term considerations are presented

  2. 2012 Indice de la faim dans le monde:: Relever le defi de la faim: Assurer une sécurité alimentaire durable dan un monde sous contraintes en eau, en énergie et en terres

    von Grebmer, Klaus; Ringler, Claudia; Rosegrant, Mark W.; Olofinbiyi, Tolulope; Wiesmann, Doris; Fritschel, Heidi; Badiane, Ousmane; Torero, Maximo; Yohannes, Yisehac; Thompson, Jennifer; von Oppeln, Constanze; Rahall, Joseph

    2012-01-01

    Selon l’Indice de la faim dans le monde 2012 (GHI), la faim dans le monde a quelque peu diminué depuis 1990 mais reste « grave ». La moyenne mondiale masque des écarts importants entre les régions et les pays. A l’échelle régionale, ce sont l’Asie du Sud et l’Afrique subsaharienne qui obtiennent les scores GHI les plus élevés. L’Asie du Sud a considérablement diminué son score GHI entre 1990 et 1996, notamment en réduisant le nombre d’enfants souffrant d’insuffisance pondérale, mais n’a pas p...

  3. Serious accident in Peru

    A peruvian man, victim of an important accidental irradiation arrived on the Saturday twenty ninth of may 1999 to the centre of treatment of serious burns at the Percy military hospital (Clamart -France). The accident spent on the twentieth of February 1999, on the site of a hydroelectric power plant, in construction at 300 km at the East of Lima. The victim has picked up an industrial source of iridium devoted to gamma-graphy operations and put it in his back pocket; of trousers. The workman has serious radiation burns. (N.C.)

  4. The accident of Chernobyl

    RBMK reactors (reactor control, protection systems, containment) and the nuclear power plant of Chernobyl are first presented. The scenario of the accident is given with a detailed chronology. The actions and consequences on the site are reviewed. This report then give the results of the source term estimation (fision product release, core inventory, trajectories, meteorological data...), the radioactivity measurements obtained in France. Health consequences for the French population are evoked. The medical consequences for the population who have received a high level of doses are reviewed

  5. Accident prevention programme

    This study by the Steel Industry Safety and Health Commission was made within the context of the application by undertakings of the principles of accident and disease prevention previously adopted by the said Commission. It puts forward recommendations for the effective and gradual implementation of a programme of action on occupational health and safety in the various departments of an undertaking and in the undertaking as a whole. The methods proposed in this study are likely to be of interest to all undertakings in the metallurgical industry and other industrial sectors

  6. Psychological response of accident

    The psychological status of rescuers of consequences of Chernobyl[s accidents, having planned stationary examination and treatment of common somatic diseases, has been examined. THe age of men represented the study group was 35-54 years old. The results of medical-psychological examination showed the development in rescuers of common dysadaptation and stress state, characterized by depressive-hypochondriac state with high anxiety. The course of psychotherapeutic activities made possible to improve essentionally the psychological status of the patients. 12 refs., 3 figs., 1 tab

  7. Reactor accident in Chernobyl

    The bibliography contains 1568 descriptions of papers devoted to Chernobylsk accident and recorded in ''INIS Atomindex'' to 30 June 1990. The descriptions were taken from ''INIS Atomindex'' and are presented in accordance with volumes of this journal (chronology of recording). Therefore all descriptions have numbers showing first the number of volume and then the number of record. The bibliography has at the end the detailed subject index consisting of 465 main headings and a lot of qualifiers. Some of them are descriptors taken from ''INIS Atomindex'' and some are key words taken from natural language. The index is in English as descriptions in the bibliography. (author)

  8. CAMS: Computerized Accident Management Support

    The OECD Halden Reactor Project has initiated a new research programme on computerised accident management support, the so-called CAMS project (CAMS = Computerized Accident Management Support). This work will investigate the possibilities for developing systems which provide more extensive support to the control room staff and technical support centre than the existing SPDS (Safety Parameter Display System) type of systems. The CAMS project will utilize available simulator codes and the capabilities of computerized tools to assist the plant staff during the various accident stages including: identification of the accident state, assessment of the future development of the accident, and planning accident mitigation strategies. This research programme aims at establishing a prototype system which can be used for experimental testing of the concept and serve as a tool for training and education in accident management. The CAMS prototype should provide support to the staff when the plant is in a normal state, in a disturbance sate, and in an accident state. Even though better support in an accident state is the main goal of the project, it is felt to be important that the staff is familiar with the use of the system during normal operation, when they utilize the system during transients

  9. Iodine releases from reactor accidents

    The airborne releases of iodine from water reactor accidents are small fractions of the available iodine and occur only slowly. However, in reactor accidents in which water is absent, the release of iodine to the environment can be large and rapid. These differences in release fraction and rate are related to the chemical states attained by iodine under the accident conditions. It is clear that neither rapid issue of blocking KI nor rapid evacuation of the surrounding population is required to protect the public from the radioiodine released in the event of a major water reactor accident

  10. Guidance on accidents involving radioactivity

    This annex contains advice to Health Authorities on their response to accidents involving radioactivity. The guidance is in six parts:-(1) planning the response required to nuclear accidents overseas, (2) planning the response required to UK nuclear accidents a) emergency plans for nuclear installations b) nuclear powered satellites, (3) the handling of casualties contaminated with radioactive substances, (4) background information for dealing with queries from the public in the event of an accident, (5) the national arrangements for incident involving radioactivity (NAIR), (6) administrative arrangements. (author)

  11. Antropologi dan Jaringannya di Indonesia

    Jonris G. Purba

    2009-01-01

    Jika melihat tulisan ini sepintas dari judulnya, maka kita akan bertanya mengapa antropologi mempunyai jaringan. Di samping itu kita juga akan bertanya: jaringan seperti apa yang ada dalam antropologi itu? Bagaimana terbentuknya jaringan itu? Dan apa yang menjadi latar belakang munculnya jaringan antropologi tersebut? Serta apa saja manfaat dan kegiatan yang dilaksanakan dalam jaringan tersebut? ker-jul2006- (3)

  12. Dimensi Internal Control dan Internal Auditor dalam Acoountability dan Fraud Prevention

    Kartini

    2012-01-01

    KARTINI. Dimensi Internal Control dan Internal Auditor dalam Acoountability dan Fraud Prevention, (dibimbing oleh Basri Hasanuddin sebagai promotor, Gagaring Pagalung dan Darwis Said sebagai ko-promotor) Penelitian ini bertujuan untuk mengetahui apakah dimensi internal control dan internal auditor berpengaruh signifikan terhadap accountability dan fraud prevention pada pemerintah provinsi. Metode peneltian ini termasuk explanatory research dengan unit analisis organisasi, yaitu satuan...

  13. Anxiety and Depression Are More Prevalent in Patients with Graves' Disease than in Patients with Nodular Goitre

    Bové, Kira Bang; Watt, Torquil; Vogel, Asmus Mejling;

    2014-01-01

    BACKGROUND AND OBJECTIVE: Graves' disease has been associated with an increased psychiatric morbidity. It is unclarified whether this relates to Graves' disease or chronic disease per se. The aim of our study was to estimate the prevalence of anxiety and depression symptoms in patients with Graves......' disease compared to patients with another chronic thyroid disease, nodular goitre, and to investigate determinants of anxiety and depression in Graves' disease.METHODS: 157 cross-sectionally sampled patients with Graves' disease, 17 newly diagnosed, 140 treated, and 251 controls with nodular goitre...... completed the Hospital Anxiety and Depression Scale (HADS). The differences in the mean HADS scores between the groups were analysed using multiple linear regression, controlling for socio-demographic variables. HADS scores were also analysed dichotomized: a score >10 indicating probable 'anxiety...

  14. Frères et sœurs ennemis dans la Germanie du xe siècle

    Leleu, Laurence

    2010-01-01

    Alors que les relations familiales sont largement idéalisées dans les sources narratives de l’époque ottonienne comme fondées sur l’entente, la solidarité et l’affection, de nombreux exemples témoignent néanmoins de rapports dans la réalité parfois tendus voire violents à l’intérieur même des fratries et surtout entre frères ou demi-frères, conflits plus ou moins graves et durables qui peuvent avoir des répercutions sur l’ensemble de la parenté. Ils s’expliquent en général par le sentiment d’...

  15. Remodeling dan Repairing Vaskular pada Nefropati Hipertensif

    Rasyid, Haerani; Wijaya, Johnson; Bakri, Syakib

    2011-01-01

    Latar Belakang: Ketidakseimbangan proses remodeling dan repairing vaskular diduga berperan penting pada kekakuan dan ketebalan vaskular yang akhirnya menyebabkan komplikasi hipertensi. Petanda dini komplikasi hipertensi pada ginjal adalah adanya mikroalbuminuria (MA). Tujuan Penelitian: Untuk mengetahui perbedaan konsentrasi TGF-??1 (sebagai petanda remodeling) dan VEGFR-2 (sebagai petanda repairing) pada subyek normotensi, hipertensi normoalbuminuria (NA) dan hipertensi MA. Metode: P...

  16. Radiation accident grips Goiania

    On 13 September two young scavengers in Goiania, Brazil, removed a stainless steel cylinder from a cancer therapy machine in an abandoned clinic, touching off a radiation accident second only to Chernobyl in its severity. On 18 September they sold the cylinder, the size of a 1-gallon paint can, to a scrap dealer for $25. At the junk yard an employee dismantled the cylinder and pried open the platinum capsule inside to reveal a glowing blue salt-like substance - 1400 curies of cesium-137. Fascinated by the luminescent powder, several people took it home with them. Some children reportedly rubbed in on their bodies like carnival glitter - an eerie image of how wrong things can go when vigilance over radioactive materials lapses. In all, 244 people in Goiania, a city of 1 million in central Brazil, were contaminated. The eventual toll, in terms of cancer or genetic defects, cannot yet be estimated. Parts of the city are cordoned off as radiation teams continue washing down buildings and scooping up radioactive soil. The government is also grappling with the political fallout from the accident

  17. Serious reactor accidents reconsidered

    The chance is determined for damage of the reactor core and that sequel events will cause excursion of radioactive materials into the environment. The gravity of such an accident is expressed by the source term. It appears that the chance for such an accident varies with the source term. In general it is valid that how larger the source term how smaller the chance is for it and vice versa. The chance for excursion is related to two complexes of events: serious damage (meltdown) of the reactor core, and the escape of the liberated radionuclides into the environment. The results are an order of magnitude consideration of the relation between the extent of the source term and the chance for it. From the spectrum of possible source terms three representative ones have been chosen: a large, a medium and a relative small source term. This choice is in accordance with international considerations. The hearth of this study is the estimation of the chance for occurrence of the three chosen source terms for new light-water reactors. refs.; figs.; tabs

  18. The natural history and prognostic factors of Graves' disease in Korean children and adolescents

    Seung Min Song

    2010-04-01

    Full Text Available Purpose : Graves' disease is the most common cause of hyperthyroidism in children and adolescents. In this study, we investigated the natural course and the prognostic factors of Graves' disease in Korean children and adolescents. Methods : One-hundred thirteen (88 girls and 25 boys patients were included in this study. A retrospective analysis was made of all patients who were diagnosed with Graves' disease. The following parameters were recorded and analyzed: patient's sex, age at diagnosis, duration of disease, laboratory findings, symptoms and signs, and family history of autoimmune thyroid disease. Results : All patients were initially treated with antithyroid drugs, either methimazole (93.8% or propylthiouracil (6.2%. Antithyroid drugs had been discontinued in 75 (66.4% of 113 patients. Of these 75 patients, 23 (20.4% relapsed after 25.5¡?#?3.7; months. Thirteen (11.5% of 23 patients, who experienced the first relapse, showed a second remission. However, 2 (1.8% of 13 patients relapsed again. Euthyroid state could not be achieved by antithyroid drugs in 1 patient, and radioactive iodine therapy was performed. The older the patient at diagnosis, the greater the likelihood of remission (P =0.034. Conclusion : Age at diagnosis seems to be a prognostic factor in Korean children and adolescents with Graves' disease, and should be taken into account in treatment plan determination.

  19. Regulation mechanisms of pituitary-thyroid axis in normal subjects and patients with Graves' disease

    The regulatory mechanism of the pituitary-thyroid axis in normal subjects and patients with Graves' disease was investigated using a highly sensitive TSH assay based on the immunoradiometric assay. All of the normal subjects had detectable TSH values within the range 0.35 to 6.0 μU/ml. No negative correlations between TSH and free thyroid hormones existed in normal subjects. Patients with thyroid carcinoma who seemed to have normal pituitary-thyroid function showed a rapid increase of TSH after total thyroidectomy. On the other hand, while untreated patients with Graves' disease all had undetectable TSH values, these patients took 1 to 3.5 months longer to normalize their TSH values than to normalize free thyroid hormones on antithyroid drug therapy. During the recovery phase by the treatment with decrease of antithyroid drug or supplement of T4 from iatrogenic hypothyroid state after treatment for Graves' disease and thyroid carcinoma, normalization of TSH levels was delayed than that of free thyroid hormones. Patients with Graves' disease in remission showed an extremely positive correlation between basal and peak TSH levels in TRH test, and a negative correlation between basal TSH and FT4. In conclusion, an individual patient may have a different set point concerning the regulatory mechanism of the pituitary-thyroid axis, and the persistence of the hyperthyroid state would seem to have caused some reversible dysfunction of the pituitary gland. (author)

  20. B lymphocyte depletion with the monoclonal antibody rituximab in Graves' disease: a controlled pilot study

    El Fassi, Daniel; Nielsen, Claus H; Bonnema, Steen J; Hasselbalch, Hans K; Hegedüs, Laszlo

    2007-01-01

    Graves' disease (GD) is a common TSH receptor autoantibody (TRAb)-mediated disorder. Because B lymphocytes are important self-antigen presenting cells and precursors for antibody-secreting plasma cells, temporary B-lymphocyte depletion with the monoclonal antibody rituximab (RTX) might be of...

  1. Multiple Fractures in Patient with Graves' Disease Accompanied by Isolated Hypogonadotropic Hypogonadism.

    Yi, Hyon-Seung; Kim, Ji Min; Ju, Sang Hyeon; Lee, Younghak; Kim, Hyun Jin; Kim, Koon Soon

    2016-02-01

    Isolated hypogonadotropic hypogonadism (IHH) is known to decrease bone mineral density due to deficiency of sex steroid hormone. Graves' disease is also an important cause of secondary osteoporosis. However, IHH does not preclude the development of primary hyperthyroidism caused by Graves' disease, leading to more severe osteoporosis rapidly. Here, we describe the first case of 35-year-old Asian female patient with IHH accompanied by Graves' disease and osteoporosis-induced multiple fractures. Endocrine laboratory findings revealed preserved anterior pituitary functions except for secretion of gonadotropins and showed primary hyperthyroidism with positive autoantibodies. Sella magnetic resonance imaging showed slightly small sized pituitary gland without mass lesion. Dual energy X-ray absorptiometry revealed severe osteoporosis in lumbar spine and femur neck of the patient. Plain film radiography of the pelvis and shoulder revealed a displaced and nondisplaced fracture, respectively. After surgical fixation with screws for the femoral fracture, the patient was treated with antithyroid medication, calcium, and vitamin D until now and has been recovering fairly well. We report a patient of IHH with Graves' disease and multiple fractures that is a first case in Korea. PMID:26981520

  2. 77 FR 23196 - Native American Graves Protection and Repatriation Act Regulations

    2012-04-18

    ... American Tribal Governments'' (59 FR 22951, April 29, 1994); Executive Order 13175, ``Consultation and... Office of the Secretary 43 CFR Part 10 RIN 1024-AD99 Native American Graves Protection and Repatriation... Secretary of the Interior (Secretary) is responsible for implementation of the Native American...

  3. 77 FR 74874 - Native American Graves Protection and Repatriation Review Committee: Meeting

    2012-12-18

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meeting AGENCY... Federal Advisory Committee Act, 5 U.S.C. Appendix (1988), of a telephonic meeting of the Native American... Advisory Committee Act, 5 U.S.C. Appendix (1988), of a telephonic meeting of the Native American...

  4. 78 FR 16295 - Native American Graves Protection and Repatriation Review Committee: Meeting

    2013-03-14

    ... National Park Service Native American Graves Protection and Repatriation Review Committee: Meeting AGENCY... the Federal Advisory Committee Act, 5 U.S.C. Appendix (1988), of a meeting of the Native American... previously noticed in the Federal Register (77 FR 53228-53229, August 31, 2012), to occur on May 22-23,...

  5. 48 CFR 352.242-72 - Native American Graves Protection and Repatriation Act.

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Native American Graves Protection and Repatriation Act. 352.242-72 Section 352.242-72 Federal Acquisition Regulations System HEALTH AND HUMAN SERVICES CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 352.242-72 Native...

  6. Clinical value of serum TRAb levels determination in diagnosis of Graves's disease

    Objective: To investigate the clinical diagnostic value of serum TRAb levels determination in patients with Graves' disease. Methods: Serum TRAb (with RRA), FT3, FT4, TSH (with CLIA) levels were measured in 223 patients with Graves' disease both before and 6, 12, 36 months after treatment with antithyroid drugs (ATD) as well as in 50 controls. Results: Positive rate of serum TRAb was 93.3% in patients with Graves' disease before treatment. Six months after ATD therapy the positive rate dropped to 41.3%, being still significantly higher than that in controls (P<0.05). The TRAb positive rate dropped steadily with 12 (18.3% ), 24 (8.9% ) and 36 months (4.9%) of ATD treatment. In the 21 patients who had hyperthyroidism recurred after the course of treatment, TRAb remained positive in 18 of them (80.7%). Conclusion: Persistent positive TRAb despite euthyroid status in patients with Graves' disease after seemingly successful ATD treatment donates persistent immunodysfunction and possible recurrence. It is mandatory to continue ATD treatment until TRAb negative. (authors)

  7. Metastatic papillary carcinoma of the thyroid in a patient previously treated for Graves' disease.

    Yunusa, Garba H; Kotze, Tessa; Brink, Anita

    2014-01-01

    Incidental papillary carcinoma of the thyroid in patients treated surgically for benign thyroid diseases including Graves' disease is a known phenomenon. However, the management of these patients remains an issue of concern and controversy for those who care for them. We report a case of metastatic papillary carcinoma of the thyroid in a patient previously treated for Graves' disease. The subject of this presentation is a 50-year-old lady who was diagnosed with Graves' disease at the age of 29, for which she had a subtotal thyroidectomy following failure of medical and radioactive iodine treatment. Three years later, the patient was referred to our nuclear medicine department with a clinical diagnosis of suspected metastatic lymph nodes presumably from a thyroid malignancy.She had an 123I diagnostic whole body scan that showed 123I avid areas in the thyroid bed as well as left cervical lymph nodes, which later turned out to be metastatic papillary carcinoma of the thyroid on histology. She was treated with therapeutic doses of 131I. Follow-up radioactive iodine scans and serum thyroglobulin assays showed no evidence of malignant thyroid tissue. The occurrence of papillary carcinoma of the thyroid after a subtotal thyroidectomy for Graves' disease is hereby reported. The need for vigilance and regular follow-up in patients who receive all forms of treatment for benign thyroid diseases is emphasized. PMID:24705115

  8. Heterotopic relation between media and materiality in children's online memorials and on children's graves

    Sandvik, Kjetil; Christensen, Dorthe Refslund

    In this paper we analyze how bereaved parents make use of various media-strategies on online memorial sites and on children’s graves when performing processes of grief and commemoration for their stillborns and infants, and how these processes are not just linked to one particular media but take...

  9. Euthyroid and primarily hypothyroid patients develop milder and significantly more asymmetric Graves ophthalmopathy

    Eckstein, Anja; Loesch, Christian; Glowacka, Diana; Schott, Matthias; Mann, Klaus; Esser, Joachim; Morgenthaler, Nils G

    2009-01-01

    Abstract Background and aims: Retrospective, observational study to compare clinical symptoms and TSH-receptor antibodies (TRAb) in Graves' ophthalmopathy (GO) in euthyroid and primarily hypothyroid patients to those in hyperthyroid patients. Methods: Clinical symptoms (NOSPECS [severity] and CAS [activity] score), prevalence and levels of thyroid specific antibodies and the course of the disease were evaluated in 143 primarily hyperthyroid, 28 primarily euthyroid an...

  10. B lymphocyte depletion with the monoclonal antibody rituximab in Graves' disease: a controlled pilot study

    El Fassi, Daniel; Nielsen, Claus H; Bonnema, Steen J; Hasselbalch, Hans C; Hegedüs, Laszlo

    2007-01-01

    CONTEXT: Graves' disease (GD) is a common TSH receptor autoantibody (TRAb)-mediated disorder. Because B lymphocytes are important self-antigen presenting cells and precursors for antibody-secreting plasma cells, temporary B-lymphocyte depletion with the monoclonal antibody rituximab (RTX) might b...

