POPULARITY
Por más insólito que suene el título de esa nota, es real. Isabel de Estrada es co fundadora de la Fundación Zorba que se ocupa de cosas como por ejemplo, acompañar a elefantes en largos viajes entre países. Escuchen esta nota increíble...www.citasderadio.com.ar/se_parte.phpT. 5 Ep. 5
Rodolfo Kurchan es un argentino genio de los juegos, un genio pero a nivel mundial. Crea, inventa, propone y tiene a miles de personas en todo el mundo jugando al www.oneuppuzzle.com. Una conversación a la trastienda de este lúdico creador.www.citasderadio.com.ar/se_parte.phpT. 5 - Ep. 4
"Capacitación Emocional para la Familia" es el título del libro de la psicóloga Maritchu Seitún que desarrollará a lo largo de esta columna durante el año. Bienvenidos a todos a este espacio que no deja de enseñarnos algo.www.citasderadio.com.ar/se_parte.phpT. 5 Ep.3
DIRJEN PHPT KEMENTERIAN ATR/BPN DORONG KANTOR PERTANAHAN TINGKATKAN INOVASI LAYANAN
Anthony Yang, MD, MS, FACS, Chair of the SSO Endocrine Disease Site Work Group is joined by fellow Workgroup Members, Mark Cohen, MD, FACS, FSSO and Cord Sturgeon, MD, MS, FACS, along with Samuel Hyde, CGC. This episode is the first of a two-part series. The expert panel will discuss the incidence, prevalence, and epidemiology of primary hyperparathyroidism (PHPT). They will review inherited syndromes associated with PHPT as well as when to send patients/families to genetic counseling for further evaluation and how to diagnose those syndromes. Part two of our series will focus on the surgical management of hereditary forms of PHPT. Dr. Cohen is Professor of Surgery, Pharmacology and Biomedical Engineering; Vice Chair in Surgery for Clinical Operations; Director of the Center for Surgical Innovation; Director of the Medical School Pathway of Excellence in Innovation and Entrepreneurship; and Director of Endocrine Surgery Research at the University of Michigan. Dr. Sturgeon is Professor of Surgery, Chief of Endocrine Surgery at the Robert H. Lurie Comprehensive Cancer Center and the Director of Surgery at Northwestern Memorial Hospital. Samuel Hyde is an ABGC-certified genetic counselor who specializes in hereditary cancer and is an instructor at the Northwestern University Feinberg School of Medicine.
Anthony Yang, MD, MS, FACS, Chair of the SSO Endocrine Disease Site Work Group is joined by fellow Workgroup Members, Mark Cohen, MD, FACS, FSSO and Cord Sturgeon, MD, MS, FACS, along with Samuel Hyde, CGC. This podcast is the second of a two-part series. Whereas the first episode discussed an overview of primary hyperparathyroidism (PHPT) and the inherited syndromes associated with it, this episode will focus on the surgical management of hereditary forms of PHPT, specifically multiple endocrine neoplasia syndromes types 1 & 2 (MEN1 & MEN2). Dr. Cohen is Professor of Surgery, Pharmacology and Biomedical Engineering; Vice Chair in Surgery for Clinical Operations; Director of the Center for Surgical Innovation; Director of the Medical School Pathway of Excellence in Innovation and Entrepreneurship; and Director of Endocrine Surgery Research at the University of Michigan. Dr. Sturgeon is Professor of Surgery, Chief of Endocrine Surgery at the Robert H. Lurie Comprehensive Cancer Center and the Director of Surgery at Northwestern Memorial Hospital. Samuel Hyde is an ABGC-certified genetic counselor who specializes in hereditary cancer and is an instructor at the Northwestern University Feinberg School of Medicine.
In this VETgirl online veterinary CE podcast, we review primary hyperparathyroidism in dogs, and whether ionized calcium levels can be used to predict hypocalcemia following treatment for PHPT. that in this condition, the parathyroid gland produces excessive amounts of parathyroid hormone, resulting in hypercalcemia.
