Martin O. Savage
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View article: Adrenal causes of endocrine hypertension in childhood or adolescence
Adrenal causes of endocrine hypertension in childhood or adolescence Open
Arterial hypertension is characterised by elevated blood pressure (BP) leading to cardiovascular morbidity and mortality, and organ damage. Its prevalence in childhood is around 5% and children should be screened from 3 years of age. Hyper…
View article: Precocious puberty: a comprehensive review of diagnosis and clinical presentation, etiology, and treatment
Precocious puberty: a comprehensive review of diagnosis and clinical presentation, etiology, and treatment Open
Central precocious puberty (CPP) is characterized by early activation of the hypothalamic–pituitary–gonadal (HPG) axis, which is apparent in the form of breast development in girls and testicular enlargement in boys prior to the typical ph…
View article: Editorial: Rare forms of pediatric adrenal disorders: beyond congenital adrenal hyperplasia due to 21-hydroxylase deficiency
Editorial: Rare forms of pediatric adrenal disorders: beyond congenital adrenal hyperplasia due to 21-hydroxylase deficiency Open
View article: Pharmacotherapy for complex substance use disorders: a practical guide by Thanh Thuy Truong, Benjamin Li, Daryl Shorter, Nidal Moukaddam, Thomas R. Kosten, American Psychiatric Association Publishing, 2023
Pharmacotherapy for complex substance use disorders: a practical guide by Thanh Thuy Truong, Benjamin Li, Daryl Shorter, Nidal Moukaddam, Thomas R. Kosten, American Psychiatric Association Publishing, 2023 Open
View article: Use of connected injection device has a positive effect on catch-up growth in patients with growth disorders treated with growth hormone therapy
Use of connected injection device has a positive effect on catch-up growth in patients with growth disorders treated with growth hormone therapy Open
Introduction Human growth hormone (hGH) therapy in children can be administered by subcutaneous injection using either a manual non-connected device, which is a portable injection pen loaded with a pre-filled cartridge, or an electronic co…
View article: Pediatric Cushing Syndrome: a unique account of a rare but important condition
Pediatric Cushing Syndrome: a unique account of a rare but important condition Open
View article: Evolving growth hormone deficiency: proof of concept
Evolving growth hormone deficiency: proof of concept Open
Introduction We present the evolution of GHD in adolescent males with persistent growth failure, in whom the diagnosis was established after a second GH stimulation test (GST). Methods We performed a retrospective chart review of children …
View article: Paediatric Cushing’s disease: long-term outcome and predictors of recurrence
Paediatric Cushing’s disease: long-term outcome and predictors of recurrence Open
Paediatric Cushing’s disease (CD) is characterized by excess ACTH secretion from a pituitary adenoma, leading to hypercortisolism. It has approximately 5% of the incidence of adult CD and is a rare disorder in the paediatric age range. The…
View article: Artificial intelligence in paediatric endocrinology: conflict or cooperation
Artificial intelligence in paediatric endocrinology: conflict or cooperation Open
Artificial intelligence (AI) in medicine is transforming healthcare by automating system tasks, assisting in diagnostics, predicting patient outcomes and personalising patient care, founded on the ability to analyse vast datasets. In paedi…
View article: Acyclovir May Be Used to Treat Certain Long COVID Patients Regardless of Herpesvirus Reactivation: Case Report
Acyclovir May Be Used to Treat Certain Long COVID Patients Regardless of Herpesvirus Reactivation: Case Report Open
Fundamental causes of long COVID or Post-Acute Sequelae of COVID-19 (PASC) are still under investigation while it remains a significant burden to millions of patients worldwide even after a relatively mild acute Coronavirus Disease 2019 (C…
View article: P210 Is there a relationship between medicines adherence to inhaled treatment, inhaler device and awareness of sustainability issues in people with COPD?
