Searchable abstracts of presentations at key conferences in endocrinology
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15th International & 14th European Congress of Endocrinology

ea0029n1 | (1) | ICEECE2012

Clinical practice guideline on linear growth measurement of children

Foote Jan M

Introduction: Growth is an important and sensitive indicator of child health. Abnormal growth is a common consequence of many conditions, therefore its identification acts as a useful warning of possible pathology. Effective growth monitoring requires precise linear growth measurements; however, measurements are often inaccurate and unreliable. Measurement error influences the interpretation of growth patterns resulting in failure to identify underlying pathology or apparent g...

ea0029n2 | (1) | ICEECE2012

The nurse’s role in establishing modern testosterone replacement therapy in an endocrine clinic

Yarndley T , Conaglen H M , Paul R , Elston M S , Conaglen J V

Our nurse-led testosterone replacement clinic in the Waikato Endocrine Service was the only clinic in New Zealand where specialised endocrine nurses established the use of and administered subcutaneous implants using testosterone pellets for hypogonadal men. Information gained through networking with nursing colleagues at the Annual Endocrine Nurses Society of Australasia (ENSA) symposia regarding the introduction of the depot injection Testosterone Undecanoate (Reandron™...

ea0029n3 | (1) | ICEECE2012

Interdisciplinary risk assessment and patient discharge management: combining biomarker & clinical scores, medical & nursing aspects

Conca Antoinette , Schild Ursula , Regez Katharina , Bossart Rita , Tobias Petra , Wallimann Gabriela , Schweingruber Ruth , Reutlinger Barbara , Albrich Werner , Ruegger Kristina , Dusemund Frank , Schutz Philipp , Huber Andreas , Burgi Ulrich , Muller Beat

Introduction: Current medical and nursing scores have limited efficiency and safety profiles to assign the most appropriate treatment site to patients with lower respiratory tract infections (LRTIs). We assessed the potential of a combined score of CURB65 with proadrenomedullin (ProADM) levels and the adapted post-acute discharge score (PACD) for triage and discharge management decisions. We aimed to identify the proportions of patients who would be best cared for at different...

ea0029n4 | (1) | ICEECE2012

Effect of metformin in teenagers with metabolic syndrome

Rakhimova G N , Azimova Sh Sh , Aliyeva A

Research objective: To estimate efficiency of metformin use in children and teenagers with metabolic syndrome (MetS).Materials and methods: Eighty children and teenagers aged 10–16 with exogenous-constitutional obesity (ECO) were observed. From them in 19 (23.8%) MetS was diagnosed according to diagnostic criteria of IDF (2007); 15 of them (78.9% – seven boys and eight girls) were prescribed metformin (Siofor, Berlin Chemie) in dose from 1000 t...

ea0029n5 | (1) | ICEECE2012

Translation and cultural adaptation of the Brazilian version of patient assessment of chronic illness care: Pacic-Brazil

Landim Camila Aparecida Pinheiro , Almeida Fabio Araujo De , Xavier Antonia Tayana Da Franca , De Andrade Thiago Antonio Moretti , Zanetti Maria Lucia , Martins Maria Manuela , Paul Constanca , Teixeira Carla Regina De Souza

Background: The Chronic Care Model (CCM), developed by Wagner et al., at MacColl Institute for Heathcare Innovation at Group Health Research Institute, Seattle, Washington, United States, is one approach to improving chronic illness care, including diabetes mellitus (DM), that is being used increasingly to assess and improve care. The CCM is based on evidence-based practices and reviews of the literature on effective care. The Patient Assessment of Chronic Illnes...

ea0029n6 | (1) | ICEECE2012

Perception of quality of care in patients with pituitary disorders

Christina Dahlgren , Gunilla Hollman Frisman , Eva Bjorkquist

Background: In order to support patients with lifelong chronic illness, such as pituitary disorders, it is a challenge to continuously offer high quality of care.Aim: The aim of this study was to examine how patients with pituitary disorders of different causes perceive quality of care in contact with a specialized endocrinology reception.Methods and materials: Randomly selected, patients with chronic pituitary disorders (n=...

ea0029n7 | (1) | ICEECE2012

Neutralization of Flightless I (Flii) using Flii-specific monoclonal antibodies accelerates impaired healing in diabetic wounds through improved cell proliferation

