Reconstructing Holocene vegetation on the island of Gran Canaria before and after human colonization

We provide the first fossil pollen and charcoal analysis from the island of Gran Canaria (Canary Islands). The pollen record obtained from Laguna de Valleseco (870 m a.s.l.) spans the late Holocene (c. 4500–1500 cal. yr BP) and thereby captures the impact of human colonization. During the earliest period, pollen composition resembled contemporary thermophilous communities, with palms (Phoenix canariensis) and junipers (Juniperus cf. turbinata) being the dominant trees, suggesting that these elements were more widespread in the past. Vegetation in Valleseco began to change at around 2300 cal. yr BP, 400 years before the earliest archaeological evidence of human presence in the island (c. 1900 cal. yr BP). Our data show an increased frequency of fires at that time, coinciding with the decline of palms and the increase of grasses, indicating that humans were present and were transforming vegetation, thus showing that the demise of Gran Canaria’s forest began at an early point in the prehistoric occupation of the island. In the following centuries, there were no signs of forest recovery. Pollen from cultivated cereals became significant, implying the introduction of agriculture in the site, by 1800 cal. yr BP. The next shift in vegetation (c. 1600 cal. yr BP) involved the decrease of grasses in favour of shrubs and trees like Morella faya, suggesting that agriculture was abandoned at the site

Agreement Between Community Pharmacy and Ambulatory and Home Blood Pressure Measurement Methods to Assess the Effectiveness of Antihypertensive Treatment: The MEPAFAR Study

The usefulness of the community pharmacy blood pressure (CPBP) method in the diagnosis or treatment of hypertension has not been adequately addressed in controlled studies. The authors' aim was to assess the agreement between awake ambulatory blood pressure (ABP), home blood pressure (HBP), and CPBP in treated hypertensive patients. This was a cross-sectional study carried out in 169 patients in which blood pressure (BP) was measured at the pharmacy (4 visits), at home (4days), and by 24-hour ABP monitoring. Lin correlation-concordance coefficient (CCC) and Bland-Altman plots were used to evaluate quantitative agreement. The qualitative agreement to establish the degree of BP control was evaluated using κ coefficient. The agreement was acceptable between HBP and CPBP (CCC=0.80 for systolic BP [SBP] and 0.80 for diastolic BP [DBP]; κ=0.62) and moderate between awake ABP and CPBP (CCC=0.74/0.67, respectively; κ=0.56). The Bland-Altman plots also showed lowest mean differences (0.5/0.3 for SBP and DBP, respectively) for the comparison between CPBP and HBP. The CPBP has a better agreement with HBP than with awake ABP. Thus, the CPBP measurement method could be a good alternative to HBP monitoring, whereas it cannot be used as a screening test to assess the degree of BP control by awake ABP. © 2012 Wiley Periodicals, Inc