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You searched for subject:(Endemic goiter). Showing records 1 – 2 of 2 total matches.

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1. Duarte, Glaucia Cruzes. Avaliação ultra-sonográfica da tiróide, excreção urinária de iodo em escolares de 6 a 14 anos e grau de iodação de sal, em diferentes regiões do estado de São Paulo.

Degree: PhD, Endocrinologia, 2007, University of São Paulo

A nutrição de iodo de uma população é avaliada por indicadores: a iodação do sal, excreção urinária de iodo e volume tiroidiano. A iodação do sal é eficiente no combate às doenças decorrentes da deficiência de iodo, sendo empregada em todo território nacional desde 1995 e o estado de São Paulo é considerado uma área iodo-suficiente. Para avaliar esta ingesta de iodo, foram selecionados aleatoriamente 964 escolares entre 6 a 14 anos, de seis regiões do Estado. Foram avaliados sob o ponto de vista ecográfico da tiróide, 484 meninas e 480 meninos. Os volumes da glândula tiróide elevaram-se progressivamente com a idade, guardando correlação positiva e significativa com a superfície corporal. Cerca de 2,9% dos escolares apresentava bócio. Outras anormalidades encontradas foram hemiagenesia (0,5%), nódulos (0,2%), cistos (0,7%) e hipoecogenicidade (11,7%). Notamos excessiva excreção urinária de iodo nesta população, com valores superiores a 300ug Iodo/L em 76,8% das amostras. As amostras de sal doméstico apresentavam valores entre 34,0 e 68,3mg Iodo/Kg de sal. Concluímos que a população de escolares estudados no estado de São Paulo apresenta excessiva ingestão diária de iodo, a qual, extrapolada para população em geral poderá induzir várias alterações da função tiroidiana, como hipertiroidismo subclínico (em idosos) e tiroidite crônica auto-imune na população adulta.

The salt iodization is efficient to prevent iodine deficient disorders and began in all of Brazil in 1995 and the state of São Paulo is considered an iodine sufficient area. To evaluate the iodine nutrition, 964 schoolchildren, aged between 6 and 14 years old (484 girls, 480 boys) were examined by ultrasonographic studies. There was a progressive increase of the thyroid volume with aging with a positive and significant correlation with the body surface area. The presence of enlarged thyroid gland was rarely seen, being present in only 2.9% of the studied cohort. A few thyroid gland abnormalities were noticed such as hemiagenesia (0.5%), nodules (0.2%), cysts (0.7%) and hypoechogenicity (11,7%). It was clearly demonstrated that the urinary excretion of iodine was elevated being above 300ug Iodine/L in 76,8% of the schoolchildren examined. Assays for the iodine concentration in domestic salt samples revealed values between 34.0 and 68.3 mgI/kg of salt. We conclude that the schoolchildren population of the State of São Paulo may be under an excessive daily ingestion of iodine. This may induce, if extrapolated to the general population, subclinical hyperthyroidism in the elderly and possibly an increment in the prevalence of cronic autoimmune thyroiditis.

Advisors/Committee Members: Camargo, Rosalinda Yossie Asato de.

Subjects/Keywords: Bócio endêmico; Criança; Deficiência de iodo; Endemic goiter; Glândula tireóide/ultra-sonografia; Iodeine deficiency; Iodine salt; Iodine urinary; Iodo; Thyroid volume

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Duarte, G. C. (2007). Avaliação ultra-sonográfica da tiróide, excreção urinária de iodo em escolares de 6 a 14 anos e grau de iodação de sal, em diferentes regiões do estado de São Paulo. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/5/5135/tde-19072007-121746/ ;

Chicago Manual of Style (16th Edition):

Duarte, Glaucia Cruzes. “Avaliação ultra-sonográfica da tiróide, excreção urinária de iodo em escolares de 6 a 14 anos e grau de iodação de sal, em diferentes regiões do estado de São Paulo.” 2007. Doctoral Dissertation, University of São Paulo. Accessed July 07, 2020. http://www.teses.usp.br/teses/disponiveis/5/5135/tde-19072007-121746/ ;.

MLA Handbook (7th Edition):

Duarte, Glaucia Cruzes. “Avaliação ultra-sonográfica da tiróide, excreção urinária de iodo em escolares de 6 a 14 anos e grau de iodação de sal, em diferentes regiões do estado de São Paulo.” 2007. Web. 07 Jul 2020.

