Clinical inertia represents a barrier to hypertension management. As part of a hypertension telemanagement trial designed to overcome clinical inertia, we evaluated study physician reactions to elevated home blood pressures. We studied 296 patients from the Hypertension Intervention Nurse Telemedicine Study who received telemonitoring and study physician medication management. When a patient’s ...

In immature animals, ablation of the entorhinal cortex elicited a rapid intensification of acetylcholinesterase (EC 3.1.1.7) staining in the outer one-quarter of the molecular layer of the dentate gyrus. Subsequent lesions of the septum eliminated this acetylcholinesterase intensification. Electron-microscopic histochemical analysis demonstrated a 30-fold increase in the number of acetylcholine...

D ow Dominant climatic factors controlling the lifetime peak intensity of typhoons are determined from six decades of Pacific typhoon data. We find that upper ocean temperatures in the low-latitude northwestern Pacific (LLNWP) and sea surface temperatures in the central equatorial Pacific control the seasonal average lifetime peak intensity by setting the rate and duration of typhoon intensific...

This case study examined the utility of regular expressions to identify clinical data relevant to the epidemiology of treatment of hypertension. We designed a software tool that employed regular expressions to identify and extract instances of documented blood pressure values and anti-hypertensive treatment intensification from the text of physician notes. We determined sensitivity, specificity...

Relevance Concerns about the environmental impact of farming has increasingly been the focus of discussions in the EU. Croplands, a primary land use in Europe, have a significant impact on the environment (soil, water bodies, global climate, local biodiversity and human health). The use of fertilisers and pesticides associated with conventional farming may lead to pollution and/or climate chang...

While many studies have explored how agriculture changes when population density rises, this paper examines actions farmers may take to control whether population density rises. Using information from ethnographic fieldwork, colonial archives, and air photography, two agricultural groups migrating into an agricultural frontier in the Nigerian savanna are compared. Population density in Kofyar c...

We review the four main paradigms of tropical cyclone intensification that have emerged over the past five decades, discussing the relationship between them and highlighting their strengths and weaknesses. A major focus is on a new paradigm articulated in a series of recent papers using observations and highresolution, three-dimensional, numerical model simulations. Unlike the three previous pa...

Introduction Applications of multiphase technology are prevalent in petroleum refining, synthesis gas conversion to fuels and chemicals, bulk commodity chemicals, specialty chemicals, conversion of undesired by-products to recyclable products, manufacture of polymers, biotechnology and pollution abatement. In these processes the reactor performance is crucial: it determines the number and size ...