The Dvorak technique utilizes a scale of "T-numbers", scaling in increments of ½ from T1.0 to T8.0. Each T-number has an intensity assigned to it, with larger T-numbers indicating a stronger system. Tropical cyclones are assessed by forecasters according to an array of patterns, including curved banding features, shear, central dense overcast, and eye, in order to determine the T-number and thus assess the intensity of the storm. The Cooperative Institute for Meteorological Satellite Studies works to develop and improve automated satellite methods, such as the Advanced Dvorak Technique (ADT) and SATCON. The ADT, used by a large number of forecasting centers, utilizes infrared geostationary satellite imagery and an algorithm based upon the Dvorak technique to assess the intensity of tropical cyclones. The ADT has a number of differences from the conventional Dvorak technique, including changes to intensity constraint rules and the usage of microwave imagery to base a systems intensity upon its internal structure, which prevents the intensity from leveling off before an eye emerges in infrared imagery. The SATCON weights estimates from various satellite-based systems and microwave sounders, accounting for the strengths and flaws in each individual estimate, to produce a consensus estimate of a tropical cyclones intensity which can be more reliable than the Dvorak technique at times. Intensity metrics
Multiple intensity metrics are utilized, including accumulated cyclone energy (ACE), the Hurricane Surge Index, the Hurricane Severity Index, the Power Dissipation Index (PDI), and integrated kinetic energy (IKE). ACE is a metric of the total energy a system has exerted over its lifespan.
Causes
The current knowledge of the neural pathways responsible for the perception of the heartbeat is not clearly elucidated. It has been hypothesized that these pathways include different structures located both at the intra-cardiac and extra-cardiac level. Palpitations are a widely diffused complaint and particularly in subjects affected by structural heart disease. The list of etiologies of palpitations is long, and in some cases, the etiology is unable to be determined. In one study reporting the etiology of palpitations, 43% were found to be of cardiac etiology, 31% of psychiatric etiology and approximately 10% were classified as miscellaneous (medication induced, thyrotoxicosis, caffeine, cocaine, anemia, amphetamine, mastocytosis).The cardiac etiologies of palpitations are the most life-threatening and include ventricular sources (premature ventricular contractions (PVC), ventricular tachycardia and ventricular fibrillation), atrial sources (atrial fibrillation, atrial flutter) high output states (anemia, AV fistula, Pagets disease of bone or pregnancy), structural abnormalities (congenital heart disease, cardiomegaly, aortic aneurysm, or acute left ventricular failure), and miscellaneous sources (postural orthostatic tachycardia syndrome abbreviated as POTS, Brugada syndrome, and sinus tachycardia).Palpitation can be attributed to one of four main causes:

Extra-cardiac stimulation of the sympathetic nervous system (inappropriate stimulation of the sympathetic and parasympathetic, particularly the vagus nerve, (which innervates the heart), can be caused by anxiety and stress due to acute or chronic elevations in glucocorticoids and catecholamines.