Gestational impaired glucose tolerance does not increase perinatal mortality in a developing country: cohort study.
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Biomedical subjects
Publications and source records attributed to S Ramtoola.
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We have reviewed our experience over the past 5 years of 32 thyroid scans in Hashimoto's thyroiditis. A wide variety of images were obtained, the most common finding being that of an enlarged gland with diffusely increased tracer uptake, a pattern identical to that found in Graves' disease (eight patients). Of the remainder, four scans were normal, four showed an enlarged gland with normal tracer uptake, five a multinodular gland with normal tracer uptake, five a multinodular gland with high tracer uptake, five a single non-functioning nodule and in one patient there was low tracer uptake by the gland. It is apparent that the thyroid scan in Hashimoto's thyroiditis can mimic a wide range of thyroid disorders. Thus, taken in isolation, the scan findings can be misleading and should be evaluated in conjunction with current biochemistry.
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1 From measurements of the affinity constants of hydratropyltropine and its methiodide for muscarine-sensitive acetylcholine receptors in the guinea-pig ileum, the increment in log K for the hydroxyl group in atropine is 2.06 and in the methiodide it is 2.16. These effects are slightly bigger than any so far recorded with these receptors. 2 The estimate of the increment in apparent molal volume for the hydroxyl group is 1.1 cm3/mol in atropine and 1.0 cm3/mol in the methobromide. 3 The large effect of the group on affinity may be linked to its small apparent size in water as suggested in the previous paper.