Kype Kype A kype is a hook-like secondary sex characteristic which develops at the distal tip of the lower jaw in some male salmonids prior to the spawning season. The structure usually develops in the weeks prior to, and during, migration to the spawning grounds. In addition to the development of the kype, a large depression forms in the two halves of the premaxilla in the upper jaw, allowing the kype to fit into the premaxilla when the mouth is closed. The kype functions as a secondary sexual characteristic and influences the formation of dominance hierarchies at the spawning grounds. The
Osteonecrosis of the jaw and 2227 cases had been reported to the manufacturer of intravenous bisphosphonates. The International Myeloma Foundation's web-based survey included 1203 respondents, 904 patients with myeloma and 299 with breast cancer and an estimate that after 36 months, osteonecrosis of the jaw had been diagnosed in 10% of 211 patients on zoledronate and 4% of 413 on pamidronate. A population based study in Germany identified more than 300 cases of osteonecrosis of the jaw, 97% occurring in cancer patients (on high-dose intravenous bisphosphonates) and 3 cases in 780,000 patients with osteoporosis for an incidence of 0.00038%. Time to event ranged from