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Plummer Effect
The Plummer effect is one of several physiological feedforward mechanisms taking place in follicular cells of the healthy thyroid gland and preventing the development of thyrotoxicosis in situations of extremely high supply with iodine. History In 1923 the American physician Henry Stanley Plummer discovered that high-dose iodine may be effective in the treatment of Graves’ disease. Today, “Plummering”, i.e. therapy with Lugol's iodine solution, is one of several emergency measures in the management of severe thyrotoxicosis. Mechanism Via the Plummer effect, a high iodine concentration inhibits the proteolysis of thyroglobulin and the release of pre-formed thyroid hormones from thyroid follicles. Therefore, its mechanism differs from that of the Wolff–Chaikoff effect, where iodine inhibits the uptake of iodine in thyroid cells and the formation of thyroid hormones, and of the dehalogenase inhibition effect, where high iodine levels block deiodinases and other deha ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Wolff–Chaikoff Effect
The Wolff–Chaikoff effect is a presumed reduction in thyroid hormone levels caused by ingestion of a large amount of iodine. It was discovered by Drs. Jan Wolff and Israel Lyon Chaikoff at the University of California, Berkeley: in 1948, they reported that injection of iodine in rats almost completely inhibited organification (thyroglobulin iodination) in the thyroid gland. However, recent research into the study shows that the thyroid hormone levels of the rats were not checked prior to injections. Patients with Graves' disease are more sensitive than euthyroid patients, and iodine has been used to manage Graves' disease. The Wolff–Chaikoff effect is known as an autoregulatory phenomenon that inhibits organification in the thyroid gland, the formation of thyroid hormones inside the thyroid follicle, and the release of thyroid hormones into the bloodstream. This becomes evident secondary to elevated levels of circulating iodide. The Wolff–Chaikoff effect is an effe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lugol's Iodine
Lugol's iodine, also known as aqueous iodine and strong iodine solution, is a solution of potassium iodide with iodine in water. It is a medication and disinfectant used for a number of purposes. Taken by mouth it is used to treat thyrotoxicosis until surgery can be carried out, protect the thyroid gland from radioactive iodine, and to treat iodine deficiency. When applied to the cervix it is used to help in screening for cervical cancer. As a disinfectant it may be applied to small wounds such as a needle stick injury. A small amount may also be used for emergency disinfection of drinking water. Side effects may include allergic reactions, headache, vomiting, and conjunctivitis. Long term use may result in trouble sleeping and depression. It should not typically be used during pregnancy or breastfeeding. Lugol's iodine is a liquid made up of two parts potassium iodide for every one part elemental iodine in water. Lugol's iodine was first made in 1829 by the French physicia ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Potassium Iodide
Potassium iodide is a chemical compound, medication, and dietary supplement. It is a medication used for treating hyperthyroidism, in radiation emergencies, and for protecting the thyroid gland when certain types of radiopharmaceuticals are used. In the third world it is also used for treating skin sporotrichosis and phycomycosis. It is a supplement used by people with low dietary intake of iodine. It is administered orally. Common side effects include vomiting, diarrhea, abdominal pain, rash, and swelling of the salivary glands. Other side effects include allergic reactions, headache, goitre, and depression. While use during pregnancy may harm the baby, its use is still recommended in radiation emergencies. Potassium iodide has the chemical formula K I. Commercially it is made by mixing potassium hydroxide with iodine. Potassium iodide has been used medically since at least 1820. It is on the World Health Organization's List of Essential Medicines. Potassium iodide is av ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Jod-Basedow Phenomenon
The Jod-Basedow effect (also Jod-Basedow syndrome and Jod-Basedow phenomenon) is hyperthyroidism following administration of iodine or iodide, either as a dietary supplement, iodinated contrast medical imaging, or as a medication (mainly Amiodarone). Pathophysiology This phenomenon is thus iodine-induced hyperthyroidism, typically presenting in a patient with endemic goiter (due to iodine deficiency), who relocate to an iodine-abundant geographical area. Also, people who have Graves disease, toxic multinodular goiter, or various types of thyroid adenoma are also at risk of Jod-Basedow effect when receiving iodine, because the thyroid will then not respond to the negative feedback from increased thyroid hormones. The source of iodine may be from the diet, administration of the iodinated contrast for medical imaging, or amiodarone (an antiarrhythmic drug). The hyperthyroidism usually develops over 2 to 12 weeks following iodine administration. In some ways the Jod-Basedow phenome ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Radioactive Contamination
Radioactive contamination, also called radiological pollution, is the deposition of, or presence of radioactive substances on surfaces or within solids, liquids, or gases (including the human body), where their presence is unintended or undesirable (from the International Atomic Energy Agency (IAEA) definition). Such contamination presents a hazard because the radioactive decay of the contaminants, produces ionizing radiation (namely alpha, beta, gamma rays and free neutrons). The degree of hazard is determined by the concentration of the contaminants, the energy of the radiation being emitted, the type of radiation, and the proximity of the contamination to organs of the body. It is important to be clear that the contamination gives rise to the radiation hazard, and the terms "radiation" and "contamination" are not interchangeable. The sources of radioactive pollution can be classified into two groups: natural and man-made. Following an atmospheric nuclear weapon discharge ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Dehalogenase
