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"Martin Kent"
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Periorbital oedema caused by profound primary hypothyroidism
An older woman presented with marked periorbital oedema, thickened skin, coarsened facial features, and brittle hair (typical myxoedema appearances) (fig 1); she also described intolerance of cold and hoarsening of her voice.
Journal Article
By-Plant Prediction of Corn Forage Biomass and Nitrogen Uptake at Various Growth Stages Using Remote Sensing and Plant Height
As research intensifies on developing precision agricultural practices for corn (Zea mays L.) production, an important component will be to identify the scale at which these practices should be implemented. We hypothesized that optical sensing can be used to measure individual corn plant biomass and N uptake. A 3-yr study was conducted at three locations in Oklahoma. Optical sensor readings of normalized difference vegetation index (NDVI) and plant height measurements were collected on individual corn plants at various growth stages ranging from V8 (collar of eighth leaf unfolded) to VT (last branch of the tassel is completely visible) and correlated with individual plant biomass, forage yield per unit area occupied by the plant, and N uptake of that plant. Individual plant height measurement, collected before reproductive growth, was a good predictor of plant biomass across the six site years of the study (r2 = 0.81). The index of NDVI x plant height provided the highest correlation with by-plant forage yield on an area basis. Optical sensor and plant height measurements collected at the V8 to V10 (collar of 10th leaf unfolded) growth stage can distinguish individual plants and provide information as to their biomass accumulation and N uptake. This research demonstrates that by-plant information can be collected and used to direct high resolution N applications. The index, NDVI x plant height, may be used to refine midseason fertilizer N rates based on expected N removal and by-plant measurements at or before V10.
Journal Article
Are richness patterns of common and rare species equally well explained by environmental variables?
We investigated relationships between richness patterns of rare and common grassland species and environmental factors, focussing on comparing the degree to which the richness patterns of rare and common species are determined by simple environmental variables. Using data collected in the Machair grassland of the Outer Hebrides of Scotland, we fitted spatial regression models using a suite of grazing, soil physicochemical and microtopographic covariates, to nested subassemblages of vascular and non-vascular species ranked according to rarity. As expected, we found that common species drive richness patterns, but rare vascular species had significantly stronger affinity for high richness areas. After correcting for the prevalence of individual species distributions, we found differences between common and rare species in 1) the amount of variation explained: richness patterns of common species were better summarised by simple environmental variables, 2) the associations of environmental variables with richness showed systematic trends between common and rare species with coefficient sign reversal for several factors, and 3) richness associations with rare environments: richness patterns of rare vascular species significantly matched rare environments but those of non-vascular species did not. Richness patterns of rare species, at least in this system, may be intrinsically less predictable than those of common species.
Journal Article
Numerical classification and ordination methods in biogeography
Methods of multivariate analysis have always played an important role in detecting and summarizing patterns in biogeographic data. Kent summarizes the more recent changing patterns in the application of numerical classification and ordination techniques and related techniques in biogeography, seeks to synthesize and comment on the various criticisms that have been made regarding almost all the methods in use at the present time, and highlights recent developments and new advances in techniques.
Journal Article
Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study
Many experts recommend ordering an ultrasound and a urinalysis on all patients with scrotal pain. While the ultrasound may help diagnose a number of potential causes of scrotal pain, the urinalysis primarily has value in assessing for epididymo-orchitis. This study sought to evaluate the utility of these diagnostic tests for patients who presented to the emergency department (ED) with acute scrotal pain and possible epididymo-orchitis.
This was a single-center chart review of patients presenting to the ED with scrotal pain. Trained research assistants reviewed charts to obtain urinalysis and ultrasound results as well as diagnoses and treatments provided. Using the final diagnosis as a gold standard, the sensitivity and specificity of ultrasound and urinalysis were calculated for the diagnosis of epididymo-orchitis. Also, through a prespecified definition of \"changed management,\" we estimated the percentage of cases in which a urinalysis changed management of patients with acute scrotal pain.
We identified 663 adult and pediatric patients who presented with scrotal pain during 2016. All patients had an ultrasound performed, and 458 (69.1%) had a urinalysis done. The sensitivity of urinalysis for epididymo-orchitis was 58.2% (95% CI 48.9% to 67.1%), and the specificity was 85.1% (95% CI 80.8% to 88.7%). For ultrasound, the sensitivity was 78.8% (95% CI 71.4% to 85.0%) and the specificity was 98.1% (95% CI 96.4% to 99.1%). In 24 of 458 cases (5.2% [95% CI 3.4% to 7.7%]) where a urinalysis was obtained, its results may have changed management of the patient.
The diagnosis of patients who present to the ED with scrotal pain is primarily driven by the ultrasound results. While the urinalysis may occasionally provide some benefit in the evaluation of patients with suspected epididymo-orchitis, the reflexive ordering of a urinalysis in patients with scrotal pain may be unnecessary.
Journal Article
New Opportunities for the Management and Therapy of Hepatitis C in Correctional Settings
Hepatitis C in prison populations is now a major public health problem, and large numbers of correctional facilities have no comprehensive management program, often because of formidable projected costs and tightening budget constraints. The North Dakota Department of Corrections and Rehabilitation has operated a management and therapy program since 2002 using consensus interferon and ribavirin with 45% cost savings. The program has provided excellent sustained viral responses: 54.2% for genotype 1 hepatitis C, 75% for genotypes 2 and 3, and 63.6% overall.
Journal Article
Vegetation description and data analysis
Vegetation Description and Data Analysis: A Practical Approach, Second Edition is a fully revised and up-dated edition of this key text. The book takes account of recent advances in the field whilst retaining the original reader-friendly approach to the coverage of vegetation description and multivariate analysis in the context of vegetation data and plant ecology. Since the publication of the hugely popular first edition there have been significant developments in computer hardware and software, new key journals have been established in the field and scope and application of vegetation description and analysis has become a truly global field. This new edition includes full coverage of new developments and technologies. This contemporary and comprehensive edition of this well-known and respected textbook will prove invaluable to undergraduate and graduate students in biological sciences, environmental science, geography, botany, agriculture, forestry and biological conservation. Fully international approach Includes illustrative case studies throughout Now with new material on: the nature of plant communities; transitional areas between plant communities; induction and deduction of plant ecology; diversity indices and dominance diversity curves; multivariate analysis in ecology. Accessible, reader-friendly style Now with new and improved illustrations.
eBook