Clay 2004 Annual County Profile, 2004

County Profile

Role of T-cell-mediated inflammation in psoriasis: pathogenesis and targeted therapy

Psoriasis is one of the most common chronic, inflammatory, T-cell-mediated autoimmune diseases. Over the past decade, increased knowledge of disease pathogenesis has fundamentally changed psoriasis treatment, with the introduction of biologics, and this has led to a multitude of improved selective targets providing potential therapeutic options. Indeed, numerous pathogenesis-based treatments are currently in development, as psoriasis has also become increasingly relevant for proof-of-concept studies. The purpose of this review was to summarize current knowledge of psoriasis immunopathogenesis, focusing on the T-cell-mediated immune response and its initiation. The authors describe recent advances in psoriasis treatment and discuss pathogenesis-based therapies that are currently in development or which could be envisioned for the future. Although current biologics are well tolerated, several issues such as long-term efficacy, long-term safety, and high costs keep driving the search for new and better therapies. With further advances in understanding disease pathogenesis, more genomic data from psoriasis patients becoming available, and potentially the identification of autoantigens in psoriasis, current research should lead to the development of a growing arsenal of improved targeted treatments and to further breakthrough immunotherapies.

Ictioplancton y volúmenes de zooplancton entre Paita y Cerro Azul durante la primavera del 2005

Durante la primavera 2005, con la red Hensen (330 μm) se colectaron 104 muestras de zooplancton entre Paita y Cerro Azul hasta 50 m de profundidad. Se determinaron huevos y larvas pertenecientes a 20 familias, 22 géneros y 31 especies. Engraulis ringens fue más frecuente y abundante; se registraron huevos (64,1%) y larvas (70,9%), con abundancias que fluctuaron entre 3 y 23.184 huevos/m2 y entre 3 y 5.340 larvas/m2. La longitud total (LT) de las larvas fluctuó entre 2 y 20 mm, las más abundantes (91,6%) fueron larvas entre 2 y 4 mm LT. De Vinciguerria lucetia se registró huevos (35,6%) y larvas (28,8%) y de Diogenichthys laternatus larvas con 32,7%. El índice de diversidad (H), registró valores entre 0,001 y 1,54 bits/Ind., la equidad (J) varió entre 0,002 y 0,985 y la riqueza de especies (d) entre 0,099 y 1,430. Los volúmenes de zooplancton estuvieron comprendidos entre 0,4 y 55 mL/muestra, con un promedio +desviación estándar de 7,30 +8,10 mL/muestra.

Advantages of using TEM when analysing asbestos in ambient air

Asbestos is an industrial term to describe some fibrous silicate minerals, which belong to the amphiboles or serpentines group. Six minerals are defined as asbestos including: chrysotile (white asbestos), amosite (grunerite, brown asbestos), crocidolite (riebeckite, blue asbestos), anthophyllite, tremolite and actonolite, but only in their fibrous form. In 1973, the IARC (International Agency for Research on Cancer) classified the asbestos minerals as carcinogenic substances (IARC,1973). The Swiss threshold limit (VME) is 0.01 fibre/ml (SUVA, 2007). Asbestos in Switzerland has been prohibited since 1990, but this doesn't mean we are over asbestos. Up to 20'000 tonnes/year of asbestos was imported between the end of WWII and 1990. Today, all this asbestos is still present in buildings renovated or built during that period of time. During restorations, asbestos fibres can be emitted into the air. The quantification of the emission has to be evaluated accurately. To define the exact risk on workers or on the population is quite hard, as many factors must be considered. The methods to detect asbestos in the air or in materials are still being discussed today. Even though the EPA 600 method (EPA, 1993) has proved itself for the analysis of bulk materials, the method for air analysis is more problematic. In Switzerland, the recommended method is VDI 3492 using a scanning electron microscopy (SEM), but we have encountered many identifications problems with this method. For instance, overloaded filters or long-term exposed filters cannot be analysed. This is why the Institute for Work and Health (IST) has adapted the ISO10312 method: ambient air - determination of asbestos fibres - direct-transfer transmission electron microscopy (TEM) method (ISO, 1995). Quality controls have already be done at a French institute (INRS), which validate our practical experiences. The direct-transfer from MEC's filters on TEM's supports (grids) is a delicate part of the preparation for analysis and requires a lot of trials in the laboratory. IST managed to do proper grid preparations after about two years of development. In addition to the preparation of samples, the micro-analysis (EDX), the micro-diffraction and the morphologic analysis (figure 1.a-c) are also to be mastered. Theses are the three elements, which prove the different features of asbestos identification. The SEM isn't able to associate those three analyses. The TEM is also able to make the difference between artificial and natural fibres that have very similar chemical compositions as well as differentiate types of asbestos. Finally the experiments concluded by IST show that TEM is the best method to quantify and identify asbestos in the air.