  11. The role of TSH receptor antibodies in the management of Graves' disease.

    Matthews, David C; Syed, Akheel A

    2011-06-01

    The central role of thyrotropin receptor antibodies (TRAbs) in the pathogenesis of Graves' disease has been recognised for several decades. However, the practical application of testing for TRAbs in clinical decision making remains the subject of controversy. The diagnosis of Graves' disease can be made in most cases simply based on a patient's clinical presentation. The TRAb test is therefore of most value in ambiguous clinical scenarios such as in the differential diagnosis of unilateral exophthalmos, euthyroid Graves' ophthalmopathy, subclinical hyperthyroidism, thyrotoxicosis associated with hyperemesis gravidarum, amiodarone-induced thyrotoxicosis and painless thyroiditis. It may also have a role in predicting the risk of a recurrence of Graves' disease following a course of antithyroid drug treatment. One further clinical utility of the TRAb test is in pregnancy where antibody titre measured during the third trimester is used to predict the risk of neonatal thyroid dysfunction. The TRAb titre not only aids in clinching a difficult diagnosis but can also help guide treatment in some patients. Although the TRAb assay has become more affordable in recent years, cost remains an important factor when considering its use routinely. Nonetheless, this is an underutilised blood test that could augment standard endocrine investigations in the differential diagnosis of hyperthyroidism. PMID:21570635

  12. Miastenia grave induzida por D-penicilamina em paciente com esclerose sistêmica progressiva

    Paulo E. Marchiori; Milberto Scaff; Wilson Cossermelli; J. Lamartine de Assis

    1984-01-01

    Relato de caso de miastenia grave induzida por D-penicilamina. São descutidos os possíveis mecanismos etiopatogênicos envolvidos no desencadeamento da doença e é salientada a presença de anticorpo anti-receptor de acetilcolina e hiperplasia tímica na DPA-MG.

  13. Miastenia grave induzida por D-penicilamina em paciente com esclerose sistêmica progressiva

    Paulo E. Marchiori

    1984-12-01

    Full Text Available Relato de caso de miastenia grave induzida por D-penicilamina. São descutidos os possíveis mecanismos etiopatogênicos envolvidos no desencadeamento da doença e é salientada a presença de anticorpo anti-receptor de acetilcolina e hiperplasia tímica na DPA-MG.

  14. A Danish Early Germanic Iron Age Grave with Tablet Woven Cuffs

    Mannering, Ulla; Knudsen, Lise Ræder

    This article presents exciting new textile information from a Danish Early Germanic Iron Age grave at Broedbaek, North West Jutland, where tiny little fragments of textiles were found on metal clasps and brooches. Some of the textiles appeared to be made in a so far unknown tablet weaving technique....

  15. Clinical significance of monitoring of serum TRAb in pregnant women with graves' disease treated by propylthiouracil

    Objective: To discuss the change of serum TRAb and changeable regularity of thyroid function and clinical significance of pregnant women with Graves' diease treated by propylthiouracil. Methods: Detecting the serum TRAb, FT3, FT4, TSH levels of pregnant women with Graves' disease treated by propylthiouracil using radioreceptor assay and electro chemiluminescence. Results: The serum TRAb level of the pregnant women with Graves' disease in early gestation treated by propylthiouracil descended much more than that in the initial diagnosis (P<0.01). The positive rates of TRAb in the women before treated by propylthiouracil and treated 3 months, 6 months, 8 months were 90.2%, 82.9%, 68.2% and 21.9% separately. The activity of TRAb descended slightly 3 months latter after treated. The activity of TRAb descend obviously and the positive rates changed largely 8 months after treated. Conclusion: There is very important clinical significance of monitoring of serum TRAb in pregnant women with Graves' disease in diagnosis and differential diagnosis and observation of therapeutic effects. Also, a favourable prognosis judgement. Meanwhile, provides significant reference index of pathogenetic condition judgement and drug discontinuance whether or not for the clinician. (authors)

  16. The archaeology of early medieval violence: the mass grave at Budeč, Czech Republic

    Štefan, I.; Stránská, Petra; Vondrová, H.

    2016-01-01

    Roč. 90, č. 351 (2016), s. 759-776. ISSN 0003-598X Institutional support: RVO:67985912 Keywords : Czech Republic * Bohemia * Budeč * tenth-eleventh centuries * early medieval * mass grave * violence * warfare Subject RIV: AC - Archeology, Anthropology, Ethnology Impact factor: 1.717, year: 2014

  17. Subclinical Hypothyroidism after 131I-Treatment of Graves' Disease: A Risk Factor for Depression?

    Jing Yu

    Full Text Available Although it is well accepted that there is a close relationship between hypothyroidism and depression, previous studies provided inconsistent or even opposite results in whether subclinical hypothyroidism (SCH increased the risk of depression. One possible reason is that the etiology of SCH in these studies was not clearly distinguished. We therefore investigated the relationship between SCH resulting from 131I treatment of Graves' disease and depression.The incidence of depression among 95 patients with SCH and 121 euthyroid patients following 131I treatment of Graves' disease was studied. The risk factors of depression were determined with multivariate logistic regression analysis. Thyroid hormone replacement therapy was performed in patients with thyroid-stimulating hormone (TSH levels exceeding 10 mIU/L.Patients with SCH had significantly higher Hamilton Depression Scale scores, serum TSH and thyroid peroxidase antibody (TPOAb levels compared with euthyroid patients. Multivariate logistic regression analysis revealed SCH, Graves' eye syndrome and high serum TPO antibody level as risk factors for depression. L-thyroxine treatment is beneficial for SCH patients with serum TSH levels exceeding 10 mIU/L.The results of the present study demonstrated that SCH is prevalent among 131I treated Graves' patients. SCH might increase the risk of developing depression. L-thyroxine replacement therapy helps to resolve depressive disorders in SCH patients with TSH > 10mIU/L. These data provide insight into the relationship between SCH and depression.

  18. BENTUK DAN ISI MANTRA

    Edi Suwatno

    2004-01-01

    Mantra (magic formula) is a speech that invites an inscrutable power to heal, to expel ghost, ask rain, deliver accident, etc. Based on poetic principles, mantra is structured from words order element such as poetry like rhyme, song; that is considered as elements of inscrutable power spoken by dukun or pawang to protect from other inscrutable power. Mantra manifests to various things/ways. It could be poetry, pantun (traditional poetry), kidung, song, or lyrics, and lyric prose. Mantra also ...

  19. Expert software for accident identification

    Each type of an accident in a Nuclear Power Plant (NPP) causes immediately after the start of the accident variations of physical parameters that are typical for that type of the accident thus enabling its identification. Examples of these parameter are: decrease of reactor coolant system pressure, increase of radiation level in the containment, increase of pressure in the containment. An expert software enabling a fast preliminary identification of the type of the accident in Krsko NPP has been developed. As input data selected typical parameters from Emergency Response Data System (ERDS) of the Krsko NPP are used. Based on these parameters the expert software identifies the type of the accident and also provides the user with appropriate references (past analyses and other documentation of such an accident). The expert software is to be used as a support tool by an expert team that forms in case of an emergency at Slovenian Nuclear Safety Administration (SNSA) with the task to determine the cause of the accident, its most probable scenario and the source term. The expert software should provide initial identification of the event, while the final one is still to be made after appropriate assessment of the event by the expert group considering possibility of non-typical events, multiple causes, initial conditions, influences of operators' actions etc. The expert software can be also used as an educational/training tool and even as a simple database of available accident analyses. (author)

  20. Health Problems in Radiation Accidents

    The authors define a radiation accident as a situation which has led or could have led to the unexpected irradiation of persons or contamination of the environment over and above the levels accepted as safe. Several categories of accidents are distinguished as a function of the consequences to be expected. The suggested system of classifying accidents makes it possible to plan post-accident measures within a single system of 'concentric circles', taking into account at the same time whether it will be possible to carry out the post-accident measures unaided or whether it will be necessary to bring in additional manpower and resources from outside. The authors consider the possibility of countering the effects of accidents as a function of their nature, with reference to the biological, economic and psychological aspects. They evaluate the part played by the health service in planning and carrying out accident prevention measures, and consider the function of radiological units attached to epidemiological health stations ; these units are essentially centres providing for precautionary measures to avert accidents and action to counter their effects. (author)

  1. Containment severe accident thermohydraulic phenomena

    This report describes and discusses the containment accident progression and the important severe accident containment thermohydraulic phenomena. The overall objective of the report is to provide a rather detailed presentation of the present status of phenomenological knowledge, including an account of relevant experimental investigations and to discuss, to some extent, the modelling approach used in the MAAP 3.0 computer code. The MAAP code has been used in Sweden as the main tool in the analysis of severe accidents. The dependence of the containment accident progression and containment phenomena on the initial conditions, which in turn are heavily dependent on the in-vessel accident progression and phenomena as well as associated uncertainties, is emphasized. The report is in three parts dealing with: * Swedish reactor containments, the severe accident mitigation programme in Sweden and containment accident progression in Swedish PWRs and BWRs as predicted by the MAAP 3.0 code. * Key non-energetic ex-vessel phenomena (melt fragmentation in water, melt quenching and coolability, core-concrete interaction and high temperature in containment). * Early containment threats due to energetic events (hydrogen combustion, high pressure melt ejection and direct containment heating, and ex-vessel steam explosions). The report concludes that our understanding of the containment severe accident progression and phenomena has improved very significantly over the parts ten years and, thereby, our ability to assess containment threats, to quantify uncertainties, and to interpret the results of experiments and computer code calculations have also increased. (au)

  2. First Responders and Criticality Accidents

    Valerie L. Putman; Douglas M. Minnema

    2005-11-01

    Nuclear criticality accident descriptions typically include, but do not focus on, information useful to first responders. We studied these accidents, noting characteristics to help (1) first responders prepare for such an event and (2) emergency drill planners develop appropriate simulations for training. We also provide recommendations to help people prepare for such events in the future.

  3. Severe accident recriticality analyses (SARA)

    Frid, W.; Højerup, C.F.; Lindholm, I.;

    2001-01-01

    Recriticality in a BWR during reflooding of an overheated partly degraded core, i.e. with relocated control rods, has been studied for a total loss of electric power accident scenario. In order to assess the impact of recriticality on reactor safety, including accident management strategies, the ...

  4. The Chernobyl accident. Appendix B

    In appendix B, the models introduced in chapter 6 are applied to the study of the Chernobyl accident. This event is very important in the teaching of nuclear engineering, and I have included in this Appendix a relatively detailed description of the accident. However, the analysis is limited to the physics of the relevant phenomena. (author)

  5. Preventing accidents at intake towers

    Villegas, F. (INTEGRAL S.A., Medellin, CO (United States))

    1994-03-01

    Strong air blow-outs occurring in the intake tower of Guatape Hydroelectric Power Plant in Colombia have caused two serious accidents recently. The causes of the accidents were investigated and recommendations are made here to prevent future repetitions of these dangerous events. (UK)

  6. Occupational accidents aboard merchant ships

    Hansen, H; Nielsen, D; Frydenberg, M

    2002-01-01

    Objectives: To investigate the frequency, circumstances, and causes of occupational accidents aboard merchant ships in international trade, and to identify risk factors for the occurrence of occupational accidents as well as dangerous working situations where possible preventive measures may be initiated.

  7. PENINGKATAN KUALITAS DAN PROSES PEMBUATAN BIODIESEL DARI BLENDING MINYAK KELAPA SAWIT (PALM OIL) DAN MINYAK KELAPA (COCONUT OIL) DAN BANTUAN GELOMBANG ULTRASONIK

    Hantoro Satriadi; Favian Nafiega; W Widayat; Rheza Dipo

    2015-01-01

    Keterbatasan solar sebagai sumber energi bahan bakunya tidak dapat diperbaharui menuntut adanya bahan baku alternatif yang dapat diperbaharui dan ramah lingkungan untuk pembuatan biodiesel. Reaksi utama produksi biodiesel adalah esterifikasi dan transestirifikasi yang berlangsung lambat dan membutuhkan banyak katalis dan alkohol. Reaksi yang terjadi belum sempurna dan belum memenuhi standar SNI dan ASTM. Untuk memperbaiki mutu biodiesel serta menghasilkan yield maksimal, maka dilakukan blendi...

  8. Efficiency of radioiodine therapy in Graves disease and adenoma toxicum and incidence of hypothyroidism

    The aim of the this study was to evaluate different states in hyperthyroid patients and incidence of hypothyroidism after I-131 therapy.We observed a total of 184 hyperthyroid pts, from which 108(58,7%)pts with Graves' disease,65(35,3%)pts with single toxicum nodule and 11(6%)pts with toxicum multinodular goitre,treated with radioiodine therapy during the period 1986-2001.Dose of I-131 orally administered ranged 150-1100MBq and was calculated according to the 'MBq/gram' method.The radioiodine-131 therapy was performed once in 69,5%(128/184)pts,twice in 21,2%(39/184)pts and in 9,3%(17/184)pts more than two doses. Completely cured of hyperthyroidism occurred in 61%(66/108)pts with Graves' disease,81,8%(9/11)pts with toxic multinodular goiter and 90,7%(59/65)pts with single toxic nodule. The patients in our study were evaluated 6 months to 15 years after received J-131 therapy. Incidence of early hypothyroidism within one year was 23,1%(25/108) in Graves' disease,9%(1/11) in toxic multinodular goiter and 4,6%(3/65) with single toxicum nodule.Overall incidence of hypothyroidism within one year was 17,6% and had cumulative increase of Graves' disease every following year approximately for 3%,while for adenoma toxicum there was no any significant changes. We concluded that radioiodine therapy is simple,comfortable radical method for medical treatment of hyperthyroidism and indicate higher incidence of hypothyroidism in patients treated with I-131 for Graves' disease than that of patients treated for toxicum multinodular goiters and single toxic nodule

  9. Probability of spent fuel transportation accidents

    McClure, J. D.

    1981-07-01

    The transported volume of spent fuel, incident/accident experience and accident environment probabilities were reviewed in order to provide an estimate of spent fuel accident probabilities. In particular, the accident review assessed the accident experience for large casks of the type that could transport spent (irradiated) nuclear fuel. This review determined that since 1971, the beginning of official US Department of Transportation record keeping for accidents/incidents, there has been one spent fuel transportation accident. This information, coupled with estimated annual shipping volumes for spent fuel, indicated an estimated annual probability of a spent fuel transport accident of 5 x 10/sup -7/ spent fuel accidents per mile. This is consistent with ordinary truck accident rates. A comparison of accident environments and regulatory test environments suggests that the probability of truck accidents exceeding regulatory test for impact is approximately 10/sup -9//mile.

  10. Pathomorphological study of homopoietic organs in subjects dead from radiation disease after the Chernobyl power plant accident

    Hemopoietic organs (bone marrow, spleen, lymph nodes) of 27 subjects who died of acute radiation disease that ran a severe or an extremely grave course after the Chernobyl power lant accident were examined at the light optic and ultrastructural levels. The morphologic changes thatr could be traced can be classified within three periods: aplastic condition (2-3 weeks following the irradiation), initial signs of recovery (3-4 weeks after the irradiation), and active recovery (more than 4 weeks after the irradiation). A compensatory exlotension of the hemopoietic base at the expense of myeloid transformation of the fatty bone marrow of long tubular bones diaphyses was observed in the majority of cases

  11. Corporate Cost of Occupational Accidents

    Rikhardsson, Pall M.; Impgaard, M.

    2004-01-01

    The systematic accident cost analysis (SACA) project was carried out during 2001 by The Aarhus School of Business and PricewaterhouseCoopers Denmark with financial support from The Danish National Working Environment Authority. Its focused on developing and testing a method for evaluating...... occupational costs of companies for use by occupational health and safety professionals. The method was tested in nine Danish companies within three different industry sectors and the costs of 27 selected occupational accidents in these companies were calculated. One of the main conclusions is that the SACA...... method could be used in all of the companies without revisions. The evaluation of accident cost showed that 2/3 of the costs of occupational accidents are visible in the Danish corporate accounting systems reviewed while 1/3 is hidden from management view. The highest cost of occupational accidents...

  12. Severe accidents, a US approach

    The attitude of the American nuclear industry and the regulatory authorities in the United States toward severe accidents has often seemed ambivalent. It was common a few years ago to assume the position that severe accidents should not be included in the design basis of the plant. This view was associated with the concept of the maximum credible accident. A severe accident that would lead to a large release of fission products from the reactor core was simply regarded as having so low a likelihood as not to be credible. That does not mean that it had a zero probability of occurring. Because of the way the plant was designed, built, and operated, severe accidents were regarded as having a low enough probability that no further special measures were necessary regarding them. (author)

  13. Severe accident management. Prevention and Mitigation

    Effective planning for the management of severe accidents at nuclear power plants can produce both a reduction in the frequency of such accidents as well as the ability to mitigate their consequences if and when they should occur. This report provides an overview of accident management activities in OECD countries. It also presents the conclusions of a group of international experts regarding the development of accident management methods, the integration of accident management planning into reactor operations, and the benefits of accident management

  14. Accidents, probabilities and consequences

    Following brief discussion of the safety of wind-driven power plants and solar power plants, some aspects of the safety of fast breeder and thermonuclear power plants are presented. It is pointed out that no safety evaluation of breeders comparable to the Rasmussen investigation has been carried out and that discussion of the safety aspects of thermonuclear power is only just begun. Finally, as an illustration of the varying interpretations of risk and safety analyses, four examples are given of predicted probabilities and consequences in Copenhagen of the maximum credible accident at the Barsebaeck plant, under the most unfavourable meterological conditions. These are made by the Environment Commission, Risoe Research Establishment, REO (a pro-nuclear group) and OOA (an anti-nuclear group), and vary by a factor of over 1000. (JIW)

  15. The Fukushima accident

    The accident happened on March 11, 2011 in the nuclear reactors at the Fukushima plant, Japan, is described. The reactors of the Fukushima plant have been power reactors. The electrical energy is produced by use of the heat released in the fission. Nuclear reactors were affected after of the power outage as a result of the earthquake and the tsunami, and this has kept in operation the refrigeration systems. The japanese reactors have been fission reactors and have used uranium 235 or plutonium 239 as fissionable material. The nuclear reactions of fission are explained. The control of the nuclear reactions at Fukushima was complicated by the decreased of the neutrons absorption and has produced more reactions, generating great amounts of heat. The steam contaminated with the products of fission is produced by to cool the reactor with water. The fissionable material released is dragged until the atmosphere. Radioactive contamination at sites near the reactor was covered in a zone of exclusion with a radius of 30 km. The effects of radioactive contamination in the zone of exclusion are mentioned. The radioactive material from Japan has traveled with the wind in direction toward the north pole. The radioactive cloud has continued until to reach the north Africa and south of Europe. The cloud has approximated to Costa Rica, but the activity of the material found has been less of 0,01 Bq/m3. The Centro de Investigacion en Ciencias Atomicas, Nucleares y Moleculares (Cicanum) has initiated the collection of soil samples, water and earth products to detect part of the radioactive material from the cloud. The Cicanum has had modern equipments to quantify the specific concentrations of radioactive isotope, alpha emitters, beta and gamma, in food, water and milk. The Cicanum has maintained the radiological surveillance of foods after the Chernobyl accident

  16. KINERJA DAN EFISIENSI BANK PEMERINTAH (BUMN) DAN BUSN YANG GO PUBLIK DI INDONESIA

    Sugeng Haryanto

    2012-01-01

    Penelitian ini menganalisis kinerja dan tingkat efisiensi bank-bank BUMN dan BUSN yang go Publik di Bursa Efek Indonesia.  Sample penelitian ini mengambil  tiga bank BUMN Bank BNI 46, Bank Mandiri dan Bank BRI)  dan tiga bank BUSN (Bank BCA, Bank Niaga dan Bank Panin) dengan periode analisis tahun 2005-2011. Varibael yang digunakan meliputi ROA, ROE, LAR. LDR, NPL dan BOPO. Tujuan dari penelitian ini adalah melihat dan menganalisis perbedaan kinerja antara Bank BUMN dan BUSN yang go public di...

  17. Kitab kuning dan perempuan, perempuan dan kitab kuning

    Bruinessen, M.M. van

    2007-01-01

    Kitab Kuning dan Emansipasi Perempuan: Konflik Budaya? Pengamatan-pengamatan Masdar mengenai kedudukan perempuan dalam diskursus (wacana, bahasan) dominan kitab kuning terasa tidak enak didengar tetapi memang sulit dibantah. Baik dalam penggunaan bahasa (yang sangat memihak kepada jenis mudzakkar) m

  18. Congestion by accident? Traffic and accidents in England

    Pasidis, Ilias-Nikiforos

    2015-01-01

    The goal of this paper is the estimation of the effect of accidents on traffic congestion and vice versa. In order to do this, I use ?big data? of highway traffic and accidents in England for the period 2007-2013. The data exhibit some remarkably stable cyclical pattern of highway traffic which is used as a research setting that enables the identification of the causal effect of accidents on traffic congestion and vice versa. The estimation draws on panel data methods that have previously bee...

  19. Industrial accidents triggered by lightning

    Research highlights: → Lightning impact caused relevant industrial accidents. → Atmospheric storage tanks are the equipment item more susceptible to lightning damage. → Specific damage and release modes may be identified for lightning damage. Specific event trees should be adopted for the identification of post-release final scenarios characterizing lightning-induced major accidents. - Abstract: Natural disasters can cause major accidents in chemical facilities where they can lead to the release of hazardous materials which in turn can result in fires, explosions or toxic dispersion. Lightning strikes are the most frequent cause of major accidents triggered by natural events. In order to contribute towards the development of a quantitative approach for assessing lightning risk at industrial facilities, lightning-triggered accident case histories were retrieved from the major industrial accident databases and analysed to extract information on types of vulnerable equipment, failure dynamics and damage states, as well as on the final consequences of the event. The most vulnerable category of equipment is storage tanks. Lightning damage is incurred by immediate ignition, electrical and electronic systems failure or structural damage with subsequent release. Toxic releases and tank fires tend to be the most common scenarios associated with lightning strikes. Oil, diesel and gasoline are the substances most frequently released during lightning-triggered Natech accidents.

