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http://dx.doi.org/10.1080/17434440.2025.2463340 | DOI Listing |
J Pediatr Orthop
September 2025
Scottish Rite for Children.
Background: Legg-Calvé-Perthes disease (LCPD) is a pediatric hip disorder characterized by idiopathic avascular necrosis of the femoral head. Although its etiology remains unclear, frequent observations of short stature and delayed skeletal maturation have suggested disturbance of systemic growth regulation, particularly involving the growth hormone (GH)/insulin-like growth factor-1 (IGF-1) axis. This study evaluates the impact of GH deficiency (GHD) and timing of GH therapy (GHT) on radiographic progression and femoral head morphology in LCPD.
View Article and Find Full Text PDFFront Neurosci
August 2025
Beijing Life Science Academy, Beijing, China.
Hypocretin, also known as orexin, is a hypothalamic neuropeptide that regulates essential physiological processes including arousal, energy metabolism, feeding behavior, and emotional states. Through widespread projections and two G-protein-coupled receptors-HCRT-1R and HCRT-2R-the hypocretin system exerts diverse modulatory effects across the central nervous system. The role of hypocretin in maintaining wakefulness is well established, particularly in narcolepsy type 1 (NT1), where loss of hypocretin neurons leads to excessive daytime sleepiness and cataplexy.
View Article and Find Full Text PDFCureus
August 2025
Ophthalmology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Dandy-Walker syndrome (DWS), also referred to as Dandy-Walker malformation, is a rare congenital developmental anomaly characterized by enlargement of the posterior fossa, dilatation of the fourth ventricle, and cerebellar hypoplasia with upward rotation. Retinoblastoma is the most common primary intraocular malignancy in children and typically presents in the pediatric age group, with leukocoria and strabismus being common early signs. Although DWS and retinoblastoma are individually rare, their simultaneous occurrence is exceptionally uncommon.
View Article and Find Full Text PDFCureus
August 2025
Respiratory Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Tuberculosis (TB) is a multisystem infectious disease with both pulmonary and extrapulmonary manifestations. TB can also induce a hypercoagulable state, setting off a cascade of changes in the body, including systemic inflammation, endothelial dysfunction, and abnormalities in the coagulation and fibrinolytic pathways. Collectively, these factors significantly increase the risk of venous thromboembolism, such as deep vein thrombosis and pulmonary embolism.
View Article and Find Full Text PDFAlpha Psychiatry
August 2025
Physical Integrated Diagnosis and Treatment Center, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 310058 Hangzhou, Zhejiang, China.
Background: Postictal delirium (PID) is a significant and often underrecognized adverse effect associated with electroconvulsive therapy (ECT) in geriatric patients. Despite its clinical relevance, the specific risk factors contributing to the development of PID in this vulnerable population remain inadequately understood, which may affect treatment outcomes and patient safety.
Methods: In this retrospective study, we analyzed data from 168 elderly patients who underwent ECT between 2009 and 2020 at a general hospital in China.