Long-term treatment with diazoxide in childhood hyperinsulinism

1986 ◽  
Vol 113 (4_Suppl) ◽  
pp. S340-S345 ◽  
Author(s):  
D. B. GRANT ◽  
D. B. DUNGER ◽  
E. C. BURNS

Abstract This paper reviews the outcome in 12 children with hyperinsulinaemic hypoglycaemia who first developed symptoms between the ages of 2 and 8 months and who were treated with diazoxide (5 - 20 mg/kg/day) for 2-13 years. Two cases required subtotal pancreatectomy at the ages of 5 and 10 years because of recurrent hypoglycaemia and one girl with severe retardation died at the age of 6 years while still on diazoxide therapy. Two patients aged 3.5 and 9 years are still on treatment and in 7 cases diazoxide was discontinued between the ages of 2.5 and 14 years, indicating that spontaneous remission can be expected in a high proportion of children with post-neonatal hyperinsulinaemic hypoglycaemia. Of the 9 children who started diazoxide within 3 months of the onset of symptoms, 5 are of normal intelligence and 4 are moderately retarded (IQs 63-71). In 3 children diazoxide was started 8 months to 3 years after the onset of symptoms; two are retarded (IQs 60-70) and the third was severely retarded and died aged 6 years.

1929 ◽  
Vol 25 (5) ◽  
pp. 510-515
Author(s):  
A. М. Kozlova

Paralysis of the facial nerve, based on electrodiagnostic studies, can be divided into three groups. The first group without a rebirth reaction, amenable to healing in 4-6 weeks. The second group of paralysis of the facial nerve gives, from the second week of the disease, according to Waller's law, a qualitative change in electrical excitability from muscles and nerves; these cases can be cured no earlier than three, four months, or even longer. The third group of paralysis with a complete rebirth reaction requires long-term treatment, more than a year; complete cure in these cases does not occur.


1929 ◽  
Vol 25 (5) ◽  
pp. 510-515
Author(s):  
A. M. Kozlova

Facial paralysis can be divided into three groups on the basis of electrodiagnostic studies. The first group without a rebirth reaction, amenable to healing in 4-6 weeks. The second group of paralysis of the facial nerve gives, from the second week of the disease, according to Waller's law, a qualitative change in the electrical excitability of the muscles and nerve; these cases can be cured no earlier than three, four months, or even longer. The third group of paralysis with a complete rebirth reaction requires long-term treatment, more than a year; complete cure in these cases does not occur


1989 ◽  
Vol 31 (1) ◽  
pp. 71-80 ◽  
Author(s):  
BENJAMIN GLASER ◽  
HEDDY LANDAU ◽  
ADINA SMILOVICI and ◽  
RAFAEL NESHER

2012 ◽  
Vol 76 (4) ◽  
pp. 473-477 ◽  
Author(s):  
Evelyn Fischer ◽  
Felix Beuschlein ◽  
Christoph Degenhart ◽  
Philip Jung ◽  
Martin Bidlingmaier ◽  
...  

2017 ◽  
Vol 4 (3) ◽  
pp. 122-127
Author(s):  
A. V. Popov

The purpose of the study. The study of morbidity with temporary disability of working officers of the Navy, retired and resigned, as well as affecting the level of certain factors.Materials and methods. A sociological survey of 574 officers of the Navy, who were dismissed from the Armed Forces to the reserve (resignation), was held. 32.7% of them at the time of the survey have been working.Results. 48.8% of respondents rated their health at the time of the survey as a good for their age. The level of morbidity with temporary disability (MWTD) in 100 operating reserve (retired) officers amounted to 94 cases. The number of days of temporary disability was equal to 867 days per 100 employed military pensioners. Most long-term treatment (up to 47 days) were required for patients with blood diseases. Analysis of the structure of diseases of reserve (retired) officers leading to temporary disability, showed that the bulk of the cases (63.7 per cent) were diseases of the respiratory organs, in second place were diseases of the circulatory system (24,5%), the third — diseases of the genitourinary system (4.3%). The average number of existing diseases to working military retirees less than idle: 1.9 vs 2.1. The average number of diseases at the single soldiers discharged was significantly more than that of living in family.Conclusion. The features of level and structure, as well as risk factors of MWTD should be considered in the development and adoption of administrative decisions directed on preservation and strengthening of health of reserve (retired) officers. 


