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Biomedical subjects

E Cook

Publications and source records attributed to E Cook.

4 recordsLinked to original sources

Transdermal clonidine as an adjunct to enalapril: an evaluation of efficacy and patient compliance.

This four-center, 20-week, open-label study evaluated transdermal clonidine as an adjunct to enalapril 10 mg daily and demonstrated patterns of compliance. Seventy-four mildly to moderately hypertensive patients (mean seated blood pressure, 150/101 mm Hg) received enalapril 10 mg once daily as initial monotherapy. In 66 patients, the seated diastolic blood pressure remained greater than or equal to 90 mm Hg at the trough blood levels of enalapril. Transdermal clonidine (3.5 cm2, 7.0 cm2, or 10.5 cm2, equivalent to 0.1 mg, 0.2 mg, and 0.3 mg clonidine/day, respectively) then was added as needed to achieve blood pressure control. Forty-eight patients achieved diastolic blood pressures less than 90 mm Hg on concomitant therapy; 44 patients completed 8 weeks of maintenance dosing with a mean blood pressure of 134/85 mm Hg. Oral compliance, as measured by an electronic device that was actuated each time the medication vial was opened, varied from 48 to 140%. Compliance with the transdermal clonidine regimen was excellent; the patch was worn as directed during 96% of the patient-weeks of therapy. The authors conclude that blood pressure can be controlled by a combination of transdermal clonidine and enalapril in patients that do not adequately respond to enalapril monotherapy. Patients poorly complying with oral regimens may be candidates for a trial of transdermal clonidine monotherapy.

Administration, Cutaneous

Allocation of attention and the locus of adaptation to displaced vision.

Experimental subjects were exposed to prism-induced visual displacement of a target whose location was correctly given by proprioceptive-kinesthetic information. Control subjects were exposed alternately to visual displacement or proprioceptive-kinesthetic location information. During the adaptation period, experimental subjects in the visual attention condition performed a localization task that directed them to attend selectively to the visual modality; experimental subjects in the proprioceptive attention condition attended selectively to the proprioceptive modaltiy; control subjects performed the task on the basis of the available modality. Measures of adaptation and aftereffect were secured separately in each of the two modalities. These confirmed the predictions that the shifts in the experimental conditions would be confirmed to localization tests dependent on the unattended modality and that control subjects would not exhibit adaptation. We proposed that allocation of attention determines situational dominance and that dominance determines the locus of adaptation. The findings were compared to those reported by Canon (1970) and were applied to a reassessment of the "visual capture" phenomenon.

Adaptation, Physiological

Some health aspects of high-energy society.

The intensive use of inanimate energy in industrialized or high-energy society has subsidized research, development, and higher education and has brought about changes in nutrition and life-style that have led to great advances in public health and medicine. The emergence of high-energy society, however, has brought with it a new set of health problems, within which the direct effects of measurable pollution may turn out to be more easily dealt with than some of the indirect and hard-to-calculate consequences of high energy use. High-energy society is critically dependent on energy-intensive transport systems, and these systems in turn are dependent upon a continual supply of petroleum products. In the short-term, the aorta of any industrialized nation is its petroleum-supply network. In the longer run, high-energy society faces the depletion and exhaustion of all the nonrenewable resources on which it has fed. Even if technology provides adequate substitute energy systems, high-energy society may deteriorate socially from inability to cope with affluence.

Environmental Pollution