We report a 30-year-old woman who presented during pregnancy with mechanical type backache due to non-traumatic multiple vertebral fractures. In-depth the assessment revealed multiple risk factors for osteoporosis, including adolescent steroid use for asthma, prolonged breastfeeding, and vitamin D deficiency. She also had persistently elevated inflammatory markers with radiological evidence of early inflammatory Sacro-ileitis. The rheumatoid factor and HLA B27 were negative. She was successfully managed with NSAIDS, zoledronic acid, and calcium supplementation. This is an example of early inflammatory arthritis in the background of multiple risk factors causing osteoporosis severe enough to cause fragility fractures. This signifies the importance of screening for multiple risk factors in pre-menopausal osteoporosis even in the presence of one or two identified risk factors.
NIH Funded Articles
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- Wake-up Strokes Are Similar to Known-Onset Morning Strokes in Severity and Outcome
- Objectively Coding Intervention Fidelity During A Phone-Based Obesity Prevention Study
- Acculturation and Subclinical Atherosclerosis among U.S. South Asians: Findings from the MASALA study
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A Preliminary Evaluation Study to Determine the Effectiveness of Infra-Red Photography for the Rapid Visualisation of Gun Shot Residue on Fabric
Infrared (IR) photography has been shown to be a proficient technique for the examination of documents, blood traces and ageing of skin injuries. However, its application in relation to the visualisation of latent Gunshot Residue (GSR) deposits has, until now, been significantly under researched. This paper evaluates the effectiveness of IR photography as a rapid technique for GSR visualisation on different fabric types.
How the Interaction of Childhood Sexual Abuse and Gender Relates to HIV Risk Practices among Urban-Dwelling African Americans
Previous research has demonstrated that HIV risk practices often differ based on gender and on whether or not people experienced sexual abuse during their formative (i.e., childhood and adolescence) years. The interaction of these two factors, which is the focus of this paper, has received limited attention.
This paper explores the emerging role of the private sector and public-private partnerships for e-waste management in the developing world. We use a combination of two conceptual frameworks, the triple bottom line approach and the sustainable livelihoods approach, to analyze the case study of the Extended Producer Responsibility (EPR) programme in Nigeria, which was launched in 2016. The sustainable livelihoods approach has been adopted in international development for over two decades, but so far it has not been applied for inclusion of informal sector workers in e-waste. Our findings illustrate how the financial and environmental bottom lines have already received considerable attention during the development of the Nigerian EPR programme, but that the social elements, in particular informal sector inclusion, have received less attention. Consequently, based on proven practices of the sustainable livelihoods approach, this paper identifies opportunities and provides recommendations as to how the international and national private sector players and government agencies involved in Nigeria’s e-waste EPR programme can establish a social engagement model to support inclusion of the informal sector. This model would not only help meet the financial and environmental bottom lines, but also address the social bottom line to improve livelihood outcomes for informal e-waste recyclers.