An experimental model for the measurement of renal function after temporary ureteral obstruction in the rat

We present the results obtained with a ureterovesical implant after ipsilateral ureteral obstruction in the rat, suitable for the study of renal function after deobstruction in these animals. Thirty-seven male Wistar rats weighing 260 to 300 g were submitted to distal right ureteral ligation and divided into 3 groups, A (N = 13, 1 week of obstruction), B (N = 14, 2 weeks of obstruction) and C (N = 10, 3 weeks of obstruction). The animals were then submitted to ureterovesical implantation on the right side and nephrectomy on the left side. During the 4-week follow-up period serum levels of urea and creatinine were measured on the 2nd, 7th, 14th, 21st and 28th day and compared with preoperative levels. The ureterovesical implantation included a psoas hitch procedure and the ureter was pulled into the bladder using a transvesical suture. During the first week of the postoperative period 8 animals died, 4/13 in group A (1 week of obstruction) and 4/14 in group B (2 weeks of obstruction). When compared to preoperative serum levels, urea and creatinine showed a significant increase (P<0.05) on the 2nd postoperative day in groups A and B, with a gradual return to lower levels. However, the values in group B animals were higher than those in group A at the end of the follow-up. In group C, 2/10 animals (after 3 weeks of obstruction) were sacrificed at the time of ureterovesical implantation due to infection of the obstructed kidneys. The remaining animals in this group were operated upon but all of them died during the first week of follow-up due to renal failure. This technique of ureterovesical implantation in the rat provides effective drainage of the upper urinary tract, permitting the development of an experimental model for the study of long-term renal function after a period of ureteral obstruction

Entrepreneurship Education in Basic and Upper Secondary Education – Measurement and Empirical Evidence

The starting point of this study is to direct more attention to the teacher and those entrepreneurship education practices taking place in formal school to find out solutions for more effective promotion of entrepreneurship education. For this objective, the strategy-level aims of entrepreneurship education need to be operationalised into measurable and understandable teacher-level practices. Furthermore, to enable the effective development of entrepreneurship education in basic and upper secondary level education, more knowledge is needed of the state of affairs of entrepreneurship education in teaching. The purpose of the study is to increase the level of understanding of teachers’ entrepreneurship education practices, and through this to develop entrepreneurship education. This study builds on the literature on entrepreneurship education and especially those elements referring to the aims, resources, benefits, methods, and practises of entrepreneurship education. The study comprises five articles highlighting teachers’ role in entrepreneurship education. In the first article the concept of entrepreneurship and the teachers role in reflection upon his/hers approaches to entrepreneurship education are considered. The second article provides a detailed analysis of the process of developing a measurement tool to depict the teachers’ activities in entrepreneurship education. The next three articles highlight the teachers’ role in directing the entrepreneurship education in basic and upper secondary level education. Furthermore, they analyse the relationship between the entrepreneurship education practises and the teachers’ background characteristics. The results of the study suggest a wide range of conclusions and implications. First, in spite of many outspoken aims connected to entrepreneurship education, teachers have not set any aims for themselves. Additionally, aims and results seem to mix. However, it is possible to develop teachers’ target orientation by supporting their reflection skills, and through measurement and evaluation increase their understanding of their own practices. Second, applying a participatory action process it is possible to operationalise teachers’entrepreneurship education practices. It is central to include the practitioners’ perspective in the development of measures to make sure that the concepts and aims of entrepreneurship education are understood. Third, teachers’ demographic or tenure-related background characteristics do not affect their entrepreneurship education practices, but their training related to entrepreneurship education, participation in different school-level or regional planning, and their own capabilities support entrepreneurship education. Fourth, a large number of methods are applied to entrepreneurship education, and the most often used methods were different kinds of discussions, which seem to be an easy, low-threshold way for teachers to include entrepreneurship education regularly in their teaching. Field trips to business enterprises or inviting entrepreneurs to present their work in schools are used fairly seldom. Interestingly, visits outside the school are more common than visitors invited to the school. In line, most of the entrepreneurship education practices take place in a classroom. Therefore it seems to be useful to create and encourage teachers towards more in-depth cooperation with companies (e.g. via joint projects) and to network systematically. Finally, there are plenty of resources available for entrepreneurship education, such as ready-made materials, external stakeholders, support organisations, and learning games, but teachers have utilized them only marginally.

