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showing 10 items of 2443 documents

High Titers of Thyrotropin Receptor Antibodies Are Associated With Orbitopathy in Patients With Graves Disease.

2018

AbstractContextSerum TSH receptor autoantibody (TSH-R-Ab) is a biomarker of Graves disease (GD). Studies have shown that the levels of this TSH-R-Ab have clinical significance.ObjectiveTo differentiate between thyroidal GD only and Graves orbitopathy (GD + GO).DesignControlled, follow-up study.SettingAcademic tertiary referral center for GD + GO.SubjectsSixty patients with GD, GD + GO, and controls.InterventionSerial serum dilution analyses with six automated, ELISA, and cell-based assays for TSH-R-Ab.Main Outcome MeasureDifferentiation among GD phenotypes.ResultsAll undiluted samples of hyperthyroid-untreated GD patients were positive with the six assays but became negative at dilution 1:9…

AdultMalemedicine.medical_specialtySerial dilutionEndocrinology Diabetes and MetabolismGraves' diseaseClinical Biochemistry030209 endocrinology & metabolismContext (language use)BiochemistryThyrotropin receptorDiagnosis Differential03 medical and health sciencesYoung Adult0302 clinical medicineEndocrinologyAntithyroid AgentsInternal medicineMedicineHumansEuthyroidAgedAutoantibodiesMethimazolebiologybusiness.industryBiochemistry (medical)AutoantibodyReceptors ThyrotropinMiddle Agedmedicine.diseasePrognosisGraves DiseaseGraves OphthalmopathyTiterEndocrinology030220 oncology & carcinogenesisbiology.proteinFemaleAntibodybusinessFollow-Up StudiesThe Journal of clinical endocrinology and metabolism
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Location of Gliomas in Relation to Mobile Telephone Use: A Case-Case and Case-Specular Analysis

2011

The energy absorbed from the radio-frequency fields of mobile telephones depends strongly on distance from the source. The authors' objective in this study was to evaluate whether gliomas occur preferentially in the areas of the brain having the highest radio-frequency exposure. The authors used 2 approaches: In a case-case analysis, tumor locations were compared with varying exposure levels; in a case-specular analysis, a hypothetical reference location was assigned for each glioma, and the distances from the actual and specular locations to the handset were compared. The study included 888 gliomas from 7 European countries (2000-2004), with tumor midpoints defined on a 3-dimensional grid …

AdultMalemedicine.medical_specialtyTime FactorsAdolescentRadio Wavesglioma; cellular phone; brain neoplasms; telephoneEpidemiologyLogistic regressionHandsetMobile telephonelaw.invention03 medical and health sciences0302 clinical medicineRisk FactorslawParietal LobegliomaGliomaStatisticsHumansMedicine030212 general & internal medicineSpecular reflectionAgedRetrospective Studiesbrain neoplasmsbusiness.industryMiddle Agedmedicine.diseaseGrid basedTemporal LobeFrontal LobeSurgeryEuropeLogistic ModelsResearch DesignMobile phonecellular phone030220 oncology & carcinogenesisFemaletelephoneConditional logistic regressionOccipital LobebusinessCell PhoneAmerican Journal of Epidemiology
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Total Versus Near-total Thyroidectomy in Graves Disease

2019

Previous data suggest that the incidence of hypoparathyroidism after surgery for Graves disease (GD) is lower after subtotal thyroidectomy compared to total thyroidectomy (TT). The present study evaluated the incidence of postoperative hypoparathyroidism after near-total (NTT) versus TT in GD.In a multicenter prospective randomized controlled clinical trial, patients with GD were randomized intraoperatively to NTT or TT. Primary endpoint was the incidence of transient postoperative hypoparathyroidism. Secondary endpoints were permanent hypoparathyroidism, transient recurrent laryngeal nerve palsy (RLNP), reoperations for bleeding, inadvertently removed parathyroid glands, and recurrent hype…

AdultMalemedicine.medical_specialtyTime FactorsHypoparathyroidismGraves' diseaseRisk AssessmentSeverity of Illness IndexTransplantation Autologouslaw.inventionParathyroid GlandsYoung Adult03 medical and health sciencesPostoperative Complications0302 clinical medicineRandomized controlled triallawSeverity of illnessmedicineHumansProspective StudiesProspective cohort studybusiness.industryIncidence (epidemiology)Middle Agedmedicine.diseaseGraves DiseaseSurgeryTransplantationNear total thyroidectomyTreatment OutcomeHypoparathyroidism030220 oncology & carcinogenesisThyroidectomyFemale030211 gastroenterology & hepatologySurgerybusinessFollow-Up StudiesAnnals of Surgery
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Does the Compliance to Intravesical BCG Differ between Common Clinical Practice and International Multicentric Trials?

