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Short Stature: Beyond Growth Hormone

Short Stature: Beyond Growth Hormone
Author: Gianluca Tornese
Publisher: Frontiers Media SA
Total Pages: 111
Release: 2024-04-08
Genre: Medical
ISBN: 2832547427

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Short stature refers to a height less than two standard deviations below the mean for a given age and gender. The effective investigation of short stature pathology in children combines clinical assessment, to view symptoms and bodily dysfunctions; endocrine assessment, to determine hormone levels and sensitivity; and increasingly advanced genetic analysis. Many children of short stature do not have an identified underlying pathology, thus assigned as having idiopathic short stature (ISS). Consequently, the ISS population can be subdivided into those with ‘normal variants’ of growth, termed familial short stature (FSS) and non-familial short stature (NFSS), including constitutional delay of growth and puberty (CDGP). These categories can then separate from that of children with ISS who show a different etiology.


Beyond Measure

Beyond Measure
Author: Ellen Frankel
Publisher: Pearlsong Press
Total Pages: 262
Release: 2006-09-01
Genre: Biography & Autobiography
ISBN: 1597190365

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A touching, tender and at times funny account of a woman’s struggle for stature in a 4 foot 8½ inch tall body, Beyond Measure speaks to the heart of soul-breaking attempts to fit an arbitrary and elusive cultural ideal of physical perfection. Being short isn’t the problem, Ellen Frankel insists. Instead, the real difficulties lie in the social bias against short people. Frankel shares the difficulties of living short in a world in which stereotypes are based on gender and size. She moves beyond her own experience into the political realm in revealing how pharmaceutical companies—with government backing—are expanding the market for human growth hormone treatment by reclassifying healthy short children as patients in “need” of such injections in hopes of making them taller. She shares the dilemma of being subjected to simultaneous messages that her physical body should be bigger—that is, taller, but not wider—while her expansive spiritual body should be smaller. Self-destructive behaviors emerge from too much attention on the external rather than the internal workings of the soul. Frankel flirts with eating disorders and unhealthy relationships with powerful males in an attempt to compensate for her feelings of not “measuring up.” In the process, her real self slips farther away. The path out of her dilemma lies in the shadow of the tallest mountain on Earth. It is through a spiritual pilgrimage to Nepal that Frankel discovers her own strength and spirit, and that we are all dwarfed by Everest and beyond measure. "If you have ever measured your height or weight and felt good or bad about yourself as a result, you need this book," says Marilyn Wann, author of FAT!SO? Because You Don't Have to Apologize for Your Size. "In its pages, Ellen Frankel makes an important contribution to human liberation by telling the most fabulous story that can be told, the story of a person coming fully into her own. This book is thought-provoking, heart-rending, and a genuine solace for people of all sizes."


Growth Hormone Deficiency in Adults

Growth Hormone Deficiency in Adults
Author: Jens O. L. Jørgensen
Publisher: Karger Medical and Scientific Publishers
Total Pages: 241
Release: 2005-01-01
Genre: Science
ISBN: 3805579926

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It has been known for over 40 years that GH-deficient-children benefit from replacement with the hormone. But GH, essential for longitudinal growth, also plays a role after completion of final height. With the introduction of biosynthetic human GH 20 years ago, the use of GH was no longer restricted to severe growth retardation in hypopituitary children. This book will take the reader behind the myths of GH and into the real world of clinical endocrinology. The contributions stem from recognized clinicians and scientists who have been working in the field for decades. The contents encompass traditional end points of GH therapy such as body composition, bone biology and physical performance. Attention is also devoted to diagnostic aspects and side effects. Additional features range from clinical epidemiology to quality of life, and novel areas such as the impact of traumatic brain injury on pituitary function are also covered. The present volume of Frontiers of Hormone Research is essential reading for health care professionals interested in clinical endocrinology and GH.


The Short Child

The Short Child
Author: Paul Kaplowitz
Publisher: Hachette UK
Total Pages: 152
Release: 2008-06-06
Genre: Health & Fitness
ISBN: 0446543799

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For the millions of parents concerned about their child's height, there is now an authoritative resource of comprehensive information to reassure and guide them in seeking help. This groundbreaking book by two of America's leading pediatric endocrinologists offers reliable guidance on the diagnosis and treatment of growth disorders, from helping parents determine whether their child's height is normal to understanding when it's necessary to seek the advice of a specialist. Parents will also learn about: The role of genetics, nutrition, and hormones in their child's growth The social and psychological impact of short stature Methods for estimating the height a child will be as an adult Important topics of concern to discuss with their child's doctors Medical conditions that cause short stature The most up-to-date research on treatment, including the controversial use of growth hormone-so you and your physician can decide what's right for your child.


Growth Hormones and Short Stature

Growth Hormones and Short Stature
Author: Peggie S. Tillman
Publisher:
Total Pages: 40
Release: 1990
Genre: Growth disorders
ISBN:

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Growth Hormone in Adults

Growth Hormone in Adults
Author: Anders Juul
Publisher: Cambridge University Press
Total Pages: 536
Release: 2000-04-27
Genre: Medical
ISBN: 9780521641883

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This revised new edition reviews the substantial advances in our understanding of the vital role of growth hormone (GH) in maintaining adult health, and the resulting disorders from GH deficiency. The first edition, published in 1996, provided a pioneering overview of the subject; this new edition provides an even more comprehensive account, fully updated with the latest research, clinical applications, and references. The therapeutic benefits of GH treatment in GH deficiency are thoroughly evaluated, including effects on metabolism, cardiac function, exercise performance, psychosocial aspects, and aging and gender-specific effects. This compilation by the world's leading experts covers clinical investigation, diagnosis and treatment issues, and encompasses new knowledge of the control and action of GH secretion. This volume is the most authoritative, comprehensive, and detailed account available and will be an essential source of reference for all endocrinologists.