Voittoa tavoittelemattoman organisaation asiakashankinnan suorituskyvyn mittaaminen

Tutkimuksen ensimmäinen tavoite on kaksiosainen. Aluksi pyrittiin selvittämään, kuinka voittoa tavoittelemattomalla sektorilla voidaan mitata asiakashankinnan suorituskykyä. Toiseksi tutkittiin, mikä on mittauksen tila Suomen voittoa tavoittelemattomassa sektorissa. Toinen tavoite oli rakentaa suorituskykymittaristo suurehkon järjestön asiakashankintaan ja pohtia asiakashankinnan tavoitteiden jalkauttamista mittareiden avulla. Ensimmäinen tavoite toteutettiin kirjallisuuskatsauksen ja kyselytutkimuksen avulla. Kirjallisuuskatsauksen perusteella rakennettiin kyselylomake, jota jaettiin suomalaisiin voittoa tavoittelemattomiin organisaatioihin. Kirjallisuuskatsauksessa selvisi, että suorituskyvyn kannalta tärkeintä olisi mitata kontaktien määrää siinä, missä kontaktien laatu ja prosessin sujuvuus toimivat täydentävinä mittauskohteina. Kyselytutkimuksen perusteella noin puolet vastaajaorganisaatioista mittasi toimintaansa ylipäätään. Käytetyt mittarit painottuivat asiakashankinnan laatuun. Toisen tavoitteen osalta mittaristo luotiin hyödyntämällä LUT:issa rakennetun SAKE-sovelluksen implementointiprosessia. Mittaristo kattaa sekä puhelimitse että kentällä tehdyn asiakashankinnan ja sähköisen markkinoinnin määrä- ja laatumittarit. Lisäksi on arvioitu, asiakashankinnan tavoitteet voidaan jalkauttaa käytännön työhön. Kirjallisuuskatsauksen avulla tehdyt johtopäätökset toimivat ohjenuorana, kun pohditaan vastaavan toiminnan mittaamista. Tehtyä mittaristoa ei ole tarkoituksenmukaista soveltaa muualla sellaisenaan, vaan mittaristo tulee aina sovittaa kohdeorganisaatioon. Kyselytutkimuksen tuloksia ei voida pienen vastaajamäärän takia yleistää järjestökenttään.

Measurement of intestinal permeability using mannitol and lactulose in children with diarrheal diseases

The excretion ratio of lactulose/mannitol in urine has been used to assess the extension of malabsorption and impairment of intestinal permeability. The recovery of lactulose and mannitol in urine was employed to evaluate intestinal permeability in children with and without diarrhea. Lactulose and mannitol probes were measured using high-performance liquid chromatography with pulsed amperometric detection (HPLC-PAD). Two groups of solutions containing 60 µM sugars were prepared. Group I consisted of glucosamine, mannitol, melibiose and lactulose, and group II of inositol, sorbitol, glucose and lactose. In the study of intra-experiment variation, a sample of 50 µl from each group was submitted to 4 successive determinations. The recovered amounts and retention times of each sugar showed a variation <2 and 1%, respectively. The estimated recovery was >97%. In the study of inter-experiment variation, we prepared 4 independent samples from groups I and II at the following concentrations: 1.0, 0.3, 0.1, 0.03 and 0.01 mM. The amounts of the sugars recovered varied by <10%, whereas the retention times showed an average variation <1%. The linear correlation coefficients were >99%. Retention (k'), selectivity (a) and efficiency (N) were used to assess the chromatographic conditions. All three parameters were in the normal range. Children with diarrhea presented a greater lactulose/mannitol ratio compared to children without diarrhea.

A simple HPLC-fluorescence method for the measurement of R,S-sotalol in the plasma of patients with life-threatening cardiac arrhythmias

