Introduction Serum gamma-glutamyl transferase (GGT), an enzyme responsible for extracellular catabolism of glutathione and a marker of oxidative stress (1) has been shown to be associated with diabetes mellitus (2) and hypertension, (3) which are considered to be independent risk factors for chronic kidney disease (CKD). However, few epidemiological studies have explored the independent relationship […]
Introduction Vesicoureteral reflux affects one percent of children (1). Traditonally, low grade reflux has been managed with prophylactic antibiotics. Ureteroneocystotomy has been reserved for high grade reflux, children with breakthough urinary tract infections and children with reflux who develop renal scarring. The introduction of subureteral injection bulking agents by Matouschek has altered the management of […]
The concept and terminology of dementia is changing. There is a proposal in DSM-V which will be published in the next few years to eliminate the word “dementia” and “mild cognitive disorder” and replace the diagnoses with minor and major neurocognitive disorders. (1) Over time, practitioners have recognized that pure Alzheimer’s dementia is not as […]
To the Editor: We wished to estimate the performance gap between thoracic surgical service provision and the burden of thoracic surgical disease in central South Africa (SA). We compared burden of disease data to the number of thoracic operations performed for inflammatory pleuro-pulmonary disease and primary lung cancer. The performance gap was estimated to be […]
This study was conducted at West Virginia University and presented at the 2008 International Stroke Conference, February 20-21, 2008, New Orleans, LA Introduction
Introduction Pediatric pancreatitis remains uncommon in comparison to the adult population. In the United States, 50-60% of adult acute pancreatitis cases in community hospitals are related to cholelithiasis. (1) Pancreatitis in children, however, is most commonly related to trauma, infection, systemic disease, drug reaction, and anatomic abnormalities of the pancreatobiliary tree. (2,3,4) Gallstone pancreatitis is […]
Introduction Substance abuse in pregnancy is known to have deleterious effects on neonates. These effects differ with respect to the substance ingested and can include neonatal abstinence syndrome (NAS), low birth weight, intrauterine fetal demise, and structural abnormalities such as gastroschisis.