Normal at Any Cost

Normal at Any Cost
Author: Susan Cohen
Publisher: Penguin
Total Pages: 416
Release: 2009-03-19
Genre: Science
ISBN: 1440686459

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A fascinating story of medical experimentation, parental love, and the extreme measures taken to make children fit within ?the norm.? Most people rarely think about their height beyond a little wishing and hoping. But for the parents of children who are ridiculed by their peers for being extraordinarily tall or extraordinarily short, height can cause great anguish. For decades, the medical establishment has responded to these worries by prescribing controversial treatments and therapies for children who fall outside of the ?normal? height range. While some have benefited, many have suffered from devastating side effects. In this riveting book, Susan Cohen and Christine Cosgrove provide a voice for the parents, doctors, scientists, and pharmaceutical companies involved in these experimental treatments. They also tell the story of the boys and girls themselves, many of them now grown, who were subjected to a wide range of non-FDA-approved medical procedures. These treatments? which consisted of extreme doses of estrogen, pituitary glands taken from both animals and human cadavers, and testosterone injections?often had disastrous side effects. Who is to say how tall is too tall, and how short is too short? For many of the individuals represented in this book, the answers have been clear?and they are grateful to the medical industry for improving upon nature. For others, left in the wake of this same science, the answers are fueled by tragic regret. The authors explore the dueling motives behind these procedures? with parents desperate to help their children ?fit in? and doctors and scientists hungry for scientific breakthroughs. Combining extensive research and in-depth interviews, Normal at Any Cost is the first book to place a human face on this complex and ethically charged medical history.


Turner Syndrome

Turner Syndrome
Author: Patricia Y. Fechner
Publisher: Springer Nature
Total Pages: 280
Release: 2020-03-20
Genre: Medical
ISBN: 303034150X

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Comprehensive and practical, this is a unique and multidisciplinary resource for the clinician caring for the girl or woman with Turner syndrome. Although approximately one in 2000 women are affected, many have not been diagnosed; as the advent of prenatal genetic testing becomes more prevalent, the diagnosis of Turner syndrome will be made much more frequently. There is therefore a greater need for this single source that provides the clinician with the information required to care for this multifaceted disorder. The opening chapters discuss the biology, genetics and current standard of care for females with Turner syndrome in order to provide proper background and context for the remaining chapters. The main section of the book, taking a body system approach, is comprised of chapters written by an expert in his or her subspecialty and will discuss pathophysiology and diagnosis, as well as therapeutic options. Reproductive, cardiac, renal, endocrine, neurologic, musculoskeletal, and sensory issues and symptoms associated with Turner syndrome are all covered in detail. Additional chapters describe current resources available to both caregiver and patient as well as future directions for research and management. Currently, there are no similar books on the market that take an all-inclusive, multidisciplinary approach in the care of individuals with Turner syndrome. As such, this book should be the standard of care for management of this challenging and multifaceted condition.


Growth Hormone Therapy in Pediatrics

Growth Hormone Therapy in Pediatrics
Author: Michael B. Ranke
Publisher: Karger Medical and Scientific Publishers
Total Pages: 534
Release: 2007-01-01
Genre: Medical
ISBN: 3805582560

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For 20 years, KIGS (Pfizer International Growth Database) has provided an outstanding tool for monitoring the use, efficacy and safety of growth hormone (GH) treatment in children with short stature of varying origin. This volume offers a comprehensive update of the continuing experiences in KIGS and is based on data from more than 50 countries and more than 60,000 patients. International experts analyse in detail the basic auxological characteristics of patients and their response to GH treatment for a broad spectrum of growth disorders. These include idiopathic GH deficiency, organic GH deficiency due to a variety of causes such as congenital malformations and syndromes, genetic disorders or treatment for leukaemia or central nervous system tumours and short stature in children born small for gestational age, specific syndromes and systemic disorders. Each growth disorder is also covered by a review of relevant published data by international experts. KIGS has also established itself as a primary source of information about adverse events during long-term GH treatment in children. The recent analysis of KIGS data has revealed no new adverse drug reactions since the 10-year follow-up. Therefore, treatment with GH seems a low-risk intervention in children and adolescents with various growth disorders. The process of developing disease-specific growth response prediction models has been ongoing in KIGS for many years. The available models are accurate, precise and have a relatively high degree of predictive power, although further predictors of the growth response remain to be identified. The KIGS prediction models can be applied prospectively to new patients, enabling their GH therapy to be better tailored and monitored to achieve optimal growth, safety and cost outcomes. The future of KIGS within the era of evidence-based medicine will continue to depend upon the quality of the data reported. Therefore, the commitment of participating physicians will continue to be a decisive element. The ongoing recognition of the importance of valid safety and efficacy information in the practice of paediatric endocrinology is exemplified by this valuable international collaboration of clinicians and the pharmaceutical community.