R,S-sotalol, a ß-blocker drug with class III antiarrhythmic properties, is prescribed to patients with ventricular, atrial and supraventricular arrhythmias. A simple and sensitive method based on HPLC-fluorescence is described for the quantification of R,S-sotalol racemate in 500 µl of plasma. R,S-sotalol and its internal standard (atenolol) were eluted after 5.9 and 8.5 min, respectively, from a 4-micron C18 reverse-phase column using a mobile phase consisting of 80 mM KH2PO4, pH 4.6, and acetonitrile (95:5, v/v) at a flow rate of 0.5 ml/min with detection at lex = 235 nm and lem = 310 nm, respectively. This method, validated on the basis of R,S-sotalol measurements in spiked blank plasma, presented 20 ng/ml sensitivity, 20-10,000 ng/ml linearity, and 2.9 and 4.8% intra- and interassay precision, respectively. Plasma sotalol concentrations were determined by applying this method to investigate five high-risk patients with atrial fibrillation admitted to the Emergency Service of the Medical School Hospital, who received sotalol, 160 mg po, as loading dose. Blood samples were collected from a peripheral vein at zero, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0, 12.0 and 24.0 h after drug administration. A two-compartment open model was applied. Data obtained, expressed as mean, were: CMAX = 1230 ng/ml, TMAX = 1.8 h, AUCT = 10645 ng h-1 ml-1, Kab = 1.23 h-1, a = 0.95 h-1, ß = 0.09 h-1, t(1/2)ß = 7.8 h, ClT/F = 3.94 ml min-1 kg-1, and Vd/F = 2.53 l/kg. A good systemic availability and a fast absorption were obtained. Drug distribution was reduced to the same extent in terms of total body clearance when patients and healthy volunteers were compared, and consequently elimination half-life remained unchanged. Thus, the method described in the present study is useful for therapeutic drug monitoring purposes, pharmacokinetic investigation and pharmacokinetic-pharmacodynamic sotalol studies in patients with tachyarrhythmias.

Quantitative Magnetic Resonance Imaging of the Liver and Heart In Iron Overload

Systemic iron overload (IO) is considered a principal determinant in the clinical outcome of different forms of IO and in allogeneic hematopoietic stem cell transplantation (alloSCT). However, indirect markers for iron do not provide exact quantification of iron burden, and the evidence of iron-induced adverse effects in hematological diseases has not been established. Hepatic iron concentration (HIC) has been found to represent systemic IO, which can be quantified safely with magnetic resonance imaging (MRI), based on enhanced transverse relaxation. The iron measurement methods by MRI are evolving. The aims of this study were to implement and optimise the methodology of non-invasive iron measurement with MRI to assess the degree and the role of IO in the patients. An MRI-based HIC method (M-HIC) and a transverse relaxation rate (R2*) from M-HIC images were validated. Thereafter, a transverse relaxation rate (R2) from spin-echo imaging was calibrated for IO assessment. Two analysis methods, visual grading and rSI, for a rapid IO grading from in-phase and out-of-phase images were introduced. Additionally, clinical iron indicators were evaluated. The degree of hepatic and cardiac iron in our study patients and IO as a prognostic factor in patients undergoing alloSCT were explored. In vivo and in vitro validations indicated that M-HIC and R2* are both accurate in the quantification of liver iron. R2 was a reliable method for HIC quantification and covered a wider HIC range than M-HIC and R2*. The grading of IO was able to be performed rapidly with the visual grading and rSI methods. Transfusion load was more accurate than plasma ferritin in predicting transfusional IO. In patients with hematological disorders, the prevalence of hepatic IO was frequent, opposite to cardiac IO. Patients with myelodysplastic syndrome were found to be the most susceptible to IO. Pre-transplant IO predicted severe infections during the early post-transplant period, in contrast to the reduced risk of graft-versus-host disease. Iron-induced, poor transplantation results are most likely to be mediated by severe infections.

Towards understanding the kallikrein-kinin system: insights from measurement of kinin peptides

The kallikrein-kinin system is complex, with several bioactive peptides that are formed in many different compartments. Kinin peptides are implicated in many physiological and pathological processes including the regulation of blood pressure and sodium homeostasis, inflammatory processes, and the cardioprotective effects of preconditioning. We established a methodology for the measurement of individual kinin peptides in order to study the function of the kallikrein-kinin system. The levels of kinin peptides in tissues were higher than in blood, confirming the primary tissue localization of the kallikrein-kinin system. Moreover, the separate measurement of bradykinin and kallidin peptides in man demonstrated the differential regulation of the plasma and tissue kallikrein-kinin systems, respectively. Kinin peptide levels were increased in the heart of rats with myocardial infarction, in tissues of diabetic and spontaneously hypertensive rats, and in urine of patients with interstitial cystitis, suggesting a role for kinin peptides in the pathogenesis of these conditions. By contrast, blood levels of kallidin, but not bradykinin, peptides were suppressed in patients with severe cardiac failure, suggesting that the activity of the tissue kallikrein-kinin system may be suppressed in this condition. Both angiotensin converting enzyme (ACE) and neutral endopeptidase (NEP) inhibitors increased bradykinin peptide levels. ACE and NEP inhibitors had different effects on kinin peptide levels in blood, urine, and tissues, which may be accounted for by the differential contributions of ACE and NEP to kinin peptide metabolism in the multiple compartments in which kinin peptide generation occurs. Measurement of the levels of individual kinin peptides has given important information about the operation of the kallikrein-kinin system and its role in physiology and disease states.

