PURPOSE Hypertension is the most common diagnosis in ambulatory care, yet little evidence exists regarding recommended screening intervals or the sensitivity and specificity of a routine office-based blood pressure measurement, the most common screening test. Screening for hypertension is usually performed by measuring blood pressure at every outpatient visit, which often results in transiently...

INTRODUCTION Erythema annulare centrifugum is a rare cutaneous disease characterized by erythematous and violaceous annular plaques that usually involved the thighs and the legs. The eruption may be associated with an underlying disease and its accompanying characteristic symptoms. For these reasons, a full physical examination should be conducted to exclude underlying disorders. Annually recur...

Factors influencing patterns in the distribution and abundance of plant and animal taxa modulate ecosystem function and ecosystem response to environmental change, which is often taken to infer low functional redundancy among such species, but such relationships are poorly known for microbial communities. Using high-resolution molecular fingerprinting, we demonstrate the existence of extraordin...

Traditional perception of how tallgrass prairie responds to fire at times other than late spring is either anecdotal or extrapolated from studies that lack spatial or temporal variability. Therefore, we evaluated patterns of change in vegetation cover, species richness, diversity, and aboveground biomass production on 2 different topographic positions from ungrazed watersheds that were burned a...

BACKGROUND Tuberculosis (TB) is nearly 100% curable. However, the ability of medical and public health interventions to control TB, particularly in developing countries, is often doubted. METHODS We reviewed data for the amenability of TB to control. We considered separately control of deaths, prevalence, rate of infection and incidence. RESULTS Tuberculosis mortality can be reduced by more...

Owing to the lack of absolutely dated oceanographic information before the modern instrumental period, there is currently significant debate as to the role played by North Atlantic Ocean dynamics in previous climate transitions (for example, Medieval Climate Anomaly-Little Ice Age, MCA-LIA). Here we present analyses of a millennial-length, annually resolved and absolutely dated marine δ18O arch...

Each year, more than 1 in 10 of the world's babies are born preterm, resulting in 15 million babies born too soon. World Prematurity Day, November 17, is a global effort to raise awareness about prematurity. This past year, there has been increased awareness of the problem, through new data and evidence, global partnership and country champions. Actions to improve care would save hundreds of th...

First, a couple of definitions and distinctions: "abuse" according to the American Psychiatric Association describes a pattern of use that causes impairment of social or occupational functioning. Compare that to "dependence," characterized by either tolerance (a need for increasing amounts of a drug, over time, to achieve the same effect) or withdrawal symptoms. "Addiction" is defined by compul...