Correlation between urinary iodine levels and TSH of umbilical cord from newborns of the University Hospital at the School of Medicine from Ribeirão Preto, São Paulo

The safest and most efficient way to diagnose congenital hypothyroidism (CH) is through screening programs using serum thyroid stimulating hormone (TSH). CH occurs in one in 1:2,300 - 1:5,000 births but higher rates are found in iodine-deficient areas. Iodine was measured in the urine of 141 newborns (87 males and 54 females) from Ribeirão Preto to complement the screening program developed by the School of Medicine of Ribeirão Preto (FMRP-USP) and Federal University of São Paulo (UNIFESP). TSH values did not disclose any case of CH, although we have seen an elevated ratio (0.96%) of calls for retests. The iodine urinary levels ranged from 2.1 to 194µg/l (mean 58.3±36.2µg/l). No differences between the levels of urinary iodine and gender or gestational ages were observed. A negative correlation between urinary iodine and TSH of blood from umbilical cord was found (r= -0.20, p= 0.02).A forma mais eficaz e segura de se diagnosticar o hipotireoidismo congênito (HC) é através dos programas de rastreamento neonatal com dosagens sanguíneas do hormônio tireotrófico (TSH). Está estabelecido que a incidência de HC varia entre 1:2.300 - 1:5.000 nascimentos, sendo mais elevada em áreas de carência iódica. Complementando o programa de rastreamento para HC desenvolvido entre a Faculdade de Medicina de Ribeirão Preto (FMRP-USP) e a Universidade Federal de São Paulo (UNIFESP), dosou-se iodo em amostras urinárias de 141 recém-nascidos (RN) de Ribeirão Preto, sendo 87 meninos e 54 meninas. Os resultados de TSH não indicaram casos de HC, embora um elevado número de crianças (0,96%) tenha sido convocado para novos testes. As iodúrias variaram entre 2,1 e 194µg/l, (média de 58,3±36,2µg/l). Não foram observadas diferenças entre os valores de iodo urinário dos RN segundo o sexo ou idade gestacional. Foi encontrada correlação negativa entre iodúria e TSH de sangue de cordão umbilical (r= -0,20, p= 0,02).Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade de São Paulo Faculdade de Medicina Hospital das ClínicasUniversidade Federal de São Paulo (UNIFESP) Departamento de Medicina Disciplina de EndocrinologiaUNIFESP, Depto. de Medicina Disciplina de EndocrinologiaSciEL

Anomalous NMR Spin-Lattice Relaxation in SrB_{6} and Ca_{1-x}La_{x}B_{6}

We report the results of {11}B nuclear magnetic resonance (NMR) measurements of SrB_{6} and Ca_{0.995}La_{0.05}B_{6} below room temperature. Although the electrical resistivities of these two materials differ substantially, their {11}B-NMR responses exhibit some strikingly common features. Both materials exhibit ferromagnetic order, but their {11}B-NMR spectra reveal very small hyperfine fields at the Boron sites. The spin lattice relaxation T_{1}^{-1} varies considerably with external field but changes with temperature only below a few K. We discuss these unusual results by considering various different scenarios for the electronic structure of these materials.Comment: Accepted for publication in Phys. Rev. B Rapid communication, 4 pages, 3 figures. This manuscript replaces an earlier version and includes some minor changes in the text and in Fig.

Theory of Ferromagnetism in Ca1-xLaxB6

Novel ferromagnetism in Ca$_{1-x}$La$_{x}$B$_6$ is studied in terms of the Ginzburg-Landau theory for excitonic order parameters, taking into account symmetry of the wavefunctions. We found that the minima of the free energy break both inversion and time-reversal symmetries, while the product of these two remains preserved. This explains various novelties of the ferromagnetism and predicts a number of magnetic properties, including the magnetoelectric effect, which can be tested experimentally.Comment: 5 pages, accepted for publication in Phys.Rev.Let

Charge dynamics and "ferromagnetism" of A1-xLaxB6 (A=Ca and Sr)

Ferromagnetism has been reported recently in La-doped alkaline-earth hexaborides, A1-xLaxB6 (A=Ca, Sr, and Ba). We have performed the reflectivity, Hall resistivity, and magnetization measurements of A1-xLaxB6. The results indicate that A1-xLaxB6 can be regarded as a simple doped semimetal, with no signature of an excitonic state as suggested by several theories. It is also found that the surface of as-grown samples (10 micrometer in thickness) has a different electronic structure from a bulk one, and a fairly large number of paramagnetic moments are confined in this region. After eliminating these paramagnetic moments at the surface, we could not find any evidence of an intrinsic ferromagnetic moment in our samples, implying the possibility that the ferromagnetism of A1-xLaxB6 reported so far is neither intrinsic.Comment: 7 pages, 8 figure

