Subclinical hypothyroidism in childhood — current knowledge and open issues

Subclinical hypothyroidism is defined as serum levels of TSH above the upper limit of the reference range, in the presence of normal concentrations of total T4 or free T4. This biochemical profile might be an indication of mild hypothyroidism, with a potential increased risk of metabolic abnormalities and cardiovascular disease recorded among adults. Whether subclinical hypothyroidism results in adverse health outcomes among children is a matter of debate and so management of this condition remains challenging. Mild forms of untreated subclinical hypothyroidism do not seem to be associated with impairments in growth, bone health or neurocognitive outcome. However, ongoing scientific investigations have highlighted the presence of subtle proatherogenic abnormalities among children with modest elevations in their TSH levels. Although current findings are insufficient to recommend levothyroxine treatment for all children with mild asymptomatic forms of subclinical hypothyroidism, they highlight the potential need for assessment of cardiovascular risk among children with this condition. Increased understanding of the early metabolic risk factors associated with subclinical hypothyroidism in childhood will help to improve the management of affected individuals

Measurement of the inclusive isolated prompt photon cross section in pp collisions at root s=7 TeV with the ATLAS detector

A measurement of the cross section for the inclusive production of isolated prompt photons in pp collisions at a center-of-mass energy √s=7TeV is presented. The measurement covers the pseudorapidity ranges |ηγ|<1. 37 and 1.52≤|ηγ|<1.81 in the transverse energy range 15≤ETγ<100GeV. The results are based on an integrated luminosity of 880nb-1, collected with the ATLAS detector at the Large Hadron Collider. Photon candidates are identified by combining information from the calorimeters and from the inner tracker. Residual background in the selected sample is estimated from data based on the observed distribution of the transverse isolation energy in a narrow cone around the photon candidate. The results are compared to predictions from next-to-leading-order perturbative QCD calculations. © 2011 CERN, for the ATLAS Collaboration