  20. International aspects of nuclear accidents

    The accident at Chernobyl revealed that there were shortcomings and gaps in the existing international mechanisms and brought home to governments the need for stronger measures to provide better protection against the risks of severe accidents. The main thrust of international co-operation with regard to nuclear safety issues is aimed at achieving a uniformly high level of safety in nuclear power plants through continuous exchanges of research findings and feedback from reactor operating experience. The second type of problem posed in the event of an accident resulting in radioactive contamination of several countries relates to the obligation to notify details of the circumstances and nature of the accident speedily so that the countries affected can take appropriate protective measures and, if necessary, organize mutual assistance. Giving the public accurate information is also an important aspect of managing an emergency situation arising from a severe accident. Finally, the confusion resulting from the unwarranted variety of protective measures implemented after the Chernobyl accident has highlighted the need for international harmonization of the principles and scientific criteria applicable to the protection of the public in the event of an accident and for a more consistent approach to emergency plans. The international conventions on third party liability in the nuclear energy sector (Paris/Brussels Conventions and the Vienna Convention) provide for compensation for damage caused by nuclear accidents in accordance with the rules and jurisdiction that they lay down. These provisions impose obligations on the operator responsible for an accident, and the State where the nuclear facility is located, towards the victims of damage caused in another country

  1. Stressful life events and Graves' disease: Results of a case control study

    Prolonged worry has generally been acknowledged as one of the main precipitating factors of the onset of Graves' disease. A review of literature reveals that emotional stresses of considerable severity precede the onset of hyperthyroidism in about 90% of cases. However, not everyone subscribes to the Stress/Graves' disease hypothesis. Attempts to resolve this issue have tended to focus on whether a correlation can be shown between the magnitude of antecedent life events and the disease. Hence the main objective of the present study was to identify the possible association between stressful life events and Graves' disease. This paper presents the results of a case-control study, involving patents and subjects from the Veterans Memorial Medical Centre of Manila. A total of 224 patients of Graves' disease, newly or previously diagnosed, representing the 'patient's' arm were interviewed. All patients were questioned regarding various stresses, which greatly affected their life style spanning over a 12-month period prior to the onset of the disease. Simultaneously, 224 control subjects were also interviewed, and their stresses spanning over a similar period preceding the dates of interviews were recorded in quantifiable terms. Different stresses were given different intensity scores based on a social readjustment scale taking into consideration the life situations, emotions and diseases. In cases of multiple stresses, intensity scores were added to obtain the total stress intensity. Results were expressed as mean, standard deviation, median, frequency and percent distribution. Scatter plot was also constructed for intensity of stressful life events. To determine association of different factors with Graves' disease, Students t-test and chi-square tests were applied to the data. Odds ratio (OR) was also computed to determine risk attributed to each factor. Since there was significant difference in gender distribution between the patients and controls, stratified Mantel

  2. Obituary: Professor Paul Dan Cristea

    Tabus, Ioan; Serpedin, Erchin; Astola, Jaakko

    2013-01-01

    Paul Dan Cristea, professor of Electrical Engineering and Computer Science at ‘Politehnica’ University of Bucharest died on 17 April 2013, following several years of bravely battling a perfidious illness.

  3. B-cell depletion with rituximab in the treatment of autoimmune diseases. Graves' ophthalmopathy the latest addition to an expanding family

    Nielsen, Claus H; El Fassi, Daniel; Hasselbalch, Hans K;

    2007-01-01

    In this review, the authors summarise the clinical results obtained after therapy with rituximab in autoimmune diseases, including Graves' disease and Graves' ophthalmopathy. On the basis of qualitative and quantitative analyses of B- and T-cell subsets, and autoantibody levels obtained in other...... diseases before and after rituximab therapy, the authors interpret the results of the only two clinical investigations of the efficacy of rituximab in the treatment of Graves' disease and Graves' opthalmopathy reported so far. No significant effect on autoantibody levels was observed. Nonetheless, 4 out of...... 10 Graves' disease patients remained in remission 400 days after rituximab treatment versus none in the control group, and remarkable improvements in the eye symptoms of patients with Graves' ophthalmopathy were observed. This supports a role for B cells in the pathogenesis of Graves' ophthalmopathy...

  4. BENTUK DAN ISI MANTRA

    Edi Suwatno

    2004-10-01

    Full Text Available Mantra (magic formula is a speech that invites an inscrutable power to heal, to expel ghost, ask rain, deliver accident, etc. Based on poetic principles, mantra is structured from words order element such as poetry like rhyme, song; that is considered as elements of inscrutable power spoken by dukun or pawang to protect from other inscrutable power. Mantra manifests to various things/ways. It could be poetry, pantun (traditional poetry, kidung, song, or lyrics, and lyric prose. Mantra also has various content or functions such as healing diseases, raising seedlings of rice plant, postponing rainm, etc.

  5. [Prevention of bicycle accidents].

    Zwipp, H; Barthel, P; Bönninger, J; Bürkle, H; Hagemeister, C; Hannawald, L; Huhn, R; Kühn, M; Liers, H; Maier, R; Otte, D; Prokop, G; Seeck, A; Sturm, J; Unger, T

    2015-04-01

    For a very precise analysis of all injured bicyclists in Germany it would be important to have definitions for "severely injured", "seriously injured" and "critically injured". By this, e.g., two-thirds of surgically treated bicyclists who are not registered by the police could become available for a general analysis. Elderly bicyclists (> 60 years) are a minority (10 %) but represent a majority (50 %) of all fatalities. They profit most by wearing a helmet and would be less injured by using special bicycle bags, switching on their hearing aids and following all traffic rules. E-bikes are used more and more (145 % more in 2012 vs. 2011) with 600,000 at the end of 2011 and are increasingly involved in accidents but still have a lack of legislation. So even for pedelecs 45 with 500 W and a possible speed of 45 km/h there is still no legislative demand for the use of a protecting helmet. 96 % of all injured cyclists in Germany had more than 0.5 ‰ alcohol in their blood, 86 % more than 1.1 ‰ and 59 % more than 1.7 ‰. Fatalities are seen in 24.2 % of cases without any collision partner. Therefore the ADFC calls for a limit of 1.1 ‰. Some virtual studies conclude that integrated sensors in bicycle helmets which would interact with sensors in cars could prevent collisions or reduce the severity of injury by stopping the cars automatically. Integrated sensors in cars with opening angles of 180° enable about 93 % of all bicyclists to be detected leading to a high rate of injury avoidance and/or mitigation. Hanging lamps reduce with 35 % significantly bicycle accidents for children, traffic education for children and special trainings for elderly bicyclists are also recommended as prevention tools. As long as helmet use for bicyclists in Germany rates only 9 % on average and legislative orders for using a helmet will not be in force in the near future, coming up campaigns seem to be necessary to be promoted by the Deutscher

  6. KINERJA Jurnal Bisnis dan Ekonomi

    Kaaro, Hermeindito; Sukamulja, Sukmawati; Kusumastuti, Sri Yani; Krisnadewara, P. Didit; Lako, Andreas; Widiastuti, Theresia Diah; Ellitan, Lena; Priyogo, C. Jarot

    2004-01-01

    1. Kebangkrutan Versus Restrukturisasi:Evaluasi dan Prediksi Kelangsungan Hidup Perusahaan Pasca Krisis Keuangan 1997 oleh Hermeindito Kaaro 2. Morning LosSQS and Afternoon Price Volatility: Evidence of Jsksrts Stock Exchange oleh Sukmawati Sukamulja 3. Penentuan NilaiTukar: Pengujian Purchasing Power Parity diIndonesia oleh Sri Yani Kusumastuti 4. SurveiKinerja KoneksiInternet dan Kemampuan lnvestasi Warnet di Yogyakarta oleh P. Didit Krisnadewara 5. Peranan Corporate Str...

  7. Rotation des postes, assignation temporaire et impact des absences dans une usine d’abattage et de transformation du porc

    Falardeau, Anne; Vézina, Nicole

    2014-01-01

    Une intervention ergonomique s’est déroulée dans une usine d’abattage et de transformation du porc. Son objectif était de décrire la gestion de la rotation de même que l’application d’une mesure de réadaptation appelée assignation temporaire (AT). Cette mesure favorise le retour dans leur milieu de travail de travailleurs ayant été victimes d’un accident de travail ou d’une maladie professionnelle, tel que les troubles musculosquelettiques (TMS). De plus, il s’agissait de tenter de mieux comp...

  8. Accident response in France

    French PWR power plant design relies basically on a deterministic approach. A probabilistic approach was introduced in France in the early seventies to define safety provisions against external impacts. In 1977 an overall safety objective was issued by the safety authority in terms of an upper probability limit for having unacceptable consequences. Additional measures were taken (the ''H'' operating procedures) to complement the automatic systems normally provided by the initial design, so as to safisfy the safety objective. The TMI-2 accident enhanced the interest in confused situations in which possible multiple equipment failure and/or unappropriate previous actions of the operators impede the implementation of any of the existing event-oriented procedures. In such situations, the objective becomes to avoid core-melt by any means available: this is the goal of the Ul symptom-oriented procedure. Whenever a core-melt occurs, the radioactive releases into the environment must be compatible with the feasibility of the off-site emergency plans; that means that for some hypothetical, but still conceivable scenarios, provisions have to be made to delay and limit the consequences of the loss of the containment: the U2, U4 and U5 ultimate procedures have been elaborated for that purpose. For the case of an emergency, a nationwide organization has been set up to provide the plant operator with a redundant technical expertise, to help him save his plant or mitigate the radiological consequences of a core-melt

  9. Review of Novum Inventorium Sepulchrale: Kentish Anglo-Saxon Graves and Grave Goods in the Sonia Chadwick Hawkes Archive (Online Digital Corpus

    Tara-Jane Sutcliffe

    2008-02-01

    Full Text Available In 2007, the year in which the Society of Antiquaries of London celebrated its tercentenary, what more fitting tribute to those industrious individuals than that their work be made accessible to a new generation of students. One means was by a celebratory exhibition hosted by the Royal Academy, Making History: Antiquaries in Britain, 1707-2007, which showcased a treasure-trove of art, antiquities and manuscripts (for review, see Mount 2007. Structured display is one thing: scholarly use or re-use of antiquarian data is, however, quite another matter. Indeed, therein arguably lays one of the more pressing challenges facing the practice of 'modern' archaeology (see Jones et al. 2001. A timely response was the online publication in October 2007 of the Novum Inventorium Sepulchrale (NIS, a digital corpus of Kentish Anglo-Saxon graves and grave goods. Through this project a wealth of primary data has been made accessible as never before. This resource will be of interest to all those researching Anglo-Saxon Archaeology, particularly material culture and mortuary practices. Whilst the editors express the hope that the NIS will 'enable future generations of researchers to gain a better understanding of the origins of the Anglo-Saxon kingdoms', users will find themselves both delighted and frustrated by the quantity and format of the data presented in it.

  10. Preparedness against nuclear power accidents

    This booklet contains information about the organization against nuclear power accidents, which exist in the four Swedish counties with nuclear power plants. It is aimed at classes 7-9 of the Swedish schools. (L.E.)

  11. Three Mile Island Accident Data

    National Oceanic and Atmospheric Administration, Department of Commerce — Three Mile Island Accident Data consists of mostly upper air and wind observations immediately following the nuclear meltdown occurring on March 28, 1979, near...

  12. Facts and fallacies about radioactive iodine therapy for Graves' disease

    Miller, J.L.

    1982-08-07

    The therapeutic options available in the hyerthyroidism of Graves' disease are two basic treatments. Firstly antithyroid drugs and secondly one can 'ablate' the thyroid gland by means of thyroidectomy or radioactive iodine (/sup 131/I). At present /sup 131/I is the current treatment of chioce for Graves' disease. In a follow-up study of 21 714 patients who were treated with /sup 131/I and observed for a period of 8 years, there was no increase in the incidence of thyriod carcinoma. A possible explanation for this is that the dose of /sup 131/I used destroys the ability of the thyroid cells to replicate and thus transmit genetically damaged material.

  13. Scientific studies on pottery and pro-porcelain from group of graves in Henglingshan, Guangdong Province

    2009-01-01

    The findings of the Henglingshan group of graves, Guangdong Province, were appraised as one of the ten major archaeological excavations in 2000. The pottery and proto-porcelain samples excavated from the group of graves in Henglingshan are very important for studying the development history of Guang-dong ceramics. In this paper, the chemical compositions, micro-structure and physical properties of the samples were systematically analyzed. The results were subjected to multivariate statistical analysis. Different compositional patterns were found for specimens from different periods. The reasons for these variations were discussed. In addition, compared with the pottery and proto-porcelain samples from different production sites in other provinces of China, the obvious regional characters and unique law of the development for ancient ceramics of Guangdong were also discussed.

  14. The role of nuclear medicine in the management of Graves' disease

    131I therapy is safe and effective for most Graves' disease patients. It is being used more frequently in previously restricted populations such as children, adolescents, and women of childbearing age. It affords prompt, consistent relief of hyperthyroidism, but permanent hypothyroidism ensues in almost all patients. This complication is readily diagnosed with modern in vitro assays and inexpensive, life-long replacement therapy renders the patient asymptomatic and able to resume a normal lifestyle. Recent changes in NRC requirements have further liberalized the use of 131I for Graves' disease in the USA, permitting more patients to be treated with effective outpatient therapy. The controversial role of 131I in exacerbation of GO has been further clarified and preventive measures are available

  15. Breaking the glass ceiling: an interview with Dr. Shirley Graves, a pioneering woman in medicine.

    Ahmed, Zulfiqar; Mai, Christine L; Elder, Badrea; Rodriguez, Samuel; Yaster, Myron

    2014-04-01

    Shirley Graves M.D., D.Sc. (honorary) (1936), Professor Emeritus of Anesthesiology and Pediatrics at the University of Florida, was one of the most influential women in medicine in the 1960 and 1970s, a time when the medical profession was overwhelmingly male-dominated. In today's society, it is hard to believe that only 50 years ago, women were scarce in the field of medicine. Yet Dr. Graves was a pioneer in the fields of pediatric anesthesia and pediatric critical care medicine. She identifies her development of the pediatric intensive care unit and her leadership in the Division of Pediatric Anesthesia at the University of Florida as her defining contributions. Through her journal articles, book chapters, national and international lectures, and leadership in the American Society of Anesthesiology and the Florida Society of Anesthesiology, she inspired a generation of men and women physicians to conquer the unthinkable and break through the glass ceiling. PMID:24571660

  16. The management of radioactive waste from accidents

    Two accident case histories are reviewed - the Three Mile Island (TMI-2) reactor accident in 1979 and the Seveso accident in 1976. The status of the decontamination and radioactive waste management operations at TMI-2 as at 1986 is presented. 1986 estimates of reactor accident and recovery costs are given. 12 refs., 8 tabs

  17. 29 CFR 1960.29 - Accident investigation.

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Accident investigation. 1960.29 Section 1960.29 Labor... MATTERS Inspection and Abatement § 1960.29 Accident investigation. (a) While all accidents should be investigated, including accidents involving property damage only, the extent of such investigation shall...

  18. 49 CFR 195.54 - Accident reports.

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Accident reports. 195.54 Section 195.54... PIPELINE Annual, Accident, and Safety-Related Condition Reporting § 195.54 Accident reports. (a) Each operator that experiences an accident that is required to be reported under § 195.50 shall as soon...

  19. 49 CFR 801.32 - Accident reports.

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Accident reports. 801.32 Section 801.32... PUBLIC AVAILABILITY OF INFORMATION Accident Investigation Records § 801.32 Accident reports. (a) The NTSB....S. civil transportation accidents, in accordance with 49 U.S.C. 1131(e). (b) These reports may...

  20. The measurement of accident-proneness

    As, Sicco van

    2001-01-01

    This paper deals with the measurement of accident-proneness. Accidents seem easy to observe, however accident-proneness is difficult to measure. In this paper I first define the concept of accident-proneness, and I develop an instrument to measure it. The research is mainly executed within chemical

  1. 49 CFR 230.22 - Accident reports.

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Accident reports. 230.22 Section 230.22... Requirements § 230.22 Accident reports. In the case of an accident due to failure, from any cause, of a steam... persons, the railroad on whose line the accident occurred shall immediately make a telephone report of...

  2. 49 CFR 845.40 - Accident report.

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Accident report. 845.40 Section 845.40... RULES OF PRACTICE IN TRANSPORTATION; ACCIDENT/INCIDENT HEARINGS AND REPORTS Board Reports § 845.40 Accident report. (a) The Board will issue a detailed narrative accident report in connection with...

  3. The influence of position deviation on RAIU and,the corresponding therapeutic dose calculations in patients with Graves hyperthyroidism

    李从心

    2013-01-01

    Objective To evaluate the influence of inappropriate position deviation on radioactive iodine uptake(RAIU),effective half-life(Teff)and the corresponding dose variances in patients suffering from Graves hyperthyroidism.Methods RAIU was examined in 20 patients with

  4. Predicting the Risk of Recurrence Before the Start of Antithyroid Drug Therapy in Patients With Graves' Hyperthyroidism.

    Vos, Xander G; Endert, Erik; Zwinderman, A H; Tijssen, Jan G P; Wiersinga, Wilmar M

    2016-04-01

    Genotyping increases the accuracy of a clinical score (based on pretreatment age, goiter size, FT4, TBII) for predicting recurrence of Graves' hyperthyroidism after a course of antithyroid drugs: a prospective study. PMID:26863422

  5. The Veneration and Visitation of the Graves of Saints in Soviet Central Asia. Insights from the Southern Ferghana Valley, Uzbekistan

    Exnerová, Věra

    2015-01-01

    Roč. 83, č. 3 (2015), s. 501-536. ISSN 0044-8699 Institutional support: RVO:68378009 Keywords : graves of saints * Uzbekistan * Ferghana Valley * Soviet period * oral history * local practices Subject RIV: AB - History

  6. Application of new therapies in Graves' disease and thyroid-associated ophthalmopathy: animal models and translation to human clinical trials

    Banga, J Paul; Nielsen, Claus H; Gilbert, Jacqueline A; El Fassi, Daniel; Hegedus, Laszlo

    2008-01-01

    Most current approaches for treating Graves' disease are based essentially upon regimes developed nearly 50 years ago. Moreover, therapeutic approaches for complications such as thyroid-associated ophthalmopathy (TAO) and dermopathy are singularly dependent on conventional approaches of nonspecif...

  7. Nuclear laws and radiologic accidents

    Some aspects of the nuclear activities in Brazil, specially concerning the Goiania s accident are demonstrated using concepts from environmental and nuclear law. Nuclear and environmental competence, the impossibility of the states of making regional laws, as the lack of regulation about the nuclear waste, are discussed. The situation of Goiania when the accident happened, the present situation of the victims and the nuclear waste provisionally stored in Abadia de Goias is reported

  8. Iodine prophylaxis following nuclear accidents

    These proceedings of the Joint WHO/CEC workshop on iodine prophylaxis following nuclear accidents are presented under the following headings: normal thyroid function and the response to iodine, theoretical basis for stable iodine prophylaxis, risks and benefits of stable iodine prophylaxis, indications for the use of stable iodine, recommendations and rationale for the use of stable iodine prophylaxis in event of future accidents. (UK)

  9. Nuclear accident countermeasures: iodine prophylaxis

    In January 1989 the Department of Health convened a working group to consider and advise on the indications for the use of stable iodine, in the United Kingdom, in the event of nuclear accident. In formulating its advice the working group was to consider the International Guidelines for Iodine Prophylaxis following Nuclear Accidents, drawn by the World Health Organisation, and their applicability to the UK. This report summarises the findings of the working group and gives its conclusions and recommendations. (author)

  10. Thyroid storm following radioactive iodine (RAI) therapy for pediatric graves disease

    Rohrs, Henry J.; Silverstein, Janet H.; Weinstein, David A.; Amdur, Robert J.; Haller, Michael J.

    2014-01-01

    Patient: Female, 11 Final Diagnosis: Thyroid storm Symptoms: Diarrhea • tachycardia • tachypnea • tremor • wheezing Medication: — Clinical Procedure: — Specialty: — Objective: Rare disease Background: A growing number of pediatric endocrinologists treat Graves disease with radioactive iodine (RAI) therapy due to the typically definitive nature of I-131 therapy. Given the published benefits and perceived low risks of RAI when compared to surgery or long-term anti-thyroid medication, the trend ...

  11. Clinical experience with radioactive iodine in the treatment of childhood and adolescent Graves' disease

    Cury, Adriano N; Meira, Verônica T; Monte, Osmar; Marone, Marília; Scalissi, Nilza M; Kochi, Cristiane; Calliari, Luís E P; Carlos A. Longui

    2012-01-01

    Background/aims Treatments for Graves' disease (GD) in children and adolescents include oral antithyroid drugs (ATDs), near total thyroidectomy, and radioactive iodine (RAI). ATDs remain the preferred choice in this age group, but because persistent remission occurs in 30% of cases, RAI is becoming a common option for definitive therapy. Methods We performed a review of 65 medical records of GD patients under age 19 years who were followed between 1985 and 2005. Results The prevalence of GD w...

  12. A note on Robinson-Ursescu and Lyusternik-Graves theorem

    Cibulka, R.; Fabian, Marián

    2013-01-01

    Roč. 139, 1-2 (2013), s. 89-101. ISSN 0025-5610 R&D Projects: GA ČR(CZ) GAP201/11/0345 Institutional research plan: CEZ:AV0Z10190503 Keywords : open mapping * restrictive metricregularity * graves theorem Subject RIV: BA - General Mathematics Impact factor: 1.984, year: 2013 http://link.springer.com/article/10.1007%2Fs10107-013-0662-z

  13. Precipitation of the thyrotropin receptor and identification of thyroid autoantigens using Graves' disease immunoglobulins.

    Heyma, P; Harrison, L C

    1984-01-01

    The thyrotropin (TSH) receptor is a putative target for autoantibodies in Graves' hyperthyroidism and therefore, should be capable of being identified, isolated, and structurally characterized by immunological means. To this end, four sera from patients with hyperthyroidism, three of which inhibited the binding of 125I-TSH to Triton-solubilized human thyroid membranes, were used to isolate TSH receptors by immunoprecipitation. To account for an effect of TSH binding or receptor occupancy on t...