Operatiivisen tason suorituskyvyn mallimittariston kehittäminen logistiikkapalveluyritykselle

Tutkimuksen tavoitteena oli kehittää mallimittaristo logistiikkapalvelualalla toimivan yrityksen operatiivisen tason suorituskyvyn seurantaan ja toiminnanohjausta varten, päivittäisen johtamisen tueksi. Tutkimus suoritettiin pääosin toiminta-analyyttisena, yhden yrityksen empiirisenä tapaustutkimuksena. Tutkimuksen kohdeyrityksen toiminnanmittaus perustuu tällä hetkellä pääasiassa taloudellisiin mittareihin ja muutamaan kyselyyn. Toiminnanohjauksen ja – kehittämisen, päätöksenteon tueksi tarvitaan, taloudellisten mittareiden lisäksi, mittareita, joilla pystytään seuraamaan suorituskyvyn taustalla vaikuttavien tekijöiden kehittymistä. Tutkimuksen kohdeyrityksen operatiivisen tason suorituskyvyn mallimittariston suunnittelussa haluttiin varmistaa, että jatkossa mittaamisella vaikutettaisiin seuraustekijöiden lisäksi myös syytekijöihin, selkiyttää liiketoiminnan tavoitteet, operatiivisen tason näkökulmasta, ja mittaamisen tavoite. Tutkimuksessa esitelty mallimittaristo on suunniteltu, tasapainotetun mittariston viitekehyksen avulla. Mittariston näkökulmiksi valittiin: talous, sidosryhmä (asiakas), prosessi ja henkilöstö. Mittariston tuottaman tiedon tavoitteena on toiminnanohjauksen, -kehittämisen ja päätöksenteon tukeminen, kun mittaustulokset ja trendi ovat yhdessä paikassa, on tiedonhaku ja - hyödyntäminen helpompaa. Mallimittaristoa ei testattu eikä käyttöönotettu tutkimuksessa.

Applying customer value measurement to a customer loyalty program: Case of implementing a key performance indicator based on customer value

In recent decade customer loyalty programs have become very popular and almost every retail chain seems to have one. Through the loyalty programs companies are able to collect information about the customer behavior and to use this information in business and marketing management to guide decision making and resource allocation. The benefits for the loyalty program member are often monetary, which has an effect on the profitability of the loyalty program. Not all the loyalty program members are equally profitable, as some purchase products for the recommended retail price and some buy only discounted products. If the company spends similar amount of resources to all members, it can be seen that the customer margin is lower on the customer who bought only discounted products. It is vital for a company to measure the profitability of their members in order to be able to calculate the customer value. To calculate the customer value several different customer value metrics can be used. During the recent years especially customer lifetime value has received a lot of attention and it is seen to be superior against other customer value metrics. In this master’s thesis the customer lifetime value is implemented on the case company’s customer loyalty program. The data was collected from the customer loyalty program’s database and represents year 2012 on the Finnish market. The data was not complete to fully take advantage of customer lifetime value and as a conclusion it can be stated that a new key performance indicator of customer margin should be acquired in order to profitably drive the business of the customer loyalty program. Through the customer margin the company would be able to compute the customer lifetime value on regular basis enabling efficient resource allocation in marketing.