TRAUMA ◽  
2021 ◽  
Vol 22 (1) ◽  
pp. 47-51
Author(s):  
Yu.V. Klapchuk

The paper analyzes the structure of sanitary losses within 2015–2020 in servicemen with gunshots of major joints during military participation in Joint Forces Operation on the East of Ukraine. The knee-joint damages prevailed in the structure of the gunshots, the ankle-joint and shoulder-joints damages took the second and the third places, respectively. By the shell type, the bullet wounds prevailed that is caused to our opinion by target-orients defeat by a marksman. That results in the resignation of a military serviceman from the Ukrainian Armed Forces and long-term treatment.


1998 ◽  
Vol 329 (3) ◽  
pp. 461-468 ◽  
Author(s):  
Hiroshi MASUNO ◽  
Kenshi SAKAYAMA ◽  
Hiromichi OKUDA

Lipoprotein lipase (LPL) is synthesized and glycosylated in the endoplasmic reticulum (ER), transported through the Golgi to the cell surface, and finally secreted. To examine the role of heparan sulphate proteoglycans (HSPG) in the synthesis, activity, intracellular transport and secretion of LPL, 3T3-L1 adipocytes were cultured for 7 days in the presence of 20 mM chlorate, an inhibitor of sulphation of HSPG. Treatment of cells with 20 mM chlorate for 7 days caused a 55% decrease in LPL activity in the intracellular compartment and a 79% decrease in the cell-surface compartment. The synthetic rate of LPL in chlorate-treated cells was identical with that in control cells as determined by biosynthetic labelling. The study with endoglycosidase H (endo H) showed that the treatment with chlorate increased the proportion of LPL subunits which were totally endo H-sensitive. The study with a heparin-Sepharose column showed that 3T3-L1 adipocytes contained three forms of LPL. The first form, accounting for 35% of the LPL, did not bind to the heparin-Sepharose column and had little or no activity; the second form, accounting for 32%, bound to the column and was eluted with 0.4-0.75 M NaCl but had no activity; the third form, accounting for 33%, bound to the column and was eluted with 0.8-1.2 M NaCl and had activity. In chlorate-treated cells, the first form accounted for 66% of the LPL, the second form 15% and the third form 19%. When cells were incubated for 1 h with brefeldin A, which translocates Golgi proteins to the ER [J. Lippincott-Schwartz, L. C. Yuan, J. S. Banifacino and R. D. Klausner (1989) Cell 56, 801-813; J. Lippincott-Schwartz, J. Glickman, J. E. Donaldson, J. Robbins, T. E. Kreis, K. B. Seamon, M. P. Sheetz and R. D. Klausner (1991) J. Cell Biol. 112, 567-577], the chlorate-induced decrease in cellular LPL activity was restored. These findings indicate that LPL synthesized in chlorate-treated cells can be processed to be fully active, but chlorate-treated cells are unable to transport LPL to the Golgi and accumulate inactive LPL with a lower affinity for heparin in the ER. The treatment with chlorate decreased the proportion of LPL subunits that were endo H-resistant, indicating that the processing of oligosaccharide chains of LPL in the trans-Golgi was impaired in chlorate-treated cells. The amount of 35S-labelled LPL secreted by chlorate-treated cells was identical with that secreted by control cells, whereas the level of LPL activity in the medium of chlorate-treated cells was 25% of that in the medium of control cells, indicating that most of the LPL secreted by chlorate-treated cells was inactive.


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