Evaluation of the susceptibility of pathogenic Candida species to fluconazole. Fluconazole Global Susceptibility Study Group.

A fluconazole 25 microg disk diffusion test was used to test 2230 consecutively isolated Candida strains from 42 different hospital laboratories in 23 countries. Ninety seven percent of 1634 Candida albicans isolates and 83.4% of 596 non-Candida albicans isolates were susceptible to fluconazole, applying the proposed breakpoints (> or = 26 mm for susceptible strains and 18-25 mm for dose-dependent susceptible strains). This is the first hospital laboratory study to evaluate a large number and wide range of sequential Candida isolates from patients with all types of hospital infections. The fluconazole disk diffusion test appears to be a low-cost, reproducible, and accurate means of assessing the in vitro susceptibility of Candida isolates.

Prurigo nodularis: retrospective study of 13 cases managed with methotrexate.

BACKGROUND: Prurigo nodularis (PN), or nodular prurigo, is a chronic, debilitating, inflammatory skin disease. It can be very difficult to manage, and represents a challenge for the physician. Methotrexate (MTX) is a safe folic acid antagonist widely used in the management of inflammatory skin diseases such as psoriasis. Weekly administration of 7.5-20 mg methotrexate (low-dose methotrexate, LD-MTX) represents an attractive treatment option, and could therefore find a place in the management of PN. AIM: To evaluate the efficacy of LD-MTX as a treatment option for PN. METHODS: Thirteen patients who had failed to respond to conventional therapies such as topical steroids, phototherapy and antipruritic agents were treated with LD-MTX. The mean age of the patients was 75.83. Objective symptoms (Prurigo Nodularis Area and Severity Index; PNASI) and subjective symptoms (Pruritus Numeric Rating Scale; PNRS) were recorded. Treatment consisted of one subcutaneous injection of MTX 7.5-20 mg once weekly for a minimum of 6 months. Adjuvant application of emollients and topical steroids was maintained where needed. RESULTS: There was remission or marked improvement (decrease in both PNRS or PNASI of > 75%) in 10 cases, a trend to improvement in 2 cases and relapse in 1 case after treatment discontinuation. CONCLUSIONS: LD-MTX may allow improvement of PN in some patients, with long-lasting remission.

LM-vesiturbiinin tuotteistaminen

Tämän työn tarkoituksena on kehittää LM-vesiturbiini tuotantoon soveltuvaksi, käytöltään pitkäikäiseksi ja helposti huollettavaksi tuotesarjaksi. Työn ohjaavana runkona on käytetty VDI-Richtlinie 2221: 'Kehitystyön ja konstruoinnin yleinen kulku', mukaista järjestelmää. Lisäksi on käytetty valmistuksellista modulointia tuotteen osien suunnittelussa. Erityisesti on huomioitu tuotteen koko elinkaaren aikaiset kustannukset (LCC) ja sen vaatimukset mitoitukseen. LM-vesiturbiinistaon kehitetty kolmen erikokoisen laitteiston tuotesarja. Tuoteperheen yksittäisistä sylinteriryhmistä voidaan koota joustavasti erikokoisia ja -tehoisia energiantuotantoyksiköitä, jotka soveltuvat käyttöön hyvin pieniinkin virtauksiin ja putouskorkeuksiin. Piensarjatuotantoon hyvin soveltuvat materiaalit on valittu silmälläpitäen mahdollisimman edullista kokonaiskustannusta. Kiertomäntä laitteiston toiminnan kannalta tärkeimpänä ja siten vaativimpana osana on edellyttänyt laserhitsausta ja -leikkausta sekä koekappaleiden valmistusta, joiden perusteellalopulliseen rakenteeseen on päädytty. Mitoitus perustuu perinteisiin lujuuslaskentamenetelmiin, joiden avulla eri osien kestävyys käyttöolosuhteissa on pyrittysaamaan luotettavaksi vähintään 20 vuoden kestoiälle ja väsymiskestävyyteen käytön aikaisissa vaihtelevissa olosuhteissa. Kiertomäntä on ns. kevytrakenne koostuen ohutlevykennorakenteesta ja täytteenä olevasta kompound-materiaalista.

