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Unveiling the Link Between Breast Cancer Treatment and Osteoporosis: Implications for Anticancer Therapy and Bone Health.

Background: The interplay between breast cancer treatment and osteoporosis has important consequences for anticancer therapy and patient bone health. Many breast cancer therapies involve hormonal treatments that lower estrogen levels, which can lead to an increased risk of osteoporosis due to reduced bone mineral density. Aromatase inhibitors, chemotherapy, and surgeries such as oophorectomy can further aggravate bone loss, highlighting the necessity of prioritizing bone health during cancer treatment. Objective: This review is aimed at investigating the complex relationship between breast can

Adult hypophosphatasia treated with reduced frequency of teriparatide dosing.

We report a 41-year-old man diagnosed with the adult form of hypophosphatasia (HPP) and treated for 4 years with less frequent than conventional daily doses of teriparatide (TPTD). He presented with a history of three low-energy fractures and low bone mineral density (BMD) ineffectively treated with bisphosphonate. We identified within ALPL, the gene that encodes the homodimeric "tissue-nonspecific" isoenzyme of alkaline phosphatase (ALP) and underlies HPP, a heterozygous missense mutation (c.455 G>A→R135H). Characteristic painful periarticular calcification removed at a shoulder did not recur

Steroid-induced dysglycaemia in patients with haematological disorders a ten-year review in a tertiary hospital in Ghana.

BackgroundGlucocorticoids (steroids) play a key role in the management of multiple medical conditions including haematological disorders. This study looked at the prevalence of steroid induced dysglycaemia in patients with haematological disorders receiving steroids as part of their treatment with the view of modifying its use and selection of patients where necessary.MethodsA retrospective review of haematology patients on treatment regimens including steroids. Information extracted included, demographic characteristics, clinical information such as age, gender, haematological disorder, type

Initial non-weight-bearing therapy is important for preventing vertebral body collapse in elderly patients with clinical vertebral fractures.

PURPOSE: The aim of the present conventional observational study was to compare the clinical outcomes of initial non-weight-bearing therapy and conventional relative rest therapy among elderly patients with clinical vertebral fractures. METHODS: In total, 196 consecutive patients with clinical vertebral fractures (mean age: 78 years) who were hospitalized for treatment between January 1999 and March 2007 were analyzed. Initial non-weight-bearing therapy consisted of complete bed rest allowing rolling on the bed without any weight-bearing to the spine for 2 weeks, followed by rehabilitation we

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… The exclusion criteria included allergy to calcitonin and bone diseases, including bone metastases of cancers, primary hyperparathyroidism, hyperthyroidism, Cushing syndrome, multiple myeloma, and osteogenesis imperfecta. …

Risk factors for osteoporosis in the elderly and predictive value of age, body mass index, and visceral fat area.

BACKGROUND/OBJECTIVES: Osteoporosis (OS) is a systemic bone disease that increases bone fragility and fracture susceptibility, which is characterized by reduced bone mass, poor bone quality, and decreased bone strength. This study examined the risk factors for OS in the elderly. SUBJECTS/METHODS: Two hundred elderly patients who underwent examinations in the authors' hospital from July 2021 to October 2023 were selected as the research subjects. The subject's clinical data were analyzed retrospectively to understand the characteristics or changes of the study subjects during the period. The s

Аутоиммунные заболевания 30,340 Датские женщины с полициклическим оварским синдромом (ПОС) по сравнению с 151,520 Контроль. Национальное кохартовое исследование.

ЦЕЛЬ: Автоиммунитет может быть частью патогенез полициклического яичного синдрома (ПХОС), однако перспективных исследований аутоиммунных заболеваний в группах населения не проводится. Это исследование было направлено на изучение показателей заболеваемости аутоиммунной болезнью у датских женщин с ПХОС до и после диагностики ПХОС по сравнению с мерами контроля. DESIGN: Национальное исследование на основе регистров. ПАТИЕНТЫ: Датские женщины диагностировали ПХОС (N = 30,340) и совпадающие по возрасту органы управления (N = 151,520). ОСНОВНЫЕ МЕРЫ ПО ИТОГАМ: Аутоиммунная болезнь является результат

Bridging the Gap: Pregnancy-And Lactation-Associated Osteoporosis.

