Katherine Lord

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Hyperinsulinism (HI) is the leading cause of persistent hypoglycemia in children, which if unrecognized may lead to development delays and permanent neurologic damage. Prompt recognition and appropriate treatment of HI are essential to avoid these sequelae. Major advances have been made over the past two decades in understanding the molecular basis of(More)
Importance Normal thyroid gland function is critical for early neurocognitive development, as well as for growth and development throughout childhood and adolescence. Thyroid disorders are common, and attention to physical examination findings, combined with selected laboratory and radiologic tools, aids in the early diagnosis and treatment. Objective To(More)
Type 1 diabetes is one of the most common chronic diseases of childhood and adolescence. Multiple registries have assessed its epidemiology and have noted a steady increase in incidence of the disease. This article addresses the epidemiology of type 1 diabetes in children aged 0 to 19 years, by reviewing the available, current data from both US and(More)
CONTEXT Children with the most common and severe type of congenital hyperinsulinism (HI) frequently require pancreatectomy to control the hypoglycemia. Pancreatectomy increases the risk for diabetes, whereas recurrent hypoglycemia places children at risk of neurocognitive dysfunction. The prevalence of these complications is not well defined. OBJECTIVE(More)
CONTEXT Congenital hyperinsulinism (HI) occurs in two distinct histologic forms: diffuse and focal. Distinguishing between them is essential because a pancreatectomy is curative for focal HI and palliative for diffuse HI. OBJECTIVE The purpose of this study was to compare the presentations, treatment, and outcomes of diffuse and focal HI. DESIGN A(More)
The conversion of squalene to lanosterol by rat liver preparations in vitro has been re-examined. It has been shown that this transformation, hitherto considered to take place through the agency of one enzyme (“squalene oxidocyclase-1”), actually involves the formation of squalene-2,3oxide as an intermediate. The oxide is cyclized to lanosterol by a(More)
To study qualitative and quantitative changes in the glial cell population of young postnatal dogs, the cervical spinal cords of 20 beagle pups, ranging in age from 1 to 28 days, were prepared for light and electron microscopy. Glial cells in the lateral corticospinal tract were classified and quantified directly on the electron microscope. Quantification(More)
BACKGROUND Successful organ donation has been reported after death from poisonings with cyanide, carbon monoxide, methanol, benzodiazepines, and tricyclic antidepressants. In this report, we describe a case of multiple organ donation from a previously healthy individual who died from poisoning with the long-acting anticoagulant rodenticide, brodifacoum. (More)