Study Estimates 15,000 Children and Adolescents Diagnosed with Type 1 Diabetes Annually
Easily clip, save and share what you find with family and friends. Easily download and save what you find. Medical Case Reports is an open access, peer-reviewed online journal publishing original and study Estimates 15,000 Children and Adolescents Diagnosed with Type 1 Diabetes Annually valuable case reports that expand the field of medicine. The journal covers all medical specialties comprising a comprehensive resource for physicians in all fields and at all stages of training.
Medical Case Reports is an open access, peer-review journal which follows single-blind review system, it often follows Editorial Managing System for review process of an article. Medical Case Reports delivers a focused valuable collection of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. The journal mainly focuses on symptoms, signs, diagnosis, treatment, and follow-up of patient disease in different areas. Diabetes Case Reports Diabetes is a chronic metabolic disease that occurs when the human body is not able to produce enough of the hormone insulin or because cells do not respond to the insulin that is produced.
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Cancer Case Reports In 2012, an estimated 14. HIV Case Reports HIV is the world’s leading infectious killer. According to WHO, Exit Disclaimer an estimated 39 million people have died since the first cases were reported in 1981 and 1. 5 million people died of AIDS-related causes in 2013.
Obesity Case Reports In 2014, more than 1. 9 billion adults, 18 years and older, were overweight. Of these over 600 million were obese. Depression Case Reports Depression is a common illness worldwide, with an estimated 350 million people affected.
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Depression is different from usual mood fluctuations and short-lived emotional responses to challenges in everyday life. Especially when long-lasting and with moderate or severe intensity, depression may become a serious health condition. Heart Case Reports Heart disease is responsible for the most deaths worldwide for both men and women of all races. Coronary artery disease, a blockage of the arteries that supply blood to the heart, is the most common type of heart disease.
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About 600,000 people in the United States die from heart disease every year—that’s one in four deaths. ASD is reported to occur in all racial, ethnic, and socioeconomic groups. Drug Addiction Case Report According to World Drugs report for 2012, 230 million people around the world – 1 in 20 in US – took illicit drugs in the last year. The report also says that problem drug users, mainly heroin – and cocaine-dependent people number about 27 million, roughly 0.
There is no reliable estimate of global prevalence, but estimated annual global incidence is 40 to 80 cases per million population. Malnutrition Case Report The United Nations Food and Agriculture Organization estimates that about 805 million people of the 7. 3 billion people in the world, or one in nine, were suffering from chronic undernourishment in 2012-2014. Nearly half of all deaths in children under 5 are attributable to undernutrition. Osteoporosis Case Report Worldwide, osteoporosis causes more than 8. 9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds. Osteoporosis is estimated to affect 200 million women worldwide – approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90.
Medical Reporting Database Each year, the FDA receives several hundred thousand medical device reports of suspected device-associated deaths, serious injuries and malfunctions. FDA uses to monitor device performance, detect potential device-related safety issues, and contribute to benefit-risk assessments of these products. Medical Transcription Reports Medical transcription is part of the healthcare industry that renders and edits doctor dictated reports, procedures, and notes in an electronic format in order to create files representing the treatment history of patients. Veterinary Case Report Veterinary Case Reports journals aims to publish cases in all disciplines so that veterinary professionals, researchers and others can easily find important information on both common and rare conditions pertaining to veternary. All articles are peer reviewed before publication. 2016 Journal Impact Factor was established by dividing the number of articles published in 2014 and 2015 with the number of times they are cited in 2016 based on Google Scholar Citation Index database. Zoledronic acid is contraindicated and considered experimental and investigational in persons with hypocalcemia.
The World Health Organization defines osteoporosis as a bone mineral density value at the spine, hip, or forearm of 2. T-score less than or equal to 2. Osteopenia is any bone density below the young adult mean. The antiresorptive mechanism is not fully understood and several factors are thought to contribute to this action. Bisphosphonates have high affinity for mineralized bone, with relatively long duration of action.
In the osteoclast, the main molecular target of zoledronic acid is the enzyme farnesyl pyrophosphate synthase. Zoledronic acid is primarily eliminated through the kidney and may put patients with decreased renal function at increased risk for nephrotoxicity. Screen patients prior to each administration of zoledronic acid to identify those with underlying acute or chronic renal impairment, advanced age, or dehydration. Patients with underlying renal impairment appear to be at highest risk for kidney failure. Zoledronic acid should be used with caution in this population. The risk of acute renal failure may increase with underlying renal disease and dehydration secondary to fever, sepsis, gastrointestinal losses, diuretic therapy, administration with nephrotoxic medications, etc. The risk of developing renal failure in patients with renal impairment also increases with age.
