Skin eruptions following treatment with Iodine-131 for hyperthyroidism. A rare and un-reported early/intermediate side effect

BACKGROUND: Iodine-131 (131I) is a well-established method for the treatment of hyperthyroidism. Following such therapy, patients may experience symptoms relating to early or delayed side effects that can be prevented or minimized if necessary measures are taken. We have noticed an unusual side effect of 131I therapy in the form of a skin eruption (iododerma) and aimed at assessing the frequency and severity of this side effect. MATERIAL AND METHODS: Retrospective review of 141 patients treated with 131I between January 1994 to December 2000 (86 F, 55 M; mean age 41.35 ± 11.02 years) was performed. The dose of 131I ranged from 250-500 MBq. Post therapy clinical and biochemical evaluation of thyroid function was done at 6 weeks, 3, 6, and 9 months then annually. RESULTS: Of the 141 treated patients, 3 patients (2.1%) presented with iododerma 4-6 weeks after 131I therapy administration. Lesions were observed at both ankles & lower legs in all 3 cases. All lesions disappeared within 6 months with no residual effect. No other skin lesions were seen thereafter during the follow-up period. CONCLUSION: Iododerma is a rare complication of 131I therapy that has not been reported before. It appears within 4-6 weeks after therapy and is a self-limiting condition

GSTM1 and GSTT1 double null genotypes determining cell fate and proliferation as potential risk factors of relapse in children with hematological malignancies after hematopoietic stem cell transplantation.

PURPOSE This study aimed to retrospectively evaluate the genetic association of null variants of glutathione S-transferases GSTM1 and GSTT1 with relapse incidence in children with hematological malignancies (HMs) undergoing busulfan (BU)- containing allogeneic hematopoietic stem cell transplantation (HSCT) and to assess the impact of these variants on BU-induced cytotoxicity on the immortalized lymphoblastoid cell lines (LCLs) and tumor THP1 GST gene-edited cell models. METHODS GSTM1- and GSTT1-null alleles were genotyped using germline DNA from whole blood prior to a conditioning BU-based regimen. Association of GSTM1- and GSTT1-null variants with relapse incidence was analyzed using multivariable competing risk analysis. BU-induced cell death studies were conducted in GSTs- null and non-null LCLs and CRISPR-Cas9 gene-edited THP1 leukemia cell lines. RESULTS Carrying GSTM1/GSTT1 double null genotype was found to be an independent risk factor for post-HSCT relapse in 86 children (adjusted HR: 6.52 [95% Cl, 2.76-15.42; p = 1.9 × 10-5]). BU-induced cell death preferentially in THP1GSTM1(non-null) and LCLsGSTM1(non-null) as shown by decreased viability, increased necrosis and levels of the oxidized form of glutathione compared to null cells, while GSTT1 non-null cells showed increased baseline proliferation. CONCLUSION The clinical association suggests that GSTM1/GSTT1 double null genotype could serve as genetic stratification biomarker for the high risk of post-HSCT relapse. Functional studies have indicated that GSTM1 status modulates BU-induced cell death. On the other hand, GSTT1 is proposed to be involved in baseline cell proliferation

Bone Mineral Density Measurement in Menopausal Women Presenting with Low Back Pain: A Prospective Study

Bone mineral densitometry was done in 107 women in their post-menopausal period using Dualenergy X-ray absorptiometry method. All the patients were presented with low back pain.Quantification of bone mineral density was done in proximal femur and lumber spines of all thepatients. Sixty-eight patients showed normal bone mineral density in our study. Rest 39 patientsshowed declination of bone mineral density from mild osteopenia to severe osteoporosis. Weconclude that Dual energy X-ray absorptiometry bone mineral measurement is an unique, noninvasivemethod of detecting bone mass disorder in post-menopausal women with low backpain and should be the first choice of investigation.doi: 10.3329/taj.v15i2.3909TAJ December 2002; Vol.15(2):64-67</jats:p

Polypoid gall bladder lesions: Is it necessary for immediate surgery?

Ultrasonographic study of hepatobiliary system was done in 481 patients with acute right hypochondriac pain to find out any pathology in hepatobiliary system. A total of 57 patients with polypoid lesions in gall bladder were diagnosed and underwent extensive follow-up. In 31 patients, who underwent surgery, the histological findings were cholesterol polyp/cholesterosis (n=14), cholesterosis with fibrous displasia of gall bladder (n=7), adenomyomatosis (n=3), hyperplastic cholecystosis (n=5) and adenocarcinoma (n=2). Remaining 26 patients were under follow-up up to 18 months from first diagnosis. Though most of the polyps diagnosed on ultrasound appeared to be benign without any risk of malignant transformation, it, however, may be recommended to go for surgery in a persistent symptomatic patient

