The difference in blood pressure readings between arms and survival: primary care cohort study

Objective To determine whether a difference in systolic blood pressure readings between arms can predict a reduced event free survival after 10 years

The VLT-FLAMES Tarantula Survey XXIII. Two massive double-lined binaries in 30 Doradus

Aims. We investigate the characteristics of two newly discovered short-period, double-lined, massive binary systems in the Large Magellanic Cloud, VFTS 450 (O9.7 II–Ib + O7::) and VFTS 652 (B1 Ib + O9: III:). Methods. We perform model-atmosphere analyses to characterise the photospheric properties of both members of each binary (denoting the “primary” as the spectroscopically more conspicuous component). Radial velocities and optical photometry are used to estimate the binary-system parameters. Results. We estimate Teff = 27 kK, log g = 2.9 (cgs) for the VFTS 450 primary spectrum (34 kK, 3.6: for the secondary spectrum); and Teff = 22 kK, log g = 2.8 for the VFTS 652 primary spectrum (35 kK, 3.7: for the secondary spectrum). Both primaries show surface nitrogen enrichments (of more than 1 dex for VFTS 652), and probable moderate oxygen depletions relative to reference LMC abundances. We determine orbital periods of 6.89 d and 8.59 d for VFTS 450 and VFTS 652, respectively, and argue that the primaries must be close to filling their Roche lobes. Supposing this to be the case, we estimate component masses in the range ∼20–50 M⊙. Conclusions. The secondary spectra are associated with the more massive components, suggesting that both systems are high-mass analogues of classical Algol systems, undergoing case-A mass transfer. Difficulties in reconciling the spectroscopic analyses with the light-curves and with evolutionary considerations suggest that the secondary spectra are contaminated by (or arise in) accretion disks

Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis

Objective To review trials of nurse led interventions for hypertension in primary care to clarify the evidence base, establish whether nurse prescribing is an important intervention, and identify areas requiring further study

The VLT-FLAMES Tarantula Survey V. The peculiar B[e]-like supergiant, VFTS698, in 30 Doradus

We present an analysis of a peculiar supergiant B-type star (VFTS698/Melnick 2/Parker 1797) in the 30 Doradus region of the Large Magellanic Cloud which exhibits characteristics similar to the broad class of B[e] stars. We analyse optical spectra from the VLT-FLAMES survey, together with archival optical and infrared photometry and X-ray imaging to characterise the system. We find radial velocity variations of around 400 km/s in the high excitation Si IV, N III and He II spectra, and photometric variability of ~0.6 mag with a period of 12.7 days. In addition, we detect long-term photometric variations of ~0.25 mag, which may be due to a longer-term variability with a period of ~400 days. We conclude that VFTS698 is likely an interacting binary comprising an early B-type star secondary orbiting a veiled, more massive companion. Spectral evidence suggests a mid-to-late B-type primary, but this may originate from an optically-thick accretion disc directly surrounding the primary.Comment: 18 pages, 14 figures and 8 tables. Table 8 to be published onlin