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Juvenile Diabetes type 1

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https://www.readbyqxmd.com/read/28428167/developing-a-patient-centered-mhealth-app-a-tool-for-adolescents-with-type-1-diabetes-and-their-parents
#1
Bree E Holtz, Katharine M Murray, Denise D Hershey, Julie K Dunneback, Shelia R Cotten, Amanda J Holmstrom, Arpita Vyas, Molly K Kaiser, Michael A Wood
BACKGROUND: Type 1 diabetes (T1D) afflicts approximately 154,000 people under 20 years of age. Three-quarters of adolescents are not achieving glycosylated hemoglobin (HbA1c) targets, which leads to negative health outcomes. Mobile health (mHealth), the use of technology in health, has been used successfully to improve health in many chronic conditions, including diabetes. OBJECTIVE: The purpose of this study was to use patient-centered research methods to inform and improve the design and functionality of our T1D app, MyT1DHero, and to provide insight for others who are designing a health app for adolescents and parents...
April 19, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28378047/-confocal-microscope-examination-of-the-corneal-nerve-plexus-as-biomarker-for-systemic-diseases-view-from-the-corneal-nerve-plexus-on-diabetes-mellitus-disease
#2
S Baltrusch
It is estimated that approximately 50% of patients with diabetes mellitus suffer from polyneuropathy, which is frequently diagnosed too late. Consequently, the question arises whether imaging procedures of the eye, namely optical coherence tomography of the retina and confocal microscopy of the cornea are suitable for the diagnostics and follow-up control of neurodegenerative changes in patients with diabetes mellitus. De Clerck and co-workers could demonstrate this by a systematic review of studies. Of these studies 11 were further evaluated with respect to corneal confocal microscopy...
April 4, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28333965/worm-infestations-and-development-of-autoimmunity-in-children-the-abis-study
#3
Johnny Ludvigsson, Michael P Jones, Åshild Faresjö
Worm infestations influence the immune system and may therefore decrease the risk for autoimmune diseases. The aim of the study was to determine whether children who have developed autoimmune disease were less likely to have had worm infestations in childhood. The ABIS-study is a prospective population-based cohort study of children born in southeast Sweden 1997/99. 17.055 children participated. As of June 2014 116 individuals had developed Type 1 diabetes, 181 celiac disease, and 53 Juvenile Rheumatoid Arthritis...
2017: PloS One
https://www.readbyqxmd.com/read/28132032/effect-of-salacia-reticulata-w-and-clitoria-ternatea-l-on-the-cognitive-and-behavioral-changes-in-the-streptozotocin-induced-young-diabetic-rats
#4
R Rajashree, Rajani Patil, Sanjiva D Khlokute, Shivaprasad S Goudar
BACKGROUND: Diabetes mellitus (DM) of juvenile onset affects both the peripheral and central nervous systems (CNS). However, central effects are less documented and studied than peripheral deficits. Currently, the only feasible treatment available for type 1 DM (T1DM) is insulin which has its own limitations. Hence, an alternative therapy, especially a newer herbal formulation is very much the need of the time. The present study aimed to determine the effects of the alcoholic extracts of roots of the Salacia reticulata W...
March 1, 2017: Journal of Basic and Clinical Physiology and Pharmacology
https://www.readbyqxmd.com/read/27941197/-immune-mediated-inflammatory-diseases-and-accompanying-comorbidities
#5
Maria Majdan
Immune-Mediated Inflammatory Diseases (IMIDs) are a group of unrelated conditions that share common inflammatory pathways with immune dysregulation and imbalance in inflammatory cytokines. The aetiology of these conditions is unknown. IMIDs encompassing disorders as diverse as asthma, type 1 and 2 diabetes mellitus, inflammatory bowel diseases (IBD) Crohn disease and ulcerative colitis, rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriasis (Ps), psoriatic arthritis (PsA), uveitis, juvenile idiopathic arthritis (JIA)...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27818684/no-contribution-of-gad-65-and-ia-2-autoantibodies-around-time-of-diagnosis-to-the-increasing-incidence-of-juvenile-type-1-diabetes-a-9-year-nationwide-danish-study
#6
Steffen U Thorsen, Christian B Pipper, Henrik B Mortensen, Flemming Pociot, Jesper Johannesen, Jannet Svensson
Aims. A new perspective on autoantibodies as pivotal players in the pathogenesis of type 1 diabetes (T1D) has recently emerged. Our key objective was to examine whether increased levels of autoantibodies against the β-cell autoantigens glutamic acid decarboxylase (isoform 65) (GADA) and insulinoma associated antigen-2A (IA-2A) mirrored the 3.4% annual increase in incidence of T1D. Methods. From the Danish Childhood Diabetes Register, we randomly selected 500 patients and 500 siblings for GADA and IA-2A analysis (1997 through 2005)...
