Thyroid Weight Research Articles

Bone Health and Endocrine Comorbidities in Pediatric Epilepsy

Antiseizure medications and dietary therapies have associated effects on the endocrine system. We provided an overview of the relationship between epilepsy treatment and bone health in children with epilepsy. Additionally, we discussed the effects of epilepsy treatment on other endocrine systems including thyroid function, growth, reproduction, and weight. The effect of epilepsy on bone health is multifactorial; there are direct and indirect effects of medication and dietary treatments as well as a decrease in physical activity, decreased sunlight exposure, decreased vitamin D levels, and additional comorbidities. Some medications have a greater effect on vitamin D and bone health than others, however all antiseizure medical treatments are associated with lower vitamin D levels in pediatric patients. We have provided practical suggestions for vitamin D surveillance in children with epilepsy as well as replacement strategies. Children with epilepsy have an increased likelihood of additional endocrine disorders including subclinical hypothyroidism, decreased growth, weight abnormalities, reproductive and sexual dysfunction. To a great extent, this is medication specific. Though more studies are needed to elucidate optimal treatment and monitoring of bone health and other endocrinopathies in children with epilepsy, it is critical that caregivers pay close attention to these issues to provide optimal comprehensive care to their patients.

EXPLORATION OF GOITROGENIC/ANTITHYROIDAL POTENTIALITY OF BAMBOO-SHOOTS IN RELATION TO THIOUREA

Objective: Natural goitrogens present in plant foods or antithyroidal drugs both alter the morphology and normal functional status of the thyroid gland interfering the synthesis and secretion of thyroid hormones. In this study, the goitrogenic potential of bamboo shoots (BS) containing natural goitrogens has been compared against a potent synthetic antithyroidal drug thiourea.Methods: BS was fed to 6 rats by 1/3rdreplacement of 180grams (g) of their food i.e.60g of BS containing 35g of goitrogens of cyanogenic origin such that each rat ideally consumed 6 mg/100g of body weight per day and thiourea at a near equal dose of 6 mg/100g of body weight per day was force fed to another 6 rats for a period of 45 d. Changes in food consumption pattern, serum toxicity marker SGOT and SGPT, morphological changes like thyroid gland weight and histology and functional aspects like TPO activity, Na+-K+ATPase activity, urinary iodine excretion and serum T3,T4 and TSH levels induced by this natural and synthetic agent respectively were investigated. Results analyzed by ANOVA followed by post hoc tests.Results: Food consumption pattern was similar in all groups while serum toxicity markers SGOT, SGPT showed a non-significant increase in experimental groups. Increase in body and thyroid gland weight as compared to control was seen on treatment with both antithyroidal agents, a greater percentage of increase was seen in thiourea treated group. TPO activity, Na+-K+ATPase activity, serum T3 and T4levels were decreased significantly in both treated groups as compared to normal, with maximum inhibition in the thiourea treated group. Histological plates of BS treated thyroid revealed hypertrophy and thyroid follicular cell disruption with microcytic infiltration. Thiourea treated gland histological plate revealed complete abolition of normal histoarchitecture with marked changes in colloidal area and hyperplasia with folding and papillae on the epithelium.Conclusion: In overall, the data indicate that though the goitrogenic potentiality of BS cannot be considered having similar efficacy to that of thiourea but as a food entity by itself, it has potent antithyroidal activity even in presence of adequate iodine intake.