A dehalogenase is a type of enzyme that catalyzes the removal of a halogen atom from a substrate. Examples include: *Reductive dehalogenases *4-chlorobenzoate dehalogenase * 4-chlorobenzoyl-CoA dehalogenase * Dichloromethane dehalogenase * Fluoroacetate dehydrogenase * Haloacetate dehalogenase * (R)-2-haloacid dehalogenase * (S)-2-haloacid dehalogenase * Haloalkane dehalogenase * Halohydrin dehalogenase * Haloacetate dehalogenase In enzymology, a haloacetate dehalogenase () is an enzyme that catalyzes the chemical reaction :haloacetate + H2O \rightleftharpoons glycolate + halide Thus, the two substrates of this enzyme are haloacetate and H2O, whereas its two product ... * Tetrachloroethene reductive dehalogenase References {{chemistry index ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Deiodinase
Deiodinase (or "Monodeiodinase") is a peroxidase enzyme that is involved in the activation or deactivation of thyroid hormones. Types Types of deiodinases include: Iodothyronine deiodinases catalyze release of iodine directly from the thyronine hormones. They are selenocysteine-dependent membrane proteins with a catalytic domain resembling Peroxiredoxins (Prx). Three related isoforms, deiodinase type I, II, and III, contribute to activation and inactivation of the initially released hormone precursor T4 (thyroxine) into T3 (triiodothyronine) or rT3 (reverse triiodothyronine) in target cells. The enzymes catalyze a reductive elimination of iodine (the different isoforms attack different thyronine positions), thereby oxidizing themselves similar to Prx, followed by a reductive recycling of the enzyme. Iodotyrosine deiodinase contributes to breakdown of thyroid hormones. It releases iodine, for renewed use, from iodinated tyrosines resulting from catabolism of iodothyronines. Io ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thyroid Hormones
File:Thyroid_system.svg, upright=1.5, The thyroid system of the thyroid hormones T3 and T4 rect 376 268 820 433 Thyroid-stimulating hormone rect 411 200 849 266 Thyrotropin-releasing hormone rect 297 168 502 200 Hypothalamus rect 66 216 386 256 Anterior pituitary gland rect 66 332 342 374 Negative feedback rect 308 436 510 475 Thyroid gland rect 256 539 563 635 Thyroid hormones rect 357 827 569 856 Catecholamine rect 399 716 591 750 Metabolism desc bottom-left Thyroid hormones are any hormones produced and released by the thyroid gland, namely triiodothyronine (T3) and thyroxine (T4). They are tyrosine-based hormones that are primarily responsible for regulation of metabolism. T3 and T4 are partially composed of iodine. A deficiency of iodine leads to decreased production of T3 and T4, enlarges the thyroid tissue and will cause the disease known as simple goitre. The major form of thyroid hormone in the blood is thyroxine (T4), whose half-life of around one week is longer th ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Feed Forward (control)
A feed forward (sometimes written feedforward) is an element or pathway within a control system that passes a controlling signal from a source in its external environment to a load elsewhere in its external environment. This is often a command signal from an external operator. A control system which has only feed-forward behavior responds to its control signal in a pre-defined way without responding to the way the load reacts; it is in contrast with a system that also has feedback, which adjusts the input to take account of how it affects the load, and how the load itself may vary unpredictably; the load is considered to belong to the external environment of the system. In a feed-forward system, the control variable adjustment is not error-based. Instead it is based on knowledge about the process in the form of a mathematical model of the process and knowledge about, or measurements of, the process disturbances. Some prerequisites are needed for control scheme to be reliable ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Graves' Disease
Graves' disease (german: Morbus Basedow), also known as toxic diffuse goiter, is an autoimmune disease that affects the thyroid. It frequently results in and is the most common cause of hyperthyroidism. It also often results in an enlarged thyroid. Signs and symptoms of hyperthyroidism may include irritability, muscle weakness, sleeping problems, a fast heartbeat, poor tolerance of heat, diarrhea and unintentional weight loss. Other symptoms may include thickening of the skin on the shins, known as pretibial myxedema, and eye bulging, a condition caused by Graves' ophthalmopathy. About 25 to 30% of people with the condition develop eye problems. The exact cause of the disease is unclear; however, it is believed to involve a combination of genetic and environmental factors. A person is more likely to be affected if they have a family member with the disease. If one twin is affected, a 30% chance exists that the other twin will also have the disease. The onset of disease may be ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Henry Stanley Plummer
Henry Stanley Plummer ( – ) was an American internist and endocrinologist who, along with William Mayo, Charles Mayo, Augustus Stinchfield, E. Starr Judd, Christopher Graham, and Donald Balfour founded Mayo Clinic. Plummer is also immortalized as the driving force behind the Plummer Building, which still stands as a part of the Clinic he helped establish. Biography Early life and education Plummer was born in Hamilton, Minnesota, to Dr. Albert Plummer (August 9, 1840 – March 20, 1912) and his wife Isabelle (née Steere; 26 September 1850 – 15 January 1936). He attended high school in Spring Valley, Minnesota, after which he attended the University of Minnesota for two years, then completed his course of study with a four-year term at the Chicago Medical College of Northwestern University, graduating in 1898. Afterward, he returned to Racine, Minnesota, to assist his father, Albert Plummer, with his private practice. Career Plummer became a partner in the Clinic's p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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