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Calculate creatinine clearance before each dose of Reclast. Patients must be adequately supplemented with calcium and vitamin D if dietary intake is not sufficient. 1000 IU daily of vitamin D. The optimal duration of use for zoledronic acid has not been determined. Atypical femur fractures have been reported. Patients with thigh or groin pain should be evaluated to rule out a femoral fracture.
Withhold future doses if severe incapacitating bone, joint, or muscle pain symptoms occur. Zoledronic acid has been linked to osteonecrosis of the jaw. Per NCCN: Results from the study conducted by Zervas et al. Severe incapacitating bone, joint, muscle pain may occur.
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Women of childbearing potential should be advised of the potential hazard to the fetus and to avoid becoming pregnant. 4 mg infused over 15 mins every 3 to 4 weeks. The optimal duration of therapy is unknown. Doses calculated assuming target AUC of 0. For patients with normal baseline creatinine, increase of 0. For patients with an abnormal baseline creatinine, increase of 1.
The 4 mg dose must be given as a single-dose intravenous infusion over 15 mins. Patients who receive Zometa should have serum creatinine assessed prior to each treatment. In September 2011, the FDA notified healthcare professionals as well as patients of an update to the drug label for Reclast regarding the risk of renal failure. Cases of acute renal failure requiring dialysis or having a fatal outcome following Reclast use have been reported to FDA. Pooled data from 2 multi-center trials involving 275 patients with hypercalcemia of malignancy compared patients receiving a single dose of either 4 mg or 8 mg zoledronic acid infused over 5 mins, to patients receiving a single 90 mg dose of pamidronate infused over 2 hrs. By day 10 of treatment, corrected serum calcium concentrations were normalized in 88.
4 mg zoledronic acid, and 86. Zoledronic acid has been compared to pamidronate in a 13-month phase III study of 1,648 patients with advanced stage III multiple myeloma or advanced breast cancer with bone metastases. The study showed that zoledronic acid and pamidronate are approximately equal in effectiveness with respect to the primary efficacy endpoint, the proportion of patients experiencing at least one skeletal-related event. 2 double-blind, placebo-controlled clinical studies of zoledronic acid in the treatment of Paget disease of the bone.
347 patients with Paget disease of the bone. The single-dose bisphosphonate is administered by intravenous infusion for 15 mins. The approval is based on data from clinical studies linking zoledronic acid to a greater therapeutic response, faster onset of action, and longer remission period when compared to risedronate therapy. Patients must be appropriately hydrated prior to administration of zoledronic acid and this is especially important for patients receiving diuretic therapy.
It can be dosed without regard to meals. To reduce the risk of hypocalcemia, all patients with Paget’s disease receiving zoledronic acid should receive 1500 mg elemental calcium daily in divided doses and 800 IU vitamin D daily, particularly in the two weeks following zoledronic acid administration. All patients should be instructed on the importance of calcium and vitamin D supplementation in maintaining serum calcium levels, and on the symptoms of hypocalcemia. European Union for the treatment of Paget’s disease of bone. Paget disease when there is localized pain in an affected bone that is attributable to increased metabolic activity.
Asymptomatic disease does not require treatment. The safety and effectiveness of Reclast for the treatment of osteoporosis is based on clinical data of three years duration. The optimal duration of use has not been determined. 3 to 5 years of use.
Zoledronic acid has been shown to increase bone density and decrease fracture risk in women with post-menopausal osteoporosis. HORIZON Pivotal Fracture Trial, a double-blind, randomized controlled clinical trial of a once-yearly infusion of zoledronic acid on fracture risk over a 3-year period. 2-year randomized, multi-center, double-blind, placebo-controlled study of 581 post-menopausal women 45 years of age or older. The World Health Organization defines osteoporosis in post-menopausal women as a BMD value at the spine, hip, or forearm of 2. 1,062 patients were assigned to receive placebo. The infusions were first administered within 90 days after surgical repair of a hip fracture. In a systematic review, these researchers compared the benefits in fracture reduction and the harms from adverse events of various therapies for osteoporosis.