Nitrate induces a type 1 diabetic profile in alligator hatchlings

Type 1 diabetes (T1D) is a chronic autoimmune disease that affects 1 in 300 children by age 18. T1D is caused by inflammation-induced loss of insulin-producing pancreatic beta cells, leading to high blood glucose and a host of downstream complications. Although multiple genes are associated with T1D risk, only 5% of genetically susceptible individuals actually develop clinical disease. Moreover, a growing number of T1D cases occur in geographic clusters and among children with low risk genotypes. These observations suggest that environmental factors contribute to T1D etiology. One potential factor, supported primarily by epidemiological studies, is the presence of nitrate and nitrite in drinking water. To test this hypothesis, female hatchling alligators were exposed to environmentally relevant concentrations of nitrate in their tank water (reference, 10mg/L, or 100mg/L NO3-N) from hatch through 5 weeks or 5 months of age. At each time point, endpoints related to T1D were investigated: plasma levels of glucose, triglycerides, testosterone, estradiol, and thyroxine; pancreas, fat body, and thyroid weights; weight gain or loss; presence of immune cells in the pancreas; and pancreatic beta cell number, assessed by antibody staining of nkx6.1 protein. Internal dosing of nitrate was confirmed by measuring plasma and urine nitrate levels and whole blood methemoglobin. Cluster analysis indicated that high nitrate exposure (most animals exposed to 100mg/L NO3-N and one alligator exposed to 10mg/L NO3-N) induced a profile of endpoints consistent with early T1D that could be detected after 5 weeks and was more strongly present after 5 months. Our study supports epidemiological data correlating elevated nitrate with T1D onset in humans, and highlights nitrate as a possible environmental contributor to the etiology of T1D, possibly through its role as a nitric oxide precursor.

Prediction of thyroidal 131I effective half-life in patients with Graves' disease.

PurposeCalculation of effective thyroidal half-life (Teff) of iodine-131(131I) is cumbersome and tedious. The aim of this study was to investigate factors that could be used to predict Teff and to develop a Teff prediction model in Graves’ disease patients.MethodsA total of 256 patients with GD were involved in this study. We investigated the influences of age, gender, disease duration, thyroid weight, antithyroid drugs, antithyroid drugs discontinuation period (ADP), thyroid function indexes, thyroid autoantibodies, thyroid-stimulating hormone receptor antibody (TRAb) level and radioactive iodine uptake (RAIU) values before 131I therapy on Teff, applying univariate and multivariate analyses.ResultsTeff correlated negatively with thyroid peroxidase antibody, TRAb and thyroid weight, as well as positively with 24-hour, 48-hour, and 72-hour RAIU. Additionally, a longer ADP (especially≥ 14d) or without antithyroid drugs before 131I therapy led to a longer Teff. Stepwise multiple linear regression analysis showed that 24-hour and 72-hour RAIU were statistically significant predictors of Teff (P<0.001). The relationship was: predictive Teff=5.277+0.295×72-hour RAIU-0.217×24-hour RAIU (r =0.865, P < 0.001).ConclusionThe present results indicate that prediction of Teff from 24-hour and 72-hour RAIU is feasible in patients with Graves’ disease, with high prediction accuracy.

Evaluation of the endocrine-disrupting effects of homosalate (HMS) and 2-ethylhexyl 4-dimethylaminobenzoate (OD-PABA) in rat pups during the prenatal, lactation, and early postnatal periods.

Homosalate (HMS) and 2-ethylhexyl 4-dimethylaminobenzoate (OD-PABA) are ultraviolet filters. We aimed to investigate the effects of dermal exposure to HMS and OD-PABA during the prenatal, lactation, and early infancy periods on pubertal development and thyroid function in male and female rats. The thyroid glands, uteri, testes, prostate glands, and seminal vesicles were excised and weighed, the reproductive organs were analyzed histologically, and the serum hormone levels were measured. In the prenatal period, the thyroxine (T4) levels increased in the female rats in the exposed groups ( p < 0.05); the thyroid weights, reproductive organ weights, and gonadal hormone levels were not altered. In males, the testosterone levels decreased ( p < 0.05), but the thyroid weights, T4 levels, prostate, and testis weights were not changed. In the lactation period, the weights of the thyroid glands increased in the exposed female groups ( p < 0.05), but the T4, gonadal hormone levels, and reproductive organ weights were not changed. In the males, the thyroid gland weights, T4 levels, reproductive organ weights, and gonadal hormone levels were not changed. During infancy, the thyroid gland weights increased in the female rats in the exposed groups ( p < 0.05), but the T4 levels, gonadal hormone levels, and reproductive organ weights were not affected. In the male rats in the exposed groups, the T4 levels were increased ( p < 0.05), but the thyroid and reproductive organ weights, gonadal hormone levels were not affected. Organ histopathology was not affected in all groups. HMS and OD-PABA do not have endocrine disruptor effects on thyroid function and the pubertal development of female and male rats.

