44 research outputs found

    Primary hyperparathyroidism : association of imaging and pathology

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    BACKGROUND: We studied a cohort of hyperparathyroid patients in order to elucidate their clinical, laboratory, radiological and histological findings; the role of diagnostic imaging and concomitant thyroid pathologies.METHOD: 48 patients met our inclusion criteria for hypercalcaemic primary hyperparathyroidism (pHPT). We documented patients’ demographic data, symptomatology, associated conditions and treatment and analysed the work-up, management and outcomes for each of these patients.RESULTS: pHPT patients had a median age of 62 years (range 20–79), median PTH of 145.5 pg/ml (range 27–4660) and mean serum calcium of 2.94 mmol/l (S.D.±0.33), while those operated (30/48, 62.5%) had a median age of 60 years (range 20–79), mean calcium of 3.02 mmol/l (S.D.±0.39) and a median PTH of 176 pg/ml (range 37–4660). Histology showed parathyroid adenoma in 16/30 (53.3%), hyperplasia in 8/30 (26.7%), parathyroid carcinoma in 1/30 and normal tissue in 5/30. 19 of the 30 operated patients had a positive sestamibi scan of which 14/19 (73.7%) had an adenoma, 3/19 (15.8%) had hyperplasia, 1/19 had a carcinoma, and 1/19 had normal histology. Out of the 11 patients who had a negative sestamibi scan, 8/10 also had a negative ultrasound (US) and histologically 2/11 (18.2%) had an adenoma, 5/11(45.5%) had hyperplasia and 4/11 (36.4%) had normal histology. Thyroid US showed a multinodular goitre in 12/41 (29.3%), solitary nodule in 5/41 (12.2%) thryoiditis in 4/41 (9.8%) and normal thyroid morphology in 20/41 (48.8%).CONCLUSION: Parathyroid adenoma is the commonest pathology in patients with positive parathyroid imaging while hyperplasia is commoner in scan negative patients. This study highlights the need to proceed with surgery even when imaging is negative if clinically indicated. It is important to investigate associated thyroid pathology prior to surgery though our data suggests similar incidence of thyroid pathology as documented in the general population.DECLARATION OF INTEREST: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.FUNDING: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.peer-reviewe

    Sporting embodiment: sports studies and the (continuing) promise of phenomenology

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    Whilst in recent years sports studies have addressed the calls ‘to bring the body back in’ to theorisations of sport and physical activity, the ‘promise of phenomenology’ remains largely under-realised with regard to sporting embodiment. Relatively few accounts are grounded in the ‘flesh’ of the lived sporting body, and phenomenology offers a powerful framework for such analysis. A wide-ranging, multi-stranded, and interpretatively contested perspective, phenomenology in general has been taken up and utilised in very different ways within different disciplinary fields. The purpose of this article is to consider some selected phenomenological threads, key qualities of the phenomenological method, and the potential for existentialist phenomenology in particular to contribute fresh perspectives to the sociological study of embodiment in sport and exercise. It offers one way to convey the ‘essences’, corporeal immediacy and textured sensuosity of the lived sporting body. The use of Interpretative Phenomenological Analysis (IPA) is also critically addressed. Key words: phenomenology; existentialist phenomenology; interpretative phenomenological analysis (IPA); sporting embodiment; the lived-body; Merleau-Pont

    Feminist phenomenology and the woman in the running body

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    Modern phenomenology, with its roots in Husserlian philosophy, has been taken up and utilised in a myriad of ways within different disciplines, but until recently has remained relatively under-used within sports studies. A corpus of sociological-phenomenological work is now beginning to develop in this domain, alongside a longer standing literature in feminist phenomenology. These specific social-phenomenological forms explore the situatedness of lived-body experience within a particular social structure. After providing a brief overview of key strands of phenomenology, this article considers some of the ways in which sociological, and particularly feminist phenomenology, might be used to analyse female sporting embodiment. For illustrative purposes, data from an autophenomenographic project on female distance running are also included, in order briefly to demonstrate the application of phenomenology within sociology, as both theoretical framework and methodological approach
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