Ruzehaji Nadira , Wallace Hillary , Stacey Michael , Fitridge Robert , Cowin Allison

Ulceration is a common and severe complication of diabetes affecting 15% of the 200 million patients with diabetes worldwide. A significant proportion of these chronic wounds fail to respond to conventional treatment, hence major amputation is a feared outcome of diabetes. More than 60% of non-traumatic amputations in the western world are performed in the diabetic population. There exists a growing need for effective therapeutic agents to improve healing in these wounds.<...

ea0029n8 | (1) | ICEECE2012

Diabetes nurse leadership group: a forum for improving diabetes care in Brooklyn, NY

Cohen Linda , Hirsch Sandy , Hagerty Dawn , Yomtov Maria

We created a forum to meet on a regular basis to join forces to facilitate providing optimal diabetes care and education for the members of the hospital, academic and communities of Brooklyn.Learning Objectives:1. To identify the opportunities where CDE’s can have an impact on the education, management and prevention in and out of the hospital and academic setting.2. To illustrate the use of CDE’s i...

ea0029n9 | (1) | ICEECE2012

Childhood osteoporosis: screening, prevention, treatment and safe handling practices in a tertiary care pediatric hospital

Kirouac Nicole , Galloway Leslie , Gies Joanna , Macleod Raili , McCullough Paige , Mendoza Anna , Miller Kathy , Rempel Gina , Stocki Arlene , Taback Shayne , Taylor Sandy , Wicklow Brandy

Osteoporosis is a challenge facing children of all ages with a variety of health conditions and physical abilities. The reality of this challenge spurred the development of the child health program’s interdisciplinary bone health project team in a tertiary care in-patient pediatric hospital. The team’s goal was to develop protocols and tools to identify ‘at risk’ children and ultimately prevent fragility fractures in this group of children. The use of stand...

ea0029n10 | (1) | ICEECE2012

Endocrine and exocrine function changes in acute pancreatitis

Kurti Floreta , Cina Tatjana , Dervishi Alketa , Poshi Klodiana

Introduction: Acute pancreatitis may cause endocrine and exocrine dysfunction, but in the early phase of acute pancreatitis these changes are poorly documented.Aim: The aim of this study was to asses the endocrine and exocrine impairment in the early phase of AP and to establish the need forPatients and methods: We have collected data from 116 patients with AP, with different aetiologies and degrees of severity of the disease. We h...

ea0029n11 | (1) | ICEECE2012

A prospective study of growth and development of children recently adopted from orphanage care

Keil Margaret F , Singh Sharon , Graf Jennifer , Ugolini Maddalena , Gandhi Roma , Mason Patrick , Glass Penny , Stratakis Constantine A

Background and aims: Over 200 000 international adoptions by US families occurred between 1999–2010. Prior studies suggest that the effects of institutionalized care on growth and development may not be fully reversible. The exact mechanisms through which early life stress affect biobehavioral outcomes have yet to be determined, but environmental influences could regulate both biobehavoral outcomes through an effect on the hypothalamic-pituitary-adrenal (HPA) axis.<p ...

ea0029n12 | (1) | ICEECE2012

Improving the efficiency and safety of managing children with diabetic keto-acidosis

Luce Joan , Turkewitz David

Background: The nursing management of DKA in children is labor intensive. The traditional management of DKA involves numerous physician ordered changes of parenteral fluids. This is time consuming for the nurse; challenging for the pharmacy and can lead to delays in proper fluid administration.Aims: The purpose of this pilot study was to investigate whether a streamlined process using a three-bag-system for treating children with DKA would improve effici...

ea0029n13 | (1) | ICEECE2012

Socio-demographic factors associated with pediatric diabetic ketoacidosis admissions in Southern West Virginia

Lewis Kevin R , Bendre Sachin V , Clark Crystal , Wiley Debbie

Background: Diabetic Ketoacidosis (DKA) is a well known complication in children with Type 1 Diabetes (T1DM) with a mortality rate estimated at 2%. Sparse data is available from the literature describing socio-demographic factors associated with DKA admissions in children. A previous study identified that children of non-Caucasian race and Medicaid, with T1DM, had increased incidence of DKA admissions.Aims: To identify the socio-demographic factors assoc...

