Catecholamines and vasopressin during critical illness.

abstract：:Specific lesions of the growth hormone (GH)/insulin-like growth factor (IGF) axis have been identified in humans, each of which has distinctive auxologic and biochemical features. Measures of circulating IGF-I are useful in diagnosing growth disorders in childhood and in evaluating response to GH therapy. Recombinant ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Backeljauw PF,Chernausek SD

更新日期：2012-06-01 00:00:00

abstract：:Acute hyperkalemia can be a life-threatening consequence of a variety of pathologic, pharmacologic, and iatrogenic disorders. Recognition and prompt therapy often reverse the electrophysiologic complications within minutes. Therefore, physicians must have a thorough understanding of potassium homeostasis. The causes o...

journal_title：Endocrinology and metabolism clinics of North America

authors： Clark BA,Brown RS

更新日期：1995-09-01 00:00:00

abstract：:The liver is key to glucose homeostasis. Any disruption of its metabolism, structural integrity, or intracellular dynamics may alter the liver's ability to maintain normal glucose homeostasis. When such disruption affects hepatic glucose output, hypoglycemia may eventuate. Multiple drugs including alcohol may alter th...

journal_title：Endocrinology and metabolism clinics of North America

authors： Arky RA

更新日期：1989-03-01 00:00:00

abstract：:The prevalence of low-risk differentiated thyroid cancer (DTC) is dramatically increasing because of superior diagnostic imaging technologies. Remote-access endoscopic thyroidectomy is becoming more popular for the lack of a noticeable neck scar. Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) is the ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jongekkasit I,Jitpratoom P,Sasanakietkul T,Anuwong A

更新日期：2019-03-01 00:00:00

abstract：:This article describes the technical aspects and the clinical results of conventional radiotherapy and modern stereotactic radiotherapy for pituitary adenomas. Systematic review of the published literature provides a factual basis for the comparison and the selection of appropriate radiation technique in patients who ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Brada M,Jankowska P

更新日期：2008-03-01 00:00:00

abstract：:CD4 + CD25 + regulatory T (TR) lymphocytes are essential to the maintenance of immunologic tolerance in the host. The discovery of Foxp3 as a transcription factor essential to the differentiation of TR ushered in detailed studies of the molecular mechanisms of TR cell development, peripheral homeostasis, and effector ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Chatila TA

更新日期：2009-06-01 00:00:00

abstract：:The human adult adrenal cortex is composed of the zona glomerulosa (zG), zona fasciculata (zF), and zona reticularis (zR), which are responsible for production of mineralocorticoids, glucocorticoids, and adrenal androgens, respectively. The final completion of cortical zonation in humans does not occur until puberty w...

journal_title：Endocrinology and metabolism clinics of North America

authors： Xing Y,Lerario AM,Rainey W,Hammer GD

更新日期：2015-06-01 00:00:00

abstract：:Obesity in adults is associated with excess mortality and excess risk of coronary heart disease, hypertension, hyperlipidemia, diabetes, gallbladder disease, certain cancers, and osteoarthritis. Overweight children often become overweight adults, and overweight in adulthood is a health risk. Although childhood overwei...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ogden CL,Carroll MD,Flegal KM

更新日期：2003-12-01 00:00:00

abstract：:Hypergonadotropic forms of amenorrhea in young women are many and varied, and the disorder is not nearly as uncommon as previously believed. It is likely that all physicians seeing women with amenorrhea will encounter this disorder. Careful evaluation is warranted to eliminate any associated autoimmune disorders. Beca...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rebar RW,Cedars MI

更新日期：1992-03-01 00:00:00

abstract：:Medullary thyroid carcinoma (MTC) is a rare type of thyroid cancer, demonstrating variable behavior from indolent disease to highly aggressive, progressive disease. There are distinguishing phenotypic features of sporadic and hereditary MTC. Activation or overexpression of cell surface receptors and up-regulation of i...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hu MI,Ying AK,Jimenez C

