Adult growth hormone deficiency guidelines: more difficult than it seems to incorporate into clinical practice universally

"Elevator Music": More Than It Seems

"The musically aware hostess no longer allows the butler, or her husband, to sling records on to the turntable in a haphazard way. She no longer risks the dangers of the soup being spilled by Haydn's 'Surprise' Symphony, or Mrs. Alias-Jones choking over the fish because an ill-timed bit of jazz trumpet has frightened her. She now supplies a ready-made background of elegant and suitable music to...

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain

Adult Growth Hormone Deficiency

Adult growth hormone deficiency (AGHD) is an heterogeneous clinical entity characterized by increased cardiovascular morbidity and mortality, alterations in body composition, osteoporosis and impaired quality of life. In order to characterize higher risk subpopulations we studied 77 patients with AGHD, 35 with childhood onset (AGHD-CO): CA 18-44 yr.; 13 females and 22 males, and 42 with adult o...

Adult growth hormone deficiency.

Growth hormone (GH) has an important physiological role in adulthood.1–3 Before the 1980s anecdotal reports suggested that patients lacking GH experienced symptoms of increased fatigue and low mood, features that improved with GH replacement.4 Long-term replacement was not considered because of the lack of availability of cadaveric GH. With the development of recombinant GH in the mid-1980s, in...

[Clinical practice guidelines and pulmonary hypertension: more disagreements than facts].

1. Barberá JA, Escribano P, Morales P, Gómez MA, Oribe M, Martínez A, et al. Estándares asistenciales en hipertensión pulmonar. Rev Esp Cardiol. 2008;61:170-84. 2. Angell M. Is academic medicine for sale? N Engl J Med. 2000;342:1516-8. 3. Bodenheimer T. Uneasy alliance —clinical investigators and the pharmaceutical industry. N Engl J Med. 2000;342:1539-44. 4. Campbell EG, Weissman JS, Vogeli C,...