961 research outputs found

    Thyroidal and Extrathyroidal Requirements for Iodine and Selenium:A Combined Evolutionary and (Patho)Physiological Approach

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    Iodide is an antioxidant, oxidant and thyroid hormone constituent. Selenoproteins are needed for triiodothyronine synthesis, its deactivation and iodine release. They also protect thyroidal and extrathyroidal tissues from hydrogen peroxide used in the ‘peroxidase partner system’. This system produces thyroid hormone and reactive iodine in exocrine glands to kill microbes. Exocrine glands recycle iodine and with high urinary clearance require constant dietary supply, unlike the thyroid. Disbalanced iodine-selenium explains relations between thyroid autoimmune disease (TAD) and cancer of thyroid and exocrine organs, notably stomach, breast, and prostate. Seafood is iodine unconstrained, but selenium constrained. Terrestrial food contains little iodine while selenium ranges from highly deficient to highly toxic. Iodine vs. TAD is U-shaped, but only low selenium relates to TAD. Oxidative stress from low selenium, and infection from disbalanced iodine-selenium, may generate cancer of thyroid and exocrine glands. Traditional Japanese diet resembles our ancient seashore-based diet and relates to aforementioned diseases. Adequate iodine might be in the milligram range but is toxic at low selenium. Optimal selenoprotein-P at 105 µg selenium/day agrees with Japanese intakes. Selenium upper limit may remain at 300–400 µg/day. Seafood combines iodine, selenium and other critical nutrients. It brings us back to the seashore diet that made us what we currently still are

    Exploring Different Assumptions about Outcome-Related Risk Perceptions in Discrete Choice Experiments

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    Environmental outcomes are often affected by the stochastic nature of the environment and ecosystem, as well as the effectiveness of governmental policy in combination with human activities. Incorporating information about risk in discrete choice experiments has been suggested to enhance survey credibility. Although some studies have incorporated risk in the design and treated it as either the weights of the corresponding environmental outcomes or as a stand-alone factor, little research has discussed the implications of those behavioural assumptions under risk and explored individuals’ outcome-related risk perceptions in a context where environmental outcomes can be either described as improvement or deterioration. This paper investigates outcome-related risk perceptions for environmental outcomes in the gain and loss domains together and examines differences in choices about air quality changes in China using a discrete choice experiment. Results suggest that respondents consider the information of risk in both domains, and their elicited behavioural patterns are best described by direct risk aversion, which states that individuals obtain disutility directly from the increasing risk regardless of the associated environmental outcomes. We discuss the implication of our results and provide recommendations on the choice of model specification when incorporating risk

    The Diagnostic Value of 18F-FDG PET/CT Scan in Characterizing Adrenal Tumors

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    CONTEXT: Imaging plays an important role in the characterization of adrenal tumors, but findings might be inconclusive. The clinical question is whether 18F fluodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) is of diagnostic value in this setting.OBJECTIVE: This meta-analysis was aimed at the diagnostic value of 18F-FDG PET/CT in differentiating benign from malignant adrenal tumors discovered either as adrenal incidentaloma or during staging or follow-up of oncologic patients.DATA SOURCES: PubMed, EMBASE, Web of Science, and Cochrane Library were searched to select articles between 2000 and 2021.STUDY SELECTION: We included studies describing the diagnostic value of 18F-FDG PET/CT in adult patients with an adrenal tumor. Exclusion criteria were 10 or fewer participants, insufficient data on histopathology, clinical follow-up, or PET results. After screening of title and abstract by 2 independent reviewers, 79 studies were retrieved, of which 17 studies met the selection criteria.DATA EXTRACTION: Data extraction using a protocol and quality assessment according to QUADAS-2 was performed independently by at least 2 authors.DATA SYNTHESIS: A bivariate random-effects model was applied using R (version 3.6.2.). Pooled sensitivity and specificity of 18F-FDG PET/CT for identifying malignant adrenal tumors was 87.3% (95% CI, 82.5%-90.9%) and 84.7% (95% CI, 79.3%-88.9%), respectively. The pooled diagnostic odds ratio was 9.20 (95% CI, 5.27-16.08; P &lt; .01). Major sources of heterogeneity (I2, 57.1% [95% CI, 27.5%-74.6%]) were in population characteristics, reference standard, and interpretation criteria of imaging results.CONCLUSIONS: 18F-FDG PET/CT had good diagnostic accuracy for characterization of adrenal tumors. The literature, however, is limited, in particular regarding adrenal incidentalomas. Large prospective studies in well-defined patient populations with application of validated cutoff values are needed.</p

    Proton endor study of the photoexcited triplet state PT in Rps. sphaeroides R-26 photosynthetic reaction centres