更新日期：2014-06-01 00:00:00

abstract：:To make a diagnosis of insulinoma, one must consider it. Neuroglycopenic symptoms are the most prominent and convincing, and the combination of hypoglycemia and endogenous hyperinsulinemia are diagnostic of insulinoma. A glucose level of approximately 40 mg/dL with a concomitant insulin level of 6 microU/mL, a C-pepti...

journal_title：Endocrinology and metabolism clinics of North America

authors： Grant CS

更新日期：1999-09-01 00:00:00

abstract：:With modern growth hormone (GH) replacement algorithms, children with a diagnosis of growth hormone deficiency achieve at the end of pediatric GH treatment an adult height that is on the average in the normal range. Recent experience with GH replacement in young adults with childhood-onset growth hormone deficiency, h...

journal_title：Endocrinology and metabolism clinics of North America

authors： Attanasio AF,Shalet SM

更新日期：2007-03-01 00:00:00

abstract：:This article discusses the evolution of therapy for type I diabetes and considers how physicians should be thinking about the disease in the late 1990s. The biases herein are that management strategy has evolved such that contemporary practice should routinely entail a system of "flexible intensive therapy" directed a...

journal_title：Endocrinology and metabolism clinics of North America

authors： Skyler JS

更新日期：1997-09-01 00:00:00

abstract：:A number of morphologic and physiologic changes accompany pregnancy such as an increase in lactotrophs and prolactin production, and a decrease in gonadotropins and GH. The hormonal milieu can affect patients with prolactinomas, especially macroadenomas, to cause an increase in size in a minority of patients. Complica...

journal_title：Endocrinology and metabolism clinics of North America

authors： Prager D,Braunstein GD

更新日期：1995-03-01 00:00:00

abstract：:Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone tissue leading to decreased bone strength and an increased risk of low-energy fractures. Central dual-energy X-ray absorptiometry measurements are the gold standard for determining bone mineral density. Bone loss is an inevitab...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lupsa BC,Insogna K

更新日期：2015-09-01 00:00:00

abstract：:Pheochromocytomas cause the most dramatic life-threatening crises in all of endocrinology. Pheochromocytoma is an explosive clinical syndrome that may be characterized by either severe hypertension associated with cerebral, cardiac, and renal complications or hypotension, or even shock and sudden death. Other emergenc...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bravo EL,Gifford RW Jr

更新日期：1993-06-01 00:00:00

abstract：:Skin manifestations associated with diabetes mellitus are common and, with close scrutiny, can occur in most, if not all, patients. Little information is available on what common pathophysiologic thread is responsible for the skin manifestation and diabetes. Although controlled studies are lacking, a recognition of th...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sibbald RG,Landolt SJ,Toth D

更新日期：1996-06-01 00:00:00

abstract：:Although biotechnology has provided physicians with essentially unlimited supplies of growth hormone (GH), there are currently only a few clear-cut indications for exogenous GH therapy. Data now support the use of GH in the treatment of children with GH deficiency and short girls with Turner syndrome. Tantalizing prel...

journal_title：Endocrinology and metabolism clinics of North America

authors： Wilson DM

更新日期：1992-09-01 00:00:00

abstract：:Osteoporosis and diabetes mellitus are chronic diseases with significant associated morbidity and mortality. Recent evidence suggests that both type 1 and type 2 diabetes are associated with an increased fracture risk. Fracture as a complication of diabetes must be considered when evaluating and treating patients with...

journal_title：Endocrinology and metabolism clinics of North America

authors： Kurra S,Fink DA,Siris ES

更新日期：2014-03-01 00:00:00

abstract：:Lifestyle modification is the cornerstone treatment of type 2 diabetes in the obese patient, and is highly effective at promoting glucose regulation. However, many individuals struggle over time to maintain optimal glycemic control and/or body weight with lifestyle modification. Therefore, additional therapeutic appro...

