Diagnostic protocol of neonatal and infantile cholestasis: can it be improved?

Utilization review: can it be improved?

For many years after the introduction of universal health insurance physicians in Canada enjoyed a relatively high level of professional autonomy. They admitted patients to hospitals, ordered diagnostic tests and therapies and then discharged patients based on their clinical judgement with little supervision or “second-guessing” by government or other third-party payers. The “appropriateness” o...

diagnostic evaluation of neonatal cholestasis: hida scan and alagille criteria

The meaning of "socialization of health" to Iranian policymakers and how it can be implemented

Complex nature of health and disease, the impact of various socioeconomic factors on the health system arrangements and health of the society, and also the impact of health on the social and economic conditions of the society require a social approach to health. This necessity has led to the creation of new policies and programs, under the name of socialization of health, to strengthen the soci...

Diagnostic Evaluation of Neonatal Cholestasis: HIDA Scan and Alagille Criteria

1Department of Pediatric Gastroentrology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran 2Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran 3Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran 4Department of ...

Neonatal cholestasis and hypopituitarism 787 Neonatal cholestasis and hypopituitarism

Optic nerve hypoplasia with hypopituitarism and intact septum pellucidum is a variant of septo-optic dysplasia or deMorsier's syndrome.' Although neonatal jaundice has been seen with this syndrome, the association with severe prolonged cholestatic jaundice has not been emphasised. We describe three patients who presented with cholestatic jaundice and were found to have optic nerve hypoplasia an...