  14. Espessamento do tendão muscular na oftalmopatia de Graves

    Elvira Barbosa Abreu

    2011-12-01

    Full Text Available OBJETIVO: Estudar a frequência do espessamento do tendão muscular em pacientes com oftalmopatia de Graves buscando estabelecer correlações com as diferentes formas clínicas da doença. A diversidade clínica e laboratorial na oftalmopatia de Graves pode levar à confusão quanto ao diagnóstico, conduta e prognóstico. Os achados radiológicos variam desde o aumento isolado do tecido adiposo até o espessamento da musculatura extraocular, caracteristicamente poupando os tendões. Em 2004,no entanto, Ben Simon descreveu o espessamento do tendão muscular na oftalmopatia de Graves. MÉTODOS: Foram avaliados 20 pacientes, de ambos os sexos, com idades entre 20 e 80 anos, com formas clínicas designadas como :forma benigna (retração palpebral,forma intermediária (diplopia na posição primária do olhar e forma maligna ou infiltrativa (sinais de comprometimento do nervo óptico.Todos os pacientes foram submetidos à tomografias computadorizadas de órbita. Os pacientes estavam eutiroideanos, há pelo menos um ano. Os padrões tomográficos foram estudados e divididos em dois grupos: com e sem espessamento dos tendões da musculatura extraocular. RESULTADOS: Uma relação estatisticamente significativa entre espessamento do tendão e a forma clínica intermediária foi encontrada (p <0,012. CONCLUSÃO: O espessamento do tendão extraocular, encontrado em 30% dos pacientes com oftalmopatia de Graves, relaciona-se positivamente com a forma intermediária da doença, caracterizada pela presença de diplopia e que constitui um achado de grande valor clínico.

  15. Correlation between TSH Receptor Antibody Assays and Clinical Manifestations of Graves' Orbitopathy

    Jang, Sun Young; Shin, Dong Yeob; Lee, Eun Jig; Choi, Young Joon; Lee, Sang Yeul; Yoon, Jin Sook

    2013-01-01

    Purpose To investigate an association between the levels of serum thyroid-stimulating hormone (TSH)-receptor autoantibodies (TRAbs) and Graves' orbitopathy (GO) activity/severity scores, and compare the performance of three different TRAb assays in assessing the clinical manifestations of GO. Materials and Methods Cross-sectional study. Medical records of 155 patients diagnosed with GO between January 2008 and December 2010 were reviewed. GO activity was assessed by clinical activity score (C...

  16. A change from stimulatory to blocking antibody activity in Graves' disease during pregnancy

    Jones, BM; Kung, AWC

    1998-01-01

    Remission of Graves' disease (GD) during pregnancy with recrudescence after delivery is commonly observed. However, as pregnancy is associated with type 2 rather than type 1 cytokine production, a decrease in thyroid- stimulating antibody (TSAb) activity alone is unlikely to account for the remission during pregnancy. We hypothesized that a change in the antibody characteristics may occur as pregnancy advances. Fifteen women were studied in the first, second, and third trimesters of pregnancy...

  17. A Case of Hyperglycemic Hyperosmolar State Associated with Graves' Hyperthyroidism: A Case Report

    Moon, Sung Won; Hahm, Jong Ryeal; LEE, GYEONG-WON; Kang, Mi Yeon; Jung, Jung Hwa; Jung, Tae Sik; Lee, Kang Wan; Jung, Kyoung Ah; Ahn, Yong Jun; Kim, Sunjoo; Kim, Me Ae; Kim, Deok Ryong; Chung, Soon Il; Park, Myoung Hee

    2006-01-01

    Hyperglycemic hyperosmolar state (HHS) is an acute complication mostly occurring in elderly type 2 diabetes mellitus (DM). Thyrotoxicosis causes dramatic increase of glycogen degradation and/or gluconeogenesis and enhances breakdown of triglycerides. Thus, in general, it augments glucose intolerance in diabetic patients. A 23-yr-old female patient with Graves' disease and type 2 DM, complying with methimazole and insulin injection, had symptoms of nausea, polyuria and generalized weakness. He...

  18. Carbon Footprint Calculation of an AEH-technology Residential House from Cradle to Grave

    Gerasimenko, Olga

    2015-01-01

    This thesis presents the carbon footprint calculation of a Finnish active energy house (AEH), which uses a range of innovative energy saving technologies. The calculation is made for all the stages of the 50-year life-cycle from cradle to grave. The results of the study take into account footprints of all materials production, materials transportation to the site, commissioning and demolition phases with all the waste and its transportation to waste treatment facilities and also the 50-yea...

  19. Incidental Visualization of Thyroid Gland on Bone Scan Caused by Graves' Hyperthyroidism

    Sohn, Myung Hee; Jeong, Hwan Jeong; Kim, Dong Wook; Lim, Seok Tae [Chonbuk National University Medical School, Jeonju (Korea, Republic of)

    2009-04-15

    A 45-year-old man presented with fatigue and weight loss underwent a Tc-99m MDP bone scan because of increased serum alkaline phosphatase. Delayed images at 4 hours demonstrated diffuse increased activity throughout both lobes of the thyroid in the absence of activity of the stomach and salivary glands. Thyroid laboratory indices and a Tc-99m pertechnetate thyroid scan suggested Graves' hyperthyroidism

  20. Clinical study of hepatic dysfunction and its correlative factors in newly diagnosed patients with Graves hyperthyroidism

    Objective: To investigate the incidence,clinical features and the possible risk factors of hepatic dysfunction in the newly diagnosed patients with Graves hyperthyroidism. Methods: A retrospective analysis about total 204 newly diagnosed patients with Graves hyperthyroidism was studied. All the patients were divided into two groups by liver function:the hepatic dysfunction group (146 cases)and the normal group (58 cases). The gender composition, age, thyroid weight, 24 h-131I intake rate,free triiodothyronine (FT3), free thyronine (FT4), thyroid-stimulating hormone receptor antibody (TRAb), thyroid peroxidase antibodies (TPOAb) and thyroglobulin antibody (TGAb)were compared between the two groups. A correlation analysis was progressed between the indicators of liver function and thyroid hormone. Results: (1) The incidence of hepatic dysfunction (at least one abnormal parameter) in the newly diagnosed patients with Graves hyperthyroidism was 71.6% and the most familiar abnormal parameter was alanine transaminase (ALT) (37.7 %). Altogether 61 patients (41.8 %) had only one abnormal parameter in the hepatic dysfunction group and the most common abnormal parameter was alkaline phosphatase (ALP) (50.8%). (2) Compared with the normal group, hepatic dysfunction group had longer disease duration, higher serum FT3, FT4 and TRAb levels,but there were no significant differences in gender composition, age, thyroid weight, 24 h-131I intake rate, TPOAb, TGAb between the two groups. (3) A significantly positive correlation was found between the aspartate aminotransferase and FT3, the ALP and FT3, FT4, the total bilirubin and FT4, the direct bilirubin and FT3, FT4, respectively. Conclusions: Hepatic dysfunction in newly diagnosed patients with Graves hyperthyroidism is very common and the most common abnormal parameters include ALT and ALP. The hepatic dysfunction is closely correlated with patients' disease duration, thyroid hormone and TRAb levels. (authors)

  1. The Interpretation of Istighotsah Tradition Post Ndoro Purbo’s Grave Destruction in Yogyakarta

    Dandung Budi Yuwono

    2015-12-01

    Full Text Available Yogyakarta is known as a tolerans society, suddenly shocked by an incidence of thedestruction of the Ndoro Purbo’s grave, the 6th Sultan Hamengku Buwono’s grandchild, by irresponsible persons. In response to this incidence, a Nahdliyin (NU community in Yogyakarta performs sacred rituals called an ‘istighotsah’. This is a qualitative research (case study that aims to answer three problems: (1 how does NU in Yogyakarta look at the figure of Ndoro Purbo?  (2 How do they interpret the acts of  Ndoro Purbo’s grave destruction? And (3 Why does NU Yogyakarta perform a ritual ‘istighotsah’, and how do they interpret ‘istighotsah’? This study aims to explain the interpretation of NU members on the acts of Ndoro Purbo’s grave destruction, to understand the reasons of NU do ‘istighotsah’,   and tofind the meaning of ‘istighotsah’ for NU members. Data was collected through observation, participant observation and in-depth interviews, while the interpretive data analysis is done using emic and ethical perspective. The study’s findings indicate that Ndoro Purbo was imaged as a figure of saint and known as a person with supernatural power. The Ndoro Purbo’s grave destruction was considered as a form of rudeness to the Javanese value, which is interpreted as violation of the Islamic values and a game of symbol, and it was considered as an act of wrongdoers. To fight such injustice among the NU members, they perform ritual‘istighotsah’ as an expression of  a protest to God and a form of spiritual resistance during the difficult situation in facing disobedient or ‘visible sin’.

  2. Graves hyperthyroidism 131I treatment the clinical curative effect of observation

    Objective: to study the clinical treatment of 131I Graves hyperthyroidism curative effect. Methods: the clinical data of Graves hyperthyroidism patients were retrospectively analyzed. Results: 258 cases of patients with hyperthyroidism Graves. 131I treatment 1∼2 times after healed 200 cases, improvement of 38 patients, a low, 10 cases were invalid 10 cases failure; the total effective 96.12%. 1 year after treatment 131I thyroid quality by before treatment 43.6 + 20.9 grams shrinks to 1.98 + 18.5 grams (p131I before treatment with prominent eyes 68 cases (26.4%) 131I after treatment, the prominent eyes healed 24 cases (34.8%), improvement 30 patients (43.5%), invalid in 12 cases (17.4%), aggravating in 2 cases (2.9%), efficient for 79.7%. Concurrent hyperthyroidism 131I before treatment in patients with 31 patients (heart), after the treatment of 131I 12.0% in 25 patients recovered, 6 patients get better, efficient 100%. After the treatment of 131I temporary armor low in 25 patients (9.7%) , permanent armour low 27 cases (10.5%). After the treatment of 131I 15 cases have been reduced to a sex WBC (5.8%), 8 cases of liver function mild damage (3.1%), 13 cases itchy skin (1 case), cholesterol by 5.0% compared appear suspected hyperthyroidism crises (0.4%). 258 patients with thyroid type micronodular 41 cases, treatment cured after 131I in 25 patients (61.0%), improvement in 16 (39.0%), laseris 100%, Diffuse 217 example, cure 175 cases (80.6%), improvement 22 patients (10%), a low 10 (4.6%), invalid 10 (4.6%), laseris 95.4 percent. Conclusion: 131I treatment Graves hyperthyroidism is simple, safe, effective, and can be used as the preferred treatment method outperforms that of anti-thyroid drugs. (authors)

  3. Affective symptoms and cognitive functions in the acute phase of Graves' thyrotoxicosis

    Vogel, Asmus; Elberling, Tina V; Hørding, Merete;

    2007-01-01

    problems. No significant differences between the patient and the control group on neuropsychological test performances were found. Thyroid levels did not correlate with the neuropsychological test performances or psychiatric ratings. After reaching euthyroidism the level of affective symptoms (including......In the acute phase of Graves' thyrotoxicosis patients often have subjective cognitive complaints. Continuing controversy exists about the nature of these symptoms and whether they persist after treatment. This prospective study included 31 consecutively referred, newly diagnosed, and untreated...

  4. Predictor factors in the effectiveness of the therapeutic dose in the Graves diseases

    The treatment of the Graves diseases includes different options, between which are the antithyroid drugs, 131I and/or the surgery. Of all of them, the 131I, it has been increasing the use through the years, going to constitute the treatment of election for many authors, due to the big effectiveness to obtain a rapid healing of this illness. On the other hand, controversies exist about this use, related about the administration doses of 131I

  5. Coincidence of remission of postpartum Graves' disease and use of omega-3 fatty acid supplements

    Breese McCoy Sarah J

    2011-01-01

    Abstract I developed Graves' Disease four months postpartum. After one year on propylthiouracil, I learned that omega-3 fatty acids may reduce inflammation associated with certain autoimmune disorders, although no investigations for thyroiditis have been reported. Within eight weeks of beginning flaxseed oil supplements, TSH levels normalized, but fell somewhat when flaxseed was decreased and PTU discontinued. During another pregnancy, plasma TSH normalized, but was again suppressed by four w...

  6. Le Staphylococcus aureus méthicillinorésistant d’origine non nosocomiale dans les communautés autochtones du Canada

    Irvine, James

    2012-01-01

    Les infections à Staphylococcus aureus méthicillinorésistant d’origine non nosocomiale (SARM-ONN) sont devenues un grave problème dans certaines communautés autochtones du Canada (y compris les Premières nations, les Inuits et les Métis). Surtout associé à des infections de la peau et des tissus mous, cet organisme peut également entraîner une morbidité et une mortalité importantes. Il existe des lignes directrices canadiennes et américaines publiées sur la prise en charge des infections à SA...

  7. Nuclear fuel cycle facility accident analysis handbook

    The Accident Analysis Handbook (AAH) covers four generic facilities: fuel manufacturing, fuel reprocessing, waste storage/solidification, and spent fuel storage; and six accident types: fire, explosion, tornado, criticality, spill, and equipment failure. These are the accident types considered to make major contributions to the radiological risk from accidents in nuclear fuel cycle facility operations. The AAH will enable the user to calculate source term releases from accident scenarios manually or by computer. A major feature of the AAH is development of accident sample problems to provide input to source term analysis methods and transport computer codes. Sample problems and illustrative examples for different accident types are included in the AAH

  8. CARNSORE: Hypothetical reactor accident study

    Two types of design-basis accident and a series of hypothetical core-melt accidents to a 600 MWe reactor are described and their consequences assessed. The PLUCON 2 model was used to calculate the consequences which are presented in terms of individual and collective doses, as well as early and late health consequences. The site proposed for the nucelar power station is Carnsore Point, County Wexford, south-east Ireland. The release fractions for the accidents described are those given in WASH-1400. The analyses are based on the resident population as given in the 1979 census and on 20 years of data from the meteorological stations at Rosslare Harbour, 8.5 km north of the site. The consequences of one of the hypothetical core-melt accidents are described in detail in a meteorological parametric study. Likewise the consequences of the worst conceivable combination of situations are described. Finally, the release fraction in one accident is varied and the consequences of a proposed, more probable ''Class 9 accident'' are presented. (author)

  9. The vver severe accident management

    The basic approach to the VVER safety management is based on the defence-in-depth principle the main idea of which is the multiplicity of physical barriers on the way of dangerous propagation on the one hand and the diversity of measures to protect each of them on the other hand. The main events of severe accident with loss of core cooling at NPP with WWER can be represented as a sequence of NPP states, in which each subsequent state is more severe than the previous one. The following sequence of states of the accident progression is supposed to be realistic and the most probable: -) loss of efficient core cooling; -) core melting, relocation of the molten core to the lower head and molten pool formation, -) reactor vessel damage, and -) containment damage and fission products release. The objectives of accident management at the design basis stage, the determining factors and appropriate determining parameters of processes are formulated in this paper. The same approach is used for the estimation of processes parameters at beyond design basis accident progression. The accident management goals and the determining factors and parameters are also listed in that case which is characterized by the loss of integrity of the fuel cladding. The accident management goal at the stage of core melt relocation implies the need for an efficient core-catcher

  10. JAERI's activities in JCO accident

    The Japan Atomic Energy Research Institute (JAERI) was actively involved in a variety of technical supports and cooperative activities, such as advice on terminating the criticality condition, contamination checks of the residents and consultation services for the residents, as emergency response actions to the criticality accident at the uranium processing facility operated by the JCO Co. Ltd., which occurred on September 30, 1999. These activities were carried out in collaborative ways by the JAERI staff from the Tokai Research Establishment, Naka Fusion Research Establishment, Oarai Research Establishment, and Headquarter Office in Tokyo. As well, the JAERI was engaged in the post-accident activities such as identification of accident causes, analyses of the criticality accident, and dose assessment of exposed residents, to support the Headquarter for Accident Countermeasures of the Science and Technology Agency (STA), the Accident Investigation Committee and the Health Control Committee of the Nuclear Safety Commission of Japan (NSC). This report compiles the activities, that the JAERI has conducted to date, including the discussions on measures for terminating the criticality condition, evaluation of the fission number, radiation monitoring in the environment, dose assessment, analyses of criticality dynamics. (author)

  11. Radiological accidents: education for prevention and confrontation

    The purpose of this work is to train and inform on radiological accidents as a preventive measure to improve the people life quality. Radiological accidents are part of the events of technological origin which are composed of nuclear and radiological accidents. As a notable figure is determined that there have been 423 radiological accidents from 1944 to 2005 and among the causes prevail industrial accidents, by irradiations, medical accidents and of laboratories, among others. Latin American countries such as Argentina, Brazil, Mexico and Peru are some where most accidents have occurred by radioactivity. The radiological accidents can have sociological, environmental, economic, social and political consequences. In addition, there are scenarios of potential nuclear accidents and in them the potential human consequences. Also, the importance of the organization and planning in a nuclear emergency is highlighted. Finally, the experience that Cuba has lived on the subject of radiological accidents is described

  12. The incidence of ophthalmopathy after radioiodine therapy for Graves' disease: Prognostic factors and the role of methimazole

    Kung, AWC; Yau, CC; Cheng, A

    1994-01-01

    Radioactive iodine-131 (RAI) has been reported to be associated with a high incidence of development or exacerbation of Graves' ophthalmopathy (GO). This is thought to be associated with a surge of autoantibodies after RAI therapy. The role of methimazole (MMI), which possesses immunomodulatory action, in the prevention of GO was explored by studying 114 patients with Graves' disease. They were assigned randomly to receive either RAI alone or adjunctive antithyroid drugs, which consisted of M...

  13. Remission of anorexia nervosa after thyroidectomy: A report of two cases with Graves' disease and anorexia nervosa

    Noguchi Hitoshi; Murakami Tsukasa; Uchino Shinya; Yamashita Hiroto; Noguchi Shiro

    2011-01-01

    Abstract We report two patients with anorexia nervosa and Graves' disease who received subtotal thyroidectomy for Graves' disease and concomitantly experienced remission from anorexia nervosa. Both were young women (aged 20 and 26) at the time of surgery. Both had well controlled thyroid function and eating behavior at the time of surgery. Both were followed for over five years without relapse of anorexia nervosa or hyperthyroidism. These cases suggest the existence of an endocrine factor ori...

  14. Related factors of thyroid-associated ophthalmopathy in patents with Graves' disease after 131I treatment

    Objective: To analysis the related factors of thyroid-associated ophthalmopathy(TAO) in patients with Graves' disease after 131I treatment. Methods: Five hundred and sixty two patients with Graves' disease were followed up after 131I treatment, included 243 cases with TAO and 319 cases without TAO. Logistic multivariate regression analysis was used to analyse the data of the improvement of the TAO, stability and progression. Results: Of the patients without TAO, 10 new cases of TAO were diagnosed (3.13%). Of the patients with TAO, 134 (55.14%) had experienced improvement, 99 (40.74%) cases with stable disease and 10 (4.12%) cases with progressed disease. The progression rate were no difference between the part of patients with and without TAO (χ2=0.576, P>0.05), and were difference between simple and invasive prominent eyes groups (χ2=11.893, P2=10.621, P131I therapy had no obviously influence between Graves' disease with and without TAO, and early controling the risk factors and treatment with glucocorticoid could prevent aggravation of TAO. (authors)

  15. Acute effects of radioiodine therapy on the voice and larynx of basedow-Graves patients

    Isolan-Cury, Roberta Werlang; Cury, Adriano Namo [Sao Paulo Santa Casa de Misericordia, SP (Brazil). Medical Science School (FCMSCSP); Monte, Osmar [Sao Paulo Santa Casa de Misericordia, SP (Brazil). Physiology Department; Silva, Marta Assumpcao de Andrada e [Sao Paulo Santa Casa de Misericordia, SP (Brazil). Medical Science School (FCMSCSP). Speech Therapy School; Duprat, Andre [Sao Paulo Santa Casa de Misericordia, SP (Brazil). Medical Science School (FCMSCSP). Otorhinolaryngology Department; Marone, Marilia [Nuclimagem - Irmanity of the Sao Paulo Santa Casa de Misericordia, SP (Brazil). Nuclear Medicine Unit; Almeida, Renata de; Iglesias, Alexandre [Sao Paulo Santa Casa de Misericordia, SP (Brazil). Medical Science School (FCMSCSP). Otorhinolaryngology Department. Endocrinology and Metabology Unit

    2008-07-01

    Graves's disease is the most common cause of hyperthyroidism. There are three current therapeutic options: anti-thyroid medication, surgery, and radioactive iodine (I 131). There are few data in the literature regarding the effects of radioiodine therapy on the larynx and voice. The aim of this study was: to assess the effect of radioiodine therapy on the voice of Basedow-Graves patients. Material and method: A prospective study was done. Following the diagnosis of Grave's disease, patients underwent investigation of their voice, measurement of maximum phonatory time (/a/) and the s/z ratio, fundamental frequency analysis (Praat software), laryngoscopy and (perceptive-auditory) analysis in three different conditions: pre-treatment, 4 days, and 20 days post-radioiodine therapy. Conditions are based on the inflammatory pattern of thyroid tissue (Jones et al. 1999). Results: No statistically significant differences were found in voice characteristics in these three conditions. Conclusion: Radioiodine therapy does not affect voice quality. (author)

  16. Hyperparathyroidism after radioactive iodine therapy for Graves' disease. A case report

    Kawamura, Juichi; Tobisu, Kenichi; Sanada, Shingo (Kyoto Univ. (Japan). Faculty of Medicine)

    1983-11-01

    Herein we report a 36-year-old man with hyperparathyroidism and a past history of internal irradiation to the thyroid. Twelve years previously at age 24 years he had received 8 mCi of radioactive iodine for Graves' disease. An additional dose of 4 mCi was required 3 years later. A right lower parathyroid adenoma (28 x 23 x 20 mm, 5.7 g) was found at neck exploration. Although the association of external ionizing radiation to the head and neck and the subsequent development of hyperfunctioning parathyroid glands has been described in recent years, there are only 4 cases in the literature of parathyroid surgery for hyperparathyroidism secondary to earlier treatment with radioactive iodine for Graves' disease. In a long-term follow-up of 180 patients treated with radioactive iodine for Graves' disease, neither hypercalcemia nor hypophosphatemia was found. Whether internal radiation therapy can be a causative factor in the development of hyperparathyroidism should be elucidated in future. However, it seems reasonable to suggest that patients whose hyper-thyroidism has been treated with radioactive iodine should have their serum calcium levels examined at 5-year intervals.