journal_title：Endocrinology and metabolism clinics of North America

authors： Malin SK,Kashyap SR

更新日期：2016-09-01 00:00:00

abstract：:In this article, the literature is reviewed regarding the role of blood pressure variability and nocturnal nondipping of blood pressure as well as the presence of diabetic kidney disease (DKD), in the absence of albuminuria, as risk predictors for progressive DKD. The importance of glycemic and blood pressure control ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jindal A,Garcia-Touza M,Jindal N,Whaley-Connell A,Sowers JR

更新日期：2013-12-01 00:00:00

abstract：:In summary, patients who will remain on glucocorticoids for more than a few weeks are clearly at risk for osteoporosis. A list of therapeutic strategies is provided in Table 2. While our therapy remains inadequate at this time, newer agents are on the horizon. In the near future, it may be possible to recommend specif...

journal_title：Endocrinology and metabolism clinics of North America

authors： Adler RA,Rosen CJ

更新日期：1994-09-01 00:00:00

abstract：:There are many pathways that might lead to decreased bone mass, skeletal fragility, and increased fracture risk in osteoporosis. Some of these have been clearly identified, such as estrogen deficiency. Others that were conceived on the basis of experimental findings and recent scientific discoveries such as abnormalit...

journal_title：Endocrinology and metabolism clinics of North America

authors： Raisz LG,Rodan GA

更新日期：2003-03-01 00:00:00

abstract：:Insulin-dependent diabetes mellitus is associated with a growing number of immune abnormalities. At the time of clinical onset, most patients developing the disease as children or young adults have autoantibodies reactive with islet beta cells. Current autoantibody markers for IDDM are not sufficient to predict the di...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lernmark A,Bärmeier H,Dube S,Hagopian W,Karlsen A,Wassmuth R

更新日期：1991-09-01 00:00:00

abstract：:Thyroid cancer is the most common endocrine malignancy. Its incidence and mortality rates have increased for patients with advanced-stage papillary thyroid cancer. The characterization of the molecular pathways essential in thyroid cancer initiation and progression has made huge progress, underlining the role of intra...

journal_title：Endocrinology and metabolism clinics of North America

authors： Valvo V,Nucera C

更新日期：2019-03-01 00:00:00

abstract：:Unlike other pituitary hormones, PRL is under tonic inhibition by the hypothalamus by way of the PRL inhibitory factor, dopamine. GAP and GABA may also be inhibitory. PRL-releasing factors include TRH and VIP and possibly others. Circulating PRL is predominantly monomeric, although some patients with hyperprolactinemi...

journal_title：Endocrinology and metabolism clinics of North America

authors： Molitch ME

更新日期：1992-12-01 00:00:00

abstract：:Parathyroid hormone (PTH) is the major secretory product of the parathyroid glands, and in hypocalcemic conditions, can enhance renal calcium reabsorption, increase active vitamin D production to increase intestinal calcium absorption, and mobilize calcium from bone by increasing turnover, mainly but not exclusively i...

journal_title：Endocrinology and metabolism clinics of North America

authors： Goltzman D

更新日期：2018-12-01 00:00:00

abstract：:Endocrinologists may be challenged not only by the great diversity of rare heritable metabolic bone diseases, but also by an unusual array of genetically transmitted skeletal dysplasias. The striking impact that many such skeletal dysplasias have on bone leads physicians naturally to question whether there is a metabo...

journal_title：Endocrinology and metabolism clinics of North America

authors： Whyte MP

更新日期：1990-03-01 00:00:00

abstract：:Surgical approaches to hepatic metastases occupy an important role in the management of patients with neuroendocrine neoplasms and may have curative or palliative intentions. Resection of hepatic disease with curative intent is the only modality offering potential cure for patients with liver metastases; however, only...

journal_title：Endocrinology and metabolism clinics of North America

authors： Frilling A,Clift AK

更新日期：2018-09-01 00:00:00

abstract：:Lipoproteins are spherical macromolecular complexes in which hydrophobic molecules of triglyceride and cholesteryl ester are enveloped within a monolayer of amphipathic molecules of phospholipids, free cholesterol, and apoproteins. The major lipoprotein classes include intestinally derived chylomicrons that transport ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ginsberg HN

更新日期：1998-09-01 00:00:00