Endocrine and Metabolic Science最新文献

{"title":"The safety and effectiveness of oxandrolone on different clinical conditions: A systematic review","authors":"Izabelle de Mello Gindri ,&nbsp;Gabriel Almeida ,&nbsp;Caio Saraiva ,&nbsp;Gustavo Ferrari ,&nbsp;Darlan Dallacosta ,&nbsp;Carlos Rodrigo de Mello Roesler","doi":"10.1016/j.endmts.2025.100246","DOIUrl":"10.1016/j.endmts.2025.100246","url":null,"abstract":"<div><h3>Background</h3><div>Oxandrolone is a synthetic chemical compound derived from testosterone with a 17-alpha-alkylated structure, showing high potential to enhance the hypermetabolic response and improve clinical outcomes.</div></div><div><h3>Objectives</h3><div>We aimed to synthesize evidence regarding the safety and effectiveness of Oxandrolone for recognized health problems.</div></div><div><h3>Data sources</h3><div>A systematic review was performed across six databases using Medical Subject Headings (MeSH) terms and keywords.</div></div><div><h3>Study eligibility criteria, participants, and interventions</h3><div>We included randomized controlled trials involving children, adolescents, adults, and older adults treated with oral Oxandrolone at doses ranging from 5 to 80 mg.</div></div><div><h3>Study appraisal and synthesis methods</h3><div>Two reviewers independently conducted the selection, extraction, and quality assessment processes. A protocol was registered in PROSPERO (CRD42024539483).</div></div><div><h3>Results</h3><div>A total of 24 studies with 1905 participants were included. In children with burns, Oxandrolone increased bone mineral content, preserved lean body mass, and reduced intensive care length of stay. In children with Klinefelter Syndrome, it improved lean body mass and measures of cardiometabolic health. Positive effects on weight and well-being were noted in adults with HIV, and improvements in lean mass and muscle strength were observed in older women. Most reported adverse events were elevated liver enzymes and musculoskeletal complaints.</div></div><div><h3>Limitations</h3><div>Studies showed heterogeneity in populations, interventions, and outcomes assessed.</div></div><div><h3>Conclusions and implications of key findings</h3><div>Oxandrolone administration appears to be associated with improvements in body mass, composition indices, and reduced hospitalization time, with a low incidence of side effects. Further investigations are necessary to confirm clinical benefits for specific diseases.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42024539483.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100246"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing blood glucose predictions in type 1 diabetes patients using a stacking ensemble approach","authors":"Vincent B. Liu ,&nbsp;Laura Y. Sue ,&nbsp;Oscar Madrid Padilla ,&nbsp;Yingnian Wu","doi":"10.1016/j.endmts.2025.100253","DOIUrl":"10.1016/j.endmts.2025.100253","url":null,"abstract":"<div><h3>Introduction</h3><div>The diabetes pandemic, including 828 million adults worldwide in 2022, would benefit from continued development of novel, effective and accurate blood glucose prediction systems. Using the DiaTrend dataset, this study used stacking machine learning optimized by Grey Wolf Optimizer to construct and assess prediction models for blood glucose levels in type 1 diabetes patients.</div></div><div><h3>Methods</h3><div>The DiaTrend dataset includes 27,561 days of continuous glucose monitoring and 8220 days of insulin pump data for 54 patients with type 1 diabetes. Grey Wolf optimization was used to tune and evaluate three machine learning algorithms – Random Forest, LSTM, GRU – for blood glucose predictions, whose predictions were then combined into an XGBoost stacking ensemble meta-learner.</div></div><div><h3>Results</h3><div>This study looked at three baseline algorithms for predicting blood glucose levels. Machine learning models Random Forest, LSTM, and GRU served as baselines, with MAE, RMSE, and MARD values. GRU had the best predictive accuracy of the initial models. Grey Wolf optimization contributed to achieving optimal baseline model results. Stacking ensemble learning via XGBoost meta-learner (MAE = 10.65, RMSE = 14.59, MARD = 6.98) achieved higher performance than the baseline models.