Child abuse and neglect in a rapidly developing country : Parents' perspectives

Purpose: To identify parental awareness and knowledge regarding child abuse and neglect in the State of Qatar. Methods: A cross-sectional study using a questionnaire was conducted at Hamad Medical Corporation, the only tertiary pediatric hospital in the State of Qatar at the time of the study. Parents of children of all ages were offered a questionnaire that included demographic details, parental knowledge, and awareness of child abuse and neglect. Results: 300 questionnaires were completed (response rate = 95%). More than 70% of parents were older than 30 years of age, 60% of them were females, and 66% were college graduates. The majority of the participants stated their familiarity about child abuse, and 6% witnessed morbidity or mortality due to child abuse in the society. Despite the identified laws, only 50% of the parents were aware of laws restricting child abuse. In regards to children with special needs, only 16% of the participants agreed that disabled children are at a higher risk of abuse compared to healthy children, while 33% were neutral and 52% disagreed. In addition, one-fifth of the respondents stated that hitting is discipline, while 63% disagreed. Almost one-third of the respondents agreed that hitting hands and buttock or hitting with soft objects is acceptable form of discipline. Unexpectedly, one-quarter of participants stated that it is okay to hit a child as long as no damage incurs. As for verbal abuse, around one-third of parents stated that yelling is not a form of child abuse, and that yelling does not affect growth and development. Comparing both corporal and verbal abuse, approximately 70% of parents stated that yelling is less harmful than hitting. In terms of child neglect, around half of the respondents agreed with the statement "Leaving a child (&lt;5 years) unattended at home is a form of neglect," while 42% were neutral. Finally, approximately 50% of the participants believed that it is okay to depend on nannies in assisting their children in eating and using the bathroom. Conclusion: Parents residing in the State of Qatar believe that they have a good knowledge regarding child abuse and neglect. However, this study shows many deficiencies in parental knowledge of child abuse and neglect. Parents' attitudes and perceptions are considered indispensable targets for community health intervention.CC BY-NC-SA 4.0Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License.Wolters Kluwer - Medknow</p

Fuzzy controller-driven pattern search optimization for a DC–DC boost converter to enhance photovoltaic MPPT performance

Abstract This article demonstrates maximum power point tracking (MPPT) using a DC-DC boost converter. It introduces an intelligent control technique with fuzzy-based pattern search (PS) optimization for the MPPT controller, enhancing energy conversion efficiency. The fuzzy-PS approach is further refined with PA optimization. A comprehensive performance evaluation compares it with various optimization algorithms. The controller is tested under changes in irradiance and temperature, showing its performance against the Perturb and Observe (P&O) algorithm. The fuzzy controller is optimized to provide the best membership functions (MFs) using PS optimization, particle swarm optimization (PSO), and genetic algorithm (GA), with root mean square error (RMSE) as the objective function. PS optimization outperforms other algorithms. The fuzzy-PS optimization achieves the lowest RMSE of 0.6861 after 100 iterations, while fuzzy-GA and fuzzy-PSO reach RMSEs of 1.257 and 0.9454, respectively. The proposed fuzzy-PS MPPT controller effectively adapts to irradiance and temperature variations, achieving maximum power outputs up to 74.48 kW and Comparative evaluations revealed an average MPPT efficiency of 99.7%, demonstrating superior tracking performance compared to the P&O algorithm

GSTM1 and GSTT1 double null genotypes determining cell fate and proliferation as potential risk factors of relapse in children with hematological malignancies after hematopoietic stem cell transplantation

Abstract Purpose This study aimed to retrospectively evaluate the genetic association of null variants of glutathione S-transferases GSTM1 and GSTT1 with relapse incidence in children with hematological malignancies (HMs) undergoing busulfan (BU)- containing allogeneic hematopoietic stem cell transplantation (HSCT) and to assess the impact of these variants on BU-induced cytotoxicity on the immortalized lymphoblastoid cell lines (LCLs) and tumor THP1 GST gene-edited cell models. Methods GSTM1- and GSTT1-null alleles were genotyped using germline DNA from whole blood prior to a conditioning BU-based regimen. Association of GSTM1- and GSTT1-null variants with relapse incidence was analyzed using multivariable competing risk analysis. BU-induced cell death studies were conducted in GSTs- null and non-null LCLs and CRISPR–Cas9 gene-edited THP1 leukemia cell lines. Results Carrying GSTM1/GSTT1 double null genotype was found to be an independent risk factor for post-HSCT relapse in 86 children (adjusted HR: 6.52 [95% Cl, 2.76–15.42; p = 1.9 × 10–5]). BU-induced cell death preferentially in THP1GSTM1(non−null) and LCLsGSTM1(non−null) as shown by decreased viability, increased necrosis and levels of the oxidized form of glutathione compared to null cells, while GSTT1 non-null cells showed increased baseline proliferation. Conclusion The clinical association suggests that GSTM1/GSTT1 double null genotype could serve as genetic stratification biomarker for the high risk of post-HSCT relapse. Functional studies have indicated that GSTM1 status modulates BU-induced cell death. On the other hand, GSTT1 is proposed to be involved in baseline cell proliferation. </jats:sec