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Current opinion in orthopaedics最新文献

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Mechanism of cell-mediated mineralization 细胞介导的矿化机制
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282742022
C. H. A. Lest, A. Vaandrager
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引用次数: 14
Mother was right 母亲是对的
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282BE8F35
L. Tosi
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引用次数: 5
Physiological and pathological mineralization: a complex multifactorial process 生理和病理矿化:一个复杂的多因素过程
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282E6F3DE
T. Kirsch
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引用次数: 17
Rickets: new insights into a re-emerging problem 佝偻病:对一个重新出现的问题的新见解
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282B97118
P. Dimitri, N. Bishop
Rickets is a disease that has plagued communities for centuries. Once thought of as a disease that was left behind in the industrial revolution of the nineteenth century, nutritional rickets is re-emerging as a problem in Western Europe and the US. Reduction in vitamin D and calcium intake in children's diets along with migration of culturally vulnerable groups to more temperate climates have increased, predisposing large populations to vitamin D deficiency and rickets. Recent evidence suggests that vitamin D deficiency during pregnancy may have both an immediate and longer-term deleterious effect on children. Focus on hypophosphataemic rickets has identified FGF23 as the phosphaturic factor central to renal phosphate loss. Mutations in the dentin matrix protein-1 gene have been implicated in autosomal recessive hypophosphataemic rickets. Rickets is the most common form of metabolic bone disease worldwide. Measures such as adequate sunlight exposure and dietary supplementation are simple but effective in reducing rickets. It is important to target culturally vulnerable groups and pregnant women. Preterm babies form a specific population that is particularly vulnerable to the metabolic consequences of calcium and phosphate deficiency, requiring early intervention.
佝偻病是一种困扰社区几个世纪的疾病。营养佝偻病曾被认为是19世纪工业革命遗留下来的一种疾病,如今在西欧和美国重新成为一个问题。儿童饮食中维生素D和钙摄入量的减少,以及文化弱势群体向更温和气候的迁移,使大量人口易患维生素D缺乏症和佝偻病。最近的证据表明,怀孕期间缺乏维生素D可能会对儿童产生直接和长期的有害影响。对低磷血症佝偻病的关注已经确定FGF23是肾磷丢失的核心磷酸化因子。牙本质基质蛋白-1基因的突变与常染色体隐性低磷佝偻病有关。佝偻病是世界上最常见的代谢性骨病。充足的阳光照射和膳食补充等措施对减少佝偻病是简单而有效的。重要的是要针对文化弱势群体和孕妇。早产儿是一个特殊的群体,特别容易受到钙和磷酸盐缺乏的代谢后果的影响,需要早期干预。
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引用次数: 5
The inorganic phosphate/inorganic pyrophosphate axis in the mineralization of cartilage and bone 软骨和骨矿化中的无机磷酸盐/无机焦磷酸盐轴
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E328285DFFC
R. Zaka, C. Williams
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引用次数: 5
Bone??s material and structural strength 骨?S材质和结构强度
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282A9C162
E. Seeman
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引用次数: 34
The impact of bariatric surgery on bone metabolism 减肥手术对骨代谢的影响
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282BA54C4
Naina Sinha, R. Bockman
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引用次数: 2
Extracellular ATP and its effects on physiological and pathological mineralization 细胞外ATP及其在生理和病理矿化中的作用
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E328285DFE8
C. Thouverey, F. Bleicher, J. Bandorowicz-Pikula
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引用次数: 7
The role of noncollagenous proteins in mineralization 非胶原蛋白在矿化中的作用
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E32825E1D84
A. Rosenthal
Purpose of reviewMineralization of the extracellular matrix is crucial for the development and maintenance of healthy bones and teeth, but also contributes to the pathologic calcification seen in atherosclerosis, osteoarthritis, and nephrolithiasis. Extracellular matrix participates in both normal a
细胞外基质的矿化对骨骼和牙齿的健康发育和维持至关重要,但也有助于动脉粥样硬化、骨关节炎和肾结石的病理性钙化。细胞外基质参与正常a
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引用次数: 8
Vitamin D inadequacy in 2007: what it is and how to manage it 2007年的维生素D不足:它是什么以及如何管理它
Pub Date : 2007-09-01 DOI: 10.1097/BCO.0B013E3282AB992F
J. Glowacki
Purpose of review Recent evidence confirms the widespread occurrence of vitamin D deficiency and inadequacy in the general population, especially in patients with fractures and in populations at risk for osteoporotic fractures. Recent findings Limited exposure to sunlight and dietary sources, especially among the elderly, has contributed to the reemergence of musculoskeletal problems attributable to hypovitaminosis D. Overarching themes in the recent literature include the alarming evidence that recommendations for ensuring skeletal health are not being utilized, and the evidence indicating that daily intakes for vitamin D need to be higher than the current national recommendations. Summary Clinicians and healthcare advocacy organizations have called attention to the need for revision of the recommended daily intake of vitamin D on the basis of the amount required to achieve a serum 25-hydroxyvitamin D level of at least 32 ng/ml (80 nmol/l), the serum concentration that is needed to optimize absorption of dietary calcium, suppress excess secretion of parathyroid hormone, and reduce fracture risk. Evidence indicates that to sustain adequate serum levels of 25-hydroxyvitamin D, a daily oral dose of vitamin D3 should be in the order of 1000–2000 IU/day.
最近的证据证实,维生素D缺乏和不足在普通人群中普遍存在,特别是在骨折患者和骨质疏松性骨折高危人群中。最近的研究发现,特别是在老年人中,有限的阳光照射和饮食来源导致了由维生素D缺乏症引起的肌肉骨骼问题的重新出现。最近文献中的主要主题包括令人震惊的证据,即确保骨骼健康的建议没有得到利用,以及有证据表明维生素D的每日摄入量需要高于目前的国家建议。临床医生和卫生保健倡导组织已经提请注意,需要根据达到至少32 ng/ml (80 nmol/l)的血清25-羟基维生素D水平所需的量来修订维生素D的推荐日摄入量,这是优化膳食钙吸收、抑制甲状旁腺激素过量分泌和降低骨折风险所需的血清浓度。有证据表明,为了维持足够的血清25-羟基维生素D水平,每天口服维生素D3的剂量应该在1000-2000国际单位/天。
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引用次数: 3
期刊
Current opinion in orthopaedics
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