</div></div><div><h3>Conclusion</h3><div>The GRU method with Grey Wolf optimization outperformed the other models with the lowest MAE, RMSE, and MARD, but the Stacked XGBoost model fared best. These findings emphasize the need to improve parameter selection with approaches such as Grey Wolf or stacking ensemble methods to achieve accurate blood glucose predictions. These prediction models can aid in the continued development of monitoring devices, and algorithms for these devices, which contain alert systems for impending abnormal blood glucose levels, allowing for timely diabetes self-management.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100253"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia","authors":"Tiar Masykuroh Pratamawati ,&nbsp;Ahmad Fariz Malvi Zamzam Zein ,&nbsp;Uswatun Khasanah ,&nbsp;Donny Nauphar ,&nbsp;Vincentius S.W. Budhyanto ,&nbsp;Idrus Alwi ,&nbsp;Asmarinah","doi":"10.1016/j.endmts.2025.100232","DOIUrl":"10.1016/j.endmts.2025.100232","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertension is a catastrophic non-communicable disease increasing in prevalence globally. This study aimed to assess the clinical profile of hypertensive patients in primary health care services in Cirebon Regency, Indonesia.</div></div><div><h3>Method</h3><div>This descriptive study employed a purposive sampling method, recruiting 97 adult patients diagnosed with essential hypertension at the Talun Community Health Center, Cirebon Regency, West Java, from November 2023 to February 2024. Patients with secondary hypertension or hypertension in pregnancy were excluded. Data were collected through questionnaires, blood pressure measurements, and analysis of blood and urine samples. The clinical profile included family history, control status of hypertension, lifestyle factors, cardiometabolic parameters, and mental health status. Lifestyle factors encompassed both dietary habits and physical activity levels. Cardiometabolic parameters included body mass index (BMI), HbA1c, lipid profile, kidney function, and electrocardiogram. Mental health status was measured using the Depression Anxiety Stress Scales (DAAS). Univariate analysis was stated in frequencies, mean, or median.</div></div><div><h3>Results</h3><div>The mean age of the participants was 51.33 (±1.07) years, predominantly female (84.54 %). Subjects with a family history of hypertension were 52.58 %, and 75.3 % had uncontrolled blood pressure. Most subjects (79.17 %) engaged in light daily physical activity, while only 4.2 % reported excessive sodium intake. The average BMI was 26.04 kg/m², with 35.5 % classified as class 1 obese. Additionally, 12.4 % of subjects had diabetes mellitus, 41.2 % were prediabetic, and 80.41 % had dyslipidemia. Albuminuria was detected in 54.6 % of participants, and 7.2 % showed evidence of left ventricular hypertrophy. Regarding mental health, 37.50 % experienced anxiety, 8.33 % reported stress, and 4.17 % suffered from depression.</div></div><div><h3>Conclusion</h3><div>The findings indicate a significant proportion of hypertensive patients in primary health care in Cirebon Regency have uncontrolled blood pressure. Sedentary lifestyle, obesity, dyslipidemia, albuminuria, and prediabetes were prevalent among these patients. Moreover, anxiety affected more than a third of the studied subjects, highlighting the need for comprehensive management strategies for managing hypertensive patients.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100232"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of remdesivir on liver function: A comparative study of diabetic and non-diabetic COVID-19 patients","authors":"Zahra Zarei ,&nbsp;Elham Nejadsadeghi ,&nbsp;Seyedeh Leila Dehghani ,&nbsp;Fateme Dadgar","doi":"10.1016/j.endmts.2025.100237","DOIUrl":"10.1016/j.endmts.2025.100237","url":null,"abstract":"<div><div>This study aimed to evaluate the effect of remdesivir on liver tests in diabetic and non-diabetic COVID-19 patients through a multicenter study conducted in Southeast Iran. Therefore, 200 participants, comprising 98 patients with diabetes and 102 non-diabetic subjects, were assessed based on the Declaration of Helsinki, with proper inclusion, and exclusion criteria. Demographic data were collected using a detailed questionnaire and a clinical checklist documenting underlying health conditions, particularly diabetes and hypertension. Liver function tests measured key enzymes and substances, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and total bilirubin, and data analysis was performed using SPSS (Confidence Interval = 0.95, <em>p</em> ≤ 0.05). Key findings indicate a significant correlation between increasing age and diabetes prevalence, with older age groups exhibiting higher rates of diabetes. Gender analysis revealed a