Acromegaly at diagnosis in 3173 patients from the Liège Acromegaly Survey (LAS) Database

Acromegaly is a rare disorder caused by chronic growth hormone (GH) hypersecretion. While diagnostic and therapeutic methods have advanced, little information exists on trends in acromegaly characteristics over time. The Liège Acromegaly Survey (LAS) Database, a relational database, is designed to assess the profile of acromegaly patients at diagnosis and during long-term follow-up at multiple treatment centers. The following results were obtained at diagnosis. The study population consisted of 3173 acromegaly patients from ten countries; 54.5% were female. Males were significantly younger at diagnosis than females (43.5 vs 46.4 years; P 3100 patients is the largest international acromegaly database and shows clinically relevant trends in the characteristics of acromegaly at diagnosis

Structure and function of the feeding apparatus in the common musk turtle Sternotherus odoratus (Chelonia, Kinosternidae)

The present study examined the kinematic patterns of initial food uptake, food transport, pharyngeal packing and swallowing in the common musk turtle Sternotherus odoratus. These data are supplemented by morphological descriptions of the skull and the hyolingual complex. Although the hyoid is mainly cartilaginous, S. odoratus still use exclusively hydrodynamic mechanisms in prey capture and prey transport. The tongue is relatively small, with weakly developed intrinsic musculature. We propose that the elasticity of the hypoglossum and the hyoid body impacts the capability of S. odoratus to suction feed, but allows these turtles to effectively re-position the food items within the oropharyngeal cavity during transport, manipulation and pharyngeal packing. We standardised conditions in all feeding events by using food items of the same consistence and size, and by always offering the food at the same position at the bottom of the aquarium. Nonetheless, the measured kinematic values varied considerably. The duration of prey capture and prey transport cycles were relatively long in S. odoratus compared to other freshwater turtles studied so far. The initiation of hyoid retraction relative to the onset of jaw opening can be modulated not only in prey capture but also in prey transport cycles. In the common musk turtle, the jaw and hyoid movements apparently have a low level of integration

Acromegaly at diagnosis in 3173 patients from the Liège Acromegaly Survey (LAS) Database.

Acromegaly is a rare disorder caused by chronic growth hormone (GH) hypersecretion. While diagnostic and therapeutic methods have advanced, little information exists on trends in acromegaly characteristics over time. The Liège Acromegaly Survey (LAS) Database, a relational database, is designed to assess the profile of acromegaly patients at diagnosis and during long-term follow-up at multiple treatment centers. The following results were obtained at diagnosis. The study population consisted of 3173 acromegaly patients from ten countries; 54.5% were female. Males were significantly younger at diagnosis than females (43.5 vs 46.4 years; P 3100 patients is the largest international acromegaly database and shows clinically relevant trends in the characteristics of acromegaly at diagnosis