0000000001058802

AUTHOR

David M. Baguley

showing 3 related works from this author

Homozygous Resistance to Thyroid Hormone β: Can Combined Antithyroid Drug and Triiodothyroacetic Acid Treatment Prevent Cardiac Failure?

2017

Resistance to thyroid hormone β (RTHβ) due to homozygous THRB defects is exceptionally rare, with only five kindreds reported worldwide. Cardiac dysfunction, which can be life-threatening, is recognized in the disorder. Here we describe the clinical, metabolic, ophthalmic, and cardiac findings in a 9-year-old boy harboring a biallelic THRB mutation (R243Q), along with biochemical, physiologic, and cardiac responses to carbimazole and triiodothyroacetic acid (TRIAC) therapy. The patient exhibits recognized features (goiter, nonsuppressed thyroid-stimulating hormone levels, upper respiratory tract infections, hyperactivity, low body mass index) of heterozygous RTHβ, with additional characteri…

0301 basic medicineCardiac function curvemedicine.medical_specialtyendocrine systemGoiterendocrine system diseasesEndocrinology Diabetes and Metabolism030209 endocrinology & metabolismCase ReportsCardiovascularthyroidresistance to thyroid hormonehomozygous THRB mutation03 medical and health sciences0302 clinical medicineClinical ResearchInternal medicinemedicine2.1 Biological and endogenous factorsDecompensation2. Zero hungercardiac thyrotoxicosisbusiness.industryThyroidDilated cardiomyopathymedicine.disease3. Good health030104 developmental biologyEndocrinologymedicine.anatomical_structureCarbimazoleHeart Disease6.1 PharmaceuticalsBasal metabolic ratebusinessHormonemedicine.drug
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Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal)

2021

As for hypertension, chronic pain, epilepsy and other disorders with particular symptoms, a commonly accepted and unambiguous definition provides a common ground for researchers and clinicians to study and treat the problem. The WHO's ICD11 definition only mentions tinnitus as a nonspecific symptom of a hearing disorder, but not as a clinical entity in its own right, and the American Psychiatric Association's DSM-V doesn't mention tinnitus at all. Here we propose that the tinnitus without and with associated suffering should be differentiated by distinct terms: "Tinnitus" for the former and "Tinnitus Disorder" for the latter. The proposed definition then becomes "Tinnitus is the conscious a…

medicine.medical_specialtyOperational definitionbusiness.industryChronic painCognitionDiseaseAudiologymedicine.disease03 medical and health sciencesHearing disorderEpilepsy0302 clinical medicineMultidisciplinary approachotorhinolaryngologic diseasesmedicinemedicine.symptombusiness030217 neurology & neurosurgeryTinnitus
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Methodological aspects of clinical trials in tinnitus: a proposal for an international standard

2012

Abstract: Chronic tinnitus is a common condition with a high burden of disease. While many different treatments are used in clinical practice, the evidence for the efficacy of these treatments is low and the variance of treatment response between individuals is high. This is most likely due to the great heterogeneity of tinnitus with respect to clinical features as well as underlying pathophysiological mechanisms. There is a clear need to find effective treatment options in tinnitus, however, clinical trials differ substantially with respect to methodological quality and design. Consequently, the conclusions that can be derived from these studies are limited and jeopardize comparison betwee…

Research designmedicine.medical_specialtyAlternative medicineMEDLINE610 Medicine & health10045 Clinic for OtorhinolaryngologyArticleTinnitus2738 Psychiatry and Mental Healthotorhinolaryngologic diseasesMedicineHumansClinical Trials as TopicEvidence-Based Medicinebusiness.industry3203 Clinical PsychologyVariance (accounting)Evidence-based medicineGuidelineClinical trialPsychiatry and Mental healthClinical PsychologyResearch DesignHuman medicinemedicine.symptombusinessTinnitusClinical psychology
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