Radio-frequency-based measurement methods for bearing current analysis in induction motors

The most common reason for a low-voltage induction motor breakdown is a bearing failure. Along with the increasing popularity of modern frequency converters, bearing failures have become the most important motor fault type. Conditions in which bearing currents are likely to occur are generated as a side effect of fast du/dt switching transients. Once present, different types of bearing currents can accelerate the mechanical wear of bearings by causing deformation of metal parts in the bearing and degradation of the lubricating oil properties.The bearing current phenomena are well known, and several bearing current measurement and mitigation methods have been proposed. Nevertheless, in order to develop more feasible methods to measure and mitigate bearing currents, better knowledge of the phenomena is required. When mechanical wear is caused by bearing currents, the resulting aging impact has to be monitored and dealt with. Moreover, because of the stepwise aging mechanism, periodically executed condition monitoring measurements have been found ineffective. Thus, there is a need for feasible bearing current measurement methods that can be applied in parallel with the normal operation of series production drive systems. In order to reach the objectives of feasibility and applicability, nonintrusive measurement methods are preferred. In this doctoral dissertation, the characteristics and conditions of bearings that are related to the occurrence of different kinds of bearing currents are studied. Further, the study introduces some nonintrusive radio-frequency-signal-based approaches to detect and measure parameters that are associated with the accelerated bearing wear caused by bearing currents.

Radar cross-section measurement using the Doppler effect

In this Master Thesis we discuss issues related to the measurement of the effective scattering surface, based on the Doppler Effect. Modeling of the detected signal was made. Narrowband signal filtering using low-frequency amplifier was observed. Parameters of the proposed horn antennas were studied; radar cross section charts for three different objects were received.

Measurement of the ultrasonic properties of human coronary arteries in vitro with a 50-MHz acoustic microscope

Ultrasonic attenuation coefficient, wave propagation speed and integrated backscatter coefficient (IBC) of human coronary arteries were measured in vitro over the -6 dB frequency bandwidth (36 to 67 MHz) of a focused ultrasound transducer (50 MHz, focal distance 5.7 mm, f/number 1.7). Corrections were made for diffraction effects. Normal and diseased coronary artery sub-samples (N = 38) were obtained from 10 individuals at autopsy. The measured mean ± SD of the wave speed (average over the entire vessel wall thickness) was 1581.04 ± 53.88 m/s. At 50 MHz, the average attenuation coefficient was 4.99 ± 1.33 dB/mm with a frequency dependence term of 1.55 ± 0.18 determined over the 36- to 67-MHz frequency range. The IBC values were: 17.42 ± 13.02 (sr.m)-1 for thickened intima, 11.35 ± 6.54 (sr.m)-1 for fibrotic intima, 39.93 ± 50.95 (sr.m)-1 for plaque, 4.26 ± 2.34 (sr.m)-1 for foam cells, 5.12 ± 5.85 (sr.m)-1 for media and 21.26 ± 31.77 (sr.m)-1 for adventitia layers. The IBC results indicate the possibility for ultrasound characterization of human coronary artery wall tissue layer, including the situations of diseased arteries with the presence of thickened intima, fibrotic intima and plaque. The mean IBC normalized with respect to the mean IBC of the media layer seems promising for use as a parameter to differentiate a plaque or a thickened intima from a fibrotic intima.

Suorituskykymittariston suunnittelu suuren teknologiateollisuuden organisaation asiantuntijatiimissä

Suorituskyvyn mittaamisella voidaan tehokkaasti vaikuttaa yrityksen tavoitteiden saavuttamiseen. Suorituskykyä kuvaavat mittarit ohjaavat yritystä strategian toteuttamisessa ja toiminnan kehittämisessä visiossa määriteltyyn suuntaan. Yrityksen suorituskykyä mitataan hyvin usein yksistään yritystasolla, mutta suorituskyvyn mittaaminen voidaan viedä myös tiimitasolle asti. Tämän työn tavoitteena oli identifioida ominaispiirteitä suuren organisaation asiantuntijatiimin suorituskykymittaristolle jo sen suunnitteluvaiheessa. Tutkimuskysymyksiin pyrittiin löytämään vastauksia yhtäältä kohdeyritykselle implementoidun suunnitteluprosessin avulla ja toisaalta myös suorituskyvyn mittaamista käsittelevän kirjallisuuden kautta. Huomattavin erityispiirre suorituskykymittaristoa suunnitellessa oli suuren organisaation asiantuntijatyön huomioiminen, sillä tietointensiivisen asiantuntijatiimin työn mittaaminen on vaativaa. Suorituskyvyn mittaaminen virtaviivaistaa sekä yrityksen tavoitteiden viestintää henkilöstölle että sen päätöksentekoa. Toimiva suorituskykymittaristo voidaan luoda suunnitteluprosessin avulla, joista kirjallisuudessa on useita malleja. Tehokkaan suunnitteluprosessin taustalla on johdon ja henkilöstön sitoutuminen suunnitteluun, jotta mittaristosta tulisi mahdollisimman onnistunut. Suorituskykymittariston suunnitteluprosessissa yrityksen visiosta ja strategiasta johdetaan mittausalueet ja menestystekijät, joiden avulla strategia pyritään toteuttamaan ja visio saavuttamaan. Asiantuntijatiimin suorituskyvyn mittauksessa on tärkeätä spesifioida relevantit mittarit, jotta asetetut tavoitteet saavutetaan ja haasteellista tietointensiivistä asiantuntijatyötä voidaan tehokkaasti mitata. Suunnitteluvaiheessa oleellinen osa suunnittelutyötä on mittausjärjestelmän riittävä ja huolellinen dokumentaatio, jotta mahdolliset muutokset implementointivaiheessa voitaisiin toteuttaa systemaattisesti ja tehokkaasti.

