'I am, by God, fit for high positions' : on the political role of women in al-Andalus

Narrating and explaining the fairly emancipated women in al-Andalus has been fraught with ambiguity for the approximately one century of scholarship on the subject. There has been much stereotyping depending upon the investigator's particular perspective. This paper clarifies the roles of Andalusian women in political relations from the Muslim Conquest in 711 through the fall of Granada in 1492. The interpretations used in historiography pit a traditionalist trend, in which continuity from the pre 1slamic past is stressed, against the anti-continuist trend, in which an Oriental culture of the Muslims added the distinctive features of Iberian character today. In order to evaluate the two historiographic approaches, the contributions of seven prominent women are presented and evaluated for their social contexts during the eight centuries of al-Andalus. Comparisons are then made to prominent women in other political contexts within the Arab world in order to evaluate the strength of the two competing historiographic perspectives.

Patterns in the emergence of green (Chelonia mydas) and loggerhead (Caretta caretta) turtle hatchlings from their nests

The emergence patterns of both green (Chelonia mydas) and loggerhead (Caretta caretta) turtle hatchlings were observed in great detail over three seasons at Alagadi beach, northern Cyprus. In total, 38 green turtle and 50 loggerhead turtle nests were monitored, accounting for the emergence of 2,807 and 2,259 hatchlings, respectively. We quantified these emergences into 397 green turtle and 302 loggerhead turtle emergence groups. Overall, 85.0% of green turtle and 79.5% of loggerhead turtle groups emerged at night; these accounted for 85.5 and 90.8% of hatchlings, respectively. The remaining emergences were dispersed throughout the day for green turtle nests but confined to the morning in loggerhead turtle nests. Hatchling emergence from individual nests occurred over periods of between 1 and 7 nights, with most hatchlings typically emerging on the first night. Group sizes of green turtles emerging during the day were significantly smaller than those emerging at night. Hatchlings of both species that emerged from nests during the day had longer emergence durations than those that emerged from nests at night only.

Impact of nurse-mediated management on achieving blood pressure goal levels in primary care: insights from the Valsartan intensified primary carE reduction of blood pressure study

BACKGROUND: Blood pressure targets in individuals treated for hypertension in primary care remain difficult to attain.

AIMS: To assess the role of practice nurses in facilitating intensive and structured management to achieve ideal BP levels.

METHODS: We analysed outcome data from the Valsartan Intensified Primary carE Reduction of Blood Pressure Study. Patients were randomly allocated (2:1) to the study intervention or usual care. Within both groups, a practice nurse mediated the management of blood pressure for 439 patients with endpoint blood pressure data (n=1492). Patient management was categorised as: standard usual care (n=348, 23.3%); practice nurse-mediated usual care (n=156, 10.5%); standard intervention (n=705, 47.3%) and practice nurse-mediated intervention (n=283, 19.0%). Blood pressure goal attainment at 26-week follow-up was then compared.

RESULTS: Mean age was 59.3±12.0 years and 62% were men. Baseline blood pressure was similar in practice nurse-mediated (usual care or intervention) and standard care management patients (150 ± 16/88 ± 11 vs. 150 ± 17/89 ± 11 mmHg, respectively). Practice nurse-mediated patients had a stricter blood pressure goal of ⩽125/75 mmHg (33.7% vs. 27.3%, p=0.026). Practice nurse-mediated intervention patients achieved the greatest blood pressure falls and the highest level of blood pressure goal attainment (39.2%) compared with standard intervention (35.0%), practice nurse-mediated usual care (32.1%) and standard usual care (25.3%; p<0.001). Practice nurse-mediated intervention patients were almost two-fold more likely to achieve their blood pressure goal compared with standard usual care patients (adjusted odds ratio 1.92, 95% confidence interval 1.32 to 2.78; p=0.001).

CONCLUSION: There is greater potential to achieve blood pressure targets in primary care with practice nurse-mediated hypertension management.