The first report of anterior pituitary dysfunction as a result of traumatic brain injury was published in 1918 I. Subsequent reviews and case reports identified additional instances of ...hypopituitarism following head injury 2–4. In particular, the special article by Benvenga and coworkers 5 included 367 historical patients with TBIinduced hypopituitarism, together with new data of 15 patients from their own centre, and alerted many endocrinologists on the problem. The Authors found that in most cases (71%) hypopituitarisrn was diagnosed within one year of injury, although occasionally the diagnosis was not made for more than 20 years after the injury. Indeed, there are reports of patients with total, multiple, or isolated hypopituitarism whose clinical data revealed a history of previous TBI, many years before the endocrinological diagnosis, but the patients themselves did not recall their brain injury without prompting, or the assistance of a friend or family member 5.
Report on chronic dialysis in France in 2016 Bouchet, Jean-Louis; Bourdenx, Jean-Philippe; Brasseur, Jose ...
Néphrologie & thérapeutique,
04/2017, Letnik:
13, Številka:
2
Journal Article
Recenzirano
The report on dialysis in France in 2016 from the French Speaking Society of Nephrology Dialysis and Transplantation (SFNDT) provides an exhaustive and documented inventory on dialysis in France. It ...underlines the organizations that are important in 2016 to maintain a high quality dialysis. Several measures are proposed to maintain and improve the care of dialysis in France: (1) The regulation of dialysis treatment in France must be maintained; (2) a burden of care indicator is proposed to ensure that patients requiring the most care are treated in the centers. Proposals are also made to stimulate peritoneal dialysis offers, (3) to improve the calculation of the cost of dialysis and warn against lower reimbursement rates of dialysis, (4) to reduce transport costs by minimizing transport by ambulance (5). The SFNDT recalls recent recommendations concerning access to the renal transplant waiting list, are recalled; (6) as well as recommendations that require waiting until clinical signs are present to start dialysis (7). The SFNDT makes the proposal to set up advanced renal failure units. These units are expected to develop care that is not supported today: consultation with a nurse, a dietician, a social worker or psychologist, palliative care, and coordination (8). Finally, the financial and human resources for pediatric dialysis should be maintained.
