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The program then checks whether the temperature is equal to 32 degrees. If so, it prints one message; if not, the temperature must be less than 32, and the program prints the next message. Notice that this second if statement is nested within the first if, so the logic of the else statement is: because it has been established that the temperature is less than or equal to 32, and it isn t equal to 32, it must be less than 32. Another way you can chain together more than one possibility with if statements is to use the else if idiom. The program tests the condition in the first if statement. If that first statement is false, control passes to the else statement, which is immediately followed by another if that tests a different condition. For example, you could rewrite Example 5-6 to test whether the temperature is greater than, less than, or exactly equal to freezing with three tests, as shown in Example 5-7.

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disease may be screened for with serum immunoglobulin A (IgA) endomysial antibody and tissue transglutaminase antibody determinations

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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

using System; using System.Collections.Generic; using System.Linq;

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

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

Table D.4 UNIX releases Bell Lab research versions (BLRV) BLRV (V1) BLRV (V2) BLRV (V3) BLRV (V4) BLRV (V5) BLRV (V6) BLRV (V7) BSD 2BSD 3BSD 4BSD 4.1BSD 4.1aBSD 4.1aBSD, 4.1bBSD 4.1cBSD Commercial versions based on Bell Lab research versions University of California at Berkley (BSD)

using System.Text; namespace Example_5_7_ _ _ _else_if { class Program { static void Main( ) { int temp = 32; if (temp < 32) { Console.WriteLine("Warning! Ice on road!"); } else if (temp == 32) { Console.WriteLine("Temp exactly freezing, beware of water."); } else { Console.WriteLine("No ice; drive with confidence."); } } } }

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