The Philadelphia and Reading railroad company. Verbatim report of proceedings at a meeting of share and bond holders, held at the Cannon Street hotel, London, E.C., February 4th, 1881, Sir Henry W. Tyler, M.P., chairman ...

Mode of access: Internet.

Philadelphia and Reading railroad company. Verbatim report of proceedings at a meeting of share and bondholders, held at the Cannon Street hotel, London, E.C., August 5th, 1881. The Right Hon. A.S. Ayrton, chairman.

Mode of access: Internet.

The Philadelphia and Reading railroad company. Verbatim report of proceedings at a meeting of share & bondholders, held at the Cannon Street hotel, London, E.C., Friday, April 21st, 1882. Mr. Franklin B. Gowen, president, in the chair.

Mode of access: Internet.

Anti-slavery before Garrison; an address at a meeting of the Connecticut society of the Order of the founders and patriots of America, September 19, A. D. 1902,

Mode of access: Internet.

An oration, delivered before the American Philosophical Society, held in Philadelphia on the 27th of February, 1786; containing an enquiry into the influence of physical causes upon the moral faculty ...

Microfilmed for preservation

Relatório de participação no 112nd. Annual Meeting of the American Veterinary Medical Association; 30th. Annual Meeting of the American Association of Veterinary Parasitologists; 60th. Annual Meeting of the American Society of Parasitologists.

1985

Transactions and proceedings of the Botanical Society of Pennsylvania.

1

European society of hypertension position paper on ambulatory blood pressure monitoring.

Ambulatory blood pressure monitoring (ABPM) is being used increasingly in both clinical practice and hypertension research. Although there are many guidelines that emphasize the indications for ABPM, there is no comprehensive guideline dealing with all aspects of the technique. It was agreed at a consensus meeting on ABPM in Milan in 2011 that the 34 attendees should prepare a comprehensive position paper on the scientific evidence for ABPM.This position paper considers the historical background, the advantages and limitations of ABPM, the threshold levels for practice, and the cost-effectiveness of the technique. It examines the need for selecting an appropriate device, the accuracy of devices, the additional information and indices that ABPM devices may provide, and the software requirements.At a practical level, the paper details the requirements for using ABPM in clinical practice, editing considerations, the number of measurements required, and the circumstances, such as obesity and arrhythmias, when particular care needs to be taken when using ABPM.The clinical indications for ABPM, among which white-coat phenomena, masked hypertension, and nocturnal hypertension appear to be prominent, are outlined in detail along with special considerations that apply in certain clinical circumstances, such as childhood, the elderly and pregnancy, and in cardiovascular illness, examples being stroke and chronic renal disease, and the place of home measurement of blood pressure in relation to ABPM is appraised.The role of ABPM in research circumstances, such as pharmacological trials and in the prediction of outcome in epidemiological studies is examined and finally the implementation of ABPM in practice is considered in relation to the issue of reimbursement in different countries, the provision of the technique by primary care practices, hospital clinics and pharmacies, and the growing role of registries of ABPM in many countries.

Blood pressure and LDL-cholesterol targets for prevention of recurrent strokes and cognitive decline in the hypertensive patient: design of the European Society of Hypertension-Chinese Hypertension League Stroke in Hypertension Optimal Treatment randomized trial.

BACKGROUND AND OBJECTIVES: The SBP values to be achieved by antihypertensive therapy in order to maximize reduction of cardiovascular outcomes are unknown; neither is it clear whether in patients with a previous cardiovascular event, the optimal values are lower than in the low-to-moderate risk hypertensive patients, or a more cautious blood pressure (BP) reduction should be obtained. Because of the uncertainty whether 'the lower the better' or the 'J-curve' hypothesis is correct, the European Society of Hypertension and the Chinese Hypertension League have promoted a randomized trial comparing antihypertensive treatment strategies aiming at three different SBP targets in hypertensive patients with a recent stroke or transient ischaemic attack. As the optimal level of low-density lipoprotein cholesterol (LDL-C) level is also unknown in these patients, LDL-C-lowering has been included in the design. PROTOCOL DESIGN: The European Society of Hypertension-Chinese Hypertension League Stroke in Hypertension Optimal Treatment trial is a prospective multinational, randomized trial with a 3 × 2 factorial design comparing: three different SBP targets (1, <145-135; 2, <135-125; 3, <125 mmHg); two different LDL-C targets (target A, 2.8-1.8; target B, <1.8 mmol/l). The trial is to be conducted on 7500 patients aged at least 65 years (2500 in Europe, 5000 in China) with hypertension and a stroke or transient ischaemic attack 1-6 months before randomization. Antihypertensive and statin treatments will be initiated or modified using suitable registered agents chosen by the investigators, in order to maintain patients within the randomized SBP and LDL-C windows. All patients will be followed up every 3 months for BP and every 6 months for LDL-C. Ambulatory BP will be measured yearly. OUTCOMES: Primary outcome is time to stroke (fatal and non-fatal). Important secondary outcomes are: time to first major cardiovascular event; cognitive decline (Montreal Cognitive Assessment) and dementia. All major outcomes will be adjudicated by committees blind to randomized allocation. A Data and Safety Monitoring Board has open access to data and can recommend trial interruption for safety. SAMPLE SIZE CALCULATION: It has been calculated that 925 patients would reach the primary outcome after a mean 4-year follow-up, and this should provide at least 80% power to detect a 25% stroke difference between SBP targets and a 20% difference between LDL-C targets.

Report of the expert group meeting on the CARIFORUM-EU Economic Pertnership Agreement

On 15 October 2008, the European Union (EU) and the CARIFORUM Group of Countries – the Caribbean Community (CARICOM) and the Dominican Republic – assembled in Barbados to commemorate the beginning of a new chapter in their economic relationship by signing the CARIFORUM-EU Economic Partnership Agreement (EPA) after four and a half years of negotiation. In signing the Agreement, a joint declaration was also issued calling for a comprehensive, five-yearly review of the Agreement in order to determine its impact, including the costs and consequences of its implementation. During negotiations between the parties to the Agreement, the Economic Commission for Latin America and the Caribbean (ECLAC) Subregional Headquarters for the Caribbean undertook several studies directed at examining the implications of the EPA for the region as well as informing the process for the preparation of an implementation plan for CARIFORUM. The possible gender implications were also considered in collaboration with the United Nations Development Fund for Women (UNIFEM).

Report of the Committee appointed by the Philomathean Society of the University of Pennsylvania to translate the inscription on the Rosetta stone.

The "Report" includes the hieroglyphic text, translations of the three texts, and an essay on Ptolemee Epiphanes. The "Appendix" contains a facsimile of the demotic text and the Greek text.

Bulletin (formerly Journal) of the American Geographical Society of New York.

"From 1859 to 1900 the Bulletins, when bound, were called the Journal [v. 1-32] ... The yearly volume is now the Bulletin."--Letter of the librarian of the society, May, 1904.