slight predominance of females among diabetic patients, while educational attainment appeared lower in this group, suggesting a potential link between education and diabetes incidence. In patients with diabetes, AST levels rose from 19.2 ± 2.1 U/L before treatment to 25.3 ± 3.1 U/L after treatment, while ALT levels increased from 18.1 ± 1.4 U/L to 23.5 ± 2.2 U/L. Non-diabetic patients showed less pronounced increases in liver enzymes, with AST rising from 28.7 ± 3.1 U/L to 13.2 ± 2.1 U/L after treatment and ALT changing from 18.6 ± 3.2 U/L to 19.6 ± 3.1 U/L. Health-related factors, particularly the prevalence of hypertension and obesity, were notably higher among patients with diabetes. Lifestyle behaviors, including smoking and physical activity levels, further distinguished the two groups, with patients with diabetes showing a higher smoking prevalence and a lower engagement in regular exercise. The impact of remdesivir treatment on liver function revealed significant increases in liver enzyme levels among patients with diabetes post-treatment, contrasting with stable liver function in non-diabetic patients. The study underscores the intricate relationship between diabetes, liver health, and COVID-19, emphasizing the importance of considering comorbidities in treatment and management strategies for diabetic patients.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100237"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alpha-lipoic acid regulates pro-inflammatory cytokines and hormones in letrozole-induced polycystic ovary syndrome in rats","authors":"Fehintoluwa Joy Femi-Olabisi ,&nbsp;Olawunmi Rashidat Oyerinde ,&nbsp;Opeyemi Olubunmi Faokunla ,&nbsp;Sikemi Adejoke Omar ,&nbsp;Precious Evy Igene ,&nbsp;Olamide Esther Asaluwala ,&nbsp;Bisi Olajumoke Adeoye ,&nbsp;Odunayo Olowolehin Oladoye","doi":"10.1016/j.endmts.2025.100245","DOIUrl":"10.1016/j.endmts.2025.100245","url":null,"abstract":"<div><div>Polycystic ovary syndrome (PCOS) a common endocrine disorder affecting 5–10 % of women in their reproductive age with reproductive and metabolic disorders such as anovulation/oligo-ovulation, hyperinsulinemia, glucose intolerance, obesity and dyslipidemia. Among other heterogeneous symptoms, studies have linked PCOS to low-grade chronic inflammation. Alpha-lipoic acid (ALA), an essential mitochondrial co-factor and safe natural molecule acts as an antioxidant. In this study, letrozole-induced PCOS rat model was used to investigate the effect of ALA on inflammatory cytokines such as interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and hormones such as testosterone (T), luteinizing hormone (LH) and insulin. Twenty-eight rats were randomly divided into four groups of seven rats each- Group 1,2,3 and 4 (Control, PCOS, PCOS+metformin (MET) + clomiphene citrate (CC), and PCOS+ALA respectively). PCOS was induced by orally administering 1 mg/kg/day of letrozole for 21 days. ALA (1 mg/day) was administered orally to PCOS rats, and the reference drugs (7.14 mg/kg/day of MET co-administered with 2 mg/kg/day CC) were given orally for 14 days. Results revealed acyclicity in the oestrous cycle of PCOS rats characterized by persistent estrus and diestrus phases was completely reversed by ALA compared to the reference drug-treated PCOS group. ALA decreased serum fasting blood sugar, IL-6, TNF-α, total cholesterol (TC), Triglycerides (trigs), low-density lipoprotein-cholesterol (LDL-C), insulin, and LH. Serum high-density lipoprotein-cholesterol (HDL<img>C) was significantly increased (<em>p</em> &lt; 0.05) in the ALA-treated group compared to the control rats. Therefore, the efficacy of ALA as a regulator of pro-inflammatory cytokines and reproductive factors can be exploited in developing treatments for PCOS.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100245"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening of MKRN3, DLK1, KISS1, KISS1R, and PROKR2 genes sequences in related girls with central precocious puberty for a personalized management","authors":"Ayah Alhusseni ,&nbsp;Mariam Moalla ,&nbsp;Mona Mahfood ,&nbsp;Faten Hadj Kacem ,&nbsp;Wafa Belabed ,&nbsp;Wajdi Safi ,&nbsp;Mohamed Abid ,&nbsp;Mouna Mnif-Feki ,&nbsp;Hassen Hadj Kacem","doi":"10.1016/j.endmts.2025.100242","DOIUrl":"10.1016/j.endmts.2025.100242","url":null,"abstract":"<div><h3>Purpose</h3><div>Central precocious puberty (CPP) occurs when the hypothalamus prematurely releases gonadotropin-releasing hormone (GnRH), triggering early sexual maturation and the onset of puberty. Mutations in five genes, including <em>KISS1</em>, <em>KISS1R</em>, <em>DLK1</em>, <em>MKRN3</em>, and <em>PROKR2</em>, have been reported in both sporadic and familial CPP cases. Routine screening of these genes is essential for distinguishing between CPP and early physiological puberty. This study aims to evaluate the role of genetic diagnosis in offering personalized management for familial cases of CPP.