Publications by authors named "Taisha Joseph"

Type 1 diabetes (T1D) confers an increased risk of fracture and is associated with lower bone mineral density (BMD) and altered microarchitecture compared with controls. Adequate calcium (Ca) intake promotes bone mineralization, thereby increasing BMD. The objective of this analysis was to evaluate the associations of total daily Ca intake with bone outcomes among youth with T1D.

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Though rates of colorectal cancer (CRC) screening continue to improve with increased advocacy and awareness, there are numerous disparities that continue to be defined within different health systems and populations. We aimed to define associations between patients' socio-demographic characteristics and CRC screening in a well-resourced safety-net health system. A retrospective review was performed from 2018 to 2019 of patients between 50 and 75-years-old who had a primary care visit within the last two years.

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Context: Cystic fibrosis (CF) transmembrane conductance (CFTR) dysfunction may play a role in CF-related bone disease (CFBD). Ivacaftor is a CFTR potentiator effective in improving pulmonary and nutritional outcomes in patients with the G551D-CFTR mutation. The effects of ivacaftor on bone health are unknown.

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Context: Among patients with type 1 diabetes (T1D), the risk of hip fracture is up to 6-fold greater than that of the general population. However, the cause of this skeletal fragility remains poorly understood.

Objective: To assess differences in hip geometry and imaging-based estimates of bone strength between youth with and without T1D using dual-energy x-ray absorptiometry (DXA)-based hip structural analysis.

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Article Synopsis
  • Girls with type 1 diabetes (T1D) show differences in bone microarchitecture compared to healthy controls, particularly affecting trabecular bone density and cortical porosity.
  • While overall bone mineral density (BMD) appears similar, significant microstructural changes and lower mechanical strength were noted in T1D participants, especially those with poorer glycemic control (HbA1c > 8.5%).
  • Lower levels of bone formation markers and insulin-like growth factor 1 (IGF-1) in T1D girls suggest these factors may contribute to the observed skeletal fragility in this population.
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