A study published in Journal of General Internal Medicine states that preemptive kidney transplants covered by Medicaid have shown much greater increases in expansion states. The researchers further added that preemptive kidney transplants increased by 37 percent in the states that did not expand Medicaid and by 66 percent in states that did expand Medicaid.
News
Aug 22, 2019
Rapamycin, a drug widely used to protect organ transplant patients, eased symptoms of β-thalassemia in mice and showed promise for treatment of humans with the inherited disorder, researchers reported. The researchers at the St. Jude Children’s Research Hospital investigators showed that rapamycin worked by activating a protein quality-control pathway—the autophagy pathway—in cells. That reduced the accumulation of the toxic proteins that destroy red blood cells in individuals with β-thalassemia. Untreated, the buildup leads to fewer red blood cells, anemia, fatigue and other symptoms, including an enlarged spleen, heart and liver, and fragile bones.
Aug 22, 2019
Physicians need to consider geography, size, patient base and technology before buying or setting up a small practice. This is an important point as many small practitioners/ physicians lack strategies for running small businesses. A recent report suggests that even though with many large players and corporates in the game, there is still scope for independent practitioners to survive. Amongst them the most important things to consider include the selection of location, size of practice, patient base, general or speciality and equipments needed.
Journal Abstracts
Aug 21, 2019
Ayaka Fujita et.al. conducted a study to investigate pediatrician awareness of and actual circumstances involved in bereavement care in Japan and concluded that Japanese pediatricians provided bereavement care to families who lost their children in a non‐systematic manner and it calls for improvement of the self‐care of health‐care professionals.
Aug 21, 2019
Katrine Hygum et.al. conducted a study to compare diurnal variation in bone turnover in patients with diabetes and controls and concluded that the diurnal variation in bone formation is attenuated in patients with type 2 diabetes and is not explained by changes in incretin hormone levels, but possibly mediated by sclerostin.
Aug 21, 2019
Kruger et.al. conducted a study to determine the impact of Clostridium difficile infections in cirrhosis by evaluating trends and outcomes of early readmission and mortality and concluded that One-third of Clostridium difficile infections patients with cirrhosis were readmitted within 30-days and it was because of recurrence of infection.
Recent Articles
Aug 23, 2019
This is a case of silicosis complicated by pericarditis in an 83-year-old male. He had been working as a coal miner and was diagnosed with silicosis at the age of 63. Because he had experienced repeated pericardial effusions, he was referred for a surgical pericardial biopsy to elucidate the cause of his repeated pericardial effusion and to perform pericardial fenestration. Thoracoscopic surgery was performed. The pericardium was resected, and a drain was placed in the left thoracic cavity. Histopathological examination revealed the pericardial degeneration due to silicosis, suggesting that pericarditis and pericardial effusion are related to silicosis.
Aug 23, 2019
A 53-year-old woman presented with TS. Biochemical work-up following a 72h fast revealed detectable, inappropriate for low glucose insulin levels and elevated proinsulin and beta-hydroxybutyrate levels. MR and multiphase CT showed a solid 2.5 cm pancreatic tail mass with absent uptake in the 111In-pentetreotide scan. Subsequent hepatic vein blood sampling after intra-arterial calcium stimulation showed sharp increase in insulin and modest increase in proinsulin levels. The patient underwent excision of the mass with resolution of symptoms. Histopathologic examination confirmed the neuroendocrine etiology of the tumor.
Aug 23, 2019
This case describes a rare phenomenon of a biliary stone forming onto a migrated surgical clip 14 years after cholecystectomy causing an obstructive jaundice and also illustrates the importance of keeping a migrated surgical clip on the differential when encountering patients with symptoms of cholangitis after cholecystectomy.
Clinical Research
Aug 21, 2019
University of Texas Southwestern Medical Center is conducting a study in 750 participants in order to create a registry for patients diagnosed with Glucose Transporter Type 1 Deficiency (G1D), or patients experiencing symptoms consistent with G1D but not yet diagnosed, to enter medical information for physicians and other health researchers to analyze to increase the understanding of G1D and any sub-diagnoses.
Aug 21, 2019
First Affiliated Hospital Xi'an Jiaotong University is conducting a study in 90 participants in order to assess if hydroxychloroquine could improve the high sensitivity C-reaction protein, blood lipid, blood glucose and blood pressure, also whether hydroxychloroquine could affect the secretion of inflammatory cytokines and the M1/M2 phenotype polarization of macrophages in patients with high-risk coronary artery disease.
