With the development of imaging and localization studies,focused parathyroidectomy with use of intraope-rative parathormone monitoring(IPM)is the mainstay of treatment for primary hyperparathyroidism at many health ca...With the development of imaging and localization studies,focused parathyroidectomy with use of intraope-rative parathormone monitoring(IPM)is the mainstay of treatment for primary hyperparathyroidism at many health care centers both nationally and internationally.Focused parathyroidectomy guided by IPM allows for surgical excision of the offending parathyroid gland through smaller incisions.The Miami criterion is a protocol that uses a">50%parathormone(PTH)drop"from either the greatest pre-incision or pre-excision measurement of PTH in a blood sample taken 10 min following resection of hyperfunctioning glands.Following removal of the hyperfunctioning parathyroid gland,a>50%PTH drop at 10 min indicates completion of parathyroidectomy,and predicts operative success at6 mo.IPM using the Miami criterion has demonstrated equal curative rates of>97%,which is comparable to the traditional bilateral neck exploration.The focused approach,however,is associated with shorter recovery times,improved cosmesis,and lower risk of postoperative hypocalcemia.展开更多
We investigated the cardiovascular disease (CVD) risk of the elderly in a city in northeastern Brazil, and the correlation of this risk with vitamin D and PTH status. We studied 359 elderly, both genders, from Piau...We investigated the cardiovascular disease (CVD) risk of the elderly in a city in northeastern Brazil, and the correlation of this risk with vitamin D and PTH status. We studied 359 elderly, both genders, from Piauí-Teresina-Brazil. Variables investigated: body mass index, waist circumference, systolic and diastolic blood pressure. A subsample (n = 100) was investigated for biochemical analyses: PTH and 25(OH)-vitamin D levels;total, HDL and LDL-cholesterol;and fasting glucose. High blood pressure, abdominal obesity, sedentarism, high total cholesterol, high triacylglycerol levels, as well as low vitamin D levels, were, among the investigated variables, the most prevalent. Visceral adiposity and low vitamin D were found to be more prevalent in women than in men, whilst alcohol intake and smoking were more prevalent in men. The correlation between vitamin D, PTH and the investigated risk variables, under our study conditions, were not significant.展开更多
文摘With the development of imaging and localization studies,focused parathyroidectomy with use of intraope-rative parathormone monitoring(IPM)is the mainstay of treatment for primary hyperparathyroidism at many health care centers both nationally and internationally.Focused parathyroidectomy guided by IPM allows for surgical excision of the offending parathyroid gland through smaller incisions.The Miami criterion is a protocol that uses a">50%parathormone(PTH)drop"from either the greatest pre-incision or pre-excision measurement of PTH in a blood sample taken 10 min following resection of hyperfunctioning glands.Following removal of the hyperfunctioning parathyroid gland,a>50%PTH drop at 10 min indicates completion of parathyroidectomy,and predicts operative success at6 mo.IPM using the Miami criterion has demonstrated equal curative rates of>97%,which is comparable to the traditional bilateral neck exploration.The focused approach,however,is associated with shorter recovery times,improved cosmesis,and lower risk of postoperative hypocalcemia.
文摘We investigated the cardiovascular disease (CVD) risk of the elderly in a city in northeastern Brazil, and the correlation of this risk with vitamin D and PTH status. We studied 359 elderly, both genders, from Piauí-Teresina-Brazil. Variables investigated: body mass index, waist circumference, systolic and diastolic blood pressure. A subsample (n = 100) was investigated for biochemical analyses: PTH and 25(OH)-vitamin D levels;total, HDL and LDL-cholesterol;and fasting glucose. High blood pressure, abdominal obesity, sedentarism, high total cholesterol, high triacylglycerol levels, as well as low vitamin D levels, were, among the investigated variables, the most prevalent. Visceral adiposity and low vitamin D were found to be more prevalent in women than in men, whilst alcohol intake and smoking were more prevalent in men. The correlation between vitamin D, PTH and the investigated risk variables, under our study conditions, were not significant.