2016: International Journal of Endocrinology
https://www.readbyqxmd.com/read/27650128/the-human-microbiome-and-juvenile-idiopathic-arthritis
#7
REVIEW
Anouk Verwoerd, Nienke M Ter Haar, Sytze de Roock, Sebastiaan J Vastert, Debby Bogaert
Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood. The pathogenesis of JIA is thought to be the result of a combination of host genetic and environmental triggers. However, the precise factors that determine one's susceptibility to JIA remain to be unravelled. The microbiome has received increasing attention as a potential contributing factor to the development of a wide array of immune-mediated diseases, including inflammatory bowel disease, type 1 diabetes and rheumatoid arthritis...
September 20, 2016: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/27605748/metabolic-syndrome-in-childhood-rare-case-of-alstrom-syndrome-with-blindness
#8
Afzal Ahmad, Benedicta D'Souza, Charu Yadav, Ashish Agarwal, Anand Kumar, M Nandini, Vivian D'Souza, A M Poornima, Nutan Kamath
Alstrom's syndrome (AS) is a rare autosomal recessive ciliopathic condition affecting 1:10,00,000 children. It's a single gene disorder of ALMS1 on chromosome 2 with multisystem involvement with cone-rod retinal dystrophy causing juvenile blindness, obesity, insulin resistance, type 2 Diabetes mellitus, hypogonadism and sensorineural hearing loss. Till now only 800 patients with this disorder has been identified so far. In this report, we describe the case of a 9-year old male boy from south India. He had been initially referred for polyphagia, polyuria, polydipsia, generalized weakness from 1 weeks...
October 2016: Indian Journal of Clinical Biochemistry: IJCB
https://www.readbyqxmd.com/read/27257171/australasian-diabetes-data-network-building-a-collaborative-resource
#9
Helen Clapin, Helen Phelan, Loren Bruns, Richard Sinnott, Peter Colman, Maria Craig, Timothy Jones
Australasia is a region with a high incidence of type 1 diabetes (T1D). There are approximately 140 000 individuals with T1D, and of these 10 000 are children. Although the region covers a huge geographical area, most children with T1D are managed by tertiary academic centers in the major capital cities. Local longitudinal data collection has been in place for several decades in most of these centers, however ongoing national data collection had not been attempted. In 2012, with funding from the Juvenile Diabetes Research Foundation (JDRF) Australian Type 1 Clinical Research Network, a national collaboration was formed to provide ongoing longitudinal collection of T1D patient characteristics and outcomes...
September 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27227975/a-screening-tool-for-assessing-alcohol-use-risk-among-medically-vulnerable-youth
#10
Sharon Levy, Fatma Dedeoglu, Jonathan M Gaffin, Katharine C Garvey, Elizabeth Harstad, Andrew MacGinnitie, Paul A Rufo, Qian Huang, Rosemary E Ziemnik, Lauren E Wisk, Elissa R Weitzman
BACKGROUND: In an effort to reduce barriers to screening for alcohol use in pediatric primary care, the National Institute on Alcoholism and Alcohol Abuse (NIAAA) developed a two-question Youth Alcohol Screening Tool derived from population-based survey data. It is unknown whether this screening tool, designed for use with general populations, accurately identifies risk among youth with chronic medical conditions (YCMC). This growing population, which comprises nearly one in four youth in the US, faces a unique constellation of drinking-related risks...
