Thyroid Isthmus Length and Iodine Turnover as Predictors of Successful Radioactive Iodine Therapy in Patients with Graves’ Disease

Radioactive iodine (RAI) therapy is an effective treatment option for Graves’ disease. However, predicting treatment failures after RAI therapy remains controversial. The objective of this study was to investigate the factors associated with the success rate of RAI therapy for treatment of Graves’ hyperthyroidism. Thyroid functional outcome, pre-RAI ultrasonographic features, and clinical parameters were evaluated retrospectively in 98 patients followed up for at least 12 months after RAI (mean RAI dose was 11.7 ± 1.8 mCi). Hypothyroidism was achieved in 59 patients (60.2%), and euthyroidism in 16 patients (16.3%), while 23 patients (23.5%) remained hyperthyroid. Age, sex, body mass index, pre-RAI thyroid function, or thyroid-stimulating immunoglobulin levels were not associated with treatment outcome. Length of thyroid isthmus (p=0.028) and 2- to 24-hour iodine uptake ratios (p=0.002) were significantly associated with treatment failure, which was defined as a persistent hyperthyroid status after RAI therapy. Patients with a longer isthmus had a higher risk of remaining hyperthyroid, with a threshold for isthmus length of 5.2 mm, with a sensitivity of 69.6% and specificity of 70.3% for treatment success. Measuring the length of the thyroid isthmus can be a simple and useful way to predict RAI treatment outcome

Comparison of total body irradiation-based or non-total body irradiation-based conditioning regimens for allogeneic stem cell transplantation in pediatric leukemia patients

Purpose : This study aims to compare the outcome of total body irradiation (TBI)- or non-TBI-containing conditioning regimens for leukemia in children. Methods : We retrospectively evaluated 77 children conditioned with TBI (n=40) or non-TBI (n=37) regimens, transplanted at Chonnam National University Hospital between January 1996 and December 2007. The type of transplantation, disease status at the time of transplant, conditioning regimen, engraftment kinetics, development of graft-versus-host disease (GVHD), complications, cause of deaths, overall survival (OS), and event-free survival (EFS) were compared between the 2 groups. Results : Among 34 patients with acute lymphoblastic leukemia (ALL), 28 (82.4%) were in the TBI group, while 72.7% (24/33) of patients with myeloid leukemia were in the non-TBI group. Although the 5-year EFS of the 2 groups was similar for all patients (62% vs 63%), the TBI group showed a better 5-year EFS than the non-TBI group when only ALL patients were analyzed (65% vs 17%&#59; P =0.005). In acute myelogenous leukemia patients, the non-TBI group had better survival tendency (73% vs 38%&#59; P=0.089). The incidence of GVHD, engraftment, survival, cause of death, and late complications was not different between the 2 groups. Conclusion : The TBI and non-TBI groups showed comparable results, but the TBI group showed a significantly higher 5-year EFS than the non-TBI group in ALL patients. Further prospective, randomized controlled studies involving larger number of patients are needed to assess the late-onset complications and to compare the socioeconomic quality of life

Multicultural and Social Justice Counseling within the Scope of Rehabilitation Counseling

Historically, people with disabilities are a marginalized cultural group in that their lived world is less well represented in mainstream services. The rehabilitation counseling profession has the goal to prioritize and empower people with disabilities for thriving in their personal and community lives. However, cultures exist within social systems often characterized by inequities, obliging a need to go beyond multicultural counseling to address social injustices that would occur to populations with historical disadvantages such as people with disabilities. The present study discusses the multicultural counseling movement and its impact in the field of rehabilitation counseling. The study first introduces the birth of multicultural counseling and how it has landed in the field of counseling. From a chronological perspective, authors then extended their discussion to address controversies and debates in the phase of the multicultural counseling movement that contributed to tailoring the concept of multicultural counseling. Authors further elaborated discussion on the future direction of multicultural counseling in the field of rehabilitation counseling by emphasizing the importance of individualized service needs one of the philosophical tenants of rehabilitation counseling, and how diversity and cultural differences can be further empowered within the commonality we have as human beings