ea0029n14 | (1) | ICEECE2012

Failure to thrive due to inherited congenital isolated growth hormone deficiency

Pincham Lisa Michele , Kaplowitz Paul

Patient Demographics: 22-month-old female, severe failure to thrive.Past History: Birth weight 5 lb 11 oz at term, grew well for 4 months and then deviating progressively below the curve in height and weight.Physical exam: Length 66 cm (−5.1 SD), weight 6.6 kg (−6.7 SD). Prominent forehead and midfacial hypoplasia noted. Muscle mass decreased.Family history: Mother&#1...

ea0029n15 | (1) | ICEECE2012

Diabetic foot in jordan: a qualitative content analysis of self-treated problems

Abu-Qamar Ma'en Zaid , Wilson Anne

Diabetes is a chronic condition that predisposes to a wide range of foot problems that potentially end with ulcer formation. The purpose of this manuscript is to report 68 participants’ diabetic foot problems self-treated with complementary therapies. Participants were recruited from nine healthcare facilities in Jordan and interviewed via survey. Their responses to an individual question seeking information about complementary therapy usage was analysed using content ana...

ea0029n16 | (1) | ICEECE2012

Planning for the future: preparing the endocrine specialist nurse of tomorrow

Carson Maggie N

We have come a long way in the UK over the past ten years towards our goal of meeting the educational needs of nurses specialising in adult endocrinology. Endocrine nurses are now able to access annual training updates and attend specific nurse-led sessions at scientific meetings thanks to the ongoing work undertaken by the Society for Endocrinology’s nurse committee.It is therefore time to turn our attention to how we can encourage nurses to want t...

ea0029n17 | (1) | ICEECE2012

The Swedish pituitary registry

Forsgren Maria , Olsson Elisabeth , Dahlgren Christina , Ehn Olof , Lindgren Margareta , Nilsson Ann-Sofie , Westholm Caroline , Warn Maria

Background: The Swedish Pituitary Registry is a national quality registry founded in 1991 by the Swedish Pituitary Group.A total of 89 such national quality registries exist in Sweden (2011) that provide important data in the continuous quality assessment and improvement work within the Swedish health care system.In 2011, a nurse network was started for nurses working with the registry.Purpose: The purpose of...

ea0029n18 | (1) | ICEECE2012

Molecular genetics in turner syndrome

Behm Kelly Mullholand

The basics of molecular genetics are reviewed with emphasis on introducing terminology frequently encountered in genetic lab results and in lectures focusing on the genetic origins of disease. Mutations thought to be associated with various phenotypical features of Turner syndrome are identified. Specific examples of genetic test results revealing Turner syndrome are reviewed. The new molecular testing available for diagnosing Turner syndrome is presented. Applications to the ...

ea0029n19 | (1) | ICEECE2012

An Internet based protocol for examining transitional experiences of 16–26 year olds with Turner syndrome (TS)

Behm Kelly Mullholand

Problem: Programs for adolescents with Turner syndrome (TS) are currently based on evidence derived from medical surveillance or parental and teacher perceptions. Little is known about how personal perceptions in this population influence behavior and psychosocial outcomes. Facing issues associated with puberty and young adulthood, such as body image, relationships, and careers, can be more challenging when living with TS.Framework: Unlike frameworks for...

ea0029n20 | (1) | ICEECE2012

Self care practice among diabetic patients attending metropolyclinic, Kathmandu

Acharya Radha , Chapagain Pratikchaa

Introduction: Diabetes is expected to rise from 177 million today to 370 million in 2030. Self care is a crucial to keep the disease under control. Appropriate self care practice can keep the disease under control.Objective: The aim of the study was to find out the self care practice among diabetic patients.Methods: This is a simple descriptive cross-sectional study. A total of 50 respondents, who met eligible criteria were purposi...

ea0029n21 | (1) | ICEECE2012

Abstract withdrawn....

