Frequency of Genital Involvement in Women with Oral Lichen Planus in Southern Iran

Background. Lichen Planus is a chronic mucocutaneous disease of immunological basis and unknown etiology. women with oral lichen planus may have concomitant manifestations in vulvovaginal areas. Objective. To determine the frequency and risk factors of genital involvement in a group of Iranian women affected by oral lichen planus. Methods. Thirty-six women with clinical and histopathological diagnosis of oral lichen planus were evaluated for demographic, historical, and clinical parameters of the oral disease. All the patients were referred for careful vulvovaginal examination, as well as histopathological assessment upon clinical indication. Results. Nineteen patients complained from genital symptoms but the number of women with the final diagnosis of genital lichen planus (n = 2) was too small to show any correlation with the parameters evaluated. Conclusion. In spite of low genital involvement possibly due to inadequate patient population, lack of follow-up visits, and contribution of genetic or ethnic factors, for conservative patient care, women with the oral lichen planus in particular those having some relevant genital symptoms, should preferably be referred for careful vulvovaginal examination. Multicenter cohort studies on women of different geographical regions or ethnicities who have genital lichen planus alone or in combination with other common sites are encouraged

Sediment Transport of Fine Sand to Fine Gravel on Transverse Bed Slopes in Rotating Annular Flume Experiments

Large‐scale morphology, in particular meander bend depth, bar dimensions, and bifurcation dynamics, are greatly affected by the deflection of sediment transport on transverse bed slopes due to gravity and by secondary flows. Overestimating the transverse bed slope effect in morphodynamic models leads to flattening of the morphology, while underestimating leads to unrealistically steep bars and banks and a higher braiding index downstream. However, existing transverse bed slope predictors are based on a small set of experiments with a minor range of flow conditions and sediment sizes, and in practice models are calibrated on measured morphology. The objective of this research is to experimentally quantify the transverse bed slope effect for a large range of near‐bed flow conditions with varying secondary flow intensity, sediment sizes (0.17–4 mm), sediment transport mode, and bed state to test existing predictors. We conducted over 200 experiments in a rotating annular flume with counterrotating floor, which allows control of the secondary flow intensity separate from the streamwise flow velocity. Flow velocity vectors were determined with a calibrated analytical model accounting for rough bed conditions. We isolated separate effects of all important parameters on the transverse slope. Resulting equilibrium transverse slopes show a clear trend with varying sediment mobilities and secondary flow intensities that deviate from known predictors depending on Shields number, and strongly depend on bed state and sediment transport mode. Fitted functions are provided for application in morphodynamic modelin

Twenty-first-century projections of shoreline change along inlet-interrupted coastlines

Sandy coastlines adjacent to tidal inlets are highly dynamic and widespread landforms, where large changes are expected due to climatic and anthropogenic influences. To adequately assess these important changes, both oceanic (e.g., sea-level rise) and terrestrial (e.g., fluvial sediment supply) processes that govern the local sediment budget must be considered. Here, we present novel projections of shoreline change adjacent to 41 tidal inlets around the world, using a probabilistic, reduced complexity, system-based model that considers catchment-estuary-coastal systems in a holistic way. Under the RCP 8.5 scenario, retreat dominates (90% of cases) over the twenty-first century, with projections exceeding 100 m of retreat in two-thirds of cases. However, the remaining systems are projected to accrete under the same scenario, reflecting fluvial influence. This diverse range of response compared to earlier methods implies that erosion hazards at inlet-interrupted coasts have been inadequately characterised to date. The methods used here need to be applied widely to support evidence-based coastal adaptation

Doyne lecture 2016:intraocular health and the many faces of inflammation

Dogma for reasons of immune privilege including sequestration (sic) of ocular antigen, lack of lymphatic and immune competent cells in the vital tissues of the eye has long evaporated. Maintaining tissue and cellular health to preserve vision requires active immune responses to prevent damage and respond to danger. A priori the eye must contain immune competent cells, undergo immune surveillance to ensure homoeostasis as well as an ability to promote inflammation. By interrogating immune responses in non-infectious uveitis and compare with age-related macular degeneration (AMD), new concepts of intraocular immune health emerge. The role of macrophage polarisation in the two disorders is a tractable start. TNF-alpha regulation of macrophage responses in uveitis has a pivotal role, supported via experimental evidence and validated by recent trial data. Contrast this with the slow, insidious degeneration in atrophic AMD or in neovasular AMD, with the compelling genetic association with innate immunity and complement, highlights an ability to attenuate pathogenic immune responses and despite known inflammasome activation. Yolk sac-derived microglia maintains tissue immune health. The result of immune cell activation is environmentally dependent, for example, on retinal cell bioenergetics status, autophagy and oxidative stress, and alterations that skew interaction between macrophages and retinal pigment epithelium (RPE). For example, dead RPE eliciting macrophage VEGF secretion but exogenous IL-4 liberates an anti-angiogenic macrophage sFLT-1 response. Impaired autophagy or oxidative stress drives inflammasome activation, increases cytotoxicity, and accentuation of neovascular responses, yet exogenous inflammasome-derived cytokines, such as IL-18 and IL-33, attenuate responses

Removal of organic matter from reservoir water: mechanisms underpinning surface chemistry of natural adsorbents

