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Preliminary comparison of net gain in final adult height of girls with early menarche treated with or without gonadotropin-releasing hormone agonist.
Transl Pediatr
December 2024
Department of Pediatrics, Tianjin Medical University General Hospital, Tianjin, China.
Background: Early menarche is associated with both physical and psychosocial problems. Based on psychological and physical health considerations, for girls with early menarche, some parents and physicians may elect to use gonadotropin-releasing hormone agonists (GnRHa) to delay menstruation. This study aimed to explore the effects of GnRHa treatment on the final height of girls with early menarche and build the models to predict the final adult height (FAH).
View Article and Find Full Text PDFBeyond malignancy risk stratification: FNAC report anticipates thyroid cancer staging. Insights from recent studies.
J Clin Endocrinol Metab
October 2024
Division of Endocrinology, Diabetes, and Metabolism, The Ohio State University and Arthur G. James Cancer Center, Columbus, OH 43210, USA.
Article Synopsis
- Fine-needle-aspiration-cytology (FNAC) is a safe and cost-effective method for assessing thyroid nodules, but indeterminate cytology (ITN) sometimes requires further diagnostic surgery.
- Recent studies from Europe and the U.S. suggest that thyroid cancer (TC) behaves differently based on pre-surgical FNAC results, with ITN cases showing less aggressive characteristics compared to more suspicious diagnoses.
- A commentary involving thyroid experts highlights the consistent finding that TC with ITN diagnosis has lower rates of complications and mutations, indicating a need to consider less aggressive treatment options for these patients.
GLP-1 receptor agonists and their role in managing type 2 diabetes.
Br J Community Nurs
August 2024
Independent Nurse Consultant.
Until recently the focus in diabetes care was on managing blood glucose - a glucocentric view. This is changing to a more holistic model aimed at prevention, treatment and management through lifestyle interventions as well as medication. An estimated 5 million people in the UK are living with diabetes, most have type 2 diabetes which is associated with obesity.
View Article and Find Full Text PDFThe Arduous Path Toward Equitable Access to Endocrinology Care.
J Endocr Soc
July 2024
Division of Endocrinology, Department of Medicine, Allegheny Health Network, Pittsburgh, PA 15212, USA.
Multiple factors contribute to the widening gap between supply and demand of endocrinology services. In addition to the inadequate growth of the workforce, the inefficient utilization of endocrinologists' expertise coupled with the rising prevalence of endocrine conditions has generated a crisis in access to specialty care. This mismatch is magnified in underserved communities and among certain racial/ethnic groups that carry a disproportionate burden of chronic diseases, like diabetes and osteoporosis, thus perpetuating the cycle of health disparities in vulnerable populations.
View Article and Find Full Text PDFSurvey of clinician perspective on management of papillary thyroid microcarcinoma in Australia and New Zealand.
Gland Surg
June 2024
Department of General Surgery, Nepean Clinical School, University of Sydney, Penrith, Australia.
Background: The incidence of thyroid cancer has been rapidly increasing in recent years largely due to improved diagnostic methods. There is evidence to suggest that in papillary thyroid microcarcinoma (PTMC), active surveillance (AS) is comparable in effectiveness compared to immediate surgery (IM). We conducted a survey of Clinicians and Surgeons from Australia and New Zealand to assess the role of AS in the management of PTMC.
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