Effect of Fe/N-doped carbon nanotube (CNT) wall thickness on CO2 conversion: A DFT study

Many researches on CO2 adsorption using carbon nanotubes (CNTs) have been actively studied, but experimental and theoretical studies on CO2 conversion are still in demand. In particular, the effect of CNT wall thickness on CO2 conversion is not yet established clearly. This study employed two different-walled CNT catalysts doped with iron and nitrogen, single-walled CNT (Fe-N-SWCNT) and double-walled CNT (Fe-N-DWCNT). The structural and electrical properties of these CNTs and their influences on CO2 conversion were characterized and compared using density functional theory (DFT) calculations. As a result, Fe-N-DWCNT was shown to improve catalyst stability with higher formation energy and adsorption energy for CO2 adsorption than Fe-N-SWCNT. Also, the CO2 molecules were found to be highly delocalized and strongly hybridized with Fe-N-DWCNT, leading to more active charge transfer in the catalyst. These findings demonstrate the potential of selective CO2 conversion, as wall thickness differences can lead to different electrical properties of CNTs by showing that the larger the thicknesses, the lower the energy barrier required for CO2 conversion. Specifically, Fe-N-DWCNT is easier to convert CO2 to HCOOH than Fe-N-SWCNT at lower overpotential (0.15 V) obtained with limiting potentials and free energies calculated by understanding the possible reaction pathways in the proton-electron transfer process. Therefore, these results support the hypothesis that the wall thickness of CNT influences CO2 conversion by showing that the double-walled heterogeneous CNT (Fe-N-DWCNT) is a potential catalyst to selectively produce HCOOH from CO2 conversion.Qatar National Research Fund (QNRF) - grant #NPRP 10-1210-160019

A situation-aware cross-platform architecture for ubiquitous game

Multi-player online games (MOGs) are popular in these days. However, contemporary MOGs do not really support ubiquity in the sense that a seamless service across heterogeneous hardware platforms is not provided. This paper presents the architecture of the cross-platform online game, which provides a service to users from heterogeneous platforms and is equipped with a situation-aware capability for enabling the users to seamlessly move between heterogeneous platforms. The experimental results through the prototype implementations show the feasibility of the situation-aware cross-platform game

High frequencies of Y-chromosome haplogroup O2b-SRY465 lineages in Korea: a genetic perspective on the peopling of Korea

<p>Abstract</p> <p>Background</p> <p>Koreans are generally considered a Northeast Asian group, thought to be related to Altaic-language-speaking populations. However, recent findings have indicated that the peopling of Korea might have been more complex, involving dual origins from both southern and northern parts of East Asia. To understand the male lineage history of Korea, more data from informative genetic markers from Korea and its surrounding regions are necessary. In this study, 25 Y-chromosome single nucleotide polymorphism markers and 17 Y-chromosome short tandem repeat (Y-STR) loci were genotyped in 1,108 males from several populations in East Asia.</p> <p>Results</p> <p>In general, we found East Asian populations to be characterized by male haplogroup homogeneity, showing major Y-chromosomal expansions of haplogroup O-M175 lineages. Interestingly, a high frequency (31.4%) of haplogroup O2b-SRY465 (and its sublineage) is characteristic of male Koreans, whereas the haplogroup distribution elsewhere in East Asian populations is patchy. The ages of the haplogroup O2b-SRY465 lineages (~9,900 years) and the pattern of variation within the lineages suggested an ancient origin in a nearby part of northeastern Asia, followed by an expansion in the vicinity of the Korean Peninsula. In addition, the coalescence time (~4,400 years) for the age of haplogroup O2b1-47z, and its Y-STR diversity, suggest that this lineage probably originated in Korea. Further studies with sufficiently large sample sizes to cover the vast East Asian region and using genomewide genotyping should provide further insights.</p> <p>Conclusions</p> <p>These findings are consistent with linguistic, archaeological and historical evidence, which suggest that the direct ancestors of Koreans were proto-Koreans who inhabited the northeastern region of China and the Korean Peninsula during the Neolithic (8,000-1,000 BC) and Bronze (1,500-400 BC) Ages.</p