P210 Is there a relationship between medicines adherence to inhaled treatment, inhaler device and awareness of sustainability issues in people with COPD? Open
Introduction and Aims Reports suggest over 50% of people with COPD are non-adherent to their inhaled maintenance therapy. This can result in poorer clinical outcomes. Multiple device types can also negatively affect clinical outcomes by ca…
View article: A New Era of Discovery: The 2023 Long-Range Plan for Nuclear Science (V.1.2)
A New Era of Discovery: The 2023 Long-Range Plan for Nuclear Science (V.1.2) Open
Nuclear science is the investigation of how protons and neutrons are formed from elementary particles and how the forces between those particles produce both nuclei and the vast variety of nuclear phenomena that occur in the universe. It h…
View article: FRI598 Evolving Growth Hormone Deficiency: A Proof Of Concept
FRI598 Evolving Growth Hormone Deficiency: A Proof Of Concept Open
Disclosure: S. Chimatapu: None. S. Sethuram: None. J. Samuels: None. M. Savage: None. R. Rapaport: None. Introduction: Most cases of growth hormone deficiency (GHD) in pediatric patients are idiopathic, isolated and acquired. All acquired …
View article: Key Stages in the Development and Establishment of Paediatric Endocrinology: A Template for Future Progress
Key Stages in the Development and Establishment of Paediatric Endocrinology: A Template for Future Progress Open
Background: Paediatric endocrinology became recognised in Western European countries in the 1960s and 1970s. It is now a thriving paediatric sub-speciality in many countries but remains non-existent or in its infancy in other…
View article: Quantum Information Science and Technology for Nuclear Physics. Input into U.S. Long-Range Planning, 2023
Quantum Information Science and Technology for Nuclear Physics. Input into U.S. Long-Range Planning, 2023 Open
In preparation for the 2023 NSAC Long Range Plan (LRP), members of the Nuclear Science community gathered to discuss the current state of, and plans for further leveraging opportunities in, QIST in NP research at the Quantum Information Sc…
View article: Late-Onset Isolated Growth Hormone Deficiency
Late-Onset Isolated Growth Hormone Deficiency Open
Two male patients, who presented at 13.5 and 13.9 years of age with growth failure and short stature, were ultimately diagnosed with isolated growth hormone deficiency (GHD). Patient 1 was first evaluated when his height declined from −0.6…
View article: Rare forms of genetic paediatric adrenal insufficiency: Excluding congenital adrenal hyperplasia
Rare forms of genetic paediatric adrenal insufficiency: Excluding congenital adrenal hyperplasia Open
Adrenal insufficiency (AI) is a severe endocrine disorder characterized by insufficient glucocorticoid (GC) and/or mineralocorticoid (MC) secretion by the adrenal glands, due to impaired adrenal function (primary adrenal insufficiency, PAI…
View article: Accelerating Progress Towards Practical Quantum Advantage: The Quantum Technology Demonstration Project Roadmap
Accelerating Progress Towards Practical Quantum Advantage: The Quantum Technology Demonstration Project Roadmap Open
Quantum information science and technology (QIST) is a critical and emerging technology with the potential for enormous world impact and is currently invested in by over 40 nations. To bring these large-scale investments to fruition and br…
View article: Editorial: Controversies in growth hormone treatment and diagnosis
Editorial: Controversies in growth hormone treatment and diagnosis Open
EDITORIAL article Front. Endocrinol., 13 September 2022Sec. Pediatric Endocrinology https://doi.org/10.3389/fendo.2022.1013872
View article: Applying precision medicine to the diagnosis and management of endocrine disorders
Applying precision medicine to the diagnosis and management of endocrine disorders Open
Precision medicine employs digital tools and knowledge of a patient’s genetic makeup, environment and lifestyle to improve diagnostic accuracy and to develop individualised treatment and prevention strategies. Precision medicine has improv…
View article: The Changing Face of Paediatric Human Growth Hormone Therapy
The Changing Face of Paediatric Human Growth Hormone Therapy Open
Human growth hormone (hGH) has been used therapeutically to promote growth in children for over 60 years. Pituitary-extracted hGH has demonstrated positive growth promotion since the early 1960s. In 1985, prion-induced contamination of hGH…
