1-20 of 3803 Search Results for

insufficiency

Sort by
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 85
Published: 18 December 2020
10.1159/000496491
EISBN: 978-3-318-06628-9
... Abstract The objectives of this chapter are to discuss the factors involved in the decision-making algorithm of an appropriate intervention for glottal insufficiency. Management strategies not only depend on the etiology, history, symptoms, size of glottal gap on visualization, but also...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 49
Published: 26 April 2018
10.1159/000486004
EISBN: 978-3-318-06335-6
... of hormone replacement therapy in adrenal insufficiency (AI). Registry studies indicate increased cardiovascular mortality, hypertension, diabetes, and dyslipidemia in both primary and secondary AI, but when cohorts with carefully characterized patients are studied the picture is less clear, and recently...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/000443870
EISBN: 978-3-318-05840-6
... Abstract Adrenal insufficiency (AI) is a potentially life-threatening condition and it is of utmost importance to identify and adequately manage affected individuals. Diagnosis is often delayed, probably partly because diseases of the adrenal or pituitary region that cause primary AI (PAI...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/000443871
EISBN: 978-3-318-05840-6
... of primary adrenocortical insufficiency (PAI) in around 80-90% of cases [ 1 ]. Autoimmune PAI is also known as autoimmune Addison's disease (AAD), after the name of the physician who in 1855 described the disease and attributed it to a pathology of the adrenal glands. In AAD, autoimmune adrenalitis...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/000443913
EISBN: 978-3-318-05840-6
... Abstract The diagnosis of adrenal insufficiency (AI) is a challenge. Most signs and symptoms are nonspecific and vary considerably depending upon the underlying cause and degree of AI. Identification of AI is crucial because the disease may be life-threatening if left unrecognized...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/000443915
EISBN: 978-3-318-05840-6
... frequent endogenous cause of secondary adrenal insufficiency (SAI) is a tumor of the hypothalamic-pituitary region, usually associated with panhypopituitarism secondary to tumor growth or to its treatment with surgery or irradiation. Less commonly, SAI is due to nontumoral disorders including infiltrative...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/000443918
EISBN: 978-3-318-05840-6
... Abstract For a long time it has been assumed that patients with chronic adrenal insufficiency under established replacement therapy have a normal life expectancy and a normal everyday life. Recent studies now indicate both an impairment of quality of life (QoL) with a negative impact on daily...
Book Chapter
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/000443920
EISBN: 978-3-318-05840-6
... Abstract Glucocorticoid treatment in adrenal insufficiency remains a challenge since many patients complain of fatigue, reduced health-related quality of life and working ability. Moreover, there is a fear of increased mortality and morbidity related to adrenal crises and chronic overexposure...
Book
Book Cover Image
Series: Frontiers of Hormone Research
Volume: 46
Published: 23 May 2016
10.1159/isbn.978-3-318-05840-6
EISBN: 978-3-318-05840-6
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 76
Published: 11 February 2015
10.1159/000368003
EISBN: 978-3-318-02787-7
..., palatal notching, and soft palate diastasis should alert the surgeon to a high likelihood of a submucosal cleft, and in these cases, only superior adenoidectomy should be performed. The risk of velopharyngeal insufficiency (VPI) following adenoidectomy is approximately 1:1,500, and the risk is higher...
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 76
Published: 11 February 2015
10.1159/000368011
EISBN: 978-3-318-02787-7
... insufficiency (VPI). During the speech pathologist's evaluation, perceptual speech analysis, including nasometry, articulation assessment, resonance evaluation, and oral motor function assessment, is essential in diagnosing VPI. However, these tests cannot characterize the pattern of velopharyngeal closure...
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 76
Published: 11 February 2015
10.1159/000368012
EISBN: 978-3-318-02787-7
... Abstract Velopharyngeal insufficiency (VPI) affects speech, swallowing, and many psychosocial aspects of life in a way best measured by quality-of-life (QOL) instruments. QOL instruments are patient-reported outcome instruments that provide a method of measuring the value that patients place...
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 76
Published: 11 February 2015
10.1159/000368014
EISBN: 978-3-318-02787-7
... Abstract When surgical correction is less than successful or when children are poor candidates for surgery due to a large gap, a neuromuscular cause of velopharyngeal insufficiency (VPI), a strong gag reflex, or unfavorable anatomy, prosthetic intervention can result in the elimination of VPI...
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 76
Published: 11 February 2015
10.1159/000368032
EISBN: 978-3-318-02787-7
... Abstract This chapter outlines the management of patients who have failed initial surgical correction of velopharyngeal insufficiency. Clinical judgment is required to determine the most appropriate revision option for each patient. Background In most pediatric patients, surgical...
Book
Book Cover Image
Series: Advances in Oto-Rhino-Laryngology
Volume: 76
Published: 11 February 2015
10.1159/isbn.978-3-318-02787-7
EISBN: 978-3-318-02787-7
Book Chapter
Series: Frontiers of Gastrointestinal Research
Volume: 32
Published: 23 September 2013
10.1159/000350634
EISBN: 978-3-318-02416-6
... Abstract The use of acid suppression in patients with exocrine pancreatic insufficiency (EPI) additionally to enteric-coated pancreatic enzyme preparations (PEPs) is controversial. In current recommendations, the prescription of proton pump inhibitors (PPIs) is not generally recommended...
Book Chapter
Series: Advances in Oto-Rhino-Laryngology
Volume: 73
Published: 10 April 2012
10.1159/000334471
EISBN: 978-3-8055-9932-0
... Abstract Velopharyngeal inadequacy may be learned, neurologic, or anatomic in origin. Velopharyngeal insufficiency specifically refers to an anatomic deficiency, which subsequently impairs resonant control of speech and intraoral pressure for orally directed speech sounds. Preoperative speech...
Book Chapter
Book Chapter
Series: Endocrine Development
Volume: 17
Published: 24 November 2009
10.1159/000262532
EISBN: 978-3-8055-9303-8
... Abstract The diagnosis of central adrenal insufficiency relies heavily on laboratory testing of cortisol levels in the systemic circulation. The lack of cortisol assay standardization challenges the reliability of dynamic tests of the hypothalamic-pituitary adrenal axis. Although the insulin...
Book Chapter