Glandula Thyreoidea et Senescens

Thyroid hormone action is crucial for the function of virtually all organs and tissues, but transport and metabolism of thyroid hormone is organ- and cell specific. Thyroid dysfunction is very common in the general population and prevalence can be up to 20% in elderly. Due to the large variation in clinical presentation and general absence of symptom specificity, the definition of thyroid dysfunction is predominantly biochemical, defined by the serum thyroid-stimulating hormone (TSH) and free thyroxine (FT4). This is despite the fact that thyroid diseases are associated with several clinical long-term consequences such as risk cardiovascular disease and dementia. Because clinical thyroid disease is generally treated, long-term consequences of thyroid dysfunction have been mainly studied in the context of subclinical thyroid disorders. Some of these associations with mainly cardiovascular disease have also shown to extend within the currently defined reference ranges. Therefore a debate concerning the accuracy and usefulness in terms of clinical care and prevention of the reference ranges has emerged. Th

Inside sales social media use and its strategic implications for salesperson-customer digital engagement and performance

Highlights Inside salespeople rely on four main strategies when it comes to using social media in their roles to engage with customers. Inside sales strategic social media use leads to higher levels of customer digital engagement and, ultimately, performance. Firm digital technology resources may shape the effects of inside sales strategic social media use. Abstract The nature of inside sales has shifted, increasing in autonomy, importance, and scope. Moreover, buyers are changing their preferences from face-to-face interactions to virtual-based relationships, leading to a future full of opportunities for inside salespeople using social media. The practitioner literature suggests that inside sales represent the sales business model of the digital era and a distinct strategic selling approach. While there has been a recent surge in theoretical research on inside sales, extant research fails to explore how and why inside salespeople uses social media as a critical tool. Research on social media use in sales has neglected to consider the growing role of inside sales, where sellers lack the opportunity to meet with customers face-to-face and must routinely rely on remote communication to interact with customers. As such, we use a grounded theory approach to investigate the “lived experiences” of inside salespeople at the intersection with social media in sales. Emergent from our findings is a framework depicting: inside sales strategic social media use → inside salesperson-customer digital engagement → inside sales performance. We also find that firm digital technology resources serve as enablement factors that shape the effects of the social media strategies that inside salespeople use

Chenoua

Le massif et sa population (Ph. Leveau) A l’est de la Mitidja, le Chénoua est un petit massif de forme grossièrement ovale mesurant 13 km d’est en ouest, 8 km du nord au sud et baigné au nord par la mer. Un couloir de plateaux et la plaine alluviale de l’oued el-Hachem le séparent des montagnes telliennes du sud. C’est un massif original qui, comme le cap Tenès à l’ouest, appartient à la zone primaire kabyle (zone I de Glangeaud). Une chaîne calcaire formée de lias massif et culminant à 904 m..

The genetic basis of thyroid function: Novel findings and new approaches

Context: Genetic factors are major determinants of thyroid function. Over the last two decades,multiple genetic variants have been associated with variations in normal range thyroid functiontests. Most recently, a large-scale genome-wide association study (GWAS) doubled the number ofknown variants associated with normal range thyrotropin (TSH) and free thyroxine (FT4) levels.Evidence Acquisition: This review summarizes the results of genetic association studies onnormal range thyroid function and explores how these genetic variants can be used in futurestudies to improve our understanding of thyroid hormone regulation and disease.Evidence Synthesis: Serum TSH and FT4 levels are determined by multiple genetic variantson virtually all levels of the hypothalamus-pituitary-thyroid (HPT) axis. Functional followup studies on top of GWAS hits has the potential to discover new key players in thyroidhormone regulation, as exemplified by the identification of the thyroid hormone transporterSLC17A4 and the metabolizing enzyme AADAT. Translational studies may use these geneticvariants to investigate causal associations between thyroid function and various outcomes inMendelian Randomization (MR) studies, to identify individuals with an increased risk of thyroiddysfunction, and to predict the individual HPT axis setpoint.Conclusions: Recent genetic studies have greatl

Homodyne solid-state biased coherent detection of ultra-broadband terahertz pulses with static electric fields

We present an innovative implementation of the solid-state-biased coherent detection (SSBCD) technique, which we have recently introduced for the reconstruction of both amplitude and phase of ultra-broadband terahertz pulses. In our previous works, the SSBCD method has been operated via a heterodyne scheme, which involves demanding square-wave voltage amplifiers, phase-locked to the THz pulse train, as well as an electronic circuit for the demodulation of the readout signal. Here, we demonstrate that the SSBCD technique can be operated via a very simple homodyne scheme, exploiting plain static bias voltages. We show that the homodyne SSBCD signal turns into a bipolar transient when the static field overcomes the THz field strength, without the requirement of an additional demodulating circuit. Moreover, we introduce a differential configuration, which extends the applicability of the homodyne scheme to higher THz field strengths, also leading a two-fold improvement of the dynamic range compared to the heterodyne counterpart. Finally, we demonstrate that, by reversing the sign of the static voltage, it is possible to directly retrieve the absolute THz pulse polarity. The homodyne configuration makes the SSBCD technique of much easier access, leading to a vast range of field-resolved applications

Variation in Normal Range Thyroid Function Affects Serum Cholesterol Levels, Blood Pressure, and Type 2 Diabetes Risk: A Mendelian Randomization Study

Final publication is available from Mary Ann Liebert, Inc., publishers https://doi.org/10.1089/thy.2020.0393

Immundefekte bei chronischer Rhinosinusitis : eine bedeutende und oft unterschätzte Ursache

Background Chronic rhinosinusitis (CRS) is one of the most frequent chronic diseases. Among these patients the prevalence of immune defects is higher than in the healthy general population. Methods A selective review of the literature was carried out in PubMed and Medline covering the period between 2008 and 2019. Additionally, recent German publications in journals not listed in the abovementioned databases were analyzed. Results The diagnostic workflow with respect to the immunodeficiency consists of a detailed anamnesis and physical examination, laboratory tests and the antibody reaction to polysaccharide vaccines and antigens. Beside antibiotic treatment, vaccinations and immunoglobulin replacement are available. Notwithstanding the above, functional endoscopic surgery of the paranasal sinuses should be performed according to guideline recommendations. Conclusion Patients with CRS who do not sufficiently respond to conservative and surgical treatment should be checked for underlying immunodeficiencies