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They also thank Craig Cochran, RN; Joy Jones, RN; Kathy O'Bunse, RN; Kathleen Beville, RN; and Delores Medina, RN, for excellent nursing support and the Fellows of the National Institutes of Health Inter-Institute Endocrine Training Program for their contribution in the care of the patients. The Respiratory Care Department at the Clinical Center performed the indirect calorimetry studies, and Bernice Marcus-Samuels performed the leptin assays. Finally, the authors thank Dr. Harvey Kushner for statistical advice and Ms. Esther Bergman for assistance in the coordination of the research trial. Requests for Single Reprints: Elif Arioglu, MD, National Institutes of Health, Building 10, Room 9S213, Bethesda, MD 20892; e-mail, elif arioglu nih.gov. Requests To Purchase Bulk Reprints minimum, 100 copies ; : Barbara Hudson, Reprints Coordinator; phone, 215-351-2657; e-mail, bhudson mail.acponline . Current Author Addresses: Drs. Arioglu, Rother, Sumner, and Taylor and atorvastatin, for example, arava generic.In an accompanying editorial, marshall becker, of the university of michigan, wrote, we should make more effective and efficient use of our resources and regain public confidence by concentrating on a few areas in which deleterious effects on health are clear and profound, such as smoking prevention and cessation, alcohol and drug abuse, and gross obesity. The Dead Sea Transform DST ; is a prominent shear zone in the Middle East. It separates the Arabian plate from the Sinai microplate and stretches from the Red Sea rift in the south via the Dead Sea to the Taurus-Zagros collision zone in the north. Formed in the Miocene 17 Ma ago and related to the breakup of the Afro-Arabian continent, the DST accommodates the left-lateral movement between the two plates. The study area is located in the Araca Valley between the Dead Sea and the Red Sea, centered across the Afava Fault AF ; , which constitutes the major branch of the transform in this region. A set of seismic experiments comprising controlled sources, linear profiles across the fault, and specifically designed receiver arrays reveals the subsurface structure in the vicinity of the AF and of the fault zone itself down to about 34 km depth. A tomographically determined seismic P velocity model shows a pronounced velocity contrast near the fault with lower velocities on the western side than east of it. Additionally, S waves from local earthquakes provide an average P -to-S velocity ratio in the study area, and there are indications for a variations across the fault. High-resolution tomographic velocity sections and seismic reflection profiles confirm the surface trace of the AF, and observed features correlate well with fault-related geological observations. Coincident electrical resistivity sections from magnetotelluric measurements across the AF show a conductive layer west of the fault, resistive regions east of it, and a marked contrast near the trace of the AF, which seems to act as an impermeable barrier for fluid flow. The correlation of seismic velocities and electrical resistivities lead to a characterisation of subsurface lithologies from their physical properties. Whereas the western side of the fault is characterised by a layered structure, the eastern side is rather uniform. The vertical boundary between the western and the eastern units seems to be offset to the east of the AF surface trace. A modelling of fault-zone reflected waves indicates that the boundary between low and high velocities is possibly rather sharp but exhibits a rough surface on the length scale a few hundreds of metres. This gives rise to scattering of seismic waves at this boundary. The imaging migration ; method used is based on array beamforming and coherency analysis of P -to-P scattered seismic phases. Careful assessment of the resolution ensures reliable imaging results. The western low velocities correspond to the young sedimentary fill in the Aarva Valley, and the high velocities in the east reflect mainly Precambrian igneous rocks. A 7 km long subvertical scattering zone reflector ; is offset about 1 km east of the AF surface trace and can be imaged from 1 km to about 4 km depth. The reflector marks the boundary between two lithological blocks juxtaposed most probably by displacement along the DST. This interpretation as a lithological boundary is supported by the combined seismic and magnetotelluric analysis. The boundary may be a strand of the AF, which is offset from the current, recently active surface trace. The total slip of the DST may be distributed spatially and in time over these two strands and possibly other faults in the area and axid.
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A QC ASSESSMENT OF MOBILE VERSUS FIXED DEXA UNITS. R Will, M Minchin , A Minchin, S Lenny , G Mastaglia. Bone Densitometry Australia, PO Box 673, Victoria Park W.A. We have provided a DEXA service to rural and regional Western Australia since January 1999. The DEXA unit is housed in a purpose built caravan and is pulled by a 4 wheel drive vehicle. A daily check on the machine operating characteristics is undertaken as per the manufacturers requirements. A voltage regulator is installed in all mobile units to adjust for local voltage fluctuations. This mobile service has now been extended to NSW 2 units ; , Victoria, Queensland and Tasmania progressively from September 2000. Three fixed Lunar DEXA's are also operated in WA; 1 DPXL and 2 DPX IQ long table. Our DEXA operators undergo a training program on both fixed and mobile units. We have undertaken a comparison of the QC results obtained with the Lunar Phantoms Aluminium water bath ; . Measurements are taken 3 times a week. The operators have also undertaken duplicate DEXA measurements at the lumbar spine and femoral neck on patients to assess their own internal QC's. A running mean summary for the phantoms was undertaken and the CV's as a % for the fixed sites varied from 0.41-0.76% and on the mobile sites varied from 0.74% to 1.25%. At the lumbar spine, the precision 2 SD's ; for detecting a significant change in BMD for 7 operators varied from 13-31mg or 1.02.6%. At the femoral neck for 6 operators this varied from 13-57 mg or 1.56.6%. Conclusions: 1. The may be greater instability of a mobile compared with a fixed DEXA unit. For the phantom assessed, a maximum variation of 1.25% is acceptable but is likely to improve with further staff training. 2. There is considerable variation in the precision results obtained by different operators with better precision at the lumbar spine than the femoral neck. Further training is likely to lead to an improvement in these results and azithromycin. You can take arava with food or milk.
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