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Dual energy x-ray absorptiometry (DXA) is used to determine the bone density of the lumbar spine and hip This test delivers negligible radiation, and the measurements are quite accurate Bone densitometry should be performed on all patients who are at risk for osteoporosis or osteomalacia (Table 26 11) Bone densitometry cannot distinguish osteoporosis from osteomalacia; in fact, both are often present Also, the bone mineral density does not directly measure bone quality and is only fairly successful at predicting fractures Vertebral bone mineral density may be misleadingly high in compressed vertebrae and in patients with extensive arthritis DXA also overestimates the bone mineral density of taller persons and underestimates the bone mineral density of smaller persons Quantitative CT delivers more radiation but is more accurate in the latter situations Bone mineral density in typically expressed in gm/cm2, for which there are different normal ranges for each bone and for each type of DXA-measuring machine The T score is a simplified way of reporting bone density in which the patient s bone mineral density is compared to the young normal mean and expressed as a standard deviation score The World Health Organization has established criteria for defining osteoporosis in postmenopausal white women, based on T score: T score 10: Normal T score 10 to 25: Osteopenia ( low bone density ) T score < 25: Osteoporosis T score < 25 with a fracture: Severe osteoporosis This classification is somewhat arbitrary and there really is no bone mineral density fracture threshold; instead, the frac-



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ture risk increases about twofold for each standard deviation drop in bone mineral density In fact, most women with fragility fractures have bone densities above 25 Surveillance DXA bone densitometry is recommended for postmenoapausal women with a frequency according to their T scores: obtain DXA every 5 years for T scores 10 to 15, every 3 5 years for scores 15 to 20, and every 1 2 years for scores under 20 The Z score is used to express bone density in premenopausal women, younger men, and children, The Z score is a statistical term that is used for expressing an individual s bone density as standard deviation from age-matched, racematched, and sex-matched means





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Generate PDF from HTML with CSS by using JavaScript and JQuery
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It s very difficult to find a true 10BaseT NIC any longer because 100BaseT NICs have been around long enough to have pretty much replaced 10BaseT All modern NICs are multispeed and auto-sensing That applies to 100BaseT NICs and faster NICs as well

Osteoporosis has many causes (see Table 26 10) Additionally, osteopenia and fractures can be caused by osteomalacia (see below) and bone marrow neoplasia such as myeloma or metastatic bone disease These conditions coexist in many patients

v_t = 120; r_a = 036; i_a = 9:1:58;

Several treatment options are available, so a regimen is tailored to each patient Generally, treatment is indicated for all women with osteoporosis (T scores below 25) and for all patients who have had fragility fractures Prophylactic treatment should also be considered for patients with advanced osteopenia (T scores between 20 and 25) 1 Vitamin D and calcium Osteoporosis and osteomalacia often coexist (see Osteomalacia section) Sun exposure and

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I've just written a library called jsPDF which generates PDFs using Javascript alone. It's still very young, and I'll be adding features and bug ...

 

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There are other good open source JavaScript PDF libraries available. However, most of them can only create documents, they cannot modify existing ones (e.g. ...












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