181 research outputs found
Hyperthyroidism from autoimmune thyroiditis in a man with type 1 diabetes mellitus: a case report
<p>Abstract</p> <p>Introduction</p> <p>The presentation, diagnosis, clinical course and treatment of a man with hyperthyroidism secondary to autoimmune thyroiditis in the setting of type 1 diabetes mellitus has not previously been described.</p> <p>Case presentation</p> <p>A 32-year-old European-American man with an eight-year history of type 1 diabetes mellitus presented with an unintentional 22-pound weight loss but an otherwise normal physical examination. Laboratory studies revealed a suppressed thyroid-stimulating hormone concentration and an elevated thyroxine level, which are consistent with hyperthyroidism. His anti-thyroid peroxidase antibodies were positive, and his thyroid-stimulating immunoglobulin test was negative. Uptake of radioactive iodine by scanning was 0.5% at 24 hours. The patient was diagnosed with autoimmune thyroiditis. Six weeks following his initial presentation he became clinically and biochemically hypothyroid and was treated with thyroxine.</p> <p>Conclusion</p> <p>This report demonstrates that autoimmune thyroiditis presenting as hyperthyroidism can occur in a man with type 1 diabetes mellitus. Autoimmune thyroiditis may be an isolated manifestation of autoimmunity or may be part of an autoimmune polyglandular syndrome. Among patients with type 1 diabetes mellitus who present with hyperthyroidism, Graves' disease and other forms of hyperthyroidism need to be excluded as autoimmune thyroiditis can progress quickly to hypothyroidism, requiring thyroid hormone replacement therapy.</p
Multiplicities of charged pions and unidentified charged hadrons from deep-inelastic scattering of muons off an isoscalar target
Multiplicities of charged pions and unidentified hadrons produced in
deep-inelastic scattering were measured in bins of the Bjorken scaling variable
, the relative virtual-photon energy and the relative hadron energy .
Data were obtained by the COMPASS Collaboration using a 160 GeV muon beam and
an isoscalar target (LiD). They cover the kinematic domain in the photon
virtuality > 1(GeV/c, , and . In addition, a leading-order pQCD analysis was performed using the
pion multiplicity results to extract quark fragmentation functions
Leading-order determination of the gluon polarisation from semi-inclusive deep inelastic scattering data
Using a novel analysis technique, the gluon polarisation in the nucleon is
re-evaluated using the longitudinal double-spin asymmetry measured in the cross
section of semi-inclusive single-hadron muoproduction with photon virtuality
. The data were obtained by the COMPASS experiment at
CERN using a 160 GeV/ polarised muon beam impinging on a polarised LiD
target. By analysing the full range in hadron transverse momentum ,
the different -dependences of the underlying processes are separated
using a neural-network approach. In the absence of pQCD calculations at
next-to-leading order in the selected kinematic domain, the gluon polarisation
is evaluated at leading order in pQCD at a hard scale of . It is determined in three intervals
of the nucleon momentum fraction carried by gluons, , covering the
range ~ and does not exhibit a significant
dependence on . The average over the three intervals, at
, suggests that the gluon polarisation
is positive in the measured range.Comment: 14 pages, 6 figure
Short-Term Effects of PM10 and NO2 on Respiratory Health among Children with Asthma or Asthma-like Symptoms: A Systematic Review and Meta-Analysis
Optimal deployment of components of cloud-hosted application for guaranteeing multitenancy isolation
One of the challenges of deploying multitenant cloud-hosted
services that are designed to use (or be integrated with) several
components is how to implement the required degree
of isolation between the components when there is a change
in the workload. Achieving the highest degree of isolation
implies deploying a component exclusively for one tenant;
which leads to high resource consumption and running cost
per component. A low degree of isolation allows sharing of
resources which could possibly reduce cost, but with known
limitations of performance and security interference. This
paper presents a model-based algorithm together with four
variants of a metaheuristic that can be used with it, to provide
near-optimal solutions for deploying components of a
cloud-hosted application in a way that guarantees multitenancy
