Analysis of Hypertension Control Rates Among Participants in the Georgia Hypertension Management and Outreach Program

Background: This study utilized health department electronic medical records retrospectively to evaluate hypertension control rates achieved by the Georgia Hypertension Management and Outreach Program (HMOP), an education, screening, and treatment control program that provides services, including blood pressure screening and assessment, referral to physicians, counseling, educational material, disease case management, and treatment. Methods: Hypertension control rates after at least 6 months of study participation were determined for patients participating in the program for at least 6 months between 2010 and 2014, and for African American and uninsured subgroups. Results: The overall hypertension control rate was 61.1%, above the 2012 national average of 51.8%. The control rates for African Americans and the uninsured were 58.9% and 62%, respectively, compared to 41.7% and 28.7% nationally. Conclusions: Although potential bias sources in the use of retrospectively obtained electronic medical records should be considered, this analysis suggests that the Georgia HMOP provides substantial improvements in hypertension control for a population of patients with otherwise poor control. Key words: hypertension, blood pressure, cardiovascular diseases, African Americans, medically uninsure

Indications for liver transplantation in the cyclosporine era

One hundred seventy orthotopic liver transplants were performed under conventional immunosuppression with azathioprine and steroids with 1- and 5-year survivals of 32.9% and 20.0%, respectively. Since the introduction of cyclosporine-prednisone therapy in March 1980, 313 primary orthotopic liver transplants have been performed. Actuarial survivals at 1 and 5 years have improved to 69.7% and 62.8%, respectively. Biliary atresia is now the most common indication for liver replacement. In adults, primary biliary cirrhosis and sclerosing cholangitis have become more common indications for transplantation, and alcoholic cirrhosis and primary liver malignancy as indications have declined. Early enthusiasm for liver transplantation in patients with hepatic cancer has been tempered by the finding that recurrence is both common and rapid. An increasing number of patients with inborn errors of metabolism originating in the liver are receiving transplants, including patients with Wilson's disease, tyrosinemia, alpha-1-antitrypsin deficiency, glycogen storage disease, familial hypercholesterolemia, and hemochromatosis. Survival in this group of patients has been excellent (74.4% at 1 and 5 years). A hemophiliac who received a transplant for postnecrotic cirrhosis has survived and may have been cured of his hemophilia. About 20% of patients require retransplantation for rejection, technical failure, or primary graft failure. Only 4 of the patients receiving retransplants under conventional immunosuppression survived beyond 6 months, and all died within 14 months of retransplantation. Sixty-eight patients have received retransplants under cyclosporine-prednisone. Thirty-one patients are surviving, all for at least 1 year. Six of the 12 patients requiring a third transplant are alive 2 to 3 years after the primary operation. An aggressive approach to retransplantation in the patient with a failed graft is justified

Local Electronic Structure of a Single Magnetic Impurity in a Superconductor

The electronic structure near a single classical magnetic impurity in a superconductor is determined using a fully self-consistent Koster-Slater algorithm. Localized excited states are found within the energy gap which are half electron and half hole. Within a jellium model we find the new result that the spatial structure of the positive-frequency (electron-like) spectral weight (or local density of states), can differ strongly from that of the negative frequency (hole-like) spectral weight. The effect of the impurity on the continuum states above the energy gap is calculated with good spectral resolution for the first time. This is also the first three-dimensional self-consistent calculation for a strong magnetic impurity potential.Comment: 13 pages, RevTex, change in heuristic picture, no change in numerical result

Decay Rate Ratios of Upsilon(5S) to B Bbar Reactions

We calculate the decay rate ratios for OZI allowed decays of Upsilon(5S) to two B mesons by using the decay amplitudes which incorporate the wave function of the Upsilon(5S) state. We obtain the results that the branching ratio of the Upsilon(5S) decay to Bs* Bs*bar is much larger than the branching ratio to Bs Bs*bar or Bsbar Bs*, in good agreement with recent experimental results of CLEO and BELLE. This agreement with the experimental results is made possible since the nodes of the Upsilon(5S) radial wave function induce the nodes of the decay amplitude. We find that the results for the Upsilon(5S) decays to Bu(*) Bu(*)bar or Bd(*) Bd(*)bar pairs are dependent on the parameter values used for the potential between heavy quarks.Comment: 9 pages, 5 figure

Satellite Observations Reveal Inequalities in the Progress and Effectiveness of Recent Electrification in Sub-Saharan Africa

Ending energy poverty is a necessary condition for achieving the Sustainable Development Goals (SDGs). Boosting electricity access levels is, how- ever, insufficient if consumption and reliability in- dicators stagnate. Previous research has shown that satellite-derived data can complement field surveys in tracking energy poverty but with little consideration for the multi-dimensionality of en- ergy access and the role of demographic dy- namics. Here, we process 6 years of high-resolu- tion population, nighttime light, and settlement data for sub-Saharan Africa to derive multi- dimensional estimates of electricity access. Our results, validated against a range of sources, confirm a recent surge in electrification such that >115 million people gained access over the 2014–2019 period. Yet, they reveal wide inequal- ities in the quality of electrification, which cannot be observed in the existing statistics. The pace of electrification must more than triple to fulfill SDG 7.1.1 by 2030. Efforts could fall short if aimed solely at boosting numbers of national electricity connections