Endocrine Abstracts

The 19th century saw the emergence of an extraordinarily gifted group of Dublin doctors who enjoy eponymous recognition. Immediately on graduating Robert Graves’ travelled for over 2 years to many of the foremost medical centres in Europe. On his return he introduced formal bedside teaching and daily lectures which has become the model for clinical training in these islands. Graves’ main other interest was the treatment of febrile illness recognizing the importance o...

The 19th century saw the emergence of an extraordinarily gifted group of Dublin doctors who enjoy eponymous recognition. Immediately on graduating Robert Graves’ travelled for over 2 years to many of the foremost medical centres in Europe. On his return he introduced formal bedside teaching and daily lectures which has become the model for clinical training in these islands. Graves’ main other interest was the treatment of febrile illness recognizing the importance o...

Introduction: We describe a girl presenting with abnormal facial features, growth restriction with insufficient growth hormone production and learning difficulties. She has an unbalanced translocation between 17p13.3 and 10q26.13 causing a microdeletion at 17p13.3 and trisomy of 10q26.Case report: At presentation at 7½ years of age, her height was 4 cm below the 0.4th centile with a growth velocity of 1.6 cm/year; weight was on 0.4th centile. Invest...

There is data suggesting that puberty is starting earlier than in previous generations. However, there is minimal information on menarche and its management in UK primary schools. We present a population study, performed in Islington: a London borough with wide ethnic diversity, conducted using written questionnaires to all primary schools. Data collected included: information on menarche, provision and disposal of sanitary towels and teaching on puberty. 22 (50%) replies were...

Hyponatraemia is the most common electrolyte disorder encountered in clinical practice, occurring in 15% to 30% of both acutely and chronically hospitalised patients. Hyponatraemia is important clinically because: 1) acute severe hyponatraemia can cause substantial morbidity and mortality; 2) mortality is higher in hyponatraemic patients with a wide range of underlying diseases; 3) overly rapid correction of chronic hyponatraemia can cause osmotic demyelination; 4) even mild &...

Steroidogenic acute regulatory protein (StAR) is a nuclear encoded vital mitochondrial protein that is essential for synthesis of steroid hormones in the adrenal and gonads. In these tissues, StAR mediates translocation of cholesterol into the inner mitochondrial membranes, where it is converted to the first steroid, pregnenolone. The roughly understood mechanism of StAR action is probably executed prior to StAR import, when the protein is paused at the surface of the outer mi...

Objectives: Vascular endothelial growth factor (VEGF) and its soluble receptor (sVEGFR-1) are key regulators in human ovarian angiogenesis. VEGF promotes blood vessel growth while sVEGFR-1 is a VEGF antagonist. A promising candidate in sVEGFR-1 regulation is TIMP-1 (tissue inhibitor of metalloproteinases 1), which is involved in extracellular matrix remodelling. The aim of our research is to determine if TIMP-1 influences sVEGFR-1 secretion in endothelial cells.<p class="a...

Aim: Management of type 1 diabetes in children is a complex process. Active participation of the child and family in diabetes care is essential for achieving good glycaemic control. A good parental understanding of diabetes and its management would be considered a prerequisite for their involvement in the care of their children’s diabetes. The aim of this study was to explore the relationship between parental knowledge of diabetes self management and glycaemic control of ...

Thyroid storm is a rarely seen complication of Thyrotoxicosis complicated by multiple organ dysfunctions. Early recognition is crucial in reducing morbidity and mortality. We present the case of a young lady admitted with traumatic fracture of Tibia and Fibula. She was noted to be in rapid AF and on examination manifested signs of Thyrotoxicosis with palpable goitre. She was noted to be hyperthermic and emotionally labile and confused with signs of right heart failure.Investig...

Introduction:Amiodarone is a life saving anti arrhythmic drug,but it has a complex side effect profile involving organs that include thyroid,lungs, liver and eyes. It is well known that patients on long term amiodarone therapy should be followed up in a structured manner including regular thyroid function tests,liver function tests,chest xray and eye examination.There are guidelines suggested by the Summary of Product Characteristics (SPC) for amiodarone...