isolation. When the workload changes, the model based
algorithm solves an open multiclass QN model to
determine the average number of requests that can access
the components and then uses a metaheuristic to provide
near-optimal solutions for deploying the components. Performance
evaluation showed that the obtained solutions had
low variability and percent deviation when compared to the
reference/optimal solution. We also provide recommendations
and best practice guidelines for deploying components
in a way that guarantees the required degree of isolation
Multiple Determinants of Externalizing Behavior in 5-Year-Olds: A Longitudinal Model
In a community sample of 116 children, assessments of parent-child interaction, parent-child attachment, and various parental, child, and contextual characteristics at 15 and 28 months and at age 5 were used to predict externalizing behavior at age 5, as rated by parents and teachers. Hierarchical multiple regression analysis and path analysis yielded a significant longitudinal model for the prediction of age 5 externalizing behavior, with independent contributions from the following predictors: child sex, partner support reported by the caregiver, disorganized infant-parent attachment at 15 months, child anger proneness at 28 months, and one of the two parent-child interaction factors observed at 28 months, namely negative parent-child interactions. The other, i.e., a lack of effective guidance, predicted externalizing problems only in highly anger-prone children. Furthermore, mediated pathways of influence were found for the parent-child interaction at 15 months (via disorganized attachment) and parental ego-resiliency (via negative parent-child interaction at 28 months)
Psicoanalisi e prospettive evoluzionistiche dell'attaccamento: un progetto di prevenzione per la tutela della salute mentale perinatale
Measurement of azimuthal hadron asymmetries in semi-inclusive deep inelastic scattering off unpolarised nucleons
Spin-averaged asymmetries in the azimuthal distributions of positive and negative hadrons produced in deep inelastic scattering were measured using the CERN SPS longitudinally polarised muon beam at 160 GeV/c and a (LiD)-Li-6 target. The amplitudes of the three azimuthal modulations cos phi(h), cos 2 phi(h) and sin phi(h) were obtained binning the data separately in each of the relevant kinematic variables x, z or p(T)(h), and binning in a three-dimensional grid of these three variables. The amplitudes of the cos phi(h) and cos 2 phi(h) modulations show strong kinematic dependencies both for positive and negative hadrons
Multiplicities of charged kaons from deep-inelastic muon scattering off an isoscalar target
Precise measurements of charged-kaon multiplicities in deep inelastic scattering were performed. The results are presented in three-dimensional bins of the Bjorken scaling variable x, the relative virtual-photon energy y, and the fraction z of the virtual-photon energy carried by the produced hadron. The data were obtained by the COMPASS Collaboration by scattering 160 GeV muons off an isoscalar 6LiD target. They cover the kinematic domain View the MathML source in the photon virtuality, 0.0045 GeV/c2 in the invariant mass of the hadronic system. The results from the sum of the z -integrated K+ and K 12 multiplicities at high x point to a value of the non-strange quark fragmentation function larger than obtained by the earlier DSS fit
On the mechanisms governing gas penetration into a tokamak plasma during a massive gas injection
A new 1D radial fluid code, IMAGINE, is used to simulate the penetration of gas into a tokamak plasma during a massive gas injection (MGI). The main result is that the gas is in general strongly braked as it reaches the plasma, due to mechanisms related to charge exchange and (to a smaller extent) recombination. As a result, only a fraction of the gas penetrates into the plasma. Also, a shock wave is created in the gas which propagates away from the plasma, braking and compressing the incoming gas. Simulation results are quantitatively consistent, at least in terms of orders of magnitude, with experimental data for a D 2 MGI into a JET Ohmic plasma. Simulations of MGI into the background plasma surrounding a runaway electron beam show that if the background electron density is too high, the gas may not penetrate, suggesting a possible explanation for the recent results of Reux et al in JET (2015 Nucl. Fusion 55 093013)
- …