Definitions and outcome measures for mucous membrane pemphigoid: recommendations of an international panel of experts

Mucous membrane pemphigoid encompasses a group of autoimmune bullous diseases with a similar phenotype characterized by subepithelial blisters, erosions, and scarring of mucous membranes, skin, or both. Although knowledge about autoimmune bullous disease is increasing, there is often a lack of clear definitions of disease, outcome measures, and therapeutic end points. With clearer definitions and outcome measures, it is possible to directly compare the results and data from various studies using meta-analyses. This consensus statement provides accurate and reproducible definitions for disease extent, activity, outcome measures, end points, and therapeutic response for mucous membrane pemphigoid and proposes a disease extent score, the Mucous Membrane Pemphigoid Disease Area Index.

Table 1 of experts and representatives interviewed

In a modern society it is generally accepted that the major cause for environmental problems is the current consumption pattern in industrialized countries, thus it is crucial to understand underlying processes and search for solutions in order to consciously progress towards sustainable consumption. In this paper the exclusive role of municipalities in promoting sustainable consumption is recognized. By analyzing the example of the situation of municipalities in Latvia, the reason for focusing on local level when dealing with sustainable consumption issues, as well as main obstacles and possibilities for municipalities' progress towards sustainability are revealed. Promotion of sustainable consumption cannot be based solely on eco-efficiency. Sufficiency strategy plays a crucial role. Since positive social environment for sufficiency dimension is vitally important, local level holds exclusively crucial role for its implementation - the potential of municipalities here is unbounded. Although local authorities already have many tools available, they are insufficiently discovered. Insufficiently exploited tools are property tax relief as support mechanism, establishment of advisory boards, green procurement, promotion of social entrepreneurship and collaborative consumption, as well as delegation of municipalities' functions to NGOs, thus encouraging nonmaterial wellbeing by strengthening social ties and community activities.

Asset composition of the Philippines' universal and commercial banks : monetary policy or self-discipline?

The central bank of the Philippines (Bangko Sentral ng Pilipinas, BSP) has improved its monetary policy measures since the 2000s. After rationalizing the country's banking sector since late-1990s, its monetary policy and the uniiversal/commercial banks' (UCBs) behavior in allocating their assets has changed since mid-2000s. Though further and more detailed studies are nesessary, based on the results of simple correlation analyses conducted in this paper suggest a possible mixture of the country's monetary policy and their own decision-making in asset allocations, instead of a "follow-through" attitude.

Analysis of wave attenuation and shore protection of a bulk carrier ship performing as a detached floating breakwater

Análisis de la atenuación del oleaje por un carguero funcionando como dique flotante y aplicación a dos casos de protección portuaria y costera. The effectiveness of a bulk carrier working as a detached floating breakwater to protect a stretch of coast and form salients or tombolos is assessed in this paper. Experiments were conducted in the Madrid CEDEX facilities in a 30 m long, 3 m wide, 1/150 scale flume. The bulk carrier ship is 205 m long, 29 m wide and 18 m in height with a draught of 13 m, and has been subjected to irregular waves with significant heights from 2 m to 4 m and peak periods from 6 s to 12 s at a depth of 15 m, all prototype dimensions. Three probes were placed between the wave paddle and the ship to record incident and reflected waves and four probes were placed between the ship and the coastline to measure the transmitted waves. Transmission, reflection and dissipation coefficients (Ct, Cr, Cd) were calculated to determine wave attenuation. Results show good shelter in the lee of the ship with values of Ct under 0.5 for peak periods from 6 s to 11 s. In addition, forces on the mooring chains were measured showing maximum values of about 2000 tons at a 10 speak period. Finally, two analytical models were used to determine the shoreline’s response to the ship’s protection and to assess the possible forming of salients or tombolos. According to the results, salients - but not tombolos - are formed in all tests.

Evidence of expert’s evidence is evidence

Date of Acceptance: 06/06/2015

Synthesis and targeted delivery of an azidothymidine homodinucleotide conferring protection to macrophages against retroviral infection.

The infectivity and replication of human (HIV-1), feline (FIV), and murine (LP-BM5) immunodeficiency viruses are all inhibited by several nucleoside analogues after intracellular conversion to their triphosphorylated derivatives. At the cellular level, the main problems in the use of these drugs concern their limited phosphorylation in some cells (e.g., macrophages) and the cytotoxic side effects of nucleoside analogue triphosphates. To overcome these limitations a new nucleoside analogue homodinucleotide, di(thymidine-3'-azido-2',3'-dideoxy-D-riboside)-5'-5'-p1-p2-pyrophosphat e (AZTp2AZT), was designed and synthesized. AZTp2AZT was a poor in vitro inhibitor of HIV reverse transcriptase, although it showed antiviral and cytotoxic activities comparable to those of the parent AZT when added to cultures of a HTLV-1 transformed cell line. AZTp2AZT encapsulated into erythrocytes was remarkably stable. Induction of erythrocyte-membrane protein clusterization and subsequent phagocytosis of AZTp2AZT-loaded cells allowed the targeted delivery of this impermeant drug to macrophages where its metabolic activation occurs. The addition of AZTp2AZT-loaded erythrocytes to human, feline, and murine macrophages afforded almost complete in vitro protection of these cells from infection by HIVBa-L, FIV, and LP-BM5, respectively. Therefore, AZTp2AZT, unlike the membrane-diffusing azidothymidine, acts as a very efficient antiretroviral prodrug following selective targeting to macrophages by means of loaded erythrocytes.

Educating a New Cadre of Experts Specializing in Digital Collections and Digital Curation: Experiential Learning in Digital Library Curriculum

Integration of experiential learning into the library and information science (LIS) courses has been a theme in LIS education, but the topic deserves renewed attention with an increasing demand for professionals in the digital library field and in light of the new initiative announced by the Library of Congress (LC) and the Institution of Museum and Library Services (IMLS) for national residency program in digital curation. The balance between theory and practice in digital library curricula, the challenges of incorporating practical projects into LIS coursework, and the current practice of teaching with hands on activities represent the primary areas of this panel discussion.

Report of the treasurer of the Committee of Relief for the Sufferers by the Fall of the Pemberton Mill, in Lawrence, Mass, on the 10th of January, 1860

Signed, p. 19: Charles S. Storrow.

Report of a Committee of the Corporation of Harvard College appointed “to consider the expediency of making further regulations relative to Commons,” May 19, 1807

This report expressed the opinion of the Committee that, despite the students' complaints, Commons should be not changed in any meaningful regard (save for the method of purchasing beef). Among other reasons for explaining the inflexible position of the Corporation, they stated, “alacrity, cheerfulness and docility are the companions of temperance; petulance, disquietude and perverseness are the intractable offspring of indulgence.” In addition, they suggested that students should refrain from sampling delicacies in town to better appreciate the "plain, simple, and wholesome food of the hall."

No. 7 Answer from Committee of Cambridge to Memorial of President & Professors of H. College, Copy 1799 February

Four octavo-sized leaves containing a handwritten copy of a detailed response by the Committee of the Town of Cambridge (comprised of James Winthrop, William Winthrop, and Ebenezer Stedman) to the memorial of Harvard College officers to the Massachusetts General Court.