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 23–39 months and 42–46 months with high dose intravenous and oral bisphosphonates. A prospective, population based study by Mavrokokki "et al.". estimated an incidence of osteonecrosis of the jaw of 1.15% for intravenous bisphosphonates and 0.04% for oral bisphosphonates. Most cases (73%) were precipitated by dental extractions. In contrast, safety studies sponsored by the manufacturer reported bisphosphonate-associated osteonecrosis of the jaw rates that were much lower. Although the majority of cases of ONJ have occurred in cancer patients receiving high dose intravenous bisphosphonates, almost 800 cases have been reported in oral bisphosphonate users for osteoporosis or Pagets disease. In terms