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Medical management pathways for Cushing's disease in pituitary tumors centers of excellence (PTCOEs).
Pituitary
January 2025
Division of Endocrinology, Santiago de Compostela University and Ciber OBN, Santiago, Spain.
Purpose: A recent update of consensus guidelines for the management of Cushing's disease (CD) included indications for medical therapy. However, there is limited evidence regarding their implementation in clinical practice. This study aimed to evaluate current medical therapy approaches by expert pituitary centers through an audit conducted to validate the criteria of Pituitary Tumors Centers of Excellence (PTCOEs) and provide an initial standard of medical care for CD.
View Article and Find Full Text PDFAnalysis of epidemiology and healthcare utilization for tinea nigra, white piedra, and black piedra among 39.4 million commercially insured outpatients, United States.
J Am Acad Dermatol
January 2025
Department of Dermatology, Weill Cornell Medicine, New York, NY, USA.
Efficient removal of pharmaceuticals from wastewater: Comparative study of three advanced oxidation processes.
J Environ Manage
January 2025
Department of Separation Science, School of Engineering Science, Lappeenranta-Lahti University of Technology (LUT), Yliopistonkatu 34, 53850, Lappeenranta, Finland.
As the global consumption of pharmaceuticals increases, so does their release into water bodies. The effects, although not fully understood, can be detrimental to aquatic ecosystems and human health. The new Urban Wastewater Treatment Directive (UWWTD) in European Union requires implementation of quaternary wastewater treatment processes to limit the loads of pharmaceuticals reaching water bodies.
View Article and Find Full Text PDFThermosensitive In Situ Ophthalmic Gel for Effective Local Delivery and Antifungal Activity of Ketoconazole Nanoparticles.
Gels
December 2024
Department of Pharmaceutical Sciences, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand.
Fungal keratitis is a severe ocular infection caused by pathogenic fungi, leading to potential vision loss if untreated. Current antifungal treatments face limitations such as low solubility, poor corneal penetration, and limited therapeutic options. This study aimed to develop a thermosensitive in situ gel incorporating ketoconazole nanoparticles (NPs) to enhance drug solubility, stability, and antifungal activity.
View Article and Find Full Text PDFAntifungal susceptibility testing and determination of local epidemiological cut-off values for species isolated from women with vulvovaginal candidiasis.
Microbiol Spectr
January 2025
Clinical Microbiology Laboratory, "Attikon" University General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
The lack of clinical breakpoints and epidemiological cut-off values (ECOFFs) for antifungals prescribed for vulvovaginal candidiasis (VVC) make interpretation of antifungal susceptibility data difficult. This leads to empirical prescribing, poor clinical management and emergence of resistance. The susceptibilities of 152 , 105 , 31 and 8 VVC isolates against eight antifungals, were determined according to the European Committee on Antimicrobial Susceptibility Testing (EUCAST) E.
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