Publications by authors named "Andrea Jacobson"

Article Synopsis
  • Patients with chronic kidney disease (CKD) have a significantly higher risk of fractures due to changes in bone structure, specifically increased cortical porosity and diminished matrix hydration.
  • The study involved inducing CKD in mice and testing the effects of mechanical loading and a drug, raloxifene, on bone properties over ten weeks.
  • Results showed that combining mechanical loading with raloxifene treatment improved bone characteristics in CKD mice, leading to lower porosity and enhanced hydration, which could help reduce fracture risk.
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Introduction: Conventional bone imaging methods primarily use X-ray techniques to assess bone mineral density (BMD), focusing exclusively on the mineral phase. This approach lacks information about the organic phase and bone water content, resulting in an incomplete evaluation of bone health. Recent research highlights the potential of ultrashort echo time magnetic resonance imaging (UTE MRI) to measure cortical porosity and estimate BMD based on signal intensity.

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Primary care research represents only 1% of all federally funded projects. However, innovation in primary care is central to advancing health care delivery. Indeed, leaders in health care innovation recently called for primary care payment reform proposals to be tested in accountable care organizations (ACOs) consisting of independent practices (ie, practices not owned by hospitals).

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Raloxifene (RAL) reduces clinical fracture risk despite modest effects on bone mass and density. This reduction in fracture risk may be due to improved material level-mechanical properties through a non-cell mediated increase in bone hydration. Synthetic salmon calcitonin (CAL) has also demonstrated efficacy in reducing fracture risk with only modest bone mass and density improvements.

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Thermoneutral housing and Raloxifene (RAL) treatment both have potential for improving mechanical and architectural properties of bone. Housing mice within a 30 to 32 °C range improves bone quality by reducing the consequences of cold stress, such as shivering and metabolic energy consumption (Chevalier et al. in Cell Metab 32(4):575-590.

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