Analysis of risk factors of rapid thyroidal radioiodine-131 turnover in Graves\u2019 disease patients

Rapid iodine-131(131I) turnover in the thyroid gland is an important feature of Graves’ disease (GD) and also a strong predictor of radioiodine therapy failure. The aim of this study was to explore the predictors of rapid 131I turnover. The clinical data on 2543 patients were retrospectively reviewed. Patients were divided into 2 groups depending on present or absent with rapid 131I turnover defined as a 4-hour to 24-hour 131I uptake ratio of ≥1. Overall, 590 cases (23.2%) had a rapid 131I turnover. In the univariate analysis, gender, age, FT3/FT4 concentration, disease duration, with or without antithyroid drugs (ATD), time of ATD, thyroid weight and thyroid textures displayed significant differences. Cutoff values of age, FT3 and thyroid weight to predict rapid 131I turnover were 38 years, 35 pmol/l and 56 g by receiver operating characteristic curves. Binary logistic regression analysis further revealed higher probability of rapid 131I turnover in patients with thyroid weight ≥56 g (odds ratio [OR]:3.7, 95% confidence interval [CI]: 3.032–4.559), age <38 years (OR:2.3, 95%CI: 1.906–2.856), FT3 concentration ≥35 pmol/l (OR:7.6, 95%CI: 5.857–8.563) and females (OR:2.2, 95%CI: 1.757–2.791). In conclusion, larger goiters, younger age, higher FT3 concentration and females are independently associated with rapid 131I turnover in GD patients.

Thyrotoxic rubber antioxidants, 2-mercaptobenzimidazole and its methyl derivatives, cause both inhibition and induction of drug-metabolizing activity in rat liver microsomes after repeated oral administration

We examined the effects of thyrotoxic rubber antioxidants, 2-mercaptobenzimidazole (MBI, 0.3 mmol/kg/day) and its methyl derivatives, methyl-MBIs [4-methyl-MBI (4-MeMBI, 0.6 mmol/kg/day), 5-methyl-MBI (5-MeMBI, 0.6 mmol/kg/day), and 4(or 5)-methyl-MBI (4(5)-MeMBI, 0.6 or 1.2 mmol/kg/day)], on the drug-metabolizing activity in male rat liver microsomes by 8-day repeated oral administration. The weight of liver and thyroid were increased by all the test chemicals; MBI was most potent, and there was no additive or synergistic effect between 4-MeMBI and 5-MeMBI. MBI decreased the cytochrome P450 (CYP) content, NADPH-cytochrome P450 reductase (POR) activity, 7-ethoxycoumarin O-deethylation (ECOD) activity, and flavin-containing monooxygenase (FMO) activity, but increased the 7-pentoxyresorufin O-depentylation (PROD) activity, suggesting inhibition of the drug-metabolizing activity on the whole but induce some activities such as the CYP2B activity. On the contrary, all the methyl-MBIs increased the CYP content, CYB5 content, ECOD activity, 7-ethoxyresorufin O-deethylation (EROD) activity, and PROD activity, indicating that they are mostly inducible of the CYP activity. However, the methyl-MBIs decreased the FMO activity, and 5-MeMBI and 4(5)-MeMBI appeared inhibitory for CYPs 2C11 and 2C13. Between 4-MeMBI and 5-MeMBI, there was no additive or synergistic effect on the drug-metabolizing activity, but was counteraction. It was concluded that MBI and methyl-MBIs had both inhibitory and inducible effects on the drug-metabolizing activity in rat liver microsomes at thyrotoxic doses. The effects of 4(5)-MeMBI indicated that the increased liver weight alone can be a hepatotoxic sign but not an adaptive no-adverse response in toxicity studies. The present results were related to the toxicokinetic profiles of MBI and 4(5)-MeMBI in the repeated toxicity studies.

