Follicular variant of papillary thyroid cancer typically favors nodal spread. We report a case with hematogenous spread including multi-organ involvement and describe our staged management approach. This is the first case to report follicular variant of papillary thyroid cancer with simultaneous adrenal and renal involvement.

Active ageing level and its discrepancy in different regions (Bangkok, Central, North, Northeast, and South) of Thailand have been examined for prioritizing the policy agenda to be implemented. Attempt has been made to test preliminary active ageing models for Thai older persons and hence active ageing index (AAI, ranges from 0 to 1) has been estimated. Using nationally representative data and ...

We present an unusual case of syphilis that despite starting treatment with penicillin has evolved with renal complications. Due to glomerulonephritis with nephrotic syndrome the case required shared care between the renal physician and dermatologist. Doctors of different specialties need to keep in mind that early syphilis can have visceral involvement and patients might need prompt, specific ...

We describe a practical e-voting protocol which guarantees e-voting protocol requirements: eligibility, privacy, accuracy, fairness, receipt-freeness, uncoercibility, robustness and verifiability. Unlike existing blind signature based protocols, in which the authority blindly signs ballot or part of ballot, the authority in our protocol blindly signs voter’s pseudo identity. Hereafter, voter be...

This paper reports a qualitative study of 54 police drivers who were interviewed about their views on police driver training, driving strategies and their accident involvement. Study of the transcribed interviews indicated that officers constructed narratives of themselves as being highly aware of hazards presented by other road users and they used a variety of discursive devices to minimise th...

the purpose of the present study was to provide empirical support for the construct of the involvement load hypothesis (ilh ) in an efl context. to fulfill the purpose of the study, 4 intact groups consisting of 126 intermediate-level students participated in this experiment. in order to ensure that the participants were at the same level of english language proficiency, the nelson test was adm...

BACKGROUND Governance arrangements include changes in rules or processes that determine authority and accountability for health policies, organisations, commercial products and health professionals, as well as the involvement of stakeholders in decision-making. Changes in governance arrangements can affect health and related goals in numerous ways, generally through changes in authority, accoun...

OBJECTIVE To obtain national estimates of the degree to which school, police, and medical authorities are involved after children experience violence, abuse, and crime victimizations. DESIGN A cross-sectional, national telephone survey involving a target sample of 4549 children and youth conducted from January 1, 2008, through May 31, 2008. SETTING Contiguous United States. PARTICIPANTS C...