2015

<b><i>Introduction:</i></b> The aim of this study was to analyze the reasons for intravesical BCG interruption in clinical practice. BCG for at least one year is advocated as the best regimen to treat high-risk non-muscle invasive bladder cancer (NMIBC). However, almost 50% of patients don't complete it. Toxicity accounts for 10% of dropouts in international trials. <b><i>Materials and Methods:</i></b> Patients with T1HG NMIBC undergoing 1-year BCG were enrolled in this study. BCG was administered for one year. Toxicity and causes of treatment interruption were recorded. <b><i>Results:</i></b> A total of 411 patients we…

AdultMalemedicine.medical_specialtyUrologyInternational CooperationAntineoplastic AgentsSettore MED/24 - UrologiaMedication AdherenceSocial lifeCohort StudiesRecurrenceInternal medicinemedicineHumansAgedBladder cancerbusiness.industryMiddle Agedmedicine.diseaseSurgeryClinical PracticeRegimenAdministration IntravesicalTreatment OutcomeUrinary Bladder NeoplasmsTreatment interruptionToxicityBCG VaccineDisease ProgressionIntravesical bcgPatient ComplianceFemalenon muscle invasive bladder cancer Bacillus Calmette Guèrin intravesical instillation immunotherapy compliance toxicityNeoplasm Recurrence LocalbusinessCohort studyUrologia internationalis
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Antigen-Specific Immunotherapy with Thyrotropin Receptor Peptides in Graves' Hyperthyroidism: A Phase I Study

2019

Background: Graves' disease is one of the most common autoimmune conditions, but treatment remains imperfect. This study explores the first-in-human use of antigen-specific immunotherapy with a combination of two thyrotropin receptor (TSHR) peptides (termed ATX-GD-59) in Graves' hyperthyroidism. Methods: Twelve participants (11 female) with previously untreated mild to moderate Graves' hyperthyroidism were enrolled in a Phase I open label trial to receive 10 doses of ATX-GD-59 administered intradermally over an 18-week period. Adverse events, tolerability, changes in serum free thyroid hormones, and TSHR autoantibodies were measured. Results: Ten subjects received all 10 doses of ATX-GD-59,…

AdultMalemedicine.medical_specialtyendocrine systemendocrine system diseasesInjections Intradermalthyroid stimulating hormone receptorEndocrinology Diabetes and Metabolismmedicine.medical_treatmentGraves' diseasedesensitization030209 endocrinology & metabolismDiseaseImmunology Autoimmunity and Graves’ OphthalmopathyimmunomodulationThyrotropin receptor03 medical and health sciences0302 clinical medicineEndocrinologyInternal medicinemedicineHumansAdverse effectDesensitization (medicine)business.industryAutoantibodypeptide immunotherapyReceptors ThyrotropinImmunotherapyMiddle Agedmedicine.diseaseGraves' diseaseGraves Disease3. Good healthInjection Site ReactionThyroxineEndocrinologyTreatment OutcomeTolerabilityDesensitization Immunologic030220 oncology & carcinogenesisTriiodothyronineFemaleautoimmune thyroid diseasebusinessPeptidesImmunoglobulins Thyroid-StimulatingThyroid
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Ciclosporin and thyroid-stimulating immunoglobulins in endocrine orbitopathy.

1989

The study investigated whether ciclosporin (C) affected the thyroid-stimulating immunoglobulins (TSI) in serum of patients with endocrine orbitopathy (EO). The effect of C was compared with that of prednisone (P). Fifteen patients with EO classes III-V received C (n = 7) or P (n = 8). In addition to the immunosuppressants, five patients with Graves' disease in each group received methimazole (MMI). The stimulation of the cAMP levels in the medium of thyrocyte cultures was determined as a parameter of TSI. The TSI levels were markedly lowered in both groups during and after therapy. C group: before therapy 6.2 pmol/ml +/- 1.63 (100%, mean +/- SEM), during treatment 4.6 pmol/ml +/- 2.28 (74%)…

AdultMalemedicine.medical_specialtymedicine.drug_classGraves' diseasemedicine.medical_treatmentThyroid GlandCyclosporinsPrednisoneInternal medicinemedicineCyclic AMPExophthalmosHumansAgedChemotherapyTriiodothyronineMethimazolebusiness.industryThyroidGeneral MedicineMiddle Agedmedicine.diseaseCiclosporinGraves DiseaseTiterEndocrinologymedicine.anatomical_structureImmunoglobulin GCorticosteroidPrednisoneTriiodothyronineFemalebusinessmedicine.drugImmunoglobulins Thyroid-StimulatingResearch in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie
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Shock wave therapy versus conventional surgery in the treatment of calcifying tendinitis of the shoulder.