Morphological and functional alterations of female reproduction after regular exposure of bamboo shoots of North East India

Objective: To evaluate the effect of daily consumption of bamboo shoots (BS) on the morphological features and functional status of the female reproductive system in adult with respect to thyroid. Methods: Adult female rats were divided into control and experimental groups of six each. Control group was given normal diet while experimental group was fed BS by 1/3rd replacement of 180 g of their food i.e. 60 g of BS containing 35 g of goitrogens of cyanogenic origin such that each rat likely consumed 6 mg/100 g of body weight per day for a period of 45 d. Morphological features like changes in body weight and organ weight were noted. Key steroidogenic enzyme levels viz Δ5 3 β hydroxysteroid dehydrogenase (HSD) and 17 β HSD along with serum estradiol, estriol and progesterone levels were measured. Estrous cyclicity of the animals monitored regularly followed by histological analysis of thyroid, ovary and uterus at the end of experimentation. Results: Increase in body weight, thyroid gland weight and thyroid stimulating hormone, decrease in serum triiodothyronine and thyroxine, a decrease in ovarian as well as uterine weight and the activity of steroidogenic enzymes Δ5 3 β HSD and β 17 β HSD along with diminished serum estradiol, estriol and progesterone levels were noted; while histological plates showed prominent degenerative changes in both the ovary and uterus. Estrous cyclicity of the treated animals were irregular and almost stopped at diestrous stage of the cycle in the latter stage of the treatment as compared to control. Conclusions: Overall results indicates that BS rich in cyanogenic constituents induces biochemical hypothyroidism in the experimental animals that acts in corroboration to cause morphological and functional alteration of reproductive organs indicating its likely impact in fertility on continued use.

Increasing dietary inclusions of camelina cake fed to pigs from weaning to slaughter: Safety, growth performance, carcass traits, and n-3 enrichment of pork1

Feeding cake with remaining oil content not only provides additional dietary energy but may also enrich pork with -3 fatty acids. Limited information is available on feeding camelina cake to pigs relating to feeding safety (toxicity), growth performance, and efficacy of -3 enrichment of pork. Therefore, we evaluated the effects of feeding increasing camelina cake (12.2% crude fat) inclusions in diets for nursery and grower-finisher pigs. In total, 128 pigs (9.2 kg BW) were randomly allocated by sex to 32 nursery pens for 4 wk and were then moved and combined into 16 mixed-sex grower-finisher pens. Pigs were fed 1 of 4 wheat/barley-based diets including camelina variety 'Celine' cake (0%, 6%, 12%, or 18% in the nursery phase and 0%, 5%, 10%, or 15% in the grower-finisher phase) replacing soybean meal over 5 feeding phases (d 0 to 7, d 7 to 28, d 28 to 56, d 56 to 84, and d 84 to slaughter). Individual pigs and pen feed added were weighed. On d 106, a blood sample was collected from the pig with the lowest BW per pen, which was then euthanized. A pathologist conducted a gross clinical examination, and organs were weighed. Liver, back fat, and belly and jowl fat were sampled for fatty acid analysis. Pigs were slaughtered at approximately 125 kg BW. Increasing dietary camelina cake inclusion linearly decreased ( < 0.010) ADFI, ADG, BW, and G:F over the 105-d trial. Increasing dietary camelina cake inclusion linearly increased days to slaughter ( < 0.001) and carcass lean yield ( < 0.010) and linearly decreased farm ship weight ( < 0.010), carcass weight ( < 0.001), dressing percentage ( < 0.050), and back fat thickness ( < 0.010) but did not affect loin depth and index. Increasing camelina cake inclusion linearly increased liver and pancreas weight ( < 0.050) relative to BW but did not affect heart, thyroid, or kidney weights. Increasing camelina cake inclusion did not result in gross clinical or serological findings that would indicate toxicity. Increasing dietary camelina cake inclusion linearly increased ( < 0.050) -3 fatty acids, including docosahexaenoic acid, in back fat and belly and jowl fat. In conclusion, feeding camelina cake to pigs at up to 18% in the nursery phase and 15% in the grower, developer, and finisher phases did not result in clinical signs of toxicity and enriched carcass fat depots with -3 fatty acids. The observed decrease in ADFI and, consequently, ADG as camelina cake inclusion increased resulted in pigs fed 15% reaching slaughter weight 27 d later than controls.

Effects of feeding camelina cake to weaned pigs on safety, growth performance, and fatty acid composition of pork.