Potassium fertilization for pineapple: effects on plant growth and fruit yield

A field experiment with pineapple (Smooth Cayenne) was carried out on an Ultisol located in the city of Agudos (22º30'S; 49º03'W), in the state of São Paulo, Brazil, with the objective of investigating the effects of rates and sources of potassium fertilizer on plant growth and fruit yield. The experiment was a complete factorial design (4x3) with four rates (0, 175, 350, and 700 kg ha-1 of K2O) and three combinations of K sources (100% KCl, 100% K2SO4, and 40% K2SO4 + 60% KCl). Plant growth and fruit yield were evaluated. Biomass accumulation of pineapple plants was impaired by chlorine added with potassium chloride. Fruit yield increased with potassium fertilization. At high rates of K application, fertilization with K2SO4 showed better results than with KCl. Detrimental effects of KCl were associated with excess of chlorine.

Potassium fertilization for pineapple: effects on soil chemical properties and plant nutrition

A field experiment was carried out on an Ultisol located at the city of Agudos (22º30'S; 49º03'W), in the state of São Paulo, Brazil, in order to determine the effects of rates and sources of potassium fertilizer on nutritional status of 'Smooth Cayenne' pineapple and on some soil chemical properties. The experiment was a complete factorial design with four rates (0, 175, 350, and 700 kg ha-1 of K2O) and three combinations of K sources (100% KCl, 100% K2SO4 and 40% K2SO4 + 60% KCl). Soil samples were taken from the depths 0-20 cm, 20-40 cm and 40-60 cm at planting and 14 months after. Nutritional status of pineapple plants was assessed by means of tissue analysis. Soil K availability increased with application of K fertilizer, regardless of K sources. Soil chlorine and Cl concentration in pineapple leaves increased with application of KCl or K2SO4+KCl. Plant uptake of potassium was shaped by soil K availability and by the application rates of K fertilizer, independently of K sources.

Hakevirrasta otettavan näytteen luotettavuus ja näytteenottimen kehittäminen

Työn tavoitteena oli saada tietoa yleisesti partikkelivirtauksessa tapahtuvasta näytteenotosta ja näytteenottomenetelmistä. Työssä tutkittiin UPM-Kymmenen Kaukaan tehtaan nykyisen ostohakkeen automaattisen näytteenottimen toimintaa sekä sen ottamien näytteiden luotettavuutta kokeellisesti ja tilastollisesti. Lopuksi tutkimuksessa ideoitiin uusi näytteenottimen konstruktio. Uuden konstruktion suunnittelun lähtökohtana oli, että näytteenottimen konstruktiolla tulisi voida ottaa toistuvasti ja turvallisesti luotettavia hakenäytteitä aiheuttamatta muulle vastaanottoaseman toiminnalle häiriöitä Tutkimusta varten tehtiin eri haketoimittajien kanssa koenäytteenottoja. Hakenäytteet otettiin kolmessa eri haketoimituksen vaiheessa niiden keskinäistä vertailua varten. Hakenäytteistä määritettiin kuiva-ainepitoisuus ja laatuanalyysin tekoa varten palakokojakauma koeseulonnoilla. Palakokojakauma-analyysistä saatuja jakaumapainoprosenttiosuuksien ja niistä laskettujen laatuarvojen pohjalta tutkittiin automaattisen näytteenottimen ottaman näytteen luotettavuutta ja näytteenottimen toimintaa. Konstruointityössä noudatettiin pääpiirteittäin ohjeistoa VDI 2221. Uuden näytteenottimen suunnittelutyön tavoitteet määriteltiin tutkimuksessa tehtyjen päätelmien ja kokeiden pohjalta. Uudelle näytteenottimen konstruktiolle etsittiin toteutuskelpoisia ratkaisuja jo olemassa olevista laitteistoista ja uusista ideoista. Uudet konstruktiovaihtoehdot suunniteltiin noudattamaan näytteenottoteoriaa ja sijoituspaikan asettamia vaatimuksia.