  17. GRAVE: An Interactive Geometry Construction and Visualization Software System for the TORT Nuclear Radiation Transport Code

    A software system, GRAVE (Geometry Rendering and Visual Editor), has been developed at the Oak Ridge National Laboratory (ORNL) to perform interactive visualization and development of models used as input to the TORT three-dimensional discrete ordinates radiation transport code. Three-dimensional and two-dimensional visualization displays are included. Display capabilities include image rotation, zoom, translation, wire-frame and translucent display, geometry cuts and slices, and display of individual component bodies and material zones. The geometry can be interactively edited and saved in TORT input file format. This system is an advancement over the current, non-interactive, two-dimensional display software. GRAVE is programmed in the Java programming language and can be implemented on a variety of computer platforms. Three- dimensional visualization is enabled through the Visualization Toolkit (VTK), a free-ware C++ software library developed for geometric and data visual display. Future plans include an extension of the system to read inputs using binary zone maps and combinatorial geometry models containing curved surfaces, such as those used for Monte Carlo code inputs. Also GRAVE will be extended to geometry visualization/editing for the DORT two-dimensional transport code and will be integrated into a single GUI-based system for all of the ORNL discrete ordinates transport codes

  18. Avaliação e tratamento da hiperglicemia em pacientes graves

    Marina Verçoza Viana

    2014-03-01

    Full Text Available A hiperglicemia é um problema frequentemente encontrado em pacientes graves em ambiente de terapia intensiva. Sua presença se associa ao aumento da morbidade e da mortalidade, independentemente da causa da admissão (infarto agudo do miocárdio, condição após cirurgia cardiovascular, acidente vascular cerebral e sepse. Entretanto, permanecem muitas dúvidas com relação à fisiopatologia e, particularmente, em relação ao tratamento da hiperglicemia no paciente graves. Na prática clínica, devem ser levados em consideração diversos aspectos para o controle desses pacientes, inclusive os alvos de glicemia, o histórico de diabetes mellitus, a via de nutrição (enteral ou parenteral e o equipamento de monitoramento disponível, o que aumenta substancialmente a carga de trabalho dos profissionais envolvidos nesse tratamento. Esta revisão descreveu a epidemiologia, a fisiopatologia, o tratamento e o monitoramento da hiperglicemia no paciente adulto grave.

  19. James George Frazer’s Anthropologic Heritage in the Work of Robert Graves

    Tomislav M. Pavlović

    2016-02-01

    Full Text Available The works of Sir James George Frazer had an outstanding influence on the literature of modernism. Among those who benefited from Frazer’s ritualism were W. B. Yeats, T. S. Eliot. James Joyce, Ernest Hemingway, D. H. Lawrence, Ezra Pound, Mary Renault, Joseph Campbell, Robert Graves and many others. Robert Graves was known for his famous adaptation of Frazer’s concept of the sacred king who is sacrificed for the benefit of his subjects thus forming the narrative frame for the one of his most controversial novels. The dying king is also identified with the poet striving to attain the favour of the Triple Muse Goddess - who represents the embodiment of true poetic inspiration. The aforementioned concept is not the only thing that Graves inherited from his famous ancestor. In our analysis we laid stress on the customs, rituals, magic symbols and deities both authors dealt with. We also observed a striking resemblance of the style Greves and Frazer developed and their euchemeristic approach to myths as well.

  20. Outcome of graves' disease after anti-thyroid drug treatment in South West of Iran

    Objective: This study was conducted to observe the optimal results of long term treatment with antithyroid drugs in patients with graves' disease. Methodology: Total of 268 patients with graves' disease who were referred to endocrinology clinic during 2005 - 2008 and treated with anti-thyroid drugs for a long term were studied. Data about the age, gender, estimated weight of thyroid before and after the treatment, level of thyroid hormones, disease relapse, hypothyroidism and the drug side-effects were collected and analyzed. Results: Eighty two (31%) patients were males, 186 (69%) females, mean age of 35 +- 27 years and follow-up course of 31+- 16 months], were studied. After the discontinuation of long term treatment, 53% were affected with relapse of hyperthyroidism. The mean duration of hyperthyroidism relapse after the treatment was 8.3 +- 7.3 months. The relapse rate was and patients with large thyroid and lower TSH level at the end of treatment, the rate of relapse treatment was about 6%. More decrease of thyroid size during the treatment course, higher level of serum TSH after discontinuation of the treatment, and lower thyroid hormone levels before the treatment were some of the effective factors in hypothyroidism incidence (P=0.005, patients (39%) remained euthyroid in the follow-up course. Conclusion: patients with graves' especially in middle-aged women with smaller goiters. (author)

  1. Reversible increase of serum activin A levels in women with Graves' disease.

    Centanni, M; Viceconti, N; Luisi, S; Reis, F M; Gargano, L; Maiani, F; Franchi, A; Canettieri, G; Petraglia, F

    2002-12-01

    The aim of this study was to analyze the serum levels of activin A in hyperthyroid patients with Graves' disease. Serum activin A and FSH levels were measured in a total of 93 females (64 regularly cycling and 29 post-menopausal). Of these, 20 were hyperthyroid patients with Graves disease, 33 were euthyroid goitrous patients (20 had autoimmune thyroiditis AT and 13 only had goiter) representing the internal control group and 40 were healthy subjects representing the external control group. Serum levels of activin A were higher in goitrous patients with AT than in control subjects (p=0.0388). Activin A levels were almost doubled in the cycling and in post-menopausal hyperthyroid women (0.91+/-0.21 vs 0.43+/-0.07 microg/l; phyperthyroid patients, studied even after methimazole treatment, that increase was substantially reversed, once euthyroidism was attained (p=0.002). These findings indicate that thyroid function and autoimmune processes significantly affect serum levels of activin A in patients with Graves' disease. PMID:12553556

  2. Randomized double-blind trial of prednisone versus radiotherapy in Graves' ophthalmopathy

    Corticosteriods are usually given for management of Graves' ophthalmopathy, but they have many and serious side-effects. By comparison, retrobulbar irradiation is well tolerated, although its efficacy has been evaluated only in uncontrolled studies. Therefore, the authors did a double-blind randomized trial, in which 28 patients with moderately severe Graves' ophthalmopathy were treated with a 3-month course of oral prednisone and sham irradiation, and 28 received retrobulbar irradiation (20 Gy) and placebo capsules. Therapeutic outcome, assessed twenty-four weeks after the start of treatment, was determined by the change in the highest NOSPECS class. A successful outcome was observed in 14 prednisone-treated and in 13 irradiated patients. Responders to treatment (but not nonresponders) in both groups showed improvements in total and subjective eye score and a decrease in eye-muscle volume. Response to either treatment was due largely to changes in soft-tissue involvement and eye-muscle motility. Radiotherapy and oral prednisone appear to be equally effective as initial treatment in patients with moderately severe Graves' ophthalmopathy. In view of its better tolerability, radiotherapy should be considered the treatment of first choice

  3. Delineasi Model Tentatif Sistem Geotermal dan Interpretasi Komprehensif Berdasarkan Analisis Geofisika, Geokimia, dan Geologi

    Makhrani, Makhrani

    2013-01-01

    Telah didelineasi model tentatif sistem geothermal berdasarkan interpretasi komprehensif dari analisis geofisika, geokimia dan geologi yang dapat memperlihatkan lebih jauh tentang sistem geothermal di daerah penelitian. Analisis geofisika dilakukan untuk zonasi bawah permukaan (overburden, claycap dan reservoar) dan penentuan fasa fluida reservoar. Pola aliran hidrotermal bawah permukaan ditentukan dari analisis geofisika dan geokimia, didukung oleh analisis geologi. D...

  4. Pengetahuan, Sikap Dan Perilaku Guru-Guru Sekolah Dasar Negeri Dan Swasta Tentang Kesehatan Gigi Dan Mulut Di Kota Medan

    Chelladorai, Kalvina A/P

    2013-01-01

    Karies dan gingivitis merupakan masalah gigi dan mulut yang banyak dijumpai pada anak-anak di negara berkembang termasuk di Indonesia, dan cenderung meningkat pada setiap dasawarsa. Dalam media Indonesia diungkapkan bahwa 90% anak mengalami karies dan 80% menderita gingivitis. Karies gigi atau gigi berlubang adalah kerusakan struktur gigi sehingga terbentuknya lubang pada gigi. Gingivitis adalah penyakit infeksi yang disebabkan oleh plak yang menyebabkan gingiva mengalami keradangan, membengk...

  5. Modifications de la coagulation sanguine dans la fièvre jaune

    J. Vellard

    1929-01-01

    Full Text Available L'étude des modifications de la coagulation sanguine à l'aide de la technique BRAZIL-VELLARD, réalisée chez 25 malades atteints de formes diverses, mortelles, graves, et bénignes, entre le lléme et le XIIIéme jour de maladie, et chez 12 convalescents, a permis d'arriver aux conclusions suivantes: 1º. Les variations du pouvoir coagulant du serum sont très irrégulières et peu différentes des celles observées chez de sujets normaux. 2º. La coagulabilité du plasma, dès le IIème jour de la maladie, présente une diminution marquée, constante chez tous les malades, atteignant son chiffre le plus bas entre le VIIème et le IXème jour et revenant progressivement á la normale pendant la convalescence. 3º. Cette diminution de la coagulabilité est due principalement á l'apparition de grandes quantités d'antithrombines dans la circulation; la diminution du fibrinogène observée dans quelques cas, est toujours peu accusée. 4º. La diminution de la coagulabilité du plasma, qui n'a jusqu'ici été observée avec cette intensité que dans la fièvre jaune, peut être d'un certain secours pour le diagnostic précoce de cette affection; elle n'a jamais été vérifiée chez des malades atteints d'autres affections fébriles. 5º. Au point de vue du pronostic, la diminution précoce et très accentuée de la coagulabilité est un symptôme grave, indiquant une lésion profonde de la cellule hépatique. 6º. Dans la fièvre jaune expérimentale du Macacus rhesus, les altérations de la coagulation sanguine sont de même nature, mais paraissent plus tardives et moins accusées que chez l'homme.

  6. Severe accident analysis using dynamic accident progression event trees

    Hakobyan, Aram P.

    In present, the development and analysis of Accident Progression Event Trees (APETs) are performed in a manner that is computationally time consuming, difficult to reproduce and also can be phenomenologically inconsistent. One of the principal deficiencies lies in the static nature of conventional APETs. In the conventional event tree techniques, the sequence of events is pre-determined in a fixed order based on the expert judgments. The main objective of this PhD dissertation was to develop a software tool (ADAPT) for automated APET generation using the concept of dynamic event trees. As implied by the name, in dynamic event trees the order and timing of events are determined by the progression of the accident. The tool determines the branching times from a severe accident analysis code based on user specified criteria for branching. It assigns user specified probabilities to every branch, tracks the total branch probability, and truncates branches based on the given pruning/truncation rules to avoid an unmanageable number of scenarios. The function of a dynamic APET developed includes prediction of the conditions, timing, and location of containment failure or bypass leading to the release of radioactive material, and calculation of probabilities of those failures. Thus, scenarios that can potentially lead to early containment failure or bypass, such as through accident induced failure of steam generator tubes, are of particular interest. Also, the work is focused on treatment of uncertainties in severe accident phenomena such as creep rupture of major RCS components, hydrogen burn, containment failure, timing of power recovery, etc. Although the ADAPT methodology (Analysis of Dynamic Accident Progression Trees) could be applied to any severe accident analysis code, in this dissertation the approach is demonstrated by applying it to the MELCOR code [1]. A case study is presented involving station blackout with the loss of auxiliary feedwater system for a

  7. Diagnosis and treatment of Graves' disease with particular emphasis on appropriate techniques in nuclear medicine. General state of knowledge.

    Prasek, Karolina; Płazińska, Maria Teresa; Królicki, Leszek

    2015-01-01

    Graves' disease is an autoimmune disease. It accounts for 50-80% of cases of hyperthyroidism. Antibodies against the TSH receptor (TRAb) are responsible for hyperthyroidism (TRAB). The key role in monitoring and diagnosis of Graves' disease plays the level of hormones of free thyroxine and triiodothyronine. Helpful is an ultrasound of the thyroid scintigraphy which due to its functional character is both a valuable addition to morphological studies as well as plays an important role in the diagnosis and therapy in patients with Graves' disease. There is no perfect treatment for Graves' disease. The reason for this is the lack of therapy directed against primary pathogenic mechanisms. Currently available treatments need to be thoroughly discussed during the first visit as the patient's understanding of the choice of a treatment constitutes a vital role in the success of therapy. Graves' disease treatment is based on three types of therapies that have been carried out for decades including: pharmacological treatment anti-thyroid drugs, I131 therapy and radical treatment - thyroidectomy. The purpose of the treatment is to control symptoms and patient to return to euthyreosis. Treatment of Graves' disease is of great importance because if left untreated, it can lead to long-term harmful effects on the heart, bone and mental well-being of patients. PMID:26315874

  8. Correlation of orbital muscle changes evaluated by magnetic resonance imaging and thyroid-stimulating antibody in patients with Graves' ophthalmopathy

    To evaluate the relationship between eye changes and autoantibody to the thyrotropin receptor in patients with Graves' disease, the authors evaluated the eye changes using magnetic resonance imaging and the results were correlated with thyroid-stimulating antibody, thyrotropin binding inhibitor immunoglobulin and thyroid growth activity. Subjects were 15 patients with Graves' disease who had Graves' ophthalmopathy, including exophthalmos and other signs and symptoms, and 9 patients without ophthalmopathy; all were maintained in a euthyroid state by antithyroid drugs. The thyrotropin-binding inhibitor imunoglobulin was measured by a kit, and thyroid-stimulating antibody and thyroid growth activity were evaluated by cyclic adenosine 3', 5'-monophosphate production and [3H]thymidine incorporation, respectively, by cultured functional rat thyroid lined cells. The sum of the swelling ratios of the four extraocular muscles correlated well with the degree of exophthalmos. The thyrotropin-binding inhibitor immunoglobulin was positive in 9 out of 15 patients with ophthalmopathy; however, no correlation was observed between the activity and exophthalmos or muscle swelling. No significant correlation was observed between muscle changes and thyroid growth activity either. On the other hand, thyroid-stimulating antibody in Graves' patients with ophthalmopathy was significantly higher than that in patients without ophthalmopathy. Moreover, the level of the stimulating activity in Graves' patients with ophthalmopathy showed a significant positive correlation with the sum of the swelling ratios of the individual eight eye muscles. These results suggest that thyroid-stimulating antibody has a close relation to Graves' ophthalmopathy. 23 refs., 4 figs

  9. Accident Tolerant Fuel Analysis

    Curtis Smith; Heather Chichester; Jesse Johns; Melissa Teague; Michael Tonks; Robert Youngblood

    2014-09-01

    Safety is central to the design, licensing, operation, and economics of Nuclear Power Plants (NPPs). Consequently, the ability to better characterize and quantify safety margin holds the key to improved decision making about light water reactor design, operation, and plant life extension. A systematic approach to characterization of safety margins and the subsequent margins management options represents a vital input to the licensee and regulatory analysis and decision making that will be involved. The purpose of the Risk Informed Safety Margin Characterization (RISMC) Pathway research and development (R&D) is to support plant decisions for risk-informed margins management by improving economics and reliability, and sustaining safety, of current NPPs. Goals of the RISMC Pathway are twofold: (1) Develop and demonstrate a risk-assessment method coupled to safety margin quantification that can be used by NPP decision makers as part of their margin recovery strategies. (2) Create an advanced “RISMC toolkit” that enables more accurate representation of NPP safety margin. In order to carry out the R&D needed for the Pathway, the Idaho National Laboratory is performing a series of case studies that will explore methods- and tools-development issues, in addition to being of current interest in their own right. One such study is a comparative analysis of safety margins of plants using different fuel cladding types: specifically, a comparison between current-technology Zircaloy cladding and a notional “accident-tolerant” (e.g., SiC-based) cladding. The present report begins the process of applying capabilities that are still under development to the problem of assessing new fuel designs. The approach and lessons learned from this case study will be included in future Technical Basis Guides produced by the RISMC Pathway. These guides will be the mechanism for developing the specifications for RISMC tools and for defining how plant decision makers should propose and

  10. Accident tolerant fuel analysis

    Smith, Curtis [Idaho National Laboratory; Chichester, Heather [Idaho National Laboratory; Johns, Jesse [Texas A& M University; Teague, Melissa [Idaho National Laboratory; Tonks, Michael Idaho National Laboratory; Youngblood, Robert [Idaho National Laboratory

    2014-09-01

    Safety is central to the design, licensing, operation, and economics of Nuclear Power Plants (NPPs). Consequently, the ability to better characterize and quantify safety margin holds the key to improved decision making about light water reactor design, operation, and plant life extension. A systematic approach to characterization of safety margins and the subsequent margins management options represents a vital input to the licensee and regulatory analysis and decision making that will be involved. The purpose of the Risk Informed Safety Margin Characterization (RISMC) Pathway research and development (R&D) is to support plant decisions for risk-informed margins management by improving economics and reliability, and sustaining safety, of current NPPs. Goals of the RISMC Pathway are twofold: (1) Develop and demonstrate a risk-assessment method coupled to safety margin quantification that can be used by NPP decision makers as part of their margin recovery strategies. (2) Create an advanced ''RISMC toolkit'' that enables more accurate representation of NPP safety margin. In order to carry out the R&D needed for the Pathway, the Idaho National Laboratory is performing a series of case studies that will explore methods- and tools-development issues, in addition to being of current interest in their own right. One such study is a comparative analysis of safety margins of plants using different fuel cladding types: specifically, a comparison between current-technology Zircaloy cladding and a notional ''accident-tolerant'' (e.g., SiC-based) cladding. The present report begins the process of applying capabilities that are still under development to the problem of assessing new fuel designs. The approach and lessons learned from this case study will be included in future Technical Basis Guides produced by the RISMC Pathway. These guides will be the mechanism for developing the specifications for RISMC tools and for defining how plant

  11. A numerical study on a lumped-parameter model and a CFD code coupling for the analysis of the loss of coolant accident in a reactor containment; Etude numerique 0D-multiD pour l'analyse de perte de refrigerant dans une enceinte de confinement d'un reacteur nucleaire

    Choi, Y.J.

    2005-12-15

    In the case of PWR severe accident (Loss of Coolant Accident, LOCA), the inner containment ambient properties such as temperature, pressure and gas species concentrations due to the released steam condensation are the main factors that determine the risk. For this reason, their distributions should be known accurately, but the complexity of the geometry and the computational costs are strong limitations to conduct full three-dimensional numerical simulations. An alternative approach is presented in this thesis, namely, the coupling between a lumped-parameter model and a CFD. The coupling is based on the introduction of a 'heat transfer function' between both models and it is expected that large decreases in the CPU-costs may be achieved. First of all, wall condensation models, such as the Uchida or the Chilton-Colburn models which are implemented in the code CAST3M/TONUS, are investigated. They are examined through steady-state calculations by using the code TONUS-0D, based on lumped parameter models. The temperature and the pressure within the inner containment are compared with those reported in the archival literature. In order to build the 'heat transfer function', natural convection heat transfer is then studied by using the code CAST3M for a partitioned cavity which represents a simplified geometry of the reactor containment. At a first step, two-dimensional natural convection heat transfer without condensation is investigated only. Either the incompressible-Boussinesq fluid flow model or the asymptotic low Mach model are considered for solving the time dependent conservation equations. The SUPG finite element method and the implicit scheme are applied for the numerical discretization. The computed results are qualified by the second-order Richardson extrapolation method which allows obtaining the so-called 'Exact values', i.e. grid size independent values. The computations are also validated through non-partitioned cavity case

  12. KINERJA KEPALA SEKOLAH DALAM KEGIATAN BIMBINGAN DAN KONSELING

    Abu Bakar M.Luddin

    2014-06-01

    Abstrak: Kinerja Kepala Sekolah dalam Kegiatan Bimbingan dan Konseling. Penelitian ini bertujuan mendeskripsikan kinerja kepala sekolah dalam pelaksanaan kegiatan bimbingan dan konseling. Penelitian dilaksanakan di SMU Negeri 2 Kota Binjai, dengan memergunakan rancangan deskriptif kualitatif. Subjek penelitian adalah kepala sekolah, koordinator bimbingan dan konseling, dan guru pembimbing. Data di­kumpulkan dengan observasi, wawancara mendalam, dan kajian dokumen, dan selanjutnya dianalisis sete­lah melalui proses triangulasi antarsubjek dan informasi. Temuan penelitian menunjukkan bahwa kinerja kepala sekolah terkait dengan pelaksanaan kegiatan bimbingan dan konseling masih belum sepenuhnya sebagaimana yang diharapkan. Kepala sekolah perlu meningkatkan kinerjanya dalam menjalankan fungsi koordinasi dan kepengawasan untuk mencapai kegiatan bimbingan dan konseling yang efektif.