Feeding cake with remaining oil contributes dietary energy (fat) in addition to protein (AA) and may provide an opportunity to enrich the n-3 fatty acid content of pork. Information regarding safety, growth performance, and efficacy of feeding camelina cake to pigs is limited. We therefore evaluated the effects of camelina cake inclusion in pig nursery diets. In total, 192 pigs (9.4 kg BW) were randomly allocated by sex to 48 pens, 2 heavy and 2 light pigs per pen. Pigs were fed 1 of 4 wheat-based diets including camelina cake (0%, 6%, 12%, or 18%; variety Celine) replacing soybean meal for 4 wk. Individual pigs, pen feed added, and orts were weighed weekly. Feces were collected on d 26 and 27. A blood sample was taken on d 29 from 24 pigs with the lowest BW/pen, which were then euthanized and necropsied. Gross pathological examination was conducted, and organ weights were measured. Samples of liver, back fat, belly fat, and jowl fat were collected for fatty acid analysis. Increasing dietary camelina cake inclusion linearly decreased ( 0.001) apparent total tract digestibility (ATTD) of DM, OM, GE and ash but did not affect ATTD of CP and P. For the entire trial (d 0 to 28), increasing camelina cake inclusion by 6% linearly decreased ( 0.001) ADFI by 74 g/d, ADG by 51 g/d, and BW by 0.8 kg but did not affect feed efficiency (G:F). Increasing camelina cake inclusion linearly increased ( 0.001) liver weight relative to BW, linearly decreased ( 0.050) kidney weight, but did not affect spleen, heart, and thyroid weights. Increasing camelina cake inclusion did not result in serological (large-animal standard panel, T3, and T4) or gross clinical (morphology) findings that might suggest toxicity. In liver, back fat, belly fat, and jowl fat, increasing dietary camelina cake inclusion linearly increased ( 0.050) total n-3 fatty acids and shorter-chain n-3 and n-6 fatty acids but did not increase docosahexaenoic acid (n-3) or arachidonic acid (n-6). In conclusion, feeding camelina cake to weaned pigs at up to 18% did not elicit clinical signs of toxicity and increased n-3 fatty acids in carcass fat depots. The decrease in ADFI as camelina cake inclusion increased resulted in pigs fed 18% weighing 5 kg less than controls at the end of the nursery period.

Thyroid function and weight loss after Roux-en-Y gastric bypass: observational study

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

VEGFR2 but not VEGFR3 governs integrity and remodeling of thyroid angiofollicular unit in normal state and during goitrogenesis

Thyroid gland vasculature has a distinguishable characteristic of endothelial fenestrae, a critical component for proper molecular transport. However, the signaling pathway that critically governs the maintenance of thyroid vascular integrity, including endothelial fenestrae, is poorly understood. Here, we found profound and distinct expression of follicular epithelial VEGF‐A and vascular VEGFR2 that were precisely regulated by circulating thyrotropin, while there were no meaningful expression of angiopoietin–Tie2 system in the thyroid gland. Our genetic depletion experiments revealed that VEGFR2, but not VEGFR3, is indispensable for maintenance of thyroid vascular integrity. Notably, blockade of VEGF‐A or VEGFR2 not only abrogated vascular remodeling but also inhibited follicular hypertrophy, which led to the reduction of thyroid weights during goitrogenesis. Importantly, VEGFR2 blockade alone was sufficient to cause a reduction of endothelial fenestrae with decreases in thyrotropin‐responsive genes in goitrogen‐fed thyroids. Collectively, these findings establish follicular VEGF‐A–vascular VEGFR2 axis as a main regulator for thyrotropin‐dependent thyroid angiofollicular remodeling and goitrogenesis.

The influence of evidence-based nursing intervention on the treatment effect of patients treated by isotope thyroid 131I

