Treatment of allergic rhinoconjunctivitis: a review of the role of topical levocabastine

Lcocabastine is an extremely potent and highly selective H1-receptor antagonist which has been specifically developed as eye drops and nasal spray for the treatment of allergic rhinoconjunctivitis. Clinical experience to date suggests that this topical antihistamine is at least as effective as other current first-line therapeutic approaches for the treatment of this condition, including oral H1-receptor antagonists and sodium cromoglycate. Onset of action is rapid, with clinical effects apparent within minutes of instillation. Moreover, duration of action is sufficiently long to permit a convenient twice-daily dosing regimen. Topical levocabastine is well tolerated with an adverse-effect profile comparable with that of placebo and sodium cromoglycate. As might be expected from the route of drug administration, application site reactions are the most frequent adverse effect associated with levocabastine eye drops and nasal spray with an incidence comparable with that seen in placebotreated controls. The availability of effective and well-tolerated topical antihistamines, such as levocabastine, is an important advance which broadens the range of therapeutic approaches available for the clinical management of allergic rhinoconjunctivitis. Levocabastine appears to be an attractive alternative to oral antihistamines as a first-line therapeutic option for the treatment of this atopic condition

Positive and negative AIT trials: What makes the difference?

Background: Allergen immunotherapy has proven to be efficacious in allergic rhinitis and asthma. However, results from randomised clinical trials may vary substantially. Clinical trials may unexpectedly fail. The purpose of this review is to discuss the possible factors that may contribute to a successful or unsuccessful study. Methods: Descriptive review exploring the possible causes of negative outcomes in allergen immunotherapy trials. Results: A series of factors may lead to negative results. Among of these are underpowering of the study, low allergen content in tested extracts, insufficient allergen exposure during monitoring and recruitment of inappropriate patients. In addition, the choice of the primary endpoint may be critical. Discussion: A clinical trial aims to evaluate the efficacy of an agent. However, studies with potential effective compounds may fail because of methodical issues. Sometimes, they are the cause of discrepancies between successful phase II and unsuccessful phase III trials. To understand more about failure of studies, investigators and editors should be encouraged to publish negative trials

Schuivende panelen

Schuivende panelen was de titel van een partijprogramma uit de jaren tachtig. Deze rede is echter geen politiek manifest. Hoewel een wetenschapper in staat moet zijn om politiek te bedrijven en de Allergologie als discipline sinds haar oprichting speelbal geweest is van politieke krachten gaat deze lezing vooral over verschuivingen en ontwikkelingen in het vakgebied. rede In verkorte vorm uitgesproken ter gelegenheid van het aanvaarden van het ambt van bijzonder hoogleraar met als leeropdracht Allergologie aan het Erasmus MC, faculteit van de Erasmus Universiteit Rotterdam, op 20 april 200

Spontaneous Ultra-Weak Photon Emission from Human Hands Is Time Dependent

Ultra-weak photon emission in the visible range was measured on palm and dorsal side of left and right hand by means of a low noise photomultiplier system. To study the dynamics of this photon emission in a 24 h period photon emission was recorded in 2 h intervals in 5 experiments, utilizing strict protocols for dark adaptation and recording of subjects. Fluctuations in photon emission in the course of 24 h period were demonstrated for each anatomic location. Mean photon emission over the 24 h period differed both between subjects and hand locations. To detect a pattern in the fluctuations the mean value for each location of each subject in each experiment was utilized to calculate fluctuations during the course of 24 h for each anatomical location. The fluctuations in photon emission in the course of 24 h were more at dorsal sides than palm sides. The correlation between fluctuations in palm and dorsal side was not apparent. During the 24 h period a change in left-right symmetry occurred for the dorsal side but not for the palm of the hands. Photon emission at the left dorsal location was high at night, while the right dorsal side emitted most during the day. It is concluded that a daily rhythm in photon emission can be recorded from both the dorsal and palm sides of the hands

Scattering amplitude of a single fracture under uniaxial stress

Remotely sensing the properties of fractures has applications ranging from exploration geophysics to hazard monitoring. Newly developed capabilities to measure the in-plane component of dense laser-based ultrasound wave fields allow us to test the applicability of a linear slip model to describe fracture properties. In particular, we estimate the diameter, and the normal and tangential compliance of a fracture from the measured scattering amplitudes of P and S waves in the laboratory. Finally, we show that the normal compliance decreases linearly with increasing uniaxial static stress in the plane of the fracture, but that our measurements of the SV scattered field do not show significant changes in the tangential complianc

Artificial neural networks for 3D cell shape recognition from confocal images

We present a dual-stage neural network architecture for analyzing fine shape details from microscopy recordings in 3D. The system, tested on red blood cells, uses training data from both healthy donors and patients with a congenital blood disease. Characteristic shape features are revealed from the spherical harmonics spectrum of each cell and are automatically processed to create a reproducible and unbiased shape recognition and classification for diagnostic and theragnostic use.Comment: 17 pages, 8 figure

Comparison of nasal responsiveness to histamine, methacholine and phentolamine in allergic rhinitis patients and controls

In a selected group of rhinitis patients with an IgE‐mediated allergy to house dust mites the nasal response to insufflation of histamine chloride, methacholine and phentolamine was demonstrated to be higher than in a control group. With the methods used histamine chloride was better at discriminating between healthy subjects and patients than methacholine or phentolamine. This discrimination was shown by assessing the severity of reflex‐mediated symptoms such as the number of sneezes and the amount of secretion, and not by differences in nasal airway resistance. Copyrigh

Steering smog prediction

The use of computational steering for smog prediction is described. This application is representative for many underlying issues found in steering high performance applications: high computing times, large data sets, and many different input parameters. After a short description of the smog prediction model, its visualization and steering are described. The amount of computation needed to solve the governing transport equations is alarmingly high. The user has a large number of options for the display of various aspects of the simulation, and also for the interactive control of its input data. Smooth animation is very important to monitor the evolution of pollutants and for a responsive feedback to parameter changes. Here a performance of least 15 frames per second is required. We discuss techniques that allow the user to steer the numerical solver, such that an optimal tradeoff between computation speed and accuracy can be made