German evidence-based guidelines for the treatment of Psoriasis vulgaris (short version)

Psoriasis vulgaris is a common and chronic inflammatory skin disease which has the potential to significantly reduce the quality of life in severely affected patients. The incidence of psoriasis in Western industrialized countries ranges from 1.5 to 2%. Despite the large variety of treatment options available, patient surveys have revealed insufficient satisfaction with the efficacy of available treatments and a high rate of medication non-compliance. To optimize the treatment of psoriasis in Germany, the Deutsche Dermatologische Gesellschaft and the Berufsverband Deutscher Dermatologen (BVDD) have initiated a project to develop evidence-based guidelines for the management of psoriasis. The guidelines focus on induction therapy in cases of mild, moderate, and severe plaque-type psoriasis in adults. The short version of the guidelines reported here consist of a series of therapeutic recommendations that are based on a systematic literature search and subsequent discussion with experts in the field; they have been approved by a team of dermatology experts. In addition to the therapeutic recommendations provided in this short version, the full version of the guidelines includes information on contraindications, adverse events, drug interactions, practicality, and costs as well as detailed information on how best to apply the treatments described (for full version, please see Nast et al., JDDG, Suppl 2:S1–S126, 2006; or http://www.psoriasis-leitlinie.de)

Indicators of relative completeness of the glacial record of the Port Askaig Formation, Garvellach Islands, Scotland

The Port Askaig Formation (PAF) is a diamictite-bearing succession in the Dalradian Supergroup of Scotland that provides an excellent archive of a Cryogenian glaciation in the Garvellach Islands and Islay, Argyll. The formation is ~1100 m thick, comprises 5 members and includes 47 diamictite beds, interbedded with siltstones, dolostones and sandstones. Here we document seven features of the PAF that indicate its relative stratigraphic completeness. There are gradual, progressive changes up-section in the lithologies of the diamictites, their interbeds, and clast lithologies. The sharp basal surfaces of the diamictites each show the same, repeated pattern of environmental change, from non-glacial to glacial. Many of the top surfaces of the diamictites show evidence of periglacial conditions. The succession in the PAF records a total of 76 climatically-related stratigraphic episodes: 28 glacial episodes, 25 periglacial episodes and 23 non-glacial episodes. Parts of Member 1 (Diamictites 1-12 and Diamictites 16-18) and Member 2 (Diamictite 31 to the base of Member 3) are most compete on the east coast of Garbh Eileach. The PAF in the Garvellach Islands occurs within a succession that is several kilometres thick, as newly revealed by sea-floor mapping. Compared with other Cryogenian and Phanerozoic glacial successions, the PAF is exceptional in its combination of formation thickness, the number of climatically-related stratigraphic episodes, and the considerable thickness of its host supergroup. Furthermore, these indicators of relative stratigraphic completeness provide evidence that the base of the PAF on the east coast of Garbh Eileach is a succession without a major break in deposition, supporting the account of the strata at and below the base of the PAF in the companion article b

Indicators of relative completeness of the glacial record of the Port Askaig Formation, Garvellach Islands, Scotland

The Port Askaig Formation (PAF) is a diamictite-bearing succession in the Dalradian Supergroup of Scotland that provides an excellent archive of a Cryogenian glaciation in the Garvellach Islands and Islay, Argyll. The formation is ~1100 m thick, comprises 5 members and includes 47 diamictite beds, interbedded with siltstones, dolostones and sandstones. Here we document seven features of the PAF that indicate its relative stratigraphic completeness. There are gradual, progressive changes up-section in the lithologies of the diamictites, their interbeds, and clast lithologies. The sharp basal surfaces of the diamictites each show the same, repeated pattern of environmental change, from non-glacial to glacial. Many of the top surfaces of the diamictites show evidence of periglacial conditions. The succession in the PAF records a total of 76 climatically-related stratigraphic episodes: 28 glacial episodes, 25 periglacial episodes and 23 non-glacial episodes. Parts of Member 1 (Diamictites 1-12 and Diamictites 16-18) and Member 2 (Diamictite 31 to the base of Member 3) are most compete on the east coast of Garbh Eileach. The PAF in the Garvellach Islands occurs within a succession that is several kilometres thick, as newly revealed by sea-floor mapping. Compared with other Cryogenian and Phanerozoic glacial successions, the PAF is exceptional in its combination of formation thickness, the number of climatically-related stratigraphic episodes, and the considerable thickness of its host supergroup. Furthermore, these indicators of relative stratigraphic completeness provide evidence that the base of the PAF on the east coast of Garbh Eileach is a succession without a major break in deposition, supporting the account of the strata at and below the base of the PAF in the companion article b

Absence of telomere shortening and oxidative DNA damage in the young adult offspring of women with pre-gestational type 1 diabetes

AIMS/HYPOTHESIS: The offspring of mothers with pre-gestational type 1 diabetes (PGDM) may be at increased risk of glucose intolerance and cardiovascular disease in childhood. The underlying causes of these observations, and whether they persist into adulthood, are unknown. The aim of the present study was to test the hypothesis that fetal chromosomal telomere oxidative DNA damage resulting from maternal PGDM programmes the offspring towards a senescent phenotype that is detectable in young adulthood.  METHODS: We studied 21 young adult offspring (age 16-23 years) with a maternal history of PGDM and 23 age- and weight-matched controls with no maternal history of diabetes. All participants underwent anthropometric assessments, a standard 75 g OGTT, measurement of peripheral blood mononuclear cell and skin fibroblast telomere length, fibroblast senescence, cell DNA damage (by determination of 8-oxoguanine levels using flow cytometry), plasma lipoprotein profiles (determined by nuclear magnetic resonance) and plasma levels of soluble adhesion molecules and inflammatory markers.  RESULTS: The groups did not differ significantly with respect to anthropometric measures, glucose tolerance, fasting and 2 h plasma insulin levels during OGTT, estimated peripheral insulin resistance, peripheral blood mononuclear cell or fibroblast telomere length, DNA damage or senescence in vitro, plasma NMR lipoprotein profiles or levels of high-sensitivity C-reactive protein. Plasma concentrations of soluble intercellular adhesion molecule 1 (sICAM-1; p < 0.05) and IL-6 (p = 0.08) were higher in the PGDM offspring.  CONCLUSIONS/INTERPRETATION: Young adult offspring of mothers with PGDM do not differ in terms of glucose tolerance, DNA damage or telomere length from controls of the same weight and BMI. This does not preclude such abnormalities at an earlier age, but there is no evidence of telomere damage as a pre-programming mechanism in the young adults enrolled in this study

Crustaceans from a bitumen clast in Carboniferous glacial diamictite of Oman extend fossil record of copepods

Copepod crustaceans are extremely abundant but, because of their small size and fragility, they fossilize poorly. Their fossil record consists of one Cretaceous (c. 115 Ma) parasite and a few Miocene (c. 14 Ma) fossils. In this paper, we describe abundant crustacean fragments, including copepods, from a single bitumen clast in a glacial diamictite of late Carboniferous age (c. 303 Ma) from eastern Oman. Geochemistry identifies the source of the bitumen as an oilfield some 100–300 km to the southwest, which is consistent with an ice flow direction from glacial striae. The bitumen likely originated as an oil seep into a subglacial lake. This find extends the fossil record of copepods by some 188 Ma, and of free-living forms by 289 Ma. The copepods include evidence of the extant family Canthocamptidae, believed to have colonized fresh water in Pangaea during Carboniferous times