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    The photoexcited triplet state PT of Rhodopseudomonas sphaeroides R-26 has been investigated by ENDOR measurements performed on frozen photosynthetic reaction centre solutions. For the first time hyperfine data could be obtained for PT. These data indicate a delocalisation of the triplet state over two bacteriochlorophyll a molecules

    Accounting students' expectations and transition experiences of supervised work experience

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    Political and economic discourses position employability as a responsibility of higher education, which utilise mechanisms such as supervised work experience (SWE) to embed employability into the undergraduate curriculum. However, sparse investigation of students' contextualised experiences of SWE results in little being known about the mechanisms through which students derive employability benefits from SWE. The aim of this study is to examine the impact of students' expectation and conception of workplace learning on their transition into SWE. Analysis of accounting students' experiences reveal two broad conceptions of workplace learning, the differing impacts of which on transition experience are explored using existing learning transfer perspectives. Students displaying the more common 'technical' conception construct SWE as an opportunity to develop technical, knowledge-based expertise and abilities that prioritize product-based or cognitive learning transfer. Students with an 'experiential' conception were found to construct SWE primarily as an experience through which the development of personal skills and abilities beyond technical expertise are prioritized using process-based or socio-cultural learning transfer. Further data analysis suggests that these two learning transfer approaches have differing impacts on students' employability development which may indicate a need for universities to consider how to develop appropriate student expectations of and approaches to SWE and meaningful support for students' SWE transition

    Phase Equilibria in Hydrocarbon Systems. II. Methane-Propane System

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    Review of the research knowledge and gaps on fish populations, fisheries and linked ecosystems in the Central Arctic Ocean (CAO)

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    This report presents a review of the research knowledge and gaps on fish populations, fisheries and linked ecosystems in the Central Arctic Ocean (CAO). The CAO comprises the deep basins of the Arctic Ocean beyond the shelf break, which largely overlap with the High Seas of the Arctic Ocean, i.e. the marine areas outside the Exclusive Economic Zones (EEZs) of the Arctic coastal nations. The authors of the report are members of the European Fisheries Inventory in the Central Arctic Ocean (EFICA) Consortium. This study was funded by the European Commission as an EU contribution to the international cooperation within the Agreement to Prevent Unregulated High Seas Fisheries in the Central Arctic Ocean. The report contains desk-based research, using scientific research data bases as well as any available research performed by the EFICA Consortium partners and EU institutions or others. In Chapters 2-8 the authors review the literature and identify specific knowledge gaps. The gap analyses involve comparisons of actual knowledge with desired knowledge on the fish stocks of the CAO to be able to evaluate possibilities for future sustainable fisheries in the area. Chapter 1 is an introductory chapter, and Chapter 9 presents a holistic gap analysis based on Chapters 2-8 and recommendations for research priorities and the next steps. The critical gap analysis highlights that the knowledge gaps for the CAO are enormous and obstruct any quantitative analyses of its fish stocks. This agrees with the conclusions from the Fifth FiSCAO Report (FiSCAO 2018). While data for the physical environment in the CAO (oceanography, bottom topography and ice-cover dynamics) would be sufficient for fish stock modelling and assessment, there is a massive lack of biological and ecological data. The CAO is not a closed system and some aspects of the shelf seas are of high relevance for the CAO, notably connectivity of fish stocks and fish species moving north with climate warming. Scientific research and monitoring programs are established in the shelf seas, and new data are constantly being produced. Fish stock data are available from scientific projects and monitoring programs for some of the shelf seas (Barents Sea, Bering Sea, and to a lesser extent for the Beaufort Sea and the Chukchi Sea). Data exist also for the Russian shelf seas (Kara Sea, Laptev Sea, East Siberian Sea), but these data are not internationally available, while for the areas north of Canada/Greenland data are missing; they do not exist because of the severe ice conditions there. More data from all shelf seas may be hidden in reports that are not publicly accessible. We recommend to make current knowledge generally available by translating key publications and identification of valuable data reports. Research priorities comprise the collection and analysis of primary data in the CAO, and – to a limited extent – from adjacent waters through collaborations with other Signatories of the Agreement (e.g. on population genetics). Further research priorities include an evaluation of ecosystem vulnerability, social-ecological analyses, i.e. recognizing the close and often complex interactions between humans and nature, and recommendations for governance of the CAO. Fulfilling the 14 specific research priorities mentioned in Chapter 9 to “sufficient knowledge available” could enable the potential, future application of an Ecosystem Approach to Management for the CAO

    Effectiveness of e-learning in continuing medical education for occupational physicians

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    Background Within a clinical context e-learning is comparable to traditional approaches of continuing medical education (CME). However, the occupational health context differs and until now the effect of postgraduate e-learning among occupational physicians (OPs) has not been evaluated
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