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+ REPRODUCTIVE HEALTH
The IVF Shopping List: To
Tick or Not to Tick
+ HEPATOLOGY
Cholestasis in the Baby
September 2019 Vol 4.3 ISSN: 2397-6764 and Infant
+ RESPIRATORY
Exercise and Rhinitis in Athletes
+ EDITOR'S PICK
Systemic Sclerosis: The Role of
YAP/TAZ in Disease Pathogenesis
europeanmedical-journal.com
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Optimizing clinical outcomes in asthma
and COPD: focus on inhaler satisfaction
and patient adherence
Selection of the right in
+ REPRODUCTIVE HEALTH The IVF Shopping List: To T
Use your smartphone to vote in polls and
EMJ 4.3 Chief Executive Officer Spencer Gore Seni
Contents + EDITORIAL BOARD
“In the following pages, we present a ran
Editorial Board Editor-in-Chief Prof Markus Peck-
Aims and Scope The European Medical Journal (EMJ)
IN YOUR PATIENTS WITH SEVERE UNCONTROLLED ASTHMA
Welcome Valued readers, I proudly welcome you to
THE ART OF RESPIRATORY DIAGNOSTICSSchiller Group
Foreword Dear colleagues, It is with great pleasu
PSA doubling time of ≤10 months in nmCRPC despite
PUSH BACK ON PROGRESSION INTRODUCING ERLEADA® IN
The IVF Shopping List: To Tick or Not to Tick
the Provoost model is a consensus-based model. A
This paper describes the application of the
investigate miscarriage, a significant reduction i
EMBRYO GLUE The use of hyaluronan-rich (HA) suppl
The inconclusive and sometimes contradictory resu
grades of sensitivity are different, generat
References 1. Harper J et al. Adjuncts in th
Variability of Biologics and its Impact
factors that must be considered during clinical d
protected sales could be replaced by more a
Clinical trials PK/PD Preclinical Biologi
across the key effector functionalities associate
less suitable in certain situations, including in
Response, % (90% Cl) ORR by independent central r
increases in biosimilar uptake are likely to lead
based-EU perspective. 2017. Available at: https:/
Moderate Psoriatic Arthritis and Perspectives fro
Introduction: Moderate Psoriatic Arthritis - Wha
Blood/lymphoid tissue Th1 TH17
patients with PsA have at least two conditions ot
Psoriatic Disease Activity Index tools were able
Learnings from Phosphodiesterase-
Summary Patients with moderate PsA represent a re
6. Merola JF et al. Distinguishing rhe
46. Coates LC et al. AB0741 Achievement
Antineutrophil Cytoplasmic Antibody-Associated
CURRENT CHALLENGES The antineutrophil cytoplasmic
ophthalmologist. “It is quite a challenge t
consequence of delayed disease control. Further t
Prof de Groot. Prof Bruchfeld agreed, “In general
LOOKING AHEAD Considering the future of treatment
Prof Kirsten de Groot Medical Clinic III (Interna
Systemic Sclerosis: The Role of YAP/TAZ in
INTRODUCTION Systemic sclerosis (SSc) is
B-Cell
Epithelial/endothelial cell Tense actin belt Adh
YAP/TAZ. It may participate in both promoting and
pneumonitis (n=15) versus non-nuclear expression
TEAD 4 directly targets peroxisome proliferator-
to have low levels of caveolin-1 leading t
References 1. Zhao B et al. The Hippo–YAP
44. Yeo MK et al. Expression pattern
Noninvasive Imaging Modalities in Nonalcoholic
a key role in ruling out focal liver lesions and
Magnetic Resonance Spectroscopy MR spectroscopy (
are limited; thus, further studies are needed to
disease. Ann Hepatol. 2008;7(3):212- 26. 20.
51. Ferraioli G et al. WFUMB guidelines
Scalp Sarcoidosis with Systemic Involvement: A
of several irregularly round and confluent patches
A B Figure 2: Trichoscopy of the
DISCUSSION Sarcoidosis is an idiopathic chron
but with a poor response. High potency topical st
A Versatile, Low-Cost, Three-Dimensional-Printed
When fluid collections are smaller, care
the suprapatellar effusion was created using
Figure 2: A) Suprapatellar short-axis view of kne
was created by the food storage container to allo
Cholestasis in the Baby and Infant Authors:
AETIOLOGY In children and neonates, cholestas
Table 1 continued. Idiopathic Idiopathic neo
The diseases that are important causes of c
Bile Acid Synthesis Disorders/Inborn Errors of Bi
of this gene is limited to the liver; therefore,
Some newborns with cholestasis can present with
therapeutic irrigation of inspissated bile from t
Rifampicin acts by upregulating detoxification enz
(eds.), Liver diseases in children
Acquired Sperm DNA Modifications: Causes, Con
is also the source of two developmentally i
free ends and therefore generates the chiasma.10
Even though small amounts of ROS are normally pro
fact, Sertoli cells not only participate in the g
nucleolar precursor bodies (NPB) in the male and
Excessive ROS can be of both endogenous (sp
Figure 2: Sperm intranuclear vacuoles observed in
References 1. Rathke C et al. Chromatin dyna
human spermatozoa. J Reprod Fert. 60. 1987
88. Tesarik J, Kopecny V. Nucleic acid s
We want you to write for the EMJ
INTRODUCTION Food allergy (FA) is a potentially l
treatment. Desensitisation could achieve disease
to the available experimental data, a prope
Over 50.0% of children with HE allergy develop na
with negative sIgE outgrew their allergy.32,33 Fo
References 1. Pajno GB et al. Allergen
Primary Sclerosing Cholangitis: A Cl
AND PATHOGENESIS EPIDEMIOLOGY, GENETICS, PSC is
seen in patients with PSC. Albumin is normal in e
RHD LHD CD CHD RAH CBD MPD MF 1.76 GB Figur
Table 1: Causes of secondary sclerosing cholangit
The addition of fluorescent in situ hybridisation
the other hand do not endorse use of UDCA for pre
altered anatomy that prevents successful ERCP, su
References 1. Aoki CA et al. The immunobiolo
cholangitis. Am J Gastroenterol. 2011;106(9):1638
Polymyalgia Rheumatica and Seronegative El
sedimentation rate [ESR] and C-reactive p
having RA.34 To detect early RA, on the other han
AND YOUNG-ONSET RHEUMATOID ARTHRITIS DIFFERENCES
pathognomonic findings.64,65 As highlighted by the
In some patients, small doses of GC are necessary
patients with SEORA, short term treatment with
recommendations for the management of rheumatoid
2015 European League Against Rheumatism/American
Exercise and Rhinitis in Athletes Authors:
with the distinctive, and often severe, symptom b
Exercise-induced changes in nasal secretions
Bougault et al.9 who showed significantl
corticosteroids, and immunotherapy. Nowadays, S
medications that may fall foul of anti-doping reg
25. Erkul E et al. Effects of indoor swi
What's New Adolescents’ Kidney and Liver Functio
What's New A Novel Toolkit for the
"Gold-silica nanoshells infusion allows for a fo
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