Toimittajayhteistyön arviointi, luokittelu ja mittaaminen

Toimittajien arviointi, luokittelu sekä suorituskyvyn mittaaminen ovat nousseet yhdeksi merkittäväksi tekijäksi yritysten pyrkiessä kilpailukyvyn parantamiseen. Sisäisten prosessien kehittämisen lisäksi painopistettä ollaan siirtämässä yhä enemmän toimittajien koordinointiin ja jopa heidän omien prosessiensa kehittämiseen. Globaalit markkinat ovat mahdollistaneet uusien toimittajien löytämisen, minkä seurauksena toimittajamäärä on kasvanut rajusti. Jatkuvan resurssien kiristämisen takia toimittajien kanssa tehtävän yhteistyön jatkuva seuranta ei kuitenkaan ole mahdollista. Yritysten tulee löytää juuri ne potentiaalisimmat toimittajat, joiden kanssa tehty yhteistyö tuottaa parhaimmat tulokset. Tutkimuksen tavoitteena on selvittää, kuinka toimittajayhteistyötä voitaisiin kehittää kokonaisvaltaisesti sekä tilaajan että toimittajan näkökulmasta. Tutkimuksen teoriaosuudessa keskitytään toimittajien arviointiin, luokitteluun ja suorituskyvyn mittaamiseen. Tutkimuksen empiriaosuus muodostuu teemahaastatteluista, jossa haastateltiin sekä toimittajia että tilaajia yhteistyön tekemisen näkökulmasta. Saatuja vastauksia analysoitiin aiempaa kirjallisuutta vastaan. Tuloksena esitetään kohdeyritykselle malli, jonka avulla voidaan löytää potentiaalisimmat toimittajat ja auttaa kehittämään yhteistyötä heidän kanssaan. Tutkimuksen merkittävimpinä havaintoina voidaan pitää liikevaihdon osuuden merkitystä kehitysaktiivisuuteen sekä ei-taloudellisten mittareiden huomioon ottamista.

Measurement of epidermal thickness in a patient with psoriasis by computer-supported image analysis

The aim of the present study was to measure full epidermal thickness, stratum corneum thickness, rete length, dermal papilla widening and suprapapillary epidermal thickness in psoriasis patients using a light microscope and computer-supported image analysis. The data obtained were analyzed in terms of patient age, type of psoriasis, total body surface area involvement, scalp and nail involvement, duration of psoriasis, and family history of the disease. The study was conducted on 64 patients and 57 controls whose skin biopsies were examined by light microscopy. The acquired microscopic images were transferred to a computer and measurements were made using image analysis. The skin biopsies, taken from different body areas, were examined for different parameters such as epidermal, corneal and suprapapillary epidermal thickness. The most prominent increase in thickness was detected in the palmar region. Corneal thickness was more pronounced in patients with scalp involvement than in patients without scalp involvement (t = -2.651, P = 0.008). The most prominent increase in rete length was observed in the knees (median: 491 µm, t = 10.117, P = 0.000). The difference in rete length between patients with a positive and a negative family history was significant (t = -3.334, P = 0.03), being 27% greater in psoriasis patients without a family history. The differences in dermal papilla distances among patients were very small. We conclude that microscope-supported thickness measurements provide objective results.