1,721,302 research outputs found
Growth and endocrine function in thalassemia major in childhood and adolescence
No full textBackground: Thalassemia major is an inherited hemoglobin disorder characterized by chronic anemia and iron overload due to transfusion therapy and gastrointestinal absorption. Iron overload causes most of the associated mortality and morbidity and frequently involves the endocrine glands. Aim: To review the most pertinent literature on the topic. Methods: One hundred and twenty-three papers were evaluated. Results: Disproportionate short stature is frequent and becomes more evident at puberty because of the lack of growth spurt. Later on, partial height recovery may occur. Long-term treatment with recombinant human GH seems ineffective to improve final height. Pubertal development is characterized by a clinical spectrum ranging from hypogonadism to a simple delay in starting and developing of puberty. Hormonal replacement is mandatory in cases of absent or arrested puberty. Pancreatic beta-cells function may be impaired during adolescence or later on. Its impairment ranges from hyperinsulinemia, secondary to insulin resistance, with normal glucose tolerance to beta-cells failure with insulin-dependent diabetes mellitus. Primary hypothyroidism may affect thalassemic patients from the second decade of life. The thyroid dysfunction may be reversible (if an intensive chelation therapy regimen is started in the precocious phase), stationary, or slowly progressive. Central hypothyroidism is less common and autoimmune thyroiditis absent. Conclusion: Despite the improvement of the treatment, the involvement of the endocrine system still burdens the life of these patients. Further therapeutic improvement would reasonably reduce morbidity and, hopefully, mortality of thalassemic patients and make the endocrine disorders easier to treat. (J. Endocrinol. Invest. 33: 61-68, 2010) (c) 2010, Editrice Kurti
Vantaggi delle nuove formulazioni di glucocorticoidi nel trattamento della sindrome adreno-genitale
No full textLongitudinal assessment of levo-thyroxine therapy for congenital hypothyroidism: relationship with aetiology, bone maturation and biochemical features.
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Factors associated with different results of allergy tests in children with dust mite-induced atopic dermatitis
No full textThe renewed role of sweep functions in noisy shortcuts to adiabaticity
Full text linkWe study the robustness of different sweep protocols for accelerated adiabaticity following in the presence of static errors and of dissipative and dephasing phenomena. While in the noise-free case, counterdiabatic driving is, by definition, insensitive to the form of the original sweep function, this property may be lost when the quantum system is open. We indeed observe that, according to the decay and dephasing channels investigated here, the performance of the system becomes highly dependent on the sweep function. Our findings are relevant for the experimental implementation of robust shortcuts-to-adiabaticity techniques for the control of quantum systems
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