Objective To analyze the influence of evidence-based nursing intervention on the treatment effect of patients treated by isotope thyroid 131Ⅰ. Methods A total of 90 cases of patients with thyroid function hyperfunction treated in our hospital from January 2013 to December 2015 were selected as the research objects and were randomly divided into the observation group and the control group according to the random number table method, 45 cases in each group.All the patients were treated by thyroid isotope 131Ⅰ.The control group was given the routine care, while the observation group adopted the evidence-based nursing intervention.The change of thyroid hormone levels (FT3, FT4 and TSH) and thyroid weight before and after the intervention of the two groups were compared.Besides, the prognosis quality of life of patients was evaluated by the SF-36 scale, and the satisfaction for comprehensive nursing quality and the occurrence of complications of the two groups were compared as well. Results There were no statistical significances in terms of the differences of TSH, FT3 and FT4 and thyroid weight of the two groups before treatment (P>0.05), while there were statistical significances in terms of the differences of TSH, FT3 and FT4 and thyroid weight of the two groups after treatment (P<0.05). The results of SF-36 scale showed that the scores of each dimension of the observation group were significantly higher than that of the control group, and the differences were statistically significant (P<0.05). The overall satisfaction for nursing quality of the observation group was significantly higher than that of the control group, and the differences were statistically significant (P<0.05). The complications of the patients of the two groups after dosing were mainly nausea, vomiting, itchy skin, fatigue, the itching of thyroid parts, the reduction of white blood cells and hypothyroidism, etc, the incidence of complications of the observation group was obviously lower compared with the control group, and the differences were statistically significant (P<0.05) . Conclusions The implementation of evidence-based nursing intervention on patients treated by isotope thyroid 131Ⅰshown obvious effect with high safety, which can improve the prognosis life quality of patients and increase the patients' satisfaction for nursing .Therefore, it deserves the clinical promotion. Key words: 131Ⅰ; Evidence-based nursing; Thyroid function hyperfunction

Evaluation of the Efficacy of Potassium Iodide Preparation for Radioactive Iodine Therapy in Graves’ Disease: A Retrospective Chart Review

Background: Pretreatment by antithyroid drugs (ATDs) before radioactive iodine therapy (RAIT) for Graves’ disease (GD) is often performed to avoid aggravation of thyroid function including thyroid storm. However, in patients suffering from adverse effects of ATDs, potassium iodide (KI) is often selected to treat hyperthyroidism before RAIT in Japan. The aim of this study was to evaluate the efficacy of KI preparation for RAIT in GD and whether a short-term discontinuation of KI before RAIT is a safe and useful method in GD patients showing adverse effects from ATDs. Methods: This is a retrospective chart review. The 24 patients enrolled in this study were divided into two groups. Patients who had large goiter and/or underwent previous RAIT were excluded. Before RAIT, 11 patients were administered KI and were referred to as the KI group. The remaining 13 patients were administered methimazole (MMI) and referred to as the MMI group. Between these two groups, the following factors were compared; radioactive iodine uptake (RAIU) before RAIT, thyroid gland weight, dose of administered 131-I, dose of 131-I based on thyroid gland weight, free thyroxine (FT4) at RAIT, difference in FT4 between before and 4 days after discontinuation of drugs, and thyroid function and thyroid gland weight 1 year after RAIT. Results: RAIU before RAIT (P = 0.0018), dose of 131-I (P = 0.0037), FT4 at RAIT (P = 0.0034), and thyroid gland weight 1 year after RAIT (P = 0.0065) showed significant differences. Thyroid gland weight, dose of 131-I based on thyroid gland weight, difference in FT4 between before drug discontinuation and at RAIT, and thyroid function at 1 year after RAIT did not show any significant differences. Conclusion: These results suggest that most patients without large goiter and/or highly aggressive disease may be safely and efficiently treated with RAIT and KI pretreatment until 4 days before therapy. J Endocrinol Metab. 2017;7(1):25-30 doi: https://doi.org/10.14740/jem394w

Disruption of the hypothalamic-pituitary-thyroid axis on co-exposures to dithiocarbamate and neonicotinoid pesticides: Study in a wildlife bird, Amandava amandava