  13. Morbidade materna extremamente grave: uso do Sistema de Informação Hospitalar

    Maria da Consolação Magalhães

    2012-06-01

    Full Text Available OBJETIVO: Estimar a prevalência da morbidade materna extremamente grave e identificar procedimentos hospitalares associados. MÉTODOS: Foram utilizados dados do Sistema de Informação Hospitalar fornecidos pela Secretaria de Saúde de Juiz de Fora, MG, de 2006 a 2007. Foram selecionadas as internações para procedimentos obstétricos (n = 8.620 mulheres cujo diagnóstico principal compreendia todo o capítulo XV, gravidez, parto e puerpério, da Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde, Décima Revisão. Foram identificados os códigos dos procedimentos realizados, procedimentos especiais e atos profissionais que pudessem contemplar o critério de morbidade materna extremamente grave da Organização Mundial da Saúde e outros procedimentos não habitualmente utilizados no período gravídico-puerperal. A análise de regressão logística foi utilizada para identificar associações entre desfecho e variáveis selecionadas. RESULTADOS: A prevalência de morbidade materna foi 37,8/1000 mulheres e a proporção de mortalidade foi 12/100.000 mulheres. O tempo de internação > 4 dias foi 13 vezes mais alto entre as mulheres que apresentaram alguma morbidade. Após análise ajustada, os fatores preditores de morbidade materna extremamente grave foram: tempo de internação, número de internações e filhos natimortos, e os procedimentos/condições mais frequentes foram a transfusão de hemoderivados (15,7/1.000, "permanência a maior" (9,5/1.000 e pré-eclâmpsia grave/eclâmpsia (8,2/1.000. CONCLUSÕES: Foi alta a prevalência de morbidade materna extremamente grave, associada principalmente às internações e variáveis relacionadas ao recém-nascido. O critério para identificação dos casos e o uso do Sistema de Informações Hospitalares mostraram-se úteis para a vigilância da morbimortalidade materna e para ampliar o conhecimento sobre os aspectos que a envolvem, contribuindo para a

  14. Diagnosis dan Penatalaksanaan Abses Septum Nasi

    Bestari J. Budiman; Jon Prijadi

    2013-01-01

    AbstrakAbses septum nasi adalah terkumpulnya pus di antara tulang rawan dengan mukoperikondrium atau tulang septum dengan mukoperiosteum yang melapisinya. Abses septum dapat menyebabkan hidung pelana bahkan komplikasi intrakranial, sehingga diperlukan diagnosis dan tindakan yang tepat dan cepat. Telah dilaporkan satu kasus abses septum pada wanita umur 34 tahun dan telah dilakukan insisi dan eksplorasi abses dalam narkose umum.Kata kunci: Arial 9 Kata Kunci: Abses septum nasi, hematoma septum...

  15. ANALISIS PERBANDINGAN SPAP, IAS DAN SPKN

    Maylia Pramono Sari

    2012-01-01

    Dalam mewujudkan Good Goveronance  akan dilakukan analisis perbandingan mengenai standar pemeriksaan nasional yaitu SPAP, ISA, dan SPKN untuk menemukan standar yang lebih tepat dan lebih lengkap untuk pemeriksaan sektor publik. Persamaan SPKN dan ISS  adalah tanggungjawab manajemen dan tanggungjawab auditor sedangkan perbedaannya adalah badan yang menerbitkannya. Perbedaan yang mendasar terletak pada karakter pemeriksaan BPK. Karakter tersebut adalah keharusan pemeriksa BPK untuk merancang ...

  16. PERBEDAAN KUALITAS TIDUR DAN KUALITAS MIMPI ANTARA MAHASISWA LAKI-LAKI DAN MAHASISWA PEREMPUAN

    Fuad Nashori, R. Rachmy Diana R. Rachmy Diana

    2012-01-01

    AbstrakPenelitian ini bertujuan untuk mengetahui perbedaan kualitas tidur dan kualitas mimpiantara mahasiswa pria dan mahasiswa wanita. Hipotesis yang diajukan adalah (a) adaperbedaan kualitas tidur antara mahasiswa laki-laki dan mahasiswa perempuan,mahasiswawanita memiliki kualitas tidur yang lebih tinggi dibanding mahasiswa laki-laki, dan (b) adaperbedaan kualitas mimpi antara mahasiswa laki-laki dan mahasiswa perempuan, mahasiswawanita memiliki kualitas mimpi yang lebih tinggi dibanding ma...

  17. Pengelolaan Pupuk Organik Dan Kalium Terhadap Pertumbuhan Dan Produksi Tanaman Rosela (Hibiscus sabdariffa L.)

    Hutasoit, Christina

    2010-01-01

    CHRISTINA HUTASOIT: Pengelolaan Pupuk Organik dan Kalium terhadap Pertumbuhan dan Produksi Tanaman Rosela (Hibiscus sabdariffa L.), dibimbing oleh J. M. Sitanggang dan Sabar Ginting. Penelitian ini bertujuan Untuk mengetahui dosis pupuk Organik dan pupuk Kalium terhadap pertumbuhan dan produksi tanaman rosella (Hibiscus sabdariffa L.). Penelitian telah dilakukan di lahan percobaan Kelurahan Sempakata, Kecamatan Medan Selayang pada bulan Desember – April 2010 menggunakan Rancangan Acak Kelo...

  18. Hubungan Stress Dengan Penyakit Dan Perawatan Periodontal

    Der, William

    2009-01-01

    Stress adalah istilah yang mendefenisikan reaksi psiko-fisiologis tubuh terhadap berbagai rangsangan emosional atau fisik yang mengganggu homeostasis, dan ditemukan dapat mengeksaserbasi hasil dari penyakit infeksi bakteri dan virus pada model hewan dan manusia. Stres telah lama dinyatakan sebagai suatu faktor predisposisi yang penting untuk Gingivitis Ulseratif Nekrotik Akut (GUNA). Banyak penelitian telah menunjukkan bahwa stres psikologis atau kondisi psikosomatik mendorong terjadinya peru...

  19. KOMPLIKASI, PENCEGAHAN DAN PENANGANAN EKSTRAVASASI AGEN KEMOTERAPI

    I G A Mirah K; Putu Anda Tusta Adiputra

    2012-01-01

    Ekstravasasi agen kemoterapi ke jaringan sekitarnya merupakan kecelakaan yangdapat menyebabkan kerusakan jaringan progresif ireversibel dalam hitungan jamsampai hari. Manifestasi klinis ekstravasasi berupa nyeri, edema, eritema, danindurasi yang kemudian berkembang menjadi ulkus dan eschar hitam dankerusakan jaringan yang mendasarinya. Pencegahan terjadinya ekstravasasi dapatdilakukan dengan menggunakan pembuluh darah yang paten dan dengan aliranyang cepat dan tetap memperhatikan keluhan yang...

  20. PRINSIP DAN METODE ANALISIS RISIKO KESEHATAN LINGKUNGAN

    Defriman Djafri

    2014-04-01

    Full Text Available Analisis risiko kesehatan lingkungan merupakan penilaian atau penaksiran risiko kesehatan yang bisa terjadi di suatu waktu pada populasi manusia berisiko. Kajian prediktif ini menghasilkan karakteristik risiko secara kuantitatif, pilihan-pilihan manajemen risiko dan strategi komunikasi untuk meminimalkan risiko tersebut. Data kualitas lingkungan yang bersifat agent specific dan site specific, karakteristik antropometri dan pola aktivitas populasi terpajan dibutuhkan untuk kajian ini.

  1. PRINSIP DAN METODE ANALISIS RISIKO KESEHATAN LINGKUNGAN

    Defriman Djafri

    2014-01-01

    Analisis risiko kesehatan lingkungan merupakan penilaian atau penaksiran risiko kesehatan yang bisa terjadi di suatu waktu pada populasi manusia berisiko. Kajian prediktif ini menghasilkan karakteristik risiko secara kuantitatif, pilihan-pilihan manajemen risiko dan strategi komunikasi untuk meminimalkan risiko tersebut. Data kualitas lingkungan yang bersifat agent specific dan site specific, karakteristik antropometri dan pola aktivitas populasi terpajan dibutuhkan untuk kajian ini.

  2. MUTU SEKOLAH DAN BUDAYA PARTISIPASI STAKEHOLDERS

    Nur Kholis

    2014-12-01

    Full Text Available Abstrak Penelitian ini memotret dan mengeksplor pemaknaan konsep sekolah bermutu, pengembangan budaya partisipasi, dan budaya sekolah, serta peran-peran yang dilakukan aktor dalam melakukan rekayasa sosial sekolah ke arah tercapainya sekolah bermutu di lembaga konfesional MIN Tegalasri. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi. Standar pengukuran keabsahan datanya adalah; derajat kepercayaan, keteralihan, kebergantungan dan kepastian. Ananlisis data dilakukan secara estafet mulai pengumpulan data, koleksi data, dan pemaknaan data. Penelitian ini menyimpulkan bahwa dua aspek mutu yang dicapai bidang akademik dan nonakademik; tingkat partisipasi mulai dari pimpinan, staf pendidik, staf kependidikan, peserta didik, komite sekolah, dan paguyuban kelas; budaya sekolah yang dikembangkan adalah konsolidasi internal-eksternal, mensinergikan potensi internal-eksternal, mendekatkan sekolah dengan masyarakat, bekerjasama dengan berbagai pihak, restrukturisasi dan revitalisasi komite sekolah dan paguyuban kelas, dan mengembangkan budaya bersih, indah dan nyaman; kepala sekolah merupakan aktor pengembangan budaya sekolah bermutu dan partisipasi stakeholders. Kata kunci: mutu sekolah, budaya partisipasi stakeholders

  3. Musisi Sekuler dan Gerejawi

    Benny Cristovel

    2007-12-01

    Full Text Available Menjadi seorang musisi tidak sekedar bermain musik atau menyanyi saja. Ada jenjang-jenjang yang akan dilewatidalam dunia musik, yang pada akhirnya setiap musisi dihadapkan kepada tanggung jawab dalam dunia tersebut. Di jaman ini, jika jenjang seorang musisi sudah tahap profesional, maka musik dan bisnis merupakan hal yang tidak terpisahkan. Jadi tidak heran jika ada banyak orang yang memimpikan untuk berkarier dalam bidang musik, bahkan telah men1adicita-cita sejak kecil.Jadi penting bagi musisi gerejawi benar-benar "mengkotakkan dirinya" terhadap persepsi yang dianut oleh musisi sekuler, bukan mencampurkannya. Hal ini sangat esensial, karena musisi gerejawi bukan melayani manusia melainkan oleh anugerah Tuhan dipercayakan pekerjaan ini. Dengan demikian pelayanan sebagai musisi gerejawi tidak tercemar oleh persepsi dari dunia musik sekuler. Selain itu musisi gerejawi dapat merefleksikan Tuhan yang disembahnya kepada dunia sekuler, karena tujuan dari semua yang dilakukannya adalah untuk kemuliaan nama Tuhan.

  4. Synthèse: 2015 Indice de la faim dans le monde: Conflict armés et le défi de la faim

    von Grebmer, Klaus; Bernstein, Jill; Prasai, Nilam; Yin, Sandra; Yohannes, Yisehac; Towey, Olive; Sonntag, Andrea; Neubauer, Larissa; de Waal, Alex

    2015-01-01

    L’Indice de la faim dans le monde 2015 (GHI) – le dixième d’une parution annuelle – propose une mesure multidimensionnelle de la faim au niveau national, régional et mondial. Il démontre que le monde a progressé en matière de réduction de la faim depuis 2000, mais qu’il reste encore un long chemin à faire, avec des niveaux de faim « alarmants » ou « graves » dans encore 52 pays. La thématique du rapport de cette année est celle des conflits armés et de la faim. Si l’Histoire a montré que la f...

  5. Nuclear accident dosimetry intercomparison studies.

    Sims, C S

    1989-09-01

    Twenty-two nuclear accident dosimetry intercomparison studies utilizing the fast-pulse Health Physics Research Reactor at the Oak Ridge National Laboratory have been conducted since 1965. These studies have provided a total of 62 different organizations a forum for discussion of criticality accident dosimetry, an opportunity to test their neutron and gamma-ray dosimetry systems under a variety of simulated criticality accident conditions, and the experience of comparing results with reference dose values as well as with the measured results obtained by others making measurements under identical conditions. Sixty-nine nuclear accidents (27 with unmoderated neutron energy spectra and 42 with eight different shielded spectra) have been simulated in the studies. Neutron doses were in the 0.2-8.5 Gy range and gamma doses in the 0.1-2.0 Gy range. A total of 2,289 dose measurements (1,311 neutron, 978 gamma) were made during the intercomparisons. The primary methods of neutron dosimetry were activation foils, thermoluminescent dosimeters, and blood sodium activation. The main methods of gamma dose measurement were thermoluminescent dosimeters, radiophotoluminescent glass, and film. About 68% of the neutron measurements met the accuracy guidelines (+/- 25%) and about 52% of the gamma measurements met the accuracy criterion (+/- 20%) for accident dosimetry. PMID:2777549

  6. The radiological accident in Gilan

    The use of radioactive materials continues to offer a wide range of benefits throughout the world in medicine, research and industry. Precautions are, however, necessary in order to protect people from the detrimental effects of the radiation. Where the amount of radioactive material is substantial, e.g. with sources used in radiotherapy or industrial radiography, extreme care is necessary to prevent accidents that may have severe consequences for the individuals affected. Nevertheless, in spite of all precautions, accidents with radiation sources continue to occur. As part of its activities dealing with the safety of radiation sources, the IAEA follows up severe accidents in order to provide an account of their circumstances and medical aspects from which those organizations with responsibilities for radiation protection and the safety of radiation sources may learn. On 24 July 1996 a serious accident occurred at the Gilan combined cycle fossil fuel power plant in the Islamic Republic of Iran, when a worker who was moving thermal insulation materials around the plant noticed a shiny, pencil sized metal object lying in a trench and put it in his pocket. He was unaware that the metal object was an unshielded 185 GBq 192Ir source used for industrial radiography. This report compiles information about the medical and other aspects of the accident. As a result of exposure to the iridium source, the worker suffered from severe haematopoietic syndrome (bone marrow depression) and an unusually extended localized radiation injury requiring plastic surgery

  7. The radiological accident in Cochabamba

    In April 2002 an accident involving an industrial radiography source containing 192Ir occurred in Cochabamba, Bolivia, some 400 km from the capital, La Paz. A faulty radiography source container had been sent back to the headquarters of the company concerned in La Paz together with other equipment as cargo on a passenger bus. This gave rise to a potential for serious exposure for the bus passengers as well as for the company employees who were using and transporting the source. The Government of Bolivia requested the assistance of the IAEA under the terms of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency. The IAEA in response assembled and sent to Bolivia a team composed of senior radiation safety experts and radiation pathology experts from Brazil, the United Kingdom and the IAEA to investigate the accident. The IAEA is grateful to the Government of Bolivia for the opportunity to report on this accident in order to disseminate the valuable lessons learned and help prevent similar accidents in the future

  8. Accident knowledge and emergency management

    Rasmussen, B.; Groenberg, C.D.

    1997-03-01

    The report contains an overall frame for transformation of knowledge and experience from risk analysis to emergency education. An accident model has been developed to describe the emergency situation. A key concept of this model is uncontrolled flow of energy (UFOE), essential elements are the state, location and movement of the energy (and mass). A UFOE can be considered as the driving force of an accident, e.g., an explosion, a fire, a release of heavy gases. As long as the energy is confined, i.e. the location and movement of the energy are under control, the situation is safe, but loss of confinement will create a hazardous situation that may develop into an accident. A domain model has been developed for representing accident and emergency scenarios occurring in society. The domain model uses three main categories: status, context and objectives. A domain is a group of activities with allied goals and elements and ten specific domains have been investigated: process plant, storage, nuclear power plant, energy distribution, marine transport of goods, marine transport of people, aviation, transport by road, transport by rail and natural disasters. Totally 25 accident cases were consulted and information was extracted for filling into the schematic representations with two to four cases pr. specific domain. (au) 41 tabs., 8 ills.; 79 refs.

  9. Accident knowledge and emergency management

    The report contains an overall frame for transformation of knowledge and experience from risk analysis to emergency education. An accident model has been developed to describe the emergency situation. A key concept of this model is uncontrolled flow of energy (UFOE), essential elements are the state, location and movement of the energy (and mass). A UFOE can be considered as the driving force of an accident, e.g., an explosion, a fire, a release of heavy gases. As long as the energy is confined, i.e. the location and movement of the energy are under control, the situation is safe, but loss of confinement will create a hazardous situation that may develop into an accident. A domain model has been developed for representing accident and emergency scenarios occurring in society. The domain model uses three main categories: status, context and objectives. A domain is a group of activities with allied goals and elements and ten specific domains have been investigated: process plant, storage, nuclear power plant, energy distribution, marine transport of goods, marine transport of people, aviation, transport by road, transport by rail and natural disasters. Totally 25 accident cases were consulted and information was extracted for filling into the schematic representations with two to four cases pr. specific domain. (au) 41 tabs., 8 ills.; 79 refs

  10. Traffic Accidents on Slippery Roads

    Fonnesbech, J. K.; Bolet, Lars

    2014-01-01

    Police registrations from 65 accidents on slippery roads in normally Danish winters have been studied. The study showed: • 1 accident per 100 km when using brine spread with nozzles • 2 accidents per 100 km when using pre wetted salt • 3 accidents per 100 km when using kombi spreaders The results...... of accidents in normally Danish winter seasons are remarkable alike the amount of salt used in praxis in the winter 2011/2012. • 2.7 ton NaCl/km when using brine spread with nozzles • 5 ton NaCl/km when using pre wetted salt. • 5.7 ton NaCl/km when using kombi spreaders The explanation is that spreading...... of brine with nozzles is precision spreading, while spreading of salt with rotation plate are very imprecise; you can measure 80% residual salt when using brine and only 40% when using pre wetted salt. Of course the result would be worse if dry (solid) salt were used on dry roads. A winter route in Denmark...

  11. [Venomous animal accidents in childhood

    Oliveira, J S; Campos, J A; Costa, D M

    1999-11-01

    OBJECTIVE: To highlight the importance of venomous animal accidents in childhood. The conducts are based on the proposals of the Ministério da Saúde do Brasil [Ministry of Health of Brazil] to standardize medical care in this kind of accident. This article shows the importance of early clinical diagnosis and assistance.METHODS: Review of international and national literature that includes original articles, official standards and books.RESULTS: Pediatricians may always feel insecure when they have to attend children who had venomous animal accidents because this kind of pathology is not very common. This article tries to offer easy guidelines and describes the main steps to be followed. Besides, peculiar or unusual aspects of these accidents are to be found in the literature referred to in the end of this article. Venomous animal accidents are always more severe in children, therefore resulting in higher mortality and sequelae. We assert that the early antivenom sera is extremely helpful.CONCLUSIONS: The systematization of the assistance may guarantee that the essential steps are followed thus making the assistance itself more effective. This is the purpose of the guidelines presented in this article. PMID:14685472

  12. Radioactive materials transport accident analysis

    Over the last 25 years, one of the major issues raised regarding radioactive material transportation has been the risk of severe accidents. While numerous studies have shown that traffic fatalities dominate the risk, modeling the risk of severe accidents has remained one of the most difficult analysis problems. This paper will show how models that were developed for nuclear spent fuel transport accident analysis can be adopted to obtain estimates of release fractions for other types of radioactive material such as vitrified highlevel radioactive waste. The paper will also show how some experimental results from fire experiments involving low level waste packaging can be used in modeling transport accident analysis with this waste form. The results of the analysis enable an analyst to clearly show the differences in the release fractions as a function of accident severity. The paper will also show that by placing the data in a database such as ACCESS trademark, it is possible to obtain risk measures for transporting the waste forms along proposed routes from the generator site to potential final disposal sites

  13. The TMI-2 accident evaluation program

    The accident at the Three Mile Island Unit 2 (TMI-2) reactor, now 10 years old, remains as the United States' worst commercial nuclear reactor accident. Although the consequences of the accident were restricted primarily to the plant itself, the potential consequences of the accident, should it have progressed further, are large enough to warrant close scrutiny of all aspects of the event. TMI-2 accident research is being conducted by the US Department of Energy (DOE) to provide the basis for more accurate calculations of source terms for postulated severe accidents. Research objectives supporting this goal include developing a comprehensive and consistent understanding of the mechanisms that controlled the progression of core damage and subsequent fission product behavior during the TMI-2 accident, and applying that understanding to the resolution of important severe accident safety issues. Developing a best-estimate scenario of the core melt progression during the accident is the focal point of the research and involves analytical work to interpret and integrate: (1) data recorded during the accident from plant instrumentation, (2) the post-accident state of the core, (3) results of the examination of material from the damaged core, and (4) related severe-accident research results. This paper summarizes the TMI-2 Accident Evaluation Program that is being conducted for the USDOE and briefly describes the important results that have been achieved. The Program is divided into four parts: Sample Acquisition and Plant Examination, Accident Scenario, Standard Problem Exercise, and Information and Industry Coordination

  14. Hipertiroidismo por doença de Graves durante a gestação Hyperthyroidism due to Graves' disease during pregnancy

    Carla Amaral de Almeida; Leonardo Vieira Neto; Sheila Mamede da Costa; Alexandru Buescu; Mário Vaisman

    2005-01-01

    OBJETIVO: avaliar a influência do hipertiroidismo na evolução da gravidez e a necessidade de ajustes na dose de antitiroidianos neste período e no pós-parto. MÉTODOS: avaliação prospectiva de dados clínicos e laboratoriais de treze gestações em onze mulheres com hipertiroidismo devido à doença de Graves, com dosagem de TSH e T4 livre a cada trimestre ou quatro semanas após ajuste do antitiroidiano. O objetivo foi manter o T4 livre no terço superior da normalidade usando a menor dose possível ...