</div></div><div><h3>Methods</h3><div>Clinical, biochemical, and imaging assessments were conducted on two related girls. The coding regions and flanking intronic sequences of the five genes were sequenced using Sanger sequencing and screened for potential mutations.</div></div><div><h3>Results</h3><div>We identified a heterozygous <em>MKRN3</em> c.482insC (rs763195944) loss-of-function mutation in a girl diagnosed with CPP at 6.1 years (Tanner stage: P2A2B3). She was treated with a GnRH analogue for five years, and her pubertal development has been well managed (Tanner stage: P3A3B3, at 11 years). No pathogenic variants were found in the <em>KISS1</em>, <em>KISS1R</em>, <em>DLK1</em>, or <em>PROKR2</em> genes. Consequently, we recommended clinical follow-up only for her unmutated maternal cousin, who was diagnosed with premature thelarche (Tanner stage: P3A3B3, at 8.8 years).</div></div><div><h3>Conclusions</h3><div>Routine genetic screening of CPP-related genes can assist clinicians in making accurate treatment decisions for patients exhibiting a growth spurt, rapid onset of puberty, and a family history of CPP. This approach enables more targeted and personalized management of the condition.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100242"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors of central compartment lymph node metastasis posterior to the right recurrent laryngeal nerve in differentiated thyroid carcinoma: A single-center prospective study in Vietnam","authors":"Phan Hoang Hiep ,&nbsp;Tran Ngoc Luong ,&nbsp;Doan Quoc Hung ,&nbsp;Tran Doan Ket ,&nbsp;Pham Quyet Thang ,&nbsp;Do Van Ky ,&nbsp;Nguyen Giang Son ,&nbsp;Truong Quang Huy ,&nbsp;Ngo Van Thanh ,&nbsp;Do Trung Anh ,&nbsp;Doan Vu Tu Quyen","doi":"10.1016/j.endmts.2025.100240","DOIUrl":"10.1016/j.endmts.2025.100240","url":null,"abstract":"<div><div>The study aims to examine the incidence of central compartment lymph node metastasis on the right side posterior to the recurrent laryngeal nerve in cases of papillary thyroid cancer, as well as the risk factors that may increase this incidence. A total thyroidectomy was conducted on 230 patients diagnosed with differentiated thyroid cancer, accompanied by right central compartment lymph node dissection at Viet Nam National hospital of endocrinology in 2024. The central lymph nodes were categorized into two groups: pre-nerve lymph nodes and post-nerve lymph nodes. The clinical and paraclinical characteristics of the primary tumor and metastatic cervical lymph nodes were documented. The result showed that 52 cases (22.6 %) presenting metastatic lymph nodes. Age &gt;55 years, female gender, tumor size exceeding 1 cm, concurrent thyroiditis, and metastasis to pre-nerve central lymph nodes and ipsilateral lateral neck lymph nodes were significantly correlated with elevated rates of metastasis to lymph nodes located posterior to the recurrent laryngeal nerve (p &lt; 0.05). Tumor location, multifocality, and extrathyroidal invasion did not significantly influence the metastasis rate to post-nerve lymph nodes (p &gt; 0.05). Multivariate regression analysis revealed four independent prognostic factors for post-nerve lymph node metastasis: tumor size exceeding 1 cm, concurrent chronic thyroiditis, metastasis to pre-nerve lymph nodes, and metastasis to ipsilateral lateral neck lymph nodes. In conclusion, patient with above characteristics, precise dissection is recommended to prevent the oversight of metastatic lymph nodes.