Non-target organisms, including human and wildlife, are susceptible to deleterious effects of pesticide mixtures in their environment. Present study demonstrated the disruption of the hypothalamic-pituitary-thyroid (HPT) axis in a seasonally breeding wildlife bird Amandava amandava on co-exposure to dithiocarbamate mancozeb/MCZ and neonicotinoid imidacloprid/IMI, at concentrations even lower than respective environmentally realistic exposure level of each of the pesticide. Adult male birds (n=8/group) were exposed individually to 0.25% LD50 of each of MCZ (0.14mg) and IMI (2.75μl) followed by co-exposure to their equimixture as MIX-I (0.25% LD50 of each) and MIX-II (0.5% LD50 of each) through food for 30d in preparatory phase of reproductive cycle. Disruptions of thyroid gland and pituitary-thyroid axis were evident. Altered thyroid weight and volume, follicles with inactive colloids and lesions, decrease of height and nucleus-to-cytoplasm ratio of follicular epithelial cells were noted. Plasma levels of T4 and T3 were decreased, more significant in mixture groups than in individually exposed groups. Within co-exposed groups, comparatively high plasma T4 and T3 levels in MIX-II than MIX-I indicated dose non-responsiveness of the pesticides in mixtures; a characteristic displayed by endocrine disrupters. Plasma TSH level was increased in MCZ- and IMI- but decreased in MIX-I and MIX-II suggesting the disruption of the negative feedback and impairment of the HPT axis in co-exposed groups. Effects were more prominent in co-exposed groups due to combinatorial action and cumulative toxicity of pesticides. Considering the role of thyroid hormones in reproductive development, pesticides even in low dose could affect the thyroid homeostasis and reproductive axis.

Retrosternal Goiter – Cancer Incidence

The retrosternal goiter is a rare thyroid gland disease, which mainly affects women over 60 years, characterized by increased thyroid size, weight and volume, which invades the thoracic cavity. Failure to perform the surgery has been recommended in some cases as an alternative way of improving the quality of life, especially in asymptomatic elderly patients. However, there is an incidence of cancer in retrosternal goiters associated with a higher rate of complications, justified the early surgical approach, especially in young patients, even if asymptomatic. This work results from a case report and literature review on retrosternal goiter and cancer incidence in a 62-year-old patient submitted total thyroidectomy with histopathologic findings after surgery, papillary carcinoma, follicular carcinoma and follicular adenoma. These findings alerts us to the possibility of cancer incidence in these patients, recommending in such cases, early surgical treatment

The advantages of extended subplatysmal dissection in thyroid surgery-the "mobile window" technique.

Minimal access thyroidectomy, using various techniques, is widely known, but respective data on thyroidectomy for thyroid cancer with lymphadenectomy is scarce. The present study aims to evaluate the feasability of extended subplatysmal dissection in combination with a small incision ("mobile window" technique). A retrospective study was performed analysing data from 93 patients. All patients suffered from thyroid carcinoma and underwent (total) thyroidectomy, bilateral cervico-central (levels VI and VII) and functional lateral neck dissection (levels II to V) on the side of the malignancy. In group A, consisting of 47 patients, the operation was performed by a traditional Kocher incision (minimal range 6-7cm), in 46 patients (group B) a mini-incision (≤4cm) was made. Intra- and postoperative morbidity as well as oncological accuracy were assessed. There was no significant difference between the two groups comparing postoperative pathological diagnosis, intra- and postoperative complications and the number of removed lymph nodes. However, operating time was slightly longer in group A and thyroid weight was heavier in group B. Extended subplatymsal dissection allows thyroidectomy and even lateral lymphadenectomy for thyroid carcinoma via "mobile" mini-incision. The procedure is safe, of equivalent oncological accuracy compared to traditional incision and the cosmetic results are excellent.

The effect of thyroid gland weight on early complications in total thyroidectomy: Cerrahpasa experience

In this study we aimed to show whether thyroid gland weight has an effect on early and late complications in thyroidectomy done in an experienced center. 721 patients in Istanbul University Cerrahpasa Medical Faculty General Surgery Department, in whom sutureless total thyroidectomy with vessel sealing devices were done, were retrospectively evaluated from January 2012 to December 2015. Reoperations, plonjan goiter, patients with capsule invasion and lymph node metastases who were operated due to thyroid cancer were excluded in the study. Demographic data, operation indications, operation duration, incision length, postoperative complications of the patients were recorded. The complications were recurrent nerve paralysis, hypocalcemia, hematoma and wound infection. These complications were compared according to the thyroid gland weight separately. Also, each complication group was divided into four groups, according to thyroid gland weight, as below 30 grams, 30-60 grams, 60-90 grams and heavier than 90 grams. The effect of thyroid gland weight on postoperative complications was evaluated. 22.2 % of the patients (n=160) were males and 77.8 % (n=561) were females. Mean age of the patients was 48,58±SD (18-85) years. Recurrent laryngeal nerve paralysis was seen in 5.68% (n=82) of the 721 patients, to whom vocal cord examination was done. Hypocalcemia symptoms in 5.54% of the patients (n=40), wound infections in 0.97% (n=7) of the patients and hemorrhage in 0.69% (n=5) of the patients were seen. Mean thyroid gland weight in patients with thyroid surgery complication was 56.1±SD (15-315) grams, while it was 56,94±SD (20-795) grams for noncomplicated thyroid surgery. The complications were divided into four groups. When these groups were compared according to thyroid gland weight separately, it was seen that thyroid gland weight does not affect early complications (p >0,5). Total thyroidectomy, when done in an experienced center, is the suggested surgery, which has 1% complication rate and the least recurrence rate. In our study, there was no statistically significant difference. This may be due to lighter thyroid gland weights in our study.