  15. Nuclear law and radiological accidents

    Nuclear activities in Brazil, and particularly the radiological accident of Goiania, are examined in the light of the environmental and nuclear laws of Brazil and the issue of responsibility. The absence of legislation covering radioactive wastes as well as the restrictions on Brazilian States to issue regulations covering nuclear activities are reviewed. The radiological accident and its consequences, including the protection and compensation of the victims, the responsibility of the shareholders of the Instituto Goiano de Radioterapia, operator of the radioactive source, the provisional storage and the final disposal at Abadia de Goias of the radioactive waste generated by the accident are reviewed. Finally, nuclear responsibility, the inapplicability of the Law 6453/77 which deals with nuclear damages, and the state liability regime are analysed in accordance with the principles of the Brazilian Federal Constitution. (author)

  16. Fukushima accident study using MELCOR

    Randall O Gauntt

    2013-01-01

    The accidents at the Fukushima Daiichi nuclear power station stunned the world as the sequences played out over severals days and videos of hydrogen explosions were televised as they took place.The accidents all resulted in severe damage to the reactor cores and releases of radioactivity to the environment despite heroic measures had taken by the operating personnel.The following paper provides some background into the development of these accidents and their root causes,chief among them,the prolonged station blackout conditions that isolated the reactors from their ultimate heat sink — the ocean.The interpretations given in this paper are summarized from a recently completed report funded by the United States Department of Energy (USDOE).

  17. Air cleaning in accident situations

    The Organization for Economic Co-Operation and Development (OECD) through its subsidiaries the Nuclear Energy Agency (NEA) and the Committee on the Safety of Nuclear Installations (CSNI) established in 1979 a Group of Experts or Air Cleaning in Accident Situations. This group met seven times to establish a draft report based on its Terms of Reference which were to: 1) review the performance of off-gas cleaning systems in accident conditions; 2) collect information about operating experience with these systems; 3) seek to establish common principles for the design of off-gas systems; 4) review methods used in the different countries for testing filters from the standpoint of accident conditions; and 5) suggest specific mechanisms for improving cooperation, with regard, for example, to filter testing. The conclusions and recommendations of the Group are summarized

  18. Nuclear accidents - Liabilities and guarantees

    The 1992 Symposium on Nuclear Accidents - Liabilities and guarantees, organized by the OECD NUCLEAR Energy Agency in collaboration with the international Atomic Energy Agency, discussed the nuclear third party liability regime established by the Paris and Vienna Conventions, its advantages and shortcomings, and assessed the teachings of the Chernobyl accident in the context of that regime. The topics included the geographical scope of the Conventions, the definition of nuclear damage, in particular environmental damage, insurance cover and capacity, supplementary compensation by means of a collective contribution from the nuclear industry or governments, and finally, the international liability of States in case of a nuclear accident. This proceeding contains 26 papers which have been selected

  19. Severe accident simulation at Olkiuoto

    Tirkkonen, H.; Saarenpaeae, T. [Teollisuuden Voima Oy (TVO), Olkiluoto (Finland); Cliff Po, L.C. [Micro-Simulation Technology, Montville, NJ (United States)

    1995-09-01

    A personal computer-based simulator was developed for the Olkiluoto nuclear plant in Finland for training in severe accident management. The generic software PCTRAN was expanded to model the plant-specific features of the ABB Atom designed BWR including its containment over-pressure protection and filtered vent systems. Scenarios including core heat-up, hydrogen generation, core melt and vessel penetration were developed in this work. Radiation leakage paths and dose rate distribution are presented graphically for operator use in diagnosis and mitigation of accidents. Operating on an graphically for operator use in diagnosis and mitigation of accidents. Operating on an 486 DX2-66, PCTRAN-TVO achieves a speed about 15 times faster than real-time. A convenient and user-friendly graphic interface allows full interactive control. In this paper a review of the component models and verification runs are presented.

  20. Severe accident management guidelines tool

    Severe Accident is addressed by means of a great number of documents such as guidelines, calculation aids and diagnostic trees. The response methodology often requires the use of several documents at the same time while Technical Support Centre members need to assess the appropriate set of equipment within the adequate mitigation strategies. In order to facilitate the response, TECNATOM has developed SAMG TOOL, initially named GGAS TOOL, which is an easy to use computer program that clearly improves and accelerates the severe accident management. The software is designed with powerful features that allow the users to focus on the decision-making process. Consequently, SAMG TOOL significantly improves the severe accident training, ensuring a better response under a real situation. The software is already installed in several Spanish Nuclear Power Plants and trainees claim that the methodology can be followed easier with it, especially because guidelines, calculation aids, equipment information and strategies availability can be accessed immediately (authors)

  1. Internal Accident Report on EDH

    SC Department

    2006-01-01

    The A2 Safety Code requires that, the Internal Accident Report form must be filled in by the person concerned or any witness to ensure that all the relevant services are informed. Please note that an electronic version of this form has been elaborated in collaboration with SC-IE, HR-OPS-OP and IT-AIS. Whenever possible, the electronic form shall be used. The relative icon is available on the EDH Desktop, Other tasks page, under the Safety heading, or directly here: https://edh.cern.ch/Document/Accident/. If you have any questions, please contact the SC Secretariat, tel. 75097 Please notice that the Internal Accident Report is an integral part of the Safety Code A2 and does not replace the HS50.

  2. Pengaturan dan Pengawasan pada Bank Syariah

    Ali Syukron

    2012-06-01

    Full Text Available Peran bank dalam melaksanakan tugas dan fungsinya perlu diatur secara baik dan benar. Hal ini bertujuan untuk menjaga kepercayaan nasabah terhadap aktivitas perbankan. Salah satu peraturan yang perlu dibuat untuk mengatur perbankan adalah peraturan mengenai permodalan bank yang berfungsi sebagai penyangga terhadap kemungkinan terjadinya kerugian. Tulisan ini merupakan studi pustaka dimana penulis mengelaborasi bagaimana pengaturan dan pengawasan pada bank syariah yang ada di berbagai negera. Dalam tulisan ini, penulis mengambil sampel negara Malaysia,  Pakistan, Kuwait, dan Inggris. Alasan memilih keempat negara tersebut karena Malaysia dan Kuwait memiliki kemiripan dengan Indonesia yang mengadopsi dual banking system.

  3. Hindsight Bias in Cause Analysis of Accident

    Atsuo Murata; Yasunari Matsushita

    2014-01-01

    It is suggested that hindsight becomes an obstacle to the objective investigation of an accident, and that the proper countermeasures for the prevention of such an accident is impossible if we view the accident with hindsight. Therefore, it is important for organizational managers to prevent hindsight from occurring so that hindsight does not hinder objective and proper measures to be taken and this does not lead to a serious accident. In this study, a basic phenomenon potentially related to accidents, that is, hindsight was taken up, and an attempt was made to explore the phenomenon in order to get basically insights into the prevention of accidents caused by such a cognitive bias.

  4. Road Traffic Accidents in Kazakhstan

    Alma Aubakirova

    2013-03-01

    Full Text Available Background: The article provides the analysis of death rates in road traffic accidents in Kazakhstan from 2004 to 2010 and explores the use of sanitary aviation.Methods: Data of fatalities caused by road traffic accidents were collected and analysed. Descriptive and analytical methods of epidemiology and biomedical statistics were applied.Results: Totaly 27,003 people died as a result of road traffic accidents in this period. The death rate for the total population due to road traffic accidents was 25.0±2.10/0000. The death rate for men was (38.3±3.20/0000, which was higher (P<0.05 than that for women (12.6±1.10/0000. High death rates in the entire male population were identified among men of 30-39 years old, whereas the highest rates for women were attributed to the groups of 50-59 years old and 70-79 years old. In time dynamics, death rates tended to decrease: the total population (Тdec=−2.4%, men (Тdec=−2.3% and women (Тdec=−1.4%. When researching territorial relevance, the rates were established as low (to 18.30/0000, average (between18.3 and24.00/0000 and high (from 24.00/0000 and above. Thus, the regions with high rates included Akmola region (24.30/0000, Mangistau region (25.90/0000, Zhambyl region (27.30/0000, Almaty region (29.30/0000 and South Kazakhstan region (32.40/0000.Conclusion: The identified epidemiological characteristics of the population deaths rates from road traffic accidents should be used in integrated and targeted interventions to enhance prevention of injuries in accidents.

  5. JCO criticality accident termination operation

    In 2001, we summarized the circumstances surrounding termination of the JCO criticality accident based on testimony in the Mito District Court on December 17, 2001. JCO was the company for uranium fuels production in Japan. That document was assembled based on actual testimony in the belief that a description of the work involved in termination of the accident would be useful in some way for preventing nuclear disasters in the future. The description focuses on the witness' own behavior, and what he saw and heard, and thus is written from the perspective of action by one individual. This was done simply because it was easier for the witness to write down his memories as he remembers them. Description of the activities of other organizations and people is provided only as necessary, to ensure that consistency in the descriptive approach is not lost. The essentials of this report were rewritten as a third-person objective description in the summary of the report by the Atomic Energy Society of Japan (AESJ). Since then, comments have been received from sources such as former members of the Nuclear Safety Commission (Dr. Kenji Sumita and Dr. Akira Kanagawa), concerned parties from the former Science and Technology Agency, and reports from the JCO Criticality Accident Investigation Committee of the AESJ, and thus this report was rewritten to correct incorrect information, and add material where that was felt to be necessary. This year is the tenth year of the JCO criticality accident. To mark this occasion we have decided to translate the record of what occurred at the accident site into English so that more people can draw lessons from this accident. This report is an English version of JAEA-Technology 2009-073. (author)

  6. Consequences of the Chernobyl accident

    The techniques currently used in off-site consequence modelling are applied to the Chernobyl accident. Firstly, the time dependent spread of radioactive material across the European continent is considered, followed by a preliminary assessment of the dosimetric impact (in terms of collective and mean individual doses) on the various countries of Eastern and Western Europe. The consequences of the accident in the USSR are also discussed. Finally, the likely implications of the Chernobyl event on research in the field of environmental consequence assessment are outlined. (author)

  7. Severe accident source term reassessment

    This paper summarizes the status of the reassessment of severe reactor accident source terms, which are defined as the quantity, type, and timing of fission product releases from such accidents. Concentration is on the major results and conclusions of analyses with modern methods for both pressurized water reactors (PWRs) and boiling water reactors (BWRs), and the special case of containment bypass. Some distinctions are drawn between analyses for PWRs and BWRs. In general, the more the matter is examined, the consequences, or probability of serious consequences, seem to be less. (author)

  8. The nature of reactor accidents

    Reactor accidents are events which result in the release of radioactive material from a nuclear power plant due to the failure of one or more critical components of that plant. The failures, depending on their number and type, can result in releases whose consequences range from negligible to catastrophic. By way of examples, this paper describes four specific accidents which cover this range of consequence: failure of a reactor control system, loss of coolant, loss of coolant with impaired containment, and reactor core meltdown. For each a possible sequence of events and an estimate of the expected frequency are presented

  9. Civil liability concerning nuclear accidents

    France and the USA wish to cooperate in order to promote an international regime of civil liability in order to give a fair compensation to victims of nuclear accidents as it is recommended by IAEA. On the other hand the European Commission has launched a consultation to see the necessity or not to harmonize all the civil liability regimes valid throughout Europe. According to the Commission the potential victims of nuclear accidents would not receive equal treatment at the European scale in terms of insurance cover and compensation which might distort competition in the nuclear sector. (A.C.)

  10. Technetium uptake predicts remission and relapse in Grave's disease patients on antithyroid drugs for at least 1 year in South Indian subjects

    Neha Singhal; Praveen, V. P.; Nisha Bhavani; Menon, Arun S.; Usha Menon; Nithya Abraham; Harish Kumar; R V JayKumar; Vasantha Nair; Shanmugha Sundaram; Padma Sundaram

    2016-01-01

    Context: Most of the information on remission related factors in Grave's disease are derived from Western literature. It is likely that there may be additional prognostic factors and differences in the postdrug treatment course of Grave's disease in India. Aim: To study factors which predict remission/relapse in Grave's disease patients from South India. Also to establish if technetium (Tc) uptake has a role in predicting remission. Subjects and Methods: Records of 174 patients with clinical,...

  11. Ignalina accident localisation system response to maximum design basis accident

    In this paper the study of the accident localisation system (ALS) of the Ignalina nuclear power plant (NPP) with RBMK-1500 reactors (large-power channel-type water-cooled graphite-moderated reactor) with regard to a maximum design basis accident (MDBA) is presented. The MDBA for Ignalina NPP constitutes a guillotine rupture of the maximum diameter pipe. The thermal-hydraulic and structural analyses were performed using the RELAP5, CONTAIN and ALGOR codes. The coolant mass and energy discharge source terms to the accident compartment were established using the RELAP5 code. This was then used as a source term for the long-term accident thermal-hydraulic analysis of ALS compartments employing the CONTAIN code. Results obtained by the CONTAIN calculations establish a basis for the structural analysis. A finite-element method has been used for ALS structural analysis using the ALGOR code, the results of which show that the structures of the ALS would not be breached by the pressure attained in the event of an MDBA. (author)

  12. Pergaulan Bebas dan Hamil Pranikah

    Farida Farida

    2009-01-01

    Married by accident cases or pragnancy outside marriage boundages and freeintercourse are blur pictures of our youth generation. In addition to break religious,social, and ethical norms, those acts also ruine their own futures. These cases happenusually because of lack of youth abilities to screen, to select and to choose positiverelationship. In addition, this is because of their unstable emotion, lack of partens’monitoring and less in religious knowledges. To prevent married by accident cas...

  13. Current perspectives on the role of orbital fibroblasts in the pathogenesis of Graves' ophthalmopathy.

    Dik, Willem A; Virakul, Sita; van Steensel, Leendert

    2016-01-01

    Graves' ophthalmopathy (GO) is an extra-thyroidal complication of Graves' disease (GD; Graves' hyperthyroidism) characterized by orbital tissue inflammation, expansion, remodeling and fibrosis. Although the initiating trigger of GO is still indistinct, excessive orbital fibroblast activity is at the heart of its pathogenesis. Orbital fibroblasts are activated by cellular interactions with immune cells and the soluble factors they secrete. Orbital fibroblasts, especially from GO patients, express the thyrotropin receptor (TSH-receptor; TSHR), and activation of the orbital fibroblast population by stimulatory autoantibodies directed against the TSHR may provide an important link between GD and GO. Furthermore, stimulatory autoantibodies directed against the insulin-like growth factor-1 receptor have been proposed to contribute to orbital fibroblast activation in GO. Activated orbital fibroblasts produce inflammatory mediators thereby contributing to the orbital inflammatory process in GO. Moreover, orbital fibroblasts exhibit robust proliferative activity and extracellular matrix (especially hyaluronan) synthesizing capacity and can differentiate into adipocytes and myofibroblasts with disease progression, thereby contributing to tissue expansion/remodeling and fibrosis in GO. Orbital fibroblasts, especially those from GO patients, exhibit a hyper-responsive phenotype when compared to fibroblasts from other anatomical regions, which may further contribute to GO pathogenesis. Fibrocytes have been identified as additional source of orbital fibroblasts in GO, where they may contribute to orbital tissue inflammation, adipogenesis and remodeling/fibrosis. This review addresses our current view on the role that orbital fibroblasts fulfill in GO pathogenesis and both established as well as less established not fully crystallized concepts that need future studies will be discussed. PMID:26675405

  14. Crystal structure of a TSH receptor monoclonal antibody: insight into Graves' disease pathogenesis.

    Chen, Chun-Rong; Hubbard, Paul A; Salazar, Larry M; McLachlan, Sandra M; Murali, Ramachandran; Rapoport, Basil

    2015-01-01

    The TSH receptor (TSHR) A-subunit is more effective than the holoreceptor in inducing thyroid-stimulating antibodies (TSAb) that cause Graves' disease. A puzzling phenomenon is that 2 recombinant, eukaryotic forms of A-subunits (residues 22-289), termed active and inactive, are recognized mutually exclusively by pathogenic TSAb and mouse monoclonal antibody 3BD10, respectively. Understanding the structural difference between these TSHR A-subunit forms could provide insight into Graves' disease pathogenesis. The 3-dimensional structure of the active A-subunit (in complex with a human TSAb Fab, M22) is known, but the structural difference with inactive A-subunits is unknown. We solved the 3BD10 Fab 3-dimensional crystal structure. Guided by prior knowledge of a portion of its epitope, 3BD10 docked in silico with the known active TSHR-289 monomeric structure. Because both TSAb and 3BD10 recognize the active TSHR A-subunit monomer, this form of the molecule can be excluded as the basis for the active-inactive dichotomy, suggesting, instead a role for A-subunit quaternary structure. Indeed, in silico analysis revealed that M22, but not 3BD10, bound to a TSHR-289 trimer. In contrast, 3BD10, but not M22, bound to a TSHR-289 dimer. The validity of these models is supported experimentally by the temperature-dependent balance between active and inactive TSHR-289. In summary, we provide evidence for a structural basis to explain the conformational heterogeneity of TSHR A-subunits (TSHR-289). The pathophysiologic importance of these findings is that affinity maturation of pathogenic TSAb in Graves' disease is likely to involve a trimer of the shed TSHR A-subunit. PMID:25419797

  15. Hyperthyroidism relapse after iodine radiotherapy in Graves' disease: influence of iodine uptake heterogeneity

    Full text of publication follows. We evaluated outcome of patients after 131I therapy for Graves' disease. 18 out 120 patients (15%) relapsed Graves' disease 9 ± 4 months [5;25] after treatment with fixed dose of 555 mCi. Thyroid scintigraphy was characterised as homogenous or heterogeneous. Planar image was segmented using a threshold at 50% of maximal activity measured in thyroid gland. Heterogeneous fixation was defined as more than half of thyroid gland do not achieved the maximal activity although total uptake was increased allowing radioiodine treatment. Heterogeneity of the fixation was observed in 88% of patients with relapse contrarily to 33% without relapse. Heterogeneity of radioiodine distribution on thyroid gland before treatment was the only predictive factor for relapse; Iodide uptake, hormone dosage (TSH, T3L, T4L), age, sex, TSH receptors or other antibodies positivity rate were not significantly different between the 2 groups of patients with or without relapse. In patients with relapse, iodine uptake was not different than before treatment but scintigraphy was homogenous for 8 of them and the 10 others shown an increase uptake in the area without high fixation on the first scintigraphy. TSH receptors were positive for 12 patients before the first treatment and there was more increase when relapse occurred (31 ± 14 vs 13 ± 12; p < 0.05). In conclusion: heterogeneity of iodine uptake is predictive of hyperthyroidism relapsed in Graves' disease. Recommendations for radioiodine treatment in this particular population should be reconsidered. (authors)

  16. Spectral color Doppler in the diagnosis and follow-up of Graves' disease

    Hyperthyroidism in Graves' disease is caused by the presence of circulating autoantibodies to the THS receptors on the thyroid cells. Thyroid-suppression therapy prevents hormone production directly, without affecting the pathogenetic process. They performed color Doppler US of the thyroid gland and pulsed Doppler analysis of thyroid artery flow in 21 patients with Graves' disease before and during medical treatment. US results were compared with those of a control group of 40 healthy subjects and correlated with the values of thyroid hormones, TSH and thyroid microsomal and thyroglobulin antibodies. The thyroid gland was hypo vascularized in the control group. Pulsed Doppler examination of the thyroid arteries exhibited peak systolic velocity of PSV 20 ± 4 cm/s, diastolic velocity of 8 ± 1 cm/s, and resistive index of 0.60 ± 0.04. The thyroid gland of Graves' disease patients was hyper vascularized. Pulsed Doppler examination of the thyroid arteries exhibited peak systolic velocity (PSV = 51 ± 12 cm/s), end diastolic velocity (VD = 15 ± 4 cm/s) and resistive index (RI = 0.71 ± 0.04) significantly higher than in normal subjects (p < 0.001). Circulating thyroid hormones and flow parameters normalized after 6-8 months of medical therapy (PSV = 20 ± 6 cm/s, VD = 9 ± 3 cm(s, RI = 0.58 ± 0.07). The color Doppler patterns normalized only in a patient with normal TSH and antibodies. Sampling of the thyroid arteries proved more repeatable than sampling of parenchymal vessels

  17. TEMPORAL RELATIONSHIP BETWEEN THE ONSET OF THYROID DERMOPATHY AND GRAVES' OPHTHALMOPATHY

    Mohammad Pajhouhi

    1993-06-01

    Full Text Available Pretibial myxedema is an uncommon manifestation of Graves' disease and because of its rarity, information regarding its natural course and its relationship with other manifestations of Graves' disease is not sufficient."nWe reviewed 150 consecutive cases diagnosed as having pretibial myxedema in a twenty-year period in a tertiary care center. Only one patient in this group did not have ophthalmopathy, and the majority of cases had significant proptosis and ophthalmopathy, 30% required orbital decompression surgery. Dermopathy is a late manifestation of the Graves' disease and its onset is usually after the diagnosis of hyperthyroidism and ophthalmopathy. In a few patients, dermopathy preceded diagnosis of hyperthyroidism or the onset of ophthalmopathy. Fourteen patients have never had hyperthyroid, eleven patients in this group had developed spontaneous hypothyroidism."nAll cases showed the involvement of the lower extremities, and only one patient showed to have combined upper and lower extremities involvement. The most common form of thyroid dermopathy was non-pitting edema. Nodular and plaque forms were also relatively common and occurred with equal frequency. Polypoid form occurred in one patient and elephantiatic form in another. There was no consistent correlation among different types of dermopathy and severity of eye disease."nDuring a three-month to nineteen-year follow up in 120 patients, complete remission was observed only in twelve patients. Partial remission was more common and occurred more frequently in patients who had local steroid therapy. it is possible that patients with remission might have been excluded of the follow up program.Thus, the remission data should be interpreted cautiously.