Early diagnosis of pregnancy- and lactation-associated osteoporosis (PLO) is mandatory for a good outcome. Standard care is not a matter of conventional guidelines, rather it requires an individualized strategy while true overall incidence and pathogeny remain open issues. This is a narrative review based on full-length English articles, published between January 2021 and March 2023 and accessed via PubMed (no traumatic fractures or secondary osteoporosis are included). Our case-sample-based analysis included 836 females with PLO (the largest cohort based on published cases so far) through 12

Epidemiology and management of osteoporosis in the People's Republic of China: current perspectives.

With the progressive aging of the population, osteoporosis has gradually grown into a global health problem for men and women aged 50 years and older because of its consequences in terms of disabilities and fragility fractures. This is especially true in the People's Republic of China, which has the largest population and an increasing proportion of elderly people, as osteoporosis has become a serious challenge to the Chinese government, society, and family. Apart from the fact that all osteoporotic fractures can increase the patient's morbidity, they can also result in fractures of the hip an

Сравнительное исследование распространенности усталости у лиц с заболеваниями: систематический обзор и мета-анализ.

Усталость является одним из наиболее распространенных симптомов у лиц с заболеваниями или нарушениями, значительно влияющих на качество жизни (КЖ) и прогноз заболеваний. Настоящее исследование направлено на всестороннее сравнение особенностей усталости в широком спектре заболеваний. Мы систематически искали данные в базах данных PubMed и Cochrane Library с момента их создания до 31 марта 2021 года и провели метаанализ для получения точных оценок. Анализы проводились по классификации заболеваний, полу и степени усталости (умеренная и тяжелая), а качество исследований оценивалось с использование

A Comparison of the Physical Activity and Sedentary Behavior between Autologous and Allogeneic Hematopoietic Stem Cell Transplantation Survivors.

Objective The treatment background, as well as the frequency and type of complications, in autologous (auto-) and allogeneic (allo-) hematopoietic stem cell transplantation (HSCT) survivors influence the appearance of moderate to vigorous physical activity (MVPA) or sedentary behavior. We therefore assessed differences in the MVPA and sedentary behavior between auto- and allo-HSCT survivors. Methods This prospective observational study included 13 auto- and 36 allo-HSCT survivors (approximately 4 years after HSCT). The MVPA and sedentary behavior were assessed using a triaxial accelerometer. R

2021 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), Las Vegas, Nevada, 31 August–3 September 2021: Video Loops

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… V157 Cushing Syndrome due to Adrenal Adenoma During Pregnancy: A Case Report and Review Benjamin H Lieberman, DO 1 ; Elliot J Scott, MD 2 ; Rachel Meislin, MD 2 ; Maria Skamagas, MD 2 ; Maria Mella, MD 2 ; Gustavo Fernandez-Ranvier, MD, PhD 2 ; 1 Brookdale Hospital Medical Center; 2 Mount Sinai Health … Cushing syndrome (CS) in pregnancy is a rare occurrence with no therapeutic recommendations based on high quality control trials. …

Cardiometabolic health in people with HIV: expert consensus review.

ObjectivesTo develop consensus data statements and clinical recommendations to provide guidance for improving cardiometabolic health outcomes in people with HIV based on the knowledge and experience of an international panel of experts.MethodsA targeted literature review including 281 conference presentations, peer-reviewed articles, and background references on cardiometabolic health in adults with HIV published between January 2016 and April 2022 was conducted and used to develop draft consensus data statements. Using a modified Delphi method, an international panel of 16 experts convened in

Case series: Odontohypophosphatasia or missed diagnosis of childhood/adult-onset hypophosphatasia? - Call for a long-term follow-up of premature loss of primary teeth.

IntroductionHypophosphatasia, a metabolic bone disease caused by a tissue-nonspecific alkaline phosphatase deficiency, leads to undermineralization of bone and/or teeth, impaired vitamin B6 metabolism, and a spectrum of disease presentation. At the mild end of the spectrum, it presents as pathologic fractures in later adulthood. Patients with isolated dental manifestations, typically presenting as premature loss of primary teeth, are classified as having odontohypophosphatasia (odontoHPP). A subset of patients diagnosed with odontoHPP in childhood can later develop extra-dental manifestations

Validity of evidence-based recommendations by a large language model for interdisciplinary board decisions in neurooncology: An explorative study and critical evaluation.