For the effectiveness analysis, they selected studies that reported the rate of or risk for fractures. The FDA approval for osteoporosis in men was based on data from a 2-year, double-blind, head-to-head trial in more than 300 osteoporotic men. The study compared the efficacy and safety of Reclast with a commercially available oral weekly bisphoponate and found that Reclast increased lumbar spine BMD by 6. The FDA approved Reclast injection for the treatment and prevention of osteoporosis caused by glucocorticoids for patients expected to be on glucocorticoids for at least 12 months. This approval was based on data from a multi-national, double-blind, head-to-head study comparing Reclast to an established therapy. OI, given in combination with good orthopedic, physiotherapy and rehabilitation programs. A total of 22 patients with OI and related conditions were treated.
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These patients had initial treatment with pamidronate. Lumbar spine z-scores, annual change in areal BMD, bone mineral adjusted density, fracture number and linear growth before and after zoledronic acid treatment was commenced, were compared. BMD during 3 years of treatment and 2 years after completing adjuvant treatment with or without zoledronic acid. 3 months and adequate renal function. The guidelines state that data for adjuvant denosumab look promising but are currently insufficient to make any recommendation. For patients with cancers assessed as having low risk of recurrence, the use of bisphosphonates may not result in clinically meaningful effect. Within the AZURE trial, designed to determine whether the addition of ZOL to neoadjuvant therapy improves disease outcomes, a subgroup received neoadjuvant CT.
These investigators reported a retrospective evaluation comparing pathological response in the primary tumor between treatment groups. These investigators examined if treatment with zoledronic acid, in addition to standard adjuvant therapy, would improve disease outcomes in such patients. Observational studies have suggested a possible protective effect of bisphosphonates on breast cancer, but the effect of bisphosphonate use on risk of breast cancer has not been tested in randomized trials. The authors sought individual patient data from all unconfounded trials in early breast cancer that randomized between bisphosphonate and control.
Primary outcomes were recurrence, distant recurrence, and breast cancer mortality. A literature search using MEDLINE and the Cochrane Collaboration Library identified relevant studies published between January 2003 and November 2010. The primary outcomes of interest were SREs and time to SRE. Bisphosphonates have shown efficacy in reducing the risk of SREs in cancer patients with bone metastases, including those with NSCLC.
Zoledronic acid is one of the most potent bisphosphonates and is approved for the first-line treatment of patients with multiple myeloma and bone metastases from solid tumors. A total of 39 consecutive patients were randomly assigned to placebo or 3 intravenous infusions of 4 mg zoledronic acid. A total of 11 original studies were identified. The limited data available suggested pamidronate, alendronate and calcitonin provide some clinical and biochemical improvements. On the other hand, zoledronic acid is deleterious and, increases off-loading times.
Patients with erosive PsA were randomized to receive 3-monthly infusions of zoledronic acid or placebo for 1 year. An additional “tests alone” group received no infusions. Clinical assessments and MRI scans were performed at baseline and 1 year. Diagnostic dilemmas can arise due to incomplete manifestations or confusion generated through mimicking of other conditions, such as osteomyelitis. There are few reports in the literature of non-surgical management of ON. Prescription pamidronate and clodronate helps avoid the complication.
Reducing the administered dose for denosumab and zoledronic acid might reduce risk for ONJ as well. Disuse is the primary cause for bone loss, although neural and hormonal changes may also contribute via different mechanisms. Bisphosphonates are used widely to treat osteoporosis in adults and are used increasingly for primary and secondary osteoporosis in children. Occasionally, symptomatic hypercalcemia and hypercalciuria complicate early resorption of bone mass within the first few months of SCI. Manifestations can include nausea, vomiting, anorexia, lethargy, and polyuria. There is an increased risk of nephrolithiasis.
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Treatment is graded to severity of symptoms. Baseline biochemical tests and T-score by DXA were done and repeated after 12 months. In a randomized, placebo-controlled, double-blinded trial, these researchers evaluated the effectiveness of ZA for chronic LBP among patients with MC in MRI. A total of 25 patients with osteoporosis secondary to indolent systemic mastocytosis were given a single intravenous infusion of 5-mg zoledronic acid dissolved in 100 ml of 0. After 1 year, the mean increase in BMD was 6. Osteoporosis and fractures — Patients should be monitored for osteoporosis and treated appropriately. Appropriate daily intake of calcium and vitamin D should be maintained.