View article: Evaluating the sensitivity and specificity of the UK and Dutch growth referral criteria in predicting the diagnosis of pathological short stature
Evaluating the sensitivity and specificity of the UK and Dutch growth referral criteria in predicting the diagnosis of pathological short stature Open
Objective The aim of this observational study was to evaluate the UK and Dutch referral criteria for short stature to determine their sensitivity and specificity in predicting pathological short stature. Adherence to the recommended panel …
View article: Adherence to r-hGH Therapy in Pediatric Growth Hormone Deficiency: Current Perspectives on How Patient-Generated Data Will Transform r-hGH Treatment Towards Integrated Care
Adherence to r-hGH Therapy in Pediatric Growth Hormone Deficiency: Current Perspectives on How Patient-Generated Data Will Transform r-hGH Treatment Towards Integrated Care Open
Pediatric growth hormone (GH) deficiency is a licensed indication for replacement therapy with recombinant human growth hormone (r-hGH). Treatment, consisting of daily subcutaneous injections, extends from the time of diagnosis until cessa…
View article: Patients' Perception of the Use of the EasyPod™ Growth Hormone Injector Device and Impact on Injection Adherence: A Multi-Center Regional Study
Patients' Perception of the Use of the EasyPod™ Growth Hormone Injector Device and Impact on Injection Adherence: A Multi-Center Regional Study Open
Objective This study aimed to assess patient perceptions of the use of the EasyPod™ growth hormone delivery device and its association with compliance. Methods This cross-sectional, multicenter study was conducted in six centers from three…
View article: Balanced assessment of growth disorders using clinical, endocrinological, and genetic approaches
Balanced assessment of growth disorders using clinical, endocrinological, and genetic approaches Open
Determining the pathogenesis of pediatric growth disorders is often challenging. In many cases, no pathogenesis is identified, and a designation of idiopathic short stature is used. The investigation of short stature requires a combination…
View article: GH Resistance Is a Component of Idiopathic Short Stature: Implications for rhGH Therapy
GH Resistance Is a Component of Idiopathic Short Stature: Implications for rhGH Therapy Open
Idiopathic short stature (ISS) is a term used to describe a selection of short children for whom no precise aetiology has been identified. Molecular investigations have made notable discoveries in children with ISS, thus removing them from…
View article: Digital Health for Supporting Precision Medicine in Pediatric Endocrine Disorders: Opportunities for Improved Patient Care
Digital Health for Supporting Precision Medicine in Pediatric Endocrine Disorders: Opportunities for Improved Patient Care Open
Digitalization of healthcare delivery is rapidly fostering development of precision medicine. Multiple digital technologies, known as telehealth or eHealth tools, are guiding individualized diagnosis and treatment for patients, and can con…
View article: Growth Hormone Receptor <i>(GHR)</i> 6Ω Pseudoexon Activation: A Novel Cause of Severe Growth Hormone Insensitivity
Growth Hormone Receptor <i>(GHR)</i> 6Ω Pseudoexon Activation: A Novel Cause of Severe Growth Hormone Insensitivity Open
Context Severe forms of growth hormone insensitivity (GHI) are characterized by extreme short stature, dysmorphism, and metabolic anomalies. Objective This work aims to identify the genetic cause of growth failure in 3 “classical” GHI indi…
View article: Genetic Characterization of Short Stature Patients With Overlapping Features of Growth Hormone Insensitivity Syndromes
Genetic Characterization of Short Stature Patients With Overlapping Features of Growth Hormone Insensitivity Syndromes Open
Context Growth hormone insensitivity (GHI) in children is characterized by short stature, functional insulin-like growth factor (IGF)-I deficiency, and normal or elevated serum growth hormone (GH) concentrations. The clinical and genetic e…
View article: Digital technologies to improve the precision of paediatric growth disorder diagnosis and management
Digital technologies to improve the precision of paediatric growth disorder diagnosis and management Open