Aug 21, 2019
M.D. Anderson Cancer Center is conducting an observational study in 629 participants in order to to assess the significance of metabolomics and genetics in diagnosing and survival evaluation for pNET in the periodic follow-up of MEN1 patients.
Publications
Sep 07, 2019
Objective: The aim of the Journal of Pediatric Endocrinology and Metabolism (JPEM) is to diffuse speedily new medical information by publishing clinical investigations in pediatric endocrinology and basic research from all over the world. JPEM is the only international journal dedicated exclusively to endocrinology in the neonatal, pediatric and adolescent age groups. JPEM is a high-quality journal dedicated to pediatric endocrinology in its broadest sense, which is needed at this time of rapid expansion of the field of endocrinology. JPEM publishes Reviews, Original Research, Case Reports, Short Communications and Letters to the Editor (including comments on published papers),. JPEM publishes supplements of proceedings and abstracts of pediatric endocrinology and diabetes society meetings.
Topics
- Pediatric endocrinology
- Pediatric diabetes
- Inherited metabolic diseases
Article formats
Original Research, Reviews, Mini Reviews, Opinion Papers, Case Report, Short Communications, Letters to the Editor (including comments on published papers), Book Reviews.
Aug 23, 2019
The ESPES Manual of Pediatric Minimally Invasive Surgery broadens readers’ understanding of all key aspects of pediatric minimally invasive surgery and describes potential complications in MIS and better ways to manage them.
Aug 23, 2019
The new publication, Damage Control Resuscitation addresses the resuscitation of patients with life-threatening hemorrhage in prehospital settings and focuses on both civilian and military applications of DCR.
Videos
Aug 23, 2019
Indiana University's Thomas W. McAllister, MD, discusses the acute neuropsychiatric sequelae of sport-related concussion and the relationship of repetitive head impacts to chronic traumatic encephalopathy.
Aug 23, 2019
UCLA OBGYN & pelvic medicine specialists Victor Nitti, MD and Christopher Tarnay, MD, give an overview of pelvic organ prolapse and why it occurs in certain women and how personalized treatment gives optimum results.
Aug 23, 2019
Professor Niro Siriwardena talks about his research into pre-hospital emergency medicine.
Aug 23, 2019
Dr. Muresan shows how new materials and techniques will help you succeed in addressing both the functional and cosmetic needs of the patient.
Case Studies
Aug 23, 2019
This is a case of ovarian mucinous borderline tumor with a large solid component in a 39-year-old woman with no medical history with MRI findings of slightly high signal intensity on T1-weighted imaging and slightly low signal intensity on T2-weighted imaging, which reflected the tumor’s histological characteristics.
Aug 23, 2019
A preterm infant with neonatal Graves’ disease presented with cholestasis, cardiomegaly, and a macularpapular rash that was thought to be suspicious for congenital infection. On history taking, his mother revealed that she was hypothyroid secondary to Graves’ disease treated with radioablative therapy many years prior to immigrating.
Aug 23, 2019
This is a case of silicosis complicated by pericarditis in an 83-year-old male. He had been working as a coal miner and was diagnosed with silicosis at the age of 63. Because he had experienced repeated pericardial effusions, he was referred for a surgical pericardial biopsy to elucidate the cause of his repeated pericardial effusion and to perform pericardial fenestration. Thoracoscopic surgery was performed. The pericardium was resected, and a drain was placed in the left thoracic cavity. Histopathological examination revealed the pericardial degeneration due to silicosis, suggesting that pericarditis and pericardial effusion are related to silicosis.
Aug 23, 2019
This is a case of silicosis complicated by pericarditis in an 83-year-old male. He had been working as a coal miner and was diagnosed with silicosis at the age of 63. Because he had experienced repeated pericardial effusions, he was referred for a surgical pericardial biopsy to elucidate the cause of his repeated pericardial effusion and to perform pericardial fenestration. Thoracoscopic surgery was performed. The pericardium was resected, and a drain was placed in the left thoracic cavity. Histopathological examination revealed the pericardial degeneration due to silicosis, suggesting that pericarditis and pericardial effusion are related to silicosis.