2001

A prospective quasirandomized study was performed to compare the effects of surgical extirpation (Group I, 29 patients) with the outcome after high-energy extracorporeal shock wave therapy (Group II, 50 patients; 3,000 impulses of an energy flux density of 0.6 mJ/mm2) in patients with a chronic calcifying tendinitis in the supraspinatus tendon. Symptoms and demographic data of the two groups were comparable. According to the University of California Los Angeles Rating System, the mean score in Group I was 30 points with 75% good or excellent results after 12 months, and 32 points with 90% good or excellent results after 24 months. Radiologically, there was no calcific deposit in 85% of the …

AdultMalemedicine.medical_specialtymedicine.medical_treatmentRadiographyLithotripsylaw.inventionHigh-Energy Shock WavesTendonsRandomized controlled trialTendinitislawmedicineHumansOrthopedics and Sports MedicineProspective StudiesProspective cohort studyAgedbusiness.industryShoulder JointCalcinosisGeneral MedicineMiddle Agedmedicine.diseaseSurgeryClinical trialRadiographymedicine.anatomical_structureOrthopedic surgeryTendinopathyUpper limbSurgeryFemalebusinessClinical orthopaedics and related research
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Outcome of orbital decompression for disfiguring proptosis in patients with Graves' orbitopathy using various surgical procedures

2009

Aim: To compare the outcome of various surgical approaches of orbital decompression in patients with Graves' orbitopathy (GO) receiving surgery for disfiguring proptosis.Method: Data forms and questionnaires from consecutive, euthyroid patients with inactive GO who had undergone orbital decompression for disfiguring proptosis in 11 European centres were analysed.Results: Eighteen different (combinations of) approaches were used, the swinging eyelid approach being the most popular followed by the coronal and transconjunctival approaches. The average proptosis reduction for all decompressions was 5.0 (SD 2.1) mm. After three-wall decompression the proptosis reduction was significantly greater…

AdultMalemusculoskeletal diseasesmedicine.medical_specialtyVisual acuityAdolescentDecompressionEye diseaseVisual AcuityOF-LIFE QUESTIONNAIREDISEASEGraves' ophthalmopathyYoung AdultCellular and Molecular NeuroscienceREMOVALmedicineHumansExophthalmusAgedDiplopiaEUROPEAN GROUPLATERAL WALLbiologybusiness.industryLength of StayMiddle AgedDecompression Surgicalbiology.organism_classificationmedicine.diseaseSensory SystemsSurgeryGraves OphthalmopathyOphthalmologyTreatment Outcomemedicine.anatomical_structureCoronal planeQuality of LifeFemaleOPHTHALMOPATHYEyelidmedicine.symptombusinessGO-QOLDIPLOPIAOrbitBRITISH JOURNAL OF OPHTHALMOLOGY
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Immunohistochemical Staining of Retrobulbar Adipose Tissue in Graves' Ophthalmopathy

1994

An increase of retrobulbar adipose tissue has been shown by imaging techniques in patients with Graves' ophthalmopathy (GO). Immunohistochemical staining was applied to investigate the involvement of different retrobulbar (especially adipose) tissue components in the autoimmune process of the disease. Cryostat sections from retrobulbar tissues of 15 GO patients and 11 controls were analyzed with a battery of monoclonal antibodies against CD2, CD4, CD8, CD11a, CD19/22, CD25, CD54, CD57, CD68, C3b, HLA-A, B, C, and HLA-DR. In contrast to controls, the retrobulbar adipose tissue showed an increase of HLA-DR expression, an activation of intercellular adhesion molecule I (ICAM-1, CD54), as well …

AdultMuscle tissuemedicine.medical_specialtyPathologyImmunologyConnective tissueAdipose tissuechemical and pharmacologic phenomenaBiologyPathology and Forensic MedicineGraves' ophthalmopathyInternal medicinemedicineHumansImmunology and AllergyAgedAged 80 and overCD68hemic and immune systemsMiddle AgedIntercellular adhesion moleculemedicine.diseaseImmunohistochemistryGraves DiseaseStainingEndocrinologymedicine.anatomical_structureAdipose TissueConnective TissueImmunohistochemistryFemaleOrbitClinical Immunology and Immunopathology
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Impaired Cardiopulmonary Exercise Capacity in Patients With Hyperthyroidism

1996

Hyperthyroidism (H) has been implicated as a primary cause of decreased exercise tolerance. To our knowledge, analysis of respiratory gas exchange, an efficient noninvasive method in evaluating cardiopulmonary capacity, has not been performed in patients with H.Using cardiopulmonary exercise testing, 12 consecutive women with Graves' H were examined and controlled in euthyroidism (E). Eighteen women with E, in whom cardiac catheterization had ruled out heart disease, served as control subjects (C).The ventilatory anaerobic threshold was determined by means of the V-slope method. Ergometry was performed with patients in a semisupine position using a continuous ramp protocol of 20 W/min. Echo…

AdultPulmonary and Respiratory MedicineCardiac outputmedicine.medical_specialtySupine positionAnaerobic ThresholdHeart diseaseRestmedicine.medical_treatmentPhysical exerciseCritical Care and Intensive Care MedicineOxygen ConsumptionAntithyroid AgentsHeart RateInternal medicineHeart rateSupine PositionTidal VolumemedicineHumansProspective StudiesCardiac OutputLungAgedCardiac catheterizationExercise ToleranceMethimazolePulmonary Gas Exchangebusiness.industryHeartStroke VolumeStroke volumeMiddle Agedmedicine.diseaseGraves DiseaseSurgeryEchocardiographyExercise TestLinear ModelsCardiologyFemaleCardiology and Cardiovascular MedicinebusinessAnaerobic exerciseChest
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