2016: PloS One
https://www.readbyqxmd.com/read/27099223/-polyglandular-autoimmune-syndromes-an-overview
#11
P Komminoth
Polyglandular autoimmune syndromes (PGAS), also known as autoimmune polyendocrinopathy syndromes (APS), are a heterogeneous group of rare, genetically caused diseases of the immune system which lead to inflammatory damage of various endocrine glands resulting in malfunctions. In addition, autoimmune diseases of non-endocrine organs may also be found. Early diagnosis of PGAS is often overlooked because of heterogeneous symptoms and the progressive occurrence of the individual diseases. The two most important forms of PGAS are the juvenile and adult types...
May 2016: Der Pathologe
https://www.readbyqxmd.com/read/27079868/valproic-acid-improves-glucose-homeostasis-by-increasing-beta-cell-proliferation-function-and-reducing-its-apoptosis-through-hdac-inhibition-in-juvenile-diabetic-rat
#12
Sabbir Khan, Gopabandhu Jena
Recent evidence highlighted that there is a link between type-1 diabetes mellitus and histone deacetylases (HDACs) due to their involvement in beta-cell differentiation, proliferation, and function. The present study aimed to investigate the protective role of valproic acid (VPA) on beta-cell proliferation, function, and apoptosis in juvenile diabetic rat. Diabetes was induced in juvenile Sprague-Dawley rats by streptozotocin (75 mg/kg, i.p.) and VPA was administered at the doses of 150 and 300 mg/kg/day for 3 weeks by oral route...
September 2016: Journal of Biochemical and Molecular Toxicology
https://www.readbyqxmd.com/read/27057999/lrba-deficiency-with-autoimmunity-and-early-onset-chronic-erosive-polyarthritis
#13
Eva Lévy, Marie-Claude Stolzenberg, Julie Bruneau, Sylvain Breton, Bénédicte Neven, Sylvie Sauvion, Mohammed Zarhrate, Patrick Nitschké, Alain Fischer, Aude Magérus-Chatinet, Pierre Quartier, Frédéric Rieux-Laucat
LRBA (lipopolysaccharide-responsive and beige-like anchor protein) deficiency associates immune deficiency, lymphoproliferation, and various organ-specific autoimmunity. To date, prevalent symptoms are autoimmune cytopenias and enteropathy, and lymphocytic interstitial lung disease. In 2 siblings from a consanguineous family presenting with early onset polyautoimmunity, we presumed autosomal recessive inheritance and performed whole exome sequencing. We herein report the first case of early-onset, severe, chronic polyarthritis associated with LRBA deficiency...
July 2016: Clinical Immunology: the Official Journal of the Clinical Immunology Society
https://www.readbyqxmd.com/read/27045389/bipolar-disorder-type-1-in-a-17-year-old-girl-with-wolfram-syndrome
#14
Jean Xavier, Nadège Bourvis, Antoine Tanet, Tatiana Ramos, Didier Perisse, Isabelle Marey, David Cohen, Angèle Consoli
OBJECTIVE: Wolfram syndrome (WS, MIM 222300) is a rare autosomal, recessive neurodegenerative disorder associated with mutations in WFS1, a gene that has been associated with bipolar disorder (BD). WS, characterized by the association of juvenile-onset diabetes mellitus (DM) and bilateral progressive optic atrophy (BPOA), encompasses several other clinical features, including cognitive impairments and psychiatric disorders. Detailed data on the psychiatric phenotype are still scarce, and how WS relates to BD is still unknown...
April 5, 2016: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/26965173/familial-autoimmunity-in-the-childhood-arthritis-and-rheumatology-research-alliance-registry
#15
MULTICENTER STUDY
Sampath Prahalad, Courtney E McCracken, Lori A Ponder, Sheila T Angeles-Han, Kelly A Rouster Stevens, Larry B Vogler, Carl D Langefeld, Susan D Thompson
BACKGROUND: Clinically distinct autoimmune phenotypes share genetic susceptibility factors. We investigated the prevalence of familial autoimmunity among subjects with juvenile idiopathic arthritis (JIA), childhood systemic lupus erythematosus (cSLE) and juvenile dermatomyositis (JDM) in the CARRA Registry, the largest multicenter observational Registry for pediatric rheumatic disease. METHODS: Children with JIA, cSLE and JDM enrolled in the CARRA Registry between May 2010 and May 2012 were investigated for differences in proportion of subjects who had first-degree relatives (FDR) with autoimmunity...
