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 ...

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...

this paper aims at studying governance and distribution of autonomies in tehran city islamic council in the process of performing intra/inter-organizational functions. according to current theories on governance, there are three types of governance according to the kinde of involvement. authority involvement, interactive involvement and persuasion involvement, in tehran city islamic council in ...

Introduction Families have a significant role in the lives of people with intellectual disabilities and challenging behaviors. However, it is not clear how actively families are involved when behaviors living out-of-home care. This scoping review explored frequency type family involvement application person-centered approach care for behaviors.Methods Authors conducted electronic searches throu...

The dystroglycanopathies, which are caused by reduced glycosylation of alpha-dystroglycan, are a heterogeneous group of neurodegenerative disorders characterized by variable brain and skeletal muscle involvement. Recently, mutations in TMEM5 have been described in severe dystroglycanopathies. We present the clinical, molecular and neuroimaging features of an Italian boy who had delayed developm...

Although institutional characteristics are assumed to influence student learning and intellectual development, this link has not been confirmed empirically. This study examined whether institutional mission, as represented by Carnegie classification, is related to student learning and development. After controlling for student background characteristics, no meaningful differences were found in ...