Effect of expeller extracted canola meal on growth performance, organ weights, and blood parameters of growing pigs.

The aim of this study was to assess the effects of increasing levels of expeller extracted canola meal (EECM) in diets for growing pigs on performance, gastrointestinal tract weight, thyroid gland weights, blood plasma concentration of triiodothyronine and tetraiodothyronine, red blood cell count, hemoglobin content in blood, and hematocrit. Four diets were fed to 48 pigs (19.9 ± 1.60 kg initial BW) in 24 pens (6 pens per diet) for 4 wk in a completely randomized design. The diets were a control corn-soybean meal basal diet and 3 additional diets produced by replacing 33, 66, or 100% of soybean meal with EECM to achieve inclusion levels of 0, 10, 20, and 30%. Diets were formulated to be similar in NE and nutrient composition and to meet nutrient requirements for pigs. Pigs were allowed ad libitum access to feed and water for the duration of the study. Feed intake and BW of pigs were determined on a weekly basis, whereas organ weights and blood parameters were determined at the end of the study. Average daily feed intake linearly decreased ( = 0.001) whereas ADG tended to linearly decline ( = 0.084) with increasing levels of EECM in the diet. The G:F was not affected ( > 0.10) by the dietary level of EECM. Thyroid weight and serum triiodothyronine linearly increased ( = 0.031) whereas serum tetraiodothyronine was linearly reduced ( = 0.001) with increasing inclusion of EECM. Other blood parameters and organ weights were not affected by increasing inclusion of EECM. The analyzed concentration of glucosinolates in the EECM used in this study was 9.27 μmol/g, with values in the diets ranging from 1.02 to 2.75 μmol/g for the lowest to highest inclusion levels, respectively. The increased thyroid weight and changes in thyroid hormones indicate that glucosinolates present in EECM adversely affected performance of growing pigs.

Effects of DDT on Steroid Metabolism and Energetics in Bobwhite Quail (Colinus Virginianus)

Female bobwhite quail (Colinus virginianus) fed low levels (5 ppm) of DDT in their diets showed increased enzyme induction in the liver and consequently a significant increase in steroid (progesterone) metabolism (a mean of 54% conversion of progesterone to its more polar metabolite in experimentals compared to a mean of 24.1% conversion in controls). The mean conversion of testosterone to its polar metabolite (25.1%) in experimental males was greater than in the controls (mean 18.1%) but was only significantly greater in certain males. There was a correlation (r = 0.7 P<0.01) between percent body weight of testes and percent conversion of testosterone to its metabolites (the smaller the testes the greater the conversion). A correlation (r = 0.66 P<0.02) was also found between circulating levels of DDE, DDT, and testes size (the higher the pesticide level the smaller the testes). Dietary levels of DDT (10,50,100,150 ppm) affected the energetics (oxygen consumption) of bobwhite quail. All DDT-treated birds had a higher metabolic rate than the controls at all ambient temperatures tested except 30 C. After acclimation to an ambient temperature of 5 C for 10-13 weeks, birds on 100-ppm DDT diets had a significantly (P<0.01) higher metabolic rate than controls. After one week of exposure to -18 C there was a significant (P<0.02) increase in thyroid weight in the birds on 100-ppm diets. Birds on 100-ppm diet exposed to extreme cold for 1 week died of DDT toxicity. Data on tissue residue levels, weight changes, I uptake by the thyroid, and adrenal changes are also presented. The ecological significance of the synergistic effect of DDT and cold stress on the bobwhite quail is discussed.