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100240"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlation between COVID-19 severity and elevated level of serum glucose","authors":"Zahraa Q. Ali ,&nbsp;Nawar S. Mohammed ,&nbsp;Hussam H. Muhammed","doi":"10.1016/j.endmts.2025.100248","DOIUrl":"10.1016/j.endmts.2025.100248","url":null,"abstract":"<div><div>The collision of COVID-19 and type 2 diabetes (T2D) highlights T2D as the second most prevalent comorbidity in COVID-19. This infection exacerbates complications in diabetics. It elevates blood glucose through excessive glucocorticoid and catecholamine release. This hyperglycemia triggers pro-inflammatory monocytes, heightens platelet reactivity, and amplifies cardiovascular deaths in diabetics. This cross-sectional study, conducted at Private Nursing Home Hospital in Baghdad, focused on 143 COVID-19 patients diagnosed via RNA detection in nasopharyngeal secretions using PCR from May to August 2021. The patients, aged 18 to 76, had no prior history of diabetes upon admission. An 86-member control group, free from COVID-19 and diabetes history, aged 20 to 73, was also included. BMI, platelet count, WBC, ESR, RBG, and serum levels of the alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP) levels were measured. The results revealed statistically highly differences in RBG between the two groups (<em>p</em>-value = 0.001), and significant variations in the Mean ± SD values of ALT and AST enzyme levels, as well as in WBC and ESR, when comparing COVID patients to non-COVID patients. In summary, our findings show a positive correlation between admission hyperglycemia and the risk of severe COVID-19, emphasizing the significance of monitoring and managing blood glucose levels. Effective glycemic control could aid in mitigating COVID-19 progression and is integral to comprehensive treatment. These glucose-related changes and COVID-19 impact on the pancreas may contribute to the development of T2D.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100248"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between serum leptin, adiponectin and resistin levels with chronic kidney disease with and without hemodialysis patients","authors":"Maha Elttayef Jasim ,&nbsp;Firas Faris Rija ,&nbsp;Sura Zahim Hussein","doi":"10.1016/j.endmts.2025.100244","DOIUrl":"10.1016/j.endmts.2025.100244","url":null,"abstract":"<div><div>Chronic kidney disease (CKD) is major and urgent public health problem caused by a progressive reduce in renal function during some months or years which cause functional or structural abnormalities of the kidney. In renal failure, many adipokines are important in endothelial dysfunction, like inflammation and oxidative stress. This study aims to evaluate the changes of some adipokines in chronic kidney disease (CKD) with and without hemodialysis (HD) Patients. Blood samples were collected from dialysis Unit in Tikrit Teaching Hospital in Tikrit city which started from January- July 2024 who aged (18 - 68) years old. The study subjects were 90 individuals who consist of 30 healthy individuals, 30 CKD patients with hemodialysis treatment and 30 CKD patients without hemodialysis treatment. The present study showed that leptin, adiponectin and resistin were increased in CKD patients with HD and (adiponectin and resistin) were decreased in CKD patients without HD while leptin was increased in CKD patients without HD when compared with control group. Adipokines changes in hemodialysis patients rather than pre dialysis CKD patients.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100244"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impending thyroid storm in a case of Down syndrome with burr hole surgery: A case report","authors":"Ayyesha Yuanita ,&nbsp;Hermina Novida","doi":"10.1016/j.endmts.2025.100250","DOIUrl":"10.1016/j.endmts.2025.100250","url":null,"abstract":"<div><h3>Introduction</h3><div>An accidental injury requiring surgery in a patient with Down syndrome (DS) and hyperthyroidism is an uncommon case, in which thyroid hormone control plays a crucial role in successful surgery.</div></div><div><h3>Case presentation</h3><div>An Indonesian woman, 33 years old, suffered an accidental brain injury and gradually lost consciousness. She was born with DS and had no prior medical consultation. At the emergency room, she was diagnosed with hyperthyroidism and an acute subdural hematoma. According to the Burch-Wartofsky (BW) score, the examination revealed an impending thyroid storm (40 points). Management of hyperthyroidism aims to avoid the thyroid storm before, during, and after double burr hole drainage, which is treated with glucocorticoid and antithyroid drugs. She was followed up for 6 months after surgery and had considerable improvement.</div></div><div><h3>Conclusion</h3><div>Management of hyperthyroidism have a crucial role in DS patient with burr hole drainage to improve surgical outcomes, control of cardiac output, and minimize thyroid storm.</div></div>","PeriodicalId":34427,"journal":{"name":"Endocrine and Metabolic Science","volume":"18 ","pages":"Article 100250"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}