ObjectivesThis study aims to evaluate the stylistic and structural equivalence of Artificial Intelligence (AI)-generated summaries, particularly those by Large Language Models (LLMs) like ChatGPT, compared to traditional human-generated case summaries in neuro-oncological board decisions. The primary goal is to explore the stylistic alignment between AI-generated and human-authored summaries from board meeting audio recordings.MethodsThe study compares 30 traditional human-generated case summaries with 30 AI-generated summaries based on board meeting audio recordings. Two expert raters, blinde

The Mechanisms of Altered Blood-Brain Barrier Permeability in CD19 CAR T-Cell Recipients.

Cluster of differentiation 19 (CD19) chimeric antigen receptor (CAR) T cells are a highly effective immunotherapy for relapsed and refractory B-cell malignancies, but their utility can be limited by the development of immune effector cell-associated neurotoxicity syndrome (ICANS). The recent discovery of CD19 expression on the pericytes in the blood-brain barrier (BBB) suggests an important off-target mechanism for ICANS development. In addition, the release of systemic cytokines stimulated by the engagement of CD19 with the CAR T cells can cause endothelial activation and decreased expression

A Rapid Review of Adenocarcinoma and Pulmonary Tumor Thrombotic Microangiopathy: A Deadly Duo.

Pulmonary tumor thrombotic microangiopathy (PTTM) is a rare paraneoplastic syndrome associated with various adenocarcinomas, most commonly gastric adenocarcinoma. This condition can progressively worsen pulmonary arterial hypertension, leading to acute or subacute pulmonary heart failure and respiratory insufficiency. This paper examines the pathogenesis, clinical presentation, diagnosis, treatment, and prognosis of PTTM. Given PTTM's poor prognosis, we emphasize treatment strategies. PTTM in adenocarcinoma patients can mimic other pulmonary diseases, causing diagnostic delays. Current PTTM tr

A Canadian Perspective: Monoclonal Antibodies for Pre- and Post-Exposure Protection from COVID-19 in Vulnerable Patients with Hematological Malignancies.

Patients with hematological malignancies have an increased risk of serious outcomes following COVID-19 infection, suggesting broader protection is needed beyond vaccination. Monoclonal antibodies such as sotrovimab, casirivimab-imdevimab, and bamlanivimab have provided valuable options for the treatment of COVID-19 disease. More recently, monoclonal antibodies have been examined for the prevention of COVID-19 infection. The monoclonal antibody combination, tixagevimab-cilgavimab, was recently approved by Health Canada as pre-exposure prophylaxis against COVID-19 in individuals who are immunoco

Small Cell Carcinoma of the Gallbladder: Case Report and Comprehensive Analysis of Published Cases.

Background. Gallbladder small cell carcinoma is a rare and highly aggressive malignancy with no established standard of care treatment. We described here a case report of small cell gallbladder cancer and we then performed a comprehensive review of 72 case reports of this disease. Methods. Published case reports of small cell carcinoma of the gallbladder between 1983 and 2014 were reviewed. Treatment modalities and survival were analyzed for metastatic and localized disease. Results. Median overall survival for all patients was 13 months. Metastatic disease was identified in 72% of cases. Trea

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… Similar to other extrahepatic biliary tumors, small cell cancer of the gallbladder is associated with cholelithiasis [ 7 ] and rarely with paraneoplastic syndromes including Cushing syndrome and paraneoplastic sensory neuropathy [ 8 , 9 ]. …

Regenerative rehabilitation: a novel multidisciplinary field to maximize patient outcomes.

Regenerative rehabilitation is a novel and rapidly developing multidisciplinary field that converges regenerative medicine and rehabilitation science, aiming to maximize the functions of disabled patients and their independence. While regenerative medicine provides state-of-the-art technologies that shed light on difficult-to-treated diseases, regenerative rehabilitation offers rehabilitation interventions to improve the positive effects of regenerative medicine. However, regenerative scientists and rehabilitation professionals focus on their aspects without enough exposure to advances in each

A Focus on CAR T-Cell Therapy and Bispecific Antibodies in Multiple Myeloma.

Significant strides have been made in the management of patients living with myeloma. However, patients with multiply relapsed or refractory multiple myeloma (MM) have a shorter overall survival; therefore, new treatments with novel mechanisms of action are needed in this patient population. Patients with relapsing disease require a full restaging workup, including whole body imaging to evaluate for extramedullary disease and lytic bone lesions, as well as bone marrow biopsy with fluorescence in situ hybridization to determine if the patient has any new chromosomal changes that are present. Th