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.     

Apolipoprotein(a) concentrations in type 2 (non-insulin dependent) diabetic patients from Romania

Several studies suggested that lipoprotein (a)-Lp(a) is an independent atherogenic risk factor. Since non-insulin-dependent diabetes mellitus (NIDDM) is characterized by an increased risk of coronary heart disease (CHD) as related to the general population, the main purpose of our study was to compare the plasma levels of apolipoprotein (a)-(apo) (a) in 30 NIDDM patients hospitalized in our department, and in 20 non-diabetic controls from Timi?oara. Apo (a) values were similar in the two groups (medians, 95% confidence intervals 57 (50-107) in NIDDM versus 58 (51-106) U/l in controls; p = 0.9097). We found weak correlations between apo (a) and hemoglobin A1 (HbA1) (r = 0.42). A significant association was noticed between apo (a) and apo B, both in NIDDM (r = 0.71) and in control subjects (r = 0.81) p < < 0.001. The diabetic patients were screened for microalbuminaria with the MICRAL-test and we compared apo (a) levels in those having albumin excretion values above and under the cut-off point (20 mg/l). Apo (a) concentrations were similar in both samples. We found no association between apo (a) and plasma lipid values. NIDDM patients on fair glycemic control have similar apo (a) concentrations to non-diabetic subjects and they do not seem to be influenced by diabetes duration, HbA1, microalbuminuria and plasma lipid values Apo (a) and apo B are significantly correlated, both in diabetic and non-diabetic subjects.     

Heat and Moisture Transfer in Wet Sand Exposed to Solar Radiation—Models and Experiments Concerning Buried Objects

One promising method of locating buried objects, such as land mines, is to use optical systems for detecting contrasts in surface temperature. With enhanced knowledge about the interacting physical processes behind these temperature contrasts, it is possible to improve detection precision. In such a context, moisture movement in the soil and moisture evaporation from the surface have been found to be of particular interest. This study was based on indoor experiments on wet and dry sand exposed to radiation from a solar panel. Simulations of heat and moisture transfer conducted with a one-dimensional model are also presented for the experiments. The calculations were successful in accurately predicting surface temperatures for both wet and dry sand, making it possible to predict surface temperatures under different conditions. These findings will contribute to increasing the probability of successful detection of buried objects under real conditions using optical methods.     

Algorithms for Scheduling Multi-Level Just-In-Time Production Systems

Many companies are using Just-In-Time (JIT) control systems in their mixed-model multi-level production facilities. When scheduling these facilities the most important objective is to keep a constant rate of usage for every part used by the system. In this paper a mathematical model for scheduling these facilities is studied and techniques for determining good schedules are developed. Procedures for solving very large problems are given.     

Capacity and power control for CDMA microcells

Capacity and power control issues are considered for urban CDMA microcells that operate on channels characterized by log-normal shadowing and Nakagami fading. The effects of fading on the desired and interfering signals, variations in the shadow standard deviation, imperfect power control, and the requiredE _b /N _o for satisfactory link operation are investigated. It is shown that the reverse channel is relatively insensitive, and the forward channel very sensitive, to shadow and fading variations. Power control error is shown to significantly degrade reverse channel capacity. Twobiased forward channel power control strategies are introduced to enhance existing unbiasedbalancing forward channel power control algorithms.This research has been supported by BNR Inc.     

A typical meteorological day (TMD) approach for predicting the long-term performance of solar energy systems

A method for predicting the long-term performance of solar energy systems, based on the analysis of system performance for one particular day—the typical meteorological day (TMD)—is presented. The TMD is constructed from the cumulative time distribution of insolation values on the collector aperture. The TMD method requires little calculational effort and a small data base relative to standard yearly computer simulations. Good agreement is found between the predictions of the new method and the corresponding results of the -f-chart method. The TMD method is of particular value for cases that may often be treated inaccurately by simple calculational methods: (1) high threshold problems; (2) systems with short response times (e.g., due to small storage); and (3) systems in which collectors other than flat plates are used (the method is applicable to all solar collector types).