One of the key challenges in water treatment industry is the removal of organic compounds by cost-effective methods. This study evaluated the adsorptive removal of dissolved organic carbon (DOC) from reservoir water using fuller’s earth (FE) in comparison with natural (SQ) and modified quartz (MSQ) sands. The removal capacities of FE at different contact times, pH levels, adsorbent dosages and initial DOC concentrations were compared with both the quartz sands. The optimum DOC removals by FE and SQs were achieved at contact time of 60 and 30 min, pH level of 6 and 4, and at adsorbent dose of 1.5 g/150 mL and 10 g/100 mL, respectively. The adsorption capacity of FE (1.05 mg/g) was much higher compared to the MSQ (0.04 mg/g) and SQ (0.01 mg/g). Adsorption equilibrium data better fitted to the Freundlich model than to the Langmuir model, suggesting that adsorption occurred primarily through multilayer formation onto the surfaces of FE and SQ. The pseudo-second-order model described the uptake kinetics more effectively than the pseudo-first-order and intra-particle diffusion models, indicating that the mechanism was primarily governed by chemisorption. These observations were well supported by the physiochemical characteristics and charge behaviour of the adsorbents. In mass-transfer study, the results of liquid film diffusion model showed that the adsorption of DOC on FE was not controlled by film diffusion, but other mechanisms also played an essential role. This study demonstrates that FE is an effective adsorbent for the removal of DOC in surface water treatment

Probabilistic Application of an Integrated Catchment-Estuary-Coastal System Model to Assess the Evolution of Inlet-Interrupted Coasts Over the 21st Century

Inlet-interrupted sandy coasts are dynamic and complex coastal systems with continuously evolving geomorphological behaviors under the influences of both climate change and human activities. These coastal systems are of great importance to society (e.g., providing habitats, navigation, and recreational activities) and are affected by both oceanic and terrestrial processes. Therefore, the evolution of these inlet-interrupted coasts is better assessed by considering the entirety of the Catchment-Estuary-Coastal (CEC) systems, under plausible future scenarios for climate change and increasing pressures due to population growth and human activities. Such a holistic assessment of the long-term evolution of CEC systems can be achieved via reduced-complexity modeling techniques, which are also ably quantifying the uncertainties associated with the projections due to their lower simulation times. Here, we develop a novel probabilistic modeling framework to quantify the input-driven uncertainties associated with the evolution of CEC systems over the 21st century. In this new approach, probabilistic assessment of the evolution of inlet-interrupted coasts is achieved by (1) probabilistically computing the exchange sediment volume between the inlet-estuary system and its adjacent coast, and (2) distributing the computed sediment volumes along the inlet-interrupted coast. The model is applied at three case study sites: Alsea estuary (United States), Dyfi estuary (United Kingdom), and Kalutara inlet (Sri Lanka). Model results indicate that there are significant uncertainties in projected volume exchange at all the CEC systems (min-max range of 2.0 million cubic meters in 2100 for RCP 8.5), and the uncertainties in these projected volumes illustrate the need for probabilistic modeling approaches to evaluate the long-term evolution of CEC systems. A comparison of 50th percentile probabilistic projections with deterministic estimates shows that the deterministic approach overestimates the sediment volume exchange in 2100 by 15–30% at Alsea and Kalutara estuary systems. Projections of coastline change obtained for the case study sites show that accounting for all key processes governing coastline change along inlet-interrupted coasts in computing coastline change results in projections that are between 20 and 134% greater than the projections that would be obtained if only the Bruun effect were taken into account, underlining the inaccuracies associated with using the Bruun rule at inlet-interrupted coasts

A Holistic Modeling Approach to Project the Evolution of Inlet-Interrupted Coastlines Over the 21st Century

Approximately one-quarter of the World’s sandy beaches, most of which are interrupted by tidal inlets, are eroding. Understanding the long-term (50–100 year) evolution of inlet-interrupted coasts in a changing climate is, therefore of great importance for coastal zone planners and managers. This study, therefore, focuses on the development and piloting of an innovative model that can simulate the climate-change driven evolution of inlet-interrupted coasts at 50–100 year time scales, while taking into account the contributions from catchment-estuary-coastal systems in a holistic manner. In this new model, the evolution of inlet-interrupted coasts is determined by: (1) computing the variation of total sediment volume exchange between the inlet-estuary system and its adjacent coast, and (2) distributing the computed sediment volume along the inlet-interrupted coast as a spatially and temporally varying quantity. The exchange volume, as computed here, consists of three major components: variation in fluvial sediment supply, basin (or estuarine) infilling due to the sea-level rise-induced increase in accommodation space, and estuarine sediment volume change due to variations in river discharge. To pilot the model, it is here applied to three different catchment-estuary-coastal systems: the Alsea estuary (Oregon, United States), Dyfi estuary (Wales, United Kigdom), and Kalutara inlet (Sri Lanka). Results indicate that all three systems will experience sediment deficits by 2100 (i.e., sediment importing estuaries). However, processes and system characteristics governing the total sediment exchange volume, and thus coastline change, vary markedly among the systems due to differences in geomorphic settings and projected climatic conditions. These results underline the importance of accounting for the different governing processes when assessing the future evolution of inlet-interrupted coastlines