March 10, 2016: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/26951536/comparison-of-anterior-segment-parameters-in-juvenile-diabetes-mellitus-and-healthy-eyes
#16
COMPARATIVE STUDY
Mehmet M Uzel, Ufuk Elgin, Emine Sen, Melikşah Keskin, Elif Sağsak, Zehra Aycan
PURPOSE: To compare the anterior segment parameters of patients with juvenile diabetes mellitus (DM) and healthy children by optical biometry. METHODS: This prospective controlled clinical trial included 47 patients with juvenile type 1 DM and 50 age- and sex-matched healthy children. Central corneal thickness (CCT), aqueous depth (AD), lens thickness (LT), axial length, pupillary diameter (PD), K1 and K2 keratometry, and white to white distance (WTW) measurements were performed with optical biometry...
November 4, 2016: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/26940286/safety-profile-of-anakinra-in-the-management-of-rheumatologic-metabolic-and-autoinflammatory-disorders
#17
REVIEW
Giuseppe Lopalco, Donato Rigante, Margherita Giannini, Mauro Galeazzi, Giovanni Lapadula, Florenzo Iannone, Luca Cantarini
Anakinra is a biologic response modifier that competitively antagonises the biologic effects of interleukin-1, the ancestor pleiotropic proinflammatory cytokine produced by numerous cell types, found in excess in the serum, synovial fluid and any involved tissues of patients with many inflammatory diseases. The magnitude of the risk of different infections, including Mycobacterium tuberculosis (Mtb) infection, associated with the large use of anakinra in many rheumatologic, metabolic or autoinflammatory disorders is still unknown...
May 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/26765074/adverse-event-monitoring-of-the-human-papillomavirus-vaccines-in-scotland
#18
R L Cameron, S Ahmed, K G J Pollock
BACKGROUND: Human papillomavirus (HPV) vaccines are currently utilised globally in national immunisation programmes. While evidence from clinical trials and epidemiological studies suggest that the HPV vaccines are both effective and safe, concerns about the safety of the vaccine and scientifically unproven associations with severe adverse events following immunisation have led to dramatic decreases in vaccine uptake in Japan and acceptance issues in other countries. AIM: In Scotland, we utilised hospital admissions data to assess the impact of the HPV immunisation programme on the incidence of 60 diagnoses between 2004 and 2014 in both girls and boys; with boys acting as a comparator group...
April 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/26718942/faecal-microbiome-in-new-onset-juvenile-idiopathic-arthritis
#19
M V Tejesvi, M Arvonen, S M Kangas, P L Keskitalo, A M Pirttilä, T J Karttunen, P Vähäsalo
Alterations in the intestinal microbial flora have been linked with autoimmune diseases. Our objective was to analyse the composition of the faecal microbiome of children with new-onset juvenile idiopathic arthritis (JIA) compared to healthy controls, and to identify specific gut bacteria associated with JIA. Stool samples from patients were taken at the time of diagnosis of JIA. The microbiome profiles of samples of 30 children with JIA (mean age 6.2 years, 22 girls) were analysed with 16S region-based sequencing profiling and compared to the stool samples of healthy controls (n = 27, mean age 5...
March 2016: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/26698849/parental-rheumatoid-arthritis-and-long-term-child-morbidity-a-nationwide-cohort-study
#20
Ane Lilleøre Rom, Chun Sen Wu, Jørn Olsen, Damini Jawaheer, Merete Lund Hetland, Bent Ottesen, Lina Steinrud Mørch
OBJECTIVE: To estimate the influence of parental rheumatoid arthritis (RA) on child morbidity. DESIGN: Nationwide cohort study. SETTING: Individual linkage to nationwide Danish registries. PARTICIPANTS: All singletons born in Denmark during 1977-2008 (n=1 917 723) were followed for an average of 16 years. MAIN OUTCOME MEASURES: Adjusted HRs for child morbidity; that is, 11 main diagnostic groups and specific autoimmune diseases within the International Classification of Diseases 8th and 10th versions...
October 2016: Annals of the Rheumatic Diseases
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