[ Reposted from http://creativeplayandpodcastnetwork.podbean.com/ http://creativeplayandpodcastnetwork.podbean.com/feed/ ] join us as we have some awesome guests sit down with us. Seth, Karen and Tony three of the Champions from the Tucson RinCon leadership are kind enough to sit down with us and be interviewed for the first episode of the Creative play and podcast networks' podcast. let me know what you guys think? If your interested in an interview or bringing more attention to your event let us know! Inside info to the 'Case of the Maltese Meeple!'Read more at http://creativeplayandpodcastnetwork.com/http://rincongames.com/http://rincon2014.sched.org/https://www.facebook.com/RinConGameshttp://pulpgamer.com/welcome.phpT-shirts at https://squareup.com/market/rincon2014And again Thank you to our awesome guests Seth, Karen and Tony!Quote: "I feel were at least a little entertaining"
[ Reposted from http://creativeplayandpodcastnetwork.podbean.com/ http://creativeplayandpodcastnetwork.podbean.com/feed/ ] join us as we have some awesome guests sit down with us. Seth, Karen and Tony three of the Champions from the Tucson RinCon leadership are kind enough to sit down with us and be interviewed for the first episode of the Creative play and podcast networks' podcast. let me know what you guys think? If your interested in an interview or bringing more attention to your event let us know! Inside info to the 'Case of the Maltese Meeple!'Read more at http://creativeplayandpodcastnetwork.com/http://rincongames.com/http://rincon2014.sched.org/https://www.facebook.com/RinConGameshttp://pulpgamer.com/welcome.phpT-shirts at https://squareup.com/market/rincon2014And again Thank you to our awesome guests Seth, Karen and Tony!Quote: "I feel were at least a little entertaining"
Primary hyperparathyroidism (PHPT) may be associated with arterial hypertension. The underlying mechanisms are not fully understood and reversibility by parathyroid surgery is controversial. This study aimed to characterize pressor hormones, vascular reactivity to norepinephrine, and cytosolic-free calcium in platelets in 15 hypertensive patients with hypercalcaemic PHPT before and after successful parathyroidectomy and to compare them with 5 pre-hypertensive patients with normocalcaemic PHPT, 8 normotensive patients with hypercalcaemic PHPT and 15 normal controls. Hypertensive patients with hypercalcaemic PHPT had slightly higher levels of pressor hormones (P < 0.05), enhanced cardiovascular reactivity to norepinephrine (P < 0.05) and increased cytosolic calcium in platelets (P < 0.05) than controls. Pre-hypertensive patients with normocalcaemic PHPT had intermediate values of increased cardiovascular reactivity and cytosolic calcium. Normotensive patients with hypercalcaemic PHPT and normotensive controls had comparable pressor hormone concentrations and intracellular calcium levels. Successful parathyroidectomy was associated with normal blood pressure values and normalisation of pressor hormone concentrations, cardiovascular pressor reactivity and cytosolic free calcium. Our results suggest that parathyroid hypertension is mediated/maintained, at least in part, by functional alterations of vascular smooth muscle cells and can be cured by parathyroidectomy in those patients who do not have primary hypertension.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 10/19
Diese Langzeitstudie sollte die Wertigkeit des iPTH-Schnelltests und die „50 / 60 % - Regel“ in der Chirurgie des Hyperparathyreoidismus überprüfen. Bei der Bewertung der postoperativen Normokalzämie des pHPT im Mittel nach 2,1 Jahren, zeigte sich eine Erfolgsrate von 95,1 %, bei einer Persistenzen von 3,6 % und Rezidivrate von 1,2 %. Bei der Betrachtung jedoch sowohl des Kalziums als auch des Parathormons kristallisiert sich eine Gruppe heraus, die wir weder den Gesunden noch den eindeutig Kranken zuordnen wollten. Die postoperativ normokalzämischen hyperparathyreoten Patienten, mit einer Häufigkeit von 5,0 % (Gruppe 3). Intraoperativ fiel im Mittel bei dieser Gruppe das Parathormon um 82,74 % ab auf einen Endwert von 96,74 pg/ml. Wir konnten zeigen, dass sich die eindeutig Kranken von den Gesunden sowohl im prozentuellen Abfall (p 0,003) als auch im Absolutwert (p 0,009) signifikant unterschieden. Bezüglich des postoperativen normokalzämischen HPTs´ konnte gezeigt werden, dass diese Gruppe sich signifikant von den Gesunden im Absolutwert (p 0,01) und von den Kranken im prozentuellen Abfall (p 0,043) unterschied. Beim renalen HPT hatten wir eine mittlere Nachbeobachtungszeit von 1,81 Jahren. Dabei waren 93,6 % postoperativ normokalzämisch und 1,6 % persistent. Es zeigte sich eine Rezidivrate von 4,8 %. Vergleicht man die postoperativ normokalzämischen Patienten mit den Kranken, so zeigt sich weder im Endwert (p 0,339) noch im prozentuellen Abfall (p 0,729) ein signifikanter Unterschied. Wir kamen zu dem Schluss, dass der iPTH-Schnelltest für die Chirurgie des pHPT ein probates Mittel darstellt intraoperativ dem Operateur in seiner Entscheidung zu helfen, weiter nach EK-Gewebe zu suchen oder es dabei belassen zu können. Wir gehen davon aus, dass es nicht ausreicht, wie bisher, sich nur den prozentuellen Parathormonabfall anzusehen, sondern es auch notwendig ist den Absolutwert, auf welchen Wert das Parathormon intraoperativ abfällt, im Auge zu behalten. Unsere Empfehlung dabei ist, dass das iPTH mindestens auf einen Endwert von 60 pg/ml (Norm 12-72) abfallen sollte, ist diese Bedingung nicht gegeben, so muss der prozentulle Abfall mindestens über 60 % sein, damit die Operation mit einer Vorhersagewahrscheinlichkeit von 94,67 % als erfolgreich abgeschlossen werden kann. Für die Operation des renalen Hyperparathyreoidismus konnten wir zeigen, dass der iPTH-Abfall keinen Hinweis auf den postoperativen Erfolg bringt.