Long-term efficacy of cyclical etidronate therapy in postmenopausal osteoporosis

Sixty-two women (mean age 68.7 +/- 0.9 yr) with postmenopausal spinal osteoporosis were treated with cyclical etidronate therapy (400 mg for 2 weeks alternating with 12 weeks of 1 gm elemental calcium and 400 IU Vitamin D3) for a minimum of 2 yr. Bone mineral density (BMD) of the lumbar spine (g/cm2) increased significantly (p < 0.0001) after yr 1 (4.1 +/- 0.5 per cent) and yr 2 compared with yr 1 (2.2 +/- 0.5 per cent). The response rate was 89 per cent after yr 1 and 84 per cent after yr 2. BMD of the hip (30 patients) increased by 1.5 +/- 0.9 per cent after yr 1 and 5.5 +/- 1.1 per cent (p < 0.0001) after yr 2 when compared with baseline. The response rate was 63 per cent after yr 1 and 80 per cent after yr 2. Smaller numbers of patients continued with treatment up to 4 yr with no adverse long-term effects.     

On parity problems and the functional-link artificial neural network

This paper contains the proof of a theorem on the capability of functional-link artificial neural networks both to represent and to learn the n-dimensional parity problem. The result is obtained by an embedding of the problem into a space of dimension 2ⁿ — 1. It is shown that the Volterra expansion of the data in n-dimensions provides the necessary transformation. By computing the parity function, it is shown that a suitable set of neural network weights can be deduced. Finally, it is demonstrated that 2ⁿ — 1 is the minimum embedding dimension for the problem.The contribution of A Zuderell of the University of Innsbruck is acknowledged.     

Long-wavelength infrared photoinduced switching of a resonanttunneling diode using the intersubband transition

Voltage switching induced by long-wavelength infrared light from a CO₂ laser was observed using a double-barrier resonant tunneling diode (RTD) biased in the bistable region and the intersubband transition (IT) between the quantum confined states. Possible optoelectronic and all-optical switching applications involving hysteresis are proposed and discussed     

Specific heat of thin helium films in a cylindrical geometry

We report measurements of the specific heat of thin helium films adsorbed in the 0.2 µm pores of Anopore membranes. Over the temperature range of these studies, two specific heat anomalies, strongly dependent on helium film thickness, were found.     

Vitamin D and calcium in the prevention of corticosteroid induced osteoporosis: a 3 year followup

OBJECTIVE: To determine the efficacy and safety of vitamin D 50,000 units/week and calcium 1,000 mg/day in the prevention of corticosteroid induced osteoporosis. METHODS: A minimized double blind, placebo controlled trial in corticosteroid treated subjects in a tertiary care university affiliated hospital. The sample was 62 subjects with polymyalgia rheumatica, temporal arteritis, asthma, vasculitis, or systemic lupus erythematosus. The primary outcome measure was the percentage change in bone mineral density (BMD) of the lumbar spine in the 2 treatment groups from baseline to 36 mo followup. RESULTS: BMD of the lumbar spine in the vitamin D and calcium treated group decreased by a mean (SD) of 2.6% (4.1%) at 12 mo, 3.7% (4.5%) at 24 mo, and 2.2% (5.8%) at 36 mo. In the placebo group there was a decrease of 4.1% (4.1%) at 12 mo, 3.8% (5.6%) at 24 mo, and 1.5% (8.8%) at 36 mo. The observed differences between groups were not statistically significant. The difference at 36 mo was-0.693% (95% CI -5.34, 3.95). CONCLUSION: Vitamin D and calcium may help prevent the early loss of bone seen in the lumbar spine as measured by densitometry of the lumbar spine. Longterm vitamin D and calcium in those undergoing extended therapy with corticosteroids does not appear to be beneficial.     

Implementation of a hypertext-based curriculum for emergency medicine on the World Wide Web

This project reports the publication of a variety of existing curricular resources for emergency medicine on the global Internet in a format that allows hypertext links between related material, timely updates, and end-user feedback. Curricular elements were converted to Hypertext Markup Language with extensive links between related content. The completed document contains instructions for curriculum development, specific curricula for subspecialty areas within a residency, reading lists for subspecialty curricula, banks of images, and board-type questions with answers. Users are provided with a mechanism to provide immediate feedback to section editors with suggestions for changes, including new references. Access to all or part of the document can be controlled via passwords, but is potentially available to anyone with an Internet connection and a World Wide Web browser. The document may by viewed on the World Wide Web at: http:@www.brown.edu@Administration@emergency_Medicine@ curr.html.     

Self-image resilience and dissonance: The role of affirmational resources.

Predicted that high self-esteem Ss (HSEs) would rationalize an esteem-threatening decision less than low self-esteem Ss (LSEs), because HSEs presumably had more favorable self-concepts with which to affirm, and thus repair, their overall sense of self-integrity. This prediction was supported in 2 experiments within the "free-choice" dissonance paradigm: one that manipulated self-esteem through personality feedback and the other that varied it through selection of HSEs and LSEs, but only when Ss were made to focus on their self-concepts. A 3rd experiment countered an alternative explanation of the results in terms of mood effects that may have accompanied the experimental manipulations. Results were discussed in terms of the following: (1) their support for a resources theory of individual differences in resilience to self-image threats—an extension of self-affirmation theory, (2) their implications for self-esteem functioning, and (3) their implications for the continuing debate over self-enhancement vs self-consistency motivation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

High-oil, high-protein diets and milk secretion by cows

Intakes of grass silage and yield and composition of milk were examined in cows given high-protein diets to which two quantities of soybean oil had been added either as intracellular or extracellular inclusions. Adding extra protein to the diet did not prevent reduction of dry matter intakes of forage when soybean oil was added to the diet of cows. There is a fundamental difference in the mechanism by which high-starch diets reduce intake of forage dry matter from that of high-oil diets. In diets containing extracellular unsaturated oils, concentration of oil in the total ration, not the amount of oil per se, is the primary determinant reducing milk fat percentage.     

Optoelectronic properties of n-type CdZnTe 2-DEGsingle-quantum-well heterostructures

Optoelectronic properties of asymmetrically strained II-VI CdZnTe single-quantum-well structures grown by molecular-beam epitaxy are reported. Indium doping CdZnTe n-type using a two-dimensional electron gas heterostructure achieved a carrier mobility of 5000 cm²·V^-1 s^-1 at 40 K. A shallow donor ionization energy of 14.5 meV was determined from Hall effect measurements. Fabrication of a large-area-mesa heterostructure device allowed us to investigate exciton absorption of the mixed type-I and type-II single quantum well. Control of the electron concentration in the quantum well allows optical absorption modulation using both the quantum-confined Stark effect (QCSE) and phase-space absorption quenching. Separation of electron and hole photocurrents in different layers is demonstrated and results in photogain. A heavy-hole red-shift of 9.9 meV/V due to the reverse QCSE is reported