Theory of High \tc Ferromagnetism in SrB6SrB_6 family: A case of Doped Spin-1 Mott insulator in a Valence Bond Solid Phase

Doped divalent hexaborides such as $Sr_{1-x}La_xB_6$ exhibit high \tc ferromagnetism. We isolate a degenerate pair of $2p$-orbitals of boron with two valence electrons, invoke electron correlation and Hund coupling, to suggest that the undoped state is better viewed as a spin-1 Mott insulator; it is predicted to be a type of 3d Haldane gap phase with a spin gap $\sim 0.1 eV$, much smaller than the charge gap of $> 1.0 eV$ seen in ARPES. The experimentally seen high \tc `ferromagnetism' is argued to be a complex magnetic order in disguise - either a canted 6-sublattice AFM ($\approx 120^0$) order or its quantum melted version, a chiral spin liquid state, arising from a type of double exchange mechanism.Comment: 4 pages, 2 figures; minor corrections, references adde

Theory of Excitonic States in CaB6

We study the excitonic states in CaB6 in terms of the Ginzburg-Landau theory. By minimizing the free energy and by comparing with experimental results, we identify two possible ground states with exciton condensation. They both break time-reversal and inversion symmetries. This leads to various magnetic and optical properties. As for magnetic properties, it is expected to be an antiferromagnet, and its spin structure is predicted. It will exhibit the magnetoelectric effect, and observed novel ferromagnetism in doped samples and in thin-film and powder samples can arise from this effect. Interesting optical phenomena such as the nonreciprocal optical effect and the second harmonic generation are predicted. Their measurement for CaB6 will clarify whether exciton condensation occurs or not and which of the two states is realized.Comment: 17 pages, 3 figure

Patterns and Collective Behavior in Granular Media: Theoretical Concepts

Granular materials are ubiquitous in our daily lives. While they have been a subject of intensive engineering research for centuries, in the last decade granular matter attracted significant attention of physicists. Yet despite a major efforts by many groups, the theoretical description of granular systems remains largely a plethora of different, often contradicting concepts and approaches. Authors give an overview of various theoretical models emerged in the physics of granular matter, with the focus on the onset of collective behavior and pattern formation. Their aim is two-fold: to identify general principles common for granular systems and other complex non-equilibrium systems, and to elucidate important distinctions between collective behavior in granular and continuum pattern-forming systems.Comment: Submitted to Reviews of Modern Physics. Full text with figures (2Mb pdf) avaliable at http://mti.msd.anl.gov/AransonTsimringReview/aranson_tsimring.pdf Community responce is appreciated. Comments/suggestions send to [email protected]

Thyroid-stimulating hormone elevation misdiagnosed as subclinical hypothyroidism following non-convulsive status epilepticus: a case report

<p>Abstract</p> <p>Introduction</p> <p>Non-convulsive status epilepticus is a form of epileptic seizure that occurs without convulsions. Recent reviews suggest that the diagnosis of non-convulsive status epilepticus remains difficult. Here, we report the case of a patient with thyroid-stimulating hormone elevation misdiagnosed as subclinical hypothyroidism following non-convulsive status epilepticus.</p> <p>Case presentation</p> <p>Our patient was a 68-year-old Japanese woman. The results of endocrine testing after her first episode of non-convulsive status epilepticus suggested latent subclinical hypothyroidism: she had elevated thyroid-stimulating hormone with normal levels of free tri-iodothyronine and free thyroxine. On examination, a diagnosis of thyroid disorder was not supported by other test results and our patient remained untreated. A follow-up examination revealed that her thyroid-stimulating hormone levels had spontaneously normalized. When she consulted another doctor for confusion, the transient increase in thyroid-stimulating hormone levels following non-convulsive status epilepticus was mistaken for subclinical hypothyroidism, and unfortunately treated with levothyroxine. Our patient then experienced levothyroxine-induced non-convulsive status epilepticus.</p> <p>Conclusions</p> <p>In this report, we suggested possible mechanisms for latent hypothyroid-like hormone abnormality following epileptic seizures and the possibility of provoking epileptic seizures by administering levothyroxine for misdiagnosed subclinical hypothyroidism.</p