Abstract Summary We investigated vitamin D status in Brazilian cities located at different latitudes. Insufficiency (<50 nmol/L) was common (17 %), even in those living in a tropical climate. Vitamin D insufficiency increased as a function of latitude. Mean 25-hydroxyvitamin D (25(OH)D) levels in each site and latitude correlation were very high (r = −0.88; p = 0.02). Introduction Inadequate vitamin D, determined by low levels of 25(OH)D, has become very common despite the availability
of sunlight at some latitudes. National data from a country that spans a wide range of latitudes would help to determine to what extent latitude or other factors are responsible for vitamin DZNeP concentration D deficiency. We investigated vitamin D status in cities located at different latitudes in Brazil, a large continental country. Methods The source is the Brazilian database from the Generations Trial (1,933 osteopenic or osteoporotic postmenopausal women (60 to 85 years old), with 25(OH)D measurements). 25(OH)D below 25 nmol/L (10 ng/mL) was an exclusion criterion. Baseline values were between fall and winter. The sites included Recife, Salvador, Rio de Janeiro, São Paulo, Curitiba, and Porto Alegre. Mean and standard deviation of 25(OH)D, AZD5582 research buy age, spine and femoral neck T-score, calcium, creatinine, and alkaline phosphatase were calculated for each city. Pearson correlation was used for 25(OH)D and latitude.
Results Insufficiency (<50 or <20 ng/mL) was common (329 subjects, 17 %). Vitamin D insufficiency increased as a function of latitude, reaching 24.5 % in the southernmost city, Porto Alegre. The correlation between mean 25(OH)D levels in each site and latitude was very high (r = −0.88, p=0.02). Conclusion There is a high percentage of individuals with vitamin D insufficiency in Brazil, even in cities near the equator, and MRIP this percentage progressively increases with more southern latitudes.”
“Introduction Arthrodesis is required for treating severe osteoarthritis accompanied by rheumatism, diabetes mellitus, chronic renal failure, and similar systemic diseases
. Nonunion of arthrodesis represents the most dramatic example of poor healing where the normal biologic healing process is insufficient for achieving complete union, and so surgical treatment of nonunion after arthrodesis is extremely challenging. Finding another way to treat nonunion after arthrodesis is therefore imperative. In terms of fracture healing, an accelerated effect of teriparatide has been reported in animal models as well as in several clinical studies [2–4]. Herein, we report the case of a patient with ankle nonunion who underwent multiple unsuccessful arthrodesis operations, but achieved ankle union within 12 weeks with daily teriparatide administration. Case report A 25-year-old selleck compound Japanese woman sustained a right femoral shaft fracture while climbing the stairs in May 2012 (Fig. 1a). She denied any abuse or accident such as falling down the stairs.