Vancouver:

Duarte GC. Avaliação ultra-sonográfica da tiróide, excreção urinária de iodo em escolares de 6 a 14 anos e grau de iodação de sal, em diferentes regiões do estado de São Paulo. [Internet] [Doctoral dissertation]. University of São Paulo; 2007. [cited 2020 Jul 07]. Available from: http://www.teses.usp.br/teses/disponiveis/5/5135/tde-19072007-121746/ ;.

Council of Science Editors:

Duarte GC. Avaliação ultra-sonográfica da tiróide, excreção urinária de iodo em escolares de 6 a 14 anos e grau de iodação de sal, em diferentes regiões do estado de São Paulo. [Doctoral Dissertation]. University of São Paulo; 2007. Available from: http://www.teses.usp.br/teses/disponiveis/5/5135/tde-19072007-121746/ ;


University of Hawaii – Manoa

2. Chapman, Barbara Anne. A Medical Geography of Endemic Goiter in Central Java.

Degree: 2009, University of Hawaii – Manoa

PhD University of Hawaii at Manoa 1982

Conventional public health efforts for the eradication of endemic goiter focus on iodine supplementation. However, the growing literature on active goitrogenic chemicals in vegetables and the awareness that many impoverished third world populations depend on local resources for their diet suggests that actively goitrogenic diets must be considered early in the goiter survey stage. Yet few surveys of goiter include even a diet survey. The objective of this research is to re-examine the etiology of endemic goiter in a particular place as a basis for public health intervention. The approach is novel in that it examines dietary sources of iodine and goitrogens for a single goitrous community Central Java. The medical geographic approach to the case study highlights the relationship of people to environment as a factor in disease causation. The results of the investigation are as novel as its approach. The goitrous case study village has a moderate continuous supply of iodine via a longstanding food exchange system with the coast of Java. Three preserved seafoods bear iodine in the region. Yet the goiter prevalence is 62 percent. Among the vegetables in the diet, 35 have been found to be goitrogenic in other contexts. An analysis of the patterns of consumption indicate that the most commonly eaten vegetables are those grown in the village. The poor majority of the village eat large quantities of cassava, cassava leaves, papaya leaves and various legumes. The better-off minority purchase equally goitrogenic vegetables, such as cabbage or carrots and have largely abandoned the dried seafood. A previously unknown symptom of community-wide deficiency in taste ability for salt and bitter goitrogen solutions is affecting the total eating pattern of the community. In short, the case study village, already a recipient of iodine supplement efforts is clearly one where the endemic goiter has a large component of active goitrogens in the diet. Prophylaxis based entirely on the hypothesis of absolute iodine deficiency can be only partially successful, since several of the goitrogens cannot be overridden by excess iodine. A recommendation is made for government health planners and agencies to carefully investigate the possibility of goitrogens in the diet at the time of the initial goiter survey. A goiter prevention policy should then be developed for each community which includes an appropriate emphasis on iodine supplements and diet modification.

Advisors/Committee Members: Armstrong, R.W., Geography and Environment.

Subjects/Keywords: endemic goiter; Indonesia; Java; medical geography; environmentally induced diseases; goiter; nutrition; endemic diseases; public health; health and environmental sciences

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Chapman, B. A. (2009). A Medical Geography of Endemic Goiter in Central Java. (Thesis). University of Hawaii – Manoa. Retrieved from http://hdl.handle.net/10125/9790

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Chapman, Barbara Anne. “A Medical Geography of Endemic Goiter in Central Java.” 2009. Thesis, University of Hawaii – Manoa. Accessed July 07, 2020. http://hdl.handle.net/10125/9790.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Chapman, Barbara Anne. “A Medical Geography of Endemic Goiter in Central Java.” 2009. Web. 07 Jul 2020.

Vancouver:

Chapman BA. A Medical Geography of Endemic Goiter in Central Java. [Internet] [Thesis]. University of Hawaii – Manoa; 2009. [cited 2020 Jul 07]. Available from: http://hdl.handle.net/10125/9790.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Chapman BA. A Medical Geography of Endemic Goiter in Central Java. [Thesis]. University of Hawaii – Manoa; 2009. Available from: http://hdl.handle.net/10125/9790

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

.