ea0029n22 | (1) | ICEECE2012

Eat, Pray, Love…Yourself

Liesch Shari

Eat, Pray, Love ….Yourself; the title is modeled after a book (made into a movie) on life exploration and change. As health care providers, we spend a lot of time helping others; but how do we care for our self? We have been challenged to lead by example in our ever changing healthcare climate. To do this, we must nurture the physical, emotional, and relationship parts of our life. Insight into the risks of employment in health care will be used to direct conversations i...

ea0029n23 | (1) | ICEECE2012

Dance for health: implementation of a dance program to improve physical activity of children

Lipman Terri H , Bazelon Gillian , Rhodes Kali , Preston Carrie , Ratcliffe Sarah , Deatrick Janet A

Background: Sedentary lifestyle, decreased physical activity and poor diet contribute to the increasing problem of childhood obesity and risk for type 2 diabetes.Aims: The purpose of this study was compare the effect of dance, with unstructured playtime, on the physical activity level of an underserved, urban population of children.Methods: In this longitudinal study, height, weight and body mass index (BMI) were measured during th...

ea0029n24 | (1) | ICEECE2012

Self-care competence in the case of Brazilian patients with diabetes mellitus in a multiprofessional educational programme

Landim Camila Aparecida Pinheiro , Zanetti Maria Lucia , Santos Manoel Antonio Dos , De Andrade Thiago Antonio Moretti , Becker Tania Alves Canata , Santos Ellen Cristina Barbosa Dos , Zanetti Gabriel Guidorizzi , Lobato Beatriz Cardoso , Franco Rosana Cristina , De Souza Teixeira Carla Regina

Background: Diabetes mellitus is mainly characterized by a dysfunction of glucose metabolism. The growth of diabetes mellitus as a chronic condition requires continuous management and requires health services to implement care strategies. Diabetes education and self-care competence have been recognized over the last few decades as essential for patients with diabetes mellitus to achieve positive treatment results.Objective: To compare self-care competenc...

ea0029n25 | (1) | ICEECE2012

Primary hyperparathyroidism, vitamin D deficiency and quality of life

Wiveca Aberg , Norenstedt S , Eriksson A , Pernow Y , Saaf M , Nordenstrom J , Zedenius J , Nilsson I-L

Background: The study aimed to evaluate quality-of-life (QoL) aspects and impact of vitamin D deficiency in primary hyperparathyroidism (pHPT).Method: 150 consecutive patients (119 women) with pHPT (mean age 60±11 years; BMI 27±5 kg/m2; ionized calcium 1.44±0.08 mmol/l; PTH 130±69 ng/l) were included. Six weeks postoperatively, the pHPT patients were reexamined and randomized (double-blind) to daily substitution with calciu...

ea0029n26 | (1) | ICEECE2012

Evaluation of self management and diabetes education newly diagnosed with Type 2 diabetic patients in Mongolia

Ya Enkhjargal , Tserendagva D , Altaisaikhan Kh , Davaalkham D , Sergelenchimeg S

Introduction: Educating patients about diabetes plays a pivotal role in encouraging people to changing lifestyle and supporting them to improve the quality of life, and actively responsibile for self control of their condition.Objective: To evaluate self management after receiving diabetes education for newly diagnosed Type 2 diabetes in Mongolia.Methods: The cross-sectional survey was conducted from May and October 2011. At Diabet...

ea0029n27 | (1) | ICEECE2012

Individuals with Addison’s disease and their experiences of onset and self-care: new knowledge?

Wessman Ylva

Aim: The aim of the study was to elucidate the experiences of onset and self-care among individuals with Addison’s disease.Background: Addison’s disease, primary adrenal insufficiency, is a rare endocrine disorder where the production of glucocorticoids and mineralcorticoids are insufficient. The disease could be difficult to diagnose and the lifelong treatment involves hydrocortisone administration daily. Individuals with Addison’s diseas...

ea0029n28 | (1) | ICEECE2012

A survey of knowledge related to cystic fibrosis related diabetes

Booth Erin

Background: Cystic fibrosis (CF) is the most common life threatening autosomal recessive genetic disease in the United States. Cystic fibrosis related diabetes (CFRD) is the most common co-morbidity of CF, and, as patients age, the likelihood of developing diabetes increases. CFRD leads to decreased lung function, poor nutritional status, and decreased survival rates. Symptoms can be subtle and may be overlooked. The extent to which individuals with CF know about CFRD is unkno...