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Photo by Murilee Martin

The 2018 Dodge Mile High NHRA Nationals, captured with mature technology.

July 26, 2018

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world (actually, my obsession with obsolete photographic technology and cars goes back a lot further ). This month, I brought a trio of film cameras from the 1910-1916 period to Bandimere Speedway and documented both a Test-and-Tune Night with 24 Hours of Lemons cars and Rebecca Minkoff varnished shoulder bag Buy Cheap Get To Buy Cheap Fake Order Cheap Price Cheap Sale Pay With Paypal Shopping Online For Sale gyQuyvlPr
with them. Here's how it went.

1910 Ansco Buster Brown No. 2 Folding camera, 1912 Gauthier folding camera, 1916 Ansco Buster Brown No. 3 box camera. Photo by Murilee Martin

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, so I fabricated some spool adapters to fit the narrower 120 film inside, resulting in a nice panoramic effect. I brought a 1950s Yashica-44 127-film camera as well, but it arrived on my porch minutes before I left for the track and I didn't have time to clean it first; most of those images didn't come out so well.

Here's Clay Millican's team preparing their Top Fuel dragster for its semifinals pass. Photo by Murilee Martin

These cameras have slow shutter speeds, challenging focus controls, and near-useless viewfinders (the Ansco cameras have little mirror-and-prism rigs and the Gauthier has a wire-frame finder), so shooting moving Top Fuel dragsters can be challenging. For shots like this one of Clay Millican's Top Fuel crew, though, I think they are superior to modern digital photography.

Admittedly, the boring modern DSLR did an acceptable job of capturing Courtney Force's Funny Car, but digital shots lack the soul and passion of photos taken with century-old snapshot cameras. Photo by Murilee Martin

I hauled along some modern digital cameras to the Mile-High Nationals, mostly so I'd look like a "real" photographer, and I tacked some of those shots onto the end of the gallery above. Enjoy.

Figure 7.
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Participants’ opinions about home telemonitoring. The proportion of patients who agreed to the statements [left of the neutral line] vs those who disagreed [right of the neutral line].

Figure 7.
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Participants’ opinions about home telemonitoring. The proportion of patients who agreed to the statements [left of the neutral line] vs those who disagreed [right of the neutral line].

This study shows that calprotectin-based home telemonitoring of teenagers with clinically stable IBD at baseline is a safe and cost-saving alternative to conventional follow-up. The results for the primary outcome [time-to-flare] were not different between the two follow-up strategies, regardless of intention-to-treat or per-protocol analysis. For participants and their parents in the intervention arm, the time-saving aspect of home telemonitoring and the better sense of disease control were highly valued. We postulate that the cost-saving effect of home telemonitoring could have been larger if the Medical Ethical Committee has allowed use of a larger test interval for patients on immunomodulators [complete blood count and liver enzymes] or aminosalicylates [creatinine]. These blood tests were done in the participating IBD centres, and not at the primary care level. Although not evidence-based, many clinicians believe that these tests should be performed with an interval of 3–6 months. 1 , 25 We are of the opinion that these blood tests can be performed with wider intervals in teenagers with stable IBD without dose escalations.

In this study we used the flarometer score as a non-invasive estimate of the probability of a disease flare. The flarometer score is a clinical composite score consisting of the participant’s answers to a validated disease activity questionnaire and the result of the stool calprotectin test [ Figure 1 ]. The concept of the flarometer was evaluated in a prospective study among teenagers with IBD and had better predictive value than a composite score with C-reactive protein. 26 Home telemonitoring with a non-invasive predictor of disease flare is a fundamental change in the way to follow teenagers with IBD. Schedules for follow-up have traditionally been rigid [e.g. checks in the consultation room of the specialist at fixed intervals], but we have shown that home telemonitoring can move IBD care into a new era in which teenagers take ownership of their chronic disease and participate in the therapeutic decision-making process based on longitudinal tracking of flarometer results.

The results of this multi-centre randomized controlled trial among Dutch teenagers with IBD are consistent with a recently published single-centre study among 53 Danish teenagers with IBD. 27 The Danish study had a similar design as our study with a longer observation period, but with smaller group size. The authors also concluded that telemonitoring is safe, without causing an increase in disease activity or treatment escalation compared with conventional follow-up.