  18. Predictive factors of failure in radioiodine therapy of Graves' disease

    Full text of publication follows. Aim: to retrospectively evaluate any factors that may limit the success rate of radioiodine therapy (RIT) in Graves' disease patients. Methods: 80 Graves' disease patients submitted for RIT in our department in a two years' period (2010-2011) were enrolled in the study. A fixed dose of 12 mCi (444 MBq) of 131I was administered to all patients after antithyroid drug administration, in order to achieve normal FT3 serum values. Thyroid function outcome were assessed 10-12 months after RIT. Patient's sex, age, evidence of ophthalmopathy, ultrasound measurement of the thyroid volume and 99mTc thyroid uptake % prior to RIT were considered as potential interference factors for success. Multiple logistic regression analysis was performed. Results: after RIT, 9 patients (11%) became euthyroid, 48 patients (61%) became hypothyroid and 23 (28%) remained hyperthyroid. No statistically significant association between treatment outcome and sex (p = 0.56), age (p=0.61) and ophthalmopathy (p = 0.72) was found. On the contrary, 99mTc thyroid uptake % and thyroid volume were associated with success rate (thyroid uptake<14%, p<0.001, odds ratio 3.9 and thyroid volume <58 ml, p < 0.001, odds ratio 7.9). Conclusions: A radioiodine fixed dose of 12 mCi (444 MBq) for treatment of Graves' disease seems to be a practical and effective approach. However, this administration is not recommended for patients with large goiters and a high pre-RIT thyroid uptake, due to high failure rates observed in patients with thyroid volume more than 58 ml and thyroid uptake higher than 14%. (authors)

  19. POTENTIALLY GRAVE GASTRO-INTESTINAL TRACT PROBLEMS IN PREGNANCY - A CHALLENGE TO THE OBSTETRICIAN!

    Chaitra

    2016-02-01

    Full Text Available CONTEXT Acute surgical pathology may be overlooked in pregnancy. Despite advances in medical technology, preoperative diagnosis of potentially grave pathologies of the gastrointestinal tract (GIT is often delayed due to overlap with symptoms of pregnancy non-specific elevation of some laboratory parameters due to pregnancy and a dilemma for obstetricians and surgeons in ordering radiological imaging modalities given the risk associated with fetal exposure to ionizing radiation and contrast. AIMS The aim of this study is to analyse the cases of gastrointestinal tract problems encountered in pregnancy so that increasing awareness can be created among obstetricians. This is important because early diagnosis and timely intervention can significantly improve maternal and fetal outcome in these cases. SETTINGS AND DESIGN There is a retrospective case study of potentially grave GIT problems encountered at Vanivilas hospital, Bangalore, a tertiary referral institute wherein the clinical presentation was confounded by pregnancy. MATERIALS AND METHODS All the included cases were analysed for age of the patient, pre-existing gastrointestinal tract disorders, gestational age at diagnosis, maternal and fetal outcome. RESULTS A total of 8 cases of GIT problems in pregnancy were studied. Though acute appendicitis is the most common cause of GIT emergency in pregnancy as quoted in literature 5, we did not encounter any case of acute appendicitis in pregnancy in the study period. Other conditions which were encountered were small bowel obstruction, stomach and bowel perforation and bleeding oesophageal varices. Whilst few of the conditions could be managed conservatively without harm to the pregnancy, others required a laparotomy and reparative procedures. Delay in diagnosis and intervention proved to be fatal in some of these women. CONCLUSIONS Knowledge about potentially grave gastrointestinal tract problems during pregnancy, high index of clinical suspicion

  20. Study on the change of hepatic fibrosis indicators in serum before and after I-131 treatment in Graves' Patients

    Full text: Objective: To explore the change of hepatic fibrosis indicators, i.e., PC-III (type III procollagen), IV-C (type IV collagen), HA (hyaluronic acid), LN (laminin) levels in serum of Graves' patients before and after I-131 treatment. Methods: Control group were 40 healthy cases (female 25, male 15, aged 18-60 years) with normal serum levels of those indicators by medical examination in our hospital. Fifty-five Graves' patients (female 32, male 23, aged 17-58) were diagnosed by thyroid function indicators (TT3, TT4, FT3, FT4, TSH) tests, thyroid iodine intake and clinical symptoms and signs, with normal hepatic function indicators and without combined history of hepatic disease, cardiac disease, diabetes, and rheumatic disease. Three to six months after I-131 treatment these were completely recovered (back to normal thyroid function, shrunken thyroid gland volume from swelling, and disappeared clinical symptoms and signs). In both controls and Graves' patients, 2 ml venous blood was taken at early morning from each case with limosis respectively before and after I- 131 treatment. RIA method was adopted for detection of each serum indicator with reagents kit. Data were analyzed by t test in the SPSS statistical software pack. Results: 1. In Graves' patients, before treatment PC- III (type III procollagen) levels were statistically higher than that in controls (p0.05). 2. In Graves' patients, PC-III significantly decreased to a lower level after treatment than before (p05). 3. In Graves' patients, after treatment there is no significant difference of indicator levels when compared with controls (p>0.05). Conclusion: Graves' patients had certain degree of hyperplasia of hepatic connective tissue, and this pathogenesis recovered with healing of Graves' disease. PC-III positive rate and thyroid function indicator positive rate may be better in accordance with the disease process than IV-C, Ha and LN indicators. These data showed that of four serum hepatic

  1. Public health response to the combined Great East Japan Earthquake, tsunami and nuclear power plant accident: perspective from the Ministry of Health, Labour and Welfare of Japan

    Tomoya Saito; Ayano Kunimitsu

    2011-01-01

    At 14:46 on 11 March 2011, eastern Japan was struck by the largest earthquake in Japan's recorded history. With the epicentre off the Sanriku coast, the magnitude 9.0 quake triggered a tsunami, which together with the effects of the quake ignited a serious accident at a nuclear power plant. The damage was grave and widespread with the death toll as of 9 November 2011 at 15 835 and the number of missing and unaccounted for at 3664.1 Immediately after the earthquake, the Japanese Government, lo...

  2. Vasculite cerebral e doença de Basedow-Graves: relato de dois casos

    Rocha Maria Sheila Guimarães; Brucki Sônia Maria Dozzi; Ferraz Ana Cláudia

    2001-01-01

    OBJETIVO: Relatar dois casos de pacientes com vasculite cerebral associada à doença de Basedow-Graves. RELATO DOS CASOS: O primeiro é uma paciente de 22 anos de idade com quadro súbito de disartria e déficit motor em dimídio esquerdo. Ao exame clínico, apresentava taquicardia, exoftalmia bilateral e bócio difuso. Referia tratamento para hipertiroidismo há um mês. O segundo é uma paciente de 15 anos de idade, que apresentou quadro súbito de perda da consciência seguindo-se distúrbio de linguag...

  3. Association of the thyroid stimulating hormone receptor gene (TSHR) with Graves' disease

    Brand, Oliver J; Barrett, Jeffrey C; Simmonds, Matthew J;

    2009-01-01

    Graves' disease (GD) is a common autoimmune disease (AID) that shares many of its susceptibility loci with other AIDs. The thyroid stimulating hormone receptor (TSHR) represents the primary autoantigen in GD, in which autoantibodies bind to the receptor and mimic its ligand, thyroid stimulating...... hormone, causing the characteristic clinical phenotype. Although early studies investigating the TSHR and GD proved inconclusive, more recently we provided convincing evidence for association of the TSHR region with disease. In the current study, we investigated a combined panel of 98 SNPs, including 70...

  4. Evaluación psicopedagógica y la discapacidad intelectual grave

    Oms Senent, Nelia

    2013-01-01

    En el presente trabajo hablaremos sobre la tarea y razón de ser del diagnóstico, y de su importancia a la hora de realizar un buena intervención. También definiremos y explicaremos que es una evaluación psicopedagógica, y los problemas y dificultades a la hora de realizarla a personas con discapacidad intelectual grave, tanto en los instrumentos como en el proceso. Finalmente compararemos ambas partes, demostrando que para nuestro contexto particular, como es Afanías, un centro...

  5. Th1/Th2 cytokines in patients with Graves' disease with or without ophthalmopathy.

    Fatemeh Esfahanian; Effat Naimi; Farideh Doroodgar; Zohre Jadali

    2013-01-01

    About 25-50% of Graves' disease (GD) patients develop thyroid eye diseases, which is associated with inflammatory process and abnormalities in the levels of several cytokines in orbital tissues in GD.  The aim of this study was to determine the Th1 and Th2 serum cytokines in patients with GD with or without ophthalmopathy.Serum  levels of  cytokines  and  autoantibodies  including Interferon-gamma  (IFN-γ),Interleukin-2 (IL-2), Interleukin-4 (IL-4), Interleukin-10 (IL-10), TSH receptor autoan...

  6. Les cellulites cervico-faciales graves, facteurs et critères de gravité

    Lakouichmi, Mohammed; Tourabi, Khalid; Abir, Bader-eddine; Zouhair, Said; Lahmiti, Saad; Hattab, Nadia Mansouri

    2014-01-01

    La cellulite cervico-faciale grave est une infection polymicrobienne extensive et redoutable du tissu cellulo-adipeux de la face et du cou. L'objectif de cette étude est d'analyser certains facteurs favorisants et d’évaluer les critères de gravité en fonction des formes anatomo-cliniques. Il s'agit d'une étude rétrospective réalisée, entre janvier 2007 et décembre 2012, au service de chirurgie maxillo faciale de l'hôpital militaire Avicenne de Marrakech. Sur 147 cas de cellulites cervico-faci...

  7. Induction of animal model of Graves disease in BALB/c mice

    2009-01-01

    Objective To construct an animal model of Graves' disease(GD)by immunizing BALB/c mice with hM12 cells co-expressing major histocompatibility complex(MHC)class II molecules and human thyrotropin receptor(TSHR)molecules.Methods BALB/c mice in experimental group(H-2d)were immunized with hM12 cells intraperitoneally every 2 weeks for six times,while mice in control group were immunized with M12 cells.Five weeks later,the thyroids were histologically examined,and serum samples were tested for thyroid-stimulatin...

  8. Fisioterapia respiratoria na pressao intracraniana de pacientes graves internados em unidade de terapia intensiva: revisao sistematica

    Lucas Lima Ferreira; Vitor Engracia Valenti; Luiz Carlos Marques Vanderlei

    2013-01-01

    Objetivo: Analisar os desfechos aumento/diminuição da pressão intracraniana e/ou queda da pressão de perfusão cerebral, proporcionados pela fisioterapia respiratória em pacientes graves assistidos em unidade de terapia intensiva. Métodos: Por meio de uma revisão sistemática da literatura, foram selecionados ensaios clínicos publicados entre 2002 e 2012. A busca envolveu as bases de dados LILACS, SciELO, MedLine e PEDro, usando os descritores "physical therapy", "physiotherapy", "respiratory...

  9. Unidad hospitalaria de patología dual grave: un año de experiencia

    Esfors Hernández, Jorge; Villar García, Mariano; Rubio Perlado, Begoña; Juan i Porcar, María; Romero Marmaneu, Francisca

    2014-01-01

    Se trata de un estudio observacional, descriptivo, transversal en el que se incluyeron los pacientes ingresados en la Unidad de Hospitalización del Programa de Patología Dual Grave (UHPPDG) durante un año. Los datos sociodemográficos, clínicos y farmacológicos se obtuvieron mediante hojas de recogida de datos diseñadas al efecto. El total de pacientes ingresados fue de 82 en cuyo perfil prevalecen los varones con una edad media de 36,7 años, derivados del subprograma ambulatori...

  10. Factores pronósticos en el traumatismo craneoencefálico grave

    José Purón-Barrera; Elizabeth Reyes-Ramírez; Andrés Andrés-Matos; Alberto Piriz-Assa

    2011-01-01

    Se señalaron los factores relacionados con la mortalidad del trauma craneoencefálico grave y que pueden influir sobre su pronóstico. La presencia de puntuación en la Escala de Glasgow ¿ 8, hiperglicemia, shock, necesidad de ventilación mecánica, alteraciones pupilares y múltiples lesiones en la tomografía axial computarizada (TAC) entre las cuales siempre estuvo asociado el hematoma subdural concuerda con lo referido por otros estudios. El hallazgo de hipernatremia tuvo alta significación est...

  11. Perfil psicosocial y modelo de intervención en adolescentes con problemas graves de comportamiento

    Orrego Álvarez, José Manuel

    2014-01-01

    La presente Tesis persigue dos objetivos generales. En primer lugar, analizar el perfil psicosocial y los rasgos psicopatológicos, emocionales y escolares de un grupo de alumnos del Principado de Asturias, que participan en la experiencia socioeducativa Trampolín y que son considerados por las autoridades educativas regionales como los casos más graves en cuanto a problemas de comportamiento. En segundo lugar, examinar la intervención realizada con ellos en un centro especializado que, bien d...

  12. Image and Role of the Queen Mother of the West in Han Grave Art

    Nataša VAMPELJ SUHADOLNIK

    2015-01-01

    The present article is a detailed study of the image of an ancient Chinese goddess, The Queen Mother of the West, called Xiwangmu 西王母 in Chinese. In the mythological tradition, Xiwangmu is a goddess who possesses the elixir of immortality and dwells in the western paradise, on the magic mountain Kunlun 崑崙. While her image can be found in mural paintings, and on lacquered objects and bronze mirrors, it appears primarily in the form of relief images on the stones and bricks of grave chambers an...

  13. Samantha Matthews. Poetical Remains – Poets’ Graves, Bodies, and Books in the Nineteenth Century

    Marc PORÉE

    2005-10-01

    Full Text Available What is left of poets after they have passed away? Graves and books, answers Samantha Matthews in Poetical Remains, a study which capitalizes on body-oriented essays, while threatening to drive the trend into the ground, since it offers the ultimate take on poets—viewing them as terminal cases, but assessing their books as open-ended. The work purports to examine what it views as the particular affinity between poets' physical and literary “remains” in the Romantic to late Victorian period. B...

  14. Estudo dos linfócitos circulantes por anticorpos monoclonais na miastenia grave

    Paulo E. Marchiori; Duarte, Alberto J.; M. Izabel A. M. Birolli; Cristina A. Figueiredo; Milberto Scaff; J. Lamartine de Assis

    1988-01-01

    Os autores avaliam os linfócitos T (CD3, CD4, CD8, CD4/8) por anticorpos monoclonais e rosácea em 20 pacientes e linfócitos B por Fab' por imunofluorescência em 9 pacientes com miastenia grave. Observam elevação significante na população de linfócito B e redução nos linfócitos T totais CD3+ por rosáceas. Não foram observadas modificações nas subpopulações celulares com timectomia e corticosteróides.

  15. Estudo dos linfócitos circulantes por anticorpos monoclonais na miastenia grave

    Paulo E. Marchiori

    1988-09-01

    Full Text Available Os autores avaliam os linfócitos T (CD3, CD4, CD8, CD4/8 por anticorpos monoclonais e rosácea em 20 pacientes e linfócitos B por Fab' por imunofluorescência em 9 pacientes com miastenia grave. Observam elevação significante na população de linfócito B e redução nos linfócitos T totais CD3+ por rosáceas. Não foram observadas modificações nas subpopulações celulares com timectomia e corticosteróides.

  16. Clinical study of 1003 cases with Graves' disease treated with 131I

    Objective: To explore the treatment effects of individual 131I dose treatment of Graves' disease. Methods: Graves' disease patients were given individual 131I dose (131I MBq/per gram thyroid tissue), which ranged at 1.48-4.07 MBq/g. A total of 1003 cases (76.9%) were successfully followed up. The mean administered dose of 131I was (329.3 ± 307.1, 44.4-3700) MBq. The term of follow-up was (16.4 ± 10.0, 3.0-44.7) months. Results: After one dose 131I treatment, 593 patients (59.1%) were with euthyroid, 200 patients (19.9%) hypothyroidism, 190 patients (18.9%) were partially remitted, 20 patients (2.0%) showed no changes; 259 patients (25.8%) suffered from early hypothyroidism, 88 patients were with transient hypothyroidism. Logistic stepwise regression analysis revealed that hard thyroid texture was a risk factor for developing early hypothyroidism, whereas large goiter was a protective factor for developing permanent hypothyroidism. Partial-correlations analysis showed that curative effects correlated negatively with the weight of goiter mass, the course of disease and the use of antithyroid drugs (ATD). After 131I treatment, for 195 patients (41.7%) the ophthalmopathy was cured, 155 patients (33.1%) were partially remitted, 105 patients (22.4%) showed no effects, 13 patients (2.8%)were deteriorated. For 56 patients (77.8%) their hyperthyroid heart disease was cured, 10 patients(13.9%) were partially remitted, 6 patients (8.3%) were of no effects. For 60 patients (85.7%) periodic paralysis associated with thyrotoxicosis were cured, 2 patients (2.9%) were partially remitted, 8 patients (11.4%) were of no effects. Of 249 patients with large goiter (≥90 g), 219 cases (88.0%) were completely remitted. Conclusions: The individual 131I dose treatment for Graves' disease exerts good therapeutic efficiencies. 131I treatment for ophthalmopathy, hyperthyroid heart disease and Graves' disease with lager goiter is effective and safe. (authors)

  17. Impacto del estudio microbiológico en la neumonía comunitaria grave.

    Bodí Saera, María Amparo

    2002-01-01

    TESIS DOCTORALIMPACTO DEL ESTUDIO MICROBIOLOGICO EN LA NEUMONÍA COMUNITARIA GRAVEMaría Bodí SaeraOBJETIVO DE LA TESISEsta Tesis va dirigida a valorar el impacto que tiene el estudio microbiológico en las decisiones terepéuticas y en la evolución de la neumonía comunitaria grave.MATERIAL Y METODOSSe trata de un análisis retrospectivo de los datos recogidos de forma prospectiva.Se realiza en dos Servicios de Cuidados Intensivos españoles. Se analizan todos los casos de neumonía comunitaria grav...

  18. Morbidade Materna Grave e Near Misses em Hospital de Referência Regional

    Márcia Lait Morse

    2011-06-01

    Full Text Available OBJETIVO: Analisar perfil epidemiológico da morbidade materna grave/near miss em uma maternidade pública de referência regional, utilizando diferentes critérios identificadores. MÉTODOS: Trata-se de um estudo descritivo de corte transversal dos casos de morbidade materna grave/near miss realizado em Hospital de referência regional entre junho e outubro de 2009, identificados a partir dos livros de registro de internação da maternidade e análise dos prontuários clínicos. Foram estudadas mulheres que, durante a gestação, parto ou puerpério, apresentaram qualquer quadro clínico compatível com os critérios definidores de morbidade materna grave/near miss de Waterstone et al., Mantel et al. e Organização Mundial de Saúde. RESULTADOS: Entre as 1.544 internações foram identificadas 89 mulheres com morbidade materna grave, considerando os critérios adotados. As razões de morbidade materna grave/near miss variaram entre 81,4 a 9,4 por 1.000 NV, dependendo do critério utilizado. O índice de Mortalidade foi de 3,2%, chegando a 23% no critério da OMS. Das 89 mulheres, apenas 40% fizeram mais de seis consultas de pré-natal e 10% não realizaram qualquer consulta. Os marcadores mais encontrados foram a pré-eclâmpsia grave seguida de hemorragia grave, internação em UTI, Síndrome HELLP e eclâmpsia. Ocorreram três mortes maternas por causas obstétricas com RMM de 280/100.000 NV e uma morte tardia. O critério da OMS se mostrou mais específico, identificando os casos mais graves, enquanto o de Waterstone foi mais sensível. CONCLUSÃO: O estudo da morbidade materna grave/near miss em um hospital de referência regional pode contribuir para o conhecimento da magnitude deste evento, como também identificar suas características e condições clínicas mais frequentes, sendo extremamente importante para o enfrentamento da morbi-mortalidade materna.OBJECTIVE: To investigate severe maternal morbidity/near misses in a tertiary

  19. Coincidence of remission of postpartum Graves' disease and use of omega-3 fatty acid supplements

    Breese McCoy Sarah J

    2011-11-01

    Full Text Available Abstract I developed Graves' Disease four months postpartum. After one year on propylthiouracil, I learned that omega-3 fatty acids may reduce inflammation associated with certain autoimmune disorders, although no investigations for thyroiditis have been reported. Within eight weeks of beginning flaxseed oil supplements, TSH levels normalized, but fell somewhat when flaxseed was decreased and PTU discontinued. During another pregnancy, plasma TSH normalized, but was again suppressed by four weeks postpartum, then undetectable by four months. This time, flaxseed supplementation alone coincided with TSH normalization. Omega-3 fatty acids should be investigated as a potential treatment for autoimmune thyroid disease.

  20. A female burial with grave goods at the Roman villa of Almenara de Adaja (Valladolid

    C. GARCÍA MERINO

    2012-03-01

    Full Text Available Recent works in an area placed North from the pars urbana of the late imperial roman villa at Almenara de Adaja (Valladolid, Spain have uncovered a female burial with grave goods. These finds suggest the likely situation of a necropolis corresponding to the villa lifetime period. We study the artifacts found in the burial. Results of an analysis on the content of a ceramic vessel found there are also given. This finding complements the available data on the distribution and organization of contemporary habitat and adds up to the known information on cemeteries dating from this time period in the Spanish north inner plateau.