Patients with CAH
generally regard their condition not as a political issue, but as a life-threatening medical one.
The revised statute (sometimes referred to as "certificate of need lite") serves to deliver a degree of protection from other providers whose health services in a CAH
's service area may affect its ability to provide "essential healthcare services." The statute requires two mandatory steps specific to any new healthcare facility proposed within a 15-mile radius of a CAH
In this issue of JCRPE, Guran et al (9) present the first pilot study of NBS for 21-OHD in Turkey in nearly 40,000 neonates to estimate incidence of CAH
in Turkey and to assess the characteristics and efficacy of the adopted newborn CAH
The second most common cause was found to be testosterone synthesis defect which constituted 23%(n=30) followed by CAH
, 12%(n=16) and among these cases 80% were salt wasting (n=13).
Prague officials said CAH
7 should be holding those payments in trust to pay hospital employees, insurance and vendors.
The authors recommend that all newborn screening programs include screening for CAH
due to 21-hydroxylase deficiency.
To determine the CAH
model attributes, two existing programs were considered.
Approximately 95% of cases of CAH
are due to deficiency of enzymes 21-hydroxylase (21-OH) which catalyzes the conversion of progesterone and 17-hydroxyprogesterone (17-OXP) to deoxy-corticosterone and 11 deoxy-cortisol respectively.1,3,4 Clinical features of CAH
vary depending upon the form of CAH
and the sex of patient.
A review of the literature was conducted to understand the historical development and performance of CAHs
and to identify challenges faced by CAH
There is a lack of reporting on the prevalence of CAH
in resourcepoor countries such as South Africa (SA), affecting diagnosis, treatment and management outcomes.
Brainstem infarctions and ischemia can lead to CAH